The notion of “health information exchange” has
been around for decades, and we have tried many approaches. Yet our healthcare system is struggling to foster the kind of exchange that will truly drive better care and smarter spending. Entrenched payment policies that do not reward better health outcomes or coordinated care continue to hold us back. We are making progress, but many healthcare organizations today still treat health data as a close-hold business asset, when it should be treated as a public good.