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Understanding the value proposition of health information exchange: the case of uncompensated care cost recovery

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Health Systems

Abstract

This case study examined the use of the Nationwide Health Information Network as a mechanism for secure and interoperable transport of existing clinical data from electronic health records. The context for this study was the secondary use of existing data from MedVirginia, a Virginia Health Information Exchange, for Social Security Administration disability determination. The study found that an estimated U.S. $1.9 million in uncompensated care costs were recovered over a 12-month period from August 2009 to July 2010, and serves as an example demonstrating that uncompensated care cost recovery is a promising means by which a health information exchange can provide value to healthcare providers.

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Acknowledgements

The authors acknowledge the contributions of all of the interviewees for their time, as well as the Kay Family Foundation for their support and continued vision in the area of information systems for disability determination. This study was funded, in part, through a Claremont Graduate University Interdisciplinary Dissertation Award. Lastly, the authors thank the editors and reviewers for their thoughtful and careful review of this manuscript.

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Correspondence to Sue S Feldman.

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Feldman, S., Horan, T. & Drew, D. Understanding the value proposition of health information exchange: the case of uncompensated care cost recovery. Health Syst 2, 134–146 (2013). https://doi.org/10.1057/hs.2012.24

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