Healthcare Innovation January 25, 2026
David Raths

In 2025 national survey, one-third of HIOs say income from participants fully covers their operating expenses

Key Highlights

  • Only 22% of health information organizations are already participating in TEFCA, with 24% unsure about future participation.
  • Most HIOs support services like alerting, community record building, and data normalization, with increasing focus on social determinants and value-based care data.
  • About a third of HIOs fully cover operating costs through participant fees alone.

In a 2025 survey of health information organizations, only 22% are already participating in the national Trusted Exchange Framework and Common Agreement (TEFCA), and 24 percent continue to say they aren’t sure if they will participate.

These were among the findings discussed during a recent Civitas Networks for...

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Topics: HIE (Interoperability), Survey / Study, Technology, Trends
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