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Discussion: A variety of revenue streams can lead to financial sustainability for a health information exchange (HIE), so long as the HIE chooses a model that suits its specific environment.  Common revenue streams include: subscription/usage fees, transaction fees, grants, and value-add service fees.  HealthShare Exchange has established a revenue approach, described below, for its expanding list of services.  To receive data, participating members must also contribute data.  

In its current financial-sustainability update, HSX has projected:

  • expenditures required to manage its business growth from 2016-2018;
  • revenues from founding members and current participants;
  • and new membership and income streams.