Executive Summary

One of the biggest obstacles to streamlined, high-quality healthcare in the US is a lack of interoperability—namely, that payers and providers can’t easily and securely share patient data. Not only has the surge in telehealth use amid the pandemic brought this issue to the fore, but federal regulations that went into effect last month have put it center stage. Various solutions on the market can break down data exchange barriers and enable streamlined care, but ingrained data exchange practices, privacy concerns, and the persistently high number of COVID-19 cases may hamper efforts toward regulatory compliance.

3 KEY QUESTIONS THIS REPORT WILL ANSWER

1. How are tech giants and digital health startups using cloud, health information exchanges (HIEs), and AI to address long-standing interoperability issues in the US healthcare system?
2. What opportunities have the federal data-sharing mandates of April 2021 created for vendors with interoperability-focused solutions?
3. What challenges could payers and providers face when working to comply with the interoperability regulations?

WHAT’S IN THIS REPORT? In this report, Insider Intelligence examines how healthcare payers and providers can leverage cloud computing, HIEs, and AI to comply with the recently enacted data-sharing guidelines and, in turn, improve patient outcomes and cost savings.

KEY STAT: Interoperability software vendors have a sizable market to tap into. We estimate that the US will spend nearly $16 billion on electronic health record (EHR) and electronic medical record (EMR) systems in 2022, up 11.7% from 2020.