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Incentivizing health information exchange: collaborative governance, market failure, and the public interest

Governments at the Federal and State levels in the United States are investing significant funding to support the exchange of health information among organizations in the health system, in what is essentially a large scale experiment involving collaborative governance and big data. Using qualitative data derived from multiple primary and secondary sources and interviews, this paper reports on a project examining Health Information Exchange (HIE) implementation at the Federal level and in the state of Michigan. Lessons are drawn from this case that can inform HIE implementation, and Health IT adoption more broadly, in other states and at the Federal level.