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Executive Summary

Succeeding in the complex business of healthcare requires embracing healthcare delivery transformation. Healthcare delivery transformation describes the healthcare industry's response to the disruptive effects of the transition from fee-for-service healthcare to a new pay-for-value model. 

The litany of new initiatives that are driving healthcare transformation offer a variety of payment models. All require sharing of clinical data across the care continuum, including patients and their care teams. 

Health data exchange is no longer optional:

• 21st Century Cures Act requires sharing of clinical data across the care continuum
• Data sharing is a critical component of a successful business plan
• How sharing options achieve healthcare transformation objectives is a pre-requisite to defining an effective strategy

While many data exchange techniques are available in the market, this paper focuses on a few approaches that are readily available, economical to implement and are supported by HHS/CMS/ONC via incentive payment programs. These include secure email / email encryption, Direct Messaging and open APIs like FHIR.