Healthcare Information Exchange Market Size & Share Analysis - Growth Trends & Forecasts (2025 - 2030)

The Health Information Exchange Market Report is Segmented by Implementation Model (Centralized / Consolidated, and More), Setup Type (Private and Public), Application (Internal Interfacing, and More), Exchange Type (Direct Exchange, and More), Geography (North America, Europe, Asia-Pacific, The Middle East and Africa, and South America). The Market Forecasts are Provided in Terms of Value (USD).

Healthcare Information Exchange Market Size and Share

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Healthcare Information Exchange Market Analysis by Mordor Intelligence

The health information exchange market is valued at USD 2.20 billion in 2025 and is projected to reach USD 3.85 billion by 2030, reflecting an 11.8% CAGR. This rapid expansion mirrors global digital‐health priorities, including stricter interoperability rules, growing cybersecurity vigilance, and the shift to value-based care models. National frameworks such as the Trusted Exchange Framework and Common Agreement (TEFCA) are reinforcing interoperability expectations, while providers invest in hybrid cloud architectures to balance local control with scalability. Centralized deployments still dominate, yet the hybrid approach’s strong growth signals a gradual redesign of data governance strategies. Meanwhile, Epic Systems’ nationwide TEFCA roll-out is redefining competitive dynamics, prompting rivals to accelerate platform upgrades and security enhancements.

Key Report Takeaways

  • By implementation model, centralized/consolidated deployments held 46.76% of health information exchange market share in 2024; hybrid approaches are expanding at 13.45% CAGR through 2030.
  • By application, workflow management accounted for 34.56% of the health information exchange market size in 2024, whereas the “other applications” category is growing at 13.87% CAGR on the back of AI decision-support use cases.
  • By component, Enterprise Master Person Index systems led with 29.76% health information exchange market share in 2024, while clinical data repository solutions are growing fastest at 14.86% CAGR.
  • By end user, healthcare providers dominated with 57.43% share in 2024, but payers are forecast to grow at 14.87% CAGR through 2030.
  • By geographic region, North America captured 47.54% of health information exchange market share in 2024, while Asia-Pacific is advancing at a 12.56% CAGR toward 2030.

Segment Analysis

By Implementation Model: Hybrid Deployments Drive Future Growth

Centralized architectures retained 46.76% of health information exchange market share in 2024, favored for straightforward governance and simpler vendor management. Yet hybrid frameworks are pacing at a 13.45% CAGR, reflecting mounting concern over single points of failure. The health information exchange market size for hybrid deployments is projected to expand sharply as hospitals keep sensitive data on-site while using cloud nodes for national connectivity. Change Healthcare’s outage illustrated the risks of over-centralization, prompting board-level discussions on resiliency. Hybrid adopters also value the ability to migrate incrementally, avoiding major downtime. Vendors are releasing modular toolkits that allow local data residency alongside FHIR-based cloud services. This dual-layer model supports disaster recovery, reduces latency for bedside applications, and meets data-localization mandates in Europe and Asia.

Growth momentum indicates hospitals will favor flexible topologies that evolve with regulatory requirements. As TEFCA connectivity matures, hybrid participants can peer with nationwide networks without relinquishing local database control. Meanwhile, federated implementations persist among institutions operating in jurisdictions with stringent sovereignty rules, such as Germany and India. Collectively, these dynamics position the hybrid configuration as a bridge between traditional on-premise systems and fully hosted solutions, ensuring the health information exchange market retains deployment-model diversity through 2030.

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Note: Segment shares of all individual segments available upon report purchase

By Setup Type: Public Sector Acceleration

Private exchanges accounted for 62.45% of the health information exchange market size in 2024, largely driven by hospital networks seeking bespoke workflows. Public HIE programs, however, are forecast for a 14.65% CAGR, buoyed by federal and state grants that lower barriers for safety-net clinics. CDC’s Data Modernization Initiative exemplifies this shift, underwriting cloud migration costs for public-health nodes. The European Health Data Space takes a similar stance, assigning national authorities to spearhead infrastructure build-out. Public platforms increasingly facilitate syndromic surveillance and chronic-disease registries, functions often overlooked in private systems.

As a result, governments are setting architectural baselines that private stakeholders must match, thereby lifting overall interoperability maturity. Smaller physician groups benefit from no-cost onboarding, gaining access to wider referral networks and decision-support assets. These factors collectively raise the profile of public exchanges, gradually rebalancing market composition while reinforcing the societal value of open data sharing.

By Application: Workflow Management Leads, AI Applications Surge

Workflow-management tools dominated with 34.56% of health information exchange market share in 2024 as providers fought staffing shortages and administrative overhead. Secure messaging, order reconciliation, and discharge summaries remain daily necessities, anchoring budget allocations. Nevertheless, AI-driven clinical-decision modules within the “other applications” bucket are registering a 13.87% CAGR. Epic’s addition of more than 100 AI features underscores the pivot toward intelligent automation. These capabilities mine longitudinal patient data to suggest medication adjustments, predict deterioration, and reduce manual chart review.

Investment in advanced analytics signals a broader intent to turn raw data into actionable insight. As predictive models prove clinical value, stakeholders expect reimbursement mechanisms to recognize decision-support outcomes, further stimulating adoption. Consequently, the health information exchange market is expanding from a transactional data-bus concept into a strategic intelligence layer, embedding analytics at the point of care.

By Exchange Type: Consumer-Mediated Growth Accelerates

Query-based exchange remained largest at 41.56% of health information exchange market share in 2024, critical for emergency departments needing instant patient histories. Direct-trust protocols still facilitate routine referrals, but consumer-mediated exchange is projected to climb 13.45% CAGR through 2030. Application-programming-interface access lets patients aggregate records from multiple portals into smartphone apps, reflecting rising consumer expectations. U.S. rulemaking now penalizes information blocking, forcing hospitals to deliver data to any app chosen by the patient.

Payers see an opportunity to embed member engagement solutions that integrate claims and clinical data, improving chronic-disease management. Device makers also plan to sync wearable data with exchange networks, creating a feedback loop between home monitoring and clinical decision-making. This patient-centric movement promises to widen the data mix flowing through platforms, elevating privacy and consent management to core competencies.

By Component: Clinical Data Repositories Drive Innovation

Enterprise Master Person Index modules led components with 29.76% market share in 2024, underscoring the non-negotiable need for accurate patient matching. Yet clinical data repositories show the fastest expansion at 14.86% CAGR, as organizations aggregate longitudinal histories to support population-health dashboards. Health plans leverage repositories to stratify risk, while research consortia mine de-identified cohorts for precision-medicine studies. Vendors now bundle high-speed analytics engines with repository licenses, enabling real-time quality-measure reporting.

Record locator services and provider directories continue to underpin care coordination, but they are now integrated into broader suites rather than sold as stand-alone modules. Emerging add-ons—blockchain security layers, homomorphic-encryption toolkits, and federated-learning hubs—signal how the health information exchange market will extend component architecture to meet specialized security and research demands.

Health Information Exchange Market
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Note: Segment shares of all individual segments available upon report purchase

By End User: Payers Drive Fastest Expansion

Providers generated 57.43% of 2024 revenue, given their frontline role in data generation. Public-health agencies remain steady participants thanks to pandemic-era reporting mandates. Payers, however, are forecast to grow at 14.87% CAGR as they deepen involvement in risk-bearing arrangements. Integrated health systems use shared platforms to align care-coordination workflows with claims adjudication, reducing discord between clinical and financial processes. Payers also seek to harness real-time data to trigger member outreach, detect fraud, and support value-based contracts.

This acceleration alters vendor roadmaps, prompting feature sets tailored to actuarial analytics, prior-authorization automation, and secure bidirectional data feeds. The health information exchange industry thereby becomes a linchpin for payer-provider convergence strategies, positioning exchange vendors at the nexus of clinical and financial transformation.

Geography Analysis

North America retained 47.54% of 2024 revenue, driven by comprehensive regulatory mandates and robust federal funding. TEFCA adoption is expanding quickly as Epic Systems connects more than 1,000 hospitals through standardized APIs[3]HealthIT.gov, “Office of the National Coordinator: TEFCA Updates,” healthit.gov. Canada and Mexico add further growth, supported by national telehealth investments. The USD 3.1 billion fallout from the Change Healthcare breach spurred hospital boards to increase cybersecurity budgets, reinforcing exchange subscriptions viewed as essential infrastructure.

Europe is reshaping its data-sharing landscape under the European Health Data Space regulation, which earmarked EUR 810 million for cross-border exchange readiness through 2031. Countries such as Finland already demonstrate mature nationwide services through the Kanta platform, acting as blueprints for other member states. The EHDS framework introduces standardized consent mechanisms that balance innovation with privacy, prompting vendors to enhance data-protection modules for the regional market.

Asia-Pacific, the fastest-growing region at 12.56% CAGR, benefits from heavy public investment and demographic pressures. Japan’s national platform build-out, Australia’s My Health Record enhancements, and India’s flagship Ayushman Bharat Digital Mission illustrate government commitment. Cloud-native deployments allow emerging markets to skip legacy hardware phases, creating fertile ground for new entrants. Venture capital flows to telehealth and hospital-at-home models also stimulate demand for real-time data orchestration, bolstering the region’s contribution to overall health information exchange market growth.

Health Information Exchange Market
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Competitive Landscape

The market exhibits moderate consolidation, with Epic Systems expanding its lead through TEFCA connectivity and consistent customer-satisfaction scores. Epic added 176 U.S. hospitals in 2024 while Oracle Health lost 74 sites as upgrades stalled. InterSystems and Health Catalyst pursue a best-of-breed strategy, focusing on specialized analytics and data-repository performance. M&A activity is accelerating: HEALWELL AI’s April 2025 acquisition of Orion Health formed a global interoperability and AI powerhouse, and Centauri Health Solutions acquired MedAllies to strengthen direct-messaging capabilities.

Competitive differentiation now hinges on vendor partnership models, security credentials, and multi-cloud resiliency rather than mere interface counts. Emerging opportunities include consumer-mediated exchange apps, blockchain-secured networks, and AI-native decision-support platforms. Vendors that pair robust cybersecurity with rapid innovation are best positioned to capture the next wave of health information exchange market demand.

Healthcare Information Exchange Industry Leaders

  1. Epic Systems Corporation

  2. Oracle Cerner Corporation

  3. Veradigm, Inc.

  4. InterSystems Corporation

  5. Orion Health

  6. *Disclaimer: Major Players sorted in no particular order
Health Information Exchange Market
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Recent Industry Developments

  • April 2025: HEALWELL AI completed acquisition of Orion Health, creating an interoperability and AI leader Healwell AI.
  • April 2025: Centauri Health Solutions acquired MedAllies, adding messaging and record-location services across 1,000+ hospitals FinSMEs.
  • March 2025: The European Union published the European Health Data Space regulation, allocating EUR 810 million for implementation through 2031 Arnold & Porter.
  • January 2025: U.S. HHS finalized HTI-2 and HTI-3 rules establishing TEFCA governance and reproductive-health data protections Ropes & Gray.
  • December 2024: Epic Systems reported 625 hospitals connected to TEFCA and targeted full-community transition by end-2025 Epic.

Table of Contents for Healthcare Information Exchange Industry Report

1. Introduction

  • 1.1 Study Assumptions & Market Definition
  • 1.2 Scope of the Study

2. Research Methodology

3. Executive Summary

4. Market Landscape

  • 4.1 Market Overview
  • 4.2 Market Drivers
    • 4.2.1 Accelerating Digital Transformation of Healthcare Systems
    • 4.2.2 Expanding Government Funding For Nationwide Interoperability
    • 4.2.3 Shift Toward Value-Based Care And Population Health Management
    • 4.2.4 Rapid Growth of Cloud-Based Health IT Deployments
    • 4.2.5 Emergence of Consumer-Driven Health Data Ownership Models
    • 4.2.6 Integration of Artificial Intelligence For Real-Time Clinical Decision Support
  • 4.3 Market Restraints
    • 4.3.1 High Capital Investment for Interoperability Infrastructure
    • 4.3.2 Persistent Data Privacy and Cybersecurity Threats
    • 4.3.3 Fragmented Standards and Vendor Information Blocking Practices
    • 4.3.4 Limited Technical Expertise in Small And Rural Provider Settings
  • 4.4 Regulatory Landscape
  • 4.5 Porter's Five Forces Analysis
    • 4.5.1 Threat Of New Entrants
    • 4.5.2 Bargaining Power Of Buyers
    • 4.5.3 Bargaining Power Of Suppliers
    • 4.5.4 Threat Of Substitute Products
    • 4.5.5 Intensity Of Competitive Rivalry

5. Market Size & Growth Forecasts (Value, USD)

  • 5.1 By Implementation Model
    • 5.1.1 Centralized / Consolidated
    • 5.1.2 Decentralized / Federated
    • 5.1.3 Hybrid
  • 5.2 By Setup Type
    • 5.2.1 Private
    • 5.2.2 Public
  • 5.3 By Application
    • 5.3.1 Internal Interfacing
    • 5.3.2 Secure Messaging
    • 5.3.3 Workflow Management
    • 5.3.4 Web Portal Development
    • 5.3.5 Other Applications
  • 5.4 By Exchange Type
    • 5.4.1 Direct Exchange
    • 5.4.2 Query-Based Exchange
    • 5.4.3 Consumer-Mediated Exchange
  • 5.5 By Component
    • 5.5.1 Enterprise Master Person Index (EMPI)
    • 5.5.2 Healthcare Provider Directory (HPD)
    • 5.5.3 Record Locator Service (RLS)
    • 5.5.4 Clinical Data Repository
    • 5.5.5 Other Components
  • 5.6 By End User
    • 5.6.1 Public Health Agencies
    • 5.6.2 Healthcare Providers
    • 5.6.3 Payers & Health Plans
    • 5.6.4 Other End Users
  • 5.7 Geography
    • 5.7.1 North America
    • 5.7.1.1 United States
    • 5.7.1.2 Canada
    • 5.7.1.3 Mexico
    • 5.7.2 Europe
    • 5.7.2.1 Germany
    • 5.7.2.2 United Kingdom
    • 5.7.2.3 France
    • 5.7.2.4 Italy
    • 5.7.2.5 Spain
    • 5.7.2.6 Rest of Europe
    • 5.7.3 Asia-Pacific
    • 5.7.3.1 China
    • 5.7.3.2 Japan
    • 5.7.3.3 India
    • 5.7.3.4 Australia
    • 5.7.3.5 South Korea
    • 5.7.3.6 Rest of Asia-Pacific
    • 5.7.4 Middle East & Africa
    • 5.7.4.1 GCC
    • 5.7.4.2 South Africa
    • 5.7.4.3 Rest of Middle East & Africa
    • 5.7.5 South America
    • 5.7.5.1 Brazil
    • 5.7.5.2 Argentina
    • 5.7.5.3 Rest of South America

6. Competitive Landscape

  • 6.1 Market Concentration
  • 6.2 Market Share Analysis
  • 6.3 Company Profiles (includes Global level Overview, Market level overview, Core Business Segments, Financials, Headcount, Key Information, Market Rank, Market Share, Products and Services, and analysis of Recent Developments)
    • 6.3.1 Epic Systems Corporation
    • 6.3.2 Oracle Cerner Corporation
    • 6.3.3 Veradigm, Inc.
    • 6.3.4 InterSystems Corporation
    • 6.3.5 Orion Health
    • 6.3.6 MEDITECH
    • 6.3.7 eClinicalWorks
    • 6.3.8 Optum Insight
    • 6.3.9 Change Healthcare
    • 6.3.10 NextGen Healthcare
    • 6.3.11 OpenText Corporation
    • 6.3.12 Infor Inc.
    • 6.3.13 Philips Healthcare
    • 6.3.14 Axway
    • 6.3.15 Health Catalyst
    • 6.3.16 4medica
    • 6.3.17 Verato
    • 6.3.18 Konica Minolta Healthcare
    • 6.3.19 CliniComp
    • 6.3.20 Orchestrate Healthcare

7. Market Opportunities & Future Outlook

  • 7.1 White-Space & Unmet-Need Assessment
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Global Healthcare Information Exchange Market Report Scope

Health information exchange is the mobilization of healthcare information electronically, across organizations within a region, community, or hospital system. Global healthcare information exchange market has been segmented on the basis of implementation model, setup type, application, exchange type, and component.

By Implementation Model Centralized / Consolidated
Decentralized / Federated
Hybrid
By Setup Type Private
Public
By Application Internal Interfacing
Secure Messaging
Workflow Management
Web Portal Development
Other Applications
By Exchange Type Direct Exchange
Query-Based Exchange
Consumer-Mediated Exchange
By Component Enterprise Master Person Index (EMPI)
Healthcare Provider Directory (HPD)
Record Locator Service (RLS)
Clinical Data Repository
Other Components
By End User Public Health Agencies
Healthcare Providers
Payers & Health Plans
Other End Users
Geography North America United States
Canada
Mexico
Europe Germany
United Kingdom
France
Italy
Spain
Rest of Europe
Asia-Pacific China
Japan
India
Australia
South Korea
Rest of Asia-Pacific
Middle East & Africa GCC
South Africa
Rest of Middle East & Africa
South America Brazil
Argentina
Rest of South America
By Implementation Model
Centralized / Consolidated
Decentralized / Federated
Hybrid
By Setup Type
Private
Public
By Application
Internal Interfacing
Secure Messaging
Workflow Management
Web Portal Development
Other Applications
By Exchange Type
Direct Exchange
Query-Based Exchange
Consumer-Mediated Exchange
By Component
Enterprise Master Person Index (EMPI)
Healthcare Provider Directory (HPD)
Record Locator Service (RLS)
Clinical Data Repository
Other Components
By End User
Public Health Agencies
Healthcare Providers
Payers & Health Plans
Other End Users
Geography
North America United States
Canada
Mexico
Europe Germany
United Kingdom
France
Italy
Spain
Rest of Europe
Asia-Pacific China
Japan
India
Australia
South Korea
Rest of Asia-Pacific
Middle East & Africa GCC
South Africa
Rest of Middle East & Africa
South America Brazil
Argentina
Rest of South America
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Key Questions Answered in the Report

What is driving the rapid growth of the health information exchange market?

Strong regulatory mandates, rising cybersecurity investments, and the shift to value-based care are expanding adoption, resulting in an 11.8% CAGR through 2030.

Which implementation model is growing fastest?

Hybrid deployments, which balance local data control with cloud scalability, are expanding at a 13.45% CAGR.

How big is the health information exchange market size today?

The market stands at USD 2.20 billion in 2025 and is forecast to reach USD 3.85 billion by 2030.

Which region leads the health information exchange market?

Asia Pacific is estimated to grow at the highest CAGR over the forecast period (2025-2030).

Which region has the biggest share in Healthcare Information Exchange Market?

North America holds 47.54% of 2024 revenue thanks to TEFCA roll-outs and federal funding.

What role do payers play in future growth?

Payers are the fastest-growing end-user group at 14.87% CAGR as they require comprehensive patient data for risk-sharing and care-management programs.

What is the biggest restraint to market expansion?

Persistent cybersecurity threats, exemplified by the Change Healthcare breach, remain the primary barrier, reducing forecast CAGR by an estimated 2.2%.

Page last updated on: June 23, 2025

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