In 2013, HIEs may be evolving in regions where there previously wasn't a huge need for information sharing. 2013 is also likely to bring a new focus on HIE interoperability, sustainability and clinical and business value.

The institute is spreading $40 million across a variety of projects in an effort to build a "portfolio of comparative clinical effectiveness research."

Six states receive conditional approval for their state-based health insurance exchange plans.

Industry associations, including, AMA, AAFP, and AHA, respond to OIG's reports saying the meaningful use program needs closer supervision.

A new report released today by the Kaiser Family Foundation shows modest state costs for implementing the Medicaid expansion under the Affordable Care Act compared to significant increases in federal funds, allowing some states to see net budget savings even as millions of low-income uninsured Americans gain health coverage.

The Tennessee Department of Health is asking for $9 million in its 2013-14 budget to build a new IT system linking its county health department clinics, using the open source VistA platform.

The Pentagon's Defense Logistics Agency has awarded the nine year, $40 million contract to Acuo Technologies, for a universal clinical platform acting as a vendor neutral archive for enterprise patient imaging logistics.

Among more than a hundred ballot initiatives in 38 states, voters in conservative states passed symbolic constitutional amendments opposing the individual mandate, while Missouri's law limiting efforts to craft a state insurance exchange could have some unintended consequences.

As states either begin or continue working on HIXs, they are bound to face a number of the same challenges that their HIE predecessors have encountered, namely when it comes to data management and integration.