Global Market Size, Forecast, and Trend Highlights Over 2025-2037
Health Information Exchange Market size was valued at USD 1.7 billion in 2024 and is projected to reach USD 5 billion by 2037, rising at a CAGR of 9.4% during the forecast timeline from 2025 to 2037. In 2025, the industry size of health information exchange is estimated at USD 1.9 billion.
A key driver of the HIE sector is the palpable shift from fragmented, paper-based systems to interconnected digital health ecosystems. The shift has been reinforced by policy reforms such as the U.S. Twenty-First Century Cures Act mandates from the Office of the National Coordinator for Health Information Technology (ONC), and global equivalents such as Germany’s Telematics Infrastructure and India’s Ayushman Bharat Digital Mission. With an increasing number of countries seeking to bridge the private and public care coordination, HIE platforms have expanded from a mere IT tool to a foundational pillar in the current healthcare ecosystem.
In terms of trends, the health information exchange market is experiencing heightened infrastructure maturation, propelled by the widespread adoption of EHR. Additionally, the spending on digital health continues to rise, with the healthcare expenditure accounting for 9.2% of GDP across OECD nations. From this budget, a growing share has been allocated to cloud-based technologies. In addition, another trend that has proliferated in the sector is the increasing adoption of hybrid multicloud. The convergence of the indicators reflects a strong foundational support for HIE platforms, and with discussions to create interoperability standardization intensifying, the opportunities in the sector are set to remain consistent by the end of 2037. The table below highlights a few key technical indicators of the HIE market.
|
Indicator |
Value/Status (2024) |
|
EHR Adoption in U.S. Hospitals |
95% |
|
Health Expenditure (OECD) as % of GDP |
9.4% |
|
Hybrid Multicloud Adoption in Healthcare |
16.3% |
|
Organizations Using Multiple IT Infrastructures |
74% |
|
Healthcare Orgs Experiencing Cyberattacks |
93% |
|
Average Cyberattacks per Organization |
40 |
|
Cybersecurity Investment Forecast (2020–2025) |
$126 billion |
Health Information Exchange Sector: Growth Drivers and Challenges
Growth Drivers
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Accelerated adoption of interoperability standards by health information organizations: To create a digitalized healthcare system focused on personalized care, interoperability standards must be implemented. The health information exchange market benefits from the deployment of such interoperability standards to support a smooth flow of data exchange across healthcare systems. A few of these standards are the HL7 V2, Clinical Document Architecture (CDA), and the U.S. Core Data for Interoperability (USCDI). By the end of October 2024, more than 85% of Health Information Organizations were routinely sending and receiving CDA documents, whilst a majority utilized HL7 V2 messages. In addition to this, more than 45% of HIOs have facilitated standardized laboratory data exchange, bolstering the market growth.
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Rising funding bolstering HIE infrastructure: Federal initiatives have boosted the infrastructure for electronic HIE. In April 2023, the U.S. Government Accountability Office (GAO) reported that federal funding in the country has been instrumental in advancing electronic exchange capabilities among healthcare providers. Additionally, at the forefront of the market growth is the Trusted Exchange Framework and Common Agreement (TEFCA), which is a federally backed framework under the aegis of the ONC. TEFCA has standardized the exchange of health data across disparate systems. More funding has come via CMS programs, including the Promoting Interoperability Program, which has incentivized hospitals and physicians alike to adopt HIE platforms.
Strengthening Cybersecurity In the Health Information Exchange Sector
The HIE industry has faced considerable cyber threats over the years. With cyberattacks evolving, the threat surface area is expected to expand by the end of the next decade. In 2024, the HIE sector suffered major setbacks, such as the Change Healthcare ransomware attack. Despite the rising threats, the key players are enforcing robust strategies to mitigate the impact. The table below highlights the impact of cyberattacks and suggested remedies in the HIE market:
|
Company / Sector |
Cyber Attack Type |
Impact |
Potential Remedies to Mitigate Impact |
|
Change Healthcare |
Ransomware |
Disruption of services for 191 million individuals; $21 million ransom paid. |
Implement AI-driven threat detection systems |
|
Ascension Health |
Ransomware |
Electronic health record outage lasting four weeks; 5.5 million patients affected. |
Enhance employee cybersecurity training |
Technological Trends in AI & ML Transforming the HIE Landscape
The integration of AI and ML to automate tasks has bolstered the HIE market. The use of canonical data models supported by ML is a major trend within the market. The approach has accelerated the time-to-market for new HIE modules, whilst also ensuring consistent performance across diverse healthcare systems. Meanwhile, AI has improved the predictive maintenance routine to reduce downtimes.
|
Company |
Integration of AI & ML |
Outcome |
|
InterSystems |
ML‑driven real‑time “Bed Board” dashboard |
Dev time cut by 80%; review costs down 22% |
|
Oracle Health |
Generative AI + voice assistants in EHR/HIE workflows |
31% reduction in clinician documentation time |
Challenges
- Lack of interoperability across HIE systems: A pressing challenge of the global HIE sector is the lack of standardized interoperability across disparate healthcare IT systems. The fragmentation limits the exchange of patient records across HER systems, especially in record sharing across national borders and among public-private institutions. Additionally, vendor-specific architectures add to this constraint leading to healthcare providers relying on physical media and fax for vital patient data. Such reliance undercuts the core purpose of the HIE systems.
Health Information Exchange: Key Insights
| Report Attribute | Details |
|---|---|
|
Base Year |
2024 |
|
Forecast Year |
2025-2037 |
|
CAGR |
9.4% |
|
Base Year Market Size (2024) |
USD 1.7 billion |
|
Forecast Year Market Size (2037) |
USD 5 billion |
|
Regional Scope |
|
Health Information Exchange Segmentation
Deployment Mode (Cloud-Based, On-Premise)
The cloud-based deployment segment in the health information exchange market is projected to hold a leading revenue share of 60.8% by the end of 2037. The cloud-based deployment offers flexible and cost-effective solutions, which have driven the adoption across healthcare organizations worldwide. Additionally, opportunities are slated to be rife in government as well as private hospitals as they seek to transform to EHR systems. In terms of recent deployments, in early 2025, HCA Healthcare, which is one of the largest private healthcare providers in the U.S., announced a partnership with the Cerner Corporation to integrate cloud-based HIE solutions across its network of clinics and hospitals.
Type (Private HIE, Public HIE, Hybrid HIE, Enterprise HIE, Regional HIE, Cross-Enterprise HIE)
The Private HIE segment is projected to hold over 55.3% revenue share during the forecast period. The segment’s growth is attributed to a rising number of healthcare organizations pushing for secure and proprietary platforms to share data internally. With the threat of cyberattacks looming large, private HIEs solve the pain point by offering improved control over data privacy. The deployment of private exchanges is expected to increase significantly in large healthcare systems in a bid to comply with national standards of protecting patient data.
Our in-depth analysis of the global market includes the following segments:
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Deployment Mode |
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Type |
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End user |
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Customize this ReportHealth Information Exchange Industry Regional Synopsis
North America Market Forecast
The North America health information exchange market is poised to hold a leading revenue share of 45.4% during the forecast period, driven by the presence of a well-established healthcare industry that has embraced the shift to digitalization. The widespread adoption of EHR in North America has created a favorable ecosystem for the sector’s expansion. Supportive regulatory acts include the Affordable Care Act and the Twenty-First Century Cures Act, which have pushed for interoperable data exchange across healthcare systems in the region.
The U.S. health information exchange market is projected to maintain a leading position in North America by the end of 2037. A major driver of the U.S. market is the nationwide push for health information interoperability. Additionally, the large-scale digitization of patient data has favorably impacted the sector’s growth. In terms of the regulatory landscape, policies such as the HITECH Act have incentivized the adoption of EHRs and HIE solutions in the U.S. market. In a recent market movement, in 2024, CMS announced a new set of funding initiatives to bolster healthcare interoperability through the Medicare and Medicaid programs.
The Canada health information exchange market is poised to increase its revenue share during the forecast period, owing to the focus on nationwide EHR adoption. Additionally, the healthcare sector of Canada is supported by the government heavily, and the push to improve patient outcomes incentivizes the adoption of HIE solutions. In terms of recent adoption bolstering digital health adoption, the government funneled a USD 100 million investment in digital health technologies in 2024 as a part of the Canada Health Infoway project.
Asia Pacific Market Forecast
The APAC HIE market is rising at a CAGR of 14.2% during the forecast timeline from 2025 to 2037. The regional market’s robust expansion is impacted by an expanding middle class with rising disposable income, creating a greater demand for improved healthcare. This demand ties up with the rising opportunities in the APAC HIE sector. Additionally, multiple economies in APAC are gradually shifting from paper-based to digital health records to facilitate the seamless exchange of healthcare data across state and national lines. Within APAC, Thailand, India, and Singapore are major medical tourism destinations, leading to the sustained push to adopt HIE solutions.
The China HIE market is estimated to hold a dominant revenue share in the APAC market. A key factor is the push to usher digitalization across multiple sectors in the country, creating sustained opportunities for the proliferation of HIE solutions in the healthcare industry. The Healthy China 2030 plan is a key driver of the China market, as the government pushes for the improvement of national health information exchange networks.
The India HIE market is poised to expand its revenue share by the end of 2037. A major factor of the market's expansion in India is the country's emergence as a premier medical tourism destination. In 2023, the number of medical tourists arriving in India was estimated at over 1 million by the IBEF with trend indicating the number to increase exponentially by the end of this decade. This trend is positioned to benefit the domestic HIE market tremendously as the need for cross-border healthcare data sharing increase, while a sustained push by the private hospitals to ease sharing of data supports the sector's expansion.
Major Players in the Health Information Exchange Market
- Company Overview
- Business Strategy
- Key Product Offerings
- Financial Performance
- Key Performance Indicators
- Risk Analysis
- Recent Development
- Regional Presence
- SWOT Analysis
The HIE market remains highly competitive, with key players including specialized healthcare IT companies to tech giants. In North America, Cerner Corporation and McKesson lead the revenue share, while new players are rapidly emerging from APAC. Additionally, strategic acquisitions are expected to bolster the market presence of key players. The table below highlights the major players of the health information exchange market:
|
Company Name |
Country of Origin |
Revenue Share (2024) |
|
Cerner Corporation |
USA |
18.6% |
|
McKesson Corporation |
USA |
15.3% |
|
Allscripts Healthcare Solutions |
USA |
12.5% |
|
Epic Systems Corporation |
USA |
10.7% |
|
GE Healthcare |
USA |
8.9% |
|
Siemens Healthineers |
Germany |
xx% |
|
Medtronic |
Ireland |
xx% |
|
Philips Healthcare |
Netherlands |
xx% |
|
InterSystems |
USA |
xx% |
|
Oracle Health |
USA |
xx% |
|
Cerner Korea |
South Korea |
xx% |
|
iMarque Solutions |
India |
xx% |
|
Qventus |
USA |
xx% |
|
NextGen Healthcare |
USA |
xx% |
|
RXNT |
USA |
xx% |
Below are the areas covered for each company in the health information exchange market:
In the News
- In April 2025, Microsoft and Cerner announced a partnership to bolster health data interoperability. The collaboration seeks to create an improved exchange of health information across different healthcare providers globally. As per the partnership terms, Microsoft’s Azure cloud platform will be leveraged along with the EHR system of Cerner.
- In January 2024, Mckesson Corporation announced the launch of a new AI-enhanced oncology platform. The new platform leverages AI to automate clinical note generation while improving workflow efficiency in oncology practices. The platform is expected to improve decision-making.
Author Credits: Radhika Pawar
- Report ID: 5120
- Published Date: Jun 03, 2025
- Report Format: PDF, PPT
