Stimulus Funds Will Build State Health Exchanges But Might Not Sustain Them

The $548 million in grants available to states to set up information exchanges about patients will run out in 2015, and state officials are concerned about how they will keep paying once the federal money is gone. States are looking for where else they can get the money from, such as charging subscription and per-transaction fees from providers.

“The problem is that I don’t know whether all the states are working to see what the best model is … I think probably they need more guidance on which models work and which models don’t,” said John Derr, a consultant at Golden Living LLC and member of the Standards Committee for health information technology.