BACKGROUND Imagine a healthcare ecosystem where consumers, patients, and their families have perfect information. Office visits are well-documented, records would be available forever, and primary doctors would oversee hospital stays. Specialists would be in contact with primary care doctors, hospital physicians and ambulatory physicians would have access to the patient’s records, and everyone would agree on the value of pharmaceuticals and services. Patients might pay their own invoices. Payers would have access to the information necessary to manage their roles with greater speed and accuracy. If only healthcare were that simple.

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