Dan PaolettiThis interest from payers and other stakeholders has led The Partnership to reevaluate its fee schedule later this year to make stakeholders’ contributions more equitable, says Paoletti.Other than offering implementation guidance for hospital connections to ClinicSync, and working with EMR vendors to make these connections streamlined and affordable, the HIE is making sure it gets payer integration right. “They are critical to any sustainability model,” says Paoletti. “I feel pretty adamant that any sustainability model has to include that group, and we have to help them improve patient care and help them solve business problems.”ClinicSync will seek to solve three main payer pain points: transmitting alerts through the exchange when a “covered life” presents at an ER; transmitting care summaries after patient discharge; and coordinating and streamlining documentation about what is authorized versus what care procedures actually take place during a patient stay.A report by the Washington, D.C.-based NeHC, “Secrets of HIE Success Revealed: Lessons from the Leaders,” last year included case studies on 12 successful, sustainable HIEs nationwide. Three of the HIEs profiled in the NeHC report, Quality Health Network (Grand Junction, Colo.), Availity (Jacksonville, Fla.), and Rochester RHIO, drew much of their success from incorporating the payer community as a key stakeholder, leader, and revenue source from the beginning. These HIEs convinced payers of the benefits of the HIE's services in terms of cost savings achieved through reductions in services utilization, NeHC's CEO Kate Berry noted in a review of the report.