Oracle Health Designated QHIN Under TEFCA as U.S. Data Exchange Network Expands

The latest approval more than doubles the total number of QHINs compared to when TEFCA went live at the end of 2023.

Oracle Health has received Qualified Health Information Network (QHIN) status under the federal Trusted Exchange Framework and Common Agreement (TEFCA), expanding the number of designated data exchange networks to 11.

The latest approval more than doubles the total number of QHINs compared to when TEFCA went live at the end of 2023.

With the designation, the Oracle Health Information Network can now exchange health information among providers, payers, and government agencies through TEFCA, a national framework created by the U.S. Department of Health and Human Services to support standardized and secure health record sharing.

TEFCA lays out the technical and policy requirements for nationwide interoperability. Under the framework, QHINs act as core infrastructure enabling cross-network health data exchange. These entities represent health systems, insurers, and health IT vendors, and must complete onboarding and meet defined security and technology standards before they can participate in the network.

Oracle had said roughly a year ago that it intended to pursue the QHIN designation.

Since then, several major industry players have joined the list of approved networks, including Surescripts — a leading e-prescribing network — and ambulatory EHR vendor eClinicalWorks.

The expansion of QHINs comes as the federal government, under the Trump administration, accelerates efforts to strengthen national health data exchange. Earlier this year, the Centers for Medicare & Medicaid Services unveiled the Health Tech Ecosystem, an initiative aimed at increasing adoption of a voluntary information-sharing blueprint and promoting broader availability of digital health tools. The effort includes participation from dozens of healthcare and technology companies, and Oracle is among those that have signed onto the pledge.

While the initiative has an ambitious goal of addressing the sector’s long-standing interoperability gaps, industry observers noted the limited initial details and tight timelines, with the administration expecting visible progress by early 2026.

An early development surfaced this week when Humana and Epic — one of Oracle’s major electronic health record competitors — introduced new data-sharing capabilities under the CMS ecosystem. The features are designed to streamline patient check-in and coverage verification by improving the exchange of administrative and clinical information.

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