CommonWell Health Alliance

What CommonWell Health Alliance does

CommonWell Health Alliance is a nonprofit member-driven trade association founded in 2013 and headquartered in Boston, Massachusetts. The organization operates the largest nationwide health data exchange network in the United States, connecting 37,000+ provider organizations across more than 20 care settings and serving 244+ million unique individuals — approximately 73% of the US population. It was formally incorporated in October 2013 by seven founding EHR and health IT vendors (Allscripts, athenahealth, Cerner, CPSI, Greenway, McKesson, and Sunquest) and was designated as a Qualified Health Information Network (QHIN) under TEFCA in February 2024.

The platform architecture consists of four purpose-built core services: a Master Person Index for automated patient identity matching and de-duplication, a Record Locator Service for real-time nationwide patient record discovery, a Data Broker facilitating automated query exchange including for Payment and Health Care Operations use cases, and a Trust Network managing authentication and authorization between participants. The platform supports both XCA and FHIR protocols, enabling cross-network queries with Carequality and TEFCA endpoints, and offers Individual Access Services with Identity Assurance Level 2 (IAL2) certification — CommonWell was the first QHIN with an IAS Provider live on TEFCA. Additional services include ADT event notifications, autolinking for patient demographic matching, dynamic FHIR registration, and FHIR document and discrete resource exchange. The organization completed a technical platform migration to ELLKAY in November 2025 and launched a CommonWell Marketplace in March 2025.

CommonWell's revenue model is based on annual membership fees from 70+ member companies (with a 75% first-year discount) plus flat annual fees for Individual Access Services with no transaction-based charges. Distribution occurs primarily through EHR vendor partners (athenahealth, Cerner/Oracle Health, MEDITECH, eClinicalWorks, Epic) that embed CommonWell services natively into their products, as well as direct member recruitment and PHR app developer outreach for IAS. As a nonprofit alliance, the organization is governed by a member-elected Board of Directors and does not have external equity investors or disclosed funding rounds. Notable regulatory positioning includes QHIN designation, HITRUST certification since 2019, and active participation in the CMS Interoperability Framework and CMS Electronic Prior Authorization Acceleration initiative.

Name

CommonWell Health Alliance

Legal name

CommonWell Health Alliance Inc.

Website

https://commonwellalliance.org

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

11–50 employees

Short description

CommonWell Health Alliance is a nonprofit member-driven alliance operating the largest nationwide US health data exchange network, connecting 37,000+ provider organizations and serving 244+ million individuals. Designated as a Qualified Health Information Network under TEFCA, it provides patient identity matching, record locator services, and FHIR-based interoperability APIs for EHR vendors, providers, payers, and patient access applications.

Ownership category

akta.pro rank

Product category

Healthcare Interoperability Network Services

NAICS

Health Care and Social Assistance (62)

SIC

Services-Health Services (8000), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

HIE Platforms & Network Services (Community/Regional/National) (HLACABAB)

akta.pro secondary industry

EHR/EMR Integration & Interoperability Middleware (HL7/FHIR) (HLALAKAD)

Keywords

• Healthcare interoperability network
• Health data exchange
• TEFCA QHIN services
• FHIR health data sharing
• Patient record retrieval

Headquarters

HQ city

Boston

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Technology or R&D, Personnel, Infrastructure, Operations, Marketing or Sales

Revenue model

1. Member Membership Fees: Organizations pay annual membership fees to join the CommonWell Alliance and participate in the network. First-year membership is discounted by 75% of the standard annual fee.
2. Individual Access Services (IAS) Fees: IAS services operate on a flat, low annual fee with no transaction-based fees. One transparent, all-inclusive pricing model for patient access services.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels8 records

Core offering

CommonWell Health Alliance operates a nationwide health data exchange network enabling interoperability between disparate healthcare systems. Through its four purpose-built services (Master Person Index, Record Locator Service, Data Broker, Trust Network) plus Individual Access Services and FHIR-based exchange, it connects 37,000+ provider organizations and serves 244+ million unique individuals. As a Designated QHIN under TEFCA, it offers unified nationwide query, retrieval, and patient access capabilities to its member organizations.

Product overview

CommonWell Health Alliance is a nonprofit member-driven alliance operating as a Qualified Health Information Network (QHIN) under TEFCA. The organization offers a purpose-built platform delivering health data exchange services through four core services: Master Person Index (patient identity management), Record Locator Service (nationwide patient record discovery), Data Broker (query facilitation), and Trust Network (authentication). The platform extends capabilities through Individual Access Services for patient data access, FHIR-based document and discrete resource exchange, ADT event notifications, and practitioner directory services. The CommonWell Marketplace provides a platform for third-party interoperability solutions. The network connects over 37,000 provider organizations, serves more than 244 million unique individuals, and has facilitated retrieval of more than 8.5 billion health records.

Differentiator

Problem solved

Functional benefit

Brands

• CommonWell QHIN: The Qualified Health Information Network platform that delivers access to robust, complete, and accurate data in a secure environment for nationwide health data exchange.
• CommonWell Marketplace
• CommonWell Individual Access Services (IAS)

Products and services

• Master Person Index
• Record Locator Service (RLS)
• Data Broker
• Trust Network
• Individual Access Services (IAS)
• CommonWell Marketplace
• TEFCA Connectivity Services

Quantifiable outcome

• 244+ million unique individuals served (approximately 73% of US population)
• +4 more outcomes

Named customers6 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature8 records

Partnerships

16 partnerships are on record, tiered core and strategic.

• ELLKAYcoreTechnology or Integration · 13 September 2023ELLKAY serves as CommonWell's Technical Service Provider, supporting the migration to a new technical platform for TEFCA readiness. The partnership enables simplified onboarding for health IT vendors, increased automation for querying the network, and more efficient data retrieval. ELLKAY brings over 20 years of healthcare data interoperability expertise to support CommonWell's QHIN designation.
• CarequalitycoreTechnology or IntegrationCommonWell supports Cross-Community Access (XCA) or FHIR queries to Carequality and TEFCA. The collaboration enables connected provider sites to exchange data with Carequality-connected organizations, expanding the overall interoperability ecosystem.
• The Sequoia ProjectcoreStrategic or Co-development PartnerCommonWell achieved QHIN designation under TEFCA through The Sequoia Project, which serves as the Recognized Coordinating Entity (RCE) overseeing the TEFCA framework. The partnership is fundamental to CommonWell's role in nationwide health data exchange.
• HealthExcoreStrategic or Co-development PartnerHealthEx partnered with CommonWell under TEFCA to launch a platform enabling patients to access and share complete health records in real-time. The platform delivers end-to-end patient data interoperability using Individual Access Services, available for early adopters including payers, providers, and digital health companies.
• CLEARstrategicStrategic or Co-development PartnerPartnership with CLEAR to support patient identity verification and secure access to health records as part of the HealthEx platform launch under TEFCA Individual Access Services.
• MedAlliesstrategicTechnology or IntegrationMedAllies partnered with CommonWell as part of the HealthEx platform for patient data exchange, providing health information exchange services under TEFCA.
• athenahealthcoreTechnology or Integrationathenahealth partnered with CommonWell for TEFCA connectivity, with over 100,000 provider customers connected to the network. As a founding member and board participant, athenahealth represents one of CommonWell's largest EHR vendor partners.
• b.well Connected HealthstrategicTechnology or Integrationb.well Connected Health uses CommonWell IAS to give patients a single point of access to their health records without juggling logins or faxing release forms. The partnership delivers faster access, less friction, and stronger patient engagement.
• DataFile ExchangestrategicTechnology or IntegrationDataFile Exchange was added as a new service provider to support the Payment and Health Care Operations use case, working with CommonWell and Change Healthcare to facilitate automated exchange of PHI data requests from payers and qualified entities.
• Change HealthcarecoreTechnology or IntegrationChange Healthcare serves as the technology service provider and data broker for the CommonWell network, building functionality to support Payment and Health Care Operations data requests. Four service adopters including Change Healthcare participated in the pilot.
• EMR DirectstrategicTechnology or IntegrationEMR Direct served as the accredited Certificate and Registration Authority for CommonWell's FHIR connectathon, issuing community certificates for FHIR client and server authentication using the UDAP Security Implementation Guide.
• athenahealth, Cerner, Allscripts, Greenway, CPSI, Sunquest, MEDITECH, eClinicalWorkscoreTechnology or IntegrationFounding and core member EHR vendors that embed CommonWell services into their products, representing the primary distribution channel for network connectivity. These members represent significant market share in acute and ambulatory EHR markets.
• LabcorpstrategicTechnology or IntegrationLabcorp joined CommonWell as a new member in September 2024, bringing laboratory services expertise to the interoperability network and expanding the ecosystem to include diagnostic data.
• DocNow, Healthier, Redox, Savoy HealthstrategicTechnology or IntegrationFour new members joining in June 2025, bringing expertise in genomics, virtual-first care, and next-gen interoperability platforms to advance the mission of interoperability.
• Agadia, MEDENTstrategicTechnology or IntegrationNew members joining in February 2025, bringing expertise in pharmacy benefit management, EHR solutions, and healthcare data integration to strengthen the interoperability ecosystem.
• ModuleMD, Solace HealthstrategicTechnology or IntegrationModuleMD (EHR company) and Solace Health (care champion organization) joined CommonWell to get onboard the new CommonWell platform supporting TEFCA connectivity.

Scale indicators10 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• Carequality: Carequality operates a national interoperability framework connecting 50,000+ clinics, hospitals, and specialty centers. CommonWell actively integrates with Carequality via XCA and FHIR queries, making it the closest direct peer in the HIE/QHIN ecosystem.
• eHealth Exchange: One of the largest health information networks in the US and another designated QHIN under TEFCA. eHealth Exchange competes head-to-head with CommonWell for federal agency, health system, and payer interoperability contracts.
• MedAllies: Designated QHIN providing nationwide HIE services and a direct partner of CommonWell on the HealthEx patient data exchange platform. MedAllies competes in the same QHIN and FHIR-based exchange space.

Emerging players

• HealthEx: TEFCA-aligned platform enabling patient access and sharing of complete health records in real time, partnering with CommonWell, CLEAR, and MedAllies. HealthEx is an emerging competitor in the patient-facing IAS use case that CommonWell pioneered.
• Health Gorilla: A QHIN-designated interoperability platform focused on clinical data exchange for providers, payers, and digital health companies. Health Gorilla competes in the same FHIR-based nationwide exchange category.
• Particle Health: A QHIN providing a nationwide clinical data API for payers, providers, and digital health applications. Particle Health directly competes with CommonWell in the IAS and payer use cases.
• Redox: Healthcare API platform for EHR integration and data exchange. Redox is also a CommonWell member, but operates as a for-profit competitor in adjacent interoperability enablement layers for digital health companies.
• Zus Health: A health data platform providing shared clinical records and connectivity infrastructure for digital health builders. Zus competes with CommonWell for digital health companies seeking patient data access and aggregation.
• 1upHealth: A QHIN-designated FHIR-native platform offering patient access, provider data exchange, and bulk FHIR APIs. 1upHealth competes with CommonWell across both payer and patient-facing interoperability use cases.

Broad incumbents

• The Sequoia Project: The Recognized Coordinating Entity (RCE) overseeing TEFCA. Sequoia is both a critical partner (responsible for CommonWell's QHIN designation) and an ecosystem-level incumbent shaping the rules under which CommonWell and all other QHINs operate.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/commonwell
• Facebookfacebook.com/139304749568095
• LinkedInlinkedin.com/company/3237302

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about CommonWell Health Alliance