Hinxy

What Hinxy does

Hixny (legal name: Healthcare Information Xchange of New York, Inc.) is a 501(c)(3) nonprofit health information exchange founded in 1999 and headquartered in Albany, NY. Operating as a New York State Designated Qualified Entity within the Statewide Health Information Network for New York (SHIN-NY), Hixny connects healthcare providers, payers, ACOs, public health departments, and first responders across 38 New York counties and three Vermont counties, providing access to more than 5 million patient records through 6,900+ clinical users and 100,000+ patient portal enrollees.

Hixny's product suite centers on SMART on FHIR applications embedded directly inside provider EHR workflows. The Patient Record Snapshot surfaces actionable patient insights within Epic, Cerner, Athenahealth, and 26 other EHR systems; Snapshot NY extends a lightweight version statewide; customizable encounter alerts deliver 7+ million ED and inpatient notifications annually; Clinical Data Warehouses and Chronic Disease + Event Reporting serve payer and population health needs; and My Health Record NY provides patient-facing access. Hixny has maintained NCQA Data Aggregator Validation since 2021 and became the first organization nationally to achieve NCQA validation for health-related social needs data in December 2024. The for-profit subsidiary XchangeWorx commercializes the platform to other HIEs outside New York.

Hixny operates a freemium pricing model in which Medicaid-accepting providers receive alerts and core HIE services at no charge, non-Medicaid providers pay nominal access fees, and revenue is concentrated in data-use agreements with health insurers, ACOs, and population health organizations. In August 2025 Hixny was awarded a SHIN-NY contract to expand encounter alerts statewide across New York. The organization is governed by a multi-stakeholder board and led by CEO Mark McKinney (since 2011).

Name

Hinxy

Legal name

Healthcare Information Xchange of New York, Inc.

Website

https://hixny.org

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

11–50 employees

Short description

Hixny is a New York nonprofit health information exchange serving providers, payers, ACOs, and public health agencies across 38 NY counties and 3 Vermont counties through SMART on FHIR EHR-embedded tools, encounter alerts, and NCQA-validated clinical data.

Ownership category

akta.pro rank

Product category

Health Information Exchange Services

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

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

akta.pro secondary industry

Health Information Exchange & Public Health Data Integration (HLAJAJAD)

Keywords

• Health information exchange
• Clinical data aggregation
• EHR workflow integration
• Healthcare interoperability services
• Population health analytics

Headquarters

HQ city

Albany

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Nonprofit Operations: Hixny is an independent 501(c)(3) nonprofit organization. Financial audits are available for review at their office. Revenue appears to come from membership fees, data access agreements, and potentially government contracts.
2. Alert Services: Providers who accept patients using Medicaid receive all alerts through Hixny for free. Those who do not accept Medicaid payment are charged a nominal system access fee. Health insurers receive alerts for Medicaid members for free and pay a nominal fee for non-Medicaid members.
3. HIE Solutions and Data Services: Hixny solutions are free to most users and available at low cost to many more. Revenue is derived from data use agreements with health insurers, accountable care organizations, and population health organizations.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels6 records

Core offering

Hixny operates a Health Information Exchange (HIE) connecting the New York healthcare community to the Statewide Health Information Network for New York (SHIN-NY). It delivers EHR-embedded applications (Patient Record Snapshot, Snapshot NY), statewide encounter alerts, provider reports, clinical data warehouses, chronic disease and event reporting, and a patient portal, all built on SMART on FHIR technology with NCQA-validated clinical data.

Product overview

Hixny operates as a platform-plus-modules architecture centered on the Statewide Health Information Network for New York (SHIN-NY). The core offerings include Patient Record Snapshot (a SMART on FHIR EHR-embedded app), Snapshot NY (statewide limited-view version), Statewide Alerts, Provider Reports, Chronic Disease + Event Reporting, Clinical Data Warehouses, and My Health Record NY patient portal. All solutions draw data from the SHIN-NY and integrate directly into provider EHR workflows. A subsidiary, XchangeWorx, commercializes Hixny's technology nationally for other HIEs.

Differentiator

Problem solved

Functional benefit

Products and services

• Patient Record Snapshot EHR-embedded SMART on FHIR application that delivers patient information from the SHIN-NY on a convenient dashboard, organizing data intuitively with actionable insights called out, including clinical reports, demographics, encounter notes, lab results, imaging reports, gaps in care, and care gap alerts for healthcare providers.
• Snapshot NY A limited-view, slimmed-down version of the Patient Record Snapshot designed to streamline access to state-mandated databases and tools including NY PMP (controlled substance prescription history), PSYCKES (mental health history), and HRSN screening, available to all New York State providers through SHIN-NY.
• Statewide Alerts Customizable emergency department and inpatient admission, discharge, and transfer alerts delivered through provider EHRs for consented patients, reducing alert fatigue through intelligent filtering of patient subsets. More than 7 million alerts delivered annually; free for Medicaid providers and Medicaid members.
• My Health Record NY (Patient Portal) A view-only, online patient portal enabling patients to access their health history from across the SHIN-NY network and take an active role in their care; 100,000+ patients use this portal via provider-initiated invitations.
• Provider Reports A companion tool to the Patient Record Snapshot providing a bird's-eye view of consented patient panels, enabling care coordination, follow-up scheduling, and cancer screening reminders for healthcare providers.
• Chronic Disease + Event Reporting A curated workspace providing targeted insights across geographic areas and population types for tracking high-value, high-cost chronic disease and event trends at a quantitative level for health data analysts, public health departments, and population health organizations.
• Clinical Data Warehouses Comprehensive attributed clinical data sets for accountable care organizations, health insurers, and healthcare coordinators supporting population-level reporting and HEDIS compliance, with direct query or SQL data extraction options. NCQA-validated data enabling standard supplemental data use for annual HEDIS reviews.
• XchangeWorx A wholly owned for-profit subsidiary of Hixny that implements and refines technology first deployed by Hixny to serve other health information exchanges (HIEs) across state lines nationally.

Quantifiable outcome

• Providers access patient information 10x more frequently after snapshot launch compared to pre-2020 HIE usage
• +5 more outcomes

Named customers6 records

Segments6 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration30 records

AI capability3 records

Feature7 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Statewide Health Information Network for New York (SHIN-NY)coreStrategic or Co-development PartnerHixny is a member Qualified Entity (QE) of the SHIN-NY, connecting to the statewide health information network under guidance of NYeC. This partnership allows Hixny users to access the full breadth of data shared through the SHIN-NY from all connected regional HIEs including Bronx RHIO, Healthix, HealtheConnections, Rochester RHIO, and HEALTHeLINK.
• New York eHealth Collaborative (NYeC)coreStrategic or Co-development PartnerNYeC is the State Designated Entity named by NYS DOH to provide leadership and oversight to the SHIN-NY. Collaboration enabled statewide availability of Hixny's Snapshot NY application and encounter alert services through all QEs.
• XchangeWorxcoreStrategic or Co-development PartnerWholly owned for-profit subsidiary of Hixny that implements and refines technology first deployed by Hixny to serve other HIEs across the country. Represents Hixny's mechanism for national expansion.
• EHR System Integrations (Epic, Cerner, Athenahealth, and 26 others)coreTechnology or IntegrationHixny solutions integrate with major EHR systems including Epic, Cerner, Athena, eClinicalWorks, Allscripts, Meditech, NextGen, and others. Solutions use SMART on FHIR technology and are certified compatible through ONC certification testing with Microsoft Windows TCP/SMTP, Direct Project, InterSystems HealthShare, and Microsoft Exchange.
• Healthy AllianceminorStrategic or Co-development PartnerCollaboration on health-related social needs data and care integration. Hixny worked with Healthy Alliance to understand the importance of addressing HRSN as part of comprehensive healthcare.
• Capital District Physicians' Health Plan (CDPHP)coreStrategic or Co-development PartnerMajor health plan customer using Hixny's NCQA-validated data for HEDIS reporting. CDPHP's adoption of validated data demonstrated significant quality measure improvements and serves as a reference customer for Hixny's data quality capabilities.

Scale indicators11 records

Recent moves8 records

Expansion highlights7 records

Direct peers

• Healthix: Largest public HIE in the United States and a fellow New York Qualified Entity within SHIN-NY. Directly comparable to Hixny in serving New York providers with clinical data exchange, alerts, and population health feeds, though at materially larger scale in the downstate region.
• Bronx RHIO: New York Qualified Entity and SHIN-NY member serving the Bronx and surrounding NYC boroughs. Same QE designation and statewide network model as Hixny, providing clinical data exchange and alerts to providers in overlapping New York geographies.
• Rochester RHIO: Regional Qualified Entity serving the greater Rochester/Finger Lakes region of New York. Operates the same SHIN-NY-aligned HIE model as Hixny, with comparable products for clinical data exchange, alerts, and population health reporting.
• HEALTHeLINK: Western New York Qualified Entity within SHIN-NY offering clinical information exchange and analytics. Closely comparable to Hixny in mission, product set, and New York statewide regulatory framework.
• HealtheConnections: Central New York Qualified Entity and SHIN-NY member providing HIE, alerts, and population health services. Direct QE-level peer to Hixny serving an adjacent New York region with a comparable nonprofit governance model.

Broad incumbents

• CommonWell Health Alliance: National, vendor-led HIE network founded by EHR companies. Comparable to Hixny in providing cross-organization clinical record exchange but at a national scale with broader EHR-vendor backing rather than a regional nonprofit model.
• eHealth Exchange: Nationwide health information network connecting federal agencies, hospitals, and HIEs. Comparable to Hixny at the network-of-networks layer, providing the cross-organization routing infrastructure that connects regional HIEs such as Hixny to national participants.
• Surescripts: Large-scale health information network primarily known for e-prescribing but expanded into clinical exchange and benefit information. Comparable to Hixny as a national health data network with established connectivity to providers and payers, though with a broader portfolio.

Emerging players

• Particle Health: API-first health data platform that aggregates clinical records from national networks for payers and digital health builders. Comparable to Hixny in delivering clinical data for HEDIS, risk adjustment, and care coordination, but with a developer-centric, vendor-agnostic model rather than a regional HIE footprint.
• 1upHealth: FHIR-native platform for clinical data aggregation and payer-provider exchange. Comparable to Hixny in the SMART-on-FHIR, payer-provider data exchange space and HEDIS-adjacent use cases, but built as a cloud platform rather than a regional HIE.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/Hixny

Compliance14 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries1 record

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 Hinxy