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Resolving the HIE Sustainability Crisis.

Dedicated Health Information Organizations (HIOs) and other Health Information Exchange (HIE) operators.
IT professionals in organizations that use HIE services and are at risk for financial and clinical outcomes—Accountable Care Organizations, Integrated Delivery Networks, Insurers.

Key Issue
Basic push and pull services, known as HIE 1.0, are not relevant enough to ensure sustainability. HIOs and other HIE operators must provide additional value to stakeholders, measured by increased revenue or cost savings.

Expansion into advanced HIE 2.0 services to support value-based care, population health, and research. Choose a solution that does not require ripping and replacing HIE 1.0 services or making a large up-front investment to build out an existing HIE resources and services that will drive your sustainability.

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XchangeWorx Expands Through START-UP NY

Start-Up Company Begins Hiring With Plans for More

ALBANY – XchangeWorx has been approved by the START-UP NY program, and is already creating new jobs and contributing to the economic development of the Capital Region.  XchangeWorx is a technology provider with a focus on developing healthcare solutions that are required for effective population health management.

“XchangeWorx was created to better connect healthcare organizations by automatically capturing disparate and disjointed electronic medical records and delivering them in real-time, in a comprehensive view, at the point of care,” said Joel Ryba, CEO of XchangeWorx.  “Our mission is to provide cost-effective solutions which deliver the right information at the right time for the benefit of physicians and patients.”

XchangeWorx started with eight employees and in recent weeks has nearly doubled to 14 filled positions, with several open positions remaining to be filled. “We are actively recruiting skilled software developers to meet the needs of our clients and we plan to add more openings in the next several months to advance information technology for the changing healthcare market,” added Ryba.

XchangeWorx was born out of the successful creation of platforms, tools, and services which were developed when Mr. Ryba was the Chief Operating Officer with Hixny.  The need to start XchangeWorx came from organizations and companies, outside of the Hixny region, which began requesting services from Hixny.  As a non-profit, Hixny’s mission is narrowly focused on serving participants within its region.  Because of this need, the startup company was created with Mr. Ryba being selected as its first CEO.

START-UP NY offers new and expanding businesses the opportunity to operate tax-free for 10 years on or near eligible university or college campuses in New York State.

XchangeWorx is located at 80 Wolf Road and shares common, non-work space with Hixny on the 5th floor. 

“We are providing healthcare IT solutions to several clients and we are aggressively seeking others who can benefit from the years of experience and intellectual properties which have been cultivated by our team,” said Ryba.

XchangeWorx enables organizations with the healthcare network to quickly and cost-effectively deploy a comprehensive, connected healthcare solution.  Our technology and population health management solutions are enabling delivery of the right information at the right time; driving efficient, effective and affordable healthcare, and creating meaningful value for each patient, clinician and organization we serve.


We'll provide you with the strategy, understanding, technology, solutions, resources and services that will drive your sustainability.