The Health Information Environment is premised on creation of value:

• The Health Information Environment development approach must create value for all of the stakeholders it connects, including (but not limited to) payers, providers, and consumers. It must build and sustain a robust marketplace for investment and continuous development of the infrastructure.
• The Health Information Environment creates value, and does not incur net, long-term costs for the federal government or other stakeholders.
• The Health Information Environment will create value by returning greater financial savings to U.S. society through use of HIT than the costs incurred through adoption of EHRs, the sub-networks of which they are part, and the support of the environment in which they operate. (See "Accelerating US EHR Adoption: How to Get There From Here, Recommendations Based on the 2004 ACMI Retreat" by Blackford Middleton, W. Ed Hammond, Patricia F. Brennan, and Gregory F. Cooper, J Am Med Inform Assoc. 2005; 12: 13-19.)
• Full systematic interoperability has been estimated to save $78 billion per year in the United States compared with current manual methods of data recording, re-recording and transport. (See "The Value of Health Care Information Exchange and Interoperability" by Jan Walker, Eric Pan, Doug Johnston, Julia-Adler Milstein, David Bates, and Blackford Middleton at CITL. Health Affairs Web Exclusive, January 19, 2005.)