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Two prominent trusted exchange frameworks—DirectTrust and Carequality—have seen a spike in healthcare organizations exchanging data over the last three months.

Notably absent from those numbers is a much-anticipated partnership between Carequality and CommonWell Health Alliance that is still in “limited rollout mode,” according to Carequality spokesperson Jim Lubinskas.

Carequality Vice President Dave Cassel said the volume of documents exchanged over the framework has spiked recently, and more than half of the documents exchanged in the last two years have occurred in the last three months.