This document discusses the challenges of reconciling data sharing and privacy protections in value-based health care. It notes that while electronic health records and other technologies are critical for value-based health care, interoperability and data quality issues remain. Ensuring effective data use while respecting individual privacy rights is difficult given the current legal and operational frameworks. The document explores some approaches like trusted exchange frameworks and care integration networks, but concludes these still require balancing the data needs of value-based care with patients' privacy interests.