This paper provides insights from a pilot study which is part of a larger longitudinal research project focused on assessing the value of different national digital health solutions. In this study, the focus is on Australia’s My Health Record and the German e-Health Card. The adopted methodology is a multicase qualitative approach which enables deeper insights to be uncovered. Data collection is from multiple sources including semi-structured interviews, surveys and the analysis of key documents. An initial model for assessing the value of the digital health solution is presented and findings are analyzed against this model to provide recommendations and understand critical success factors for designing, developing and deploying national digital health solutions.