Sadly it doesn't mean that when they give it to you it will be in a reasonable form, or even free (they're allowed to charge a per page processing fee). I work in this space
Correct, it is hard to get in a useful form. Then if you want to share it with a different Provider on an different EMR, it is non trivial to get that data imported into your data record.
[0]: https://www.hhs.gov/hipaa/for-professionals/privacy/guidance...