29 Oct 2026 10:00

The Next Era of Health Data: AI, Open APIs, and the End of the EHR Oligopoly

Healthcare spent the last 15 years digitizing medical records. Now the challenge is making that data useful to patients, AI agents, and new health technology companies. National Coordinator for Health IT Dr. Tom Keane says the next phase is about interoperability, patient access, and lowering barriers for new entrants.

Tom joins a16z’s Julie Yoo and Colin Rom to discuss how healthcare data can move more easily through APIs and TEFCA, how wearables and AI-generated data fit in, and where privacy and security concerns can become competitive moats.

And when Julie asks when AI might produce a serious new competitor to today’s dominant electronic health record companies, Tom predicts: within one to two years.

Resources:

Follow Thomas Keane on LinkedIn: https://www.linkedin.com/in/thomas-keane-b41a5012/ 

Follow Julie Yoo on X: https://x.com/julesyoo

Follow Colin Rom on X: https://x.com/CF_Rom 

Office of the National Coordinator for Health IT: https://healthit.gov

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