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Everybody Wants Healthcare AI. Few Are Ready for Individual Access Services. 

Everything you need to connect, transform, monitor, secure and scale healthcare interoperability - without building it yourself.

Patient-directed data access is the biggest transformation in healthcare interoperability in years. This is Zen's field report
— what's working, what's broken, and what to do right now.

Access the Free Field Report

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Patients finally at the center
of their own data.

Under TEFCA, patients can use any authorized digital health app to pull their records across the TEFCA network — no more juggling a dozen provider portal logins.

"IAS is the most important reason TEFCA exists — it puts patients at the center of nationwide data exchange."

Marilee Benson
Marilee Benson

President & Cofounder of Zen Healthcare IT

What's making IAS hard right now.

Demand is growing faster than the governance. Here are the six friction points on the front lines in 2026.

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Patient matching gaps

Unclear requirements let responders set the bar too high — blocking successful exchange.

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Identity verification friction

IAL2 via Clear or ID.ME works for ideal users. Accessibility and aging make real populations messier.

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Token handling complexity

Token expiration timing and handling are still evolving to meet real-world experience.

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Proxy access unsolved

Caregivers and legal representatives can't yet prove proxy authority. Common scenario — no good answers yet.

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Provider portal resistance

Large health systems still require extra portal authentication steps — even with TEFCA IAS requirements in place.

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Community is responding

TEFCA working groups are actively addressing each of these.

Zen's take: IAS isn't perfect — but there's no better, faster path to patient-controlled health data. The foundation is solid. The execution is catching up fast.