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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Why It Matters
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."

President & Cofounder of Zen Healthcare IT
A Work in Progress
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.

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