According to data from McKinsey, the money invested in U.S. Healthcare IT infrastructure and services will escalate from about $80 billion in 2025 to an estimated $150 billion five years from now. Data will move faster. APIs will proliferate. Dashboards will multiply. And yet, for most providers and care teams, very little will actually change inside the exam room. The industry continues to believe that more tools will fix what is fundamentally an execution problem. The uncomfortable truth is that access to data is no longer the constraint. The real failure is what happens after the data arrives. Until healthcare can turn insight into action at the point of care, progress will remain incremental at best.
Systemic Issues Abound
At its heart, the current healthcare infrastructure is disjointed, siloed, and poorly aligned to meet the needs of modern-day healthcare providers. Healthcare’s technology stack was built to store information, not to drive coordinated action. EHRs sit at the center of nearly every clinical and administrative workflow, yet they were never designed to support the complexity or pace of modern care delivery.
Billions have been spent trying to make these systems “talk” to one another, but talking is not the same as acting. According to a recent KLAS report, providers most frequently cite interoperability as a challenge and report it as their leading fix request to EHR providers. Even when data is technically available, it often arrives too late, without context, or outside the clinical workflow where decisions are actually made. What’s more, a study from the Council for Affordable Quality Healthcare (CAQH) identifies interoperability issues, such as failure of care coordination, administrative complexity, and overtreatment or low-value care, as leading causes of waste in the U.S. healthcare system, combining for over $360 billion each year. This waste is not the result of missing data. It is the result of disconnected execution.
Incremental connectivity will not solve this. Healthcare needs a fundamentally different execution model.
A New Kind of Approach: Making What Exists Finally Deliver
AI is not the answer if it lives outside the clinical moment. Automation is not helpful if it creates more surfaces to manage. Healthcare doesn’t need more intelligence. It needs intelligence that executes. The next generation of healthcare platforms must unify fragmented EHR environments into a single execution layer, embedding payer logic, provider workflows, and developer innovation directly into care delivery. When insight, workflow, and accountability converge at the same moment, care teams can act with confidence instead of chasing information across multiple systems. Providers, care teams, payers, and developers have the ability to collaborate in real-time, while aligned around common goals and shared incentives. This is how execution scales. Not through dashboards, portals, or after-the-fact reporting, but through in-workflow action.
In addition, these platforms integrate and operate with infrastructure that is trusted, secure, and compliant. Not only can organizations adopt them without disruption, they also can comfortably support new features and other services, giving the industry access to compelling analytics, automation, and orchestration capabilities that vastly improve performance and efficiency.
From the care teams’ perspective, they can use these platforms to instantly obtain context-aware insights, automate repetitive tasks, and still work within the systems they are familiar with. When providers and care teams get the correct information at the right moment — and when administrative work melts away — the entire system becomes more effective.
A Marketplace That Accelerates Adoption at Scale
Innovation only matters if it reaches the point of care. Most healthcare innovation doesn’t fail because the technology is weak; it fails because distribution is broken. Pilots stall under the weight of EHR politics, custom integrations, and deployment friction long before real value shows up.
Without a shared execution layer inside the EHR, even the best ideas struggle to scale. Data moves, but action doesn’t. Providers are left managing disconnected tools, and payers can’t operationalize programs with consistency across care networks.
A true healthcare marketplace changes this dynamic. It standardizes how innovation is deployed inside clinical workflows, so what works can actually spread. Developers focus on impact, not access. Providers adopt tools that fit in with how they work. And healthcare finally moves past pilots to scale what delivers real outcomes.
The Future Depends on Building with Purpose
Healthcare doesn’t need more promises. It needs execution at scale. The path forward is not ripping and replacing core systems, but building an execution layer that makes them finally work together. When healthcare moves from access to action, from insight to execution, outcomes follow.
Image source: ID 115614735 | Healthcare ©
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Oron Afek
Oron Afek is the CEO of Vim, where he leads the company’s strategy, growth, and ecosystem partnerships with a focus on modernizing how healthcare actually works at the point of care. Under his leadership, Vim is building the infrastructure that connects providers, payers, EHRs, and developers through embedded workflows that turn intent into action.
Oron brings a founder’s mindset shaped by both military and entrepreneurial experience. After serving in a specialist unit of the Israel Defense Forces, he went on to found and lead business development efforts across multiple industries, including telecommunications, gaming, real estate, and education. This cross-industry background informs his approach to healthcare: challenge legacy assumptions, reduce friction, and build systems that scale in the real world.
