Interoperability with CEO of Particle Health

Interoperability with CEO of Particle Health

From MedCity Pivot by Breaking Media

May 20, 2026 · 34 min · Episode 181

About this episode

Jason Prestinario discusses the state of U.S. healthcare interoperability and its implications for value-based care.

Episode Summary Particle Health CEO Jason Prestinario joins MedCity Pivot to assess the state of U.S. healthcare interoperability with clear-eyed candor. He grades the technical infrastructure a B — data can move — but gives access governance a C, because the rules around who uses data, and how, remain murky and poorly enforced. Jason draws a direct line between true interoperability and the viability of value-based care: without frictionless data access, accountability for patient outcomes is impossible. The conversation also covers Particle's antitrust lawsuit against Epic, now past its first major legal hurdle, and the broader wave of litigation challenging Epic's market dominance. Jason urges nuance: there's a meaningful difference between patients authorizing their own data use and bad actors harvesting records without consent — and conflating the two risks setting back the entire data-sharing ecosystem. Key Takeaways The data infrastructure gets a B — but access governance is still a C. The technical pipes for moving health records exist, but who can use them, when, and for what purpose remains the critical unsolved problem. Interoperability is a 'nice to have' in…

People in this episode

Guest: Jason Prestinario

Topics covered

  • healthcare interoperability
  • data governance
  • value-based care
  • antitrust lawsuit
  • data sharing

Keywords

  • interoperability
  • healthcare
  • data access
  • value-based care
  • Epic
  • Particle Health
  • antitrust
  • data governance

Mentioned in this episode

Organizations: Particle Health, Epic, U.S. healthcare

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