HealthIT Answers October 12, 2025
Tony Schueth

In our earlier post, we detailed the recent Centers for Medicare and Medicaid Services (CMS) Health Ecosystem Pledge Program, which aims to create a patient-centric health data ecosystem centered on interoperability and patient empowerment. We highlighted the key areas we’ll be watching and outlined the work pledge signers must do to turn good intentions into real change. Now, let’s examine who will help bring those intentions to life: multi-stakeholder initiatives (MSIs).

Why MSIs Matter

The CMS pledge is big on vision but light on details about execution. That’s not unusual. Pledges are intended to inspire and drive change and innovation, but they do not provide a step-by-step playbook for achieving a goal. But to avoid creating more silos or duplicative...

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