Axiarete for Healthcare

Every system behind every patient and every member. Understood.

Axiarete reads the technology your organization already runs — code, configuration, interfaces, logs and records — and turns it into one living, evidence-backed map. So you can run it safely, spend less on it, and change it with confidence.

  • SOC 2 Type II
  • ISO/IEC 27001:2022
  • ISO/IEC 42001:2023
  • Supports HIPAA compliance · BAA available
The challenge

Healthcare runs on systems no one can fully see.

Decades of acquisitions, vendors and workarounds. The knowledge of how it all connects lives in a few people’s heads — and in documents that stopped being true years ago.

$6.64Maverage cost of a healthcare data breach — the costliest of any industry1
20–40%of the value of a technology estate is tech debt, CIOs estimate2
Jan 1, 2027when CMS interoperability and prior-authorization APIs are due for most health plans3
Hospitals & health systems
  • No complete, current map of the Epic-centered ecosystem.
  • Interfaces, SaaS and data flows documented in fragments, by different teams.
  • Manual mapping goes stale before it’s finished.
Health plans & insurers
  • Every administrative dollar is under medical-loss-ratio pressure.
  • Claims, enrollment and portal platforms inherited through acquisitions.
  • Silent back-office failures surface as member complaints.

The evidence to fix this already exists — in your systems. What’s missing is correlation.

For hospitals & health systems

Axiarete Epic Ecosystem Manager

Every application, interface and data flow around Epic — mapped from evidence, validated, and kept current.

Documentation defines intent. Runtime reveals reality. Axiarete keeps them reconciled.

Six read-only sources. One map, cited to evidence.

Where the evidence lives

Hospital integration concentrates at six points. Axiarete connects to each one read-only — no agents on clinical systems, no configuration changes.

  1. Epic platformBridges, Interconnect, API clients, Care Everywhere, Clarity extracts
  2. Interface engineCloverleaf, Rhapsody, Corepoint, Mirth or InterSystems routes and message counts
  3. IdentityEntra ID, Okta and Imprivata sign-ons and service accounts
  4. Network & webFirewall rules, web gateway, network telemetry
  5. Platform & devicesHypervisor, storage and backup; IoMT and biomedical systems
  6. Business recordsVendor spend, the BAA registry, the CMDB, ticket history
Harvest

Collect configuration and runtime evidence from all six, on a schedule.

Correlate

Resolve every alias — system, server, vendor — into one graph.

Validate

Confirm what’s both declared and observed. Everything else goes to a short queue for named owners.

What you get

Application inventoryEvery application, with usage proof, criticality and a confidence score.
Ecosystem architectureGenerated views, from integration fabric to disaster-recovery dependencies.
Data flow & lineageEvery hop, protocol and PHI boundary crossing, per data class.
Process & technology linksEpic workflows traced to the systems and interfaces that run them.

Plus a known-unknowns register: a named, dated list of where coverage stops. No guessing.

Prove, map, manage

  1. ProveWeeks 1–3One domain, such as the external boundary or the lab.
  2. MapWeeks 3–8Full discovery across every layer.
  3. ManageContinuousDrift, silent-interface and resilience monitoring on a map that never goes stale.

Gated on evidence, paced by your governance. About 4–6 expert hours a week during validation.

Safe by design

  • Read-only, always
  • No active scanning of clinical segments
  • PHI redacted before any AI processing
  • AI runs in your own cloud tenancy
  • Every finding cited to its source
  • Only a named owner can retire an interface
For health plans & insurers

Member journeys are system journeys.

An enrollment crosses a dozen systems. When one handoff slows, no dashboard turns red — the member just doesn’t get their ID card. Axiarete maps each journey step by step and watches it continuously.

Value stream · EnrollmentIllustrative
Process steps cycle time · SLA
Applications health score
  • Member portal82
  • Eligibility engine64
  • CRM77
  • Billing platform71
  • Fulfillment gateway48
  • Print vendor interface58
Infrastructure
  • API gateway
  • Integration queue
  • Core database
  • Batch scheduler
  • Vendor file transfer

ID card ordered. SLA watch: 2.9 days against a 3-day SLA and trending slower. Carried by the fulfillment gateway (health 48), the nightly batch scheduler and vendor file transfer.

Illustrative: one enrollment value stream, mapped from process to application to infrastructure. Select a step to trace what carries it.
Catch it earlySlow steps are flagged before they breach an SLA.
Stop the leaksTransactions that drop between systems are caught, not discovered in complaints.
Find the automationManual steps with no system behind them become scoped AI candidates.
One platform

One map. Six ways it pays off.

The same living map serves the hospital and the health plan, IT and the board.

Discovery & a CMDB that stays true

Every application and dependency, found from evidence and fed back to your CMDB.

Rationalization

Real usage, overlap and run cost — so you retire and consolidate with confidence.

Modernization

Know what a system really does before you replace it — or prove it should stay.

Application security

When a critical vulnerability lands, find every exposed system in minutes.

AI readiness

AI use cases pre-mapped to the systems and data they touch, ready for governance review.

CIO command center

One current answer for the board, the auditor and the operations team.

Evidence for the rules you answer to

  • HIPAA Security Rule, including the proposed asset-inventory and network-map requirements4
  • CMS interoperability and prior authorization (CMS-0057-F)3
  • HHS OCR audits and breach response
  • CMS program audits and state examinations
  • AI governance, from NAIC guidance to state laws
  • BAA coverage for every external PHI recipient

Axiarete doesn’t certify your compliance. It produces the evidence your compliance depends on.

Trust

Built for the most sensitive environment there is.

Read-only by defaultChanges reach production only through your pipelines and approvals.
PHI minimizedTechnical artifacts first; PHI redacted before any AI sees it.
Your data trains nothingNever used to train Axiarete or third-party models.
Your environmentA dedicated environment with customer-managed keys.
Every finding citedTrace any conclusion to the file, log or record behind it.
People decideYour experts confirm every material finding.
Tom Rodden
Tom RoddenChief StrategistFormer CIO, Varian Medical; GE, Deloitte, PwC. 2021 Bay Area CIO of the Year.
Anders Tveteraas
Anders TveteraasStrategic AdvisorGlobal Head Digital, Novartis; VP, Optum.
Maria Shaw
Maria ShawStrategic AdvisorCISO, Siemens Healthineers.
Anoop Kumar
Anoop KumarCo-founderFormer Oracle, Visa, Marqeta and Lattice. Enterprise systems, AI/ML and knowledge graphs.
Tarini Anand
Tarini AnandHead of Customer EngagementsFormer PwC, Deloitte, BMO Financial Group.

Healthcare organizations don’t lend their names to vendor websites, so you won’t find logos here. We prove ourselves on your estate instead.

Start small. See your estate in weeks.

Hospitals & health systems

Epic proof of value

One domain, read-only, in two to three weeks. A real, kept slice of your ecosystem map.

Health plans & insurers

8-week value-stream pilot

Two or three member journeys, mapped and watched. You judge the evidence.

No migration. No disruption. Your systems keep running while they become understood.

FAQ

Good questions

Does Axiarete touch clinical systems?

No. Connections are read-only, there are no agents on clinical systems, and clinical and biomedical segments are never actively scanned. Axiarete may flag an interface as silent; only a named owner can mark it retired.

How does Axiarete handle PHI?

Its inputs are mostly technical: configuration, interface routes, logs and tickets. Free text is de-identified before any AI processing, engagements run under a business associate agreement where needed, and your privacy team reviews the setup before anything connects.

We already have a CMDB and monitoring tools. Why add this?

They hold fragments, on different clocks. Axiarete correlates them with the evidence in your systems and feeds a current, validated picture back into the tools you already own.

Which interface engines and platforms do you support?

Epic on its supported versions and hosting models, and interface engines including Cloverleaf, Rhapsody, Corepoint, Mirth and InterSystems. Multi-engine, multi-EHR and Community Connect setups are supported.

How much of our team’s time does it take?

Very little. One provisioning request for read-only access, then about four to six expert hours a week during validation. AxiareteForge engineers do the rest.

Sources

Epic, Care Everywhere, Bridges, Interconnect, Clarity and Community Connect are trademarks of Epic Systems Corporation. Axiarete is not affiliated with or endorsed by Epic Systems Corporation. Other product names belong to their owners.

  1. IBM, Cost of a Data Breach Report 2026: healthcare average $6.64 million per breach, the highest of any industry (2025: $7.42 million; 2024: $9.77 million). Healthcare has been the costliest industry for breaches for over a decade. www.ibm.com
  2. McKinsey & Company, “Tech debt: Reclaiming tech equity” (2020): CIOs estimated tech debt amounts to 20–40% of the value of their entire technology estate before depreciation. www.mckinsey.com
  3. CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F): Patient Access, Provider Access, Payer-to-Payer and Prior Authorization APIs, generally by January 1, 2027 (Medicaid and CHIP managed care by rating periods, and QHP issuers on the FFEs by plan years, beginning on or after that date). www.cms.gov
  4. HHS, HIPAA Security Rule notice of proposed rulemaking (published January 6, 2025), including a technology asset inventory and a network map of ePHI movement. Proposed, not final, as of September 2026. www.federalregister.gov