Blog/Platform Updates

Flexpa Selected as CMS-Aligned Network Early Adopter

We're on board to "Kill the Clipboard" and help transform healthcare for every single American by December 31, 2025.

July 30, 2025•Team Flexpa
Flexpa Selected as CMS-Aligned Network Early Adopter

WASHINGTON, DC – July 30, 2025 – We have incredible news to share. Flexpa has been selected as an Early Adopter for the Centers for Medicare & Medicaid Services (CMS) Aligned Network initiative, and we couldn't be more excited about what this means for providers, payers, and patients across the country.

If you've ever sat in a doctor's office filling out the same form on that same old clipboard over and over again, you know exactly why this matters. We're working to make those clipboards a thing of the past and create a world where your health information follows you seamlessly wherever you go.

"This isn't just about technology—it's about dignity and efficiency in healthcare. Americans have a right to their data, and they also have a right to receive it in a format that actually makes sense. If we can get those two ducks in a row, then all of us can start receiving the quality of health care that we deserve, no matter where we live or how complicated our health needs might be. If a patient has to fill out the same forms or repeat their medical history every single time they step into a doctor’s office or meet with a nurse, it means we’re living in the past, not the future. As an Early Adopter of the CMS Aligned Network, we're not just building better software; we're building a better healthcare experience for millions of Americans. This is personal for all of us at Flexpa,” Andrew Arruda, Flexpa CEO and Cofounder.

What Flexpa’s Pledging to Build

We're making a bold pledge.

We are going to empower patients to retrieve their health records from CMS Aligned Networks or personal health record apps and share them with providers via QR codes or SMART Health Cards and Links. We are world experts on the FHIR data standard, we already have a live implementation of SMART Health Cards, and we are going to put that expertise to practical use in building:

  • Smart QR Codes for Your Health Records: Imagine walking into any doctor's office, scanning a QR code with your phone, and instantly sharing your complete medical history. No more clipboards. That's the future Flexpa is making real with SMART Health Cards and Links.

  • One Digital Identity, Universal Access: No more juggling multiple patient portals or forgetting login credentials. With Identity Assurance Level 2 (IAL2) digital credentials, you'll have secure access to all your health records across the entire network. No more portals.

  • Real-Time Visit Summaries: After every appointment, you'll receive a digital summary of your visit that you can immediately share with other doctors or for your own review.

  • Patient Control of Data: We're putting you in complete control with granular consent management. With Flexpa, patients decide who sees what, when, and why.

"The technical challenges of healthcare interoperability have stumped the industry for decades, but we're finally at a tipping point. With FHIR standards, SMART Health Cards, and now the CMS Aligned Network framework, we have all the pieces we need to solve this puzzle. We're excited to demonstrate that seamless, secure healthcare data exchange isn't just possible, it's inevitable,” Josh Kelly, Flexpa CTO and Cofounder.

Here’s Why Flexpa’s Ready for This Challenge

We've been preparing for this moment for years. Here's what we bring to the table:

  • Massive Network: We're already connected to 350+ healthcare payers with access to 286 million+ patient records
  • Co-Authors of Digital Insurance Card Standard: Flexpa is a co-author of the HL7 CARIN Digital Insurance Card standard, and has been a key innovator in bringing them to life
  • AI Innovation: We're pioneering FHIR LLM evaluations to support CMS's vision for AI assistants in healthcare
  • Industry Collaboration: We're active members of the CARIN Alliance, working alongside the original "Kill the Clipboard" visionaries
  • Proven Results: We've successfully implemented CMS-mandated payer-to-payer data exchange

“We live in an age where the technology we interact with outside of healthcare does more than ever. It’s time for health technology to catch up. With a modern, interoperable health data infrastructure driven by instant exchanges and data that works on all systems, the sky is the limit. Imagine the amazing things we can do together with human teams and AI systems we will build together,” said CEO Andrew Arruda.

What Happens Next

Flexpa is rolling up our sleeves and getting to work immediately. Over the next year and a half, we'll be building, testing, and refining these capabilities in partnership with CMS and other Early Adopters. We'll be sharing our progress along the way because transparency is core to our mission.

About Flexpa

We're Flexpa, and we believe healthcare data should work for everyone. Based in San Francisco, we're the national leader in FHIR-based healthcare APIs, consent management, and SMART Health Cards and Links. We connect to over 350 healthcare payers and provide access to more than 286 million patient records, but more importantly, we're on a mission to make healthcare more human.

About CMS-Aligned Networks

CMS-Aligned Network is a Centers for Medicare & Medicaid Services initiative that's creating a unified, secure healthcare data sharing ecosystem. It's designed to give patients complete control over their medical information while enabling seamless provider access across the entire healthcare system. Think of it as the internet, but for your health records.


Learn more about Flexpa's pledge to kill the clipboard and our SMART Health Cards & Links support.

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