Architectural comparison

One operating layer. Not another stack of point solutions.

Health systems stitch together a standalone scribe, a population health dashboard, a value-based care reporting tool and a legacy EMR. IASORA runs documentation, risk stratification, patient engagement and care execution on one patient record.

A single patient record · closed-loop execution · no vendor fragmentation

Point solutions find problems. They do not run the work to done.

The fragmentation problem

Every tool you add is a join made by hand.

A scribe writes the note in a separate app. A population health platform flags a cohort on a dashboard nobody opens. Your clinical staff connect the tools by copy-paste and double entry.

A fragmented software stack compared with a single operating layer On the left, five separate systems for clinical documentation, population health, contract performance, patient messaging and the EMR, each connected only by a dashed line to your staff in the middle, who copy, re-key and reconcile between them. On the right, the same five functions connected by solid lines to one patient record that every module reads and writes. THE FRAGMENTED STACK Clinical documentation Population health Contract performance Patient messaging EMR and HIS Your staff copy, re-key and reconcile between all five Five systems, five logins. The joins are made by hand. ONE OPERATING LAYER Clinical documentation Population health Contract performance Patient messaging EMR and HIS One patient record every module reads and writes the same chart One system, one record. The record makes the joins.

Same five functions. The difference is where the integration lives: in your staff's day, or in the record.

The financial reality

What a fragmented stack costs.

Each looks affordable alone. The total compounds across subscriptions, integrations and admin. Figures are indicative market ranges per category, not any one vendor's quote.

Standalone AI scribe

$150 to $300 per provider, per month

Seat-based, so the bill scales with headcount. Staff still re-key the note and codes into the EMR.

Population health and VBC platform

$0.50 to $2.00 per member, per month

The bill rises with every attributed life, whatever the contract returned that year.

Patient messaging and engagement

$50 to $100 per provider, per month, plus usage

Per-message charges on top of the seat fee, and a compliance review for every channel you open.

Custom integration and IT overhead

$50,000 to $200,000 per vendor integration

Then annual API maintenance, security reviews and vendor management for each, plus the middleware.

The consolidated alternative

Documentation, risk stratification, omni-channel messaging and care execution on one platform instead of four to six subscriptions. No per-member software fee, no charge to ingest your own data. Core apps are in every plan; enterprise deployments are scoped and priced with you.

Talk to us about pricing

Category alignment

Replace point tools with one closed loop.

Where each category stops, and where the job carries on when it runs on one record.

Layer 1

Clinical documentation

A standalone scribe

Returns a text note in its own window. Staff still code the visit, pull out care gaps and update the EMR by hand.

On IASORA

Scribe drafts the specialty note, codes it to ICD-10 and SNOMED, and files it to the chart as structured data.

Layer 2

Population health and risk

A dashboard

Ingests claims and returns static risk scores and registries sorted by acuity.

On IASORA

Ranks the panel by preventable risk, names the open care gaps, and starts outreach from the cohort view.

Layer 3

Multi-channel patient engagement

A messaging tool

A separate inbox or call centre outside the medical record, where patient conversations live somewhere else.

On IASORA

WhatsApp, SMS and voice outreach against an enforced response window. Replies attach to the chart; bookings write to the schedule.

Layer 4

System of record and EMR integration

The usual options

A custom API connector per vendor, or a multi-year, multi-million rip-and-replace.

On IASORA

A FHIR overlay that leaves your systems in place, or a full AI-native system of record for a new build. Same architecture.

Enterprise comparison

Side by side.

Standalone AI scribesPopulation health and VBC dashboardsLegacy EMR and HISIASORA
Core functionAmbient documentationRisk scoring and reportingDatabase and billing recordThe full clinical and operational loop
Data continuityAn isolated noteStatic claims ingestionFragmented module silosOne patient record
Action executionNone, a text draft onlyNone, a flag on a screenManual staff tasksAI agents that act, behind a human approval gate
Patient engagementNoneLimited, or a third-party add-onA basic portalNative voice AI, WhatsApp, SMS and forms
DeploymentA desktop or mobile appA web dashboard over your dataRip-and-replaceA non-disruptive FHIR overlay, or your full HIS and EMR
Governance and privacyA third-party cloud APIA disconnected claims databaseVendor lock-inIn-region sovereign AI, on-premise tokenisation

See how this deploys in a health system →

The platform advantage

40+ ready-made agents. One patient record.

Models converge; soon everyone will have a capable one. What lasts is the closed loop on one interoperable record, and the governance around it.

Shared context

What the voice agent learns at reception reaches the scribe during the visit, and the note it files moves the risk score in Care Hub.

Clinician control

Agents handle drafting, scheduling and triage. Anything clinically consequential waits for human approval, and every agent action is logged.

Data sovereignty by design

The Data Privacy Gateway tokenises PHI on-premise, keeping it inside your jurisdiction on cloud, private cloud or air-gapped on-premise.

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Simplify your clinical software stack.

In a working session, we map what you run today against a single operating layer, on your own systems.