Cures Gateway  /  The PHA Wave
Patient access infrastructure · by Agentic Healthcare

Millions of patient requests are coming. Arrive ready.

Cures Gateway is the managed layer between every Personal Health Application and your HIE. One integration. Buffered traffic. Full compliance. Revenue on every request.

Network request ledger LIVE · DEMO TRAFFIC
0
individual access requests processed today · 0 req/s
The challenge

Hundreds of PHAs. No volume cap. No default compensation.

The Cures Act obliges your HIE to answer every patient-authorised request. Consumer platforms are now shipping health record access to hundreds of millions of users, and their traffic lands on your endpoints.

300+
Personal Health Applications in the connection pipeline, from global consumer platforms to specialist clinical apps.
128M/mo
Individual access requests at base-case adoption across the connected PHA ecosystem — trending toward 30.5M / day as ~10% of US adults have AI agents supervising their health and making daily record requests on their behalf.
$1M
Maximum penalty per information blocking violation for HIEs that fail to respond compliantly.
Projected daily individual access requests · 2026 → 2029
2026202720282029 30.5M/daypilots · base case
ChatGPT HealthApple HealthSamsung Health b.well + downstream ecosystemCodyMDclinical trial platforms employer wellnessbenefits determination+ hundreds more
The answer

One integration absorbs the entire wave

Cures Gateway sits between every PHA and your infrastructure: vetting, identity proofing, consent, buffering and quality scoring, so your endpoints see one calm, governed connection.

HUNDREDS OF PHAs CURES GATEWAY vetting · IAL2 identity · consent buffering · rate limits · IQHD rate limit: 5,000 req/h YOUR HIE one connection
Integrate

Single integration, unlimited PHAs

Connect once. Every PHA that joins the network flows through that connection. Your team's workload stays flat as the ecosystem grows.

Protect

Hourly rate limits you control

Set XCPD, XCA-DQ and XCA-DR limits per hour from your dashboard. We absorb bursts, queue overflow and keep your systems out of saturation.

Verify

IQHD quality and completeness reports

Every CCD scored across 47 quality dimensions: completeness, coded diagnoses, medications, allergies, with trend analytics you own.

Offload

PHA integrations you can forget

Onboarding, compliance vetting, technical integration and maintenance for every PHA, handled by us, at no cost to your HIE.

Comply

Compliance shield

ONC-defensible audit trails, 50-state consent orchestration and TEFCA IAS alignment protect you from $1M-per-violation exposure.

Foresee

90-day capacity forecasting

If a major consumer app is about to add 50,000 requests against your endpoints, you know 90 days ahead, not the morning it happens.

Operate

24/7 operations centre

NOC-level monitoring and incident response on every anomaly in request patterns, error rates and response times, without the staffing cost.

Earn

Revenue on every request

Per-request earnings, negligible at small scale, transformational at volume. As the wave grows, so does your income.

Economics

Negligible at low scale. Crucial at high scale.

HIEs earn on every request processed through the Gateway, at $2.00 per 1,000 requests, with zero infrastructure investment required to receive it.

2,000,000 requests / day
10,000 / day · pilot$7,300 / yr
100,000 / day · low$73,000 / yr
500,000 / day · base$365,000 / yr
2,000,000 / day · plausible$1,460,000 / yr
10,000,000 / day · accelerated$7,300,000 / yr
ANNUAL HIE EARNINGS
$1,460,000
$121,667 / month · at $2.00 per 1,000 requests

Earnings are broken down by operation type (XCPD, XCA-DQ, XCA-DR) in your dashboard, so you can see exactly which patient interactions generate revenue.

Quality-adjusted pricing

Pricing is quality-adjusted. The realised per-request rate depends on the quality, completeness and plausibility of the EHRs returned through your network — measured continuously by our IQHD scoring engine. Every connected HIE receives joint continuous-improvement reports so quality (and therefore revenue) rises over time. The $2.00 / 1,000 figure represents the base rate for networks meeting IQHD quality thresholds.

At wave scale · 30.5M / day network-wide
≈ $22M / year
total revenue distributed across the connected HIE network at base rate
Model your network →
Proof, not promises

Working simulations you can embed anywhere

Every demo below runs on synthetic patients and mirrors the production engines. Drop any of them into your own site with one script tag.

CCD Quality & Completeness scan

Synthetic batch · 1,000 documents from 14 contributing facilities

<script src="embed.curesgateway.com/sim.js" data-sim="iqhd">
Built with HIEs, not for them

The roadmap is yours to steer

Vote on what we develop next. Connected HIEs carry weighted votes and can submit preferences directly to the product team through the Advisory Council.

Send us your preferences

Tell us which capabilities matter most to your network. Submissions feed the quarterly Advisory Council agenda and shape the next release.

Onboarding

Production traffic in under 30 days

STEP 1 · DAY 0

Sign

One agreement, built on Pareto terms: every clause neutral or strictly better for your HIE, with non-circumvention protection and revenue participation from day one.

STEP 2 · WEEK 1–3

Connect once

Your team stands up a single governed connection. We handle IHE conformance, testing in the dedicated sandbox and traffic shaping to your limits.

STEP 3 · DAY 30

Go live

Every current and future PHA reaches your network through the Gateway. Your dashboard shows requests, quality scores and earnings from the first hour.

Talk to partnerships About Agentic Healthcare →
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