Introducing Gemini for healthcare | Google Cloud Blog

Four components of Gemini for healthcare

Developed alongside clinical and health plan leaders, Gemini for healthcare provides an integrated, fully governed environment configured for payers and providers with four core components:

1. Skills for healthcare work: Skills are reusable instructions and context, written by domain experts, that teach Gemini to run a specific task. Purpose-built, multi-step instructions guide the Gemini agent through essential clinical and administrative tasks, such as medical records synthesis, pre-appointment preparation, coverage and policy review, and payer benefit determination. Each skill applies your organization’s policies and plan rules, and teams can build custom skills tailored to the workflows and standard operating procedures unique to their organization.

2. Connectors to clinical, financial, and operational systems: A library of connectors links Gemini directly to the EHR, claims, care management, and administrative systems organizations already run. Gemini queries each system while strictly preserving existing identity and role-based access controls, so teams get unified context without migrating sensitive data or altering permissions.

3. An open healthcare partner ecosystem: Every health system and health plan runs a different mix of systems. Healthcare systems integrators and digital health partners help organizations extend Gemini with specialized solutions, connect it to what they already run, and scale it without lock-in.

4. A secure, governed platform with open model choice: Clinical, security, and IT leaders get one place to set and enforce policies that govern every agent interaction. It is built to support HIPAA compliance, with enterprise-grade access controls, end-to-end audit logging, and verifiable citations so reviewers can check where each answer came from. Because the agent supports model choice, organizations can pair frontier models from Google and leading partners for complex clinical reasoning with fast, cost-efficient models for routine administrative steps under the same governance.

Unlocking high-value workflows with skills designed for payers and providers

Gemini for healthcare takes on the heavy assembly and administrative work that slows down clinical decisions and coverage determinations. 

At the point of care:

• Building a longitudinal timeline from fragmented sources:  Synthesizes EHR and external records, separates active problems from resolved ones, lists allergies, and flags medication discrepancies. Clinicians get a grounded and unified patient picture in minutes rather than piecing together history across disconnected systems.

• Reclaiming preparation time between patients: Prepares the patient chart ahead of a scheduled visit or procedure, flagging interval events, current medications, and outstanding clearances, labs, or consents, so care teams walk in with the full picture.

• Streamlining clinical authorization and appeals: Extracts relevant chart evidence into an audit-ready packet for review, aligned with payer policy, flagging documentation gaps before submission rather than after a denial. If denials do occur, and the record supports it, it drafts an appeal grounded directly in the clinical record and the plan’s policy.

At the point of coverage:

• Accelerating payer review: Checks incoming requests against the health plan’s medical policies and organizes the findings for reviewers, with findings traceable to the submitted documentation and coverage policy. Clinical reviewers spend less time assembling files and more time applying professional judgment.

• Demystifying benefits and patient financial liability: Parses complex plan benefit booklets to estimate out-of-pocket costs, track deductibles, and verify in-network status, giving member services staff a step-by-step breakdown grounded in the member’s actual plan documents. For Medicare Advantage members, it applies Medicare’s coverage criteria where a plan’s internal rule is stricter.

Open ecosystem of connectors across the healthcare tech stack

Gemini for healthcare connects directly to core clinical, operational, and industry systems via secure connectors, inheriting each source system’s existing role-based access controls and data permissions.

EHRs and clinical data integration:

• Epic EHR: Gives authorized users read-only access to patient conditions, medications, labs, clinical notes, and specialist documentation. With no write-back to the underlying chart, clinical data integrity remains completely intact.
• Oracle Health EHR: Surfaces read-only patient histories, diagnostics, lab results, and clinical documentation for authorized users while enforcing zero write-back to ensure data integrity for the system of record.
• InterSystems FHIR Server: Extending beyond EHR integrations, InterSystems FHIR MCP Server provides standardized, high-performance FHIR repository management and clinical data interoperability.
• Verato: Resolves patient identity and matches records across visits and sources.
• Keragon – Healthcare Integrations: Provides connectivity to 400+ healthcare applications, including EHRs, enabling organizations to securely connect their existing healthcare systems through a single MCP integration.

Eligibility, claims, and pricing:

• Optum Coordination of Benefits: Finds additional patient coverage and determines the correct order of benefits before billing. Currently in limited release and testing with Gemini for Healthcare. 
• Optum Network Eligibility: Retrieves patient eligibility and benefit details from connected health plans in real time. Currently in limited release and testing with Gemini for Healthcare.
• TriZetto Provider Solutions: Verifies patient eligibility, coverage, co-pays, and deductibles across Medicare, Medicaid, and major commercial plans via TriZetto’s vast network.
• GoodRx: Enables care teams to discover prescription pricing and savings options, including manufacturer-sponsored self-pay programs, directly within AI-powered workflows to help patients access more affordable medications.
• Infinitus Relay: Automates high-volume payer phone calls required for prior authorization and benefit verification.

Terminology and coding:

• IMO Health: Brings terminology normalization, clinical search, and knowledge graphs into healthcare skills and governed agentic workflows.
• ICD-10 Codes: Searches and validates ICD-10-CM diagnosis codes, billable status, and hierarchy.
• RxNorm Drug Vocabulary: Looks up standardized drug names, ingredients, strengths, dose forms, and NDCs.

Coverage and provider reference:

• CMS Coverage: Connects directly to Medicare coverage rules, National and Local Coverage Determinations (NCDs/LCDs), ensuring coverage reasoning rests on current published policy rather than static model knowledge.
• NPPES NPI Registry: Verifies provider identity, clinical taxonomy, and practice location in real time.

Evidence based guidelines:

• Optum EvidenceVue: Turns real-world clinical data into actionable evidence through AI-powered workflows from Optum Life Sciences. 
• BMJ Digital Health: Delivers expert-curated, structured, peer-reviewed clinical guidelines and evidence, grounding care and coverage decisions in verifiable citations.

Clinical and operational workflows:

• Salesforce: Headless Salesforce Health Cloud integrations bring workflows, data models, and Agentforce into Gemini for governed action right in the flow of work.
• Suki: Delivers Ambient Clinical Intelligence across healthcare workflows, transforming clinical conversations into actionable intelligence that powers documentation, coding, revenue cycle management, and clinical reasoning.
• UiPath: Connects healthcare-ready UiPath automations and agents to help teams assemble citation-backed context for operational reviews, prior authorizations, and appeals.
• Synthpop Careflow: Orchestrates the patient journey across referral intake, coverage verification, and patient follow-up, turning unstructured referrals into validated, payer-ready orders without manual re-entry.
• Alteryx: Enables healthcare teams to turn their domain expertise into automated analytics workflows, grounding AI-driven insights in business rules and calculations that are visible, understandable, repeatable, and auditable.

Enterprise productivity and collaboration:

• Sana from Workday: Connects HR, finance, and enterprise knowledge so healthcare teams can surface policies, coordinate tasks, and get work done across administrative systems.
• ServiceNow: Tracks IT incidents, operational service requests, and approval chains while enforcing existing enterprise routing rules.
• Microsoft 365: Integrates directly with Word, Outlook, and SharePoint so prepared authorization packets, appeal letters, and benefit breakdowns land directly in the tools where teams already work.
• Google Workspace: Connects seamlessly with Google Docs, Gmail, Drive, and Sheets to surface internal files and coordinate administrative workflows while enforcing enterprise access controls.

Security and compliance:

Global implementation partners and ecosystem

Through our open platform, organizations can deploy specialized partner agents such as ASCO Oncology Guideline Assistant or work with healthcare systems integrators, including 66degrees, Accenture, Altimetrik, AuxoAI, Cognizant, Deloitte, Egen, HCLTech, KPMG, NTT DATA, PwC, Quantiphi, Slalom, Tata Consultancy Services, TEKsystems Global Services, and Wipro, to customize, integrate, and scale these capabilities across complex enterprise architectures without vendor lock-in.