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Open Banking Changed Finance. Health Data is Next.

  • Writer: Bo Holland
    Bo Holland
  • May 4
  • 7 min read

Updated: May 6

For decades, financial institutions controlled access to your money. If you wanted to move funds, apply for a loan, or use a budgeting app, you had to operate using the tools and applications owned by banks. Your financial data lived in institutional silos. Access was fragmented. Innovation was constrained.


Open Banking Changed Finance. Health Data is Next.
Open Banking Changed Finance. Health Data is Next.

Then, Open Banking changed the game.


It did not work because banks suddenly decided to become more open. It worked because lawmakers recognized a simple principle: customers own their financial data and have the right to access their accounts through any application they choose.


Once that right became infrastructure, everything changed. Consumers could authorize trusted third parties to access their financial information. Developers could build new products on standardized rails. Banks remained important, but they were no longer the sole gatekeepers of the customer relationship.


The same shift is now beginning in healthcare.


The Problem: Healthcare Still Operates Like Closed Banking

Today, health data remains fragmented across thousands of provider systems, portals, payers, labs, pharmacies, and paper-based workflows. Life sciences companies, site networks, patient support programs, clinical AI developers, and digital health applications still have to retrieve records one institution at a time, often manually and often incompletely.


The result is familiar to anyone trying to build in healthcare: weeks to access usable records, inconsistent data quality, limited visibility into longitudinal history, high operational costs, and little ability to personalize at scale.


Healthcare has digitized. But the networks remain closed.


The problem is not that the data does not exist. It exists everywhere. The problem is that it is trapped in institutional accounts designed around their use cases, not consumer ownership or application innovation.


That is the same structural dynamic that defined finance before Open Banking. Institutions controlled the data because they controlled the accounts.


Now, healthcare is having its own Open Banking moment. Patients have a federally protected Right of Access to their health records. Institutions that block that access are not simply defending a competitive position. They are creating legal, regulatory, and reputational risk.


The moat has a crack in it.


This Has Been Tried Before, But Missed the Mark

The reason past attempts at patient-controlled health data failed is not that the idea was wrong. It is that the industry built the wrong thing.


The failure was not that apps were useless. The failure was asking apps to solve an infrastructure problem.


Consumer apps have promised “health wallets,” personal health records, and wellness dashboards for years. Most have not worked. Patients generally do not wake up wanting to maintain a personal health record. They do not want another portal. They do not want another place to manually upload PDFs, reconcile records, or remember passwords.


Even the best consumer app cannot deliver durable value if it has to build its own identity, consent, record retrieval, normalization, provenance, and data-quality infrastructure from scratch. Apps need complete, trusted data underneath them. Without that foundation, they become another interface sitting on top of fragmentation.


The insight that changes everything is this: This is not a consumer app problem. It is a missing account infrastructure problem. There are no consumer-owned accounts or open networks that exchange personal information electronically between individuals and organizations.


Open Banking solved a similar problem in finance by creating a durable connection between identity, accounts, consent, and data access. Before Open Banking, financial data was fragmented across institution-owned systems. Consumers had accounts, but they did not have a practical way to authorize third parties to access and use their financial data across institutions.


Open Banking changed that by creating a verified, persistent identity and permissioning layer that could operate across the network.


Healthcare has no equivalent today.


A consumer treated across multiple health systems has multiple disconnected records. Insurance history does not follow them. Lab results sit in portals they rarely use. The longitudinal data that would power clinical AI, trial recruitment, patient support, real-world evidence, and meaningful consumer applications does not exist in usable form for most people—not because it is not generated, but because there is no account infrastructure to connect it around the individual.


The Shift: From Fragmented Portals to Consolidated, Consumer-Owned Accounts

Open Banking worked because it introduced three structural principles:

  • First, data became anchored to customer-controlled accounts.

  • Second, identity became verified and persistent across the network.

  • Third, access became governed by explicit consent.


The Health Bank® network brings those same principles to healthcare. It provides the infrastructure that apps need to create value.


For years, healthcare has treated portals and apps as the answer to consumer engagement. But portals and consumer accounts are not the same thing.


Portals are institution-owned windows into fragments of data. A hospital portal shows one hospital’s record. A payer portal shows one payer’s claims. A lab portal shows one lab’s results. Each fragment may be useful, but none gives the consumer, or the applications serving them, a complete view.


Accounts make those fragments whole.


The Health Bank Network establishes a consolidated, identity-resolved health account for each patient. Data is retrieved from fragmented portals, APIs, providers, payers, labs, pharmacies, faxes, and PDFs, then normalized into a living, canonical record controlled by the patient.


Once those fragments become a complete account of a consumer’s health, applications can finally deliver real value: personalized AI, trial matching, patient support, care navigation, benefits optimization, medication insights, and condition-specific engagement.


Health Bank One™ does not replace healthcare apps. It makes them work.


Now, developers and enterprise partners can build on top of the Health Bank Network through standardized, consent-based access rather than rebuilding the same infrastructure themselves. The network provides the account layer, identity layer, consent layer, retrieval layer, normalization layer, and audit layer so every app can focus on the experience, workflow, and intelligence it delivers.


Health Bank One does not own or monetize patient data. It monetizes the trusted infrastructure required to access, exchange, consolidate, normalize, and secure personal health data. Like financial networks that move money without owning it, Health Bank One enables secure health data exchange without turning the data (or the consumer) into the product.


This is the shift that has been missing from healthcare: from portals to accounts, and from

standalone apps to an ecosystem of applications built on trusted consumer-controlled infrastructure.


Health data needs consolidated, consumer-owned accounts. Apps need infrastructure.


Open Banking for Finance vs. Open Banking for Health Data
Open Banking for Finance vs. Open Banking for Health Data

The Infrastructure That Is Needed

What the Health Bank Network provides is the missing layer that makes Open Banking for Health Data operational:

  • Consumer-owned accounts that anchor to and consolidate health data for the individual rather than to any institution

  • High assurance consumer identity that persists across providers, payers, applications, and partners

  • A consent engine that gives consumers precise control over who accesses what, for what purpose, and for how long

  • Data retrieval across digital and analog sources, including APIs, portals, faxes, PDFs, providers, payers, labs, and pharmacies

  • Normalized clinical data mapped to clinical codes and standardized medical vocabularies so it is actually usable

  • A flexible access layer, including APIs and emerging agentic tools, that enterprise partners and developers can build on

  • Auditability and provenance so every access, use, and exchange can be traced


The demand side comes first: enterprise partners need complete, consented health data, and that demand creates the tangible consumer benefits that make participation worthwhile.


That may be trial eligibility screening. It may be access to relevant therapies. It may be a personalized support program. It may be an AI assistant that understands a patient’s full history. It may be a company developing treatments for a condition that can finally engage the right consumers directly, transparently, and with consent.


This sequencing is what separates infrastructure from yet another consumer app.

The Health Bank Network moves healthcare from fragmented retrieval to consolidated infrastructure. From one-time transactions to durable relationships. From static records to personalized intelligence. From patients as bystanders to consumers as account holders.


The Moment Is Now

The conditions that enabled Open Banking in finance now exist in healthcare.


Regulation has established the consumer’s Right of Access to their data. Digital Identity and account infrastructure can make that right usable at scale. AI and life sciences create urgent demand for complete, consented, longitudinal data. Developers need reliable infrastructure instead of one-off integrations and manual record retrieval.


Consumers increasingly expect control, portability, and transparency.

The need has become obvious. The infrastructure has been missing.


Health Bank One was built for this moment.


The flywheel is straightforward: more accounts create more complete longitudinal data. Better data attracts better applications and partners. Better applications and partner experiences give consumers more reasons to participate. Each new account strengthens the identity, consent, provenance, and trust layer that the next application can build on.


Unlike ordinary software platforms, health data networks reward depth, continuity, and trust. Longitudinal data becomes more valuable as it matures. Identity infrastructure becomes more valuable as more parties rely on it. Consent becomes more powerful when it follows the patient across use cases. Applications become more useful when they can rely on the same trusted account infrastructure instead of rebuilding fragmented connections one by one.


When that infrastructure exists, everyone benefits. Patients gain control and connection. Partners gain insight and reach. Developers gain a trusted foundation for applications that can finally use complete health data. The industry gains the durable foundation it has never had.


The question is who will provide the trusted infrastructure layer that makes it real.

Built by the Team That Unlocked Open Banking

Health Bank One was founded by a team with direct experience building the kind of trusted identity and permissioning infrastructure healthcare now needs.

 

In 2015, the team behind Health Bank One helped pioneer Open Banking infrastructure in Europe by building secure, mobile-based Digital IDs that were the key mechanism for unlocking financial data. Those digital identities allowed consumers to authorize access to their financial information on their own terms, breaking down institutional silos that had persisted for decades.

 

That experience is not a résumé footnote. It is the capability stack healthcare now needs: strong identity, consumer accounts, open networks, secure consent-based exchange, and trust at network scale.

 

Those are the same capabilities that removed the institutional data moats in financial services. They now underpin the Health Bank One approach to health data.

 

Open Banking changed finance by shifting power to the account holder and enabling secure, permissioned exchange at scale.

 

Health data is next.

 

 


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