Gematik plans centralization of German healthcare IT infrastructure, seeks operator role (heise.de)

• Gematik proposes centralization of German healthcare IT infrastructure
• Confidential strategy paper details shift from regulator to operator
• Legacy TI 1.0 to be decommissioned by 2032
• ePA system to be centrally developed as open-source on cloud platform

"Gematik, the German agency for telematics infrastructure, proposes a shift from regulator to central operator of the healthcare IT system, backed by a confidential strategy paper. The plan involves consolidating backend services onto a sovereign cloud platform, reducing product instances from 114 to 31, and phasing out the legacy TI 1.0 by 2030. The move aims to address chronic stability issues that caused monthly disruptions in 2025. The shareholders' meeting will vote on June 19."