Hi there, Welcome to the 127th edition of Heartcore Insights, curated with 🖤 by the Heartcore Team. If you missed the past newsletters, you can catch up here. Going forward, we are bringing original insights from our investment team members about their prepared minds. Let us know what you think about the new format. Now, let’s dive in! Prepared Mind – Digital HealthWhy is everyone lying, and AI is NOT transforming healthcare?Many health startups in Europe don’t fail dramatically – they suffocate slowly. Not in the market, but in endless meetings with hospital IT departments. Buried under procurement cycles, compliance reviews and risk committees. Innovation doesn’t get rejected; it just runs out of oxygen. And yet, the surface tells a different story. Europe’s health scene is booming. Talented founders are building with conviction. AI is advancing rapidly. Healthcare is an obvious target - one of the largest, most consequential industries, producing oceans of unstructured, multimodal data – of which +90% remains untouched, buried in fragmented and forgotten systems. On paper, it’s a perfect match. So why isn’t it working? Because nearly every team runs headfirst into the same wall: data access. Electronic health records are closed. Integrations are bespoke. And when you finally get the data, it’s chaotic – missing context, poorly structured, riddled with inconsistencies. These systems weren’t built for care; they were built for billing.
But the issue runs deeper than access. The real missing piece is the absence of a shared infrastructure layer – the plumbing, the middleware, the connective tissue that transforms fragmented clinical data into something structured, secure and usable at scale. Until that backbone exists, every AI application will continue duct-taping its way through the same broken infrastructure, one by one – treating data access as a moat. But let’s be clear: data access is not a moat. It’s a bottleneck. We’ve seen this pattern before. In fintech, legacy banks once guarded consumer data like proprietary treasure. Then came PSD2. APIs became mandatory, and players like Plaid and Tink🖤 emerged. They standardised messy, fragmented data and made it accessible. That infrastructure layer didn’t just remove friction – it became the foundation for an entirely new wave of innovation.
A few months ago, I would’ve said no – categorically. There’s been zero incentive for EHR vendors to open up. If anything, their business models depend on keeping systems closed. But something fundamental is changing. In the U.S., the 21st Century Cures Act (passed in 2016) forced EHR providers to unlock patient data through standardised APIs. This regulatory shift catalysed the emergence of infrastructure and data players like Redox (+$2bn), Datavant (+$7bn) and Tempus (+$10bn) - companies that now power much of the underlying data flow across a $4T industry. Now, Europe is starting to wake up. In March, a new regulation quietly entered into force: the European Health Data Space (EHDS). It mandates that EHRs across all EU member states provide standardised, interoperable APIs. Implementation will take years. There are more questions than answers. But if history is any guide, this could be the unlock we’ve been waiting for. The companies that win here won’t just route data. They’ll clean it, tokenise it, orchestrate consent and deliver use-case-ready data. Ultimately, the moat won’t be the data; it’ll be what you do with it. And that’s a good thing – for startups, for innovation and for the future of our health.
🇪🇺 Notable European early-stage rounds
🇺🇸 Notable US early-stage rounds
🔭 Notable later stage rounds
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Tuesday, June 10, 2025
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