A Slack channel with 1,700 members where Medicare, Microsoft, OpenAI and Anthropic are shaping policy on AI health apps

Launched by the CMS agency in August 2025, this forum for dialogue with the industry addresses the issue of AI applications’ access to medical records. Some legal experts see it as an advisory committee in all but name.

CBS News reveals the existence of a Slack space run by the Centers for Medicare & Medicaid Services (CMS), the U.S. federal agency that oversees Medicare and Medicaid. Opened in August 2025 to coordinate work with tech companies on AI-powered health apps, it now has about 1,700 members, including representatives from Microsoft, Anthropic, OpenAI, Apple, Google, Palantir, and Oura.

Medical records and reimbursement on the menu

Discussions include access to patient records for these applications, their integration into Medicare reimbursement mechanisms, the future "Medicare App Library" which is to reference commercial applications, and access to the TEFCA data exchange network. On the administrative side, the space is led by Amy Gleason, former interim administrator of DOGE who is now product manager of CMS's office of health technologies, among others.

Legal experts say the system resembles a federal advisory committee, which should operate in a public manner. Doctors are concerned about the lack of safety data and accountability frameworks for these apps, and privacy advocates warn against unrestricted access to health data. CMS has not responded to the legality of the space, nor has the FDA.