Medplum 2026 Roadmap
As we kick off 2026, we're excited to share Medplum's vision for the year ahead. Our open-source healthcare development platform has experienced substantial growth throughout 2025:
As of December 2025:
- 500,000+ Docker downloads (up 2x from 2024)
- 161 GitHub contributors (up 40% from 2024)
- 2,100 GitHub stars
As informed by our community and customers, we are focusing on the following initiatives in 2026.
Compliance (H1 2026)
Medplum is pursuing HITRUST Certification for our hosted environment. We are also certifying changes related to HTI-4 to enable both providers and payers to comply with the mandate, with key milestones aligned to the January 2027 enforcement date.
These compliance primitives support hospital and health system connectivity and interoperability. The HTI-4 mandates are also important because they cover prior authorization for medications, professional billing, and facilities billing.
Related Reading: 📋 Compliance Overview, 🛡️ HITRUST, 🔒 SOC2, 🏥 HIPAA, ✅ ONC Certification, 🔗 TEFCA Overview
Enterprise Scale & Infrastructure
Platform traffic on Medplum is growing quickly, and we are investing in several initiatives to achieve scale. We are implementing sharding and archiving capabilities to handle larger datasets efficiently. Data warehouse integration via Kafka will support high volume connections. We are also enhancing cross-cloud support for GCP, Azure, and AWS deployments.
Related Reading: 🏠 Self-Hosting Overview, 🗂️ Sharding Discussion, ☁️ Install on AWS, 🌐 Install on GCP, 🔷 Install on Azure, 📊 Analytics, 📈 AWS Athena Guide, 🎬 PlumCon Scaling to Millions of Patients
Scheduling
Scheduling is key to healthcare workflows, and we are investing heavily in making it great for a wide variety of use cases. This includes self-scheduling, advanced availability management, facilities scheduling, and resource scheduling.
Related Reading: 📅 Scheduling Overview, ⏰ Defining Availability, 🗓️ Scheduling Product, 🤖 Scheduling Agents for Healthcare Operations
Provider Application
Medplum has a provider experience that is ONC certified as a base EHR. We will make investments this year to expand the available workflows and integrations. We are also improving the onboarding experience for new practices to get up and running quickly.
Related Reading: 👨⚕️ Provider Overview, ⚙️ Provider Setup, 📝 Charting
Integrations & Plugins
We are building a plugin ecosystem to give you access to a wide variety of tools that work with your workflow. We are also enhancing the prescribing experience with improved safety features and HTI-4 compliance.
Related Reading: 🤖 Bots Overview, 📚 Bot Basics, 💊 ePrescribe
Revenue Cycle & Billing
We are enabling developers to build high fidelity revenue cycle management solutions. We are also streamlining prior authorization workflows to reduce administrative burden in accordance with the upcoming regulations in HTI-4.
Related Reading: 💰 Billing Overview, 🏦 Patient Insurance, ✅ Insurance Eligibility Checks, 📄 Creating CMS1500
AI
Medplum continues to be a destination for builders who are making incredible AI applications. We will make continued investments to our AI infrastructure such as MCP, SSE, websockets, and composable model configurations that will power the next generation of models, copilots, scribes, and more.
Related Reading: 🧠 AI Overview, 🔌 MCP Support, 🩻 Rad AI Case Study, 👶 Summer Health Case Study, 📡 FHIRcast, ⚡ Async Bots and SSE
Key Themes for 2026
To summarize, our 2026 priorities center around three key themes:
- Regulatory Readiness - HITRUST certification and HTI-4 compliance to meet upcoming mandates
- Scale & Performance - Infrastructure investments to support enterprise-grade deployments
- Developer Experience - Enhanced scheduling, billing, AI tooling, and plugins to accelerate development
Join the Movement
2026 will be a transformative year for healthcare technology, and Medplum is leading the charge. Whether you're a developer, healthcare provider, or innovator, there's never been a better time to join our growing community.
Stay tuned for more updates, and join us on Discord to be part of the conversation. We share quarterly progress updates and actively incorporate community feedback into our prioritization process. Your input directly shapes where we invest next.