HealthScores.ai delivers on the CMS Kill the Clipboard pledge

zPaper is a listed pledgee in the CMS Kill the Clipboard initiative. HealthScores.ai is the app that delivers on it, giving Medicare recipients and their caregivers a SMART Health Link built on FHIR, so a visit can begin with a scan instead of a form.

The clipboard is a symptom. We signed on to fix the cause.

Every new provider hands you the same clipboard. Name, date of birth, every medication, every allergy, every surgery, every condition, written from memory in a waiting room while you are already unwell. You fill it out knowing the information already exists somewhere, in a portal you cannot remember the password to, in a chart at an office three states away.

In July 2025, the Centers for Medicare and Medicaid Services decided that was worth ending. The initiative is called Kill the Clipboard, and it asks technology companies to make one specific thing possible: let patients pull their own records and hand them to a provider digitally, using open standards, in seconds.

zPaper signed that pledge. HealthScores.ai is how we keep it.

What the pledge actually says

CMS wrote the commitment in plain language. Companies that sign it agree to empower patients to retrieve their health records from CMS Aligned Networks or personal health record apps and share them with providers through QR codes or Smart Health Cards and Links using FHIR bundles

Patients should be able to access their own health information and share it with providers of their choosing — digitally, using open, standards-based technology such as FHIR APIs and SMART Health Cards, so that a visit can begin with a scan instead of a clipboard.

— CMS Health Tech Ecosystem pledge, 2025 (paraphrased)

The pledge is voluntary. There is no enforcement body and no certification behind it,  which means the only thing that makes it real is whether a company ships the capability. We think that's worth being plain about.

How HealthScores.ai keeps it

Your records, in storage you own

We aggregate your EHR portals, wearables, and documents into your personal device,  not a silo we control. If you leave, your records stay yours.

Open standards, not lock-in

Records travel as a FHIR bundle. Not a screenshot, not a PDF someone has to retype. A structured, standards-based bundle that a provider system can read as data.

A QR code and SMART Health Link

A member generates a SMART Health Link, a provider scans it, and the record is there. Allergies, current medications, active conditions, emergency contacts, and directives, without a clipboard standing between the member and care.

One member can carry a household

The clipboard is hardest on the people filling it out for someone else. Our Care Circle capability lets a member manage records for the people they care for, so a daughter coordinating her father's care and her own is working from one dashboard rather than juggling separate logins for every person she is responsible for.

Why this matters most in an emergency

Most of the time the clipboard is a nuisance. In an emergency it is a gap.

Someone arriving at an ER may not be able to speak for themselves. A caregiver arriving with them may not know every medication by name or dose. Advance directives sit in a folder at home. The result is care delivered without context, and decisions made against information the patient never got the chance to give.

A SMART Health Link makes that context available at the point of arrival. The scan surfaces what a responder needs to see and what the member decided in advance about their own care, so treatment can begin from a fuller picture.

FAQs

Common questions

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