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ADOPTION MAP · AXIOM HEALTH

What's moving and what's stuck.

13 captured signals · 2 blockers · 2 objections · 1 expansion opportunities

3

Use cases

2

Blockers

2

Objections

1

Expansion ops

ADOPTION BLOCKERS

2

  • No standard pattern for HIPAA-safe context injection in the Gemini SDK. Champion needs a docs page they can show legal.

    Dr. Lena Park · vertex-ai · high

  • Jenn demo proof: customer champion says Legal will not approve until Google provides a one-page BAA-safe architecture pattern.

    Live capture · tap · compliance-tooling · high

OBJECTIONS

2

  • We can't put member-specific medical context into the model without a BAA review.

    Marcus Ito (CISO) · compliance-tooling · high

  • Legal needs a logged audit trail for every model response that touches PHI.

    Tom Chen (Legal) · compliance-tooling · high

USE CASES

3

  • Member-eligibility questions: 'is this procedure covered?' — currently 18% of tier-2 volume.

    Dr. Lena Park · gemini-api

  • Prior-auth status lookups — 22% of tier-2 volume, currently bounced to a human in 90s.

    Priya Shah · gemini-api

  • Spanish-language support queries — 14% of member base, currently outsourced. Could be a deflection-on-deflection win.

    Priya Shah · gemini-api

STAKEHOLDER NOTES

1

  • Sasha Klein (Member Experience) — has not weighed in yet but owns CSAT, will likely block launch if CSAT dips in pilot week.

    Internal politics map

FOLLOW-UPS

2

  • Send champion the BAA-compliant reference architecture by Friday.

    Action item from sync

  • Pull DevRel into a 30-min session with Marcus (CISO) to walk the security model.

    Action item from sync

PRODUCT GAPS

1

  • Need a one-click 'redact PHI before send' API helper. Without it, every team rebuilds it differently.

    Champion + DevRel call · gemini-api · med

SUCCESS CRITERIA

1

  • Champion wants to demo end-to-end without an engineer present by day 30. Currently can't because of the PHI redaction gap.

    Dr. Lena Park

EXPANSION

1

  • If tier-2 deflection works, champion is interested in Gemini for clinical-trial recruitment screening — separate $1.2M opportunity.

    Dr. Lena Park · vertex-ai

RECOMMENDED NEXT ACTIONS · THIS WEEK

  1. 1. Send champion the BAA-compliant reference architecture by FridayCaptured follow-up · Action item from sync
  2. 2. Pull DevRel into a 30-min session with Marcus (CISO) to walk the security modelCaptured follow-up · Action item from sync
  3. 3. Unblock: No standard pattern for HIPAA-safe context injection in the Gemini SDK. Champion needs a docs page they can show legalhigh severity · Dr. Lena Park · vertex-ai
  4. 4. Unblock: Jenn demo proof: customer champion says Legal will not approve until Google provides a one-page BAA-safe architecture patternhigh severity · Live capture · tap · compliance-tooling
  5. 5. Unblock: We can't put member-specific medical context into the model without a BAA reviewhigh severity · Marcus Ito (CISO) · compliance-tooling
  6. 6. Unblock: Legal needs a logged audit trail for every model response that touches PHIhigh severity · Tom Chen (Legal) · compliance-tooling