HIMSS 2026 recap: Agentic AI in the boardroom.
The year agentic AI went from buzzword to boardroom. 24,000+ healthcare leaders from 75 countries, and the clearest signal yet that healthcare IT is entering its autonomous era.

The takeaway first, the tour after.
Three things I would tell a founder who could not make it.
HIMSS26 confirmed what many of us have been sensing: healthcare AI has moved from promises to production.
The real story wasn't just the technology. It was the governance conversation. Health system CIOs are no longer asking what can AI do. They're asking how do we govern it safely.
This wasn't a tire-kicking crowd. These were buyers ready to commit to long-term AI partnerships, not quick fixes.

One venue, four long days.
A single consolidated venue meant no more walking between buildings.
Every major vendor showed up with AI agents.
Epic previewed a no-code Agent Factory. Google Cloud announced Gemini-powered agent partnerships with CVS Health, Humana and Highmark Health. Microsoft expanded Dragon Copilot, Amazon debuted Amazon Health Connect, and Salesforce added 6 new Agentforce Health agents.
The venue verdict was mixed: continuous refreshments and a strong Startup Emerge pavilion, but lower energy than HIMSS 2025 and some exhibitors questioning the ROI of massive booths.




Read the full daily recaps.
Steps walked, announcements and the conversations behind each day.



Six themes that dominated.
Agentic AI dominance
The shift from generative to autonomous agentic AI, mostly on the administrative side, with humans still in the loop on clinical decisions.
AI moves from pilot to production
AI is embedded into EHR platforms, revenue cycles and patient engagement. 77% of healthcare organizations are investing in agentic AI.
Governance becomes sexy
CIOs are building oversight frameworks to vet AI tools. The question shifted to how to govern AI safely.
Cybersecurity and zero trust
The Change Healthcare breach aftermath dominated security talk. 94% of organizations have paid ransoms; only 49% are confident in their strategy.
Hospital-at-home expansion
The CMS waiver extension through 2030 unlocked growth. Mass General Brigham treated its 10,000th home hospital patient.
Interoperability and TEFCA
TEFCA adoption accelerated, with 85% of healthcare leaders prioritizing data interoperability.
Couldn’t make it to HIMSS 2026?
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- Event recap: key insights and takeaways
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HIMSS 2026 took place March 9-12, 2026 at the Venetian Convention & Expo Center in Las Vegas. It brought 24,000+ healthcare IT professionals from 75 countries. Agentic AI dominated the conference with major announcements from every major EHR vendor and tech giant. Key themes included AI governance, cybersecurity, hospital-at-home expansion, and interoperability.
Major announcements included Epic's no-code Agent Factory visual builder, Google Cloud's Gemini AI agent partnerships with CVS and Humana, Microsoft's expanded Dragon Copilot, Amazon Health Connect, Salesforce's 6 new Agentforce Health agents, VSee's autonomous telehealth robot, Innovaccer's Flow Capture autonomous coding, and Abridge's enterprise AI deployment across WVU Medicine.
The dominant theme was the shift from generative AI to Agentic AI - autonomous systems that independently execute healthcare workflows. As Mayo Clinic's John Halamka noted: 'First it was predictive AI, then generative AI, now it's agentic AI.' However, autonomous AI remained mostly on the administrative side (revenue cycle, call centers), with humans staying in the loop on clinical decisions.
HIMSS 2026 had approximately 24,000 attendees from 75 countries. Nearly one-third came from the C-suite, and three out of four attendees were described as decision-makers or influencers - making it a buyer-driven conference rather than a tire-kicking event.
The Change Healthcare breach aftermath dominated cybersecurity conversations. A Cohesity report revealed 94% of healthcare organizations have paid ransoms despite only 49% being confident in their security strategies. Zero Trust architecture became table stakes, and the gap between security spending and actual preparedness was a major discussion point.
HIMSS 2026 featured a consolidated single-venue format at the Venetian. New additions included 'The Park' themed networking area in Hall G, continuous refreshments, one-hour focused workshops, and the Brews & Bites Booth Crawl. However, some attendees noted lower energy compared to HIMSS 2025, with some companies scaling back booth investments.
Four major marketing gaps were identified: (1) No AI Overview presence in ChatGPT, Perplexity, or Gemini, (2) Dead content strategies with outdated blogs, (3) Zero executive thought leadership from C-suite on LinkedIn, and (4) Social media invisibility despite spending millions on conference booths.
You can schedule a call at gkotte.com/calendar to discuss healthcare AI implementation, GTM strategy, or AI search visibility. You can also connect on LinkedIn at linkedin.com/in/gkotte or follow on X @gkotte1 for ongoing healthcare AI insights.

Plan your agent strategy.
Governance, security and where agents pay off first. Bring the question; leave with the next three steps.


