Why neither legacy vendors nor managed services work for modern health tech

The Challenge

Two Bad Options and a Better One

If you're building an AI application or medical device, the interoperability landscape splits into two camps — and neither fits.

Traditional engines
Powerful, but require deep expertise, long timelines, and large budgets.

Managed services
Simplify integration, but pricing makes scaling impossible.

The gap isn’t a better tool. It’s a better model.

The Old Guard

Traditional engines like:

• Rhapsody
• Cloverleaf
• InterSystems
• Mirth

Were built for hospital IT — not startups.

Reality:

• Expensive
• Complex
• Slow to implement

Managed Services

Providers like Redox and Ellkay:

Pros:

• Faster setup
• Reduced complexity

Cons:

• $35K+ monthly costs
• Limited customization
• Poor scalability

The Real Problem

You’re choosing between:

• Flexibility with complexity
• Simplicity with cost

Neither scales.

The Intely Difference

Platform + Service together

• No-code / low-code platform
• Fully managed delivery
• Built for AI workflows

Key Advantages

Event-driven architecture
Triggered by clinical events, not manual queries

Normalized data
Consistent across all hospitals

Write-back support
Delivers results directly into EMRs

Scales across sites
Each deployment builds on the last

Designed for AI & Medical Devices

You need:

• Real-time triggers
• Clean data
• EMR write-back
• Consistency across sites

Intely provides all of it.

Summary

Stop choosing between fast and affordable.

Choose scalable.