MD-IT opens hospital billing AI framework
An €88m framework ceiling for AI-supported billing audits leads a week in which healthcare IT’s notice share rose and competition remained thin.
MD-IT’s role connecting Germany’s Medical Services through digital data exchange gives the requirement a clear operational setting: bidders need to combine billing-case review with the governance and information-security evidence that lets a buyer deploy AI in a regulated workflow.
Where this market is going
Healthcare IT accounted for 6.96% of all classified notices in the week to 11 November, compared with 5.63% across the 31-day baseline from 5 October. That is an increase of 1.33 percentage points, measured against notices classified by the same classifier generation rather than raw harvest volume.
Healthcare IT: share of all classified public IT tenders
Share, not volume. Weekly, only weeks classified by the same classifier generation.
Where the notices were published
Notices of every kind by buyer country, 7 days to 2026-11-11.
How hard the competition is
On competitively awarded contracts reporting bids, the average was 2.4 bids across 34 awards and the median was 2. Single-bid awards accounted for 47%, or 16 awards. SMEs submitted 83% of bids in the measured set. A further 35 awards were direct awards and are counted separately, since they do not represent competitive bidder numbers.
How these tenders will be decided
Stated award criterion, for the 41 new calls that declared one.
Bids are counted on contract awards from competitive procedures only. Direct awards (negotiated without a call, single-source) have one bidder by design and are counted separately. Shown only when at least 10 awards reported a bid count. Direct awards this window: 35.
What is driving it
One call in the window cited DORA. DORA concerns ICT-risk management, incident reporting, resilience testing and oversight of critical ICT providers for financial entities, so this is a compliance-work signal for healthcare suppliers with regulated financial relationships rather than a general healthcare product mandate.
Regulations named in Healthcare IT tenders
Notices in this vertical citing each framework, past 12 months.
The calendar ahead
| Date | Framework | Milestone | Where |
|---|---|---|---|
| 2027-03-26 | European Health Data Space (Regulation 2025/327) | applies from | EU |
| 2027-07-10 | EU AML Package (AMLR 2024/1624 + AMLA 2024/1620) | applies from | EU |
What shifted this week
Type of work requested, against the usual mix
Percentage difference from the count expected at this vertical’s mix over the previous 31 days.
Whose technology is being named
Asseco was named in 5 notices, comprising 3 calls and 2 awards, which was 8% less often than the vertical’s usual mix would predict. SAP appeared in 1 call, 57% below its expected notice-text presence. These are mentions in published call and award text, not evidence that either supplier won the underlying requirement.
Vendors named in this window’s notices
Procedures naming each vendor, calls and awards together.
Who is buying repeatedly
| Calls | Buyer | Country | Largest call |
|---|---|---|---|
| 2 | Fakultní nemocnice Olomouc | CZ | Informační systém pro Stomatologii II. |
| 2 | Ministerstvo zdravotnictví | CZ | DNS – Odborné kapacity pro projekty elektronizace zdravotnictví |
| 2 | Städtisches Klinikum Karlsruhe gGmbH | DE | Abrechnungssoftware für die stationäre Patientenabrechnung |
| 2 | Universitätsklinikum Aachen AöR | DE | Entwicklung, Bereitstellung und Weiterentwicklung interoperabler Softwarekomponenten und standardisi |
| 2 | Комунальне некомерційне товариство "Коломийський районний центр первинної медико-санітарної допомоги Коломийсь | UA | Послуги доступу до онлайн сервісів Медичної інформаційної системи (МІС) з правом користування програмною проду |
Buyers that published more than one call for tender in this window. An organisation running several at once is usually working through a programme rather than buying once.
The biggest new open tenders
Of 72 calls, 27 stated an estimated value. Beyond MD-IT’s €88m framework ceiling, ΚΕ.ΤΕ.Κ.Ν.Υ. Α.Ε. is seeking a €5.48m national platform for cost and data analysis of invasive procedures and surgeries by 10 December, supporting its health-system reform work on hospital reimbursement and DRG interoperability. Tervisekassa’s €4m framework ceiling, closing 4 December, covers analysis and development of the Health Insurance Information System, part of the upTIS next-generation health-information programme. Azienda Sanitaria Provinciale di Agrigento has a €1.26m call for prescription reception, processing, archiving and a web-based information system, closing 15 December; its PNRR work also includes telemedicine for chronic-condition support. In Czechia, Zdravotnická záchranná služba Pardubického kraje seeks €1.02m of eHealth and emergency-medical-service interoperability by 11 December, while Nemocnice Pelhřimov seeks €574,524 of instrumentation cybersecurity by the same date.
Calls for tender published in this window and still open, by the buyer’s estimated value in EUR; 27 of 72 new calls stated one. A framework agreement or a dynamic purchasing system (DPS) states a ceiling for several purchases, not one contract.
Closing in the next two weeks
Contracts awarded
These are signed contracts, not bidding opportunities. Vorarlberger Krankenhaus-Betriebsges. m.b.H awarded T-Systems Solution for HealthCare an IS-H successor contract with a €120m framework ceiling. Italy’s AOV awarded Almaviva €56.23m for its second-edition ICT-services agreement, while Azienda Sanitaria Provinciale di Messina awarded P.L.S. Facility Management €19.63m for a service supply. Region Västernorrland awarded Tietoevry €11.98m for NCS Cross maintenance and support. Servicio de Salud de las Illes Balears directly awarded DH Healthcare Provider Software Spain €5.79m for SISN2+ licences, support and maintenance, and Bulgaria’s Ministry of Health directly awarded ИНФОРМАЦИОННО ОБСЛУЖВАНЕ АД €2.59m for hardware support. By award count, ЗДОРОВ'Я 24 recorded 15 direct awards, ХЕЛСІ УКРАЇНА 9 direct awards and Asseco Poland 4 direct awards; CoreIT recorded 2 awards, while KAMSOFT and MedLAN recorded 1 each.
| Contract value | Contract | Buyer | Winner |
|---|---|---|---|
| €120.0m (framework ceiling) | IS-H Nachfolgelösung | Vorarlberger Krankenhaus-Betriebsges. m.b.H AT | T-Systems Solution for HealthCare (TSHC) |
| €56.2m | AOV SUA-SF 036 2024 CONVENZIONE QUADRO ACP PER SERVIZI ICT – SECONDA EDIZIONE | Agentur für öffentliche Verträge – AOV - Einheitliche Vergabestelle Dienstleistungen und Lieferungen IT | Almaviva S.p.A. |
| €19.6m | GARA EUROPEA A PROCEDURA APERTA TELEMATICA TRAMITE PIATTAFORMA AZIENDALE (E-PROCUREMENT) PER LA FORNITURA QUINQUENNALE IN SERVICE IN NN. 18 LOTTI DI R | Azienda Sanitaria Provinciale di Messina - Ufficio Provveditorato IT | P.L.S. FACILITY MANAGEMENT S.R.L. |
| €12.0m | Underhåll och support NCS Cross inkl tillhörande tjänster | Region Västernorrland SE | Tietoevry AB |
| €5.8m (direct award) | Adquisición de licencias, servicio de soporte y mantenimiento de la aplicación SISN2+ para los hospitales de Nivel 2 y centros de cuidados int | Servicio de Salud de las Illes Balears ES | DH Healthcare Provider Software Spain SL |
| €2.6m (direct award) | Oсигуряване на хардуерна поддръжка на обо-рудване за информационната система за регистриране и прос | МИНИСТЕРСТВО НА ЗДРАВЕОПАЗВАНЕТО BG | ИНФОРМАЦИОННО ОБСЛУЖВАНЕ АД |
| €1.8m | Jälki-ilmoitus, Kliininen AV -järjestelmä leikkaussaleihin | Pohjois-Pohjanmaan hyvinvointialue FI | Neagen Oy |
| €1.5m | Storitve projektiranja tehnološke posodobitve aplikacij ZZZS | ZAVOD ZA ZDRAVSTVENO ZAVAROVANJE SLOVENIJE SI | SRC sistemske integracije d.o.o. |
Contract award notices published in this window, by the signed contract value in EUR. These are contracts already placed, not open opportunities.
Who won
Suppliers with the most contract awards this window
Award notices naming each supplier; call-offs under one agreement count separately.
Browse every open public IT tender on SalesDots
Sources consulted
Pages the writer read for context while drafting this column. The figures above come from the notices, not from these.
Bid teams have near-term medical-information-system deadlines in Ukraine on 14, 15, 17, 18 and 19 November, while Spitalul Municipal de Urgenta Roman’s Hospital Manager Suite support call closes on 16 November.
Method
Built from 169 public procurement notices published from 2026-11-05 to 2026-11-11 and classified into the Healthcare IT vertical: 72 calls for tender, 79 contract awards, 2 prior information notices and 15 other notices. A tender republished in a new version is counted once. Values are converted to EUR at reference rates. Comparisons use the previous 31 days, classified by the same classifier generation. Every figure on this page is computed from the notices; the commentary is written around them. Sources: TED, Prozorro, e-Zamówienia (BZP), IUB (Latvia), Bekanntmachungsservice (DÖE), CVP IS (Lithuania). Tenders named in earlier editions of this column are not named again.
Frequently Asked Questions
What is the largest new open Healthcare IT call?
MD-IT GmbH’s €88m framework for AI-supported hospital billing audits, closing on 2 December 2026.
How competitive were measured Healthcare IT awards?
Competitive awards averaged 2.4 bids across 34 measured awards; 47% were single-bid awards, and 35 direct awards were counted separately.
What is Healthcare IT’s current notice share?
Healthcare IT represented 6.96% of classified notices, compared with a 5.63% baseline share.
