For twenty years, the digital transformation of companies has been organized around two major software infrastructures. ERPs structured internal operations. CRMs have centralized customer relations. In healthcare, a new category of platforms is now emerging: “Care Operating Systems”, systems capable of orchestrating the entire care pathway, from medical data to administrative workflows including future artificial intelligence agents.
This development is at the heart of the strategy of Semble, a European company specializing in care management and coordination software, which announces a fundraising of 35 million euros led by Revaia with the participation of Partech as well as renewed support from Mercia Ventures and Octopus Ventures.
The operation comes as European health systems are going through a phase of profound transformation. Demographic aging, shortage of healthcare professionals, proliferation of medical data and the rise of artificial intelligence are pushing establishments to rethink their organization.
Fragmentation has become the main problem
For two decades, the digitalization of the health sector has been built in successive layers. Software for appointments. Another for medical records. A third for billing. Still others for teleconsultation, prescriptions, care coordination or communication with patients.
This accumulation of solutions has made it possible to modernize many processes but has also created a new difficulty: fragmentation.
“For years, the industry has attempted to address complex systemic problems through point and disconnected solutions, but fragmented technology often adds operational complexity for healthcare professionals and creates a discontinuous experience for patients,” observes Christoph Lippuner, co-founder and CEO of Semble.
The question is therefore no longer just about digitalizing care, but now involves connecting all the players, data and tools that make up a patient journey.
The healthcare operating system
It is precisely on this layer that Semble seeks to position itself, the startup is developing a unified platform intended for liberal healthcare professionals, medical centers and healthcare organizations. Its software coordinates clinical data, administrative tasks, information flows and interactions between different stakeholders.
With more than ten million patients supported via its platform, Semble supports more than 1,700 customer care structures and nearly 16,000 daily users. Its platform also integrates with more than 1,200 third-party solutions covering the entire health ecosystem, from appointment scheduling to diagnosis, billing and patient relations.
This logic of openness constitutes one of the central elements of its strategy.
“The healthcare organizations that succeed in the next ten years will be those that rely on open and interoperable systems, capable of connecting data, professionals and care pathways within a unified patient experience,” believes Christoph Lippuner.
For Morgan Kessous, Partner at Revaia, the challenge goes far beyond that of business software: “It seems to be building the modern healthcare operating system: a platform combining true clinical depth, a capacity for large-scale deployment and the trust of healthcare professionals. »
An ongoing European battle
However, Semble is not alone in this race; in the United States, Epic Systems and Athenahealth already occupy a central place in the digital infrastructures of hospitals and medical practices. Oracle has pursued the same ambition since the acquisition of Cerner for nearly $28 billion.
In Europe, the landscape remains more fragmented, Doctolib is gradually extending its scope beyond appointment scheduling to become a patient journey management platform. In Germany, CompuGroup Medical maintains a dominant position with many healthcare professionals. In the United Kingdom, Accurx has established itself as a major player in coordination between practitioners and patients.
But competition no longer comes only from historical publishers, a new generation of artificial intelligence players like Nabla, Corti or Tortus is now trying to become the main interface used by health professionals. Their ambition is not necessarily to replace existing software, but to position itself above it by automating a growing part of administrative and clinical work.
Controlling the patient journey thus becomes a strategic issue comparable to that experienced by ERP in industry or CRM in commercial functions.
France, a new territory of conquest
France occupies a particular place in Semble’s strategy; the market is undergoing rapid restructuring due to the rise of multi-professional healthcare homes, medical centers and private care groups. More than 200,000 doctors are seeing their practice evolve towards more collaborative structures requiring more advanced coordination tools.
Semble has opened offices in Paris and Toulouse and claims to have tripled its French workforce since December 2024. The startup also obtained LAP HAS v2 and Ségur V1 certifications in less than a year, two essential prerequisites for operating on a large scale in the French market.
“Semble has built the infrastructure that makes it possible to orchestrate patient journeys within increasingly complex and highly regulated health systems,” underlines Rémi Said, General Partner at Partech.
AI could accelerate market concentration
The arrival of artificial intelligence further strengthens the strategic value of these platforms. Players who already control data, workflows and interactions between professionals have a decisive advantage in deploying assistants capable of writing reports, coordinating care, preparing consultations or automating administrative tasks.
Semble plans to use this funding to accelerate the development of its care orchestration and artificial intelligence capabilities.
