Earlier quoted context omitted.
Pretty much all the large players in healthcare (provider and payer) have model access (OpenAI, Gemini, Anthropic)
That access is over a limited API and usually under heavy restrictions on the healthcare org side (e. g., only use a dedicated machine, locked up software, tracked responses and so on). Running a local model is often much easier: if you already have data on a machine and can run a model without breaching any network one could run it without any new approvals.
I am literally using Claude opus 4.1 right now.