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As Microsoft sunsets PowerScribe 360, Yale New Haven Health System (YNHHS) is stepping up its radiology game with Rad AI's cloud-native solutions, marking a significant shift in the healthcare tech landscape.
The radiology reporting market is undergoing a major transformation as health systems seek to modernize their infrastructure and streamline workflows. One of the most notable changes is Microsoft’s decision to discontinue PowerScribe 360, which has long been the dominant solution for radiologists. This move opens up new opportunities for innovative AI-driven platforms like Rad AI.
Yale New Haven Health System (YNHHS), a leading healthcare provider in Connecticut, is at the forefront of this shift. YNHHS is deploying Rad AI solutions across its extensive imaging network, which includes over 16 outpatient centers and five hospital campuses. This deployment is part of a broader strategy to enhance radiology reporting, reduce administrative burdens, and improve patient care.
Rad AI’s cloud-native platform leverages generative AI models specifically trained for radiology and healthcare. The company’s solutions are built on a large proprietary dataset of radiology reports, which ensures high accuracy and relevance in clinical settings. Here are some key features and benefits:

Microsoft’s decision to sunset PowerScribe 360, originally developed by Nuance, has significant implications for the radiology market. At its peak, PowerScribe 360 commanded 75% to 80% of the U.S. Radiology reporting and speech recognition market. Microsoft, which acquired Nuance in 2022, announced that it would end support for PowerScribe 360 by August 31, 2026, with full support ceasing in 2027.
This forced migration has prompted health systems and radiology practices to re-evaluate their long-term technology strategies. Many are exploring new solutions like Rad AI, which offer advanced AI capabilities and cloud-based flexibility. PowerScribe users will need to transition to the latest version of PowerScribe One, a subscription-based cloud solution, or consider alternative platforms.
As the radiology market continues to evolve, the focus on AI-driven solutions will likely intensify. Health systems that embrace these technologies stand to gain significant advantages in terms of efficiency, accuracy, and overall quality of care.
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Yale New Haven Health System deploys Rad AI solutions across its network as Microsoft sunsets PowerScribe 360
↗ https://www.fiercehealthcare.com/health-tech/yale-new-haven-health-system-deploys-rad-ai-solutions-across-its-network-microsoft
About the author
Kai built ML infrastructure at a Bay Area startup before developing an obsession with transformer architectures and inference optimisation that eventually pulled him out of product work entirely. A stint at a compute research lab sharpened his instinct for what actually matters in a model release versus what is marketing. He writes from the inside — from the perspective of someone who has debugged the systems he is describing at three in the morning. He is allergic to hype and instinctively drawn to the unglamorous plumbing questions that everyone else skips over.
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23 June 2026
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