MedGemma
Google's medical AI model family: Med-Gemini, MedLM, MedGemma 1.5 (January 2026).
What is MedGemma
Google evolved Med-PaLM (launched 2023) into a full family: MedLM (on Vertex AI for Google Cloud US customers in GA allowlist, preview in other markets), Med-Gemini (state-of-the-art 91.1% MedQA, beats GPT-4 on 14 medical tasks across text/multimodal/long-context), MedGemma 1.5 (released January 2026) — open-source model freely available for research and commercial use that adds: 3D CT/MRI interpretation, whole-slide histopathology analysis, longitudinal chest X-ray comparison, EHR understanding, medical document understanding. Use case: chest X-ray AI for trusted testers. At HIMSS 2026 Google showed a shift from pilots to production-scale agentic AI in healthcare (CVS Health 'Health100' Gemini-backed, Humana Agent Assist rolled out to 20k advocates). Available via Vertex AI with enterprise custom pricing.
Who is it for
- ✓US enterprise health systems and payers
- ✓Medical AI researchers
- ✓Healthcare developers on Google Cloud
Pros and cons
✓ Strengths
- ✓Med-Gemini beats GPT-4 on 14 medical tasks
- ✓Open-source MedGemma 1.5 for research
- ✓Coverage of 3D CT/MRI, histopathology, EHR
- ✓Production-scale agentic AI for CVS, Humana
− Limitations
- −MedLM GA only US, preview elsewhere
- −Custom pricing not public (Vertex AI)
- −Not an end-user product: integration needed
Main features
Pricing
PaidPricing may change. Check the official site for the latest.
Our verdict
The academic state of the art in medical AI. Open-source MedGemma 1.5 is a game-changer for research. For production you need Vertex AI and enterprise budget.
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