"Almost 10 years ago, physician and data scientist Dr. Ruben Amarasingham founded Pieces Technologies in Dallas with a clear goal: use artificial intelligence to make clinical work lighter, not heavier. At a time when much of healthcare AI focused on prediction and automation, Pieces concentrated on something harder to quantify but more consequential-how clinicians actually think, document, and make decisions inside busy hospital workflows."
"Pieces did not set out to become a case study in healthcare AI accountability. But over the past two years, that is effectively what it became. In 2024, a regulatory investigation by the Texas Attorney General's office into the accuracy and safety of its systems forced the company to examine how its models behaved in real-world settings, how clearly their reasoning could be explained, and how quickly problems could be identified and corrected."
Dr. Ruben Amarasingham founded Pieces Technologies to apply AI that reduces clinicians' documentation and decision-making burdens within hospital workflows. Pieces prioritized understanding how clinicians think and document rather than solely focusing on prediction and automation. This approach attracted health systems seeking non-disruptive assistance for documentation, coordination, and decision-making. A 2024 regulatory investigation by the Texas Attorney General prompted a detailed review of model behavior, explainability, monitoring, and remediation. The company improved models, documentation practices, and safeguards, which later contributed to its September 2025 acquisition by Smarter Technologies; the purchase price was undisclosed.
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