Medicare’s move into driving health information technology strategy could spell trouble for an agency that has been tasked with the job for the past 14 years.

The push is likely to cast doubt on the future of the Office of the National Coordinator for Health IT (ONC), which has been coordinating national efforts to implement health-care IT since 2004.

An indicator of the new Medicare push is a recent announcement from the Centers for Medicare & Medicaid Services looking to hire its first ever chief health informatics officer. The new position will be responsible for setting the agency’s strategy for...