Electronic health records (EHRs) have emerged as a technological solution to facilitate the continuity of care and to improve population health. Despite the promise to aid physicians and patients, efforts since 2009 to widely implement EHRs in United States healthcare systems have faced significant barriers, which have revealed the need for a different approach. Russia has a much less storied history with EHR, but Minister of Health of the Russian Federation, Veronika Skvortsova, recently announced the Ministry’s aim to universalize EHR access to improve patient care. Considering the robust opportunity for bilateral collabo-ration to achieve better healthcare, we evaluate the similarities and differences in EHR use between the two nations and use a comparative approach to identify growth opportunities in each country. We suggest two main practices that can augment the partnership: (1) the equitable valuation for, and open sharing of, best practices in public-private relationship management, including resource allocation, method regulation, and the financial support of businesses; (2) a science and technology transfer that can foster the adoption of EHRs, which can directly help patients as system benefactors. Healthcare is an area that both the US and Russia value greatly, and we argue that collaboration can relax currently-tense bilateral relations and set the stage for further partnership in the future.