AbridgeHQ Leaps to AI Clinician Platform, Backed by Eli Lilly
Welp, they went ahead and did the damn thing. Yesterday @AbridgeHQ skipped a few iterative steps and jumped straight to the end state, announcing an "AI-native clinician intelligence platform" that connects care delivery, payment and evidence-based treatment, with a strategic check from @EliLillyandCo to underline the point.

Mapping the Evolution Stages of Major EHR Systems
Given the data program visualizations for @Cognizant and @PointClickCare in the May Monthly Review last week, I got a few questions on how far along other EHRs are in their evolution. So I thought it’d be fun to explain...

Proxy Access to Health Data Remains Unsolved Challenge
Patient access to health data is becoming table stakes. Proxy access (for parents, caregivers, adult children) is the next unsolved quest. The health system side makes it look easy. It isn't, everywhere else. https://t.co/XQxZ7TeG8F
Two Years of TEFCA: What Works, What Doesn’t
Brad Thorson, Pryce Ancona and I are back, but we’re trying something a bit different this time. Given a little Memorial Day lead-up lull afflicting the industry, we decided to give a primer and run-down on the successes and failures...

Epic Moves to Dismiss Disability Access Lawsuit
Epic finally filed their Motion to Dismiss in American Association for Disability Justice v. Epic. As a reminder, if you’re forgetting that particular lawsuit, it was structured around the premise: …𝘵𝘩𝘢𝘵 𝘵𝘩𝘦 𝘤𝘰𝘮𝘱𝘢𝘯𝘺’𝘴 𝘢𝘳𝘤𝘩𝘪𝘵𝘦𝘤𝘵𝘶𝘳𝘦 𝘧𝘰𝘳 𝘢𝘤𝘤𝘦𝘴𝘴𝘪𝘯𝘨 𝘮𝘦𝘥𝘪𝘤𝘢𝘭 𝘳𝘦𝘤𝘰𝘳𝘥𝘴 (𝘱𝘢𝘳𝘵𝘪𝘤𝘶𝘭𝘢𝘳𝘭𝘺 𝘪𝘵𝘴 𝘳𝘦𝘭𝘪𝘢𝘯𝘤𝘦...

Integration Costs Shift to RPA as APIs Become Liabilities
Software ships at near-zero marginal cost. The maintenance tail does not. Every API is a liability the moment it ships, and a finite R&D budget can only service so much of yesterday's surface area before next quarter's earnings call wins...

SAP Blocks External AI on Customer Data, Reinforces Ownership Split
SAP just told customers they can't point external AI agents at SAP data without permission. Throttling, suspension, termination if they do. How could they possibly lay claim to their customers' data? It seems preposterous. Whether through Salesforce's taxation or outright...

Vision, Not Voice, Drives Healthcare AI's Future
Ambient AI freed clinicians' hands, so everyone in health AI is chasing better inputs. Active voice, passive vision, new cameras in exam rooms. I think they're solving the wrong problem. Vision, not voice, is the modality that matters most in healthcare's...

AI Swapped Effort for Time, Not Productivity
AI didn't solve my productivity problem. It replaced the constraint I understood (effort) with one I'd already beaten once (time). https://t.co/VEPUVUMcoe

Court Bars Non‑Party Contract
Judge Conway dismissed @veevasystems v. @HeyEpic with prejudice on standing grounds, ruling that non-parties to a contract can't challenge its validity under Wisconsin law. Both the declaratory judgment claim and the tortious interference claim are dead. Conway also...

API Counts Mislead; Interoperability Shouldn’t Hinge on Convenience
@HeyEpic CEO Judy Faulkner sat down with @Freakonomics last week, and the interview mostly covered familiar ground. I added some editorial notes that the show left on the table: why API counts don't equal developer experience, why her discussion of...

Epic's Surgical Reply Forces Veeva Into Arbitration Trap
Epic filed their Reply in Veeva Systems v. Epic this week, closing the MTD briefing. The Reply is tight and surgical - Epic quotes Veeva's own opposition back at itself three times in the first paragraph and builds the whole...

MyChart’s 250 Deep Links Reveal Limits of Data‑Only Portals
Everyone has strong opinions about MyChart. I decided to stop speculating and take a look under the hood. The MyChart APK declares roughly 250 deep links covering everything from geofenced appointment check-in to payer-to-payer data exchange to bedside tablet pairing. The...

Two ePA Routes for Same Drug Create Workflow Chaos
A rheumatologist prescribes Humira for a patient with Crohn's. The patient might self-inject at home with a prefilled pen or come into the infusion center for IV administration. Same drug, doctor and patient, so must be straightforward, right? Under CMS-0062, two...

Health Gorilla Misses Multiple Court Deadlines, Faces Default
@healthgorilla just let a federal class action go unanswered. Plaintiff Ricky Lott filed for entry of default today in the Southern District of Florida after Health Gorilla blew past its response deadline. And it wasn't the only deadline they missed....