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 era. https://t.co/qrTEpBex3E
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....
Right‑to‑Repair Settlement Shows Interoperability Beats Antitrust Breakups
Interoperability wins come in all shapes and sizes. This week's shape is... tractor? John Deere just agreed to a $99 million right-to-repair settlement that includes a 10-year court-supervised mandate to open its diagnostic tooling to farmers and independent repair shops. The...
DTC Affiliate Marketing Shifts to GLP‑1s Amid Pharma Proxy War
Look, I'd be lying if I said this was the first (or second or fiftieth) MEDVi article. But this is about more than MEDVi or even all the spam, grey zone marketing, and Succession-level drama of business partners acquired by...
AI Agents Challenge Vendor Control Over Software Use
We’re about to spend the next decade in tech arguing about something that used to feel settled: who actually gets to decide how software is used once it’s deployed. For most of the last 30 years, the answer was straightforward. The...
FTC Launches Healthcare Task Force to Curb Epic’s Dominance
This administration let Hewlett Packard Enterprise keep Juniper Networks, settled with Ticketmaster, and let Google keep Chrome. But healthcare keeps being the exception. The Federal Trade Commission's new Healthcare Task Force looks like the beginning of a coordinated enforcement apparatus...
FHIR Interoperability Accelerates with New APIs and Docs
It's important to celebrate the interoperability wins just as often as leaning in on all the drama. To that extent, let's start the clap as @eClinicalWorks just dropped 9 new FHIR APIs, including full CRUD on Coverage and e-prescribing data...
Pro Se Lawsuit Targets Epic to Circumvent Texas Malpractice Rules
A pro se plaintiff just sued @HeyEpic in federal court, arguing its EHR architecture is a defective product. But sneakily, I don’t think it’s about Epic at all: it's a discovery pathway around the Texas malpractice rules that froze her...
Beyond the Hype: Subtle HIMSS Wins over Flashy Demos
HIMSS had a cat pit, a robot hand on someone's head, and an AI announcement from basically every vendor alive. But we liked other subtler stories: @HeyEpic soft-launching a pharmacy network product that perhaps could eventually take on @Surescripts, a...