Is Epic's Garden Plot a Failure?
Epic continues to dominate the enterprise EHR market, with its acute‑care share climbing to 43.7% in 2025. However, its attempts to crack the fragmented small‑practice segment—through Community Connect, Epic Hosting, and the Sonnet product—have seen limited success. The latest effort, Garden Plot, offers a shared, cloud‑hosted Epic instance for independent practices but has attracted only 28 organizations since its 2022 launch. The stagnant adoption underscores the difficulty of translating Epic’s monolithic, network‑effect model to the low‑margin, autonomy‑focused world of solo and small group clinics.
Half Right About Epic
The article uses Epic, the dominant EHR vendor, as a case study of a "system of record" that offers thin, box‑checking APIs, effectively using its interface as a moat. Ben Thompson argues that such incumbents will be vulnerable once AI...
The First Information Blocking Expert
The IntusCare v. RTZ lawsuit has entered the pretrial stage, with a Daubert hearing set for July 2 before Judge Tigar. Both parties have retained expert witnesses: Intus relies on economist Dr. Kristopher Hult, who quantifies roughly $17 million in lost revenue,...
The Cold War Ends
On June 9, the Centers for Medicare & Medicaid Services (CMS) launched the Office of Health Technology and Products (OHTP), consolidating four functional groups under a new deputy administrator. The reorganization creates an Open Source Program Group, a Standards and Interoperability...
EHR Access Diagrams: Epic
Epic continues to lead the EHR market in building machine‑to‑machine interfaces, expanding its developer ecosystem beyond traditional user‑facing screens. The latest diagram shows Epic at the hub, linking user, agentic, and machine interfaces to data stores like Caboodle, Clarity, and...
Cheerio, TEFCA
The UK Parliament is debating the NHS Modernisation Bill, which would create a statutory framework for a Single Patient Record that links general practitioners, hospitals, and social‑care providers. Key provisions reside in sections 250E and 250F, outlining how longitudinal health...
Why Headway Wants Your Face
Headway, a tele‑health marketplace that links patients with insured therapists, announced it will require facial‑scan biometric verification for both patients and providers. The move follows the DEA’s pending Special Registration rule that ties identity proofing to tele‑prescribing of controlled substances...
The Take-Home Exam
Judge Katharine Buchwald in Particle Health Inc. v. Epic Systems issued a novel Phase I order that narrows the antitrust inquiry to ten concise questions limited to five pages, explicitly urging parties to avoid industry jargon. The order seeks clarity on three...
Doximity Unbound
Doximity announced a rapid series of strategic moves, including renaming its DoxGPT chatbot to “Ask,” launching free e‑prescribing through a Surescripts partnership, and embedding its AI tools in Aledade’s large value‑based care network. These initiatives are packaged as a Clinical...
The DOJ's No Good, Very Bad Day
A Rhode Island judge has quashed a Department of Justice subpoena that sought five years of gender‑affirming care records for minor patients at Rhode Island Hospital. The order marks the eighth federal court to reject the DOJ’s HIPAA‑based demand, accusing...
The Iceberg Fallacy
The "iceberg fallacy" describes how software firms undervalue the future cost of maintaining features, treating every shipped API as a liability rather than a free marginal expense. Athenahealth’s dense API change log illustrates the relentless maintenance burden that EHR vendors...
The Wall and the Toll
SAP, the $200 billion German ERP giant, issued a policy that bars customers from using unauthorized AI agents to access data stored in its applications unless SAP explicitly endorses the tool. The company warned that non‑compliant users could face throttling, suspension...
The Broken Gauge
The piece revisits the classic startup caution that abundant capital can erode focus, turning parallel projects into diluted efforts. It argues that generative AI’s rapid productivity gains create a false sense of fluency, lowering the psychological cost of experimentation. This...
Veeva V. Epic: Dismissed With Prejudice
A Wisconsin judge dismissed Veeva Systems’ lawsuit against Epic Systems with prejudice, ruling Veeva lacks standing to challenge a restrictive covenant between a prospective employee and its former employer. The decision also bars Veeva’s tortious interference claim. The ruling comes...
A Collective Cognitive Dissonance
The author challenges the common refrain that every Epic electronic‑health‑record (EHR) instance is fundamentally different, arguing that the real source of variation lies in the hospitals’ unique workflows, staffing, and local policies rather than the software itself. While customization is...