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 abundance removes natural stopping cues, making it harder to know when work is truly finished. The author concludes that disciplined constraints—budget caps, timeboxing, and clear "stop" criteria—are essential to harness AI’s benefits without succumbing to endless iteration.
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...
Judy Gets Her Freakonomics On
Freakonomics recently interviewed Epic Systems CEO Judy Faulkner, during which she highlighted Epic’s claim of offering more APIs than any other EHR vendor. Faulkner explained that data access requires permission from the individual health organization, positioning Epic as a neutral...
ChatGPT for Clinicians: The Trap Sprung
OpenAI unveiled ChatGPT for Clinicians, a free GPT‑5.4‑powered assistant for verified U.S. physicians, nurse practitioners, physician assistants and pharmacists. The tool offers peer‑reviewed literature search, reusable workflow templates such as referral letters and prior authorizations, deep journal research, and built‑in...
Veeva V. Epic: The Arbitration Trap
Veeva Systems sued Epic Systems in Dane County, alleging that Epic’s restrictive‑covenant "Company List" blocks Veeva’s ability to recruit talent. Epic responded with a motion to dismiss, contending Veeva lacks standing and that the case is not ripe because no...
MyChart Unpacked
The author performed a static inspection of Epic’s MyChart Android application package, uncovering roughly 250 custom deep‑link URLs that route users directly to specific screens. By decompiling the APK, the analysis reveals a richer feature set than the typical web‑based...
The Great Beheading Begins
Salesforce unveiled "Headless 360," an architectural overhaul that turns every feature of its 27‑year‑old platform into APIs, command‑line tools, or micro‑service endpoints. The move enables autonomous AI agents to execute tasks across the CRM without ever opening a browser. Industry...
CMS-0062: An Intra-Agency Cold War Goes Hot
CMS issued two conflicting rules within three weeks, each designating a different HIPAA standard for attaching clinical documentation to payer‑provider transactions. On March 20, 2026, CMS‑0053 finalized X12N 275 as the standard for claim attachments, a long‑awaited adoption. Ten days later, CMS‑0062...
A Health Gorilla Default?
Health Gorilla faces a potential default after plaintiff Ricky Lott filed a motion for entry of default in the Lott v. Health Gorilla class action. The original complaint was served on March 18, giving the company until April 9 to...
A Big Data Grab in Federal Health
The Office of Personnel Management (OPM) has issued a notice seeking detailed, monthly health‑claims data from the 65 private insurers that administer the Federal Employees Health Benefits (FEHB) program. The request covers diagnoses, prescriptions, provider information and rebate details for...
Veeva V. Epic: Kicking the Can in Dane County
Veeva filed a robust opposition to Epic Systems’ motion to dismiss, targeting the enforceability of Epic’s equity clawback, non‑compete provisions, and arbitration clauses. The response leaned heavily on a Wisconsin "in terrorem" theory, arguing that the clawback itself deters competition...
How Interoperability Won on the Farm
John Deere agreed to a $99 million settlement that resolves a class‑action antitrust suit over its right‑to‑repair practices. The deal obligates Deere to make its full‑function diagnostic and repair software available to farmers and independent shops for a decade, replacing the...
Epic’s New Networks
Epic quietly announced two network‑based products that extend its electronic health record platform beyond traditional modules like Agent Factory or Penny. The new offerings focus on creating a shared data exchange layer, positioning Epic as a hub for interoperable health...
The Scrapers At MyChart's Gate
Fan Pier Labs released an open‑source MyChart connector that automates login, 2FA, and exposes 35+ tools to read and write patient data via the web UI. Unlike official FHIR APIs, it can perform any action a patient can, including messaging providers and...