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1) A mega platform on top of existing EHR's won't be an easy thing. It would require them to play ball and large players, like Epic, probably won't.

They definitely won't play ball with a platform attempting to integrate all of them. That's just a risk; there's no upside. It's possible that none of them would welcome a "platform" at all.

But survey the landscape of EHR vendors. There are a few unique positions of strength out there. Each aspect of uniqueness defines a hypothetical market. The mere existence of some of those markets would develop an asymmetry that simultaneously penalizes competitors and solves a big problem for the partner. Build the spark of the market and you have a significant ally with a strong incentive to nurture your business.

Idea quality indicator: you want the existing player aligned with you, not buying your company (then killing it). They should need you externally.

I'm building a business on one of these hypothetical markets. I made my choice based on my personal capability and fit with the details of the problem. But there are a huge number of different ways to improve both the quality and efficiency of healthcare. (You don't get to solve big problems if there are no big problems.)



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