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The End of the Standalone PHR
Why embedding patient access into ChatGPT (and other workflows with distribution) matters more than any new app ever could.
Jan 8 • Brendan Keeler
HTI-5: When the Scorpion Learns to Swim
ASTP's newest regulation pares back certification while sharpening the knife on information blocking
Dec 23, 2025 • Brendan Keeler
Don't Mess With Texas: Epic Edition
Ken Paxton v. Judy Faulkner, gerrymandering, culture wars, and of course, market definition all come to a head in the newest and biggest antitrust case…
Dec 12, 2025 • Brendan Keeler
There Will Be Bundling
A unified theory of B2B software and why all systems of record fall into the same traps
Jul 9, 2025 • Brendan Keeler
Epic Beyond the Provider Empire
Health Grid’s systematic expansion into new healthcare domains
Feb 4, 2025 • Brendan Keeler
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CMS's Health Tech Bombshell
Aug 3, 2025 • Brendan Keeler
Epic v. Particle
Apr 12, 2024 • Brendan Keeler
An Epic Saga: The Origin Story
Sep 27, 2024 • Brendan Keeler
Epic Beyond the Provider Empire
Feb 4, 2025 • Brendan Keeler
An Epic Tale: The Startup Odyssey
How to navigate the varied challenges and turbulent waters to coexist and thrive
Jan 15, 2025 • Brendan Keeler
The Epic Defense: A Legacy of Protected Innovation
How Early Setbacks Shaped Epic's Approach to Partnerships and Intellectual Property
Nov 14, 2024 • Brendan Keeler
The Evolution of Health Information Networks: The Road to TEFCA
Navigating Exceptions, Workarounds, and the Path to a Robust National Health Data Exchange
Aug 21, 2024 • Brendan Keeler
Epic v. Particle 2: The Problem of Secondary Use
How the white and black of data privacy quickly seem grey
Apr 18, 2024 • Brendan Keeler
Why Identity in Healthcare Sucks
And why I signed up for every MyChart in America
Aug 3, 2023 • Brendan Keeler
Super Integration Fighter III
There are only three choices when connecting with other systems. Pick your battles wisely.
Apr 10, 2023 • Brendan Keeler
The API Bible's New Testament: Aggregators
Where the work is harder, but the moats are often deeper
Sep 14, 2022 • Brendan Keeler
The Previously Undiscovered Bible of API Companies
Tired of hearing and saying Stripe for Health, Plaid for Commerce, etc? Let's divine the real from the BS with a good old fashioned framework.
Sep 10, 2022 • Brendan Keeler
The Scheduling Conundrum
Direct scheduling remains an enigma, wrapped in a mystery, surrounded by a conundrum. Why?
May 9, 2022 • Brendan Keeler
December Monthly Review - Sentimental Reflection Edition
Holy hell, we closed the year strong - ACCESS, Ken Paxton, HTI-5, and some not-a-podcast content.
Jan 5 • Brendan Keeler
Scapegoats, Bogeymen, and Strawmen
“The Slow Death of Epic Systems” and the persistent fantasy that healthcare’s failures are software bugs
Dec 10, 2025 • Brendan Keeler
November Monthly Review: Sausage Making Edition
Epic got a court win and shows their scribe, a HIPAA for apps bill dropped, and OpenEvidence v. Doximity got downright messy
Dec 3, 2025 • Brendan Keeler
The IntusCare v. RTZ Casebook
PACE yourselves, we have yet another information blocking megathread detailing alleged EHR-on-analytics-application crimes
Nov 18, 2025 • Brendan Keeler
The CureIS v. Epic Casebook
A consistently updated post on the antitrust/information blocking crossover we've all been waiting for
Nov 9, 2025 • Brendan Keeler
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