23 ms·
Which of the two has a trillion dollar market cap with monopoly like market share in multiple business to consumer product sectors? There’s nothing novel about
by karpodiem 7y ago
Which of the two has a trillion dollar market cap with monopoly like market share in multiple business to consumer product sectors?
There’s nothing novel about what Epic or any other B2B enterprise software company does (for the most part), other than total addressable market (and profits) being far smaller than the B2C FAANG giants - the market caps reflect this as well.
- manigandham 7y agoMicrosoft, Amazon, and Google are all trillion dollar companies operating in multiple sectors. Why is Google special in this regard?
- karpodiem 7y agoRight. And while Epic does the heavy lifting of crafting software to support healthcare provider workflows, integrating dissimilar systems (PACS, etc.), and storing all that data, the companies you mentioned feel they can create value by attempting to automate diagnosis and potentially offer some integration point for genetic counseling.
- killjoywashere 7y agoAs a physician forced to use Epic, I'm not sure "crafted" is the word I'd use to describe their software. It's more like they addressed the spec from the C suite in a way that was equivalent to punching health care providers in the face. They take Dad's money, and use it to pay thugs to beat up his kids.
- asah 7y agoSerious q: are the other systems any better? Have you tried them? Have you compared notes with physicians using them? (I'm new to the field and genuinely curious... I haven't heard anybody saying anything nice about any of them...)
- JshWright 7y agoIt depends on the setting. In a hospital (or hospital-owned primary care), the EMR generally reflects the top heavy administration. You end up with a billing system masquerading as an EHR. In an independent practice, there are more options, and some are quite good (I work for one that I happen to think is pretty great in that regard, and most of our users seem to agree)
- phren0logy 7y agoI have not used all of them, but every one of them I've touched is hot garbage. Like much enterprise software, the people who decide to buy it are not the people that use it. It would seem, from the outside looking in, that the majority of the effort goes into maximizing billing in the byzantine world of US insurance rather than the work of actually making people well. What concerns me most about the larger players in the field is their dedication to minimizing interoperability to lock people into their software.
- jdhn 7y agoI know that Epic was hiring UX designers a few years ago. I didn't make it through their interview process, but I'm kind of glad I didn't due to the invasive nature of the remote test that I had to take.
- briffle 7y agoThey wanted my high school GPA and SAT scores to complete my application. I had my bachelor's, and 12 years of experience at the time. After moving to Madison, was glad I refused to give that info. They like their implementation teams right out of school, and work them to death
- organsnyder 7y agoKeep in mind your priorities are very different from your employer's. Healthcare systems have been on a big kick to reign in physician independence, and EMRs are effective tools in this goal.
- manigandham 7y agoThe point is that it doesn't make much sense to avoid Google - for the reason that it's a giant with too much power - when Microsoft and Amazon are just as big, and also have healthcare businesslines.
- briandear 7y ago> crafting software That’s an optimistic assessment of what Epic does.
- pg_is_a_butt 7y agoWhat can you do with a trillion dollars that you can't do with a few billion?