Billing is the original sin of healthcare. EMRs (excluding the VA’s old MER VistA) were not developed to improve clinical workflows or outcomes, they were origi

Billing is the original sin of healthcare. EMRs (excluding the VA’s old MER VistA) were not developed to improve clinical workflows or outcomes, they were originally conceived to improve and streamline billing. This orientation has massively contributed to the overhead that EMRs like Epic and Cerner introduce. On the startup and health improve lament side, billing is the rock that so many great ideas break on. It doesn’t matter if the model or business improves care or reduces cost unless it will make a provider more money.