It's striking to me how little agreement there is on this question.
My take is, it depends more on the corporate culture and leadership at Nuance and Abridge, than anything else. Since I don't have a bead on those corporate cultures, my vote was a bit of a shot in the dark.
Fred Smith - 3 months ago
The death star is coming for this segment. After Epic wipes them out, what's next?
BeenAround - 3 months ago
The question was what will they do not what should they do. They will panic, trash-talk Epic but ultimately do nothing.
HealthTechEntrepreneur - 3 months ago
Unfortunately, the truth is painfully obvious but no one wants to admit it. Ambient is not a product, but a feature. If a company was built around ambient, it will now need to handle workflows. The "painful truth" is that the care workflow is called - the EHR.
Abridge has no option but to build an EHR, given the valuation they have raised on. Nuance is irrelevant.
FollowTheMoney - 3 months ago
Oracle (aka Cerner) is also rolling out an embedded version. Whether the embedded Oracle and Epic versions wipe out the success of the other early software products depends on:
1. whether they work as well for AI ambient listening (currently there seems to be high variability among products in accuracy)
2. whether they are efficient in incorporating other AI features such as being able to search through the whole record and accurately identify forgotten problems or history of past med trials
3. whether they can shortcut other multi-click processes like orders (though Oracle seems to be making that more cumbersome rather than less)
4. whether they are charging so much extra that the add on products still win out -- pricing models are key here -- for academic hospitals where providers have other duties, per provider pricing makes it harder to justify signing every one up. Subscription models that are too pricey end up being purchased just for proceduralists (substituting for human scribes) while primary care gets left behind (again).
Bottom line: the product has to be just accurate enough, just efficient enough, and just cheap enough to be worth the hype and if all else is equal, integrated Epic or Oracle products will get the nod based on fewer installation, contracting, and project management headaches, all of which translate into lower costs.
It's All Good - 3 months ago
Any good Product Manager know that watching the success of and then imitating cutting edge technologies is a great way to stretch the r&d budget. Epic has followed the market, seen the early successes and now believes that there is something "there". Thus, they enter the market and drive out the 3rd parties with their own feature and strengthen their iron grip on their customers.
My bet is that the Epic offering will be solid but not flashy. Their big advantage is that the solution is native technology and not a 3rd party integration. Plus, no one knows their customers' workflow better than Epic, so expect to see those features that are actually useful and not a bunch of impractical bells and whistles.
Nuance and Abridge, et al should double down on new, cutting edge feature/function and figure out a way to license it to Epic before Epic fast follows with their own version.
It's striking to me how little agreement there is on this question.
My take is, it depends more on the corporate culture and leadership at Nuance and Abridge, than anything else. Since I don't have a bead on those corporate cultures, my vote was a bit of a shot in the dark.
The death star is coming for this segment. After Epic wipes them out, what's next?
The question was what will they do not what should they do. They will panic, trash-talk Epic but ultimately do nothing.
Unfortunately, the truth is painfully obvious but no one wants to admit it. Ambient is not a product, but a feature. If a company was built around ambient, it will now need to handle workflows. The "painful truth" is that the care workflow is called - the EHR.
Abridge has no option but to build an EHR, given the valuation they have raised on. Nuance is irrelevant.
Oracle (aka Cerner) is also rolling out an embedded version. Whether the embedded Oracle and Epic versions wipe out the success of the other early software products depends on:
1. whether they work as well for AI ambient listening (currently there seems to be high variability among products in accuracy)
2. whether they are efficient in incorporating other AI features such as being able to search through the whole record and accurately identify forgotten problems or history of past med trials
3. whether they can shortcut other multi-click processes like orders (though Oracle seems to be making that more cumbersome rather than less)
4. whether they are charging so much extra that the add on products still win out -- pricing models are key here -- for academic hospitals where providers have other duties, per provider pricing makes it harder to justify signing every one up. Subscription models that are too pricey end up being purchased just for proceduralists (substituting for human scribes) while primary care gets left behind (again).
Bottom line: the product has to be just accurate enough, just efficient enough, and just cheap enough to be worth the hype and if all else is equal, integrated Epic or Oracle products will get the nod based on fewer installation, contracting, and project management headaches, all of which translate into lower costs.
Any good Product Manager know that watching the success of and then imitating cutting edge technologies is a great way to stretch the r&d budget. Epic has followed the market, seen the early successes and now believes that there is something "there". Thus, they enter the market and drive out the 3rd parties with their own feature and strengthen their iron grip on their customers.
My bet is that the Epic offering will be solid but not flashy. Their big advantage is that the solution is native technology and not a 3rd party integration. Plus, no one knows their customers' workflow better than Epic, so expect to see those features that are actually useful and not a bunch of impractical bells and whistles.
Nuance and Abridge, et al should double down on new, cutting edge feature/function and figure out a way to license it to Epic before Epic fast follows with their own version.