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Kokua Line: Why can’t new business register with state?
Question: Can you check what is going on with the slow approval times at the State of Hawaii DCCA Business Registration Office? Historically, if you paid the expedited review fee, your registration documents for a new entity would be approved within a week or sooner. Now, even paying the expedited review fee, I have been patiently waiting for months. My filing to form a new business submitted in June still has not been approved. Without the state’s approval, I cannot open a bank account, sign a lease, hire employees, or start my business. This has resulted in damages due to the delays. My emails to the DCCA have not been responded to. I heard that there is an issue with a new vendor of their supposed updated system, but forming a new business or other business registration tasks seem to have come to a standstill. I heard that they are working on May submissions now. I cannot believe that this unacceptable delay has not been publicized, complaints from the public more prevalent, and the elected officials not having been told by their constituents to immediately address this problem.
Laid-off employee pursues dream of working at Spirit Halloween
Maggie Bodner is a Halloween enthusiast who said she comes back from long shifts feeling energized.
Bosses are rolling out policies trying to stop the AI slop
Fed up with bloated, confusing internal documents, companies are issuing new rules for when employees should — and shouldn't — use AI.
SpaceX, Meta, Hyundai. Can these multibillion-dollar deals change Louisiana's fortunes?
“Site selectors and business executives read the news and when they see a state has momentum, there is a certain degree of herd mentality,” said Chris Lloyd, a site selector with McGuireWoods Consulting, a Richmond, Virginia firm whose clients include Google, Honda and Amazon Web Services. “Once Meta came in that made it safe for Amazon to come in and that put Louisiana on the map.”
The GLP-1 Squeeze: How Soaring Healthcare Costs Are Forcing Employers to Act
New survey results from the consultancy firm Marsh released last week show that employers expect per-employee health benefit costs to increase 8.2% on average in 2027—which would be the highest jump since 2003.
Rockford nonprofit connects community with health resources at Health and Hope fair
A Rockford nonprofit that helps women rebuild their lives after incarceration expanded its mission Saturday, bringing health care, housing, employment and other resources directly into the community.
Ohio health groups pursue $220M merger
The combined organization would generate $220 million-plus in revenue and employ approximately 1,500 people.
While Other Businesses Can't Find Employees, Cheyenne Pizzaria Has A Waiting List
Cheyenne's L'Osteria Mondello pizzeria has 17 teens on a hiring waiting list at a time when businesses across Wyoming struggle to find help. The…
Floyd County health officials find more mosquitos infected with West Nile Virus
The latest detections bring the total number of West Nile-positive mosquito pools in Floyd County to eight so far this year.
MTSU football vs. Murray State in weather delay
The start of the MTSU vs. Murray State football game is in a weather delay at Floyd Stadium.
Chimpanzees once used for vaccine research get health checks as part of long-term care
Chimpanzees once used in hepatitis B vaccine experiments are getting health checks at their new home in Liberia.
3 Stocks Tied To Rising HSA Use Including CVS Health Stock
Health Savings Accounts are quietly becoming a core part of how Americans pay for care, with more employers auto enrolling workers and pairing HSAs with high deductible health plans. That shift channels more money through platforms that handle contributions, custody, and investments. For investors, the question is which stocks may benefit most from this structural change. This article walks through three HSA exposed stocks from our screener and what the news could mean for each. The three...
Fire responds to fire at east Grand Island business
There were no injuries, as all employees were evacuated safely.
Your Employees’ Money Stress Could Be Costing Your Business
Money stress doesn’t stay at home. It can follow employees to work, affecting productivity, engagement, and retention.
Early morning shooting near a sports bar sparks safety and business concerns
Local business owners express concern over safety and economic impacts following a shooting on Cesery Boulevard.
John Terry explains how Chelsea can hurt Arsenal
John Terry clearly wants Chelsea to win their match against Arsenal this weekend, with the former defender’s loyalty to the Blues well known.The ex-defender knows Arsenal are the best team in the le...
Rory McIlroy Champions Manchester Amid Premier League Kickoff
Rory McIlroy and Justin Rose reveal their Premier League loyalties as the 2026-27 season begins, blending golf success with football passion.
OOROO Auto's slow-growth plan strategic
Explore how OOROO Auto is prioritizing culture and community over rapid expansion to maintain trust and loyalty in their growing business.
Time Magazine just revealed America’s 500 best private companies, and three of them are right here in Oregon....
These Oregon companies scored high marks for employee satisfaction and societal impact.
We bought an abandoned home in Japan for $22,000
Lloyd Enbom and his wife bought a home in a ski town in Japan for $22,000. They plan to live a nomadic lifestyle, but Japan will be their home base.
Health care is Democrats' key to winning midterms this fall
Breaking up the health care conglomerates that have enriched themselves by immiserating patients and cheating employers is good policy.
Mental health counselor offers support for families during extended deployments
A veteran counselor is encouraging military families to seek support and communicate openly as some U.S. troops face extended deployments in the Middle East.
Timberwolves GM Speaks on ‘False Narrative’ About Jonathan Kuminga
Matt Lloyd is excited about Kuminga's versatility.
Mike Norvell on SMU: ‘I love coaching in these games’
On Labor Day, Florida State and SMU face off for only the second time in the history of their programs. SMU will deploy a vaunted and aggressive passing offense against a Florida State defense that, at times, was not aggressive enough in their pass defense against New Mexico State in week zero.
Stanford Health Care to lay off 95 employees
Stanford Health Care will lay off 95 employees this fall, the organization announced. Employees will remain on payroll until Nov. 2, when the layoffs will take effect.
Computer Science Tops College Majors by ROI, Study Finds
An Investopedia analysis reveals computer science majors earn nearly $35,000 more annually than typical graduates, achieving the highest ROI at 3,143%. Theology and religion majors have the lowest ROI but lower unemployment. Despite rising graduate unemployment and AI impacts, all majors show positive ROI.
‘Wheel of Fortune’ announcer fired after airline laptop incident
Sony Pictures Television has fired Wheel of Fortune announcer Jim Thornton over an incident on a Los Angeles-bound flight involving his participation in an online chatroom, TMZ reported Friday. “Following a thorough investigation, Jim Thornton’s employment with Wheel of Fortune has been terminated, effective immediately,” a studio spokesperson told TMZ. The incident unfolded in May […]
Morrisey: $2.4M of WV’s Rural Health funds will go to 3 organizations for employer-based health
The state of West Virginia will award $2.4 million of its federal Rural Health Transformation Program funding to three organizations to expand worksite and employer-based health services. It’s the first announced allocation of the state’s funding from the federal money. The five-year program awarded West Virginia nearly $199 million for the first year. It’s meant […]
Maria Bartiromo’s lawyer claims she’s ‘still an employee at Fox’ after network said she’s ‘no longer’ at channel
Fox announced Thursday that Bartiromo “is no longer with Fox News Media” effective immediately.
Maria Bartiromo’s lawyer says she’s ‘still an employee at Fox’ despite network announcement
Fox News personality Maria Bartiromo’s lawyer tells EW she’s ‘still an employee at Fox’ despite the network announcing that she’s ‘no longer with’ the channel.
HP unveils the world's thinnest Nvidia RTX Spark laptops for professionals and gamers alike
Perfect for people who want to deploy AI wherever they are.
Latest Jackson County Health inspections: Garcia's Tacos, The Chicken Shanty, Dolly Varden's Cafe
Restaurants and food carts are inspected at least twice a year by Jackson County Health Department employees. Inspectors look for risk factors that could increase the potential for food-borne illness, […]
Electric fire truck purchases are driven by employee health and climate concerns
Employee health and climate concerns are the key drivers of municipal purchases of electric fire trucks.
AG: Former home health employee sentenced to 5 years for submitting over $25K of false Medicaid claims
A former Maryland home health employee was sentenced to five years in prison on Friday after submitting over $25,000 worth of false healthcare claims.
New pancreatic cancer drug could add to employers’ health bills
Rasonque’s approval is an exciting development in the fight to cure cancer, but could further challenge employers to carefully manage use.
Tesla's Cybercab launch draws US regulator probe
Tesla is facing a NHTSA audit inquiry into its self-certification for the Cybercab hours after deploying a small number of the robotaxis in Austin.
DLSS 5 Will Be Coming to Older Graphics Cards After All
On Nvidia's forums, an Nvidia employee claimed that the company will be expanding DLSS 5 support to RTX 40 series graphics cards at some point, but we're probably going to be waiting a while for it.
US adds jobs in August, beating economic forecasts
Unemployment rate steady as public schools and food services lead the surge in US job growth for August.
Sherrill signs law expanding employee ownership programs for New Jersey businesses
TRENTON, N.J. — Gov. Mikie Sherrill signed legislation Friday expanding state assistance for small businesses seeking to transition to employee ownership models. The legislation, S4218/A5016, authorizes the New Jersey Economic …
Your Weekly Michigan Political Brief
Democratic U.S. Senate nominee Abdul El-Sayed has been endorsed by the American Federation of State, County and Municipal Employees (AFSCME) and the IAM Union’s Michigan Machinists Council. EMILYs List endorsed Michigan Senate Majority Leader Winnie Brinks for Michigan lieutenant governor. Former U.S. Senator Debbie Stabenow has endorsed Rebecca Amidon, Democratic candidate for Michigan’s open 32nd […]
Opinion: To truly celebrate Illinois workers, boost employee ownership this Labor Day
Employee stock ownership plans lead to lower turnover, high productivity and greater pride in outcomes, but there are just over 300 in Illinois.
Maria Bartiromo Denies Fox Firing, Retains Bryan Freedman As Attorney
"The irresponsible reports that have been published stating that Maria Bartiromo was fired or is no longer an employee of Fox are absolutely and unequivocally false," Freedman said.
Can AI answer your health questions? Before you trust AI with your...
Can AI answer your health questions? Before you trust AI with your health, make sure you know the pros and cons. #Sashaonyourside #consumernews #ConsumerAlert #AI #HealthTips nbc6news
Opinion: Getting new hires in the door is only half the workforce challenge
Chicago has invested heavily in talent pipelines. Employers must now focus on the workplace culture that determines whether new hires stay and succeed.
US added 162,000 jobs in August, with unemployment rate holding steady
Number of new jobs being added has been fluctuating, with private companies adding 38,000 jobs in August
California's political hopefuls remain silent on state's job losses, unemployment
California has lost jobs and its workforce. By many measures, it has some of the highest unemployment or underemployment rates in the country.
The big business of personal protection: How private security became a $50 billion industry
Private security spending and guard employment have climbed as companies and communities respond to high-profile attacks, even as violent crime falls.
Psychological capital is a business advantage. Here’s why it matters
How can organizations navigate sustained disruption without worsening employee disengagement? Psychological capital begins to explain this.
Trump health admin promotes insurance program aimed at lowering costs for employers
Employer health insurance costs are expected to spike next year. Federal officials are pointing to an Indiana business offering alternative health insurance to keep costs down.
Private equity faces existential crisis in US as unsold companies pile up
Private equity firms and the companies they own employ over 13 million, from startups to rural hospitals and large retailers, but experts’ concerns of collapse are growing
Leadership lessons from Blank Street's first employee
Blank Street's first employee says he almost rejected blueberry matcha — a beverage that ended up transforming the company.
Large employers drop health benefits as costs rise
It's a sign that year-after-year spikes in medical costs have real consequences.
Employer healthcare costs projected to rise most since 2003
The cost of health benefits per employee is expected to rise 8.2% in 2027 — the biggest jump for employers since 2003.
What to expect from the jobs report today
The August jobs report is due out at 8:30 a.m. ET Friday, and economists are expecting that employers added 65,000 jobs last month and the unemployment rate inched back up to 4.2%.
Public Employees Retirement System of Ohio Acquires Shares of 24,151 Sphere Entertainment Co. $SPHR
Public Employees Retirement System of Ohio bought a new position in shares of Sphere Entertainment Co. (NYSE:SPHR - Free Report) during the second quarter, according to its most recent Form 13F filing with the Securities and Exchange Commission (SEC). The fund bought 24,151 shares of the company's
Yankees’ Max Fried Plan Vs. Padres Comes With Risk
Max Fried is still working himself back to full strength from injury.Because of that, the New York Yankees seem likely to employ a fascinating strategy with him when he takes the mound on Friday against the San Diego Padres.Fried is the scheduled starting pitcher, and that’s not really in question. He should get the ball […] The post Yankees’ Max Fried Plan Vs. Padres Comes With Risk appeared first on HEAVY.
Your health insurance rates are going to rise next year: Here's why
Employer health care costs are on track to climb about 11% next year, the sharpest jump in more than two decades.
Lawmakers urge Hochul to act on AI tech bills
The bill would require businesses to report certain information to the state Department of Labor breaking down how artificial intelligence is affecting their hiring and employment practices.
Employer healthcare costs projected to rise most since 2003
The cost of health benefits per employee is expected to rise 8.2% in 2027 — the biggest jump for employers since 2003.
Judi Health Taps Color Health, WellTheory, Cylinder for Clinical Ecosystem
Judi Health expanded its healthcare network to offer specialized virtual care for cancer, autoimmune and GI conditions while helping employers reduce overall healthcare costs.
Clay County Sheriff’s Office: Scammer posing as local cop nearly cons business out of cash
The Clay County Sheriff’s Office is warning local businesses to be on high alert after a police impersonator scam nearly cost a local employee her store’s cash.
Top employees for data center company eyeing Yellowstone County made matching political donations before announcing plans
The Quantica employees gave the same amount to the same candidates and on the same days in 2024.
Penobscot Community Health Care announces consolidation and layoffs amid financial challenges
Penobscot Community Health Care says it's closing its Adult Wellness Center in Bangor in November and will transition patients to other locations. It's also eliminating 16 administrative positions, though 11 employees will transfer to new roles.
Paychex: Small-business job growth holds steady in August
Paychex reports stable small-business job growth in august with employers relying on existing workers amid steady demand and restrained wage increases.
Survey: Biggest spike in health benefit costs over past two decades expected in 2027
A new survey from global strategist, Marsh, released this week, found that the average cost for health care benefits per employee are expected to rise 8.2% next year, more than doubling the rate of…
Geaux Automotive Group acquires four former All Star Automotive dealerships
Geaux Automotive Group has expanded its Louisiana footprint by acquiring four former Hudson Automotive dealerships, adding 111 employees and positioning the Baton Rouge-based dealership group for cont… Already an INSIDER? Sign in. Already an INSIDER? Sign in
Palantir Expands PwC Strategic Alliance to Scale Enterprise AI Across Core Business Operations
The expanded collaboration targets enterprise AI deployment, M&A transformation and ERP modernization, giving Palantir Technologies Inc. (NASDAQ:PLTR) a broader route for embedding its platforms into complex corporate workflows.
GoodRx offers health subscription for families, to launch as employee benefit in 2027
GoodRx, a prescription drug savings site, announced on Thursday a family healthcare subscription for access to common medical services and over 250 medications, and it plans to launch the program as part of employer health benefits in 2027.
Employer health costs are poised to see their biggest jump in over two decades
A Marsh survey of more than 1,800 employers found the expected increase would be the largest since 2003
Green Bay Packers: NFL insider suggests Marshawn Lloyd may be RB1 even if Josh Jacobs is cleared
The Green Bay Packers are not going to have Pro Bowl running back Josh Jacobs for the start of the season. While he is not injured, Jacobs has been placed on the commissioner’s exempt list following the news that criminal charges have been filed against him in relation to his arrest back in May for [...]
Phoenix data center firm raises $1B to repurpose older facilities amid construction backlash
Saragon, backed by I Squared Capital, is repurposing existing data centers across the nation for AI inference, with headquarters in Phoenix and plans to hire 160-180 employees by end of 2027.
Rising costs of health benefits: Total cost per employee expected to rise 8.2% in 2027
Joseph Kra, Marsh senior partner and northeast health zone practice leader, joins 'Squawk Box' to discuss the rising costs of health benefits, impact of GLP-1s on health benefit costs, and more.
Burnham meets Macron at No 10, as more French officers deployed to stop small boat crossings
Number of police on French coast has been increased amid smugglers’ rising use of so-called ‘mega-dinghies’
Gov. Sherrill, 17 state employee unions reach deal to freeze health benefit contribution increases in 2027
TRENTON, N.J. — Gov. Mikie Sherrill and 17 unions representing New Jersey state employees have reached an agreement that will waive increases in employee health benefit contribution rates in 2027 …
Colorado’s education paradigm déja-vu
Déja-vu for 10 years. In 2015-2016, state standardized testing was fully integrated into teacher performance evaluation. The tests comprised 50% of teacher “performance.” The idea was to follow the General Electric “rank-and-yank” human resources model. At GE, the model went like this: top 20% of employees got raises and bonuses; the middle 70% got to […]
VCU Health awards cleaning services contract to new vendor, to pay $26M in first year
The contractor transition means at least a temporary layoff of more than 500 employees, though many of them are expected to be rehired by the new vendor.
Husker football scouting report: Ohio
Sports reporter Matthew Malloy previews Nebraska football's season opener against Ohio, including an interview with an Ohio reporter and an appearance from Frank Solich.
Hegseth Extends Mideast Deployments Into 2027, Escalating Strain on Troops
The move is part of an open-ended military strategy designed to give President Trump options in the Iran war.
Seattle-based software maker cuts 117 jobs after acquiring another company
Qualtrics, a Seattle-based survey-software maker, is cutting 117 employees after acquiring another company in a multibillion-dollar deal.
Harris County spends $1.2M daily on free employee healthcare
As Harris County property owners face the possibility of another tax hit, 13 Investigates is digging into how the county is spending your money.
The family business experiences: Loyola University Chicago
Students in Kathy McCauley’s MGMT 377 course are learning firsthand what it’s like to operate a family business and helping shape the future of family business.
Sherrill, 17 state employee unions agree to waive 2027 health contribution increases
Gov. Mikie Sherrill and 17 unions representing state employees have agreed to waive higher health benefit contribution rates in 2027 while launching a
Appeals court rejects CDOT employee’s discrimination, retaliation claims
Colorado’s second-highest court agreed last week that a Colorado Department of Transportation employee had not shown that his employer discriminated and retaliated against him due to his religion and national origin. Ayman Salloum, who described himself as a 70-year-old Muslim immigrant from Jordan, was an environmental protection specialist at CDOT in December 2024. That month, […]
Health insurance costs projected to spike next year by most in two decades
Employers predict an average 8.2% increase in the cost of their insurance plans. Workers will shoulder some of the cost.
Employer health costs expected to see sharpest increase in 20+ years: Survey
The cost of employer health benefits is projected to jump by the highest degree in more than 20 years next year, according to new projections released this week. Estimates released by the financial…
Governor Sherrill and 17 State Employee Unions Reach Agreement to Launch Comprehensive State Health Benefits Program Reform Effort
FOR IMMEDIATE RELEASE September 2, 2026 Governor Sherrill and 17 State Employee Unions Reach Agreement to Launch Comprehensive State Health Benefits Program Reform Effort Agreement waives higher health benefits contributions in 2027 for State employees and launches a joint effort to make benefits more affordable and sustainable TRENTON – Governor Mikie Sherrill and 17 unions representing state employees today[...]
Nearly 550 employees face layoffs as healthcare services company ends VCU Health contract
Nearly 550 employees are expected to be laid off when a healthcare services company ends its operations at VCU Health in Richmond in late October.
US private payrolls growth slows in August, ADP says
U.S. private payrolls increased moderately in August, the ADP National Employment Report showed on Wednesday.
Employer healthcare costs are expected to jump again. Workers could feel it
As healthcare costs keep climbing, workers could face higher bills, fewer choices and changes to their health benefits.
Trump nominates loyalist Hung Cao to be permanent navy secretary
Cao has been serving as acting navy secretary since John Phelan departed the job unexpectedly and without explanation in late April
$21+ Billion Business Process Management Market Outlook 2026-2035 | AI and Automation Drive the Next Wave of BPM Growth
Opportunities center on cloud and low-code BPM, AI/ML and RPA-driven automation, industry-specific platforms, compliance tools, customer-centric workflows, and services that integrate modern solutions with legacy systems. Business Process Management Market Business Process Management Market Dublin, Sept. 02, 2026 (GLOBE NEWSWIRE) -- The "Business Process Management Market, Till 2035: Distribution by Type of Component, Type of Deployment, Type of Functionality, Type of Industry, and Geographical
State employees may see health insurance premium rise amid 'challenging' budget forecast
The two boards overseeing health insurance for state and public education employees Tuesday approved plans to ask the Legislature for more funding amid growing healthcare costs and expected difficulties with the state budget.
Indigenous Groups Are Exempt From Medicaid Work Rules, But Native Hawaiians Aren’t
Native Hawaiians will have to comply with the new work requirements in President Donald Trump’s signature One Big Beautiful Bill Act, despite facing significant obstacles to employment and healthcare.
Employer Health Costs Are Expected to Spike in 2027
A new U.S. survey anticipates an average increase of 11 percent unless benefits are cut, the highest rate in decades. Other findings also predict a sharp rise.
Employer Health Costs Are Expected to Spike in 2027
A new U.S. survey anticipates an average increase of 11 percent unless benefits are cut, the highest rate in decades. Other findings also predict a sharp rise.
August Monthly Review: ChatGPT In Epic
Death, taxes, another frontier lab healthcare launch inspiring truly insane LinkedIn takes. As much as I want to stay away, I repeatedly am the crewman unplugging his ears whenever we pass these sirens. So it’s not the first and probably not the last time we dial up the typewriter rather than tie ourselves to the mast. The full blow-by-blow timeline: Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe The End of the Standalone PHR (Jan 8): ChatGPT Health arrives for consumers, at the time powered by b.well. I was bullish on the approach in that the best way for the PHR to finally solve distribution was to meet consumers were they already are (i.e. When Horizontal Meets Healthcare (Jan 9): OpenAI for Healthcare puts out the shingle for enterprises, with SharePoint ingestion standing in for the EHR integration the product actually needed. Another One: Anthropic’s Healthcare Debut (Jan 16): Claude's version, on HealthEx rails instead of b.well, with Agent Skills for FHIR development as the one true vertical-specific investment. ChatGPT for Clinicians: The Trap Sprung (Apr 24): OpenAI filled in the missing GTM middle with a free product for verified clinicians, effectively peeling the enterprise wrapper off ChatGPT for Healthcare and taking the PLG fight directly to OpenEvidence. OpenAI’s Second Attempt at Health (Jul 31): a relaunch of their patient specific app, now branded Health in ChatGPT, where the privacy partition came out, the connectors thinned, and b.well disappeared in favor of first-party FHIR work against a smaller network Beyond a Shingle So what was announced now? Today, we’re introducing a new electronic health record integration that brings authorized patient context from Epic into ChatGPT for Healthcare, along with the Healthcare Public Data plugin for direct, structured access to official healthcare datasets like PubMed, DailyMed, and CMS Coverage. Together, these capabilities bring ChatGPT closer to the systems and sources healthcare teams trust, while supporting the controls and compliance healthcare work requires. The core portfolio is unchanged from prior announcements we delineated and discussed (aside from the relaunch of patient-facing). Since trade publications still seem to be confusing them by using the wrong names: Enterprise sales motion: ChatGPT for Healthcare Protecting their core product / PLG: ChatGPT for Clinicians Consumer/patient-facing product: Health in ChatGPT So really, this is a feature release (specifically for ChatGPT for Healthcare when it comes to EHR integration). What’s cool about it, though, is that we are moving beyond just putting out a shingle. Everything in the January enterprise launch was horizontalizable: Horizontal tech companies thus generally start verticalization with their “putting out a shingle phase”. Telling the world you’re open for business as a horizontal tech company reliably attracts early inbound interest from buyers who are already trying to force-fit horizontal tools into domain-specific workflows and are eager for any signal that the vendor intends to support their use case more directly. Nothing was really vertical specific, which is exactly what you'd expect from the ultimate hypergrowth horizontal company dipping their toes into specific industries. But eventually you have to stop changing the sign on the door and start changing the product. Can you guess where the horizontal product was going to run out of road? This is the core dilemma writ large: verticalization requires differentiation, while scale economics of consumer and horizontal push toward unification. I’ve buried the lede so deep here it will be painful to some readers, but what should be shocking to no one is that my perspective is that EHR integration is the only path that meaningfully resolves this tension for ChatGPT for Healthcare. Integration with Microsoft Sharepoint is fine, but it is categorically insufficient for any product that hopes to influence clinical decision-making. SMART Money Well here we are, eight months later! Real vertical investment has begun, which surprised a few people. One friend in the industry messaged me: “Absolutely no way Epic gave ChatGPT API access.” Looking forensically at the announcements, the integration is notably read-only across appointment notes, laboratory results, medications, and specialist documentation. So while I’m not a betting man, I'd wager the house this is a SMART on FHIR launch: That sounds a lot like USCDI! The recommended path for the workflow they outline would be SMART on FHIR Their Health AI lead’s post is evocative of both standalone and EHR launch SMART, which another termed “ChartGPT” and “EHR Plugin” The implementation burden for SMART on FHIR is the lowest of the available integrative paths This is the team who literally did patient-facing SMART on FHIR with Epic last month Most importantly, if you’re a horizontal company, you generally still haven’t taken the full plunge and thus (overly) value reusability. SMART on FHIR is the logical compromise: healthcare-specific enough to matter, but standardized enough to reuse. Nobody Asked Judy Another friend asked “I thought they had to go to each health system, or did they go direct to Epic and now health systems opt in?” Given the trust paradigms in healthcare, this functionally cannot be Epic hoovering up all the data for OpenAI and shoving ChatGPT in their customers’ faces (or they would revolt). However, I do believe the aforementioned terrible coverage by TechCrunch and other outlets is probably responsible for that question, given the 325 million reference. When using FHIR as a business associate to an Epic customer, there is no EHR gatekeeping to speak of, as that isn’t how fhir.epic.com works: You register an app You pick your APIs You test against the sandbox APIs You list as “Ready for Production” Hospitals pick your app You test and go live with them Bluntly, nobody had to say yes or no in Verona (nor were they given the chance). Vendor Services (their next developer tier up that I doubt OpenAI is using quite yet in this initial release) certainly has contractual paperwork that some resent, but even there, the twin pressures of mounting antitrust and information blocking make outright gatekeeping increasingly fraught. My friend’s sentiment is, to me, representative of a broader industry neurosis, perhaps a sort of scar tissue of prior eras: people assume the gate is still there and never actually try the door. There are certainly other ways Epic (and any EHR) can put its thumb on the scale, but they are not so dumb as to stand in front of a federally mandated API and play bouncer at this exact moment in time. So I think they can and probably should go deeper, as this release is at best parity and at worst behind vertical-specific competition. OpenEvidence did a basic SMART launch with Sutter Health in February, allowing for more convenient evidence search by providers. They then add patient-context (the equivalent SMART on FHIR flow to what we see here) when Cedars-Sinai went enterprise-wide in May. UpToDate has four distinct applications across deeper workflows like patient engagement listed in Epic Showroom and announced a partnership with Epic to power Art at UGM Abridge and other ambient scribes have invested deeply into the deepest bidirectional clinical copilot workflow with integrations well beyond SMART on FHIR. In that light, the “Who is OpenAI primarily targeting here?” is clear. This release brings them into striking distance of OpenEvidence, but not the others quite yet. They are the only one of the three you can reach without building something truly Epic-specific. When will they go further? Competition is a great motivator to overcome the horizontal demons and start building things that can’t be reused: not across industries, not across EHRs, maybe not past the customer you built them for. That’s the price of actually verticalizing. The question is if and when OpenAI will be willing to pay it. Month in Review Here is the monthly review. As a reminder, this is a regular round-up of the month’s posts and other content to surface things you may have missed across regulation, litigation, interoperability, and beyond. AI assistance is used in these bullet summaries so I can focus on articles. Articles Published: None this month Video Content: The Information Exchange: Standards-based Thruple Edition (Aug 14): Back to school for us too, with Brad reporting in from the CMS Health Tech Ecosystem’s one year anniversary in DC. We get into the January CMS-0057 deadline, the fall rulemaking reading list, and why enrollment still keeps most apps off FHIR. The Information Exchange: Epic Dúnadan Edition (Aug 25): A UGM roundup with Ryan Brickner joining for the first time to check our takes against what the building actually thinks. Rangers, Ergo sitting on top of EHI, and a down-market lineup that needs some cuts. Regulatory: Stacked Deck, Bad Hand (Aug 05): ONC’s website refresh took the entire HIT Policy Committee record with it, so I rebuilt the archive and went looking for the regulatory capture story everyone assumes is buried in there. Stacking the deck and winning the hand turn out to be very different things. The Sixth Generation of Patient Access (Aug 19): A quick catalog of the five generations of patient access we’ve layered on since HIPAA, and the two candidates now competing to be the sixth. One is planned. The other is the market routing around the plan entirely. Court cases: Three Cases Walk Into a Docket (Aug 06): Two surprise settlements cleared the board in a single week, and then Judge Maddox dropped ninety-four pages on Vyne v. Henry Schein. The sleeper is a DMCA holding that makes direct-to-database a considerably riskier business model. Epic v. Health Gorilla: Into the MDL (Aug 10): Nine class actions are headed to Miami, and the Panel signaled it wants to bring the case that spawned them along too. That would leave Epic arguing the requests were obviously fraudulent in one courtroom and unknowable in the other. Amazon v. Perplexity: Agents Are Legalized! (Aug 11): The Ninth Circuit vacated the injunction against Comet, holding that the user is the one accessing the servers rather than the company that built the agent. A real win for agentic access, and a much narrower one than the headline suggests. Veeva v. Epic: Come At Me, Bro (Aug 26): Epic’s response brief wants the dismissal affirmed and, unusually, wants the opinion published as precedent. Buried in it is Epic’s own description of what its non-competes actually prohibit, which current and former employees should read closely. EHRs: The Contract Epic Would Never Sign Today (Aug 04): A 1999 SEC exhibit catches Epic licensing nearly its entire product line, Tapestry included, to the company that became TriZetto. The marketing services menu attached to it is the part that will make you blink. Forecast from Verona (Aug 07): The Epic Almanac makes one argument six different ways: the AI is only as good as the networks behind it. Emmie headlines, Art’s context stack is the most ambitious part, and Penny finally gets an autonomous coding date on the calendar. Works With Epic MyChart (Aug 17): Epic’s first new Showroom category since the death of Workshop certifies hardware instead of software, badge on the box and all. Made for iPhone, but for blood pressure cuffs, and rough news for anyone selling the RPM stack sitting in between. UGM Hot Takes 2026 (Aug 20): Everyone else covered the AI announcements, so I went after Savvy deleting the payment gateway, Rangers as Boost with the timer removed, and a down-market lineup with too many entries. Plus the Health Grid tidbits I cannot help myself on. MyChart Central Grows Up (Aug 24): Device data and Emmie turn Epic’s identity hub into a full consumer platform, which is both a logical answer to ChatGPT and a bit of a mistake. It also happens to be the best scraping target Epic has ever shipped. Industry Analysis: The Wrong Yardstick (Aug 12): Vertical software keeps getting judged against Superhuman and Notion, which is the wrong bar entirely. Your user is comparing your product to a whiteboard and forty phone calls before lunch. Primitives vs. Abstractions (Aug 27): Developers want building blocks, systems of record prefer to hand out business logic, and both sides have a real case. There’s no test from the outside that separates the engineering reason from the competitive one, which is why this keeps ending up in court. Cross-industry Comparisons: The Two Kinds of Platform Power (Aug 18): Attention power and record power are different problems that keep getting handed the same regulatory toolkit. Congress’s latest swing at Big Tech shows both what’s possible and where it falls apart. The Dogs of (Platform) War (Aug 21): A CourtListener alert turned up a property management fight with healthcare’s exact shape and none of the Cures Act. Shell prospects, ghost accounts, a notetaker bot that came back to haunt someone, and a lawyer arguing both sides of the same theory in two states. Fractals All the Way Down (Aug 31): Yardi dominates property management right up until you zoom into one segment, where AppFolio owns it outright and Yardi doesn’t appear at all. Where you draw the line around a B2B software market is about to decide an awful lot of cases. Other News: If Judy Had the Courage (Aug 13): A short eulogy for the era when software was allowed to look insane: WinAMP, bold colors, and everything the grey chatbot era has taken from us. External Media: Portland Monthly Health Tech Meetup: Erin O’Brien channeled my own feelings - maybe it’s just because it’s August and beautiful, but the monthly edition of the PDX Health community meetup was a ripper. Make sure to reach out if interested to join for the next one. STAT’s Coverage of Epic This Month: Brittany Trang of STAT did a fantastic job of breaking the FTC investigation that’s been lurking, as well as UGM related coverage, so I had to give her her wish of a meme. Fall Conferences: I’m pumped to be kicking off my fall conference season in NYC at Nabla Accelerate next month, which Chrissy provided the link to apply for. Here’s the rest of my schedule in case you want to meet up: Commonwell (Redwood Shores, CA): Oct 13-14 Open@Epic (Madison, WI): Oct 21-22 eHealthExchange (Austin, TX): Oct 27 Sequoia Project (Austin, TX): Oct 28-29 HLTH (Vegas): Nov 15-18 RSNA (Chicago): Nov 29-Dec 3 Posts I Liked: HTI-6 Should Unbundle API Certification: Josh Mandel makes the case that HTI-6 should split (g)(10) into separate authorization and data certifications, so a PACS or a genomics platform can certify only the role it actually performs. Imaging is the urgent example, but the structure solves a much bigger problem. On implementing ePrior Auth with Epic: Scott Rossignol’s field notes from a live ePrior Auth build on Epic, including the two app registrations nobody warns you about and the CPT mapping problem waiting at the end. CMS-0057 implementations are going to be such a beast. Healthcare point solutions are starting to look a lot like streaming services: Spencer Dorn runs the cable-to-streaming arc against health IT and lands squarely on the bundling half of the cycle. Bundling can be good! It can also be bad! Life is nuanced. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe
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