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Healthcare & FDA

FTC Probes Epic Systems Over Health Records Monopoly

Antitrust investigation targets dominant EHR vendor's alleged anticompetitive practices.

Image: Money Racket
By at Money Racket · Aug 18, 2026

The FTC is investigating Epic Systems, the dominant U.S. electronic health records (EHR) vendor, for alleged anticompetitive practices including data blocking and restrictive licensing terms that limit interoperability and customer switching. The probe follows years of complaints from hospitals, clinicians, and competing EHR vendors about Epic's market dominance and contractual barriers.

FTC antitrust probe targets Epic's data-blocking practices, opening door for competing EHR vendors.

Who cashes in: Competing EHR vendors like Athenahealth (ATHN) and Veradigm (MDRX) benefit from regulatory pressure on Epic, which may force licensing concessions or data-sharing requirements that level the playing field. Smaller EHR startups and niche players gain potential market share if Epic is forced to loosen contractual restrictions. Healthcare IT consultants and system integrators see increased demand for data migration and interoperability projects. Hospital systems and health networks gain negotiating leverage with Epic and may secure better pricing or terms.

Who's exposed: Epic Systems (private) faces potential forced divestitures, licensing restrictions, or contractual remedies that could reduce revenue and margin. The company's dominant market position—roughly 30% of U.S. hospitals use Epic—makes it a natural antitrust target. Hospitals and health systems that have locked-in Epic contracts face uncertainty about future pricing and terms if the FTC imposes remedies.

What to watch next: Monitor FTC filing deadlines and any formal complaint issuance, which would signal escalation. Track Athenahealth and Veradigm earnings calls for commentary on competitive positioning and customer wins. Watch for hospital system announcements of EHR vendor switches or renegotiations, which would indicate Epic's negotiating power is weakening. Monitor healthcare IT conference announcements for interoperability initiatives.

Source: original report ↗

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