alt Hacker News> That said, I guess it can be argued that Cerner and NetSuite being on the chopping block can be attributed to AI because now procurement has the choice to either build in-house via an Anthropic or OpenAI SI like Accenture or TCS or they can negotiate better purchasing terms from a best-in-breed product in HRM and ERP like SAP instead.
Cerner isn't an EHR, it's an EMR. EHR == Electronic Health Record. Your FitBit data is an Electronic Health Record. EMR == Electronic Medical Record. Your doctor's records, how much blood thinner that nurse is supposed to give grandpa, and whether or not he's a fall risk are things you'd put in an EMR.
You can't just vibecode your way to replacing an EMR. Cerner Millennium has a shrinking, but substantial, footprint at healthcare systems across the country and around the globe. There are 25+ years of bugfixes, caveats, architecture, and other pieces of knowledge to be tracked and accounted for, and you must do so, because if you don't, people under the care of doctors could die.
It's also worth noting that the DoD uses Millennium for active service members, and I think they also use it for TriCare. American taxpayers are on the hook for dealing with the problems that Oracle's cost cuts will produce.
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> You can't just vibecode your way to replacing an (sic) EMR
Absolutely, but you can now demand a market leader like Epic to give you a significantly better discount (eg. 20-30% over the 10% you may have previously been offered).
And that is the crux of the "SaaSpocalypse" and why you are seeing targeted layoffs in Oracle specifically for their ERP and EHR products.
> It's also worth noting that the DoD uses Millennium for active service members, and I think they also use it for TriCare. American taxpayers are on the hook for dealing with the problems that Oracle's cost cuts will produce
Absolutely, but they were already on the hook for that before Cerner became a part of Oracle.
Minor nit - enterprise EMRs brand themselves as EHR because they consider it more encompassing than just medical records.
I agree on other points.