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[@healthapiguy](/creator/twitter/healthapiguy)
"Well theres more to this case than meets the eye (or tooth). Less than XX hours after filing its information-blocking suit @vynedental moved for a temporary restraining order and preliminary injunction asking the judge to roll back recent @Dentrix updates that allegedly disable its print-driver integration. Between this move and the Maryland venue its clear theyre drawing inspiration from the RTMS v. @PointClickCare case. @HenryScheinOne quickly countered with its own lawsuit in Utah accusing Vyne of violating computer fraud and copyright laws framing Vynes workarounds as hacking and brand"  
[X Link](https://x.com/healthapiguy/status/1975215958580158762) [@healthapiguy](/creator/x/healthapiguy) 2025-10-06T15:05Z 11.8K followers, XXX engagements


"3. Ripple Effects I wonder what this means for other vendors and developer API companies that use direct-to-database to connect to Dentrix like NexHealth which uses a combination of direct-to-database for dental EHRs / PMS integration"  
[X Link](https://x.com/healthapiguy/status/1975215971142135812) [@healthapiguy](/creator/x/healthapiguy) 2025-10-06T15:05Z 11.8K followers, XXX engagements


"If Henry Schein is cracking down on all products and vendors that use non-API integrations we may see new lawsuits or fights as those companies have their operations disrupted (or at least allies for Vyne). If not then Henry Schein is potentially at risk for selective enforcement of their policy to Vynes advantage"  
[X Link](https://x.com/healthapiguy/status/1975215972614336896) [@healthapiguy](/creator/x/healthapiguy) 2025-10-06T15:06Z 11.8K followers, XXX engagements


"Like @Intus_Care they use the Health Information Network designation to claim HS/Dentrix is an info blocker. However that's only because Henry Schein pulled their certified product from the ASTP program THE DAY that Vyne invoked Information Blocking"  
[X Link](https://x.com/healthapiguy/status/1974506717988929677) [@healthapiguy](/creator/x/healthapiguy) 2025-10-04T16:07Z 11.8K followers, XXX engagements


"Real Time Medical Systems v. PointClickCare IntusCare v. RTZ Systems CureIS Healthcare v. Epic and now this.The ball is in the ASTP and OIG's court to get information blocking rolling through regulatory pathways or this pattern of private action using the workaround will only continue to accelerate"  
[X Link](https://x.com/healthapiguy/status/1974507645706141987) [@healthapiguy](/creator/x/healthapiguy) 2025-10-04T16:11Z 11.8K followers, XXX engagements


"Find it here:"  
[X Link](https://x.com/healthapiguy/status/1974507693319827918) [@healthapiguy](/creator/x/healthapiguy) 2025-10-04T16:11Z 11.8K followers, XXX engagements


"Our policy trade-offs are coming home to roost. Consciously or not weve built a system that tries to cultivate a robust third-party ecosystem through FHIR APIs information blocking rules and cost guardrails. A heavily regulated EHR industry may allow that but only at the expense of a robust EHR ecosystem itself"  
[X Link](https://x.com/healthapiguy/status/1974979515471544665) [@healthapiguy](/creator/x/healthapiguy) 2025-10-05T23:26Z 11.8K followers, XXX engagements


"First post on the Vyne v. Henry Schein case here:"  
[X Link](https://x.com/healthapiguy/status/1974980789373903119) [@healthapiguy](/creator/x/healthapiguy) 2025-10-05T23:31Z 11.8K followers, XXX engagements


"Henry Schein One is opposing claiming that there is no urgency given the status quo of "hacking has never been allowed". They are trying to barter with Vyne - stay the TRO/PI request and we'll respond to your Complaint quicker. Not a trade I would take as Vyne"  
[X Link](https://x.com/healthapiguy/status/1976639664401633784) [@healthapiguy](/creator/x/healthapiguy) 2025-10-10T13:23Z 11.8K followers, XXX engagements


"Is the death of the certified health IT program upon us An absolutely monster information blocking case dropped this week as @vynedental an RCM for dentists sued @HenrySchein makers of the @Dentrix EHR for the Cures Act Information blocking using the Tortious Interference workaround we're becoming very familiar with but with an important new wrinkle"  
[X Link](https://x.com/healthapiguy/status/1974506715858268425) [@healthapiguy](/creator/x/healthapiguy) 2025-10-04T16:07Z 11.8K followers, XXX engagements


"Option X feels most likely. Congress wont prioritize this topic and the administration isnt inclined toward new programs. The Cures definitions were mostly solid and expanding them via rulemaking seems improbable. But enforcement Thats already in motion. Whether through ASTP/OIG or the courts thats where the teeth will come from"  
[X Link](https://x.com/healthapiguy/status/1974980563871354952) [@healthapiguy](/creator/x/healthapiguy) 2025-10-05T23:30Z 11.8K followers, XXX engagements


"1. Antitrust (or Lack Thereof) Dental like many verticals is dominated by a few record systems. Henry Scheins lineup (Dentrix Ascend Enterprise Exan AxiUm Easy Dental OMSVision EndoVision) and Pattersons Eaglesoft hold large shares though estimates vary between 3050%. Dominance alone doesnt mean antitrust - classic thresholds hover near 70%"  
[X Link](https://x.com/healthapiguy/status/1975215962862617070) [@healthapiguy](/creator/x/healthapiguy) 2025-10-06T15:05Z 11.8K followers, XX engagements


"Competitors like @opendental_ (open source) @curve_dental @dental_tab32 @PlanetDDS and @CareStackSystem illustrate a fragmented market much like other systems of record. So it makes sense to pursue information blocking here"  
[X Link](https://x.com/healthapiguy/status/1975215964062117941) [@healthapiguy](/creator/x/healthapiguy) 2025-10-06T15:05Z 11.8K followers, XX engagements


"2. Revised Exception Thoughts Looking at the ways the courts have broken for similar cases I like Vynes odds for the preliminary injunction. Henry Schein was a certified health IT developer so theyd be liable for their behavior to that point even if the HIN claim doesnt work"  
[X Link](https://x.com/healthapiguy/status/1975215965299425615) [@healthapiguy](/creator/x/healthapiguy) 2025-10-06T15:05Z 11.8K followers, XX engagements


"Unlike RTMS v. PCC Vynes method seems more direct-to-database than screenscraping. The optics of that play worse to non-technical observers even though theyre similarly invasive"  
[X Link](https://x.com/healthapiguy/status/1975215968378053001) [@healthapiguy](/creator/x/healthapiguy) 2025-10-06T15:05Z 11.8K followers, XX engagements


"It feels like Henry Schein did a better job documenting the security and performance implications than PCC or other IB defendant. So contrary to my post Saturday those Exceptions actually seem stronger in this case than prior"  
[X Link](https://x.com/healthapiguy/status/1975215969699344730) [@healthapiguy](/creator/x/healthapiguy) 2025-10-06T15:05Z 11.8K followers, XX engagements


"This week has been all about the courts It's hard to keep up with all the action.   Good lord I can't quit you two. Vyne Dental is asking for shortened timelines (HS' opposition by Oct XX Vyne reply by Oct 21) for the preliminary injunction in their Maryland case because XXX customers have reached out about the problem and claims volume has dropped XX% across their shared XXX customers"  
[X Link](https://x.com/healthapiguy/status/1976639662581256660) [@healthapiguy](/creator/x/healthapiguy) 2025-10-10T13:23Z 11.8K followers, XXX engagements


"Meanwhile Henry Schein also filed a Motion for Reconsideration of their TRO in the parallel Utah case claiming that the Cures Act claims in Maryland are separate from the hacking claims in their case (but also implying that they will push to have the Maryland case moved to Utah). I don't understand this stance - they are at face value the same topics and were woven together in claims/counterclaims in IntusCare v. RTZ"  
[X Link](https://x.com/healthapiguy/status/1976639665798267235) [@healthapiguy](/creator/x/healthapiguy) 2025-10-10T13:23Z 11.8K followers, XXX engagements


"Bundling occurs in every B2B software industry so the implications here really go far:"  
[X Link](https://x.com/healthapiguy/status/1977745233979818054) [@healthapiguy](/creator/x/healthapiguy) 2025-10-13T14:36Z 11.8K followers, XXX engagements


"Is that surprising No I'd previously noted that the Arizona and other state laws that mandate data transfer and interoperability are the closest parallel to information blocking"  
[X Link](https://x.com/healthapiguy/status/1980630713490903046) [@healthapiguy](/creator/x/healthapiguy) 2025-10-21T13:42Z 11.8K followers, XXX engagements


"We should see a quick ruling on the TRO and scheduling for the injunction phase. Jurisdiction will be contested - Vyne wants Maryland Henry Schein wants Utah. Beyond that with more time to process both filings several takeaways stand out:"  
[X Link](https://x.com/healthapiguy/status/1975215961465921636) [@healthapiguy](/creator/x/healthapiguy) 2025-10-06T15:05Z 11.8K followers, XX engagements


"There's fun overlap here between antitrust and information blocking. Certainly the tying behaviors here are akin to what we are seeing litigated in RTMS v. PointClickCare IntusCare v. RTZ CureIS v. Epic and Vyne v. Henry Schein One. My general take is that IB is better tool here but I do appreciate the reinvigoration of antitrust law here"  
[X Link](https://x.com/healthapiguy/status/1977745235766903093) [@healthapiguy](/creator/x/healthapiguy) 2025-10-13T14:36Z 11.8K followers, XXX engagements


"As a reminder Workshop is/was the deepest level of collaboration in Showroom for specific third-party vendors who are co-developing technology with Epic. The focus per press releases from early 2024 was for workflows that need integration "beyond the standards""  
[X Link](https://x.com/healthapiguy/status/1979915082126749879) [@healthapiguy](/creator/x/healthapiguy) 2025-10-19T14:18Z 11.8K followers, XX engagements


"It launched with three categories (Ambient Voice with Abridge and Nuance Communications Contact Center with Talkdesk and Genesys and Patient Feedback with Press Ganey and Qualtrics)"  
[X Link](https://x.com/healthapiguy/status/1979915084190110166) [@healthapiguy](/creator/x/healthapiguy) 2025-10-19T14:18Z 11.8K followers, XXX engagements


"They are peculiarly balanced constructs: too rigid to adapt too fragile to withstand strategic divergence. More often than not they resolve into one of three outcomes: quiet failure forced acquisition or open competition. Cross-use-case consolidation will come next in the wake of those failures"  
[X Link](https://x.com/healthapiguy/status/1981064578495893825) [@healthapiguy](/creator/x/healthapiguy) 2025-10-22T18:26Z 11.8K followers, XXX engagements


"Furthermore the battlelines will shift as the clinical copilot blurs with the three other major copilot theaters of war: front office back office and patient. These clearly parallel the pre-AI systems of record. The lesson there is the same: our siloed product categories are early beachheads on the same battlefield B2B always moves to the bundle and further convergence is ahead of us"  
[X Link](https://x.com/healthapiguy/status/1981064580353990808) [@healthapiguy](/creator/x/healthapiguy) 2025-10-22T18:26Z 11.8K followers, XXX engagements


"The biggest antitrust case that may impact EHRs isnt even in healthcare and the defendant isn't a U.S. company. But it tells us everything about how platforms in healthcare and beyond will be judged in the years ahead"  
[X Link](https://x.com/healthapiguy/status/1977745211729076523) [@healthapiguy](/creator/x/healthapiguy) 2025-10-13T14:36Z 11.8K followers, 1349 engagements


"Abridge and Wouters Kluwer:"  
[X Link](https://x.com/healthapiguy/status/1981064612046045292) [@healthapiguy](/creator/x/healthapiguy) 2025-10-22T18:26Z 11.8K followers, XXX engagements


"The flood of announcements from HLTH all seem to be partnerships: - The Anti @EvidenceOpen Alliance: Abridge and Wolters Kluwer integrating ambient note generation with evidence synthesis and clinical guidance (clinical documentation is no longer distinct from clinical decision support)"  
[X Link](https://x.com/healthapiguy/status/1981064565799735572) [@healthapiguy](/creator/x/healthapiguy) 2025-10-22T18:26Z 11.8K followers, 2539 engagements


"My general (well-documented) take is that partnerships are tremendously hard to sustain and almost never the true source of durable advantage. They require ongoing bilateral investment aligned incentives that somehow remain static over time and a remarkable degree of luck"  
[X Link](https://x.com/healthapiguy/status/1981064576973283343) [@healthapiguy](/creator/x/healthapiguy) 2025-10-22T18:26Z 11.8K followers, XXX engagements


"- Electronic Benefit Verification: Seems to be basically eligibility/RTPB but for drug manufacturers' patient access programs"  
[X Link](https://x.com/healthapiguy/status/1981396930547896719) [@healthapiguy](/creator/x/healthapiguy) 2025-10-23T16:26Z 11.8K followers, XX engagements


"- Specialty Pharmacy Gateway: Automates clinical data exchange from EHR to specialty pharmacies/hubs. I'm curious if this is via FHIR APIs or via HIEs - are the specialty pharmacies contributing back if the latter"  
[X Link](https://x.com/healthapiguy/status/1981396931613249862) [@healthapiguy](/creator/x/healthapiguy) 2025-10-23T16:26Z 11.8K followers, XX engagements