A look at Epic and Oracle Health’s push to reinvent the EHR

Epic Systems and Oracle Health are making parallel moves to reshape the EHR market, each emphasizing AI as a centerpiece of their strategies

At its annual User Group Meeting in Verona, Wis., Epic highlighted new AI capabilities designed to make patient interactions more intuitive. Among the tools introduced were an ambient documentation system and two AI assistants. Founder and CEO Judy Faulkner said the company has between 160 and 200 AI projects underway.

The event drew thousands of industry leaders and underscored Epic’s market position. A KLAS Research report found the company added 108 hospitals across 10 major systems in 2024, giving it 42.3% of the acute-care hospital EHR market and 54.9% of beds.

Oracle Health, meanwhile, is seeking to reset its trajectory with an AI-powered ambulatory EHR announced Aug. 13. The cloud-based system allows clinicians to use voice commands to retrieve medications, lab results and other information. Oracle said the platform was designed with feedback from both Cerner and non-Cerner clinicians, and that some beta sites were able to begin using it within hours, without formal training.

The system incorporates a semantic AI layer to integrate with Cerner Millennium, part of what Oracle has called a “coexistence strategy” that allows organizations to run both platforms while sharing data. The company said acute-care functionality is expected by mid-2026, with early rollouts targeting primary care and pediatrics.

Seema Verma, executive vice president and general manager of Oracle Health and Life Sciences, said in a news release that the EHR was built “for the Agentic AI era,” rather than as an add-on to existing systems.

Industry analysts note that the stakes are high. Epic has expanded its share of the EHR market, while Oracle has worked to stabilize its $28.3 billion acquisition of Cerner in 2022. A KLAS report found Oracle Health has faced challenges retaining customer confidence, losing 57 acute-care customers since 2022, including 12 health systems with more than 1,000 beds.

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