Most of the healthcare softwares particularly EMR/EPR/EHRs were built in 80s and 90s on a (thick) client server architecture with little to no support for APIs or integration. Technology has moved on since then and we are now living in a mobile, html5, api world. Alcidion happens to be in the right place at the right time with a solid management team backing it. I don't think they have a unique offering i.e. with some time and effort product can be easily replicated and some vendors are already catching up eg. Meditech, nervecentre, dedalus etc. As this is a b2b business model its all about connections and experience in the industry. Slow churn but long term contracts.
Long story short yes lack of competent competition but alcidion having a strong management team working hard in the background.
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