Banks and healthcare organizations seem to have a lot in common, with large consolidation (IDNs for health, big banks for finance) but a lot of community banks /small practice

Been looking a little at the parallels between fintech/banking and health tech/hospitals.

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When looking at software for main enterprises, I looked mostly at "core banking" as a parallel to the EHR. Would be interested in those who know more about this industry if that& #39;s correct.
In health, main enterprise software is dominated by several large companies (Epic, Cerner, Athena, Allscripts, Meditech)

In core banking, Fiserv, FIS and Jack Henry are the traditional three, with Finastra being newer.
A lot of the complaints about these softwares echo what we hear about EHRs. A lack of easy integration, not cloud enabled, difficult to migrate to new systems, poor support.
As a result, some small banks looking to stay innovative and competitive are switching to cloud startup alternatives (Nymbus, Neocova, Finxact, Technisys, Temenos, etc). Others face risk of consolidation with larger banks.

http://temenos.com/wp-content/uploads/2020/02/American-Banker-Why-Banks-Ditch-Legacy-Core-Vendors-2020-Feb-03.pdf">https://temenos.com/wp-conten...
Sounds a lot like innovative telehealth, care coordination, DPC, etc looking at newer EHRs like @ElationHealth @drchrono @GoKareo hoping they offer a better experience there.
It sounds like the newest of the entrants of the "Big 4", Finastra, has been trying to pivot to a cloud platform approach, building less, but performing the core foundation for fintech companies to build on.

Reminds me of a lot of Athena MDP. https://www.digfingroup.com/finastra/ ">https://www.digfingroup.com/finastra/...
It& #39;s not super clear to me what the biggest players in banking use for core. I see some mention of Temenos in regards to JP Morgan and Finastra for US Bank, but overall, casual Googling didn& #39;t make it clear.

Maybe more homegrown software (different than health).
Looking at how these institutions share data - the Open Banking movement (pushing open APIs) closely parallels the growth of health APIs lately - SMART on FHIR, MU3 APIs, Cures.

Distinct difference - it started in EU and the USA actually lags / has less regulation promoting it.
So I& #39;ll stop there with the metaphor for today to hear what people think about HCOs/banks and EHRs/core banking software, but still have some thoughts for the future on banking data aggregators and integration to cover.
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