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" ... Sadly, back‒end "interoperability" among 470 competing commercial vendors in healthcare doesn't exist and it wasn't a prerequesite for the $30 billion doled out as cash incentives. As with most software, the market has narrowed and more consolidation is inevitable, but it's still highly fragmented between two distinctly different markets ‒ ambulatory and inpatient. Here's a rough market breakdown based on one assessment in 2014. ... "