...the House Veterans Affairs Committee and issued before Labor Day, when Oracle did not attend the 2 September hearing citing scheduling conflicts. The hearing covered the $17 billion increase in budget for Oracle’s EHR development for current costs and the three-year extension to May 2031. It turned out to be rather raucous with accusations of “unreasonable” and “corruption.” The original $10 billion estimate was by Cerner and is running out [TTA 27 August]. The new budget request brings the total to $26.94 billion. Apparently the House members found out about it through news reports, While the House is not in... Continue Reading
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Revealed: Oracle’s extended VA EHRM contract increased by $17B as original ceiling reached this year; VA Indy EHR goes online
...Government Services, the successor to Cerner Government Services, originally was structured with a 10 year base period without annual renewals. This started in May 2018. In early 2023, the contract was renegotiated. The base period was halved to five years with the remainder of the contract subject to annual renewals from May 2023 and expiring 10 years after the contract start, in May 2028. The Modification P00008 to the IDIQ contract adds another three one-year firm fixed-priced optional ordering periods, taking the duration of the contract to May 2031. According to the released contract modification documents, VA projects that the... Continue Reading
VA moves to secure Oracle for its EHR Modernization through mid-2031
It’s an extension that likely has a very good and smart reason behind it. This short article in a specialized Federal services publication, OrangeSlices PBC (public benefit corporation), that broke the story early AM today (12 Aug), has a few tidbits that anyone who is following the VA’s EHRM will find of interest. The first is the three-year extension of the current VA contract 36C10B18D5000, the Electronic Health Record Modernization Indefinite-Delivery/Indefinite-Quantity (IDIQ) contract with Oracle Health Government Services, the successor to Cerner Government Services. The proposed Modification P00008 to the IDIQ contract adds another three one-year optional periods, taking the... Continue Reading
Breaking report: Oracle drawing up plans to lay off employees in “double digit percentages” by 1 September
...local groups have been successful in mobilizing for changes. Redesigns in cooling and power draw are expensive. Data center locations and builds are one of the few US issues that cross political lines [TTA 29 July]. Unlike Microsoft, Oracle no longer has the cushion of free cash flow to pay the bills. Oracle also has crushing performance obligations to meet with OpenAI and Meta [TTA 16 July]. What’s the healthcare impact, other than AI? For the business segments in the former Cerner, now is Oracle Health AI, the news has been dismal–and concerning to entities such as the Federal Government.... Continue Reading
Chutes, and chutes: Microsoft’s $3B Oracle cloud leasing deal goes sideways, Defense Health Agency to replace Leidos as system integrator for MHS’ EHR, Centene offering voluntary buyouts to most employees
...(DHA) will be transitioning away from Leidos as the lead systems integrator for the Military Health System (MHS) EHR and related systems by July 2027. MHS GENESIS originated from the 2015 EHR contract award to the Leidos Partnership for Defense Health, with Cerner (now Oracle Health) for the EHR and Accenture as members. Leidos served as the lead systems integrator to onboard all the parts of the entire MHS GENESIS system, which grew to include Henry Schein for dental records, Philips North America for tele-critical care, Amwell for telehealth, and Solventum Health Information Systems (formerly 3M) for clinical documentation and... Continue Reading
VA’s EHR goes live with four more centers; GAO criticizes VA, MHS on EHR cybersecurity collaboration
...with accelerating what many of us observers considered a ‘dead in the water’ repair and rollout. The biggest change is the standardization of the system across the VAMCs; the previous deployments allowed for too much customization by facility, something Oracle wasn’t exactly equipped to handle with the legacy Cerner system. Federal News Network There’s also an enjoyable, locally made YouTube video of the go-live at the Dayton VAMC. It focuses on the IT team and how they are helping the clinical staff, including the first new patient entered into the EHR. Complete with an opening group prayer service and dancing–how... Continue Reading
Selling Oracle Health’s EHR–what are the potential buyers, their odds, and price?
...obligation. The VA EHRM, as TTA has chronicled, started rolling out in 2020 and by 2023 was halted after five implementations Due to Disaster. It resumed in April 2026. The VA and Congressional process for funding now has tight guardrails in place on continuance. Who will buy the Oracle/Cerner EHR operation is the question. For how much isn’t as clear. Selling Oracle Cerner “represents the most significant “lump sum” of liquidity available. In the Nelson analogy, Oracle took the Cerner cow, milked it of data to feed its data into its LLMs, and no longer wants knackered ol’ Bessie even... Continue Reading
Post-holiday news roundup: Oracle Health acute care EHR market share crumbles to 20%–what that means; retail real estate downsizer marketing Walgreens leases; Oura files for US IPO, Swoop buys NimbleRx
...Oracle layoffs (10,000 in the US, with 539 employees laid off effective 26 May-1 June in Kansas City, Cerner’s former HQ and presumably where most EHR staff remained): Is Health, once the focus of Oracle’s Big Transformation, now just a used and broken toy? What’s the future of Oracle Health if the strategy is AI 24/7 and EHRs and healthcare system SaaS just do not fit the picture anymore? Yet Oracle cannot simply close the division and turn off the systems. In addition to hospitals and health systems, let’s not forget that the VA is back to sprinting towards an... Continue Reading
Holiday weekend roundup: VA asks for ‘cyberspeed’ 25% EHR budget bump, update on EHRM fraud indictment; Commure raises $70M; Innovaccer buys Caduceus, lays off staff; Doximity, OpenEvidence slugfest gets hot
...2020 and four more in 2022, resulting in the rollout’s termination in 2023, Oracle would be unwise to not prepare for a few questions about Cerner’s relationship with Mr. Windom, as I wrote at the time. The PJ Media article also references the comprehensive article in the 27 March Spokane Spokesman-Review, which has been on the Cerner/Oracle implementation story since the implementation failure in the region’s Mann-Grandstaff VA facility. Their check of the OEHRM website as of that date confirmed that Mr. Windom was still listed as the deputy director of the Federal Electronic Health Management Office, the joint VA-DOD... Continue Reading
Former VA EHRM executive director Federally charged with accepting vendor cash and gifts, making false statements
...District of Columbia, the FBI Washington Field Office, and the Veterans Affairs Office of the Inspector General (OIG). It is being prosecuted by Assistant US Attorney Emily Miller. No timeline for the start of the trial was announced. None of this seems to have directly involved Cerner, now Oracle Health, per the indictment. But in this Editor’s opinion, because of Mr. Windom’s role in the selection of the Cerner EHR and the disastrous implementation of VA Mann-Grandstaff (VISN 20) in October 2020 and four more in 2022, all terminated in 2023, Oracle would be unwise to not prepare for a... Continue Reading
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