If you work in Healthcare, you’ve probably seen your feed flooded with hot takes, reactions, and side notes from Epic’s annual UGM conference.
For anyone working in health IT, this gathering in Verona isn’t just another corporate event—it’s where the roadmap for a significant portion of global healthcare software gets revealed. Epic has reach, and every year at UGM, they flex it.
The setting itself continues to spark debate. Verona isn’t exactly a conference city, and the early-morning drives to Chicago airports are the stuff of conference legend (and, frankly, concern). But that friction also adds to the mythology of UGM—rain-drenched Madison nights, cheese curds with Epic folks, and a city taken over by health IT people.
The Tone-Setters: Judy and Sumit
Judy Faulkner, now 82, still takes the stage with an energy that defines Epic’s culture. Her three guiding statements—help clinicians love their jobs, help organizations stay financially strong, help patients be healthy—were presented not as a hierarchy but as co-equal missions. The patient-centered slide repeated throughout reinforced that the end game remains: keep the patient at the core.
Sumit Rana followed, not coincidentally. Many see him as Judy’s eventual successor, and his framing of Epic’s innovation strategy was telling:
- Eliminate (remove work that adds no value—prior auth was the example)
- Automate (make the necessary work invisible)
- Augment (make humans better at what they do)
- Transform (change how the work itself is defined)
He boiled it down further: software that assists → software that carries out tasks. That’s where Epic sees AI’s trajectory.
AI Medical Scribe: The ‘Non-Event’ Announcement
The buzz coming into UGM was about Epic building its own ambient AI assistant to compete with the DAX Copilots and Abridge-type players. Judy defused the drama by flatly stating: yes, Epic is building native AI charting with Microsoft, targeting early 2026 rollout. Microsoft provides Dragon Ambient AI components; Epic stitches it into visit-ready notes. Other vendors remain in play, but the gauntlet is thrown. The future fight is whether you go Epic-native or stick with specialized vendors.
Cosmos AI (Comet): Epic Builds Its Own LLM
The real moonshot was Cosmos AI—dubbed Comet. Epic has fed 8 billion encounters into its own generative model (136B tokens, 1B parameters). Early results outperform many purpose-built ML models. The promise: a single model that can flex across tasks—risk prediction, decision support, guardrails for AI outputs—rather than a patchwork of niche models.
Cosmos already spans 300M patients and 16B encounters. Comet adds generative capabilities. The play is clear: control your data, control your model, control the guardrails.
A Cosmos AI Lab will open to researchers. Expect Epic to leverage its network effects—Cosmos contributors will get first access to these tools, reinforcing the incentive loop.
The AI Portfolio Expands: Art, Emmie, Penny
Epic formally introduced three branded AI assistants:
- Art (clinician assistant)
- Emmie (patient-facing assistant)
- Penny (RCM assistant)
Each with staged rollouts:
- Art: AI summaries, digital colleague, real-time auth, Cosmos-informed workflows (2026+).
- Emmie: outreach, screening reminders, SMS scheduling, future voice agent (2026+).
- Penny: denial appeals, autonomous coding (ED, radiology first), automated claims follow-up (2026+).
Judy prefers the term “Healthcare Intelligence.” Whether the rebrand sticks or not, the intent is clear: broaden AI’s identity beyond hype, into infrastructure.
The New UI: Epic’s Facelift
Slated for Nov 2026, Epic’s UI overhaul integrates AI deeply into clinician workflows. Patient plans, AI record queries, Cosmos insights—all surfaced in redesigned screens. Nurses get parallel updates. For patients, MyChart evolves with a digital concierge (Nov 2025) and preventative care to-do lists (Feb 2026). Expect Emmie to be the quiet transformer of the patient experience.
EpicOps ERP and Clinical Trials: Building the Vertical Stack
Epic is going after ERP—rebranded as EpicOps. Workforce management, supply chain, and financials, all integrated natively. First modules by 2027. This move threatens existing ERP vendors in healthcare and tightens Epic’s grip on operational workflows.
Clinical Trials management is also in play: an end-to-end system (launching with early adopters in Nov 2026). Add in blood bank, cell/gene therapy, fetal monitoring, occupational health—Epic is filling white space aggressively.
MyChart Central: One Login to Rule Them All
Multi-institution patients rejoice: MyChart Central will unify logins across organizations, live in Madison now, rolling out in Nov 2025. It’s patient-first, but politically complex (org autonomy vs network utility). Epic is betting patients will force alignment.
Training, Finances, and Everything Else
Epic spotlighted training as a lever for EHR satisfaction (Arch Collaborative data). Specialty-specific onboarding, Thrive and SmartUser courses, and “What’s New” features aim to shrink learning curves. Expect efficiency gains pitched as ROI.
On finances: Penny leads the AI charge, but new cost reduction and executive dashboards (Pulse, Exec) anchor the narrative that Epic cares about hospital solvency.
Expansion continues: Northern Ireland, Singapore, multiple provinces in Canada, and U.S. state-sponsored rural implementations. The tiered offering—Garden Plot, Orchard, potential Flower Plot—brings Epic down-market.
The Smaller Nuggets
- AI pricing: pay-as-you-go vs “AI Suite” unlimited.
- Organ donation via MyChart, powered by Donate Life.
- Outbreak detection using Cosmos data.
- Health Grid integrations across payers, devices, diagnostics, specialty societies.
- Operational Services: Epic as consultant on LOS, access.
- Judy’s annual “random” request: brighten adult hospitals like children’s hospitals.
Judy ended with: “We predict the future so we can prepare for it and so we can change it.” That line sums up Epic’s posture: they don’t just want to forecast; they want to author the script.
Epic UGM 2025 made one thing abundantly clear: Epic isn’t playing defense against the AI startups, ERP incumbents, or patient app challengers. They’re expanding the surface area of their ecosystem, using their network scale and data gravity as the ultimate moat.
The next 24 months will decide if healthcare embraces Epic’s “Healthcare Intelligence” era—or if the market fractures around specialized alternatives.