Capital Rx vs Epic Systems
Side-by-side comparison of AI visibility scores, market position, and capabilities
Capital Rx is a New York-based health technology company offering a transparent pharmacy benefits management (PBM) platform and enterprise health ecosystem (JUDI) for self-insured employers and health plans; raised $109M Series C in 2022;
About
Capital Rx is a New York-based health technology company founded in 2017 by AJ Loiacono and Justin Vattimo. It operates as a transparent pharmacy benefits manager (PBM) and health platform for self-insured employers and health plans, positioned as an alternative to the three dominant incumbent PBMs — CVS Caremark, Express Scripts, and OptumRx — whose bundled pricing models have faced sustained criticism for opacity and misaligned rebate incentives. Capital Rx's core differentiator is its CPEC (Clearinghouse PBM Employer Coalition) pricing model, which passes drug rebates and discounts directly to plan sponsors rather than retaining them as revenue — a structurally transparent approach that the company claims delivers demonstrable cost savings over traditional PBM arrangements.
Epic holds over 42% of U.S. acute care hospital EHR market share and is embedding AI across 150+ clinical workflows for 2026, while facing antitrust scrutiny.
About
Epic Systems Corporation was founded in 1979 by Judith Faulkner and is headquartered in Verona, Wisconsin, remaining privately held with Faulkner as majority owner. The company develops large-scale electronic health record systems and reports that more than 305 million patients have a record in Epic, covering the majority of U.S. academic medical centers and large health systems including Kaiser Permanente, Mayo Clinic, Johns Hopkins, and Cleveland Clinic. Epic commands approximately 42% of U.S. acute care hospitals and nearly 55% of acute care hospital beds, making it the undisputed market leader in enterprise EHR.
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