With the herd of electronic medical record companies growing rapidly, we can expect to see things thin out over the next two years.  Once stage 1 and 2 Meaningful Use rules are finalized, be poised to start viewing a rapid genesis of companies joining forces and being acquired.  Smaller firms will have to join forces or seek increased venture capital in order to compete with the market share grasped by monoliths such as GE Healthcare, McKesson, NextGen (QSI), INGENIX (United Health Group) and now Allscripts. Continue reading: Mergers & Acquisitions Across EHR and HIT firms