FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person *   S A C CAPITAL MANAGEMENT L L C 2. Date of Event Requiring Statement (Month/Day/Year) 02/04/2011 3. Issuer Name and Ticker or Trading Symbol MedQuist Holdings Inc. [MEDH] (Last) (First) (Middle) 540 MADISON AVENUE,  4. Relationship of Reporting Person(s) to Issuer (Check all applicable) __X__ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below) 5. If Amendment, Date Original Filed(Month/Day/Year) (Street) NEW YORK, NY 10022 6. Individual or Joint/Group Filing(Check Applicable Line) ___ Form filed by One Reporting Person _X_ Form filed by More than One Reporting Person (City) (State) (Zip) Table I - Non-Derivative Securities Beneficially Owned

1.Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5) Common Stock, 0.10 par value 15,768,938 I See Footnotes (1) (4) (5) (6) Common Stock, 0.10 par value 1,484,689 I See Footnotes (2) (4) (5) (6) Common Stock, 0.10 par value 304,175 I See Footnotes (3) (4) (5) (6)

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.			SEC 1473 (7-02)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Reporting Owners

Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
S A C CAPITAL MANAGEMENT L L C 540 MADISON AVENUE NEW YORK, NY 10022	  X	  X	Â	Â
S.A.C. PEI CB Investment, L.P. C/O WALKERS CORPORATE SERVICES LIMITED WALKER HOUSE, 87 MARY STREET GEORGETOWN, E9 KYI-9002	  X	  X	Â	Â
S.A.C. PEI CB Investment II, LLC 72 CUMMINGS POINT ROAD STAMFORD, CT 06902	  X	  X	Â	Â
S.A.C. PEI CB Investment GP, LTD C/O WALKERS CORPORATE SERVICES LIMITED WALKER HOUSE, 87 MARY STREET GEORGETOWN, E9 KYI-9002	  X	  X	Â	Â
S.A.C. Private Equity Investors, L.P. C/O WALKERS CORPORATE SERVICES LIMITED WALKER HOUSE, 87 MARY STREET GEORGETOWN, E9 KYI-9002	  X	  X	Â	Â
S.A.C. Private Equity GP, L.P. C/O WALKERS CORPORATE SERVICES LIMITED WALKER HOUSE, 87 MARY STREET GEORGETOWN, E9 KYI-9002	  X	  X	Â	Â

Signatures

/s/ Peter Nussbaum, on behalf of S.A.C. Capital Management, LLC		02/04/2011
**Signature of Reporting Person		Date

Explanation of Responses:

*	If the form is filed by more than one reporting person, see Instruction 5(b)(v).
**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1)	Shares directly beneficially owned by S.A.C. PEI CB Investment, L.P. ("SAC CBI").
(2)	Shares directly beneficially owned by S.A.C. PEI CB Investment II, LLC ("SAC CBI II").
(3)	Shares directly beneficially owned by International Equities (S.A.C. Asia) Limited ("SAC Asia").
(4)	The general partner of SAC CBI is S.A.C. PEI CB Investment GP, Limited ("SAC CBI GP"); S.A.C. Private Equity Investors, L.P. ("SAC PEI") is the sole shareholder of SAC CBI GP; S.A.C. Private Equity GP, L.P. ("SAC PEI GP") is the general partner of SAC PEI; S.A.C. Capital Management, LLC ("SAC Management LLC") is the general partner of SAC PEI GP; and Mr. Steven A. Cohen controls SAC Management LLC. The manager of SAC CBI II is S.A.C. Private Capital Group, LLC ("SAC PCG"); S.A.C. Capital Advisors, L.P. ("SAC Advisors LP") manages SAC PCG; S.A.C. Capital Advisors Inc. ("SAC Advisors Inc.") is the general partner of SAC Advisors LP; and Mr. Cohen controls SAC Advisors Inc. Pursuant to investment management agreements, SAC Advisors LP and S.A.C. Capital Advisors, LLC ("SAC Advisors LLC") maintain voting and dispositive power with respect to securities held by SAC Asia; and Mr. Cohen controls SAC Advisors LLC.
(5)	Messrs. Peter Berger, Frank Baker, Jeffrey Hendren, Robert Aquilina and Michael Seedman are directors of MedQuist Holdings Inc. and Mr. Clyde Swoger is an officer of MedQuist Holdings Inc. Messrs. Berger, Baker and Hendren are Managing Directors of SAC PCG. Messrs. Aquilina and Seedman serve as executive partners, a senior operating consultant role, to SAC PCG. Mr. Swoger serves in a senior operating consultant role to SAC PCG.
(6)	Because no more than 10 reporting persons can submit any one Form 3 through the Securities and Exchange Commission's EDGAR system, SAC PCG, SAC Advisors LP, SAC Advisors Inc., SAC Advisors LLC and Mr. Cohen have submitted a separate Form 3. Although submitted separately, the two submissions are intended to be a single filing.
  Remarks: In accordance with Instruction 5(b)(iv), the entire amount of the MedQuist Holdings Inc. common stock held by SAC CBI, SAC CBI II and SAC Asia is reported herein.  Each of the Reporting Persons expressly disclaims beneficial ownership of the shares of MedQuist Holdings Inc. common stock reported herein except to the extent of his or its pecuniary interest therein, if any, and this report shall not be deemed an admission that any of the Reporting Persons is the beneficial owner of any such securities for purposes of Section 16 of the Securities Exchange Act of 1934, or for any other purposes.  Any disclosures made by a Reporting Person herein with respect to persons or entities other than such Reporting Person are made on information and belief after making inquiry to the appropriate party.  Each of the Reporting Persons is responsible for the completeness and accuracy of the information concerning him or it contained herein, but is not responsible for the completeness and accuracy of the information concerning the others, except to the extent that he or it knows or has reason to believe that such information is inaccurate. Exhibit 99.1 - Joint Filer Information

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