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EHRs Ranked by Market Share

Epic and Cerner remain the two giants in the EHR industry, but Epic is gobbling up market share among larger health systems.

Doctor pointing at laptop by nurse in hospital
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Becker's Hospital Review recently compiled a list of the top EHR platforms ranked by share of the US hospital market. Their data is sourced from a report by Klas Research.

The report is based on a review of EHR purchasing activity that occurred during 2022.

Epic continues to be the market leader, with more than one third of total hospital market share by hospitals, yet nearly half of market share by total hospital beds. Epic also has the most momentum in the market, with the largest gain in net new hospitals in the past year.

Epic added 83 new hospitals to its roster of clients, and more than 14,000 hospital beds to its installed base. Its next closest rival, Oracle Cerner, added 22 hospitals, but lost more than 4,600 hospital beds in its installed base.

EHR VendorShare of US Hospital MarketPercentage of US Hospital Beds
Epic35.9%47.6%
Oracle Cerner24.9%25.8%
Meditech16.3%14.0%
CPSI8.2%2.5%
Altera Digital Health3.7%4.1%
Medhost2.5%1.2%

    The trend towards consolidation

    There has been considerable consolidation in the EHR industry over the past decade. According to KLAS Research, there were over 1,000 EHR vendors more than 10 years ago. As recently as 2019, that number had dropped to roughly 400.

    In recent news, software vendor Oracle spent $28 billion to acquire Cerner. Oracle views Cerner as its “anchor asset” in the healthcare IT industry. It plans to build on Cerner’s market share to scale up its cloud business. Oracle also plans expansion of Cerner in international markets.

    The pros and cons of consolidation

    EHR interoperability is a key benefit of consolidation. EHR interoperability allows seamless, secure communication between disparate entities. Key end-user benefits of such interoperability include e-prescribing, online appointment scheduling, secure portal communication and more.

    The cons of consolidation may include a loss of product features that were developed by smaller vendors who supported specific specialties, workflows and practice arrangements.

    Implications for physicians

    Physicians should keep an eye on EHR consolidation trends. As fewer vendors compete for market share, pricing could change. If your practice needs to change EHR systems, that can mean lost productivity and administrative headaches. It can also mean additional expense in terms of software support to get through the change.

    Alternatively, support services from larger EHR companies may improve, and product features among the larger vendors may continue to evolve and become more robust.

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    1. EHR vendor market share in the US. https://www.beckershospitalreview.com/ehrs/ehr-vendor-market-share-in-the-us.html
    2. EHR vendors ranked by hospital market share gains (and losses). https://www.beckershospitalreview.com/ehrs/ehr-vendors-ranked-by-hospital-market-share-gains-and-losses.html
    3. Epic, Cerner growing EHR market share with increased hospital consolidation: KLAS report. Fierce Healthcare. https://www.fiercehealthcare.com/tech/epic-cerner-growing-ehr-market-share-increased-hospital-consolidation-klas
    4. EHR market consolidation and the impact on physicians. Medical Economics. https://www.medicaleconomics.com/view/ehr-market-consolidation-and-impact-physicians
    5. Is the link between hospital mergers and EHR consolidation overstated? Healthcare Innovation. https://www.hcinnovationgroup.com/clinical-it/electronic-health-record-electronic-medical-record-ehr-emr/news/21071375/is-the-link-between-hospital-mergers-and-ehr-consolidation-overstated
    6. Oracle closes $28B deal to buy EHR giant Cerner. Fierce Healthcare. https://www.fiercehealthcare.com/health-tech/oracle-gets-european-approval-28m-cerner-deal-set-close-next-week
    7. What is EHR interoperability and why is it important? Health IT.gov. https://www.healthit.gov/faq/what-ehr-interoperability-and-why-it-important
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