Cerner still has the greatest market share for electronic health record vendors in the United States, beating out top rivals Epic and Mckesson, according to the latest Kalorama report.
McKesson’s market share was second while Epic came in third. The positions were the same last year.
The report, EMR Market 2017: Electronic Medical Records in an Era of Disruption, also showed that several smaller companies are flourishing.
[Also: With EHR-based sepsis detection, Epic and Cerner have different approaches]
Kalorama sees plenty of opportunity for disruption, though, as frustrated physicians and hospitals are itching to switch vendors and the Trump administration’s changes in government policy shake up outlooks.
"A few companies have more than half the market, but it's still true to say no company – not even the largest healthcare IT firms – have even a fifth of this market," Bruce Carlson, publisher of Kalorama Information, said in a statement.
Spurring disruption, according to Kalorama, are EMR users unhappy with usability, vendor-switching, lack of mindshare in the market and customers who simply want something better.
Cerner is continuing to add new business and services with CernerITWorks, a suite of services that tackles a variety of tasks for hospital IT departments.
[Also: How the Coast Guard’s ugly, Epic EHR break-up played out]
Kalorama also said Cerner’s RevWorks, which offers RCM services, is helping the company stay very strong in the hospital IT market. Also, Cerner’s past acquisition of Siemens IT was a major move that boosted Cerner's market share and the company’s securing of the Department of Defense EMR contract also aided its position in the market.
As for McKesson, Kalorama sees it as positioned to expand its offerings. It already offers a full range of solutions ranging from medication safety and revenue cycle management to resource utilization.
Third-place Epic, however, boasts that several of the large and prestigious healthcare systems across the country are customers, and Kalorama expects the Verona, Wisconsin-based company will continue to land a significant share of the new business in the EHR market.
Allscripts Healthcare Solutions is fourth according to Kalorama. The company has been in top five for several years.
GE Healthcare, athenahealth, Intersystems, QSI/NextGen, Meditech, Greenway, eClinicalWorks and at least 600 other companies make up the rest of the market.
Twitter: @Bernie_HITN
Email the writer: bernie.monegain@himssmedia.com