According to a recent Health Data Management article based on KLAS reports, there were about 5,300 hospitals in the US at the end of 2016. The top 2 EMR vendors, Epic and Cerner, cornered about 50% of the market, while the top 8 captured over 90% of all hospitals with the following number of hospitals each.
Figure 1. Number and percent of hospitals by EMR vendor.
Epic and Cerner especially dominate the large hospital market, with about 80% of the hospitals with 600+ beds using their systems. At the 1-25 bed hospitals, interestingly, CPSI has market leadership, with Cerner and Epic following on its heels.
Figure 2. Top 8 hospital EMR vendor market share by hospital size based on total hospital EMR market coverage of 91.6%.
|Vendor||1-25 beds||26-100||101-200||201-400||401-600||600+ beds|
The dominant market share of Epic and Cerner for the larger hospitals is not about to change in the near future. It was reported that in 2016, 13 out of 23 of contracts from integrated delivery networks went to Epic and about a quarter chose Cerner.
The tides may, however, be shifting longer term. Hospitals with fewer than 200 beds already started to opt for EMR vendors with web-based solutions, such as Meditech and AthenaHealth. Furthermore, KLAS reported that an increasing number of hospitals are starting to consider switching EMRs when they are faced with the need for upgrades. These undercurrents may change the profile of the EMR in the future. The question is how quickly this change will come.