Inpatient EMR replacement: Epic & Cerner gain, while Allscripts & MEDITECH lose market share

Inpatient EMR replacement: Epic & Cerner gain, while Allscripts & MEDITECH lose market share


An upsurge of M&A activity continues in the healthcare delivery organization (HDO) space as stakeholders seek to increase the scale and capabilities needed for value-based care and reimbursement. The HDO M&A trend is likely to continue, if not increase, in 2018 as HDOs adopt additional value-based care models and transition to risk-based arrangements.

Consolidation also continues, as evidenced with the latest agreement between Catholic Health Initiatives and Dignity Health to create a 139-hospital, $28.4 billion health system. Soon after came reports of St. Louis-based Ascension and Renton, Wash.-based Providence St. Joseph discussing a merger, which would result in a 191-hospital, $44.8 billion operation.

These deals illustrate how the composition of nonprofit American health systems is continuing to change from local and regional entities to corporate national networks. The trend of increased alignment between similarly sized organizations, and in creative partnerships that allow for collaboration, persists.

This in turn has drastically impacted EMR inpatient market share, as the trend of replacement is evidenced by EMR replacement decision data fueled by HIMSS Analytics Logic:

EMR Inpatient Replacement Market Share

Allscripts, fresh off of its acquisition of McKesson EIS last summer, and MEDITECH, with clients facing transition decisions, continue to lose market share to Epic and Cerner, presumably as large health systems seek to consolidate on a single platform. As HDOs tackle EMR replacement, its important to consider the underpinnings to any successful EMR swap, and as such, we’ve assembled resources below:

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