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EHR Vendors Find Their Place Among Office-Based MU Providers

ONC data show how the top EHR systems vendors measure up in terms of market share and rank among provider meaningful users across the U.S.

By Frank Irving

- Last month, HealthITInteroperability examined the market share and rank of leading vendors’ electronic health records systems among hospital meaningful users across the U.S. This month, we again tap the Office of the National Coordinator for Health IT (ONC)’s Health IT Dashboard, but with a different view — EHRs implemented by office-based providers demonstrating meaningful use.

ONC data show market share and market rank of EHR vendor systems among office-based providers who have achieved meaningful use.

In total, as of November 2015, there were 360,376 Medicare eligible providers actively registered in the meaningful use (MU) program. Within that group, ONC classified 306,018 as unique providers paid in the program to date. The rolling tally for payments to eligible Medicare providers stands at roughly $8.3 billion. And that total is heavily weighted toward MU Stage 1 with $7.9 billion in provider payments under the Medicare program vs. $376 million for Stage 2.

The sections below show MU attestations in which office-based providers reported the use of selected vendors’ certified products for the 2014 program year. The data are valid as of August 2015, according to ONC, and apply only to MU attestations through the Medicare EHR Incentive Program.

We selected the top five EHR vendors reported by healthcare professionals participating in the EHR Incentive Programs: Epic Systems, Allscripts, eClinicalWorks, NextGen Healthcare and GE Healthcare. Here's how the numbers break out.

Epic Systems

Epic holds 35 percent market share or greater among Medicare MU providers in the following states:

North Dakota — 61 percent

Wisconsin (home state of Epic) — 58 percent

Washington — 44 percent

Minnesota — 42 percent

Vermont — 42 percent

Ohio — 37 percent

Oregon — 37 percent

Hawaii — 35 percent

Analysis by market rank — position of the vendor among all vendors in a state providing certified products to attested providers — shows Epic in the top position in 35 states. Epic also ranks second in four states: Connecticut, Iowa, Kentucky and Utah.


Allscripts holds 15 percent market share or greater among Medicare MU providers in the following states:

Kentucky — 24 percent

West Virginia — 20 percent

Iowa — 20 percent

Connecticut — 18 percent

Pennsylvania — 16 percent

Tennessee — 16 percent

Hawaii — 15 percent

Missouri — 15 percent

New Mexico — 15 percent

ONC’s  figures indicate that Allscripts holds a 10 percent market share in its home state of Illinois.

Allscripts holds the top market rank position in Connecticut, Delaware, Georgia, Iowa, Kentucky, Massachusetts and Tennessee, and a No. 2 rank in 18 other states.


eClinicalWorks holds double-digit market share in the following states:

Rhode Island — 30 percent

Maine — 18 percent

South Carolina — 16 percent

Massachusetts (home state of eClinicalWorks) — 14 percent

Florida — 12 percent

Hawaii — 12 percent

Georgia — 11 percent

Idaho — 11 percent

Montana — 11 percent

Texas — 11 percent

Vermont — 11 percent

Kansas — 10 percent

Missouri — 10 percent

Nevada — 10 percent

eClinicalWorks holds a No. 1 market rank in Florida, Maine, New Jersey, Rhode Island and South Carolina. It holds the No. 2 rank in Georgia, Louisiana, Massachusetts, Nevada and Texas.

NextGen Healthcare

NextGen Healthcare holds double-digit market share in the following states:

Montana — 18 percent

Alaska — 11 percent

Arkansas — 11 percent

Arizona — 10 percent

Colorado — 10 percent

NextGen’s market share in Pennsylvania, home state of its information systems business, is 6 percent. In California, where its parent company Quality Systems Inc. is located, the vendor’s market share is 7 percent.

The company holds a No. 1 market rank in Arizona and a No. 2 rank in Alaska, Arkansas and Montana. IT maintains a No. 3 rank in eight states.

GE Healthcare

GE Healthcare’s market share profile is scattered, with a dominant 46 percent mark in the District of Columbia, and shares of 25 percent in Minnesota and 24 percent in New Hampshire, respectively. The firms also holds double-digit market share in the following states:

Oregon — 14 percent

Alaska — 11 percent

Delaware — 11 percent

Idaho — 11 percent

Maine — 11 percent

Nevada — 10 percent

GE Healthcare announced this week that it is moving its corporate headquarters from the United Kingdom to Chicago. The company’s IT and life sciences businesses are already located in Illinois (currently 3 percent EHR market share within the state).

GE Healthcare holds a No. 1 market rank in the District of Columbia, Alaska and Nevada, while maintaining the No. 2 position in Arizona, Idaho, Maine, Maryland, Minnesota, Oregon, Vermont and Washington.

Click here to access downloadable data files for EHR products referenced in this article.



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