Electronic Health Records help medical practices digitally record patient information and streamline daily workflows. These multi-faceted systems put medical and administrative functions under one roof.  There are multiple EHR vendors to choose from, but budgets, expertise, workflows, and business scope may vary. Here is where we will explore the major players in the EHR market and provide you with a list of top EHR vendors. Our top EHR vendors include: 

Allscripts

Allscripts is a comprehensive practice management, EHR, revenue cycle management system designed for small to mid-sized physician practices and hospital organizations. The solution covers multiple areas of clinical care, including surgery, population health, emergency department, anesthesia, and more.

Allscripts Paragon product is offered for community clinics and smaller healthcare practices. The Sunrise product line is aimed at Ambulatory practices and large organizations.

Allscripts Practice Management walks practitioners through the entire process of revenue cycle, from eligibility verification to patient collection. The vendor also offers a fully-functional suite of integrated financial decision support, budgeting, and long-term planning solutions. 

Allscripts has a history of acquiring and merging with other vendors, such as Eclipsys, Practice Fusion, Misys, etc. Their solutions are usually rated highly by the audiences. In 2012, the company had to put up with an internal struggle between the Chairman and some directors.

The company has 30 years of experience in developing healthcare software. Allscripts operates mainly around the Eastern part of the US, but has some offices internationally. They sometimes outsource some of their support and development. Allscripts offers an internship program that could be considered as an excellent option to start a career.

2019 revenue: $1.77 Billion

Cerner

Cerner is publicly traded, and is being used in over 35 countries. It is the largest or probably the second largest Health IT vendor, depending on the criteria (number of users vs. revenues). The Cerner EMR can be deployed on the cloud when used on-site. It has features that support multiple data entry options, such as voice, text, structure, and code words. The software is integrated with labs and pharmacies.

Cerner produces enterprise-wide clinical applications for multiple areas in healthcare – clinics, hospitals, labs, primary care, and more. In 1979, Neal Patterson founded Cerner – he was considered a great visionary by many in the Healthcare IT industry. Patterson died from cancer in 2017, and was replaced by Brent Shafer in early 2018. 

Cerner produced most of its Health IT products on a single unified platform. The company matured into the Cerner Millennium, as an upgrade to its HNA System. Ever since the introduction of Millennium, the company has continued to evolve, with revenue increasing to $1.1 billion in 2005 from $245.1 million in 1997.

They also announced an acquisition of Siemens Health Systems for $1.3 Billion in 2014.

Cerner won a $4.3 billion contract with the Department of Defense in 2015. They have also won a 10 Billion bid for the VA in 2017. The vendor joined hands with Leidos as their implementation partner – the technology service contractor with extensive experience in Federal contracting.

Their solutions get mixed reviews from users. They have also had some major implementation failures that resulted in lawsuits from medical organizations. However, they are still one of the largest EMR vendors in the country. 

2019 Revenue: $5.6 Billion

eClinicalWorks

eClinicalWorks was established in 1999. The company has been offering services that include the eClinicalWorks EHR for hospitals and practices, patient engagement, revenue cycle management, population health management, and interoperability. They have their operations in Westborough, MA and have offices in New York, California, Georgia and Illinois. It is a privately-held vendor catering to Ambulatory settings focused primarily on a cloud-based platform. They developed an EHR offering for acute care hospitals in March 2018. 

The company has recently been hit with major lawsuits, one being an allegation that they forged data in the software used for US Federal certifications.  

They are a small company, so they don’t offer several jobs. Because of their ongoing legal problems, they are not the right career choice at this time. 

2019 revenue: $600 Million

Athenahealth

Athenahealth, a cloud-based software, was established in 1997 by Todd Park, former Chief Technology Officer for the US Federal Government and Johnathan Bush (cousin of former President George W. Bush). They initiated as a women’s health and birthing center in San Diego and later began operating their functions in Watertown, MA. Athenahealth offers several features for viewing lab results, making lab orders, and linking results directly to the patient’s chart. They happen to be counted as one of the top EHR vendors in the USA.

The Athenahealth EHR allows users to enter data and other relevant information verbally using the voice-recognition feature. The web portal feature is used to get lab test results and make prescription renewals. Messaging features facilitate communication between patients and doctors. This initiative of Bush and Park resulted in excellent clinical outcomes but was forced to close the clinic due to high costs.

For larger Healthcare systems and Ambulatory services, athenahealth offers athenaOne and athenaClinicals. The company considers its clients’ feedback to proactively analyze numerous data points from the software to prevent or sort out issues in regulatory compliance, billing, and physician compliance. They help practices to understand costs associated with therapies and procedures and minimize their accounts receivable days.  

They have multiple open positions, especially for those with existing experience in project management, technical, and user experience areas.

2019 revenue: $5.7 Billion

Nextgen

NextGen was established in 1978 as Quality Systems, Inc and is a publicly-traded Health IT vendor. Based in Horsham, PA, NextGen also has its operations in MO and CA. NextGen provides several services, including analytics, electronic data interchange (EDI), revenue cycle management, clearinghouse, financial services, and EHR. They have merged and acquired many EHR vendors, including Opus, HealthFusion, and Micromed. 

NextGen has set up much of their business in specialty and Ambulatory markets but now also offer an enterprise solution for larger Healthcare practices. The software has been supporting 155,000 healthcare professionals. It additionally serves quality measures, patient engagement, clinical documentation, and practice management via a patient portal. The company has a Health Information Exchange.

2018 revenue: $529 Million

Epic

With almost 40 years of experience, Epic has put on its A-game in revenue, enterprise clinical, and population health software. The company was founded in 1979 by Faulkner and Judy. Their current software support over 250 million patient records. They currently occupy the biggest market share in the EHR market thus topping the list of largest EMR vendors in the country. 

The company has fewer revenues than Cerner but has managed to get its products into the most prominent healthcare system in the US, such as Mayo, UCLA, Johns Hopkins, UCSF, and the University of Washington. They are counted as one of the top EHR systems 2020 as well! 

2019 Revenue: $2.9 Billion

Kareo

Kareo is a cloud-based provider of EHR, practice management, and revenue cycle for small medical practices. It allows healthcare professionals to quickly list medications, create patient profiles, and history of operation. The company is privately-held, located in Irvine, California. 

They are a staple in any top 5 EHR vendors list you might come across! Kareo acquired the billing company ECCO Health in 2013. Their software allows users to update information and search for profiles. They provide superbill creation that automatically reflects the patient’s assessments into their charts. The messaging feature additionally facilitates communication between doctors and patients.

2015 Revenue: $56 Million

Greenway Health

Greenway Health is a privately-held provider of Health IT solutions for clinical documentation, practice management, and revenue cycle management. The company is sort of a combination of several firms that have been around for a while: Vitera, SuccessEHS, and Medical Manager. They are located across the Midwest and South. 

Greenway offers products for multiple specialties, including dental records and urgent care. They have several open positions listed in different job functions.

2017 Revenue: $350 Million

Practice Fusion

Practice Fusion was developed in 2005 with a unique business model. The company supports over 600 pharmacies, labs, health systems, and imaging centers. It also offers features, such as scheduling, charting, billing, lab integration, e-prescribing, secure messaging, and more. Their software can be integrated with cloud-based billing services and workflows digitally to outside billers.

The company initially made the product free to sign up, but they would charge for some add-ons and implementation services. They used to generate revenues through the ads that would display randomly, and by reselling clinical statistical data from their users. Practice Fusion was allowed to sell patient data, such as which medications are prescribed for different conditions. They stripped out all the personally identifiable information.  

Allscripts acquired the company in early 2018, and that model came to an end. Their free of cost solution ended on May 31, 2018, and all the providers were required to sign up for a paid subscription. Allscripts has not moved any of the operations for Practice Fusion yet.

Market Share of Top EHR Vendors

It is important to do a EHR vendor comparison in terms of size to have an idea of how well they’re doing. Here’s the percentage for recent market share for EHR implementations in the Inpatient hospital market in the United States based on their revenues, ambulatory vs. inpatient usage, number of providers using a system, and implementation in small, medium, or large hospitals:

  • Epic (33%)
  • Cerner (28%)
  • Meditech (16%)
  • Allscripts (5%)
  • McKesson (4%)
  • Others (14%)

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