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New EMR report shows Cerner continues to lose market share in U.S. despite Feinberg says


a new one EMR Market Share Report Out, it looks like Cerner’s presence in the big hospital world continues to shrink in 2021.

Earlier this year, in the face of what he called the “Singer problem,” the 2020 elimination of major U.S. emergency hospitals by Epic, Cerner CEO David Feinberg turned to what 2021 might bring about and the company’s global market share.This is how he answered my questions on stage ViVE Digital Health Conference hold HLTH and bells In Miami in March:

First of all, I have a lot of respect for Judy [Faulkner, CEO of Epic] And all EHR companies and Epic. The data you read is for 2020, it’s KLAS, it’s US based. 2021 is a different story, and a different story around the world. Cerner is installing the world’s largest medical electronic health record today.

Feinberg, of course, was referring to the Department of Defense’s $624 million EHR contract, Epic is known for losing to Cerner, but the problem is here. It’s old news at this point, and this is the only major EHR installation Cerner has done recently. In fact, the KLAS report released Tuesday paints a picture: “With the exception of Cerner’s government contracts, not a whole new large health system has chosen Cerner since 2013.”

Specifically, looking at the 5,479 acute care hospital EMR market in 2021, the KLAS data is broken down by vendor as follows:

  • Epic – 32.9%
  • Senna – 24.4%
  • Medical Technology – 16.7%
  • CPSI – 8.7%
  • Scripts – 4.3%
  • MEDIHOST – 3.1%
  • Others – 9.8%

The same report a year ago looked at 2020 data and found Epic had 31% of the EMR market share of 5,495 hospitals, followed by Cerner at 25%. So it’s clearly not “a different story for 2021” as Feinberg claimed at ViVE. [The number of acute care hospitals are lower year-to-year due to various reasons, including mergers and acquisitions.]

However, the EMR story is not entirely pessimistic. The second-largest company in the U.S. has won big in small hospitals. Cerner was awarded 22 contracts for small hospitals, defined as hospitals with 200 beds or fewer. Epic finished third in the category with 15 hospital wins, trailing MEDITECH, which won 19 small hospital contracts.

It turns out that MEDITECH and Epic were the only two EMR providers in the KLAS report to see an increase in the number of hospitals choosing their platform, as well as the total number of hospital beds. The report found, “MEDITECH had the second highest net gain in acute hospital market share, mainly from independent hospitals and customer add-ons. 2021 was also a successful year for MEDITECH to retain existing customers; 74% made a move forward decision in 2021 Legacy customers choose to migrate to Expanse instead of migrating to another vendor’s EMR [MEDITECH’s EMR brand]. This is a significant increase from the 38% retention rate in 2020. “

The Westwood, Massachusetts-based company didn’t miss a beat when it came to thumping Press Releases.

“Our impressive KLAS rankings and high number of net new wins continue to demonstrate that MEDITECH is a major player in the industry, illustrating the company’s tenacious presence in the health IT space,” said Helen Waters, Executive Vice President and Chief Operating Officer of MEDITECH the official said.

This chart captures the trajectory of each of the above companies over the past six years.

KLAS: US hospital market share in 2022

Feinberg must be busy consolidating the merger with Oracle Obstacles have arisen This leads to Oracle Extend the offer twice. But a new strategy had to be developed to bring the larger system into the Cerner realm. The “zinger questions” won’t go away until the image above tells a really different story.

Photo: Champion, Getty Images



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