Current Implications of Three Vendors Dominating EHR Market

The dominance of three EHR vendors, Epic, Cerner, and Meditech, controlling more than 75% of the market has significant implications. Epic is believed to have a larger market share than reported, possibly more than 50%, making it the most dominant player. However, concerns arise regarding Epic's consumer interface, MyChart, which has limited uptake and is considered cumbersome. Epic's market power and anti-competitive behavior are also evident, stifling innovation and limiting the ability of breakthrough technologies to enter the market. In contrast, Meditech's influence primarily comes from HCA, while Cerner is shrinking. Notably, Epic received an A-grade for its system compared to Meditech's B and Cerner's D+. Despite breakthroughs, such as a single Epic installation across Michigan's healthcare system, concerns remain about Epic's limited interoperability and its control over the market.