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The 2017 Healthcare Informatics 100 Product Breakouts: Clinical Information Systems

June 27, 2017
by the Editors of Healthcare Informatics
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Each year, Healthcare Informatics ranks the 100 vendors with the highest revenues derived from healthcare IT products and services earned in the U.S. based on revenue information from the previous year. This is what makes up the Healthcare Informatics 100 (THE 100). And for the second straight year, as part of THE 100 questionnaire, vendors were also asked to estimate the percentage of revenue earned in each of their product segments.

Beyond presenting the product segment revenues in each company listing, Healthcare Informatics editors took to further breaking down the top revenue earners in each of our seven segments: Financial Information Systems, Clinical Information Systems, Data Analytics, Data Management, Data Security, Data Exchange, and Consulting Services.

Throughout the past several days, Healthcare Informatics has revealed its top 5 companies by revenue within these seven different categories. Serving as a supplement to the broader Healthcare Informatics 100 list, we hope that this data, along with the content that accompanies it, gives you our readers a greater sense into the latest market trends within each of these respective product categories.

All data has been sent to Healthcare Informatics from the vendors themselves and confirmed by each company.


Top 5 Clinical Information Systems Vendors by Revenue

Vendor Product Breakout Revenue % Of Whole Revenue
MEDITECH $462,256,468 100%
eClinicalWorks $377,400,000 85%
Nuance Communications $366,240,000 40%
3M Health Information Systems $304,161,000 39%
West Corporation $279,500,000 86%

A key takeaway of a recent Black Book report which surveyed an array of CIOs, CFOs and other healthcare executives, was that while many technology systems were originally developed with fee-for-service reimbursement in mind, a changing paradigm is now leading major electronic health record (EHR) vendors to tap into new, non-fee-for-service tethered platforms for population health.

Consultants and other industry stakeholders are also noticing this trend as well, though there are varying levels of vendor readiness. Lydon Neumann, vice president at Naperville, Ill.-based Impact Advisors, says, “We are seeing our clients expressing a significant interest in population health, [but] only a few of the major clinical information system vendors have their arms around what population health is and what is needed to manage identified populations.  There is lots of opportunity in this area for development of enhanced vendor solutions combined with strategic consulting services to operationalize those solutions,” he says, adding that another major area of interest is care coordination, “to connect the acute care facility with community services providers to ensure high quality, seamless patient care across the continuum.”

What’s more, now that nearly all hospitals have an EHR implemented, there is also an onus on vendors to better optimize these systems to meet their clients’ growing needs. Colin Buckley, director of research strategy, clinical IT at Orem, Utah-based KLAS, says that the enterprise vendors are now adding more market share as their customers go out and do mergers, with the ongoing consolidation in the industry, but also through affiliations. “There are a lot of small hospitals out there that are just catching up to their need to go into the future with EMRs, population health and integration, and a lot of them are doing post-adoption. The EMR vendors are creating pathways for these smaller organizations to get on board as well, rather just these large integrated delivery networks that had been driving their success in past years,” says Buckley.

KLAS’ Bob Cash, vice president of provider relations, calls this next phase of EHRs “round two.” He says there was the initial round in which meaningful use drove significant acquisitions of EHRs, “and now there are organizations going through consolidation or a merger, or you have people who had enough time with their EHRS to say ‘It’s not meeting our needs.’ So, there are a few reasons, not a hundred reasons, but a few reasons, that people are now saying, ‘We may do a switch.’” Cash continues, “And you have some changes among vendors where they enhance their product or they have their own mergers, or break off a part of their business, like McKesson, and that creates a decision point for an organization where they have to question, ‘Is this the right product. Do I have the right partner?”

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