Healthcare IT Today December 5, 2025
The following is a guest article by David Lareau, CEO at Medicomp Systems
The electronic health record (EHR) industry is at a pivotal moment. Over the past two years, market consolidation has reached unprecedented levels, with fewer EHR vendors operating now than at any other time since the platforms became federally mandated.
A 2025 Health Affairs Scholar study found that just two vendors now account for approximately 71.7% of the U.S. inpatient EHR market and about 69% of the ambulatory market, a dramatic increase over the past decade. Globally, the number of active EHR vendors has contracted from more than 1,200 in 2014 to fewer than 300 in 2024.
Notably, the Health Affairs Scholar authors cautioned that such consolidation “reduces...
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