Becker's Healthcare January 8, 2026
By Marcus Perez, President, Altera Digital Health

No, you’re not just imagining things. Your options for electronic health records (EHR) are shrinking.

According to standards used by the Federal Trade Commission and the US Department of Justice, the EHR space shifted from a “competitive” market in 2012 to a “highly concentrated” one by 2021. If that trendline continues, where does that leave your organization, providers and patients over the next decade?

Widespread consensus around EHR best practices and adoption of those workflows is a good thing. But robust competition is ultimately the key to innovation, better service delivery and improved outcomes.

Igniting innovation

A competitive market landscape is a powerful incentive for technological progress. When multiple EHR vendors vie for business, they are compelled to invest in...

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