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Lehmann, Alexandra:
Structure of the EHR Vendor Market and its Innovation Power.
In: Schmid, Andreas ; Fried, Bruce
,
Verlag P.C.O.
(Hrsg.):
Crossing Borders - Digital Transformation and the U.S. Health Care System. -
Bayreuth
: P.C.O.
,
2020
. - S. 55-71
. - (Schriften zur Gesundheitsökonomie
; 85
)
ISBN 978-3-941678-67-5
DOI: https://doi.org/10.15495/EPub_UBT_00004920
Abstract
The federal government has introduced substantial incentives for health care providers to adopt electronic health records (EHRs) through the 2009 Health Information Technology for Economic and Clinical Health Act (HITECH) after realizing that EHRs will be an important tool to deliver health care more efficiently. In order to take advantage of these incentives, hospitals and other health care providers must use EHR systems that meet the criteria of Meaningful Use (MU). As a result of these new requirements, the supply side
of the EHR market changed and has led to a growing demand for EHR products. Therefore, it is important to understand how the HITECH Act influenced the structure of the EHR vendor market and its innovation power to provide meaningful EHR systems to hospitals. This paper investigates these influences with particular attention to the innovation power of the EHR systems. The analysis for the product market and geographic market shows that the EHR vendor market structure does not change through large vendors such as Epic, Cerner, and Meditech. However, this is the case with small
vendors who deliver EHR systems to smaller-sized hospitals. Regarding to the development of the innovation power, no valid conclusion can be drawn due to insufficient research and contradictory study results.