United States Electronic Health Records Market Overview, 2030

The market for Electronic Health Records EHR in the United States saw significant growth after the introduction of the 2009 Health Information Technology for Economic and Clinical Health HITECH Act. This act, along with the Meaningful Use initiative, encouraged hospitals and qualified providers to implement certified EHR systems. The rate of adoption jumped from below 75% of hospitals before HITECH to above 95% by the mid-2020s, making digital record-keeping a fundamental part of healthcare. The main aim of EHRs is to enhance care coordination by allowing secure and efficient sharing of patient data among providers, minimizing the need for repeat tests, preventing medication mistakes, and ensuring continuous care. From a technical perspective, contemporary EHRs in the U.S. are aligned with the United States Core Data for Interoperability USCDI standard, which specifies the key clinical information that must be shareable across the country. They are increasingly using HL7’s Fast Healthcare Interoperability Resources FHIR APIs to facilitate immediate, organized data exchange between different systems. This system of interoperability addresses one of the long-standing challenges in the industry isolated data that delayed quick and informed choices. The main users of EHR systems include large hospital networks, smaller outpatient clinics, and insurers who use combined clinical data for managing population health, quality reporting, and optimizing reimbursements. Simultaneously, R&D is working on incorporating artificial intelligence into documentation processes, especially through AI-driven medical scribes and natural language processing NLP technologies. These systems can listen to conversations between clinicians and patients, create structured SOAP notes, and automatically fill EHR fields, which lessens the administrative workload, enhances documentation precision, and allows clinicians to concentrate more on patient interaction. These advancements not only improve the efficiency of providers but also align with value-based care models that prioritize quality and results rather than quantity.

According to the research report, ""US Electronic Health Records Market Overview, 2030,"" published by Bonafide Research, the US Electronic Health Records market is anticipated to grow at more than 6.65% CAGR from 2025 to 2030. Fueled by ongoing federal incentives, substantial market penetration, and the continuous advancement of healthcare IT systems. A key factor at this time is the nationwide implementation of the Trusted Exchange Framework and Common Agreement TEFCA, which creates a network of networks for secure and standardized health data sharing, in terms to the 21st Century Cures Act API requirements that necessitate certified EHR systems to support standardized, FHIR-based interfaces aimed at patient and population services. These regulatory and technical changes are altering expectations for interoperability throughout the industry. The competitive arena remains focused, with Epic Systems, Oracle Health Cerner, MEDITECH, and athenahealth leading in market share thanks to enterprise-wide implementations, cloud solutions, and strong integration features. Beyond essential clinical records, a crucial area for growth involves payer-provider data exchange allowing real-time sharing of both clinical and administrative information to enhance prior authorization processes, improve the accuracy of risk adjustments, and enable value-based care agreements. This potential is enhanced by CMS interoperability regulations and TEFCA's Qualified Health Information Networks QHINs, which aim to minimize manual procedures and bridge information gaps between insurers and healthcare teams. Compliance is essential vendors and providers are required to follow HIPAA privacy and security guidelines, retain ONC Health IT Certification to meet interoperability and functionality standards, and fulfill Cures Act regulations that prevent information blocking while ensuring prompt patient access to electronic health data. These market dynamics strong size and growth, interoperability requirements, established vendor dominance, emerging models for payer-provider collaboration, and rigorous compliance obligations are setting up the U.S. EHR industry for sustained, innovation-driven progress in the next ten years.

The Electronic Health Records EHR in the United States by type is divided into Acute, Ambulatory and Post -Acute shows different patterns of use across various healthcare settings. In acute care, primarily in hospitals participating in Medicare and Medicaid, there has been a notable increase in adoption due to the HITECH Act and the Promoting Interoperability Programs. Presently, over 95% of non-federal acute facilities are utilizing certified EHR technology. These systems facilitate intricate workflows for inpatient services, interoperability, and reporting on quality. In ambulatory care, which encompasses private practices, outpatient centers, and surgery facilities, EHRs are specifically designed for high-volume visits that are of short duration, focusing on appointment scheduling, e-prescribing, and integration of billing processes. Post-acute care including skilled nursing homes and home health services has traditionally fallen behind in adopting digital solutions due to insufficient funding and lack of early federal incentives. Nevertheless, initiatives like the IMPACT Act of 2014 have encouraged the use of standardized and interoperable assessment data, leading to increased adoption rates, with approximately two-thirds of nursing homes now implementing EHRs. Market leadership is persistently held by Epic Systems, known for its acute and large ambulatory applications, while Oracle Cerner is robustly present within hospital networks and community healthcare resources. Both companies are focusing on cloud solutions, data analytics, and tools for engaging patients to sustain their market position. Compliance with the HIPAA Privacy and Security Rule is essential, requiring all providers and vendors to uphold standards for access control, encryption, audit trails, and breach notifications. The ONC Health IT Certification guarantees that systems comply with federal requirements regarding functionality, interoperability, and security. These factors specific patterns of adoption, consistent market expansion, concentration of vendors, and strict compliance characterize a mature yet innovation-driven U.S. EHR system that is continually adapting towards a more interconnected, efficient, and patient-focused approach to healthcare delivery.

In the United States, the use of clinical electronic health records EHRs by application is divided into Clinical Application, Administrative Application, Reporting in Healthcare System, Healthcare Financing and Clinical Research Application. In hospitals is almost complete, with more than 95% of non-federal emergency care facilities using certified systems to handle patient information, improve workflows, and assist in clinical decisions. Aside from direct patient care, EHR systems support administrative and billing processes that comply with Centers for Medicare & Medicaid Services CMS regulations, incorporating coding, claims submission, and prior authorizations to minimize inefficiencies in revenue cycles. They also function as a foundational tool for reporting to the Office of the National Coordinator for Health IT ONC, adhering to certification and interoperability benchmarks like USCDI and FHIR APIs, and meeting the reporting requirements of the Insights Condition under the 21st Century Cures Act. Financially, efficiency from EHR systems comes from built-in revenue cycle management resources, analytics to prevent denials, and automated payment processing, which can enhance cash flow and lessen administrative tasks. In the realm of research, EHR data is more frequently utilized for artificial intelligence and personalized medicine, merging genomic, imaging, and clinical information to facilitate predictive modeling, individualized treatment pathways, and extensive population research.There are significant growth prospects in managing population health, where EHRs compile clinical, claims, and social determinants data to recognize at-risk groups, close care gaps, and aid in value-based care agreements.

In the U.S. market for Electronic Health Records EHR, by deployment is divided into Web based and Client-Server. Online Software-as-a-Service SaaS platforms have greatly increased in usage, especially among small to medium-sized practices and outpatient networks looking for flexibility, reduced initial expenses, and remote access. Cloud-based solutions such as athenahealth provide subscription models that include integrated tools for clinical tasks, billing, and patient interaction, minimizing the reliance on traditional IT setups and allowing for quicker implementation. This transformation is fueled by the need for systems to work together, integration of telehealth services, and immediate data analysis, along with the capability to implement updates automatically without causing disruptions. Meanwhile, traditional client-server EHR systems are still prevalent in numerous large healthcare organizations and academic hospitals, where Epic is a leading player. These installations, often tailored over an extended period, are appreciated for their thorough integration with intricate inpatient processes, significant configurability, and a sense of control regarding data security. Nevertheless, they demand substantial investment, devoted IT personnel, and frequent manual upgrades. The competitive landscape between Athena’s cloud service model and Epic’s old client-server system highlights broader market divisions flexibility and cost-effectiveness versus oversight and customization. Chances for interoperability are growing as governmental efforts such as the Trusted Exchange Framework and Common Agreement TEFCA and FHIR-based APIs encourage vendors to facilitate smooth data transfer across various care environments, promoting collaboration between payers and providers, population health analysis, and patient-led data access. For cloud-based solutions, adhering to FedRAMP Federal Risk and Authorization Management Program is becoming more crucial when dealing with federal entities or sensitive health information in government-related initiatives. Compliance with FedRAMP guarantees that cloud technology follows strict NIST 800-53 security measures, which cover encryption, multifactor authentication, ongoing monitoring, and response strategies for incidents, in terms to meeting HIPAA’s privacy and security expectations.

In the U.S. market for Electronic Health Records EHR, by end user is divided into Hospital, Clinics, Specialty Centers and Other End Users Government, Homecare. Hospitals continue to be the biggest group of users, making up the bulk of installations due to their intricate inpatient processes, large patient numbers, and requirements for regulatory reporting. Large networks that provide integrated services typically utilize comprehensive EHR platforms from companies like Epic and Oracle Health, which allow for seamless cooperation across emergency, outpatient, and termsal services. Clinics, which encompass primary care and multifaceted practices, hold a notable portion of the EHR usage in outpatient settings, focusing on user-friendliness, e-prescriptions, and compatibility with billing systems to facilitate efficient patient interactions. Specialty centers including facilities like oncology and cardiology demand specifically tailored EHR solutions that accommodate unique workflows related to particular diseases, sophisticated diagnostics, and links with imaging and laboratory systems; these centers are increasingly applying analytics for targeted treatments and tracking results. Government initiatives, specifically the U.S. Department of Veterans Affairs VA and Department of Defense DoD, are currently undergoing extensive updates to implement a single Oracle-Cerner–driven Federal EHR, with the objective of guaranteeing smooth health information exchange for active personnel, veterans, and their families. Regarding market distribution, hospitals lead in revenue share, trailed by clinics, while specialty centers and government initiatives are smaller but crucial segments due to their specific requirements and considerable investments per site. Chance for telehealth and homecare is growing quickly, as EHRs incorporate tools for monitoring patients from a distance, documenting virtual visits, and coordinating care essential for overseeing chronic ailments, recovery after hospitalization, and access to health services in rural areas. These functions are being integrated into conventional EHR systems to facilitate hybrid care models and payment based on value.

Considered in this report
• Historic Year: 2019
• Base year: 2024
• Estimated year: 2025
• Forecast year: 2030

Aspects covered in this report
• Electronic Health Records Market with its value and forecast along with its segments
• Various drivers and challenges
• On-going trends and developments
• Top profiled companies
• Strategic recommendation

By Type
• Acute
• Ambulatory
• Post -Acute

By Application
• Clinical Application
• Administrative Application
• Reporting in Healthcare System
• Healthcare Financing
• Clinical Research Application

By Deployment
• Web based
• Client-Server

By End User
• Hospital
• Clinics
• Specialty Centers
• Other End Users(Government, Homecare) Show more