Electronic health records are the foundational data infrastructure of American healthcare, and the interoperability of these systems — the ability to share patient data seamlessly across providers, payers, and patients — is the most consequential technology policy issue in healthcare. Epic Systems controls approximately 35% of U.S. hospital EHR installations and is the de facto standard for large health systems. Oracle Health (formerly Cerner) is the second largest EHR vendor. The 21st Century Cures Act information blocking provisions, TEFCA interoperability framework, and FHIR API standards are collectively mandating a more open, interoperable healthcare data ecosystem that benefits patients and payers.
This report provides significant competitor information, analysis, and insight critical to the development and implementation of effective marketing and R&D programs.
Topics Covered
• EHR Market Dynamics
• Epic and Oracle Health Competitive Comparison
• FHIR and API Interoperability
• Information Blocking Enforcement
• Patient Data Access
• Healthcare Data Exchange Networks
• Payer-Provider Data Integration
Table of Contents
1. Executive Summary
2. Technology Landscape Overview
3. EHR Market Dynamics
4. Epic and Oracle Health Competitive Comparison
5. FHIR and API Interoperability
6. Information Blocking Enforcement
7. Patient Data Access
8. Healthcare Data Exchange Networks
9. Payer-Provider Data Integration
10. Competitive Landscape
11. Strategic Conclusions and Recommendations
12. Appendix
List of Tables
Table 1. Technology Overview and Key Data 2025
Table 2. EHR Market Dynamics
Table 3. Epic and Oracle Health Competitive Comparison
Table 4. FHIR and API Interoperability
Table 5. Information Blocking Enforcement
Table 6. Patient Data Access
Table 7. Healthcare Data Exchange Networks
Table 8. Payer-Provider Data Integration
Table 9. Leading Companies — Technology Investment and Strategy 2025
Table 10. M&A and Partnership Activity 2023-2025
Table 11. Key Risks and Mitigation Strategies
Companies Profiled
Ascension
CommonSpirit
Community Health Systems
HCA Healthcare
Tenet Healthcare
Universal Health Services
