Archive for HIPAA

Top HIS Vendors by Revenue

How does your HIS vendor rank in terms of annual revenue? With so many “HIT” vendors selling diverse products and services such as hardware, imaging, consulting and outsourcing, “Top Vendor” lists have become very confusing. For example, is it fair to include hardware vendors like IBM, niche players like CareFusion, or consulting firms like CSC?

To set matters straight, industry experts at HIS Professionals, LLC, devoted their 25 years of consulting experience to come up with a true list of HIS vendor revenue, comprising technology vendors whose business is primarily hospital information systems, defined as follows:

* Hospital: The target market is primarily hospitals, not physician practices, managed care organizations, long-term care facilities or other niches. Granted, many vendors sell to multiple markets, but the majority of their revenue should come from hospitals.

* Information: The full suite of software needed to automate the major departments in a hospital: both financial and clinical systems. Thus, specialty vendors like Sunquest for lab and Lawson for enterprise resource planning systems are not included.

* Systems: The complete package of hardware, software and implementation that is needed, plus the ongoing software maintenance and support to keep it running. This excludes vendors like Dell and Hewlett Packard whose billions in annual revenue are quite impressive, but offer hardware and consulting only, not HIS software.

To obtain 2012 revenue figures, HIS Pros scoured government and financial Web sites, published earnings reports and contacted vendors directly to come up with the following table showing leading HIS vendors’ 2012 revenue. In some cases, estimates had to be made for companies that are privately held and don’t publish such figures (e.g.: Epic and Healthland), or are a part of large conglomerates whose revenue includes many non-health care sectors (e.g.: Siemens and GE). These estimates were based on past years when HIS revenue was reported and adjusted for market share growth/decline since.

HIS Pros also provides commentary about each vendor, highlighting product offerings, significant changes from previous year’s operations and explaining how any revenue estimates were made:

1. McKesson: Its Provider Technologies division was only 3 percent of the parent company’s $122 billion+ revenue, but a far larger ratio of profits. The $3.6 billion in technology revenue includes non-hospital divisions such as InterQual and RelayHealth; therefore we estimated their pure HIS revenue at about $3.2 billion, slow growth from last year due to a sad sunset on the Horizon, despite which they are still the Paragon of HIS vendors.

2. Cerner: Revenue grew by 21 percent as sales of its Millennium suite of HIS products yielded annual revenue of $2.6 billion, again earning the company a solid second ranking. Cerner is selling strongly in the community hospital market through its remotely hosted solutions, has a large international presence and now even offers Community Works to critical access hospitals with less than 25 beds.

3. Siemens: The $1.8 billion HIS revenue is estimated based on its complex parent organization, which does over $100 billion worldwide, of which 17 percent is attributable to health care, primarily through sales of imaging equipment. Soarian is selling very well, and future prospects are rosy due to a superb sales organization as well as hundreds of clients on its aging Invision and MedSeries4 systems that are lucrative Soarian prospects.

4. Epic: This tidal wave in the HIS industry has won virtually every major integrated delivery system and academic medical center contract over the past several years, topping 2012 with the win at New York City’s Health and Hospitals Corp. We estimate revenue at $1.5 billion, coincidentally equal to what their CEO Judy Faulkner was recently valued at in Forbes magazine. Future prospects are equally rosy as the “lemming effect” seems to be taking hold in large HIS decisions.

5. Allscripts: Slipped from 4th place in 2011 due to a year of turmoil in its C-suite, boardroom and stock price. New CEO Paul Black from Cerner may represent a Sunrise in their future. Allscripts has been a leader in the physician EMR and practice management market for years, so combined with the HIS it acquired from Eclipsys, it’s are now a major player in the interoperability/ACO world.

6. GE: Slipped again this year due to losing many Centricity Enterprise (hospital) clients and not winning a single large hospital sale in many years. We estimate HIS revenue has dropped to $850 million, although parent GE is still the 6th largest firm in the United States by gross revenue, and its health care division, which sells myriads of technology products in radiology (RIS/PACS) and other niches (CVIS) is still going strong.

7. Meditech: The $597 million revenue figure would be even larger if it included hardware, Meditech and Epic being the only HIS vendors that do not sell servers but rather pass that revenue to Perot (which acquired JJ Wild). Net income was $130 million with a 21 percent profit margin, testimony to its ability to juggle three product platforms with hundreds of hospitals on each: Magic, Client/Server and Release 6. Wonder when Release 7.0 is coming out?

8. NextGen: A relative newcomer in HIS circles and a division of Quality Systems, Inc., it acquired the Opus hospital EMR and Sphere’s financial systems, creating a total HIS to go along with strong physician EMR/practice management products. We estimate its 2012 revenue at $375 million, mostly in the small hospital market where most of their competitors struggle with the underlying concepts.

9. Computer Programs & Systems (CPSI): The leader in the small (under 100 bed) hospital market with $183 million in revenue and a 16 percent net profit margin. Revenue was up only 5 percent from 2011′s $174 million, but profits rose to $30 million, thanks to sales of its highly integrated CPSI System and upgrades in its client base of over 600 small hospitals, many of which are upgrading to EMR modules.

10. Healthcare Management Systems (HMS): The company from Nashville (not the other “HMS” based in NYC providing managed care software), another leader among small hospitals that we estimate had $175 million in annual revenue last year, much of it from it acquisition of MedHost, a premier EDIS, and a new ambulatory EMR system. The company is owned by Primus Capital, a private equity firm.

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HL7 Makes Good on Its Offer of Free Intellectual Property

Standards development organization Health Level Seven International in September 2012 pledged to offer much of its intellectual property via a free license, and that property now is available.

The free property includes all published standards, domain analysis models, profiles and implementation guides. HL7 also will make free other select intellectual property, such as implementation tools, on a case-by-case basis. The intellectual property will not be licensed on the open source market, under which developers may make enhancements. The content must be licensed for use but the license is free.

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Doc Compare Web Site Upgraded

The Centers for Medicare and Medicaid Services is creating a new survey to augment its consumer-oriented Physician Compare Web site with quality and patient satisfaction scores.Physician Compare currently gives consumers physician contact information, their specialties, clinical training, gender, foreign languages, affiliated hospitals, and whether they’re accepting new Medicare patients. CMS will now make add quality data collected from the Physician Quality Reporting System and Electronic Prescribing Incentive Program, including patient satisfaction scores.

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Five Win Vespas in HDM Drawing

Health Data Management gaveaway several Vespa LX150 scooters from the HIMSS13 floor on Wednesday, March 6. The winners from HDM’s traditional contest of visiting specific vendor booths during the show and getting an entry card stamped are:

* Kelly Lucas, CIO at Sampson Regional Medical Center in Clinton, N.C.

* Dusty Colvard, I.T. director at Tehachapi (Calif.) Valley Healthcare District.

* William Croyle, R.N., at ACMH Hospital in Kittanning, Pa.

* Jane Loveless, VP, CIO at Grand View Hospital , in Sellersville, Pa.

AthenaHealth, Liberty Solutions, NetApp and SCI Solutions sponsored this year’s traditional Vespa contest.

New for HIMSS13 was a Vespa social media drawing, sponsored by NextGen Healthcare Information Systems. The winner was Vickie Gallo, accountant at Clay County Medical Center in Kansas.

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California, Vermont to Force Insurer Bids for Health Care

California and Vermont are the only states set to require medical insurers to bid for the chance to sell coverage through new exchanges being set up this year under the Obama administration’s health-care overhaul.

The 2010 Affordable Care Act gives states the power to impose a bidding system for insurers to join the exchanges as an option to help drive down costs. A survey of the 16 states that will run their own systems starting in October found that 12 won’t require such a system and at least one other is undecided.

“It’s a missed opportunity if the exchanges don’t use their bargaining power to force insurance companies to compete on price,” said Jay Angoff, a partner at Mehri & Skalet in Washington who once served as Missouri’s insurance commissioner and later worked for President Barack Obama’s administration.

With about 7 million people projected to seek insurance through exchanges next year, and 27 million by 2018, states could have leveraged that customer base to ensure lower prices. Market competition will hold down premiums, said America’s Health Insurance Plans, the lobbying group for insurers.

“We’ve always believed that exchanges need to maximize choice and competition,” according to a spokesman for the Washington-based organization. “Efforts to exclude plans from participating in exchanges would have the opposite effect.” Two of the 16 states-Minnesota and Massachusetts-are at least considering attaching some strings.

Massachusetts is holding a limited auction, restricted to insurers that want to sell to low-income people who will receive extra subsidies from the state. Five plans will win the right to sell to those customers, said Jean Yang, the executive director of the Massachusetts Health Connector. People who earn too much for state subsidies will have a wider choice of plans, she said.

“Competitive bidding obviously is an attractive concept because it pushes price points down and everyone benefits,” she said in a phone interview.

Minnesota’s legislature is now debating whether to authorize an exchange and hasn’t decided to require bids, said a spokesman for the state budget office.

“We’re exactly smack dab in the middle of that debate,” he said.

Vermont is making health insurers bid, yet with only two carriers in the state, the government is unlikely to exclude either of them, according to Lindsey Tucker, the exchange’s deputy commissioner.

That’s driven decisions in many states, where officials say that without knowing how many people will enroll in the exchanges, they hesitate to drive hard bargains with insurers.

“It’s kind of like saying, ‘I’m going to negotiate with the car dealer but I don’t know what model I want, what features I want, I don’t know if I want automatic or stick shift-but I’d like to negotiate price with you,’” said Kevin Counihan, the executive director of the Connecticut exchange. “It’s hard to negotiate with no market share.”

In the absence of leverage, broader choice can be effective, Counihan said in a telephone interview.

“This is music to the ears of the insurers,” said Joel Ario, a former Obama administration health official who is now managing director at Manatt Health Solutions, a consulting firm in Washington that is advising insurers on exchange rules.

Insurers say the best way for states to secure affordable premiums as well as a wide choice of plans is to allow any carrier into the exchange that qualifies under federal rules.

“Our position has been: let everyone who’s qualified play,” said Kim Holland, a former Oklahoma insurance commissioner who manages state affairs for the Blue Cross Blue Shield Association, a federation of 38 local plans, including some owned by WellPoint Inc.

“Already, there are carriers saying we’re going to limit the number of exchanges we participate in,” Holland said in a phone interview. “To further limit that doesn’t make a lot of sense.”

In California, which expects as many as 2.4 million people to be shopping in its exchange by the end of January, 33 insurers have said they will bid to sell plans, said Dana Howard, a spokesman for the exchange, called Covered California.

“They will not all be in,” said Peter Lee, the executive director of Covered California, in a Feb. 13 conference call with reporters. “We will select the plans that will be best for California’s consumers.”

The federal government is building and running exchanges in 26 states and doing most of the work in seven others. The Obama administration has told insurers they won’t have to bid to get into the federal exchanges for at least three years.

“If the rates for a proposed plan are determined to be unreasonable or inappropriate,” the marketplaces may exclude the plan, Alicia Hartinger, a spokeswoman for the U.S. health agency’s Center for Consumer Information and Insurance Oversight, which is building the federal exchanges, said in an e-mail.

-Alex Wayne, Bloomberg News Service

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