Copyright  2010 Jewson Enterprises™ Base Year 2009 - Competitors Analysis Segments
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COMPETITORS ANALYSIS SEGMENTS
INTRODUCTION
This document analyzes the POMIS competitors’ environment of information technology solutions
(ITS) vendor. The chapter focuses on administrative, financial, and clinical systems vendors, defined as:



Inhouse Systems Vendors,
Medical Billing Services Vendors, and
Software as a Service Providers.
At the end of 2009, The POMIS Report analyzed the performance of 591 vendors. The POMIS Report
had revenues of $200,000 or more and an active business. These vendors include: traditional practice
management system and EHR-EMR systems, as well as managed care information systems vendors in
ambulatory care settings. Vendors of individual clinical software components are not included as a
POMIS vendor in the analysis. A vendor is permitted to describe its EHR-EMR system as such.
The total revenues consists of the sum of all 591 vendor estimated revenues. Some vendors offer
hospital information systems (HIS) that were not included in the revenue analysis of this report.
The primary format of competitive intelligence in this chapter is specific data and information rather
than text. If any of our clients want to expand on information in this chapter, we would be happy to
talking about it in length.
Overall analysis of data/information in the 2010 Edition The POMIS Report indicates that a systemic
change is occurring in the physician’s office management and medical information systems (POMIS)
competitive environment for 2014. Information technology solutions will be benchmarked by
certification based on integration, interoperability, and affordability.
Copyright  2010 Jewson Enterprises™ Base Year 2009 - Competitors Analysis Segments
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LEADING MEDICAL GROUP PRACTICE VENDORS
EXHIBIT CAS-2. LEADING GROUP PRACTICES VENDOR – 2009
Leading Ten Group Practice Vendors' Market Share - 2009; $8,510.5 Million
McKesson, $427.4
Allscripts, $420.8
GE Heallthcare, $277.0
Sage, $265.0
Epic, $232.2
HealthPort™, $223.3
NextGen, $209.1
Athenahealth™, $171.5
MED3000, $152.8
Other Vendors, $5,999.9
CBIZ-MMP, $131.5
(Revenue Analysis - 2010, Chart 12)
McKesson = McKesson Provider Technologies
Allscripts = Allscripts, Inc.
GE Healthcare = GE Healthcare ITS
Sage = Sage Software Healthcare Division
Epic = Epic Systems Corporation
HealthPort = HealthPort, Inc.
NextGen = NextGen Healthcare Information Systems,
Inc.
MED3000 = MED3000, Inc.
Athenahealth = athenahealth, Inc.
CBIZ-MMP = CBIZ MEDICAL MANAGEMENT
PROFESSIONALS, INC. (MMP)
Source: Jewson Enterprises™’ POMIS Knowledge Base
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EXHIBIT EI-3. SELECTED VENDOR GROUPINGS MARKET SHARE – 2009
Vendor Market Share Groups
POMIS
Revenue
Industry
($Millions) Penetration
Top 10 Vendors
$4,117.0
46.1%
Top 25 Vendors
$6,158.1
68.9%
Top 50 Vendors
$7,064.6
79.0%
Top 75 Vendors
$7,520.8
84.1%
Top 100 Vendors
$7,814.3
87.4%
Top 200 Vendors
$8,303.9
92.9%
Top 300 Vendors
$8,553.6
95.7%
Top 400 Vendors
$8,735.1
97.7%
All 591 Vendors
$8,939.0
100.0%
(Revenue Analysis – 2010: Sheet Vendor Overview)
Source: Jewson Enterprises’ POMIS Knowledge Base
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Source: Jewson Enterprises™’ POMIS Knowledge Base
EXHIBIT IA-3. TOTAL NUMBER OF ALL GROUP PRACTICES WITHOUT REMOTE SITES BY CONSOLIDATING MARKET SEGMENTS
– 2008 HROUGH 2014
All Medical Group Practices
Total Group Practices in Appropriate
Segments
2008
2009
2010
2012
2014`
2009-2014
CAGR (%)
44,543
45,061
45,586
46,711
47,894
1.2%
34,261
34,879
35,510
36,803
38,129
1.8%
Hospital-Based Practices
8,690
8,653
8,618
8,549
8,483
-0.4%
Academic Medical Centers
1,592
1,528
1,458
1,358
1,282
-3.5%
Medical Group Practices
(Physician-Practice Totals-2010, Segmentations)
Source: Jewson Enterprises™’ POMIS Knowledge Base
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EXHIBIT PPD-2. SOLO AND 2-PHYSICIANS PRACTICES BY SPECIALTIES – 2008 THROUGH 2014
Selected Solo & 2-Physicians Specialties
2008
Total Solo & 2-Physicians Practices
2009
2010
2012
2014
2009-2014
CAGR (%)
-0.3%
160,306
160,350
160,041
157,576
157,953
General/Family Practice
23,250
23,801
24,252
25,184
26,100
Internal Medicine
28,888
29,638
30,287
31,627
33,026
Obstetrics/Gynecology
10,316
10,583
10,704
10,949
11,200
Pediatrics
14,646
15,199
15,380
15,748
16,125
Primary Care
77,100
79,221
80,623
83,508
86,451
Anesthesiology
9,534
9,712
9,791
9,949
10,111
Cardiovascular Disease
6,045
6,137
6,189
6,293
6,400
0.8%
Emergency Medicine
5,718
6,037
6,091
6,199
6,310
0.9%
General Surgery
8,409
8,511
8,598
8,776
8,957
Ophthalmology
5,313
5,375
5,413
5,489
5,566
0.7%
Orthopedic Surgery
5,325
5,432
5,481
5,581
5,682
0.9%
Radiology/Radiation/Diagnostic
8,680
8,893
8,933
9,015
9,097
Urological Surgery
2,849
2,910
2,946
3,021
3,097
Other Specialties
31,333
28,122
25,976
19,745
16,282
-10.4%
Total Non-Primary Care
83,206
81,129
79,418
74,068
71,502
-2.5%
1.9%
2.2%
1.1%
1.2%
1.8%
0.8%
1.0%
0.5%
1.3%
(Physician-Practice Totals-2010: Solo-2 Specialties)
CAGR = Compound Annual Growth Rate in percent; Figures have been rounded for convenience.
* Includes diagnostic and therapeutic, as well as radiation oncology
Source: Jewson Enterprises™’ POMIS Knowledge Base and state and local medical
associations/societies
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Exhibit T-1: Overview of the U.S. Health Care Industry – 2009 to 2015
GDP and NHE Comparison
Billions of Dollars
Percent of GDP
$25,000.0
18.4%
18.2%
$20,000.0
18.0%
17.8%
$15,000.0
17.6%
17.4%
$10,000.0
17.2%
17.0%
$5,000.0
16.8%
$0.0
2009
2010
2011
2012
2013
2014
2015
GDP
$14,282.5
$14,853.8
$15,611.4
$16,563.7
$17,524.4
$18,488.2
$19,431.1
NHE
$2,473.3
$2,600.2
$2,709.8
$2,851.6
$3,024.8
$3,302.4
$3,538.2
17.3%
17.5%
17.4%
17.2%
17.3%
17.9%
18.2%
NHE Percent
16.6%
Years
Source: Jewson Enterprises™ POMIS Knowledge Base extracted from CMS, Office of the Actuary.
See
http://www.cms.gov/NationalHealthExpendData/03_NationalHealthAccountsProjected.asp#TopOfPage
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Copyright  2010 Jewson Enterprises™ Base Year 2009 - Competitors Analysis Segments
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Vendor ID
VEN2390
Company Name McKesson Provider Technologies
Parent Name
MCKESSON CORPORATION
Address1
5995 Windward Parkway
Address2
City
Alpharetta
State
GA
Postal Code
30005
Country USA
Year Started
1980
Ownership
Publicly held
Offices 12
Phone 404-338-6000
Toolfree 800-981-8601
FAX
404-338-5108
Website http://www.mckesson.com/en_us/McKesson.com/
E-mail http://infosolutions.mckesson.com
Vendor Perspective
McKesson provides services and products to health care providers and payors.From pharmaceuticals and medical supplies to
sophisticated medical hospital workflow solutions, our offerings help customers reduce costs, streamline processes and, most
importantly, improve patient care and medication safety.
McKesson Provider Technologies relative to the POMIS industry offers a broadest products and services portfolio. The area
that The POMIS Report investigates consists of ambulatory care EHR, PMS, RIS, EDIS, Physician Portal, Home health, and
RCM. Their EDI processing business is excluded.
During 2010, McKesson added U.S. Oncology to the family. This provides the company a leadership in the Oncology
Information systems market. The unified company will deliver a best-in-class oncology program, clinical tools, guidelines and
care pathways that will create a leader in evidence-based medicine backed by a deep team of clinical experts. With
approximately 3,000 total physician customers, the new organization's expanded breadth will accelerate investments in
integrated systems, process excellence, and clinical programs that will help drive productivity, efficient care delivery, and the
best possible care experience for patients.
McKesson Technology Solutions provides software, automation, services and consulting to hospitals, physician offices,
imaging centers, home health care agencies and payors. We also provide interactive connectivity services that streamline
clinical, financial and administrative communication between patients, providers, payors, pharmacies and financial institutions.
Our solutions are designed to improve patient safety, reduce the cost and variability of care, improve health care efficiency and
better manage revenue streams and resources.
McKesson Automation
McKesson Health Solutions
McKesson Provider Technologies
RelayHealth
McKesson Provider Technologies automates health care delivery processes with a wide variety of clinical, financial and
administrative software applications.
Access management, revenue cycle and resource management solutions help organizations increase cash flow, maximize
use of resources, and standardize, measure and monitor key performance indicators.
Clinical solutions help to improve quality, safety and efficiency with point-of-care documentation, order management, clinical
decision support, diagnostic imaging and secure access to the complete electronic health record, including data, documents
and medical images.
Automation solutions support hospitals' unique dispensing, inventory management and medication administration initiatives.
Physician practice management solutions include software, revenue cycle outsourcing, connectivity services, and electronic
health records (EHR) software for physicians of every size, specialty or geographic location.
As a large Fortune-500 corporation with more than $100 billion in revenue, it serves more than 200,000 physicians, 750 home
care agencies, and 600 payers.
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Estimated POMIS Revenues: $651.0 (Millions of Dollars)
Financial Stability: Financially stable and receiving funding from numerous sources and has a sustainable business model
to compete in the future.
Products Offered: Clinical and EHR Solutions
McKesson empowers physicians with clinical solutions to help provide better, more efficient, care for patients.
Practice Partner Patient Records Empower patients and staff with online clinical resources
Implement EMRs for all patients
Improve ease of patient care with in-office lab solutions
Accelerate patient treatment with ePrescribing solutions
● Horizon Ambulatory Care
Improve continuity of care with full integration to Horizon Clinicals®
Increase efficiency with template-driven documentation
Enhance patient safety and convenience with ePrescribing
● Specialty Distribution
Receive specialty and oncology drugs through direct-to-provider wholesale distribution
● Medical-surgical supplies
Order, use, and re-order medical-surgical supplies and equipment easily
McKesson Revenue Management Solutions
Increase cash flow, reduce accounts receivable days, and explore solutions that can help you fund future IT initiatives
● Management Solutions
McKesson technology empowers practices to automate the processes that have typically required hours of administrative time,
helping staff do more in less time.
● McKesson Supply Manager
Manage supply inventory online in real-time
● McKesson Practice Complete™
Process claims more efficiently and accurately
Speed reimbursements
Streamline practice management and identify areas to reduce costs
● Lynx®
Comply with government and insurance reporting demands
Maintain electronic patient records
Simplify ordering process for specialty pharmaceuticals
Through web-based technology, not software, physicians are empowered to practice medicine and manage their practice—
anytime, anywhere.
● RelayHealth webVisit®
Monitor non-urgent issues conveniently and inexpensively, and promote patient adherence through personalized instructions
Generate income through online patient visits
Free up phone lines and reduce fax activity by shifting administrative tasks online
Protect and access patient records
● RelayHealth Secure Colleague Messaging and e-Referrals
Share knowledge and solve patient issues with colleagues
Streamline approval, fulfillment, and billing for prescriptions
Realize efficiency gains in lab results, appointment requests, and referrals
● HorizonWP® Physician Portal
Access vital patient information securely—anytime, from any computer.
Home Care
McKesson homecare documentation tools and technology give you the power to succeed in a challenging environment—and
bring the best healthcare home.
Research and Development: Competitive R&D budget
Scalability: Practice partner scalable from solo through about 20-physicians and the Horizon series thereafter.
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t Success Assessment
Market Shares: Based on high-growth market segments. These segments include health systems, physician offices and
other ambulatory settings, medical imaging, automation, and consumer technologies. The new structure is designed to
leverage McKesson's leadership position as an innovator in healthcare technology and workflow automation and accelerate
the introduction of new products into strategic market segments.
Extent of Brand Recognition: Very strong brand recognition among physicians
Geographical Coverage: National
Offices: GA, CO, NC, TX, IA, OR, FL, MN, PA, NJ, MO, IL
Includes all states plus some international countries.
Distribution Channels and Well-managed list of partnerships.
Alliances:
Inhouse Configuration: Yes
Software as a Service (SaaS or ASP): Yes
Medical Billing Services: Yes
EHR System: Yes
Managed Care Information System: No
PMS: Yes
Certified EHR System: Yes
Hybrid Configuration:
Revenue Cycle: Yes
Direct Sales: Yes
Value-Added Reseller (VAR): Yes
Number of Customers 89,150
Number of Physicians 148,000
Number of Employees: 14000
Personnel Assessment:
Contact Executive: David Henriksen
Contact Title: Senior VP of McKesson Physician Practice Solutions Group
Other Key Executives: John H. Hammergren, Chairman, President and Chief Executive Officer; Jim Pesce, president,
McKesson Provider Technologies
Completeness of Vision:
McKesson's Mission
Advancing the health of the health care system by advancing the success of our partners
McKesson's Vision
To bring together clinical knowledge, process expertise, technology and the resources of a Fortune 14 company to
fundamentally change the cost and quality of available health care services
Organizational Structure:
Based on high-growth market segments. These segments include health systems, physician offices and other ambulatory
settings, medical imaging, automation, and consumer technologies. The new structure is designed to leverage McKesson's
leadership position as an innovator in healthcare technology and workflow automation and accelerate the introduction of new
products into strategic market segments.
Growth Plans:
Excellent growth plans based on market share advantage that provides some economies of scale.
Market Strategy:
Support physician alignment and coordinated care.
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Activity
Total POMIS Physicians (MDs)
AMA 2009
JE 2010
850,232
859,279
749,566
758,431
Office-based Practice
560,381
563,967
Hospital-based Practice
Other POMIS Professional
Activity
189,185
194,464
43,239
43,158
Administration
14,207
14,300
Medical Teaching
10,241
10,200
57,427
57,690
Patient Care
Not Classified
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