Case Study | 31 December 2025

A Detailed Product Analysis Enabled a HealthTech Software Provider to Boost Customer Engagement and Stay Competitive in the EHR Industry

Posted by : Ipseeta Dash

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An overview:

A top U.S.-based healthcare technology firm specializing in cloud-based Electronic Health Records (EHR), patient engagement platforms, and medical billing software found itself at a critical turning point in 2022. After over a decade of stable growth, the company began experiencing signs of stagnation due to rapid market evolution, rising client attrition, and diminishing platform engagement.

The firm, well-known among small to mid-sized clinics for its customizable EHR modules, sought innovative strategies to reverse the trend. In response to the urgency to revamp its product strategy to match user expectations and outperform its competitors, the company approached Research Nester for a comprehensive product analysis and strategic advisory initiative.
The primary goals of this engagement were:

  • Improve platform stickiness and engagement by 20%
  • Improve product adoption among newly onboarded clinics
  • Cut churn rates by 10% within 12 months
  • Identify high-impact product innovations that could help future-proof the platform

The Story

Challenges in a Competitive, Evolving Ecosystem

By mid-2022, the client company had noticed a consistent decline in its Net Promoter Score (NPS), increased helpdesk tickets, and a noticeable uptick in license cancellations across smaller healthcare facilities. The firm’s revenue remained flat, and insights from the sales teams pointed out that potential customers were increasingly preferring new competitors that provide AI-powered diagnostic tools, seamless telemedicine integration, and sophisticated mobile platforms.

Key challenges included

  • Core EHR modules had not been updated in two years and missed out on features such as voice-based data entry, smart suggestions, or patient behavior tracking.
  • Many long-term users reported that the UI felt outdated and unintuitive, especially in comparison to new cloud-native EHR platforms in the market.
  • Regulatory requirements under HIPAA and the ONC Cures Act introduced new mandates for interoperability and patient access APIs. Non-compliance risked penalties and loss of business.
  • During and post-pandemic, many clinics shifted to remote consultations. During this at-home consultation phase, the client’s telehealth system did not have live data insights, appointment reminders, and device integrations.
  • Feedback from multi-physician practices unveiled frustration around fragmented patient data, which decreased efficiency in care and led to poor coordination.

The company’s leadership wanted more than a superficial upgrade; they needed a complete end-to-end analysis of their value proposition, product features, and compliance with healthcare practitioners' changing expectations.

Our Solution:

Upon engagement, Research Nester implemented a three-phase product analysis and innovation roadmap that included: user-behavior mapping, competitive benchmarking, and a future innovation plan built on emerging healthcare technology trends.

Phase 1: Cohort Analysis and Feedback Sentiment Mapping

We began by categorizing users into cohorts based on:

  • Organization size (solo, mid-size, multi-specialty groups)
  • Specializations (internal medicine, pediatrics, cardiology, etc.)
  • Years of subscription/use
  • Product usage depth (EHR only vs. EHR + billing + telehealth)

Using internal user behavior analytics and focused customer interviews, we detected three major user pain points:

  • Tedious Workflow for Routine Tasks: Activities such as appointment scheduling, follow-ups, or lab integrations included too many clicks and did not have automation.
  • Dated Visual Design: The legacy interface negatively impacted first-time user adoption and made it difficult for new staff to onboard.
  • Improper Reporting Tools: Physicians looked for dashboards that offer patient progress trends, insights into chronic care management, and personalized tracking of key performance indicators.

Phase 2: Competitive Landscape Assessment

We studied the client’s offering with seven major players in the EHR and Health IT market. This comprised direct competitors, emerging startups, and freemium tools highly used among solo practitioners. We evaluated feature breadth & innovation, interoperability features, AI and ML-driven recommendations, mobile compatibility, customer support models, and security architecture, e.g., blockchain, and multi-factor authentication.

Findings:

  • Competitors such as Athenahealth and Kareo were offering AI-assisted charting and smart documentation aids.
  • Newer players had better convergence with wearable health devices and home-monitoring kits.
  • Some EHR platforms had built strong communities and user forums, which enhanced engagement and retention.

A detailed SWOT analysis helped us identify the company’s main strengths, i.e., adaptability, a trusted SMB base, and challenges such as low mobile readiness and AI capabilities.

Phase 3: Product Recommendations & Future Pathway

Based on our research, we made the following suggestions as mentioned below:

  • UI/UX Revamp with Workflow-Centric Design: Introduce a clean, mobile-responsive design with dashboards that automatically update on the basis of user role, simplifying tasks for physicians, nurses, and the administrative staff.
  • AI-Driven Clinical Decision Support: Add intelligent diagnosis suggestions, prescription prompts, and auto charting tools powered by natural language processing (NLP).
  • Intelligent Patient Interaction Solution: Implement an automated messaging system with pre-visit questionnaires, appointment reminders, and digital forms to decrease the paperwork burden.
  • Advanced Telehealth Module: Update telehealth features to include tele-diagnostics integration, screen sharing, and automated note transcription.
  • Blockchain-Based Medical Records Management: Use blockchain for secure, decentralized record management, ensuring better patient data control and tamper-proof audits.
  • API-Led Interoperability: Allow smooth integration with labs, pharmacies, insurance platforms, and public health data systems using HL7 FHIR APIs.
  • Value-Added Analytics Suite: Build customized dashboards for clinics to analyze appointment trends, billing efficiency, chronic care metrics, and operational bottlenecks.
  • Continuous Feedback Loop: Establish a digital feedback portal implanted in the dashboard so users can suggest improvements in real time, improving responsiveness and customer trust.

Results

Over the next 12 months following implementation, the company saw significant improvements across all critical performance indicators. The updated AI-driven EHR system reduced clinical documentation time by 40%, freeing up more hours for patient interaction. Additionally, blockchain integration reassured clients about HIPAA compliance and data security, making it easier for the company to sell to hospital groups and government-backed clinics.

Metric

Pre-Engagement (2022)

Post-Implementation (End of 2023)

Monthly Active Users (MAU)

72,000

89,500

Customer Retention Rate

83%

91%

Revenue Growth

Flat

+22% YoY

New Clients Onboarded

120/month

185/month

Support Tickets per Month

4,200

2,500 (due to UX improvements)

NPS Score

32

46

Recognition and Road Ahead

The product transformation not only solved current issues but also positioned the company as an innovator in the EHR space. It received:

  • The HealthTech UX Innovation Award (2024)
  • Shortlisted in the Top 10 AI-Driven Health Platforms by HealthIT Magazine
  • A new collaboration with a wearable device firm to co-develop predictive health monitoring solutions

With a strong roadmap in place and a renewed product focus, the company is now piloting integrations with GenAI-powered voice assistants, empowering physicians to update patient records via voice commands, a move expected to be a game-changer in usability and speed.

Conclusion

This comprehensive product analysis and transformation project highlights the importance of being consumer-centric, technology-forward, and compliance-ready in the modern healthtech landscape. Companies that actively align with evolving practitioner expectations, merge intelligent features, and future-proof their offerings will not only retain clients but also lead the healthcare innovation frontier.

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vishnu-nair
Vishnu Nair

Head- Global Business Development

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