Quick Overview
- 1#1: Epic Systems - Comprehensive EHR platform with advanced chronic care management, remote monitoring, and patient engagement tools.
- 2#2: Oracle Health - Integrated health IT solution offering robust chronic disease management, telehealth, and analytics for population health.
- 3#3: athenahealth - Cloud-based EHR and revenue cycle management with specialized workflows for chronic care billing and coordination.
- 4#4: eClinicalWorks - EHR system featuring patient portals, RPM, and chronic condition tracking for improved care outcomes.
- 5#5: ChronicCareIQ - Automated CCM platform optimizing billing, patient monitoring, and care plan adherence for chronic conditions.
- 6#6: ChartSpan - CCM and RPM software streamlining remote monitoring, documentation, and Medicare reimbursements.
- 7#7: CareHarmony - All-in-one platform for CCM, behavioral health, and social determinants integration in chronic care.
- 8#8: Omada Health - Digital therapeutics program delivering personalized coaching for diabetes, hypertension, and musculoskeletal care.
- 9#9: Glooko - Diabetes management platform unifying device data, analytics, and care team collaboration for chronic glucose control.
- 10#10: PCO Health - Turnkey CCM service with technology for patient outreach, monitoring, and compliant billing reimbursement.
We evaluated and ranked these tools based on advanced features like care coordination and remote monitoring, clinical and operational performance, user-friendly design, and strong value through reimbursement and cost-effectiveness.
Comparison Table
This comparison table examines key chronic care software solutions, featuring tools like Epic Systems, Oracle Health, athenahealth, eClinicalWorks, and ChronicCareIQ, to help readers assess functionality, usability, and integration for managing long-term conditions. By breaking down features such as care coordination, data analytics, and patient engagement, the table equips users to identify the right fit for their practice or organization’s specific needs.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Epic Systems Comprehensive EHR platform with advanced chronic care management, remote monitoring, and patient engagement tools. | enterprise | 9.8/10 | 9.9/10 | 7.2/10 | 8.9/10 |
| 2 | Oracle Health Integrated health IT solution offering robust chronic disease management, telehealth, and analytics for population health. | enterprise | 9.2/10 | 9.6/10 | 7.9/10 | 8.4/10 |
| 3 | athenahealth Cloud-based EHR and revenue cycle management with specialized workflows for chronic care billing and coordination. | enterprise | 8.6/10 | 9.0/10 | 8.2/10 | 8.0/10 |
| 4 | eClinicalWorks EHR system featuring patient portals, RPM, and chronic condition tracking for improved care outcomes. | enterprise | 8.1/10 | 8.6/10 | 7.2/10 | 7.8/10 |
| 5 | ChronicCareIQ Automated CCM platform optimizing billing, patient monitoring, and care plan adherence for chronic conditions. | specialized | 8.4/10 | 8.8/10 | 8.2/10 | 8.1/10 |
| 6 | ChartSpan CCM and RPM software streamlining remote monitoring, documentation, and Medicare reimbursements. | specialized | 8.2/10 | 8.7/10 | 8.0/10 | 7.8/10 |
| 7 | CareHarmony All-in-one platform for CCM, behavioral health, and social determinants integration in chronic care. | specialized | 8.2/10 | 8.8/10 | 7.9/10 | 8.0/10 |
| 8 | Omada Health Digital therapeutics program delivering personalized coaching for diabetes, hypertension, and musculoskeletal care. | specialized | 8.4/10 | 8.7/10 | 8.5/10 | 8.0/10 |
| 9 | Glooko Diabetes management platform unifying device data, analytics, and care team collaboration for chronic glucose control. | specialized | 8.4/10 | 9.2/10 | 8.0/10 | 7.8/10 |
| 10 | PCO Health Turnkey CCM service with technology for patient outreach, monitoring, and compliant billing reimbursement. | specialized | 7.4/10 | 7.8/10 | 7.2/10 | 7.1/10 |
Comprehensive EHR platform with advanced chronic care management, remote monitoring, and patient engagement tools.
Integrated health IT solution offering robust chronic disease management, telehealth, and analytics for population health.
Cloud-based EHR and revenue cycle management with specialized workflows for chronic care billing and coordination.
EHR system featuring patient portals, RPM, and chronic condition tracking for improved care outcomes.
Automated CCM platform optimizing billing, patient monitoring, and care plan adherence for chronic conditions.
CCM and RPM software streamlining remote monitoring, documentation, and Medicare reimbursements.
All-in-one platform for CCM, behavioral health, and social determinants integration in chronic care.
Digital therapeutics program delivering personalized coaching for diabetes, hypertension, and musculoskeletal care.
Diabetes management platform unifying device data, analytics, and care team collaboration for chronic glucose control.
Turnkey CCM service with technology for patient outreach, monitoring, and compliant billing reimbursement.
Epic Systems
enterpriseComprehensive EHR platform with advanced chronic care management, remote monitoring, and patient engagement tools.
Healthy Planet population health platform with AI-driven predictive modeling and automated care gap closure for chronic disease management
Epic Systems is a premier electronic health record (EHR) platform with robust chronic care management tools integrated into its ecosystem, enabling population health management for conditions like diabetes, hypertension, and COPD. It facilitates care coordination, remote patient monitoring, personalized care plans, and predictive analytics through modules like Healthy Planet and MyChart patient portal. Epic's interoperability via Care Everywhere ensures seamless data sharing across providers, supporting proactive chronic disease interventions at enterprise scale.
Pros
- Comprehensive population health analytics and risk stratification for chronic conditions
- Seamless interoperability and data integration across systems
- Scalable for large patient populations with strong patient engagement tools
Cons
- Extremely high implementation costs and lengthy deployment timelines
- Steep learning curve due to complexity
- Less ideal for small practices or solo providers
Best For
Large hospitals, health systems, and ACOs managing chronic care for extensive patient populations.
Pricing
Custom enterprise pricing with implementation often exceeding $1M+ and ongoing subscription fees scaled to users, beds, and modules.
Oracle Health
enterpriseIntegrated health IT solution offering robust chronic disease management, telehealth, and analytics for population health.
AI-powered population health analytics for predictive chronic disease risk management and automated care gap closure
Oracle Health is a comprehensive enterprise-grade healthcare platform, formerly Cerner, that integrates electronic health records (EHR), clinical decision support, and population health management tools tailored for chronic care. It supports remote patient monitoring (RPM), personalized care plans, and AI-driven analytics to manage conditions like diabetes, hypertension, and heart disease effectively. The solution emphasizes interoperability with wearables, labs, and other systems, enabling proactive interventions and improved patient outcomes at scale.
Pros
- Seamless EHR integration with chronic care workflows and RPM
- Advanced AI and predictive analytics for risk stratification
- High scalability and interoperability for large health systems
Cons
- Complex and lengthy implementation process
- High enterprise-level pricing
- Steep learning curve for non-technical users
Best For
Large hospital networks and health systems needing robust, integrated chronic care management within a full EHR ecosystem.
Pricing
Custom enterprise pricing; typically starts at $500K+ annually for mid-sized deployments, scaling with modules and users.
athenahealth
enterpriseCloud-based EHR and revenue cycle management with specialized workflows for chronic care billing and coordination.
Integrated population health management with predictive analytics for proactive chronic disease intervention
athenahealth is a cloud-based electronic health record (EHR) and practice management platform that excels in chronic care management through integrated tools for remote patient monitoring (RPM), chronic care management (CCM) billing, and population health analytics. It enables providers to track patient vitals, automate care plans, and coordinate multidisciplinary teams for conditions like diabetes, hypertension, and COPD. The platform's patient engagement features, including secure portals and telehealth, enhance ongoing monitoring and adherence to treatment protocols.
Pros
- Seamless EHR integration for CCM and RPM workflows with automated billing compliance
- Powerful population health analytics for risk stratification and outcomes tracking
- Scalable patient engagement tools including portals and telehealth for better adherence
Cons
- High implementation costs and time for full customization
- Pricing can be prohibitive for small solo practices
- Interface may feel overwhelming for users new to comprehensive EHR systems
Best For
Mid-sized to large primary care or specialty practices needing an all-in-one EHR with advanced chronic care management capabilities.
Pricing
Custom quote-based pricing; typically $250-$500 per provider per month, plus setup fees and module add-ons.
eClinicalWorks
enterpriseEHR system featuring patient portals, RPM, and chronic condition tracking for improved care outcomes.
Integrated Remote Patient Monitoring with automated alerts and billing compliance
eClinicalWorks is a comprehensive EHR and practice management platform with dedicated modules for chronic care management, including remote patient monitoring (RPM), care coordination, and population health analytics. It enables providers to track patient vitals, manage care plans, and bill for CCM services efficiently. The system integrates telehealth and patient engagement tools via the Healow app to support ongoing chronic disease management.
Pros
- Robust RPM and CCM billing integration for revenue optimization
- Strong population health tools for chronic disease analytics
- Seamless telehealth and patient portal for engagement
Cons
- Steep learning curve and interface can feel cluttered
- Customer support response times often criticized
- Customization requires significant setup time
Best For
Mid-sized to large practices focused on scaling chronic care management with integrated EHR workflows.
Pricing
Starts at $449 per provider/month for core EHR, with CCM/RPM add-ons at $100-300 extra per month depending on usage.
ChronicCareIQ
specializedAutomated CCM platform optimizing billing, patient monitoring, and care plan adherence for chronic conditions.
AI-driven risk prediction engine that forecasts patient deteriorations and prioritizes care interventions
ChronicCareIQ is a remote patient monitoring (RPM) and chronic care management (CCM) platform tailored for healthcare providers managing chronic conditions such as diabetes, hypertension, and heart disease. It provides Bluetooth-connected devices, real-time data collection, AI-driven insights, and automated billing to streamline reimbursements and improve patient outcomes. The software integrates with major EHR systems and emphasizes scalability for practices seeking to expand RPM services.
Pros
- Automated billing and revenue cycle management for RPM/CCM codes
- Broad device compatibility and EHR integrations
- AI-powered predictive analytics for early intervention
Cons
- Higher per-patient costs for smaller practices
- Limited advanced customization options
- Occasional delays in device fulfillment and setup
Best For
Small to mid-sized primary care practices looking to scale chronic care management with RPM without heavy IT overhead.
Pricing
Per-patient monthly pricing starting at around $50-$70, including devices, monitoring, and billing support; custom quotes for larger volumes.
ChartSpan
specializedCCM and RPM software streamlining remote monitoring, documentation, and Medicare reimbursements.
Proprietary automated billing engine that scans data in real-time to capture and submit all eligible RPM/CCM codes without manual intervention
ChartSpan is a specialized Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) platform that enables healthcare providers to remotely monitor patients with chronic conditions like hypertension, diabetes, and heart failure. It automates billing for Medicare RPM and CCM codes, integrates with FDA-cleared devices for vital sign tracking, and offers a patient-facing mobile app for engagement and education. The platform streamlines clinician workflows with dashboards for data visualization, care plan management, and compliance reporting to improve outcomes and revenue.
Pros
- Robust automated billing engine ensures 100% compliance and maximizes reimbursements
- Seamless integration with multiple FDA-approved devices and Bluetooth connectivity
- Strong patient engagement tools including a dedicated mobile app for self-monitoring
Cons
- Pricing can be steep for very small practices with low patient volumes
- Limited native integrations with some popular EHR systems
- Advanced reporting and analytics features require add-ons or custom setup
Best For
Mid-sized primary care or specialty practices focused on scaling RPM and CCM programs for chronic disease management.
Pricing
Custom pricing based on patient volume and services; typically $25-60 per patient per month with setup fees and enterprise options available.
CareHarmony
specializedAll-in-one platform for CCM, behavioral health, and social determinants integration in chronic care.
End-to-end billing service with credentialed coders that guarantees payment collection for CCM/RPM services
CareHarmony is a comprehensive chronic care management (CCM) and remote patient monitoring (RPM) platform designed for healthcare providers to manage patients with chronic conditions like diabetes, hypertension, and heart disease. It offers tools for care plan creation, automated patient outreach, device integration, and seamless billing support compliant with Medicare guidelines. The software emphasizes revenue optimization through CCM/RPM reimbursements while enhancing patient engagement and outcomes via telehealth and analytics.
Pros
- Robust billing and revenue cycle management with high claim approval rates
- Strong integration with EHRs and monitoring devices for seamless workflows
- Comprehensive patient engagement tools including automated calls and education
Cons
- Pricing can be high for very small practices with low patient volume
- Some users report a moderate learning curve for advanced features
- Limited customization options compared to more flexible platforms
Best For
Ideal for small to mid-sized primary care practices specializing in Medicare patients with multiple chronic conditions seeking turnkey CCM and RPM solutions.
Pricing
Custom pricing based on patient enrollment; typically $12-25 per patient per month, with revenue share options and no upfront costs.
Omada Health
specializedDigital therapeutics program delivering personalized coaching for diabetes, hypertension, and musculoskeletal care.
Personalized human coaching paired with connected devices and digital behavior change curriculum
Omada Health is a digital health platform offering virtual care programs for chronic conditions like type 2 diabetes, prediabetes, hypertension, and musculoskeletal disorders. It combines personalized one-on-one coaching from credentialed health experts, connected devices (e.g., smart scales, blood pressure monitors), and a mobile app with interactive lessons, goal tracking, and community support to drive behavior change. Targeted at employers, health plans, and providers, the platform delivers clinically proven outcomes in weight loss, A1C reduction, and blood pressure control while integrating with EHRs for scalable population health management.
Pros
- Clinically validated programs with strong evidence of health improvements
- Comprehensive ecosystem including human coaching, devices, and app-based engagement
- Seamless integrations with EHRs and telehealth for enterprise scalability
Cons
- Limited to specific chronic conditions, not a full-spectrum chronic care solution
- Enterprise-focused pricing model lacks transparency for smaller users
- Requires participant commitment to structured programs for best results
Best For
Employers, health plans, and providers managing chronic care for large employee or member populations.
Pricing
Custom enterprise pricing, typically $20-50 per member per month, often employer-sponsored or insurance-covered.
Glooko
specializedDiabetes management platform unifying device data, analytics, and care team collaboration for chronic glucose control.
Population Tracker dashboard for cohort-level insights and risk stratification across thousands of patients
Glooko is a cloud-based diabetes management platform that aggregates data from over 200 compatible blood glucose meters, CGMs, insulin pumps, and apps into a unified dashboard for patients and providers. It enables remote monitoring, automated reports, trend analysis, and population health management to support better clinical decisions and patient outcomes. The software also includes tools for telehealth integration and personalized coaching to enhance chronic care adherence.
Pros
- Extensive integration with 200+ devices and apps for seamless data aggregation
- Robust population health analytics and reporting for clinics
- Patient-facing mobile app that boosts engagement and self-management
Cons
- Primarily focused on diabetes, with limited support for other chronic conditions
- Setup and advanced features have a learning curve for smaller practices
- Enterprise pricing can be costly for individual providers or small clinics
Best For
Diabetes clinics, endocrinologists, and hospitals managing large patient populations with diverse devices.
Pricing
Custom enterprise subscriptions based on clinic size and patient volume; typically $10-30 per patient/month with provider licensing fees.
PCO Health
specializedTurnkey CCM service with technology for patient outreach, monitoring, and compliant billing reimbursement.
Cellular-connected monitoring devices that transmit data automatically without needing patient WiFi, smartphone apps, or manual syncing
PCO Health is a remote patient monitoring (RPM) and chronic care management (CCM) platform tailored for healthcare providers managing chronic conditions such as hypertension, diabetes, and heart failure. It integrates with FDA-cleared, cellular-connected devices to automatically collect vital signs like blood pressure, weight, and glucose levels without requiring patient WiFi or apps. The software facilitates care plan adherence, patient engagement through education modules, and automated billing for RPM/CCM reimbursements, helping practices scale remote care efficiently.
Pros
- Seamless integration with cellular devices for reliable data collection without complex setup
- Strong billing automation supporting RPM and CCM codes for easier reimbursements
- Patient-centric tools like automated education and engagement improve adherence
Cons
- Limited native integrations with major EHR systems, requiring workarounds
- Pricing can be steep for very small practices with low patient volumes
- Reporting dashboard lacks advanced customization options compared to top competitors
Best For
Mid-sized primary care or specialty practices seeking straightforward RPM implementation for chronic disease management without heavy IT resources.
Pricing
Custom subscription pricing based on patient enrollment; typically $35-60 per patient per month, with setup fees and enterprise options available upon request.
Conclusion
The landscape of chronic care software offers robust solutions, with Epic Systems emerging as the top choice, boasting a comprehensive EHR platform, advanced chronic care management tools, remote monitoring capabilities, and strong patient engagement features. Close behind, Oracle Health shines with its integrated health IT offering and robust analytics for population health, while athenahealth stands out for its cloud-based EHR and specialized workflows tailored to chronic care billing and coordination. Each tool addresses unique needs, but Epic leads as the most versatile option.
Dive into Epic Systems' capabilities today—explore its demo, connect with their team, and discover how its all-in-one approach can transform chronic care delivery for your practice.
Tools Reviewed
All tools were independently evaluated for this comparison