Quick Overview
- 1#1: Epic Systems - Comprehensive EHR platform with advanced case management, care coordination, and patient journey tracking for large healthcare organizations.
- 2#2: Oracle Health - Integrated healthcare platform with robust case management, population health analytics, and interoperability features.
- 3#3: MEDITECH - EHR solution offering integrated case management tools for acute care, ambulatory settings, and health systems.
- 4#4: athenahealth - Cloud-based EHR with practice management and care coordination features for streamlined case handling.
- 5#5: WellSky - Care management software focused on home health, hospice, and community-based case coordination.
- 6#6: Netsmart - Behavioral health and human services platform with comprehensive case management and outcome tracking.
- 7#7: PointClickCare - Cloud platform for long-term and post-acute care management with integrated case planning and compliance.
- 8#8: MatrixCare - EHR for post-acute care featuring care planning, case management, and regulatory reporting.
- 9#9: CentralReach - Practice management platform with case tracking and billing for behavioral health and therapy providers.
- 10#10: CareLogic - Behavioral health EHR with clinical documentation, scheduling, and case management capabilities.
Tools were evaluated based on key metrics, including feature depth, user-friendliness, real-world performance, and value, ensuring alignment with the needs of various healthcare settings and specialties.
Comparison Table
Explore the key features and functionality of health case management software with our comparison table, featuring top tools like Epic Systems, Oracle Health, MEDITECH, athenahealth, WellSky, and more. This guide helps readers evaluate suitability for diverse care settings, identifying the best fit for their specific case management needs.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Epic Systems Comprehensive EHR platform with advanced case management, care coordination, and patient journey tracking for large healthcare organizations. | enterprise | 9.6/10 | 9.8/10 | 7.4/10 | 8.7/10 |
| 2 | Oracle Health Integrated healthcare platform with robust case management, population health analytics, and interoperability features. | enterprise | 9.2/10 | 9.5/10 | 8.0/10 | 8.7/10 |
| 3 | MEDITECH EHR solution offering integrated case management tools for acute care, ambulatory settings, and health systems. | enterprise | 8.5/10 | 9.2/10 | 7.8/10 | 8.0/10 |
| 4 | athenahealth Cloud-based EHR with practice management and care coordination features for streamlined case handling. | enterprise | 8.6/10 | 9.2/10 | 7.8/10 | 8.0/10 |
| 5 | WellSky Care management software focused on home health, hospice, and community-based case coordination. | specialized | 8.2/10 | 8.7/10 | 7.4/10 | 7.9/10 |
| 6 | Netsmart Behavioral health and human services platform with comprehensive case management and outcome tracking. | specialized | 7.9/10 | 8.4/10 | 7.2/10 | 7.5/10 |
| 7 | PointClickCare Cloud platform for long-term and post-acute care management with integrated case planning and compliance. | enterprise | 8.7/10 | 9.2/10 | 7.5/10 | 8.1/10 |
| 8 | MatrixCare EHR for post-acute care featuring care planning, case management, and regulatory reporting. | specialized | 8.1/10 | 8.7/10 | 7.2/10 | 7.6/10 |
| 9 | CentralReach Practice management platform with case tracking and billing for behavioral health and therapy providers. | specialized | 8.5/10 | 9.2/10 | 7.6/10 | 8.0/10 |
| 10 | CareLogic Behavioral health EHR with clinical documentation, scheduling, and case management capabilities. | specialized | 8.2/10 | 9.0/10 | 7.5/10 | 7.8/10 |
Comprehensive EHR platform with advanced case management, care coordination, and patient journey tracking for large healthcare organizations.
Integrated healthcare platform with robust case management, population health analytics, and interoperability features.
EHR solution offering integrated case management tools for acute care, ambulatory settings, and health systems.
Cloud-based EHR with practice management and care coordination features for streamlined case handling.
Care management software focused on home health, hospice, and community-based case coordination.
Behavioral health and human services platform with comprehensive case management and outcome tracking.
Cloud platform for long-term and post-acute care management with integrated case planning and compliance.
EHR for post-acute care featuring care planning, case management, and regulatory reporting.
Practice management platform with case tracking and billing for behavioral health and therapy providers.
Behavioral health EHR with clinical documentation, scheduling, and case management capabilities.
Epic Systems
enterpriseComprehensive EHR platform with advanced case management, care coordination, and patient journey tracking for large healthcare organizations.
Care Everywhere network for nationwide patient data sharing and continuity of care across unaffiliated providers
Epic Systems is a leading enterprise-grade Electronic Health Record (EHR) platform that excels in health case management by providing comprehensive tools for care coordination, patient tracking, and interdisciplinary collaboration. It supports detailed care plans, risk stratification, utilization management, and seamless interoperability across providers via features like Care Everywhere. Designed for large-scale healthcare organizations, Epic streamlines complex case workflows from admission to discharge and beyond, ensuring compliance and data-driven decision-making.
Pros
- Unparalleled integration and interoperability for multi-site care coordination
- Robust case management modules with real-time analytics and customizable workflows
- Proven scalability for high-volume hospitals handling thousands of cases daily
Cons
- Extremely high implementation costs and lengthy deployment timelines
- Steep learning curve requiring extensive staff training
- Limited flexibility for small practices due to enterprise focus
Best For
Large hospitals, health systems, and academic medical centers managing high-complexity patient cases at scale.
Pricing
Custom enterprise pricing with implementation costs often exceeding $1M+ and annual subscriptions based on user volume and modules.
Oracle Health
enterpriseIntegrated healthcare platform with robust case management, population health analytics, and interoperability features.
AI-driven Clinical Digital Assistant for real-time case recommendations and automated care coordination across multidisciplinary teams
Oracle Health is a comprehensive cloud-based healthcare platform that integrates electronic health records (EHR), clinical decision support, and advanced case management tools to streamline patient care coordination. It enables case managers to create personalized care plans, track patient progress across episodes of care, manage referrals, and ensure regulatory compliance through automated workflows. Leveraging AI and analytics, the platform provides predictive insights to identify high-risk cases and optimize resource allocation for improved outcomes.
Pros
- Enterprise-scale scalability with seamless EHR integration
- AI-powered predictive analytics for risk stratification and care optimization
- Robust compliance tools and interoperability standards support (e.g., FHIR)
Cons
- Steep learning curve and complex implementation for non-enterprise users
- High customization costs and lengthy deployment timelines
- Pricing opacity requires sales consultations
Best For
Large hospitals, health systems, and ACOs seeking integrated, scalable case management within a full-suite EHR platform.
Pricing
Custom enterprise pricing based on modules, users, and deployment size; typically starts at $1M+ annually for mid-to-large organizations—contact sales for quotes.
MEDITECH
enterpriseEHR solution offering integrated case management tools for acute care, ambulatory settings, and health systems.
Expanse's fully unified platform that embeds case management directly into the EHR, eliminating data silos and enabling real-time interdisciplinary collaboration.
MEDITECH's Expanse platform is a comprehensive electronic health record (EHR) system with robust case management tools designed for hospitals and health systems. It enables care coordination, automated care plan development, interdisciplinary team collaboration, and real-time tracking of patient progress and outcomes. The solution integrates case management seamlessly with clinical workflows, revenue cycle, and population health management to improve efficiency and compliance.
Pros
- Deep integration with full EHR suite for seamless data flow
- Scalable for large hospitals with advanced analytics and reporting
- Strong compliance tools for regulatory requirements like HIPAA and value-based care
Cons
- Steep learning curve and complex implementation process
- High upfront costs and long deployment timelines
- User interface can feel dated compared to modern cloud-native solutions
Best For
Large acute care hospitals and health systems seeking an enterprise-grade, integrated EHR with comprehensive case management capabilities.
Pricing
Custom enterprise pricing, typically starting in the high six figures to millions annually based on beds, users, and modules implemented.
athenahealth
enterpriseCloud-based EHR with practice management and care coordination features for streamlined case handling.
athenahealth Network for real-time benchmarking, peer insights, and aggregated data to optimize case management decisions
athenahealth is a cloud-based EHR and practice management platform with robust population health and care management capabilities designed for healthcare providers. It supports health case management through features like patient risk stratification, automated care plans, care gap closure, and coordinated workflows for chronic disease management and referrals. The platform integrates clinical data, analytics, and patient engagement tools to streamline case tracking and improve outcomes across practices.
Pros
- Seamless integration with full EHR for comprehensive case visibility
- Advanced analytics and population health tools for risk-based case management
- Scalable for multi-location practices with strong interoperability
Cons
- High implementation costs and lengthy onboarding process
- Steep learning curve for non-technical users
- Pricing lacks transparency and can be prohibitive for small practices
Best For
Mid-sized to large healthcare practices needing integrated EHR-driven case management and population health tools.
Pricing
Quote-based subscription starting at ~$300-$500 per provider/month, varying by modules, practice size, and custom features.
WellSky
specializedCare management software focused on home health, hospice, and community-based case coordination.
Predictive analytics engine that forecasts readmission risks and optimizes care plans using AI-driven population health insights
WellSky is a comprehensive platform for health case management, primarily serving post-acute care providers like home health, hospice, and community-based organizations. It enables care coordination, clinical documentation, scheduling, billing, and analytics within a unified EHR system. The software emphasizes interoperability, value-based care reimbursement, and data-driven insights to optimize patient outcomes across the care continuum.
Pros
- Extensive interoperability with EHRs and HIEs for seamless data exchange
- Powerful analytics and reporting for population health and outcomes tracking
- Scalable modules supporting home health, hospice, and long-term care workflows
Cons
- Steep learning curve due to complex interface and customization needs
- High implementation costs and lengthy onboarding process
- Limited flexibility for small practices without enterprise-scale resources
Best For
Mid-to-large post-acute care organizations needing integrated case management for value-based care and multi-site operations.
Pricing
Quote-based enterprise pricing; typically $50,000+ annually depending on modules, users, and organization size, with setup fees.
Netsmart
specializedBehavioral health and human services platform with comprehensive case management and outcome tracking.
myAvatar EHR with embedded behavioral health-specific case management and real-time crisis intervention tools
Netsmart, via its myUnity platform, delivers integrated electronic health records (EHR) and case management software tailored for behavioral health, human services, and community care organizations. It streamlines care coordination, documentation, scheduling, billing, and outcomes tracking across mental health, substance use, and intellectual/developmental disability (IDD) services. The solution emphasizes regulatory compliance, interoperability, and data-driven insights to support whole-person care.
Pros
- Comprehensive integration of EHR, case management, and billing for behavioral health workflows
- Strong compliance tools for HIPAA, SAMHSA, and state-specific reporting
- Customizable dashboards and analytics for care coordination and outcomes measurement
Cons
- Steep learning curve due to extensive customization options and complexity
- Pricing is enterprise-level and opaque without custom quotes
- Mobile app functionality lags behind web-based features
Best For
Mid-sized to large behavioral health providers and human services agencies requiring robust, compliant case management integrated with EHR.
Pricing
Custom enterprise pricing starting at $50,000+ annually, based on modules, users, and organization size; quotes required.
PointClickCare
enterpriseCloud platform for long-term and post-acute care management with integrated case planning and compliance.
Unified Resident Management platform that seamlessly integrates clinical care plans, financial billing, and operational workflows in a single system.
PointClickCare is a leading cloud-based EHR and management platform tailored for long-term care, skilled nursing, and post-acute facilities. It enables comprehensive health case management through features like electronic clinical documentation, personalized care planning, medication administration, interdisciplinary workflows, and regulatory compliance tools. The software also integrates financials, billing, and analytics to support holistic resident care and operational efficiency across senior care settings.
Pros
- Extensive feature set for clinical documentation, care coordination, and regulatory reporting
- Strong interoperability with labs, pharmacies, and other EHRs via standards like FHIR
- Robust analytics and dashboards for real-time insights into resident outcomes and operations
Cons
- Steep learning curve and complex interface for new users
- High implementation time and costs for customization
- Occasional performance issues and customization limitations reported by smaller facilities
Best For
Large skilled nursing facilities and long-term care providers needing an enterprise-grade, integrated platform for comprehensive case management.
Pricing
Custom quote-based pricing, typically per resident/bed or user, starting at $500–$2,000+ per month depending on facility size and modules.
MatrixCare
specializedEHR for post-acute care featuring care planning, case management, and regulatory reporting.
Advanced interdisciplinary care planning with real-time MDS 3.0 and PDPM compliance automation
MatrixCare is a comprehensive electronic health record (EHR) and case management platform tailored for post-acute and long-term care settings, including skilled nursing facilities, home health, and hospice. It facilitates case management through integrated care planning, interdisciplinary coordination, real-time patient tracking, and compliance tools like MDS 3.0 assessments. The software also streamlines billing, staffing, and analytics to support efficient care delivery across complex health cases.
Pros
- Comprehensive integration of case management with EHR, billing, and compliance tools
- Robust analytics and reporting for care outcomes and reimbursement
- Strong support for post-acute workflows like MDS and PDPM
Cons
- Steep learning curve and occasionally clunky interface
- High implementation and customization costs
- Limited flexibility for non-post-acute environments
Best For
Skilled nursing facilities and home health agencies managing complex post-acute cases with a need for integrated EHR and compliance features.
Pricing
Enterprise subscription pricing, custom-quoted based on facility size; typically $100–$250 per user/month with setup fees.
CentralReach
specializedPractice management platform with case tracking and billing for behavioral health and therapy providers.
CentralReach's ABA-specific data studio with automated graphing and skill acquisition tracking
CentralReach is a comprehensive practice management platform tailored for behavioral health providers, particularly those specializing in ABA therapy for autism and developmental disabilities. It offers tools for client scheduling, billing, data collection, progress tracking, telehealth, and compliance reporting. The software integrates clinical documentation, staff management, and analytics to streamline case management in health settings focused on IDD care.
Pros
- Highly specialized ABA data collection and graphing for real-time progress tracking
- Integrated billing and claims management with strong revenue cycle tools
- Robust telehealth and mobile app support for clinicians
Cons
- Steep learning curve due to extensive features and complex interface
- Pricing can be costly for small practices or startups
- Limited flexibility in custom reporting for non-ABA use cases
Best For
Mid-sized to large ABA therapy clinics and behavioral health providers managing complex IDD cases.
Pricing
Custom quote-based pricing, typically $49-$99 per client/month plus setup fees; scales with users and features.
CareLogic
specializedBehavioral health EHR with clinical documentation, scheduling, and case management capabilities.
Integrated Outcomes Module for real-time tracking of patient progress and treatment efficacy using standardized behavioral health metrics
CareLogic is a cloud-based EHR and practice management software tailored for behavioral health and human services organizations, offering comprehensive tools for case management, clinical documentation, scheduling, billing, and telehealth. It supports diverse care settings like outpatient, residential, and substance use disorder treatment with customizable workflows and HIPAA-compliant security. The platform integrates CRM functionality to enhance patient engagement and outcomes tracking.
Pros
- Deep behavioral health-specific tools including outcomes measurement and treatment planning
- Seamless integration of EHR, billing, scheduling, and telehealth
- Robust compliance features with audit trails and customizable reporting
Cons
- Steep learning curve for complex workflows
- Custom pricing often expensive for small practices
- Occasional reports of slow customer support response times
Best For
Mid-to-large behavioral health providers managing complex caseloads across multiple care settings.
Pricing
Custom quotes based on users and modules; typically $200-$400 per user per month for full suite.
Conclusion
Evaluating health case management software reveals Epic Systems as the top choice, with its comprehensive EHR and advanced care coordination, making it ideal for large organizations. Oracle Health and MEDITECH follow strongly, offering integrated platforms and broad usability across settings, each with unique strengths. The right tool depends on specific needs, but these three consistently lead in functionality and reliability.
Take the next step: explore Epic Systems’ capabilities to experience its impact on care delivery and operational efficiency firsthand.
Tools Reviewed
All tools were independently evaluated for this comparison