Quick Overview
- 1#1: Epic - Comprehensive EHR platform with advanced case management modules for coordinated care, compliance, and patient outcomes in large healthcare organizations.
- 2#2: Oracle Health - Integrated health IT suite featuring robust case management tools for care coordination, utilization review, and population health management.
- 3#3: MEDITECH - Patient-focused EHR system with built-in case management for streamlining workflows, tracking interventions, and ensuring regulatory compliance.
- 4#4: athenahealth - Cloud-based EHR and practice management software with strong case management features for ambulatory care coordination and analytics.
- 5#5: Veradigm - Healthcare technology platform offering case management solutions integrated with EHR for improved patient engagement and care transitions.
- 6#6: NextGen Healthcare - EHR and practice management system with specialized case management capabilities for specialty practices and care planning.
- 7#7: Salesforce Health Cloud - CRM-powered platform tailored for healthcare case management, enabling personalized patient journeys and 360-degree care views.
- 8#8: CentralReach - All-in-one platform for behavioral health with case management tools for therapy scheduling, progress tracking, and compliance.
- 9#9: Qualifacts - Behavioral health EHR with integrated case management for treatment planning, outcomes measurement, and regulatory reporting.
- 10#10: AlayaCare - Home care management software providing case management features for scheduling, evidential compliance, and caregiver coordination.
Tools were ranked based on the strength of their case management modules, integration with clinical systems, scalability, and overall value, prioritizing utility for diverse healthcare workflows and organizational needs
Comparison Table
Healthcare case management software streamlines care coordination, and choosing the right tool demands understanding of unique features, workflows, and integration needs. This comparison table examines Epic, Oracle Health, MEDITECH, athenahealth, Veradigm, and other options, outlining key capabilities to help users identify the best fit for their organization’s goals.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Epic Comprehensive EHR platform with advanced case management modules for coordinated care, compliance, and patient outcomes in large healthcare organizations. | enterprise | 9.5/10 | 9.8/10 | 7.2/10 | 8.7/10 |
| 2 | Oracle Health Integrated health IT suite featuring robust case management tools for care coordination, utilization review, and population health management. | enterprise | 9.2/10 | 9.6/10 | 7.8/10 | 8.4/10 |
| 3 | MEDITECH Patient-focused EHR system with built-in case management for streamlining workflows, tracking interventions, and ensuring regulatory compliance. | enterprise | 8.5/10 | 9.2/10 | 7.4/10 | 8.1/10 |
| 4 | athenahealth Cloud-based EHR and practice management software with strong case management features for ambulatory care coordination and analytics. | enterprise | 8.2/10 | 8.5/10 | 8.4/10 | 7.7/10 |
| 5 | Veradigm Healthcare technology platform offering case management solutions integrated with EHR for improved patient engagement and care transitions. | enterprise | 8.1/10 | 8.5/10 | 7.6/10 | 7.9/10 |
| 6 | NextGen Healthcare EHR and practice management system with specialized case management capabilities for specialty practices and care planning. | enterprise | 8.1/10 | 8.6/10 | 7.2/10 | 7.7/10 |
| 7 | Salesforce Health Cloud CRM-powered platform tailored for healthcare case management, enabling personalized patient journeys and 360-degree care views. | enterprise | 8.2/10 | 9.1/10 | 7.3/10 | 7.5/10 |
| 8 | CentralReach All-in-one platform for behavioral health with case management tools for therapy scheduling, progress tracking, and compliance. | specialized | 8.4/10 | 9.2/10 | 7.8/10 | 8.0/10 |
| 9 | Qualifacts Behavioral health EHR with integrated case management for treatment planning, outcomes measurement, and regulatory reporting. | specialized | 8.2/10 | 8.6/10 | 7.7/10 | 8.0/10 |
| 10 | AlayaCare Home care management software providing case management features for scheduling, evidential compliance, and caregiver coordination. | specialized | 8.2/10 | 8.7/10 | 7.6/10 | 7.9/10 |
Comprehensive EHR platform with advanced case management modules for coordinated care, compliance, and patient outcomes in large healthcare organizations.
Integrated health IT suite featuring robust case management tools for care coordination, utilization review, and population health management.
Patient-focused EHR system with built-in case management for streamlining workflows, tracking interventions, and ensuring regulatory compliance.
Cloud-based EHR and practice management software with strong case management features for ambulatory care coordination and analytics.
Healthcare technology platform offering case management solutions integrated with EHR for improved patient engagement and care transitions.
EHR and practice management system with specialized case management capabilities for specialty practices and care planning.
CRM-powered platform tailored for healthcare case management, enabling personalized patient journeys and 360-degree care views.
All-in-one platform for behavioral health with case management tools for therapy scheduling, progress tracking, and compliance.
Behavioral health EHR with integrated case management for treatment planning, outcomes measurement, and regulatory reporting.
Home care management software providing case management features for scheduling, evidential compliance, and caregiver coordination.
Epic
enterpriseComprehensive EHR platform with advanced case management modules for coordinated care, compliance, and patient outcomes in large healthcare organizations.
Care Management module with embedded predictive analytics and real-time care gap identification
Epic is a comprehensive electronic health record (EHR) platform with robust healthcare case management capabilities, enabling coordinated care planning, utilization management, and interdisciplinary team collaboration. It integrates patient data from across the care continuum to support complex case coordination, risk stratification, and outcomes tracking. Designed for large-scale healthcare organizations, Epic streamlines workflows while ensuring compliance with regulatory standards like HIPAA.
Pros
- Unmatched scalability and integration with full EHR suite
- Advanced analytics and interoperability via Care Everywhere
- Proven track record in large health systems with high reliability
Cons
- Steep learning curve and extensive training required
- Prohibitively high implementation and customization costs
- Lengthy deployment timelines often exceeding a year
Best For
Large hospitals and integrated health systems managing high-volume, complex patient cases across multiple facilities.
Pricing
Custom enterprise pricing; typically $500K+ for implementation per facility plus ongoing per-user licensing fees negotiated based on scale.
Oracle Health
enterpriseIntegrated health IT suite featuring robust case management tools for care coordination, utilization review, and population health management.
AI-powered predictive care management that automates risk identification and personalized care plans across the care continuum
Oracle Health is an enterprise-grade healthcare platform that provides robust case management solutions for coordinating patient care, streamlining workflows, and ensuring regulatory compliance across large health systems. It integrates electronic health records (EHR), AI-driven analytics, and population health management to support multidisciplinary teams in managing complex cases from intake to discharge. The platform excels in scalability, offering real-time data insights and interoperability with other healthcare systems.
Pros
- Highly scalable for large hospitals and health networks
- Advanced AI and predictive analytics for risk stratification and outcomes
- Seamless integration with EHR and compliance tools like HIPAA
Cons
- Steep implementation timeline and complexity
- Premium pricing inaccessible for small practices
- Learning curve for non-technical users
Best For
Large-scale hospitals and integrated health systems requiring enterprise-level case coordination and analytics.
Pricing
Custom enterprise subscription pricing, often starting at $500K+ annually depending on modules, users, and deployment scale; contact sales for quotes.
MEDITECH
enterprisePatient-focused EHR system with built-in case management for streamlining workflows, tracking interventions, and ensuring regulatory compliance.
Real-time Patient Care Management dashboard with predictive length-of-stay analytics
MEDITECH's Expanse platform offers comprehensive Healthcare Case Management solutions integrated within its robust EHR system, enabling care coordination, utilization review, discharge planning, and length-of-stay management across acute and post-acute settings. It supports multidisciplinary teams with tools for real-time patient tracking, risk assessment, and compliance reporting. Designed for hospitals and health systems, it leverages interoperability standards like FHIR to streamline workflows and improve outcomes.
Pros
- Deep integration with full EHR suite for seamless data flow
- Advanced analytics and reporting for utilization management
- Scalable for enterprise-level hospitals with strong compliance tools
Cons
- Steep learning curve due to complex interface
- High implementation and customization costs
- Less agile updates compared to cloud-native SaaS competitors
Best For
Large hospitals and health systems requiring fully integrated EHR-based case management for complex patient populations.
Pricing
Enterprise custom pricing with multi-year contracts; typically $1M+ annually for mid-sized facilities, based on beds/users.
athenahealth
enterpriseCloud-based EHR and practice management software with strong case management features for ambulatory care coordination and analytics.
Athenahealth Network for aggregated, anonymized clinical data insights to inform case management decisions
Athenahealth's athenaOne platform is a comprehensive cloud-based EHR and practice management solution that incorporates healthcare case management features like care coordination, referral tracking, and population health management. It streamlines patient case workflows by integrating clinical documentation, automated alerts, and analytics to support care teams in ambulatory settings. While primarily an EHR, it enables efficient case oversight for physicians and mid-level providers handling chronic conditions and transitions of care.
Pros
- Seamless integration of EHR with case management tools for unified workflows
- Cloud-based accessibility with real-time data sharing across providers
- Robust population health analytics for proactive case monitoring
Cons
- Pricing can be high for smaller practices
- Less specialized for complex hospital-level case management compared to dedicated systems
- Customization requires vendor support, limiting quick adaptations
Best For
Ambulatory practices and physician groups managing chronic care cases within an integrated EHR environment.
Pricing
Custom subscription pricing, typically $300-$600 per provider per month, including implementation fees.
Veradigm
enterpriseHealthcare technology platform offering case management solutions integrated with EHR for improved patient engagement and care transitions.
Veradigm Network for secure, real-time data exchange between providers and payers to enhance case coordination
Veradigm provides comprehensive healthcare IT solutions, including case management tools integrated within its EHR and population health platforms. It enables care teams to coordinate patient cases, develop care plans, track outcomes, and ensure compliance through centralized workflows and analytics. Designed for providers and health systems, it leverages real-world data for improved care coordination and risk management.
Pros
- Seamless integration with EHR and revenue cycle management
- Robust analytics and reporting for population health insights
- Scalable for enterprise-level healthcare organizations
Cons
- Steep learning curve for non-technical users
- High implementation and customization costs
- Limited flexibility for small practices
Best For
Mid-to-large healthcare systems and provider networks seeking integrated case management within a full EHR ecosystem.
Pricing
Custom enterprise pricing via quote; typically subscription-based starting at $200+ per user/month with additional setup fees.
NextGen Healthcare
enterpriseEHR and practice management system with specialized case management capabilities for specialty practices and care planning.
Enterprise Population Health platform with predictive risk analytics for prioritizing high-needs cases
NextGen Healthcare provides an enterprise-level EHR platform with integrated case management capabilities tailored for ambulatory practices and health systems. It enables care coordination through features like patient risk stratification, automated care plans, task management, and population health analytics to manage complex cases efficiently. The software emphasizes interoperability via FHIR standards and supports chronic care management (CCM) and remote patient monitoring (RPM) for improved outcomes.
Pros
- Strong interoperability and API ecosystem for seamless data exchange
- Advanced population health tools for proactive case management
- Robust compliance features including ONC certification and HIPAA adherence
Cons
- Steep learning curve due to complex interface
- High implementation and customization costs
- Reported occasional downtime and slower performance in high-volume settings
Best For
Mid-sized to large ambulatory practices or health systems seeking integrated EHR-driven case management with enterprise scalability.
Pricing
Custom enterprise pricing; typically $400-$700 per provider/month plus implementation fees.
Salesforce Health Cloud
enterpriseCRM-powered platform tailored for healthcare case management, enabling personalized patient journeys and 360-degree care views.
Patient 360 view consolidating clinical, social, and behavioral data into a unified profile for proactive case management
Salesforce Health Cloud is a robust CRM platform tailored for healthcare, focusing on patient relationship management, care coordination, and case management. It provides tools like patient timelines, care plans, task automation, and 360-degree patient views to streamline workflows and improve outcomes. Built on the Salesforce ecosystem, it ensures HIPAA compliance, scalability, and integration with EHRs and other systems.
Pros
- Comprehensive patient 360-degree view for holistic case management
- Powerful AI-driven insights and automation via Einstein
- Seamless scalability and integrations with EHRs and telehealth tools
Cons
- Steep learning curve and complex customization process
- High costs including subscriptions and implementation
- Overkill for small practices due to enterprise focus
Best For
Large healthcare providers and organizations needing integrated CRM with advanced case management for complex patient journeys.
Pricing
Custom enterprise pricing starting at ~$300-$450/user/month, plus implementation fees often exceeding $100K.
CentralReach
specializedAll-in-one platform for behavioral health with case management tools for therapy scheduling, progress tracking, and compliance.
Advanced ABA data collection with real-time graphing and skill acquisition tracking
CentralReach is a comprehensive practice management and EMR platform tailored primarily for behavioral health providers, especially those specializing in Applied Behavior Analysis (ABA) therapy. It offers robust case management tools including client scheduling, progress tracking, customizable data collection, billing, and compliance reporting to streamline care coordination. The software also supports telehealth, family portals, and analytics for outcome measurement, making it suitable for therapy-focused healthcare organizations.
Pros
- Extensive ABA-specific tools for data collection, graphing, and skill tracking
- Integrated billing, scheduling, and revenue cycle management
- Strong compliance features and customizable workflows for case coordination
Cons
- Steep learning curve due to feature depth
- Higher pricing may not suit small practices
- Primarily optimized for behavioral health, less flexible for general case management
Best For
Mid-sized to large ABA clinics and behavioral health practices requiring detailed client progress tracking and integrated therapy management.
Pricing
Custom quotes starting at $125-$300 per provider/month, plus implementation fees and add-ons for telehealth or advanced analytics.
Qualifacts
specializedBehavioral health EHR with integrated case management for treatment planning, outcomes measurement, and regulatory reporting.
Advanced outcomes measurement suite with real-time dashboards and evidence-based reporting tailored to behavioral health metrics
Qualifacts offers a cloud-based EHR and practice management platform designed specifically for behavioral health and human services organizations, enabling comprehensive case management for mental health, substance use disorder treatment, and related services. Key functionalities include client intake, care coordination, customizable workflows, integrated billing, telehealth support, and outcomes tracking to ensure regulatory compliance and data-driven decisions. It streamlines operations across multiple locations, supporting agencies from small practices to large enterprises.
Pros
- Highly specialized for behavioral health case management with robust compliance tools
- Seamless integration of clinical documentation, billing, and analytics
- Scalable for multi-site organizations with strong interoperability
Cons
- Steep learning curve for new users due to extensive customization options
- Pricing lacks transparency and can be costly for small practices
- Customer support response times can vary
Best For
Mid-sized behavioral health agencies and substance use treatment centers needing integrated case management, billing, and outcomes reporting.
Pricing
Custom quote-based pricing, typically $150-$300 per user/month depending on modules and organization size; no public tiers available.
AlayaCare
specializedHome care management software providing case management features for scheduling, evidential compliance, and caregiver coordination.
AI-powered intelligent scheduling that auto-assigns caregivers based on skills, location, and preferences to minimize travel time.
AlayaCare is a cloud-based home care management platform that provides end-to-end solutions for healthcare case management, including scheduling, billing, clinical documentation, and caregiver coordination. It features mobile apps for caregivers and clients, electronic visit verification (EVV), telehealth integration, and robust reporting to ensure compliance and efficiency in home health agencies. The software supports hospice, private duty, and post-acute care, streamlining operations from intake to invoicing.
Pros
- Comprehensive scheduling and dispatching with AI optimization
- Strong EVV compliance and mobile apps for real-time updates
- Integrated billing, payroll, and analytics for operational efficiency
Cons
- Steep learning curve for new users and complex setup
- Custom pricing can be expensive for small agencies
- Limited flexibility in custom reporting for advanced needs
Best For
Mid-sized home care and hospice agencies seeking an all-in-one platform for caregiver management and compliance.
Pricing
Custom quote-based pricing starting around $5-10 per visit or user/month, depending on agency size and modules selected.
Conclusion
The reviewed software highlights the diversity of healthcare case management solutions, with Epic leading as the top choice, boasting a comprehensive EHR platform and advanced modules that enhance coordinated care, compliance, and patient outcomes in large organizations. Oracle Health and MEDITECH follow as strong alternatives, offering robust integration and streamlined workflows tailored to different operational and clinical needs, from care coordination to regulatory adherence. Together, they reflect the industry’s trend toward tools that prioritize efficiency and patient-centered care.
Ready to elevate your case management? Explore Epic’s capabilities to experience its integrated approach to care coordination, compliance, and better patient results firsthand.
Tools Reviewed
All tools were independently evaluated for this comparison