Quick Overview
- 1#1: Epic Systems - Comprehensive EHR platform delivering advanced clinical workflows, interoperability, and analytics for large hospitals and health systems.
- 2#2: Oracle Health - Integrated EHR solution providing clinical, financial, and population health management for healthcare organizations.
- 3#3: athenahealth - Cloud-based EHR and practice management platform with revenue cycle and patient engagement tools for ambulatory care.
- 4#4: Veradigm - EHR and healthcare data solutions supporting ambulatory, post-acute, and payer workflows with strong interoperability.
- 5#5: eClinicalWorks - All-in-one EHR system with telehealth, patient portal, and practice management for primary care and specialty practices.
- 6#6: NextGen Healthcare - Specialty-focused EHR offering population health, analytics, and revenue cycle management for ambulatory providers.
- 7#7: MEDITECH - Patient-centric EHR platform for acute and ambulatory care with web-based tools and Expanse cloud deployment.
- 8#8: Greenway Health - EHR and interoperability platform with practice management and patient engagement for independent practices.
- 9#9: AdvancedMD - Cloud EHR with integrated billing, scheduling, and telehealth features tailored for small to mid-sized practices.
- 10#10: DrChrono - Mobile-optimized EHR platform with charting, telehealth, and billing designed for independent physicians.
Tools were ranked based on functionality, interoperability, user experience, and value, with a focus on meeting the demands of both acute and ambulatory care, as well as support for telehealth and population health management.
Comparison Table
Efficient medical record systems are critical for modern healthcare, simplifying documentation and care coordination. This comparison table evaluates leading tools like Epic Systems, Oracle Health, athenahealth, Veradigm, and eClinicalWorks, examining features, integration, and user experience to guide informed decisions for healthcare providers.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Epic Systems Comprehensive EHR platform delivering advanced clinical workflows, interoperability, and analytics for large hospitals and health systems. | enterprise | 9.3/10 | 9.8/10 | 6.7/10 | 8.4/10 |
| 2 | Oracle Health Integrated EHR solution providing clinical, financial, and population health management for healthcare organizations. | enterprise | 9.2/10 | 9.8/10 | 7.6/10 | 8.4/10 |
| 3 | athenahealth Cloud-based EHR and practice management platform with revenue cycle and patient engagement tools for ambulatory care. | enterprise | 8.8/10 | 9.3/10 | 8.1/10 | 8.4/10 |
| 4 | Veradigm EHR and healthcare data solutions supporting ambulatory, post-acute, and payer workflows with strong interoperability. | enterprise | 8.1/10 | 8.6/10 | 7.4/10 | 7.9/10 |
| 5 | eClinicalWorks All-in-one EHR system with telehealth, patient portal, and practice management for primary care and specialty practices. | enterprise | 7.6/10 | 8.4/10 | 6.2/10 | 7.1/10 |
| 6 | NextGen Healthcare Specialty-focused EHR offering population health, analytics, and revenue cycle management for ambulatory providers. | enterprise | 8.1/10 | 8.8/10 | 7.2/10 | 7.5/10 |
| 7 | MEDITECH Patient-centric EHR platform for acute and ambulatory care with web-based tools and Expanse cloud deployment. | enterprise | 8.1/10 | 8.6/10 | 7.2/10 | 7.8/10 |
| 8 | Greenway Health EHR and interoperability platform with practice management and patient engagement for independent practices. | enterprise | 8.0/10 | 8.5/10 | 7.2/10 | 7.7/10 |
| 9 | AdvancedMD Cloud EHR with integrated billing, scheduling, and telehealth features tailored for small to mid-sized practices. | enterprise | 8.1/10 | 8.7/10 | 7.6/10 | 7.8/10 |
| 10 | DrChrono Mobile-optimized EHR platform with charting, telehealth, and billing designed for independent physicians. | enterprise | 8.2/10 | 8.7/10 | 8.4/10 | 7.8/10 |
Comprehensive EHR platform delivering advanced clinical workflows, interoperability, and analytics for large hospitals and health systems.
Integrated EHR solution providing clinical, financial, and population health management for healthcare organizations.
Cloud-based EHR and practice management platform with revenue cycle and patient engagement tools for ambulatory care.
EHR and healthcare data solutions supporting ambulatory, post-acute, and payer workflows with strong interoperability.
All-in-one EHR system with telehealth, patient portal, and practice management for primary care and specialty practices.
Specialty-focused EHR offering population health, analytics, and revenue cycle management for ambulatory providers.
Patient-centric EHR platform for acute and ambulatory care with web-based tools and Expanse cloud deployment.
EHR and interoperability platform with practice management and patient engagement for independent practices.
Cloud EHR with integrated billing, scheduling, and telehealth features tailored for small to mid-sized practices.
Mobile-optimized EHR platform with charting, telehealth, and billing designed for independent physicians.
Epic Systems
enterpriseComprehensive EHR platform delivering advanced clinical workflows, interoperability, and analytics for large hospitals and health systems.
MyChart patient portal, enabling secure patient access, self-scheduling, and real-time interaction with providers across the care continuum
Epic Systems is a premier electronic health record (EHR) platform widely used by large hospitals and health systems for managing comprehensive patient data. It provides integrated modules for clinical documentation, order entry, medication management, billing, and population health analytics. Renowned for its scalability and interoperability, Epic supports over 250 health systems and 345 million patient records globally, facilitating seamless care coordination.
Pros
- Exceptional interoperability via Care Everywhere for cross-provider data sharing
- Highly customizable with deep integration across clinical, financial, and operational workflows
- Robust analytics and AI-driven tools for population health and predictive insights
Cons
- Extremely high implementation costs and lengthy deployment timelines (often 2-5 years)
- Steep learning curve and complex interface requiring extensive user training
- Limited suitability for small practices due to scale and expense
Best For
Large hospitals, academic medical centers, and integrated health systems needing enterprise-grade, scalable EHR with full-spectrum capabilities.
Pricing
Custom enterprise licensing with upfront implementation costs often exceeding $100 million for large systems, plus annual subscriptions scaling by beds/users (typically $1,000-$3,000 per user/year).
Oracle Health
enterpriseIntegrated EHR solution providing clinical, financial, and population health management for healthcare organizations.
AI-driven Oracle Clinical Digital Assistant for real-time clinician workflow automation and insights
Oracle Health, formerly known as Cerner, is a leading enterprise-grade electronic health records (EHR) platform designed for hospitals, health systems, and clinics. It provides comprehensive clinical documentation, interoperability via FHIR standards, revenue cycle management, and AI-powered analytics for population health and predictive insights. Built on Oracle's secure cloud infrastructure, it scales to support massive patient volumes while ensuring HIPAA compliance and data sovereignty.
Pros
- Exceptional scalability and interoperability for large health systems
- Advanced AI and analytics for clinical decision support
- Robust security and compliance features on Oracle Cloud
Cons
- High implementation costs and long deployment timelines
- Steep learning curve for end-users
- Custom pricing lacks transparency for smaller organizations
Best For
Large hospitals and integrated health networks requiring enterprise-scale EHR with deep analytics and cloud integration.
Pricing
Custom enterprise licensing; typically $1M+ annually for mid-to-large implementations, plus implementation fees.
athenahealth
enterpriseCloud-based EHR and practice management platform with revenue cycle and patient engagement tools for ambulatory care.
AI-powered athenaOne Intelligence for predictive analytics and automated revenue cycle optimization
athenahealth offers athenaOne, a cloud-based electronic health record (EHR) and practice management platform tailored for ambulatory care providers. It streamlines clinical documentation, e-prescribing, scheduling, billing, and patient engagement while providing robust revenue cycle management and population health tools. The system emphasizes interoperability through the athenahealth Network, enabling seamless data exchange across healthcare ecosystems.
Pros
- Comprehensive integration of EHR, billing, and patient portal in one platform
- Strong revenue cycle management with high clean claims rates
- Excellent interoperability and analytics via athenahealth Network
Cons
- High subscription costs with custom quoting
- Steep learning curve during initial implementation
- Limited customization options for unique workflows
Best For
Mid-sized to large specialty practices needing an all-in-one, scalable EHR with superior revenue management.
Pricing
Custom subscription pricing starts at ~$140/provider/month, plus one-time implementation fees and add-ons for advanced features.
Veradigm
enterpriseEHR and healthcare data solutions supporting ambulatory, post-acute, and payer workflows with strong interoperability.
Veradigm Network, a massive de-identified clinical data repository powering AI-driven insights and benchmarking across millions of patient encounters
Veradigm, formerly known as Allscripts, offers a comprehensive electronic health record (EHR) platform designed for ambulatory practices, hospitals, and health systems, integrating clinical documentation, practice management, revenue cycle, and population health analytics. It supports interoperability standards like FHIR and HL7, enabling seamless data exchange across providers. The solution emphasizes scalability for mid-to-large organizations with tools for patient engagement and real-time reporting.
Pros
- Robust interoperability and integration with third-party apps via open APIs
- Advanced analytics through the Veradigm Network for population health insights
- Scalable for multi-specialty practices with strong revenue cycle management
Cons
- Steep learning curve and outdated user interface in some modules
- Reported implementation delays and customer support inconsistencies
- Higher costs with recent compliance and financial reporting controversies impacting trust
Best For
Mid-sized to large ambulatory practices and health systems seeking integrated EHR with strong data analytics and interoperability.
Pricing
Custom enterprise pricing, typically $400-$700 per provider per month including implementation fees; volume discounts available.
eClinicalWorks
enterpriseAll-in-one EHR system with telehealth, patient portal, and practice management for primary care and specialty practices.
Sunoh.ai ambient AI scribing that automatically generates clinical notes from patient conversations
eClinicalWorks is a comprehensive electronic health record (EHR) and practice management platform designed primarily for ambulatory care practices, offering tools for clinical documentation, patient scheduling, billing, and telehealth. It supports interoperability with major labs and health information exchanges, along with patient engagement features via the Healow portal. The system includes AI-powered tools like Sunoh.ai for ambient scribing and predictive analytics for revenue cycle management.
Pros
- Robust feature set with EHR, practice management, telehealth, and AI integrations
- Strong interoperability and compliance with ONC certification
- Scalable for solo practitioners to large multi-specialty groups
Cons
- Outdated and clunky user interface with steep learning curve
- Frequent reports of slow performance and system glitches
- Customer support often criticized for being unresponsive
Best For
Mid-sized ambulatory practices seeking an all-in-one EHR solution with strong revenue cycle tools.
Pricing
Custom subscription pricing starting at around $449 per provider/month, plus implementation fees and add-ons for telehealth or AI features.
NextGen Healthcare
enterpriseSpecialty-focused EHR offering population health, analytics, and revenue cycle management for ambulatory providers.
Integrated Population Health Management with predictive analytics for proactive patient care coordination
NextGen Healthcare offers a comprehensive electronic health records (EHR) platform tailored for ambulatory practices, integrating clinical documentation, e-prescribing, billing, and patient engagement tools. It supports interoperability through standards like HL7 and FHIR, enabling seamless data exchange with other systems. The solution also includes population health management and analytics to help practices improve outcomes and meet regulatory requirements such as MIPS.
Pros
- Robust clinical and administrative features including revenue cycle management
- Strong interoperability and compliance tools for regulatory reporting
- Advanced analytics for population health and quality measures
Cons
- Steep learning curve and complex interface for new users
- High upfront implementation costs and customization needs
- Customer support response times can be inconsistent
Best For
Mid-to-large ambulatory practices needing a scalable, enterprise-grade EHR with integrated practice management.
Pricing
Custom enterprise pricing; typically $400-$700 per provider/month plus one-time implementation fees starting at $50,000+.
MEDITECH
enterprisePatient-centric EHR platform for acute and ambulatory care with web-based tools and Expanse cloud deployment.
Expanse platform's web-based, device-agnostic access for unified patient records and real-time decision support across the care continuum
MEDITECH is a veteran provider of electronic health record (EHR) systems, serving over 1,700 healthcare organizations worldwide with its comprehensive platforms like Expanse. The software manages clinical documentation, patient records, billing, scheduling, and interoperability across inpatient, outpatient, and post-acute care settings. It emphasizes real-time data access, population health management, and regulatory compliance to streamline workflows in hospitals and health systems.
Pros
- Robust integration across clinical, financial, and operational modules
- Strong support for interoperability standards like FHIR and HL7
- Proven reliability with decades of experience in acute care environments
Cons
- Steep learning curve and less intuitive interface compared to modern competitors
- High upfront implementation costs and lengthy deployment timelines
- Limited flexibility for deep customizations
Best For
Mid-sized community hospitals and health systems seeking a dependable, all-in-one EHR for acute and ambulatory care.
Pricing
Quote-based pricing with annual subscriptions starting at $200K+ for mid-sized facilities, plus multi-million-dollar implementation fees depending on scope and modules.
Greenway Health
enterpriseEHR and interoperability platform with practice management and patient engagement for independent practices.
Advanced payer connectivity and automated revenue cycle management embedded within the EHR
Greenway Health provides comprehensive EHR solutions like Intergy and Prime Suite, tailored for ambulatory care practices and specialties. The platform integrates electronic health records, practice management, patient engagement, and revenue cycle management to streamline clinical and administrative workflows. It emphasizes interoperability with standards like HL7 and FHIR, supporting meaningful use requirements and population health management.
Pros
- Robust interoperability and integration with lab, imaging, and payer systems
- Strong revenue cycle management tools for efficient billing and collections
- Customizable templates and specialty-specific modules
Cons
- Steep learning curve for new users due to complex interface
- Higher implementation costs and longer onboarding time
- Occasional reports of customer support delays
Best For
Mid-sized ambulatory practices and specialty groups needing integrated EHR and revenue cycle capabilities.
Pricing
Quote-based pricing, typically $300-$600 per provider/month plus implementation fees starting at $10,000+.
AdvancedMD
enterpriseCloud EHR with integrated billing, scheduling, and telehealth features tailored for small to mid-sized practices.
Integrated Revenue Cycle Management that automates claims processing and denial management for faster reimbursements
AdvancedMD is a comprehensive cloud-based Electronic Health Records (EHR) and practice management platform tailored for medical practices. It streamlines patient documentation, clinical workflows, appointment scheduling, billing, and telehealth with HIPAA-compliant features and interoperability via standards like HL7 and FHIR. The system supports customizable charting, e-prescribing, and patient portals to enhance care delivery and operational efficiency.
Pros
- Robust EHR tools with customizable templates and mobile access
- Strong revenue cycle management and billing automation
- Seamless interoperability and compliance features
Cons
- Steep learning curve for new users
- Higher cost for full functionality
- Interface feels dated in some areas
Best For
Mid-sized specialty practices needing an all-in-one EHR and practice management solution.
Pricing
Custom quotes starting at ~$400-$600 per provider/month for core EHR, scaling with modules and practice size.
DrChrono
enterpriseMobile-optimized EHR platform with charting, telehealth, and billing designed for independent physicians.
Fully native mobile apps that support complete charting, e-prescribing, and billing directly from iPad or smartphone
DrChrono is a cloud-based electronic health record (EHR) and practice management platform tailored for medical practices, offering tools for scheduling, charting, billing, e-prescribing, and telehealth. It supports customization with templates, voice dictation, and integrations with labs, pharmacies, and payment processors. The software stands out for its mobile-first approach, providing native iOS and Android apps for on-the-go access to patient records and workflows.
Pros
- Comprehensive all-in-one EHR with strong scheduling and billing integration
- Excellent mobile apps for iOS and Android enabling full functionality on devices
- Robust customization options for charting templates and workflows
Cons
- Pricing can be steep for small or solo practices
- Some advanced features have a learning curve
- Customer support response times can vary
Best For
Small to mid-sized ambulatory practices and specialists needing a mobile-friendly EHR with telehealth and revenue cycle management.
Pricing
Starts at around $200 per provider per month for basic plans, scaling to $400+ for advanced features; custom quotes for enterprises.
Conclusion
The top three medical record systems represent the pinnacle of healthcare technology, each with distinct strengths. Epic Systems leads as the top choice, offering a comprehensive EHR platform that enhances clinical workflows, improves interoperability, and provides robust analytics—perfect for large health systems seeking integration and scalability. Oracle Health and athenahealth follow closely, with Oracle excelling in integrated clinical, financial, and population health management, and athenahealth standing out for its cloud-based, ambulatory-focused tools. Together, these solutions highlight the importance of aligning software with organizational needs to drive efficiency and better patient care.
Experience the future of healthcare by exploring Epic Systems—its advanced capabilities can transform how you manage records, streamline operations, and deliver exceptional care, setting your practice apart in a rapidly evolving field.
Tools Reviewed
All tools were independently evaluated for this comparison
