Quick Overview
- 1#1: Epic - Comprehensive EHR platform delivering advanced clinical workflows, interoperability, and analytics for large hospitals and health systems.
- 2#2: Oracle Health - Integrated EHR and health IT solutions optimizing patient care, revenue cycle, and population health management.
- 3#3: athenahealth - Cloud-based EHR and practice management software streamlining ambulatory care and billing for physician practices.
- 4#4: eClinicalWorks - Robust EHR system with telehealth, patient engagement, and population health tools for diverse practice sizes.
- 5#5: NextGen Healthcare - Specialty-focused EHR offering customizable workflows, interoperability, and revenue management for ambulatory providers.
- 6#6: Veradigm - EHR platform with strong analytics, payer connectivity, and clinical decision support for multi-specialty groups.
- 7#7: MEDITECH - Patient-centered EHR designed for acute and ambulatory care with intuitive interfaces and scalability.
- 8#8: Greenway Health - Interoperable EHR and practice management solution enhancing clinical efficiency and compliance for primary care.
- 9#9: Practice Fusion - Free cloud-based EHR providing charting, e-prescribing, and scheduling for small independent practices.
- 10#10: AdvancedMD - All-in-one EHR and billing software with automation features for small to mid-sized medical practices.
Tools were evaluated based on clinical functionality, usability, interoperability, integration capabilities, and overall value, ensuring alignment with the needs of varied practices, from large health systems to small ambulatory settings.
Comparison Table
For healthcare organizations seeking the right medical records system, this comparison table breaks down key tools like Epic, Oracle Health, athenahealth, eClinicalWorks, and NextGen Healthcare, among others. Readers will discover critical details on features, integration capabilities, and user-friendliness to inform their selection.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Epic Comprehensive EHR platform delivering advanced clinical workflows, interoperability, and analytics for large hospitals and health systems. | enterprise | 9.7/10 | 9.9/10 | 7.8/10 | 8.6/10 |
| 2 | Oracle Health Integrated EHR and health IT solutions optimizing patient care, revenue cycle, and population health management. | enterprise | 9.2/10 | 9.6/10 | 7.8/10 | 8.7/10 |
| 3 | athenahealth Cloud-based EHR and practice management software streamlining ambulatory care and billing for physician practices. | enterprise | 9.1/10 | 9.5/10 | 8.7/10 | 8.2/10 |
| 4 | eClinicalWorks Robust EHR system with telehealth, patient engagement, and population health tools for diverse practice sizes. | enterprise | 7.8/10 | 8.4/10 | 6.7/10 | 7.5/10 |
| 5 | NextGen Healthcare Specialty-focused EHR offering customizable workflows, interoperability, and revenue management for ambulatory providers. | enterprise | 8.1/10 | 8.7/10 | 7.3/10 | 7.6/10 |
| 6 | Veradigm EHR platform with strong analytics, payer connectivity, and clinical decision support for multi-specialty groups. | enterprise | 8.1/10 | 8.6/10 | 7.4/10 | 7.8/10 |
| 7 | MEDITECH Patient-centered EHR designed for acute and ambulatory care with intuitive interfaces and scalability. | enterprise | 8.1/10 | 8.5/10 | 7.2/10 | 7.6/10 |
| 8 | Greenway Health Interoperable EHR and practice management solution enhancing clinical efficiency and compliance for primary care. | enterprise | 8.1/10 | 8.5/10 | 7.2/10 | 8.0/10 |
| 9 | Practice Fusion Free cloud-based EHR providing charting, e-prescribing, and scheduling for small independent practices. | enterprise | 8.1/10 | 7.8/10 | 8.6/10 | 9.7/10 |
| 10 | AdvancedMD All-in-one EHR and billing software with automation features for small to mid-sized medical practices. | enterprise | 8.2/10 | 8.5/10 | 7.8/10 | 7.5/10 |
Comprehensive EHR platform delivering advanced clinical workflows, interoperability, and analytics for large hospitals and health systems.
Integrated EHR and health IT solutions optimizing patient care, revenue cycle, and population health management.
Cloud-based EHR and practice management software streamlining ambulatory care and billing for physician practices.
Robust EHR system with telehealth, patient engagement, and population health tools for diverse practice sizes.
Specialty-focused EHR offering customizable workflows, interoperability, and revenue management for ambulatory providers.
EHR platform with strong analytics, payer connectivity, and clinical decision support for multi-specialty groups.
Patient-centered EHR designed for acute and ambulatory care with intuitive interfaces and scalability.
Interoperable EHR and practice management solution enhancing clinical efficiency and compliance for primary care.
Free cloud-based EHR providing charting, e-prescribing, and scheduling for small independent practices.
All-in-one EHR and billing software with automation features for small to mid-sized medical practices.
Epic
enterpriseComprehensive EHR platform delivering advanced clinical workflows, interoperability, and analytics for large hospitals and health systems.
Chronicles database and single-patient-record architecture, enabling seamless data sharing across all care settings without silos
Epic is a leading electronic health record (EHR) system designed for comprehensive management of patient medical records, clinical documentation, billing, and interoperability across healthcare enterprises. It supports everything from inpatient and outpatient workflows to population health management and advanced analytics. Renowned for its scalability and deep customization, Epic powers over 250 healthcare organizations worldwide, handling billions of patient encounters annually.
Pros
- Unparalleled depth of features including AI-driven clinical decision support, revenue cycle management, and interoperability via FHIR standards
- Highly customizable with thousands of modules and the App Orchard marketplace for third-party integrations
- Proven scalability for massive health systems, with robust security and a single longitudinal patient record
Cons
- Steep learning curve and lengthy implementation (often 2-4 years) requiring extensive training
- High upfront and ongoing costs, prohibitive for small practices
- Occasional rigidity in workflows due to its enterprise-scale design
Best For
Large hospitals, health systems, and academic medical centers needing a scalable, enterprise-grade EHR with maximum customization and integration.
Pricing
Custom enterprise licensing; implementation often exceeds $100M for large systems, with per-user fees and module-based add-ons averaging $500K-$2M annually.
Oracle Health
enterpriseIntegrated EHR and health IT solutions optimizing patient care, revenue cycle, and population health management.
AI-powered predictive analytics integrated with Oracle's autonomous database for real-time clinical insights and operational efficiency
Oracle Health is a comprehensive electronic health records (EHR) platform designed for large-scale healthcare organizations, offering tools for managing patient records, clinical workflows, revenue cycle management, and population health analytics. Leveraging Oracle's cloud infrastructure and AI capabilities, it enables seamless data interoperability, predictive insights, and secure data handling compliant with HIPAA and FHIR standards. Acquired from Cerner, it powers over 27,000 facilities worldwide with its Millennium EHR suite, focusing on enterprise-grade scalability and customization.
Pros
- Enterprise-scale scalability with Oracle Cloud Infrastructure
- Advanced AI-driven analytics and clinical decision support
- Robust interoperability and FHIR compliance for data exchange
Cons
- Complex and lengthy implementation process
- Steep learning curve for end-users
- High upfront costs for customization and deployment
Best For
Large hospital networks and health systems requiring robust, scalable EHR solutions with advanced analytics.
Pricing
Custom enterprise licensing; typically starts at $500K+ annually for mid-sized implementations, scaling to millions for large deployments.
athenahealth
enterpriseCloud-based EHR and practice management software streamlining ambulatory care and billing for physician practices.
The athenahealth Network for real-time, aggregated clinical and financial data exchange across millions of patient encounters.
Athenahealth is a cloud-based electronic health records (EHR) and practice management platform tailored for ambulatory care providers. It streamlines clinical workflows with features like charting, e-prescribing, scheduling, billing, and patient engagement via a secure portal. The software excels in interoperability through its proprietary athenahealth Network, facilitating real-time data exchange with payers, labs, and other providers to enhance care coordination and revenue cycle management.
Pros
- Robust interoperability via the athenahealth Network for seamless data sharing
- Integrated revenue cycle management that improves billing efficiency
- Cloud-based access with strong mobile support and patient portal
Cons
- High subscription costs, especially for small practices
- Steep learning curve for complex features
- Limited customization options compared to some competitors
Best For
Mid-sized to large ambulatory practices needing an integrated EHR with advanced billing and interoperability.
Pricing
Subscription-based, typically $400-$700 per provider per month, with custom quotes based on practice size and modules.
eClinicalWorks
enterpriseRobust EHR system with telehealth, patient engagement, and population health tools for diverse practice sizes.
Healow patient engagement ecosystem, offering open-access apps for secure messaging, appointments, and payments
eClinicalWorks is a comprehensive cloud-based Electronic Health Records (EHR) and practice management platform designed for medical practices of all sizes, from solo providers to large enterprises. It streamlines clinical workflows with features like electronic prescribing, charting, scheduling, billing, and telehealth integration. The system emphasizes interoperability, patient engagement through the Healow portal, and compliance with standards like HIPAA and MIPS.
Pros
- Robust all-in-one suite including EHR, practice management, and revenue cycle tools
- Strong interoperability with labs, hospitals, and other EHRs
- Advanced patient engagement via Healow app and portal
Cons
- Steep learning curve and outdated interface for some users
- Inconsistent customer support and implementation delays
- High customization costs and potential for overkill in small practices
Best For
Medium to large medical practices seeking a scalable, integrated EHR solution with strong interoperability.
Pricing
Custom quote-based pricing; typically $400-$600 per provider per month, plus setup and implementation fees.
NextGen Healthcare
enterpriseSpecialty-focused EHR offering customizable workflows, interoperability, and revenue management for ambulatory providers.
Enterprise Population Health platform with predictive analytics and risk stratification
NextGen Healthcare offers a robust electronic health records (EHR) and practice management platform tailored for ambulatory care providers, supporting everything from charting and e-prescribing to billing and patient engagement. The cloud-based NextGen EHR is ONC-certified and emphasizes interoperability through standards like FHIR, enabling seamless data exchange across systems. It includes specialty-specific templates, population health analytics, and revenue cycle management, making it suitable for scaling practices.
Pros
- Strong interoperability and FHIR support for data exchange
- Comprehensive population health and analytics tools
- Scalable for mid-sized to enterprise practices with specialty templates
Cons
- Steep learning curve and complex interface
- High implementation and customization costs
- Occasional customer support delays reported
Best For
Mid-sized ambulatory practices and multi-specialty groups needing advanced analytics and enterprise scalability.
Pricing
Custom subscription pricing starting at $400-$700 per provider/month, plus one-time implementation fees often exceeding $50,000.
Veradigm
enterpriseEHR platform with strong analytics, payer connectivity, and clinical decision support for multi-specialty groups.
Veradigm Network for real-time, nationwide clinical data exchange and aggregation
Veradigm is a comprehensive electronic health records (EHR) platform tailored for ambulatory care, hospitals, and health systems, enabling secure management of patient data, clinical workflows, and billing. It offers robust interoperability via FHIR standards, advanced analytics for population health, and integration with telehealth and patient portals. The system supports scalable deployment from small practices to large enterprises, focusing on regulatory compliance like HIPAA and meaningful use requirements.
Pros
- Strong interoperability and FHIR-based data exchange
- Advanced analytics and population health management
- Scalable for multi-specialty practices and health systems
Cons
- Steep learning curve and complex user interface
- Custom pricing can be expensive for smaller practices
- Reported issues with system performance and support responsiveness
Best For
Mid-to-large medical practices and health systems needing integrated EHR with deep analytics and interoperability.
Pricing
Custom enterprise pricing via quote; typically $300-$800 per provider/month depending on modules and practice size.
MEDITECH
enterprisePatient-centered EHR designed for acute and ambulatory care with intuitive interfaces and scalability.
Expanse Platform's fully web-based, mobile-responsive design with embedded AI for predictive analytics and clinician workflows
MEDITECH is a leading provider of electronic health record (EHR) systems, offering comprehensive medical records management solutions tailored for hospitals and health systems through its flagship Expanse platform. It streamlines clinical workflows, patient documentation, order entry, and interoperability with features like real-time data access and analytics. The software supports acute care, ambulatory, and long-term care settings, ensuring secure handling of patient records compliant with HIPAA and other regulations.
Pros
- Robust interoperability standards support (HL7, FHIR, CCD) for seamless data exchange
- Scalable for enterprise-level hospitals with proven reliability in thousands of implementations
- Advanced analytics and population health tools for data-driven decision-making
Cons
- Steep learning curve and complex implementation process often taking 12-24 months
- Custom enterprise pricing can be prohibitively expensive for smaller practices
- User interface, while improved in Expanse, still lags behind more modern competitors in intuitiveness
Best For
Mid-to-large hospitals and integrated health systems requiring a comprehensive, scalable EHR with strong acute care capabilities.
Pricing
Custom enterprise licensing with implementation costs; annual subscriptions typically range from $500K+ for mid-sized hospitals, based on beds/users.
Greenway Health
enterpriseInteroperable EHR and practice management solution enhancing clinical efficiency and compliance for primary care.
Advanced interoperability engine connecting to national health networks for seamless data exchange
Greenway Health offers Prime Suite, a comprehensive EHR and practice management platform designed for ambulatory care providers, integrating electronic health records, billing, scheduling, and patient engagement tools. It supports interoperability with labs, pharmacies, and health information exchanges, ensuring compliance with ONC certification and MIPS reporting. The solution caters to various specialties with customizable workflows and revenue cycle management features to optimize practice efficiency.
Pros
- Strong interoperability and integration with third-party systems
- Robust revenue cycle management and claims processing
- Customizable templates and specialty-specific content
Cons
- Steep learning curve for new users
- Occasional software performance lags during peak usage
- Customer support response times can vary
Best For
Small to mid-sized ambulatory practices needing an integrated EHR and practice management system with strong billing capabilities.
Pricing
Quote-based subscription pricing, typically $300-$600 per provider/month plus implementation fees, varying by modules and practice size.
Practice Fusion
enterpriseFree cloud-based EHR providing charting, e-prescribing, and scheduling for small independent practices.
Fully free, ONC-certified EHR with no upfront licensing fees
Practice Fusion is a cloud-based electronic health record (EHR) platform designed for small to medium-sized medical practices, offering tools for patient charting, scheduling, e-prescribing, and billing. It includes clinical decision support, a patient portal, and integrations with labs and pharmacies. The software is ONC-certified, accessible via web and mobile, and emphasizes simplicity for everyday clinical workflows.
Pros
- Completely free core EHR functionality
- Intuitive, web-based interface with mobile access
- Strong e-prescribing and basic interoperability
Cons
- Limited advanced customization and analytics
- Customer support can be inconsistent
- Occasional performance hiccups during peak usage
Best For
Solo practitioners and small independent clinics needing a no-cost, straightforward EHR without heavy IT requirements.
Pricing
Free for core features; optional paid add-ons for implementation, training, and premium support starting at $149/month.
AdvancedMD
enterpriseAll-in-one EHR and billing software with automation features for small to mid-sized medical practices.
Integrated Revenue Intelligence suite that uses AI-driven analytics to optimize billing, reduce denials, and accelerate reimbursements
AdvancedMD is a cloud-based electronic health records (EHR) and practice management platform tailored for medical practices, offering comprehensive tools for patient record management, scheduling, billing, and telehealth. It emphasizes interoperability with standards like HL7 and FHIR, enabling seamless data exchange across healthcare systems. The software supports customization to fit various specialties, helping streamline clinical workflows and ensure compliance with regulations like HIPAA.
Pros
- Robust EHR with strong customization for multiple specialties
- Integrated revenue cycle management for efficient billing
- Reliable cloud infrastructure with high uptime and mobile access
Cons
- Steep learning curve and complex interface for new users
- High pricing that may not suit small practices
- Implementation and onboarding can take several months
Best For
Mid-sized to large medical practices needing an all-in-one EHR solution with advanced billing and interoperability features.
Pricing
Custom subscription pricing starting at around $400-$700 per provider per month, plus setup fees and add-ons for advanced modules.
Conclusion
The reviewed medical records systems offer exceptional value, with Epic leading as the top choice—boasting a comprehensive EHR platform, advanced clinical workflows, interoperability, and analytics that excel in large hospital and health system settings. Oracle Health and athenahealth follow closely: Oracle for its integrated tools optimizing patient care, revenue, and population health, and athenahealth for its cloud-based efficiency in ambulatory care and billing. While each tool suits distinct needs, Epic remains the standout option for those seeking a robust, scalable solution.
Ready to enhance your practice? Start with Epic to experience its transformative features, including seamless care management, interoperable systems, and data-driven insights.
Tools Reviewed
All tools were independently evaluated for this comparison