# NextGen Healthcare vs OpenEMR

**Leader by Vioscale score:** NextGen Healthcare

| Attribute | NextGen Healthcare | OpenEMR |
|---|---|---|
| **Vioscale score** | 58.9 (63% (medium)) | 31.8 (63% (medium)) |
| activity.commits_last_30d | - | 10 |
| adoption.github_stars | - | 118 |
| deployment.options | `{"cloud":true}` | `{"cloud":true,"hybrid":true,"on_prem":true,"self_hosted":true}` |
| description.long | An AI-enhanced, cloud-based system that integrates electronic health records, practice management, patient communications, and revenue cycle management to streamline operations for specialty practices. Features include ambient AI documentation, interoperability with healthcare networks and payers, and tools for population health management. | Free, open-source EHR and practice management platform available for self-deployment or as a managed cloud service. ONC-certified and HIPAA-compliant, designed for ambulatory healthcare practices with integrated clinical workflows and medical billing. |
| features.capabilities | `{"epcs":true,"hipaa":true,"deployment":"cloud","care_setting":"ambulatory","product_type":"practice_mgmt","onc_certified":true,"pricing_model":"quote","revenue_cycle":true,"patient_portal":true,"target_segment":"enterprise","interoperability":"fhir","telehealth_builtin":true,"medicare_medicaid_macra_mips_reporting":true,"patient_statement_generation_and_portal_payments":true}` | `{"hipaa":true,"deployment":"on_prem","care_setting":"ambulatory","product_type":"ehr","onc_certified":true,"revenue_cycle":true,"patient_portal":true,"target_segment":"clinic","telehealth_builtin":true}` |
| integrations.count | 4 | 1 |
| integrations.list | `[{"name":"Payers"},{"name":"HIEs (Health Information Exchanges)"},{"name":"State reporting systems"},{"name":"Mirth Connect"},{"name":"Third-party API applications"},{"name":"Patient access applications"},{"name":"National data exchange platforms"},{"name":"WellSky"},{"name":"Health Information Exchanges"}]` | `[{"name":"ClaimRev Clearinghouse Module"}]` |
| language.primary | - | Shell |
| license.spdx | - | GPL-3.0 |
| market.availability | `{"primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` | `{"primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` |
| platform.support | `{"ios":true,"web":true,"android":true}` | `{"web":true}` |
| pricing | `{"type":"quote","plans":[{"free":false,"name":"NextGen Enterprise","summary":"For 10+ providers","minSeats":10,"description":"Enterprise-level EHR & patient health data platform","contactSales":true},{"free":false,"name":"NextGen Office","summary":"For under 10 providers","description":"Fully-integrated EHR & PM for independent practices","contactSales":true}],"summary":"Contact sales for pricing","freeTier":false,"sourceUrl":"https://www.nextgen.com/","retrievedAt":"2026-08-04T08:41:45.020Z"}` | `{"type":"hybrid","plans":[{"free":true,"name":"Self-Hosted (Open Source)","description":"Free and open source software for self-deployment"},{"free":false,"name":"Cloud Standard Edition","summary":"Starting at approximately $70/month with no per-provider charges","components":[{"kind":"fixed","amount":70,"period":"month","currency":"USD"}],"description":"Managed cloud hosting on AWS Marketplace","contactSales":false}],"summary":"Free open-source or managed cloud starting at ~$70/month","currency":"USD","freeTier":true,"sourceUrl":"https://www.open-emr.org/","retrievedAt":"2026-08-25T21:45:36.304Z","startingPrice":{"amount":70,"period":"month","currency":"USD"}}` |
| pricing.free_tier | no | yes |
| pricing.model | commercial | freemium |
| pricing.price_level | unknown | high |
| pricing.starting_price | - | `{"amount":70,"currency":"USD"}` |
| pricing.transparent | no | no |
| reliability.status_page | yes | - |
| security.hipaa | yes | yes |
| security.iso27001 | yes | - |
| security.pci | yes | - |
| security.soc2 | yes | - |

## Capabilities (Healthcare Software)

| Capability | NextGen Healthcare | OpenEMR |
|---|:--:|:--:|
| **Core** |  |  |
| Product type | Practice management | EHR/EMR |
| Care setting | Ambulatory / outpatient | Ambulatory / outpatient |
| **Compliance** |  |  |
| HIPAA compliant / BAA available | ✓ | ✓ |
| ONC Health IT certified | ✓ | ✓ |
| HITRUST CSF certified | - | - |
| **Clinical** |  |  |
| e-Prescribing with EPCS (controlled substances) | ✓ | - |
| Built-in telehealth / video visits | ✓ | ✓ |
| **Interoperability** |  |  |
| Interoperability standards | FHIR / SMART on FHIR | - |
| **Engagement** |  |  |
| Patient portal | ✓ | ✓ |
| **Financial** |  |  |
| Revenue-cycle / medical billing | ✓ | ✓ |
| **Deployment** |  |  |
| Deployment | Cloud / SaaS | On-premises |
| **Pricing** |  |  |
| Pricing model | Quote / contact sales | - |
| **Market** |  |  |
| Target segment | Enterprise / life sciences | Clinic / group practice |

*Source: Vioscale. Generated 2026-09-01T15:15:26.374Z. "-" = undocumented, not absent.*