Healthcare providers face increasing pressure to balance clinical efficiency, patient satisfaction, and regulatory compliance. Choosing the right electronic health record (EHR) system plays a key role in achieving that balance. MEDITECH and Allscripts (now operating as Veradigm) are two prominent EHR vendors that offer extensive, AI-supported platforms for healthcare organizations of varying sizes and specialties.
While MEDITECH is known for its strong performance in acute and enterprise care settings, Allscripts provides scalable tools adapted to outpatient practices and specialty workflows.
This guide compares MEDITECH vs Allscripts, detailing what the software entails, their key features, pricing, pros and cons, and user feedback to help providers make the best choice for their practice.
Head-On Comparison
MEDITECH EHR is a cloud‑based, AI‑enabled platform built for acute, ambulatory, specialty, and post‑acute care across organizations of all sizes. It has been recognized as Best in KLAS for 11 consecutive years, earning top rankings in small‑bed acute care, patient accounting, and more. Deployed by thousands of healthcare organizations in 28 countries, including partnership with institutions like HCA Healthcare (182 hospitals, 2,300+ care sites), Expanse combines strong interoperability with precision medicine and mobile capabilities, supporting efficient, integrated care.
Allscripts EMR (now Veradigm) offers a full suite of healthcare IT solutions, including Practice Fusion EHR, ePrescribe, AI‑driven Practice Management, and revenue cycle tools. Their Practice Management platform, recognized #1 by Black Book for practices with 50+ providers and top 5 across other sizes, delivers AI scheduling and automated billing workflows. Allscripts supports an ecosystem of 180,000+ physicians, 2,500 hospitals, and 45,000 post-acute networks with solutions spanning clinical, financial, and patient‑engagement needs.
MEDITECH Vs Allscripts: At A Glance
Feature
MEDITECH
Allscripts
Electronic Health Records
✓
✓
Patient Engagement Tools
✓
✓
Telehealth
✓
✓
AI Capabilities
✓
✓
Revenue Cycle Management
✓
✓
HIPAA Compliance
✓
✓
Population Health
✓
✓
Comparing Strengths And Weaknesses
MEDITECH
Allscripts
Pros:
Easy to learn, graphical interface
Offers quick access to recent labs and meds
Runs in web browser on supported systems
Cons:
May require additional clicks
Lacks native support for dot phrases
Pros:
Macros and Dragon reduce typing workload
Strong reporting helps track financial trends
Prescription updates are transmitted promptly to pharmacies
Cons:
May require extra clicks, less intuitive
Some order entry tools may need occasional troubleshooting
Side-By-Side Feature Comparison
1. Electronic Health Records
MEDITECH Expanse is a physician-centered EHR designed to improve clinical workflows through personalization and AI-driven support. Physicians can customize their interface using widgets, shortcuts, and order sets adapted to their documentation habits. Expanse augments efficiency with an AI-enabled search and summarization tool, powered by Google Health, helping providers save time. Its FHIR-based ‘Traverse Exchange’ integrates external data into a single, intuitive clinical viewer within existing workflows, enabling faster, more informed decisions. By automating routine tasks and reducing cognitive load, Expanse helps clinicians focus more on patient care while combating burnout.
Allscripts EHR is an ambulatory platform designed by physicians to simplify documentation, boost efficiency, and support compliance. It includes one-click templates, smart lists, and automated reporting tools to reduce the time spent on manual tasks. An automated clinical note-taker, ‘Veradigm Ambient Scribe’, passively captures patient-provider conversations to generate structured notes within the EHR. The platform provides PDMP access, HCC alerts, and prescription pricing transparency along with specialty-specific workflows for cardiology, OB/GYN, orthopedics, and more. Its intuitive design helps practices tailor the system to their needs while keeping clinical tasks manageable and focused.
Winner: It's a tie! Both systems prioritize efficient documentation and personalized workflows for clinicians.
2. Patient Engagement Tools
MEDITECH’s ‘Expanse Patient Connect’ is a cloud-based platform that boosts communication by reaching patients through their preferred channels like text, email, or phone. It helps reduce no-shows by automating appointment confirmations and cancellations, which are synced directly into Expanse. The system also drives portal adoption by linking it to patient forms and updates. Moreover, targeted messages prompt patients to check results, complete forms, and manage ongoing care needs. By automating routine tasks, Expanse Patient Connect frees staff to focus on higher-value interactions.
Allscripts’s 'FollowMyHealth' is a mobile-first, patient engagement platform that enhances patient care and patient-provider collaboration. With a single point-of-access, it offers access to personal health records, secure messaging, appointment scheduling, bill pay, and post-care summaries. Functionalities like mobile check-in, appointment reminders, and satisfaction surveys streamline administrative workflows. With integration to 240+ language interpretation services, including American Sign Language, and support for active remote patient monitoring, Allscripts improves data accessibility and ongoing care management.
Winner: Allscripts wins for its comprehensive features, multilingual support, and mobile-first engagement across the full care journey.
3. Telehealth
MEDITECH’s ‘Virtual Care’ is a fully integrated solution that supports scheduled and on-demand video visits within the Expanse platform. Patients can book, complete forms, and launch visits through the patient portal or ‘MHealth app’. Providers conduct visits from their existing workflows with full chart access, while ‘Virtual On Demand Care’ expands access to urgent care for both new and existing patients. The system reduces no-shows, boosts continuity, and helps attract new patients without disrupting operations.
Allscripts provides flexible telemedicine tools for real-time and asynchronous care. Providers can conduct video visits using smartphones, tablets, or computers while documenting within the EHR. Patients may also initiate email consultations via questionnaires, which clinicians review to determine care steps. These features enhance access, reduce operational impacts from in-person visits, and positions practices to compete with urgent care clinics.
Winner: MEDITECH wins for its smooth workflow integration, on-demand virtual care, and built-in patient onboarding.
4. AI Capabilities
MEDITECH applies AI throughout its Expanse platform to ease clinician workload and support better decisions. ‘Expanse Navigator’, powered by Google, performs intelligent searches for structured and unstructured EHR data, ranking results as organized lists for easy review. Other tools include ‘Ambient Listening’ for auto-generating visit notes, predictive no-show analysis, and automated hospital course summaries. These features help with documentation, improve accuracy, and save time across care settings.
Allscripts offers two AI-powered modules, ‘AI Patient Scheduling’ and ‘Ambient Scribe’, for both scheduling and clinical documentation. ‘Predictive Scheduler’ forecasts demand, reduces no-shows, and adjusts schedules in real time to keep calendars full. ‘Veradigm Ambient Scribe’, powered by AvodahMed, passively captures provider-patient conversations and turns them into structured, EHR-integrated notes. This helps reduce screen time, ease documentation burden, and improve accuracy.
Winner: MEDITECH wins for offering a wider AI toolkit that spans search, documentation, scheduling, and decision support.
5. Revenue Cycle Management
MEDITECH’s ‘Expanse Revenue Cycle’ unifies billing across acute, ambulatory, and long-term care with automated workflows that reduce administrative burden and improve financial transparency. It combines front, middle, and back-office functions such as contactless check-ins, cost estimation, claim management, and appeals. Patients benefit from simplified statements and real-time billing tools, while providers gain visibility into financial data to improve reimbursement and reduce A/R (accounts/receivables) days.
Allscript's 'Veradigm Payerpath' offers a flexible, PM-agnostic suite that streamlines claims, remittance, denial tracking, and patient payments. It reduces billing errors with automated tools, real-time eligibility checks, and coding guidance. 'Patient Responsibility' tools like 'eStatements with Online Bill Pay' and predictive analytics personalize billing and speed up collections. Features such as automated 'Collection Letters', 'Return Mail Manager', and 'Intelligent Payments' boost efficiency and payment rates. Integration with billing systems ensures payments are posted smoothly, reducing manual work, and improving cash flow.
Winner: It's a tie as both platforms deliver strong, patient-focused RCM solutions with end-to-end integration and automation.
Pricing Plans For MEDITECH And Allscripts
MEDITECH uses a customized pricing model tailored to each organization. Costs typically depend on factors such as user count, deployment type, and feature selection.
Allscripts offers flexible pricing based on practice size and usage. The Practice Fusion EHR plan starts at $199/month, while Veradigm ePrescribe begins at $59/prescriber/month. Exact pricing depends on selected modules and user needs.
Disclaimer: Pricing is subject to change.
What Users Have To Say
Users highlight MEDITECH for its simplicity and consistency once they’re familiar with the layout. Many find it easy to review labs and chart efficiently, especially in routine workflows. Its web-based Expanse version allows access from different systems, and users appreciate its straightforward design that avoids excessive complexity. While some feel the interface looks a bit dated, they agree that it becomes intuitive over time and serves well in supporting daily clinical duties.
Allscripts earns praise for its customizable templates, seamless scheduling, and automation that helps reduce administrative workload. Users find it especially useful for managing patient flow, coordinating billing, and tracking performance metrics. The platform integrates well with EHR systems and supports tools like Dragon and macros to speed up documentation. Though a few users mention occasional slowdowns or delayed support, they still consider it a dependable, feature-rich solution that improves practice efficiency once fully implemented.
Final Take: MEDITECH Vs Allscripts
MEDITECH and Allscripts both bring powerful EHR ecosystems, yet their strengths reflect different priorities. MEDITECH is best suited for large hospitals and integrated networks looking for deep interoperability, built-in AI tools, and centralized RCM. Allscripts is ideal for ambulatory and specialty practices seeking flexible deployment, physician-friendly documentation tools, and customizable billing workflows.
The final decision depends on practice size, specialty focus, and the level of integration needed. Either platform can support improved outcomes and systematized operations with the right implementation strategy.
