Monthly Price: Custom PricingMonthly Price: Custom Pricing
Best for: Acute Care, Home HealthBest for: Internal Medicine, Behavioral Health
Mobile App: iOS, AndroidMobile App: iOS and Android
Rating: 3Rating: 3.6

A recent study published in JAMA Network Open in 2024 revealed that 26.3% of family physicians expressed dissatisfaction with their EHR system. This discontentment underscores what’s at stake when selecting an EHR system. The right system can simplify operations, improve patient care, and support long-term practice growth, while the wrong choice could lead to frustration, inefficiencies, and even physician burnout. 

Among the many EHR options, MEDITECH and NextGen stand out as widely used solutions, each catering to distinct healthcare needs. MEDITECH is favored by hospitals and large healthcare systems, while NextGen is designed for ambulatory care settings, making it a strong choice for small to mid-sized practices. 

This guide provides a detailed MEDITECH vs NextGen comparison, covering their EHR products, features, benefits, drawbacks, pricing, and user feedback to help you make an informed decision. 

Head-On Comparison

MEDITECH, established in 1969, is a prominent provider of electronic health record (EHR) systems, primarily serving hospitals and large healthcare organizations. The company's EHR solutions are designed to streamline clinical workflows, enhance patient safety, and improve operational efficiency. MEDITECH's web-based Expanse platform includes comprehensive modules for health information management, revenue cycle, and patient engagement. 

As of recent data, MEDITECH EHR holds approximately 9.77% of the market share, ranking as the third most widely used vendor. Additionally, in 2025, MEDITECH's Expanse/MaaS was awarded Best in KLAS for Acute Care EHR & Patient Accounting (small -1-150 beds), marking the 11th consecutive year the company has received Best in KLAS recognition. 

NextGen Healthcare, founded in 1974, specializes in EHR and practice management solutions tailored for ambulatory care settings, including small-to-mid-sized practices and multi-specialty groups. Their cloud-based platforms integrate clinical care, practice management, and patient engagement tools to enhance productivity and patient outcomes. NextGen offers products like NextGen Office EHR and NextGen Enterprise EHR, catering to various practice sizes and specialties. 

The company holds approximately 5.3% of the EHR market. In 2025, NextGen Healthcare's Behavioral Health Suite was recognized as Best in KLAS for Behavioral Health for the second consecutive year, reflecting its commitment to delivering outstanding value and innovation to healthcare providers and patients. 

MEDITECH Vs NextGen: At A Glance

Feature 

MEDITECH 

NextGen 

Interoperability 

✓ 

✓ 

AI Capabilities 

✓ 

✓ 

Population Health 

✓ 

✓ 

Patient Engagement Tools 

✓ 

✓ 

Revenue Cycle Management 

✓ 

✓ 

Analytics 

✓ 

✓ 

Virtual Visits 

✓ 

✓ 

Comparing Strengths And Weaknesses

PROS
  • Consistent interface across all departments, simplifying navigation
  • Check boxes with fields for elaboration, streamline documentation
  • Improves accuracy in documentation 
  • Convenient eligibility verification
  • Easy flow between charts and medication
  • Fluid integration between practice management and EHR
CONS
  • Lacks hotkeys
  • Lacks a modern or visually engaging design
  • Exercise log completion may be time-consuming
  • Navigating labs may involve multiple clicks 

MEDITECH Vs NextGen: Side-By-Side Features Comparison

Interoperability

MEDITECH's interoperability solutions are designed to facilitate seamless data exchange across various healthcare networks, enhancing clinical decision-making and patient care. The company's intelligent interoperability platform 'Traverse Exchange' enables real-time sharing of discrete patient information using FHIR-based requests, moving beyond traditional static document exchanges.

This approach allows clinicians to efficiently access, view, and incorporate external data within their workflows, improving data usability and flexibility. Additionally, MEDITECH's bidirectional exchange between 'CommonWell' and 'Carequality' ensures broad connectivity, allowing member records to be shared with major EHR vendors, including those serving large academic medical centers.

NextGen offers comprehensive interoperability solutions aimed at streamlining patient information exchange across systems, locations, and communities. Their platform supports integration with national interoperability networks, such as 'Carequality', facilitating real-time access to millions of patient records across billions of encounters.

NextGen's vendor-agnostic ‘Mirth Connect’ integration engine ensures seamless data exchange across diverse technology systems, improving compatibility and scalability. The platform also provides access to a national caregiver directory, connecting healthcare providers through an open, vendor-neutral platform.

Winner: Both MEDITECH and NextGen offer strong interoperability, but NextGen's vendor-agnostic integration and national network access give it an edge in flexibility and connectivity.

Patient Engagement And Experience

MEDITECH's patient engagement solutions, including 'MyHealthHub' and 'Expanse Patient Connect,' enhance the patient experience by improving access to health information and streamlining provider communication. 'MyHealthHub' allows patients to manage their health records, schedule virtual care appointments, and integrate data from fitness trackers and remote monitoring devices, promoting active participation in their healthcare journey. 'Expanse Patient Connect' enables real-time, two-way messaging between patients and providers, streamlining communication and improving satisfaction.

NextGen's patient experience platform offers an extensive suite of tools aimed at enhancing patient engagement and streamlining practice operations. Features include patient self-scheduling, mobile intake forms, a user-friendly patient portal, and secure text messaging, all designed to improve access to care and reduce administrative burdens. The platform also supports virtual visits and integrates seamlessly with practice management systems, allowing patients to manage appointments and communicate with providers efficiently.

Winner: Both platforms offer extensive patient engagement, but NextGen's comprehensive suite covers the entire patient journey, giving it a slight edge in enhancing the experience.

Population Health

MEDITECH's Expanse population health management solutions provide healthcare organizations with comprehensive tools to gain clear insights into their patient populations. The 'Expanse Care Compass' enables care teams to proactively identify and address care gaps by leveraging actionable patient registries. By integrating population health insights into daily workflows, providers can use upcoming appointments as opportunities to deliver timely interventions. The platform also allows teams to assess entire patient groups, determine accountability, and coordinate care efficiently—all from a single screen.

NextGen's population health management platform offers aggregated, multi-source data to empower providers in delivering patient-focused care. The system facilitates risk stratification, identifies care gaps, and supports targeted patient outreach, all integrated seamlessly into existing clinical workflows. By providing insights alongside patient charts within the EHR, NextGen ensures that care teams can efficiently manage referral patterns and understand patient populations at both individual and group levels.

Winner: MEDITECH’s ‘Expanse Care Compass’ stands out with its intuitive patient registries, enabling providers to efficiently close care gaps during routine visits, solidifying its position as the winner.

Revenue Cycle Management

MEDITECH's revenue cycle management (RCM) solution is designed to integrate fluidly across acute, ambulatory, and long-term care settings, providing a comprehensive view of each patient's financial journey. This integration ensures that all aspects of patient care are connected, enhancing operational efficiency.

The system offers intuitive tools and automated workflows to streamline staff tasks, such as prior authorizations, reducing administrative burdens and minimizing claim denials. Patients benefit from transparent billing statements that combine charges from multiple care settings and user-friendly online payment options, contributing to a positive consumer experience.

NextGen provides tailored RCM services for both small practices and mid to enterprise-level organizations. For small practices, 'NextGen Office RCM Services' aim to enhance financial performance by offering transparent billing processes, correcting operational inefficiencies, and improving denial management.

For mid to enterprise-level practices, 'NextGen's RCM Services' are designed to reduce the resources needed for practice operations while increasing collections. By leveraging cutting-edge technology, these services help streamline billing processes, automate tasks, and provide analytics to monitor financial performance, ultimately supporting better monetary outcomes.

Winner: NextGen's tailored approach for different practice sizes gives it a slight edge, positioning it as the winner.

AI Capabilities

MEDITECH's Expanse integrates artificial intelligence (AI) to augment clinical workflows and reduce documentation burdens. Through a collaboration with Google Health and Apple, the platform offers AI-powered search and summarization capabilities, enabling clinicians to efficiently access both structured and unstructured data across the EHR. Features like ‘Ambient Listening’ automatically generate clinical visit notes by capturing patient-provider conversations, which clinicians can review and edit within the Expanse chart. Additionally, AI-generated hospital course summaries help to document key patient information to improve patient safety.

NextGen utilizes artificial intelligence to transform healthcare delivery, focusing on enhancing provider efficiency and patient outcomes. Their AI-driven solutions include ‘NextGen® Ambient Assist’, which utilizes ambient listening technology to convert natural patient-provider conversations into structured SOAP notes, thereby saving providers up to two hours per day. This tool also offers suggestions for ICD-10 coding, medications, lab orders, and configurable charge capture workflows, all accessible with a simple finger tap, aiming to reduce physician burnout and improve the overall patient experience.

Winner: MEDITECH's partnership with Google Health and advanced AI-driven search give it an edge in clinical decision-making, establishing it as the winner

Pricing Plans For MEDITECH And NextGen

Both MEDITECH and NextGen follow a customized pricing model, meaning costs are not fixed and depend on several factors. These include the size of the practice, the range of features required, the level of customization, and specific implementation needs such as training, support, and integrations. 

What Users Have To Say

Users appreciate MEDITECH for its straightforward interface, which enables efficient navigation and task completion. The system’s design allows healthcare professionals to access key functions with minimal clicks, streamlining workflows. Additionally, the ability to log in from multiple workstations is seen as a valuable feature, particularly in fast-paced environments like hospitals and laboratories. 

However, some users have noted occasional system lag during peak usage times, which can impact efficiency. Despite this, many find MEDITECH Expanse to be a reliable and user-friendly EHR solution that continues to evolve, offering improvements that enhance the overall user experience. 

NextGen receives favorable feedback for its suitability in small to mid-sized practices. Users commend its positive impact on productivity and appreciate the continually improving workflows, reporting, interfaces, and interoperability. The company's dedication to customer success and adoption of new technologies is also highlighted as a significant advantage. 

Conversely, some users have expressed concerns about the software's speed, citing that it can be slow and requires excessive clicking and scrolling, which may hinder efficiency. Despite these issues, NextGen Office is valued for its strong customer support and commitment to enhancing user experience. 

Which EHR Solution Aligns Best With Your Needs?

Choosing between MEDITECH and NextGen ultimately depends on the specific needs of a healthcare organization. MEDITECH stands out for its strong presence in acute care settings, advanced AI-driven clinical decision support, and seamless integration across care environments. Its Expanse platform, coupled with Google Health-powered AI, optimizes patient data management, making it a strong choice for hospitals and large healthcare systems. 

NextGen, on the other hand, excels in the ambulatory care space, offering tailored solutions for small to mid-sized practices with robust interoperability, flexible revenue cycle management, and a patient-centric engagement platform. Its vendor-agnostic 'Mirth Connect' integration and 'NextGen Office RCM' services make it a compelling choice for practices looking for streamlined workflows and financial optimization. 

Both solutions provide scalable, feature-rich systems that drive efficiency, improve patient outcomes, and support long-term growth.