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eClinicalWorks vs CarePaths EHR vs RXNT Clinical EHR vs NextGen Healthcare EHR Comparison

Last updated:

eClinicalWorks

3.8(639 reviews)

Starting at $449 /Month

  • Large Enterprises
  • Medium Business

eClinicalWorks is a healthcare solution to streamline the workflow for professionals and provide complete patient care. It grants access to various services, such as Telehealth, messages, health data, configurable remind…

CarePaths EHR

Starting at $10 /month

  • Free Trial
  • Healthcare Providers
  • Group Practices

CarePaths EHR is a user-friendly, cloud-based platform built for behavioral health professionals, solo therapists, and group practices. It combines essential clinical and administrative tools into a single interface, all…

RXNT Clinical EHR

4.1(30 reviews)

Starting at $126 /user/month

  • Large Enterprises
  • Medium Business

RXNT offers a fully integrated, cloud-based Electronic Health Record (EHR) and EMR software solution designed to streamline clinical workflows and optimize the patient care experience for practices of all sizes and speci…

NextGen Healthcare EHR

Starting at Contact for pricing

  • Large Enterprises
  • Medium Business

NextGen Healthcare EHR is a robust, cloud-based electronic health record platform designed to streamline clinical, operational, and revenue workflows in ambulatory care settings. Tailored for practices of all sizes, it o…

eClinicalWorks leads on user satisfaction with a 3.8-star rating across 639 reviews.

eClinicalWorks vs CarePaths EHR vs RXNT Clinical EHR vs NextGen Healthcare EHR — at a glance

FeatureeClinicalWorksCarePaths EHRRXNT Clinical EHRNextGen Healthcare EHR
Rating3.8 / 54.1 / 5
Reviews63930
Starting price$449 /Month$10 /month$126 /user/monthContact for pricing
Free trial No Yes No No
Free version No No No No
Best forLarge Enterprises, Medium Business, Small BusinessHealthcare Providers, Group PracticesLarge Enterprises, Medium Business, Small BusinessLarge Enterprises, Medium Business, Small Business
CategoryEHR SoftwareEHR SoftwareEHR SoftwareEHR Software
Integrations8+ apps
PlatformsSaaS/Web/Cloud, Mobile - Android, Mobile - iOSSaaS/Web/Cloud, Mobile - Android, Mobile - iOS, Browser Based (Cloud)SaaS/Web/Cloud
APIAvailable
Support modes24/7 (Live rep)Online, Business HoursEmail, Chat, Tickets, Onboarding, Phone, DocsOnline
CertificationsHIPAAHIPAASOC 2, HIPAASOC 2, HIPAA
Data residencyUSUSUnited StatesGlobal

Key differences between eClinicalWorks and CarePaths EHR

  • Pricing: eClinicalWorks starts at $449 /Month, while CarePaths EHR starts at $10 /month.
  • Free trial: CarePaths EHR offers a free trial; eClinicalWorks does not.
  • Target audience: eClinicalWorks is built for Large Enterprises and Medium Business, while CarePaths EHR targets Healthcare Providers and Group Practices.

Compare eClinicalWorks vs CarePaths EHR vs RXNT Clinical EHR vs NextGen Healthcare EHR — and walk away knowing which one fits.

01

Which tool fits your team best

02

Which is actually cheaper for your team size

03

Where each product wins, per real buyers

Most EHR Software tools look identical on paper. This comparison cuts to the differences that matter — pricing structure, team fit, and what real buyers found after signing up.

eClinicalWorks - EHR Software
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CarePaths EHR - Logo
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Biggest differences

Start here before you go deeper into features.

eClinicalWorks

Best for

Large Enterprises, Medium Business, Small Business

CarePaths EHR

Best for

Healthcare Providers, Group Practices

RXNT Clinical EHR

Best for

Large Enterprises, Medium Business, Small Business

NextGen Healthcare EHR

Best for

Large Enterprises, Medium Business, Small Business

eClinicalWorks typically suits Large Enterprises and Medium Business. CarePaths EHR tends to fit Healthcare Providers and Group Practices better. The right choice depends on your team size, workflow, and whether a free trial matters.

Description

eClinicalWorks is a healthcare solution to streamline the workflow for professionals and provide complete patient care. It grants access to various services, such as Telehealth, messages, ... Read More about eClinicalWorks

CarePaths EHR is a user-friendly, cloud-based platform built for behavioral health professionals, solo therapists, and group practices. It combines essential clinical and administrative ... Read More about CarePaths EHR

RXNT offers a fully integrated, cloud-based Electronic Health Record (EHR) and EMR software solution designed to streamline clinical workflows and optimize the patient care experience for ... Read More about RXNT Clinical EHR

NextGen Healthcare EHR is a robust, cloud-based electronic health record platform designed to streamline clinical, operational, and revenue workflows in ambulatory care settings. Tailored ... Read More about NextGen Healthcare EHR

Entry Level Pricing

  • Starts from $449
  • Starts from $10 , monthly
  • Starts from $126 , Billed Monthly
  • Not Available

Free Trial Availability

  • No free trial
  • No free trial
  • No free trial

User Ratings

Based on verified Spotsaas reviews

4.1

(30)

Best Company Size

10 – 500 Employees
1–50 Employees
1 – 1000+ employees
50 – 1,000+ Employees
Get pricing help
Get pricing help

Where each option fits best

See where each product is strongest, which teams it fits, and what causes buyers to keep looking — before you commit.

Based on buyer reviews and verified product data collected by Spotsaas.

Strengths

Key strengths

eClinicalWorks

  • All-in-one cloud-based healthcare suite: Combines EHR, telehealth, messaging, reminders, and patient engagement tools accessible through a secure web portal.
  • Strong interoperability and lab integration: Supports customizable lab interfaces, trend analysis, and seamless electronic data exchange with labs and other systems.
  • AI-powered record insights via Eva: With version 11, Eva provides embedded assistance—analyzing records, progress notes, and data to support clinical decision-making.

CarePaths EHR

  • AI-assisted clinical documentation significantly reduces time spent on administrative tasks.
  • Built-in measurement-based care tools improve treatment accuracy and clinical outcomes.
  • Integrated scheduling, telehealth, billing, and messaging functions promote operational efficiency and client satisfaction.

RXNT Clinical EHR

  • Cloud-Based, Cost-Effective Platform: Offers flexible tiered pricing—from standalone e-prescribing to full-suite EHR and billing—making it attractive for small to mid-sized practices.
  • Strong e-Prescribing Capabilities: Provides reliable, mobile-ready prescription management with allergy alerts and medication history support, maintaining compliant and efficient workflows.
  • User-Friendly Interface & Live Support: The intuitive layout is easy to work through, and live technical support is available when you need it.

NextGen Healthcare EHR

  • Comprehensive feature-rich platform: Includes patient portal, specialty-specific workflows, practice management, e‑prescribing, and revenue cycle management—all under one cloud-based system.
  • Customizable and scalable: Highly adaptable templates, smart phrases, and specialty modules make it a solid fit for diverse healthcare settings from outpatient to hospitals.
  • Integrated patient engagement & mobility: Secure messaging, appointment management, mobile access, and population health tools improve patient experience and provider efficiency.
Best fit

Best fit

eClinicalWorks

  • 10 – 500 Employees
  • Ambulatory Care, Multi-specialty Clinics, Community Health Centers, Accountable Care Organizations
  • Physicians, Nurse Practitioners, Clinical Staff, Practice Managers, Medical Billers, Health IT Administrators

CarePaths EHR

  • 1–50 Employees
  • Mental health clinics, private practices, behavioral health centers
  • therapists, counselors, psychologists, clinical social workers, and group practice managers.

RXNT Clinical EHR

  • 2 – 200 employees
  • Small to mid-sized medical practices, Mental Health Clinics, Outpatient Centers, Urgent Care, Mobile Clinicians
  • Physicians, Nurse Practitioners, Billing Specialists, Office Managers, IT Coordinators, Prescribers

NextGen Healthcare EHR

  • 50 – 1,000+ Employees
  • Healthcare, Ambulatory Care, Specialty Clinics, Community Hospitals, Group Practices
  • Physicians, Nurse Practitioners, Practice Managers, Medical Billers, Health IT Staff, Care Coordinators
Watchouts

Reasons buyers look elsewhere

eClinicalWorks

  • Users often describe the system as “click-heavy” and complex, leading to slower charting and extended training periods.
  • The UI feels outdated, with small text and non-intuitive layouts, causing frustration during routine tasks.
  • Clinicians report freezes, slowdowns during peak hours, and occasional outages that slow down patient care.

CarePaths EHR

  • Lacks template customization — teams needing deep workflow personalization typically switch to Epic or Cerner
  • Missing integrations with billing software and specialized reporting platforms that competitors offer
  • Practices requiring advanced telehealth features like video recording and dynamic session management look elsewhere

RXNT Clinical EHR

  • Many providers explore other EHRs due to frequent performance slowdowns and laggy behavior, especially under high-load conditions.
  • Some users migrate away because they encounter duplicate patient records, which can lead to confusion and inefficiency in care documentation.
  • Practices requiring highly extensive specialty-specific functionality may prefer a more specialized, vertical platform.

NextGen Healthcare EHR

  • The interface requires significant time to master, especially for users transitioning from more intuitive platforms.
  • Tasks like rescheduling appointments often involve multiple steps, increasing administrative burden.
  • Users report delays and system sluggishness—sometimes exacerbated by server load or internet bandwidth issues.

Software Demo

Demo

No software demo available

CarePaths EHR has not given any software demo yet

If you're the owner of this profile, add your demo.Contact us

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Step 1 of 4

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How do eClinicalWorks, CarePaths EHR, RXNT Clinical EHR and NextGen Healthcare EHR Compare on Features?

Total Features

9 Features

8 Features

37 Features

9 Features

Unique Features

No unique features

No unique features

No unique features

No unique features

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Compare eClinicalWorks, CarePaths EHR, RXNT Clinical EHR and NextGen Healthcare EHR on pricing

Review starting price, plan structure, and free-trial access side by side so you can see which option fits your budget and buying process.

Pricing Option

          Starting From

          • $449
          • $10 , monthly
          • $126 , Billed Monthly
          • Not Available

          Pricing Plans

          • Not Available
          • Measurement Based Care

            Free

            • By Bruce Wampold Phd:

            • FREE - Up 30 clients per clinician

            • $9 per clinician for unlimited MBC

            Show more +

          • EHR AND Measurement Based Care

            $49

            /month

            • Complete Practice Management System

            • Clinical Documentation

            • Treatment Plans

            Show more +

          • SPECIAL PRICING

            $10

            /month

            • Group Pricing

            • $49/month per licensed therapist

            • $34/month per part time therapist

            Show more +

          • Full Suite

            $335

            /user/month

            • Practice Management

            • Electronic Health Records

            • E-Prescribing

            Show more +

          • Practice Management

            $213

            /user/month

            • Practice Management

            • Medical Billing

            • Scheduling

            Show more +

          • Electronic Health Records

            $126

            /user/month

            • Electronic Health Records

            • E-Prescribing

            • Scheduling

            Show more +

          • Not Available

          Pricing Page

          eClinicalWorks pricing
          CarePaths EHR pricing
          RXNT Clinical EHR pricingNextGen Healthcare EHR pricing

          Other Details

          Organization Types supported

          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers

          Platforms Supported

          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)

          Modes of support

          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online

          API Support

          • Available
          • Not Available
          • Not Available
          • Not Available
          Get help choosing
          Get help choosing

          Security & Compliance

          Certifications, data handling, and security controls for IT and compliance evaluators.

          SOC 2

          HIPAA

          ✓ Yes
          ✓ Yes

          GDPR

          ISO 27001

          Single Sign-On (SSO)

          ✓ Yes

          Multi-Factor Auth (MFA)

          ✓ Yes

          Data Encryption

          ✓ Yes

          Audit Logs

          ✓ Yes

          Data Residency

          🇺🇸 US
          🇺🇸 US

          eClinicalWorks vs CarePaths EHR vs RXNT Clinical EHR User Reviews & Rating Comparison

          User Ratings

          No reviews available for the product

          No reviews available for the product

          Rating Distribution

          52

          58

          12

          15

          10

          No reviews available for this product

          13

          7

          2

          2

          1

          64

          62

          22

          9

          9

          Spotsaas Editor’s POV generated by AI

          Buyer sentiment

          Buyer sentiment is mixed to positive across 147 reviews, with clear strengths and a few common watchouts.

          What buyers like

          • Covers electronic prescribing, patient scheduling, billing, and clinical documentation.
          • Handles customer database management with multiple built-in functions.
          • Cloud-based EMR covering patient registration through claim submission.

          Common complaints

          • Some users find the software difficult to navigate and outdated in design.
          • Limited training and support can make the breadth of features intimidating for new users.
          • Marketplace lacks variety in additional apps and connectors.

          What buyers like

          • CarePaths EHR allows mental health professionals to conduct teletherapy sessions directly within the platform while managing appointments and schedules from the same interface, reducing the need for external tools.
          • The inclusion of AI-assisted clinical notes helps practitioners complete documentation faster, improving workflow and reducing administrative fatigue.
          • Built-in assessment and outcomes tracking features support evidence-based treatment and client progress monitoring, ideal for practices focused on data-driven care.

          Common complaints

          • Some users may find the forms and templates less customizable compared to other EHR systems tailored for larger practices or specialized fields.
          • Solo providers or very small teams may not utilize all the platform's features, making it feel overly complex or underutilized.
          • While designed to be intuitive, users new to EHRs may require a learning period to navigate all the features efficiently.

          Buyer sentiment

          Buyer sentiment is positive across 25 reviews, with strong overall satisfaction.

          What buyers like

          • RXNT offers a complete healthcare IT solution, integrating EHR, e-prescribing, billing, and practice management within a single platform—reducing the need for multiple vendors.
          • With 24/7 cloud-based access, providers can manage patient records, appointments, and billing from any device—supporting both in-office and remote care workflows.
          • RXNT meets industry standards for electronic health data security and compliance, ensuring that practices stay audit-ready and protected.

          Common complaints

          • While RXNT covers core functions well, its integration capabilities with external tools and platforms may not be as robust as enterprise-level EHR systems.
          • Some users have reported slow system performance during peak hours, which could impact productivity for time-sensitive clinical tasks.

          What buyers like

          • Easy to navigate and customize templates for individual needs, with support from the user community.
          • The system is user-friendly, quick to navigate, and has good training resources available.
          • Combines EHR and Practice Management into one system, providing a unified experience.

          Common complaints

          • The interface design may feel outdated and lacks modern features, affecting user experience.
          • Some functions require multiple clicks to access, slowing down workflow efficiency.
          • Reports and customization options can be complex and challenging to set up, especially for large-scale systems.

          Pros and Cons

          • Intuitive and easy to use, with comprehensive functionality for electronic prescribing, patient scheduling, billing, and clinical documentation.

          • Efficient tool with multiple functions that help with customer database management.

          • Cloud-based EMR model providing an end-to-end solution, from registering patients to submitting claims.

          • Some users find the software clunky, outdated, and difficult to navigate.

          • Limited training and support can make the richness of features intimidating for new users.

          • CarePaths EHR allows mental health professionals to conduct teletherapy sessions directly within the platform while managing appointments and schedules from the same interface, reducing the need for external tools.

          • The inclusion of AI-assisted clinical notes helps practitioners complete documentation faster, improving workflow and reducing administrative fatigue.

          • Built-in assessment and outcomes tracking features support evidence-based treatment and client progress monitoring, ideal for practices focused on data-driven care.

          • Some users may find the forms and templates less customizable compared to other EHR systems tailored for larger practices or specialized fields.

          • Solo providers or very small teams may not utilize all the platform’s features, making it feel overly complex or underutilized.

          • RXNT offers a complete healthcare IT solution, integrating EHR, e-prescribing, billing, and practice management within a single platform—reducing the need for multiple vendors.

          • With 24/7 cloud-based access, providers can manage patient records, appointments, and billing from any device—supporting both in-office and remote care workflows.

          • RXNT meets industry standards for electronic health data security and compliance, ensuring that practices stay audit-ready and protected.

          • While RXNT covers core functions well, its integration capabilities with external tools and platforms may not be as robust as enterprise-level EHR systems.

          • Some users have reported slow system performance during peak hours, which could impact productivity for time-sensitive clinical tasks.

          • Easy to navigate and customize templates for individual needs, with support from the user community.

          • The system is user-friendly, quick to navigate, and has good training resources available.

          • Combines EHR and Practice Management into one system, providing a seamless experience.

          • The interface design may feel outdated and lacks modern features, affecting user experience.

          • Some functions require multiple clicks to access, slowing down workflow efficiency.

          Positive Reviews

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          Negative Reviews

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          Used eClinicalWorks, CarePaths EHR, RXNT Clinical EHR, or NextGen Healthcare EHR? Tell buyers what actually differs.

          Integrations

          Integration with other apps

          No Integration information available.

          No Integration information available.

          No Integration information available.

          List of Customers

          Customers

          No Customers information available.

          No Customers information available.

          Inview Imaging

          Inview Imaging

          AR Rescue

          AR Rescue

          Three Oaks Anesthesia

          Three Oaks Anesthesia

          Vision Care

          Vision Care

          KATZEN EYE GROUP

          KATZEN EYE GROUP

          Otis R. Bowen Center for Human Services

          Otis R. Bowen Center for Human Services

          Media and Screenshots

          Screenshots

          Pop HCC

          1 Screenshots

          CarePaths EHR

          4 Screenshots

          Videos

          video-0

          3 Videos

          No videos available.

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          Disclaimer: This research has been collated from a variety of authoritative sources. We welcome your feedback at [email protected].

          Frequently asked questions

          Which is better, eClinicalWorks or CarePaths EHR?
          eClinicalWorks edges out the other on user ratings (3.8 vs -1.0). That said, the best pick depends on your use case — use the comparison tables above to evaluate each dimension.
          Do eClinicalWorks and CarePaths EHR offer a free trial?
          CarePaths EHR offers a free trial. eClinicalWorks does not.
          What is the starting price of eClinicalWorks vs CarePaths EHR?
          eClinicalWorks starts at $449 /Month. CarePaths EHR starts at $10 /month.
          What are the top alternatives to eClinicalWorks?
          Top alternatives to eClinicalWorks include RXNT Clinical EHR, NextGen Healthcare EHR, Athenahealth EHR, Dr in Cloud, PrognoCIS.
          What are the top alternatives to CarePaths EHR?
          Top alternatives to CarePaths EHR include RXNT Clinical EHR, NextGen Healthcare EHR, Athenahealth EHR, HARMONY Medical, SimplePractice.