Kareo vs Epic vs RXNT Clinical EHR vs NextGen Healthcare EHR Comparison
Kareo
Starting at Contact for pricing
- Large Enterprises
- Medium Business
Kareo is the perfect solution for independent medical professionals, with intuitive onboarding and training, and no cumbersome features. This comprehensive platform includes interactive tools made for medical professiona…
Epic
Starting at Contact for pricing
- Large Enterprises
- Medium Business
Epic is a software that offers a great patient experience with a bevy of helpful tools. It features MyChart, which allows patients to quickly locate valuable health information, and even text with doctors, complete quest…
RXNT Clinical EHR
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…
Epic leads on user satisfaction with a 4.2-star rating across 893 reviews.
Kareo vs Epic vs RXNT Clinical EHR vs NextGen Healthcare EHR — at a glance
| Feature | Kareo | Epic | RXNT Clinical EHR | NextGen Healthcare EHR |
|---|---|---|---|---|
| Rating | 4.1 / 5 | 4.2 / 5 | 4.1 / 5 | — |
| Reviews | 110 | 893 | 30 | — |
| Starting price | Contact for pricing | Contact for pricing | $126 /user/month | Contact for pricing |
| Free trial | No | No | No | No |
| Free version | No | No | No | No |
| Best for | Large Enterprises, Medium Business, Small Business | Large Enterprises, Medium Business, Small Business | Large Enterprises, Medium Business, Small Business | Large Enterprises, Medium Business, Small Business |
| Category | EHR Software | EHR Software | EHR Software | EHR Software |
| Integrations | — | — | 8+ apps | — |
| Platforms | SaaS/Web/Cloud | SaaS/Web/Cloud, Mobile - Android, Mobile - iOS | SaaS/Web/Cloud, Mobile - Android, Mobile - iOS, Browser Based (Cloud) | SaaS/Web/Cloud |
| API | — | — | — | — |
| Support modes | Online | Online | Email, Chat, Tickets, Onboarding, Phone, Docs | Online |
| Certifications | HIPAA | HIPAA | SOC 2, HIPAA | SOC 2, HIPAA |
| Data residency | US | US | United States | Global |
Key differences between Kareo and Epic
- User satisfaction: Epic scores higher with a 4.2-star average.
- Deployment: Kareo supports SaaS/Web/Cloud; Epic supports SaaS/Web/Cloud, Mobile - Android, Mobile - iOS.
Compare Kareo vs Epic vs RXNT Clinical EHR vs NextGen Healthcare EHR — and walk away knowing which one fits.
Which tool fits your team best
Which is actually cheaper for your team size
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.
Biggest differences
Features
Pricing
Buying details
Security
Buyer feedback
Integrations
Product tour
Other options
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Biggest differences
Start here before you go deeper into features.
Best for small independent medical practices needing simple, integrated EHR and billing.
- You run a small to medium independent medical practice with up to 50 employees.
- You want an all-in-one platform combining clinical documentation, billing, telemedicine, and marketing.
- You prioritize intuitive onboarding and a user-friendly interface tailored for medical professionals.
- You require enterprise-grade customization and complex third-party integrations.
- You need transparent, fixed pricing to simplify budget planning.
Best for large healthcare systems needing comprehensive, integrated EHR solutions.
- You operate a hospital or multi-hospital health system requiring enterprise-grade features.
- Your team includes physicians, nurses, and IT analysts needing advanced clinical decision support.
- You want robust patient engagement tools like MyChart for improved communication and education.
- You run a small clinic or solo practice needing a simple, low-cost EHR solution.
- You require quick, low-complexity implementation without extensive resource investment.
Large Enterprises, Medium Business, Small Business
Large Enterprises, Medium Business, Small Business
Kareo: Best for small independent medical practices needing simple, integrated EHR and billing. Epic: Best for large healthcare systems needing comprehensive, integrated EHR solutions.
Description | Kareo is the perfect solution for independent medical professionals, with intuitive onboarding and training, and no cumbersome features. This comprehensive platform includes interactive ... Read More about Kareo | Epic is a software that offers a great patient experience with a bevy of helpful tools. It features MyChart, which allows patients to quickly locate valuable health information, and even ... Read More about Epic | 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 |
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User RatingsBased on verified Spotsaas reviews | ||||
Best Company Size | 1-50 employeesSmall to Medium Businesses | 500+ EmployeesMedium Business | 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.
Key strengths
- Intuitive Onboarding and User-Friendly Interface: Minimizes the learning curve with straightforward workflows built for independent medical professionals.
- Comprehensive Suite of Tools: Includes clinical documentation, e-prescribing, billing automation, telemedicine, and patient engagement features all in one platform.
- Integrated Billing and Marketing Solutions: Kareo Billing automates claims and payments, while Kareo Engage supports practice branding and online presence management.
- Highly Comprehensive & Integrated Platform: From clinical documentation and e-prescribing to revenue cycle management and patient engagement via MyChart, Epic covers the full healthcare continuum across all specialties
- Advanced Decision Support & Scalability: Epic's AI-driven tools, standardized order sets, and reliable analytics support clinical decision-making. The platform scales effectively to large hospitals and health systems.
- Mobile & Patient Engagement Ecosystem: MyChart, along with clinician mobile apps like Haiku and Canto, provides flexible access for staff and patients, improving engagement across devices
- 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.
- 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
- 1 – 50 employees
- Independent Medical Practices, Primary Care, Specialty Clinics, Mental Health, Physical Therapy
- Physicians, Practice Managers, Medical Billers, Clinicians, Office Administrators
- 500+ Employees
- Hospitals, Academic Medical Centers, Multi-Hospital Health Systems, Large Specialty Clinics
- Physicians, Nurses, IT Systems Analysts, Revenue Cycle Managers, Chief Information Officers, Population Health Directors, Clinical Decision Support Leads
- 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
- 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
Reasons buyers look elsewhere
- Some providers seek platforms with more advanced customization options for workflows and documentation beyond Kareo’s standard templates.
- Users managing larger practices or multiple specialties may require scalable solutions with deeper reporting and analytics features.
- Certain clinicians look for more integrated patient engagement tools, such as automated reminders and advanced communication channels.
- Steep pricing—software, implementation, training, and support can exceed $100M for large systems, with upgrades costing 40–50% of initial investment. Smaller organizations often cannot justify the expense.
- Complex interface with frequent UI updates and redundant navigation paths slow user workflows. Teams report high time-to-task completion compared to competitors.
- Restricted external data exchange and slower third-party integrations. Regulatory scrutiny has centered on data portability limitations.
- 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.
- 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 |  Epic has not given any software demo yet If you're the owner of this profile, add your demo.Contact us |
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How do Kareo, Epic, RXNT Clinical EHR and NextGen Healthcare EHR Compare on Features?
Total Features | 4 Features | 6 Features | 37 Features | 9 Features |
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Unique Features | No unique features | No unique features | No unique features | No unique features |
Get Quote | Get Quote |
Compare Kareo, Epic, 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.
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Pricing Page | Pricing information not available | Pricing information not available |  |  |
Other Details
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Get help choosing | Get help choosing |
Security & Compliance
Certifications, data handling, and security controls for IT and compliance evaluators.
SOC 2 | — | — |
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HIPAA | ✓ Yes | ✓ Yes |
Single Sign-On (SSO) | ✓ Yes | ✓ Yes |
Multi-Factor Auth (MFA) | ✓ Yes | ✓ Yes |
Data Encryption | ✓ Yes | ✓ Yes |
Audit Logs | ✓ Yes | ✓ Yes |
Data Residency | 🇺🇸 US | 🇺🇸 US |
Kareo vs Epic vs RXNT Clinical EHR User Reviews & Rating Comparison
User Ratings | No reviews available for the product | |||
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Rating Distribution | ||||
Spotsaas Editor’s POV generated by AI | Buyer sentiment Users appreciate Kareo's ease of use and comprehensive features tailored for small medical practices but note concerns around pricing transparency and limited advanced customization. What buyers like
Common complaints
| Buyer sentiment Overall positive sentiment highlights Epic's comprehensive features and strong patient engagement, tempered by concerns about complexity and cost. What buyers like
Common complaints
| Buyer sentiment Buyer sentiment is positive across 25 reviews, with strong overall satisfaction. What buyers like
Common complaints
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Common complaints
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Pros and Cons |
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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 |
Integrations
Integration with other apps | No Integration information available. | No Integration information available. | No Integration information available. |
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List of Customers
Customers | No Customers information available. | No Customers information available. |  Inview Imaging  AR Rescue  Three Oaks Anesthesia |  Vision Care  KATZEN EYE GROUP  Otis R. Bowen Center for Human Services |
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Media and Screenshots
Screenshots |  1 Screenshots | No screenshots available. |
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Videos |  2 Videos | No videos available. |
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Related Blogs and Articles for Ehr Software
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, Kareo or Epic?
- Epic edges out the other on user ratings (4.2 vs 4.1). That said, the best pick depends on your use case — use the comparison tables above to evaluate each dimension.
- Do Kareo and Epic offer a free trial?
- Neither Kareo nor Epic currently lists a free trial.
- What is the starting price of Kareo vs Epic?
- Kareo starts at Contact for pricing. Epic starts at Contact for pricing.
- What are the top alternatives to Kareo?
- Top alternatives to Kareo include RXNT Clinical EHR, NextGen Healthcare EHR, Athenahealth EHR, Doctor Sahab, Qualified.
- What are the top alternatives to Epic?
- Top alternatives to Epic include RXNT Clinical EHR, NextGen Healthcare EHR, Athenahealth EHR, ChiroSpring, BackChart.