Is there a free alternative to NextGen Healthcare EHR?

Yes — WSO2 API Manager, DocEngage EHR, Carepatron offer free tiers or trials suitable for small teams and individuals.

Last updated: July 24, 2026

12 NextGen Healthcare EHR Alternatives for Android, Ranked (2026)

Explore 12 alternatives to NextGen Healthcare EHR — vetted by our editors with real user reviews, pricing, and feature comparisons.

The best NextGen Healthcare EHR alternatives at a glance

Quick answer

In short, the best alternatives to NextGen Healthcare EHR are WSO2 API Manager, Vaxi Buddy and DocEngage EHR. WSO2 API Manager is first with a SpotScore of 9.2 and 4.1★ from users. All 12 are compared on score, rating, and pricing below.

There's no single best tool for everyone, so if NextGen Healthcare EHR falls short on cost, features, or ease of use, look here. These 12 ehr software alternatives lead the field, ranked by SpotScore (a blend of real-user satisfaction and market presence), ratings, and pricing. Compare them quickly in the table, then read each profile.

Product	SpotScore	Rating	Pricing	Best for
WSO2 API ManagerStreamline API management for seamless integration.	9.2	★★★★☆ 4.1(67)	Freefrom $500/mo	teams of all sizes
Vaxi BuddySimplify your practice with Vaxi Buddy	—	★★★☆☆ 2.5(1)	Subscription	small & mid-size businesses
DocEngage EHRStreamline patient care for better outcomes.	—	Not yet rated	Freefrom $29/mo	teams of all sizes
RXNT Clinical EHRIntegrated Cloud-Based EHR for Modern Healthcare Practices	—	★★★★☆ 4.1(25)	Subscription	teams of all sizes
Athenahealth EHREfficient care, ahead of the curve.	—	★★★☆☆ 3.3(30)	Quotation Based	teams of all sizes
JaneStreamline healthcare management with ease.	9.5	Not yet rated	Subscription	teams of all sizes
Practice FusionRevolutionary telemedicine for better healthcare.	9.3	★★★★☆ 4	Quotation Based	teams of all sizes
zHealthEHRzHealth Empowers Chiropractic Practices and Optimizes their Finances	8.8	Not yet rated	Subscription · Quotation Based	teams of all sizes
CarepatronConnect with patients anytime, anywhere.	8.2	★★★☆☆ 3.25(4)	FreeFreemium · Subscription	small & mid-size businesses
ABAdeskSupporting Behavioral Health with Easy, Automated Workflows	—	Not yet rated	FreeFree Trial	small & mid-size businesses
SigmaCareComprehensive EHR Software for Long-Term and Post-Acute Care Providers	—	Not yet rated	Quotation Based	teams of all sizes
OpusComprehensive Behavioral Health Software for EHR, CRM, and RCM in One Unified Platform	—	Not yet rated	Quotation Based	teams of all sizes

9.2

SpotScore

WSO2 API Manager

Streamline API management for seamless integration.

Best for: SMB teams · Mid-market · Enterprise

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4.1

67 verified reviews

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What is WSO2 API Manager?

WSO2 API Manager is an open source API management platform that enables enterprises to expose their APIs for business-to-consumer and business-to-business services, via a well-designed user interface. A well-designed programmatic interface makes it easy for developers to consume userr APIs from ...

Vaxi Buddy

Simplify your practice with Vaxi Buddy

Best for: SMB teams · Mid-market

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2.5

1 verified reviews

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What is Vaxi Buddy?

Introducing Vaxi Buddy - the ultimate solution for pediatricians to manage their practice with ease. As a busy pediatrician, keeping track and maintaining accurate records of vaccinations can be challenging. But with Vaxi Buddy, a user-friendly SAAS-based ERP practice management software, you ...

DocEngage EHR

Streamline patient care for better outcomes.

Best for: SMB teams · Mid-market · Enterprise

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What is DocEngage EHR?

DocEngage EHR is a revolutionary solution designed to streamline patient care. Powerful, cloud-based software that offers a suite of comprehensive tools, from clinical flow to charts and lab prescriptions, ensuring comprehensive and holistic medical delivery. It is the perfect solution for ...

RXNT Clinical EHR

Best of the Breed

Integrated Cloud-Based EHR for Modern Healthcare Practices

Best for: SMB teams · Mid-market · Enterprise

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4.1

25 verified reviews

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What is RXNT Clinical 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 practices of all sizes and specialties—from solo providers to multi-specialty clinics with many locations. ...

Athenahealth EHR

Recommended

Efficient care, ahead of the curve.

Best for: SMB teams · Mid-market · Enterprise

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3.3

30 verified reviews

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What is Athenahealth EHR?

Athenahealth EHR is designed to make it easy for medical professionals to stay ahead of industry changes and maintain exceptional care. This software provides accurate documentation enabling users to excel in providing quality care. athenaClinicals offers an easy-to-use interface, empowering ...

Jane

Streamline healthcare management with ease.

Best for: SMB teams · Mid-market · Enterprise

HIPAA

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What is Jane?

Jane is an all-in-one practice management software designed to help healthcare providers streamline clinic operations while improving patient experiences. Built for clinics of all sizes, including physiotherapists, massage therapists, chiropractors, counselors, and other allied health ...

Practice Fusion

Revolutionary telemedicine for better healthcare.

Best for: SMB teams · Mid-market · Enterprise

HIPAA

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4.0

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What is Practice Fusion?

Practice Fusion's telemedicine solutions give physicians the ability to share medical records, securely consult with patients and colleagues, and increase overall revenue. Its cloud-based platform connects a community of doctors, clinicians, and patients to provide real time access to all ...

zHealthEHR

zHealth Empowers Chiropractic Practices and Optimizes their Finances

Best for: SMB teams · Mid-market · Enterprise

HIPAA

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What is zHealthEHR?

Starting at $129/mo, zHealth is an all-in-one chiropractic software with 100% customizable SOAP Notes, automated billing & powerful AI features. Automate appointments & intake: Patients book online & complete fully customizable intake forms from their phone. Support multiple languages ...

Carepatron

Connect with patients anytime, anywhere.

Best for: SMB teams · Mid-market

GDPR

HIPAA

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3.3

4 verified reviews

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What is Carepatron?

CarePatron is a telemedicine software for care providers and medical staff to connect with patients. This health information technology (HIT) enables clinicians to remotely share progress notes, photos and supporting documents with referring providers and others. It permits medical staff to ...

ABAdesk

Supporting Behavioral Health with Easy, Automated Workflows

Best for: SMB teams · Mid-market

HIPAA

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Watch Demo

What is ABAdesk?

ABAdesk is a HIPAA-compliant ABA therapy and behavioral health platform designed to simplify data collection and treatment planning while helping providers focus more on client progress. Built for ABA clinics, behavioral health providers, and therapy practices, it offers tools for skill ...

SigmaCare

Comprehensive EHR Software for Long-Term and Post-Acute Care Providers

Best for: SMB teams · Mid-market · Enterprise

HIPAA

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Watch Demo

What is SigmaCare?

SigmaCare is a trusted electronic health record (EHR) platform designed to support long-term and post-acute care providers in delivering safe, efficient, and high-quality patient care. Built for skilled nursing facilities, senior living communities, hospice providers, and home health ...

Opus

Comprehensive Behavioral Health Software for EHR, CRM, and RCM in One Unified Platform

Best for: SMB teams · Mid-market · Enterprise

HIPAA

Get Pricing Details

Add to compare

Watch Demo

What is Opus?

Opus is an all-in-one behavioral health software platform designed to support addiction treatment centers, SUD programs, and behavioral health clinics with a unified solution for managing clinical, operational, and financial workflows. Built specifically for healthcare providers and ...

What each NextGen Healthcare EHR alternative brings

WSO2 API Manager9.2Best for teams of all sizes

**Flexibility**: Configurable to specific requirements.

Watch for: **Complex Configuration**: Initial setup and configuration might be complex, requiring changes in multiple configuration files.

Vaxi BuddyBest for small & mid-size businesses

DocEngage EHRBest for teams of all sizes

Cloud-based solution

Watch for: May require internet access

RXNT Clinical EHRBest for teams of all sizes

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.

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

Athenahealth EHRBest for teams of all sizes

Convenient and easy to share and update electronic records.

Watch for: Disappointing implementation experience with setup complexities and lack of pre-formatted tools.

Jane9.5Best for teams of all sizes

Easy to read and use with a well-organized interface that requires little technical knowledge.

Watch for: Newcomers may find the richness of features overwhelming without proper guidance or support.

Practice Fusion9.3Best for teams of all sizes

Cloud-based platform

Watch for: Limited features for specialists

zHealthEHR8.8Best for teams of all sizes

Streamlined electronic records and billing, saving time and enhancing efficiency.

Watch for: Steep learning curve for customization without adequate support.

Carepatron8.2Best for small & mid-size businesses

Remote patient monitoring

Watch for: Limited to telemedicine

ABAdeskBest for small & mid-size businesses

ABAdesk allows clinicians to create tailored treatment plans with flexible phases and program elements, ensuring therapy aligns with each client’s unique needs.

Watch for: While it performs well independently, ABAdesk offers fewer direct integrations with external practice management or billing systems compared to some competitors.

SigmaCareBest for teams of all sizes

SigmaCare provides strong tools for medication administration, including automated workflows, eMAR, eTAR, and proactive DUR alerts, significantly reducing the chances of errors and ensuring patient safety.

Watch for: Due to its wide range of features, SigmaCare may require significant training and onboarding time for staff to fully utilize its capabilities.

OpusBest for teams of all sizes

Opus offers a seamlessly integrated environment where clinical documentation, customer relationship management, and billing processes are housed in a single platform. This reduces fragmentation across systems and helps behavioral health organizations maintain a consistent, efficient workflow from intake to discharge.

Watch for: While the platform is functionally rich, the lack of clearly advertised integrations with major platforms like Google Calendar, Zoom, or e-prescription networks may limit interoperability for users who rely on external tools for daily operations.

Why teams look for a NextGen Healthcare EHR alternative

When teams go looking for a NextGen Healthcare EHR alternative, it's often because of issues like these:

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.
Limited support for advanced features like care everywhere and chronic care management, affecting overall functionality.

What matters most in a NextGen Healthcare EHR alternative

Here's what the data says about these 12 ehr software alternatives: 4 offer a free tier; paid plans run $29–$500, with DocEngage EHR the cheapest entry point; and WSO2 API Manager is the highest rated at 4.1★ across 67 reviews.

The ranking explained.

Frequently Asked Questions (FAQs)

Stuck on something? We're here to help with all the questions and answers in one place.

What are the best alternatives to NextGen Healthcare EHR?

The top-rated alternatives to NextGen Healthcare EHR are WSO2 API Manager (4.1★), RXNT Clinical EHR (4.1★), Practice Fusion (4.0★). Compare all 12 alternatives side-by-side above.

What features should I look for in a EHR Software alternative?

When evaluating alternatives to NextGen Healthcare EHR, prioritize: Appointment Management, Appointment Scheduling, Audio Video Conferencing, Bills Management, Billing and Invoicing, transparent pricing, free trial availability, and integrations with your existing tools. Use the filters above to compare by feature, budget, and team size.

How difficult is it to migrate from NextGen Healthcare EHR to an alternative?

Migration difficulty depends on how deeply NextGen Healthcare EHR is integrated into your workflows. Most alternatives offer data export/import tools and dedicated onboarding support. We recommend shortlisting 2–3 options, running a free trial, and checking each vendor's migration guides before committing.

Choosing the NextGen Healthcare EHR alternative that fits

On a budget / just exploring: start with a free tier — WSO2 API Manager, DocEngage EHR and Carepatron let you evaluate without paying upfront.
If real-user ratings matter most: WSO2 API Manager has the strongest star rating (4.1★) among the options with verified reviews.
Want the safest pick: WSO2 API Manager has the highest Spotsaas Score (9.2) in this list — a strong default if you're unsure.

Transitioning away from NextGen Healthcare EHR

Before replacing NextGen Healthcare EHR, do a quick dry run. Export your data, make sure it imports into the new tool, and confirm the features you rely on are there. Pilot the switch with a free tier or trial, and keep NextGen Healthcare EHR alive until the migration finishes cleanly.

Compare top products

Jane