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NextGen Healthcare Review: Overview, Features, Pricing & Alternatives in 2025

Is your practice drowning in paperwork?

If you’re looking at EHR and practice management software, it’s probably because clinical documentation, billing, and patient scheduling are eating up way too much of your day.

The core problem I see all the time? Hours wasted wrestling with disconnected systems, leaving your providers exhausted and your admin team behind on billing.

NextGen Healthcare aims to fix that with a fully integrated platform—combining electronic health records, billing, patient engagement, and analytics—all in one place. Their AI features and specialty customizations promise to save you time while keeping everyday clinical and financial tasks under control.

In this review, I’ll walk through how you can reduce the daily grind using NextGen’s tools, based on my in-depth look at their platform.

You’ll see a comprehensive NextGen Healthcare review covering features, real workflow improvements, pricing details, and which alternatives you should compare before making your choice.

You’ll walk away knowing the features you need to boost efficiency and finally make a confident software decision.

Let’s dig into the details.

Quick Summary

  • NextGen Healthcare is a comprehensive platform that integrates EHR, practice management, patient engagement, and revenue cycle tools for ambulatory care.
  • Best for small to mid-sized specialty and primary care practices looking for customizable clinical and administrative workflows.
  • You’ll appreciate its deep customization options and AI-powered documentation features that help reduce provider paperwork time.
  • NextGen Healthcare offers custom pricing with no free trial but provides demos to see how the system fits your practice needs.

NextGen Healthcare Overview

NextGen Healthcare has a long, credible history in health-tech, starting way back in 1973. From their US base, their mission is helping medical practices improve both patient care and financial outcomes.

I find their sweet spot is their focus on ambulatory and specialty practices. They build solutions specifically for smaller clinics that can scale up, avoiding the overwhelming complexity you often see in hospital-centric systems.

Their 2023 acquisition by private equity firm Thoma Bravo was a major strategic shift. Through this NextGen Healthcare review, you’ll see how this new ownership is fueling their product innovation.

Unlike competitors like Epic, NextGen feels more intuitive for outpatient workflows. I believe their deep customization for over 25 specialties is a huge practical advantage, making it feel built for actual users.

They work with an impressive network of over 90,000 providers nationwide. This isn’t just a number; it validates their standing within private practice, community health, and specialty clinic markets.

I’ve noticed their strategy pivots heavily toward patient experience platforms and AI-driven tools. This directly addresses your need to reduce provider burnout while also improving patient engagement and retention.

Now let’s examine their core capabilities.

NextGen Healthcare Features

Struggling with disconnected healthcare software?

NextGen Healthcare solutions offer an integrated platform designed to streamline clinical and administrative workflows. These are the five core NextGen Healthcare features that can transform your practice.

1. NextGen Enterprise EHR

Tired of inefficient patient charting?

Manual documentation and fragmented patient records can lead to errors and slow down clinical workflows. This often frustrates providers and impacts patient care.

NextGen Enterprise EHR creates a comprehensive digital record, streamlining charting and medication management with e-prescribing. What I love about this feature is how AI-powered Ambient Assist generates accurate SOAP notes, drastically cutting documentation time. It truly simplifies complex clinical tasks.

This means you can spend less time on paperwork and more on patient care, boosting both efficiency and satisfaction.

2. NextGen Practice Management (PM)

Is your billing process a headache?

Fragmented administrative and billing systems can cause delays, claim denials, and financial instability for your practice. This often leads to unnecessary stress.

NextGen PM automates patient registration, scheduling, and claims processing, integrating seamlessly with the EHR. Here’s what I found: the system’s ability to proactively manage financials through encounter-driven processes really stands out. It helps verify insurance and streamlines patient billing.

So your practice can achieve smoother financial operations and reduce administrative burdens significantly.

3. NextGen Patient Experience Platform

Are your patients disengaged or frustrated?

Limited patient access to their health information and cumbersome communication methods can lead to dissatisfaction and missed appointments. This impacts patient loyalty.

This platform empowers patients with 24/7 access to medical charts, online scheduling, and secure messaging via a patient portal. From my testing, the self-service options for appointments and payments are incredibly intuitive. It’s a great feature for reducing calls.

This means you can enhance patient engagement, simplify operations, and build stronger patient relationships.

4. NextGen Population Health

Struggling to manage your patient community’s health?

Without clear insights into your patient population, identifying care gaps and managing chronic conditions proactively can be challenging. This affects health outcomes.

NextGen Population Health syncs with the EHR to stratify risk and identify gaps in care for patient outreach. This is where NextGen shines: it helps proactively manage chronic conditions across your patient base. This feature facilitates targeted interventions.

The result is your team can improve overall health outcomes and provide more coordinated, effective care.

5. Revenue Cycle Management (RCM)

Are claim denials hurting your bottom line?

Inefficient billing and collections processes can lead to high accounts receivable days and lost revenue for your practice. This creates financial strain.

NextGen’s RCM solutions optimize financial performance through integrated claims management, billing, and collections. I found the rules-based charge generation and claims scrubbing capabilities to be particularly effective. This feature significantly reduces denials.

This means you could decrease A/R days and achieve higher net collections, improving your practice’s financial health.

Pros & Cons

  • ✅ Highly customizable EHR templates suit diverse medical specialties and workflows.
  • ✅ Comprehensive suite of integrated solutions simplifies practice management.
  • ✅ AI-powered Ambient Assist significantly reduces documentation time for providers.
  • ⚠️ The platform can have a steep learning curve for new users.
  • ⚠️ Some users report inconsistent quality in vendor support services.
  • ⚠️ System upgrades have occasionally caused disruptions or slowdowns.

You’ll appreciate how these NextGen Healthcare features work together to create a cohesive and powerful healthcare management ecosystem. This integrated approach ensures seamless data flow.

NextGen Healthcare Pricing

What will NextGen Healthcare cost your practice?

NextGen Healthcare pricing is based on a custom quote model, meaning you’ll need to contact sales directly to get an accurate cost tailored to your specific needs.

  • 🎯 Bonus Resource: If you’re also looking into software for optimizing operations, my guide on hotel channel management software can provide valuable insights.

Cost Breakdown

  • Base Platform: Custom quote
  • User Licenses: Varies by number of users and modules
  • Implementation: Varies by complexity and customization
  • Integrations: Varies by complexity
  • Key Factors: Practice size, users, modules required, customization, Ambient Assist AI ($599/provider)

1. Pricing Model & Cost Factors

Understanding their pricing approach.

NextGen Healthcare employs a custom pricing model, meaning your costs are determined by factors like practice size, number of users, and specific modules. What I found regarding pricing is that costs fluctuate significantly based on your requirements, including features like the $599/provider Ambient Assist AI.

From my cost analysis, this means your budget reflects the exact scale and functionality your practice requires, avoiding generic plans.

2. Value Assessment & ROI

Is this an investment or an expense?

NextGen Healthcare positions itself as a balanced solution, offering significant functionality without the highest-tier enterprise costs. What impressed me is how their comprehensive suite offers strong ROI by streamlining workflows and reducing administrative burdens, like efficient patient scheduling and billing.

Budget-wise, this means your investment can lead to operational efficiencies that truly impact your bottom line.

3. Budget Planning & Implementation

Prepare for total cost of ownership.

Beyond the initial quote, consider long-term costs for support, ongoing training, and potential module additions. From my cost analysis, implementation costs and ongoing fees can add up, so ensure your finance team factors in the total cost of ownership, not just the base subscription.

So for your business, expect to allocate budget for a full deployment to maximize the benefits and avoid surprises.

My Take: NextGen Healthcare’s custom pricing approach makes it well-suited for small to mid-sized practices and specialty clinics that need a tailored, comprehensive EHR solution.

The overall NextGen Healthcare pricing reflects scalable value customized to your practice’s specific needs.

NextGen Healthcare Reviews

What do customers really think?

In analyzing NextGen Healthcare reviews, I aim to provide balanced insights into real user feedback and experiences, helping you understand actual customer sentiment.

1. Overall User Satisfaction

Users generally express positive sentiment.

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From my review analysis, NextGen EHR often receives positive ratings, with TrustRadius scoring it 7.5/10 and G2 users highlighting strengths in Revenue Cycle Management. What impressed me about the user feedback is how specific customers get about RCM and workflow efficiency, which are crucial for practice operations.

This suggests you can expect strong performance in financial and workflow management.

2. Common Praise Points

Users consistently love customization options.

Many users appreciate the high degree of customization available, especially within the template editor, allowing practices to tailor workflows by provider or specialty. From my review analysis, the robust charting and billing features consistently receive praise, facilitating streamlined administrative tasks.

This means you can tailor the system to your specific practice needs, enhancing efficiency.

3. Frequent Complaints

Common user frustrations involve complexity.

Some users report that the system can be complex and has a steeper learning curve, especially with its extensive features and customization options. What stood out in customer feedback is how support quality and slow upgrades often lead to disruptions, impacting overall user experience and productivity.

These issues are worth considering, but might be manageable with proper internal IT support.

What Customers Say

  • Positive: “We are a multi-specialty medical practice and have always liked how customizable Nextgen is.” (User Review)
  • Constructive: “Some users say that the UX is hard to use and complicated and that upgrades are slow.” (User Review)
  • Bottom Line: “NextGen is terrific for Family Practice and an internal IT staff to manage.” (User Review)

The overall NextGen Healthcare reviews show strong functional capabilities with notable complexity challenges.

Best NextGen Healthcare Alternatives

Considering NextGen Healthcare alternatives?

The best NextGen Healthcare alternatives include several strong options, each better suited for different business situations and priorities regarding EHR, practice management, and RCM.

1. Epic

Catering to very large, complex health systems?

Epic is ideal for large hospitals, academic medical centers, or integrated health systems requiring extensive integration across multiple facilities and specialties. From my competitive analysis, Epic offers comprehensive features for massive deployments, though it comes with higher costs and a steeper learning curve than NextGen.

  • 🎯 Bonus Resource: While we’re discussing large-scale healthcare needs, understanding college management systems is equally important.

Choose Epic for sprawling, multi-facility healthcare organizations demanding maximum interoperability.

2. athenahealth

Prioritizing integrated revenue cycle management services?

athenahealth excels for practices seeking a highly integrated RCM solution with strong claims management and a focus on maximizing revenue through outsourced services. What I found comparing options is that athenahealth provides a robust, network-enabled RCM focus, whereas NextGen emphasizes deeper clinical customization.

Consider this alternative if your primary goal is optimizing revenue collection and financial processes.

3. eClinicalWorks

Seeking a more budget-friendly, comprehensive solution?

eClinicalWorks could be a better fit for smaller practices or those with tighter budgets seeking a comprehensive, yet cost-effective, EHR and full-suite ambulatory solution. Alternative-wise, eClinicalWorks offers a strong feature set at a lower price point, though NextGen provides more robust reporting.

Choose eClinicalWorks when affordability is a key driver for a full-suite ambulatory solution.

4. ModMed

Specializing in niche medical practices?

ModMed is a strong contender for highly specialized practices that require an EHR system built from the ground up for their specific workflows and needs. From my analysis, ModMed offers deeply tailored, specialty-specific EHR solutions, potentially providing a more streamlined experience for those niche areas than NextGen.

Consider this alternative if your practice requires a system custom-built for unique specialty workflows.

Quick Decision Guide

  • Choose NextGen Healthcare: Customizable EHR/PM for mid-sized and specialty practices
  • Choose Epic: Large hospitals and integrated health systems with vast needs
  • Choose athenahealth: Practices prioritizing strong revenue cycle management services
  • Choose eClinicalWorks: Smaller practices or those seeking budget-friendly options
  • Choose ModMed: Highly specialized practices needing tailored workflows

The best NextGen Healthcare alternatives depend on your practice size and specific operational priorities more than generic feature lists.

NextGen Healthcare Setup

Navigating the complexities of EHR implementation?

A successful NextGen Healthcare review hinges on understanding its deployment process, setup requirements, and adoption challenges before you commit. Here’s a practical breakdown of what to expect.

1. Setup Complexity & Timeline

Not a simple flick of a switch.

NextGen Healthcare setup involves extensive customization options and feature configuration, demanding dedicated time and resources. What I found about deployment is that its extensive features mean a steeper learning curve initially, though customizable templates can simplify common procedures.

You’ll need to allocate significant time for initial setup and system configuration to align with your practice’s specific workflows.

2. Technical Requirements & Integration

Prepare your IT infrastructure.

NextGen offers both on-premise and cloud options, with cloud environments adhering to ISO and HIPAA standards, requiring TLS encryption. From my implementation analysis, seamless data exchange with other systems is a core strength, integrating with labs, HIEs, and clearinghouses, though not all third parties.

Your IT team needs to ensure network readiness and data security compliance, while also planning for essential system integrations.

3. Training & Change Management

User adoption is critical for success.

Given NextGen’s depth and customization by specialty, comprehensive, tailored training is essential for staff and providers. From my analysis, effective change management is key to leveraging customization, ensuring users embrace new workflows and utilize features like “Quick Note.”

Invest in role-specific training programs and encourage user champions to overcome the initial learning curve and foster widespread adoption.

4. Support & Success Factors

Expect to be proactive with vendor support.

User reviews indicate varied experiences with NextGen’s support, sometimes noting it as lacking. From my implementation analysis, internal IT capabilities are crucial for timely issue resolution if vendor support isn’t consistently responsive during your implementation.

Plan for robust internal IT staff or consider third-party support to ensure smooth system operation and address challenges promptly.

Implementation Checklist

  • Timeline: Variable, depends on practice size and customization needs
  • Team Size: Dedicated project lead, IT staff, and key department users
  • Budget: Accounts for training, potential third-party support, and IT resources
  • Technical: Network infrastructure, security compliance, and system integrations
  • Success Factor: Comprehensive staff training and strong internal IT support

The overall NextGen Healthcare setup demands realistic planning and dedicated resources to ensure a successful transition and maximize its benefits.

Bottom Line

Is NextGen Healthcare right for you?

This NextGen Healthcare review offers a decisive verdict on who benefits most from its robust features, focusing on an audience fit assessment alongside its strengths and limitations.

1. Who This Works Best For

Small to mid-sized practices and specialty clinics.

NextGen Healthcare excels for practices in ambulatory care, FQHCs, and specialty clinics requiring highly customizable EHR and practice management. What I found about target users is that practices with unique workflows and specific specialty needs thrive with its configurable templates and comprehensive integrated solutions.

You’ll see success if your practice prioritizes integrated solutions and is willing to invest in training to maximize customization.

2. Overall Strengths

Customization and integrated solutions are standout strengths.

The software succeeds by offering highly customizable EHR and practice management systems that streamline workflows, enhance patient engagement, and optimize revenue cycles. From my comprehensive analysis, its robust features facilitate detailed documentation and efficient administrative tasks across various medical specialties, including behavioral health.

These strengths translate directly into improved operational efficiency and financial performance for your healthcare practice.

3. Key Limitations

Learning curve and support quality require consideration.

While powerful, new users may experience an initial adjustment period due to the extensive features and customization options. Based on this review, vendor support quality has been a consistent concern for some users, alongside reports of slow and disruptive system upgrades.

I’d say these limitations are important considerations that might impact initial adoption and ongoing user experience, rather than fundamental flaws.

  • 🎯 Bonus Resource: While we’re discussing comprehensive management systems, understanding university management systems is equally important for different sectors.

4. Final Recommendation

NextGen Healthcare comes highly recommended for specific practices.

You should choose this software if your practice needs a comprehensive, highly configurable platform for outpatient or specialty care and values integrated solutions. From my analysis, your success hinges on a commitment to training and adapting to its powerful, feature-rich environment, especially for multi-provider groups.

My confidence level is high for practices prioritizing customization and comprehensive feature sets, especially in specialty fields.

Bottom Line

  • Verdict: Recommended with reservations for its learning curve and support
  • Best For: Small to mid-sized ambulatory and specialty clinics
  • Business Size: Solo practices to large multi-provider, multi-location groups
  • Biggest Strength: Highly customizable EHR and integrated practice management
  • Main Concern: Steeper learning curve and occasional vendor support issues
  • Next Step: Schedule a demo to evaluate customization for your specific workflows

This NextGen Healthcare review delivers strong value for the right business profile, while also highlighting important training and support considerations before you make a decision.

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