Veradigm

Pros and Cons

Pros

• Solid, familiar charting workflow with minimal learning curve for seasoned clinicians.
• Strong interoperability score (8.9 on G2) and bidirectional data exchange across disparate systems including Epic and athenahealth via Veradigm CORE.
• Electronic prescribing and order entry are fast and reliable.
• Specialty-specific templates for cardiology, OB/GYN, gastroenterology, neurology, and allergy/immunology.
• Best-in-class care-gap and HCC/RAF alerts embedded directly at the point of care, useful for value-based care contracts.

Cons

• Customer support is widely criticized as slow, compartmentalized, and unhelpful. G2 Quality of Support score 5.7 vs Epic's 8.2.
• System instability with reported crashes and freezes during patient lookups.
• UI feels dated and archaic compared to cloud-native competitors like athenahealth and Canvas Medical.
• Long contracts and high total cost of ownership when hosting and implementation fees are included.
• Feature requests and customizations can take months or years, and updates sometimes revert previous configurations.

Who Should Use Veradigm

Veradigm fits mid-to-large ambulatory practices, payers, and life sciences companies that need open-platform EHR + a deep clinical data network. The right shortlist candidate is typically:

• A 10 to 100+ provider multi-specialty ambulatory group needing Veradigm EHR (Professional/TouchWorks) with deep specialty customization.
• An ACO or accountable care organization wanting care-gap and HCC/RAF alerts at point of care across Epic, athenahealth, and Veradigm EHR via Veradigm CORE.
• A payer organization (insurance company) needing real-time clinical data exchange with provider EHRs and the Veradigm Payerpath clearinghouse.
• A life sciences company wanting access to the Veradigm Network (400K+ providers, 200M+ patients) for real-world evidence studies.
• An existing Allscripts Professional or TouchWorks customer staying on the platform after the Veradigm rebrand.

Solo and small practices typically prefer the lighter Practice Fusion cloud EHR (Veradigm-owned) or modern alternatives like Elation Health or DrChrono.

Product Suite

Veradigm ships a broad portfolio of EHR, billing, and data-network products:

• Veradigm EHR (formerly Allscripts Professional EHR / TouchWorks): specialty-configurable ambulatory EHR for mid-to-large practices.
• Veradigm Practice Management: integrated PM for scheduling, billing, and reporting.
• Practice Fusion: the cloud EHR for small practices, acquired in 2018.
• Veradigm Payerpath: claims clearinghouse for payer-provider transactions.
• Veradigm Revenue Cycle Services: full-service RCM offering.
• FollowMyHealth: patient engagement platform with portal, secure messaging, and self-scheduling.
• Veradigm Network: data and analytics across 400K+ providers and 200M+ patients for real-world evidence.
• Veradigm Digital Health Media: POCMA-certified point-of-care marketing platform.
• Veradigm Intelligent Payments: patient and provider payment processing.
• Veradigm Connect: developer and API marketplace.
• Veradigm Clinical Data Registries: for life sciences research and quality reporting.
• Veradigm RxTruePrice: prescription price transparency for patients.
• AccelRx: specialty medication enrollment via Surescripts.

Note: the Sunrise hospital EHR was spun off as Altera Digital Health in May 2022 and is no longer a Veradigm product.

How Much Does Veradigm Cost

Veradigm has a tiered pricing model with published rates for Practice Fusion and quote-only pricing for enterprise tiers:

• Practice Fusion EHR: $199 per provider per month with annual commitment. Includes charting, e-prescribing with EPCS, labs, patient portal, MIPS reporting.
• Practice Fusion ePrescribe: $49 per prescriber per month. Standalone e-prescribing including EPCS and RxTruePrice.
• Veradigm EHR (Professional / TouchWorks): quote-only. Industry aggregator references typically cite $50 to $200 per provider per month plus hosting fees, with implementation services quoted separately.
• Veradigm Network / Payer & Life Sciences: quote-only. Data network and analytics licensing scoped to use case.

For a 25-provider multi-specialty group on Veradigm EHR Professional, expect $50,000 to $150,000 per year in software licensing plus implementation services ($150,000 to $500,000 one-time) and ongoing hosting fees. Compare against athenahealth percentage-of-collections and eClinicalWorks per-provider monthly in the EHR category.

Hidden Costs and Contract Gotchas

• Hosting fees. Veradigm EHR Professional is quoted as software licensing plus hosting; get both line items in writing.
• Implementation services. $150K to $500K for mid-size groups, longer for multi-site. Negotiate fixed-fee with milestone payments.
• Long contract terms. Multi-year commitments are typical. Negotiate exit terms and escalator caps.
• Feature request lag. Customizations and feature requests can take months or years. Validate roadmap commitments before signing.
• Update reversion risk. Reviewers report updates sometimes reverting previous configurations. Plan for re-configuration overhead after major releases.
• Support tier. Standard support widely criticized; confirm whether premium tier with named account manager is needed and priced separately.
• Veradigm CORE integration fees. Bidirectional Epic/athenahealth integration via CORE may carry separate licensing.

Alternatives to Veradigm

Practices and payers most commonly shortlist Veradigm against:

• Epic: 43.7 percent US acute-care market share, Best in KLAS Overall Suite 16 consecutive years.
• athenahealth: percentage-of-collections pricing, Best in KLAS Independent Physician Practice Suite.
• eClinicalWorks: $449 to $599 per provider per month with 50+ specialty templates.
• NextGen Healthcare: specialty-templated EHR with strong FQHC footprint.
• Greenway Health: ambulatory EHR with FQHC presence.
• Oracle Health (Cerner): enterprise hospital EHR with ambulatory module.
• Tebra (Kareo + PatientPop): per-provider pricing with marketing tools.
• AdvancedMD: tiered specialty bundles.
• DrChrono (EverHealth): iPad-native EHR.
• Altera Digital Health: the spun-off hospital EHR sibling (Sunrise).

What Real Buyers Report

Veradigm carries a 3.7 out of 5 G2 rating and a 3.5 out of 5 Capterra rating. KLAS gave Veradigm a D overall rating in Ambulatory Ecosystem Complete Look 2025, with 43 percent satisfied or highly satisfied customers. Veradigm did receive the KLAS 2025 Points of Light Award recognizing payer-provider collaboration through Veradigm CORE.

The praise themes from real customers are consistent: solid familiar charting, strong interoperability (G2 score 8.9), reliable e-prescribing, specialty templates, and best-in-class HCC/RAF alerts for value-based care. The complaint themes are equally consistent: slow customer support (5.7 G2), system instability, dated UI, high total cost of ownership, and slow feature delivery.

Mid-size multi-specialty groups using value-based care contracts and payer-provider organizations tend to weigh the interoperability and care-gap alerts highest. Solo and small practices more frequently shift to Practice Fusion or modern cloud-native alternatives.

Bottom Line

Veradigm is the right shortlist candidate when a US mid-to-large ambulatory practice, ACO, payer, or life sciences company needs open-platform EHR + data network with bidirectional Epic and athenahealth integration via Veradigm CORE, best-in-class HCC/RAF alerts at point of care, and access to the 400K+ provider Veradigm Network for real-world evidence. The ONC 2015 Cures Update certification, SOC 2 Type II, HITRUST r2, EHNAC, EPCS, HIPAA, and POCMA credentials cover the compliance bar that matters for ambulatory and payer use cases.

It is the wrong choice when the practice cannot tolerate the documented support quality issues, when modern cloud-native UI is non-negotiable, when system stability is mission-critical, or when fast feature delivery is required. Build hosting fees, implementation services, multi-year contract terms, annual escalator caps, support tier pricing, and Veradigm CORE integration fees into your total cost of ownership before signing. Then compare side-by-side with Epic, athenahealth, eClinicalWorks, and NextGen Healthcare to confirm the open-platform data network advantage outweighs the platform maturity trade-offs.