Comparison · Clinics

eClinicalWorks vs athenahealth

eClinicalWorks and athenahealth side by side for clinics: scores by criterion, native features, and pricing.

Updated September 26, 2026

Medical software

eClinicalWorks

7.0

Fairout of 10

Large-scale cloud ambulatory EHR with patient self-scheduling, telehealth, secure messaging, value-based care tools, and RCM services — broad specialty coverage, quote-based pricing.

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Higher scoreMedical software

athenahealth

7.5

Strongout of 10

athenaOne combines cloud EHR, practice management, revenue cycle, and patient engagement for ambulatory care — priced as a percentage of collections, not a public seat card.

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Criteria where eClinicalWorks wins

Ties

Criteria where athenahealth wins

Score by criterion

In green, who wins the criterion. The overall score uses clinics weights: charting and care and insurance and billing weigh more.

CriterioneClinicalWorksathenahealth

Charting and care1.4×
Native electronic health record with history, notes, and attachments — not a contact card with a PDF on the side.
8.5
9.2
Insurance and billing1.3×
Eligibility, claims, denials, and patient payments inside the product — not a separate billing company as the only path.
8.6
9.0
Patient relationship1.1×
Recalls, campaigns, portals, or acquisition tools that keep the panel full after the first visit.
8.0
8.2
Messaging and confirmations1×
Native SMS or messaging inbox on the patient record, with team history. WhatsApp Business API also counts. One-way reminder blasts, portal-only chat, and marketplace apps do not.
5.0
5.0
Price and transparency0.8×
Public plan in USD, trial, and what sits outside the monthly fee. Percent-of-collections quotes without a rate card lower the score for opacity.
4.5
5.0
Learning curve0.8×
English UI, clinical vocabulary, and time until the front desk and a provider can work without a long implementation project.
5.5
6.5
Overall score
7.0
7.5

Native features

Only what is part of the product counts. Marketplace integrations or third-party apps are out.

FeatureeClinicalWorksathenahealth

Electronic health recordYesYes
Online schedulingYesYes
E-prescriptionsYesYes
Insurance billingYesYes
Clinic billingYesYes
Native messagingNoNo
TelehealthYesYes
Patient acquisition & recallYesYes

Compare with another rival

Each pair has its own page. The ranking only highlights the main duels — the rest are here and on each CRM profile.

Compare eClinicalWorks with

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