Change Healthcare (Optum) vs eClinicalWorks
Side-by-side from the Top 11 rankings of Waystar vs R1 RCM vs athenahealth: 11 Best Revenue Cycle Management Software 2026 and athenahealth vs Epic Systems vs Oracle Health: 11 Best EHR Software for Medical Practices 2026. Last verified July 12, 2026.
The short answer
eClinicalWorks ranks higher on Top 11 (#4 vs #6) for Practice administrators, CFOs, and billing leaders at hospitals, physician groups, and specialty practices / Physicians and practice managers choosing an electronic health records system. A feature-rich, unified platform for small to mid-sized private practices.
At a glance
| Change Healthcare (Optum) | eClinicalWorks | |
|---|---|---|
| Top 11 rank | #6 / Waystar vs R1 RCM vs athenahealth: 11 Best Revenue Cycle Management Software 2026 | #4 / athenahealth vs Epic Systems vs Oracle Health: 11 Best EHR Software for Medical Practices 2026 |
| Score (out of 9.4) | 8.2 | 8.6 |
| Best for | Very large clearinghouse and payer reach | All-in-one for SMB practices |
| Pricing | $$$ (custom, per-transaction) | $$$ ($449 to $699/mo/provider) |
| HQ | Nashville, USA | Westborough, MA, USA |
| Founded | 2007 | 1999 |
Change Healthcare (Optum)
One of the largest US clearinghouses, with a 2024 outage on its record.
www.optum.com/en/business/insights/change-healthcare.htmlSee full entry in Waystar vs R1 RCM vs athenahealth: 11 Best Revenue Cycle Management Software 2026
eClinicalWorks
A feature-rich, unified platform for small to mid-sized private practices.
www.eclinicalworks.comMethodology and scoring weights live at /methodology. No vendor pays for placement — see about.