R1 RCM vs NextGen Healthcare
Side-by-side from the Top 11 rankings of The 11 Best Revenue Cycle Management Software (2026) and The 11 Best EHR Software for Medical Practices (2026). Last verified July 12, 2026.
The short answer
R1 RCM ranks higher on Top 11 (#2 vs #5) for Practice administrators, CFOs, and billing leaders at hospitals, physician groups, and specialty practices / Physicians and practice managers choosing an electronic health records system. Full-service revenue cycle partner built for large hospitals and health systems.
At a glance
| R1 RCM | NextGen Healthcare | |
|---|---|---|
| Top 11 rank | #2 / The 11 Best Revenue Cycle Management Software (2026) | #5 / The 11 Best EHR Software for Medical Practices (2026) |
| Score (out of 9.4) | 9.1 | 8.4 |
| Best for | End-to-end outsourced RCM for systems | Specialty practices needing customization |
| Pricing | $$$$ (percentage of net collections, custom enterprise) | $$$ ($379 to $649/mo/provider) |
| HQ | Murray, USA | Atlanta, GA, USA |
| Founded | 2003 | 1974 |
R1 RCM
Full-service revenue cycle partner built for large hospitals and health systems.
www.r1rcm.comSee full entry in The 11 Best Revenue Cycle Management Software (2026)
NextGen Healthcare
Best for specialty practices that require highly customizable clinical templates.
www.nextgen.comSee full entry in The 11 Best EHR Software for Medical Practices (2026)
Methodology and scoring weights live at /methodology. No vendor pays for placement — see about.