R1 RCM vs NextGen Healthcare
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
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 / Waystar vs R1 RCM vs athenahealth: 11 Best Revenue Cycle Management Software 2026 | #5 / athenahealth vs Epic Systems vs Oracle Health: 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 Waystar vs R1 RCM vs athenahealth: 11 Best Revenue Cycle Management Software 2026
NextGen Healthcare
Best for specialty practices that require highly customizable clinical templates.
www.nextgen.comMethodology and scoring weights live at /methodology. No vendor pays for placement — see about.