shouldiuse.io

VERDICT

Should I use eClinicalWorks?

The largest cloud-based EHR software in the U.S. Our EHR, telehealth, and other practice management solutions help you grow and maintain your practice. - eclinicalworks.com

Depends. Fits mid-size and large medical groups that want one vendor for EHR, billing, telehealth, and population health and can staff the admin work. Solo providers and small clinics should look at lighter, cheaper EHRs instead.

Confidence

Medium. Based on 50+ public sources; most review snippets were truncated, so user quotes come from verbatim post titles.

Ratings

  • Value for money
  • Ease of use
  • Feature depth
  • Support quality
  • Security posture

Pricing

Custom quote

EHR Only

ModelNot disclosed
Monthly feesNot disclosed
HardwareNot disclosed
Free tierNo
Full Practice SuiteCustom quote

Best for

  • Mid-size and large medical groups
  • Multi-site ambulatory clinics
  • Practices wanting EHR + billing + telehealth from one vendor
  • Orgs with IT/admin staff to manage it

Not for

  • Solo practitioners — overkill and quote-priced
  • Small clinics without dedicated IT or billing staff
  • Buyers needing published, transparent pricing
  • Teams wanting fast setup and a simple UI

Gotchas - check before you buy

high

Pricing is quote-based; reviewers repeatedly cite surprise add-ons and hidden fees.

high

2017 DOJ settlement alleged misreported Meaningful Use and HIPAA compliance gaps — vet compliance history.

medium

Support complaints are common enough to spawn dedicated complaint pages.

medium

Many practices actively shop alternatives; switching costs dominate comparison discussions.

Pros and cons

Pros

  • Markets itself as the largest cloud-based EHR in the U.S.
  • One suite covers EHR, telehealth, practice management, population health.
  • Runs on Microsoft Azure cloud at large scale.
  • Company-reported $900M revenue funds ongoing AI investment.
  • Publishes a product security page and responsible disclosure policy.

Cons

  • Paid $155M DOJ settlement in 2017 over EHR-certification false claims.
  • Multiple published CVEs and public exploits in Population Health product.
  • Third-party guides flag hidden fees and quote-only pricing.
  • 35+ in-depth support complaints documented on complaint sites.
  • Named in a TriZetto-related data breach investigation.

Sources & method

Analyzed 9/25/2026 - 10 sources - CVEs from 2015–2017 exist, plus a $155M DOJ settlement; vendor now publishes security and disclosure pages.

official x3review x4security x1news x2
  • Multiple CVEs in Population Health (CCMR), Publicly tracked vulnerabilities (CVE-2015-4592/4593/4594) with published exploits.
  • CVE-2017-5570, Vulnerability disclosed in eClinicalWorks Patient product.
  • $155M DOJ False Claims settlement (2017), DOJ settlement over EHR certification and HIPAA compliance allegations.
  • TriZetto-related data breach investigation, Law firm investigating a data breach involving eClinicalWorks and TriZetto Product Solutions.

Key stats

  • Value for money: 2/5

    Rating

  • Not disclosed

    Starting price

  • 10

    Sources

  • Analyzed

  • Value for money: 2/5. Quote-only pricing; hidden-fee complaints recur
  • Ease of use: 2/5. Reddit users openly question liking it
  • Feature depth: 4/5. EHR, telehealth, RCM, population health, AI suite
  • Support quality: 2/5. Dozens of documented support complaints
  • Security posture: 2/5. Known CVEs plus $155M DOJ settlement
  • 396 Capterra review count verified reviews, per third-party roundup
  • $900M Projected revenue 2023, company-reported
  • $155M DOJ settlement 2017, False Claims Act
  • #1 Market position largest U.S. cloud EHR (self-reported)

Pricing

EHR Only

Not disclosed

  • Core EHR per provider
  • No published rates

Full Practice Suite

Not disclosed

  • EHR + practice management + RCM
  • Telehealth and population health add-ons

Security

CVEs from 2015–2017 exist, plus a $155M DOJ settlement; vendor now publishes security and disclosure pages.

  • Multiple CVEs in Population Health (CCMR)Publicly tracked vulnerabilities (CVE-2015-4592/4593/4594) with published exploits.
  • CVE-2017-5570Vulnerability disclosed in eClinicalWorks Patient product.
  • $155M DOJ False Claims settlement (2017)DOJ settlement over EHR certification and HIPAA compliance allegations.⁴
  • TriZetto-related data breach investigationLaw firm investigating a data breach involving eClinicalWorks and TriZetto Product Solutions.⁸

What users say

Sentiment is mixed to skeptical — multiple Reddit threads question whether users actually like eClinicalWorks, and comparison sites list it as a product practices are actively leaving.

“Does anyone use eCW anymore”
Reddit, r/healthIT
“EClinicalWorks or something else?”
Reddit, r/PrivatePracticeDocs
“Feedback on eclinicalworks advantages and limitations?”
Facebook, EHR users group

Alternatives

Compare eClinicalWorks with each alternative.

  • Tebra

    Lighter EHR/billing option for smaller independent practices.

  • ModMed

    Specialty-focused EHR; comparison cites better G2 ratings.

  • Greenway Health

    Mid-market EHR alternative rated 4.2 stars.

Companies that use it

  • Grove Medical Associates
  • Open Door Family Medical Centers
  • Granger Medical
  • Main Street Medical
Full analysis

Based on 50+ public sources; most review snippets were truncated, so user quotes come from verbatim post titles.

All-in-one EHR built for big practices; opaque pricing, support complaints, and a $155M DOJ settlement past.

Methodology

Based on 50+ public sources; most review snippets were truncated, so user quotes come from verbatim post titles.

Sources

  1. eClinicalWorks official siteeclinicalworks.com
    official
  2. eClinicalWorks Pricing Planseclinicalworks.com
    official
  3. $900M projected revenue press releaseeclinicalworks.com
    official
  4. eClinicalWorks $155M DOJ settlementcompliancy-group.com
    news
  5. eClinicalWorks pricing: plans, hidden feespabau.com
    review
  6. Support complaintscomplaintinfo.com
    review
  7. CVE-2015-4593 (NVD)nvd.nist.gov
    security
  8. TriZetto data breach investigationcaffertyclobes.com
    news
  9. eClinicalWorks on Capterracapterra.com
    review
  10. Does anyone use eCW anymore (Reddit)reddit.com
    review

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