Cloud EHR vs. On-Premise EHR: The Definitive Comparison for 2026
Compare cloud-based and on-premise EHR systems across cost, security, scalability, and compliance to determine the best fit for your healthcare organization.
Your EHR isn't just software — it's infrastructure. These articles explore the strategic decisions that shape your technology roadmap: cloud vs. on-premise hosting, interoperability standards, mobile access, data analytics, and how regulatory trends will affect your investment over the next decade.
Compare cloud-based and on-premise EHR systems across cost, security, scalability, and compliance to determine the best fit for your healthcare organization.
A comprehensive guide to EHR interoperability standards, regulations, and practical strategies for healthcare organizations navigating FHIR, TEFCA, and information blocking rules.
How ambient AI, clinical decision support, and predictive analytics are reshaping EHR workflows — with vendor comparisons and practical adoption guidance.
An in-depth analysis of private equity consolidation in the behavioral health EHR market — covering the major acquisitions, the PE playbook, documented impacts on product quality and support, and what providers should evaluate before choosing a vendor.
How provider organizations should validate TEFCA and interoperability readiness claims from EHR vendors in real operational workflows.
A practical governance blueprint for large provider groups implementing or optimizing EHR programs across multiple sites, specialties, and operational leaders.
A practical guide for provider groups on how information blocking complaints are handled, what enforcement now looks like, and how to reduce enforcement risk with operational controls.
A practical governance model for enterprise provider groups deploying AI in clinical and operational workflows, aligned to NIST AI RMF, ASTP/ONC HTI-1 transparency expectations, and HIPAA security controls.
A practical, enterprise-focused framework for large provider groups deploying AI clinical decision support with accountable governance, safety controls, and measurable performance oversight.
Follow this comprehensive EHR implementation checklist covering planning, data migration, training, go-live, and optimization to ensure a successful transition.
A comprehensive framework for choosing the right EHR — covering requirements definition, vendor shortlisting, structured demos, due diligence, and contract negotiation with a downloadable evaluation scorecard.
Detailed EHR pricing breakdown by vendor and practice size — subscription fees, implementation costs, hidden expenses, and 5-year TCO analysis.
A practical guide to EHR migration — covering data extraction, vendor selection, parallel running, staff training, and minimizing productivity loss during the transition.
A comprehensive, data-driven ranking of the 10 largest EHR vendors in 2026 — with real pricing figures, market share data, KLAS ratings, deployment models, and honest pros and cons to help you shortlist the right system for your practice.
A practical implementation plan for provider organizations preparing workflows, data capture, and vendor accountability before CMS prior authorization API deadlines.
A procurement and governance checklist for evaluating EHR vendor readiness across ONC interoperability, transparency, and compliance expectations.
A practical security hardening checklist for EHR operations, downtime resilience, incident response, and vendor risk management.
A contract and technical due-diligence checklist to validate FHIR API readiness when selecting an EHR for multi-site provider organizations.
A practical legal and technical playbook for healthcare organizations to reduce EHR lock-in risk and protect data portability before signing contracts.
A practical operating model for clinics to improve MIPS and Promoting Interoperability performance using EHR workflow design, governance, and reporting controls.
A workflow-focused denial prevention playbook for behavioral health and primary care organizations using EHR and practice management data to reduce avoidable denials.
A practical runbook for healthcare organizations to manage EHR downtime and ransomware disruption while protecting patient safety, operations, and compliance obligations.
A practical RFP structure and scoring model for large provider groups evaluating EHR vendors across governance fit, interoperability, security, and total operating economics.
A practical post-merger EHR integration playbook for large provider groups covering target-state decisions, phased migration strategy, risk controls, and governance.
A detailed, step-by-step clinic operations guide covering legal setup, staffing, scheduling, documentation, billing, compliance, quality, and growth for modern healthcare practices.
A practical California-focused clinic checklist for operational leaders covering telehealth standards, controlled-substance monitoring, e-prescribing obligations, and implementation controls.
A practical Texas-focused operations checklist for clinic leaders covering PMP checks, controlled-substance prescribing controls, and risk-reduction workflow governance.
A practical Florida-focused clinic checklist for telehealth registration obligations, PDMP use, controlled-substance prescribing workflows, and operational governance.
A state-by-state compliance hub for clinic operators with practical checklists covering prescribing controls, telehealth workflows, privacy governance, and operational audit readiness.
A buyer-side due diligence framework for provider groups evaluating FDA-cleared or authorized AI-enabled medical devices, including PCCP and lifecycle governance considerations.
A practical implementation guide for ambient AI documentation programs, including pilot design, quality controls, governance, and risk management for multi-site provider organizations.
How cardiology groups should evaluate EHR platforms for imaging integration, procedure workflows, device data, quality reporting, and enterprise-scale revenue cycle performance.
A practical orthopedic EHR selection guide for procedure-heavy groups evaluating imaging workflows, surgical coordination, implant documentation, and RCM performance.
What pediatric practices and groups should evaluate in EHR platforms: immunization workflows, growth tracking, adolescent privacy controls, and payer reporting reliability.
A specialty buyer guide for OB-GYN groups evaluating prenatal workflows, procedure documentation, care coordination, and payer performance in modern EHR platforms.
How urgent care operators should evaluate EHR systems for fast throughput, front-desk efficiency, lab/imaging integration, and denial-resistant billing workflows.
A practical guide for FQHC and community health leaders selecting EHR platforms for population health reporting, integrated care workflows, and grant-sensitive operating models.
How oncology groups should evaluate EHR systems for infusion workflows, regimen documentation, care coordination, and high-risk revenue cycle controls.
A practical ophthalmology EHR guide covering imaging-heavy workflows, procedure documentation, and scheduling/throughput controls for specialty eye-care groups.
How dermatology groups should evaluate EHR platforms for photo documentation, high-visit throughput, procedure coding reliability, and patient communication workflows.
A practical gastroenterology EHR buyer guide for procedure scheduling, documentation quality, pathology follow-up, and revenue-cycle consistency.
How nephrology groups should evaluate EHR systems for chronic care workflows, lab trend visibility, dialysis coordination, and payer-performance reliability.
A buyer guide for rheumatology groups evaluating EHR systems for chronic disease documentation, infusion workflows, longitudinal outcomes tracking, and payer resilience.
A specialty buyer guide for endocrinology groups evaluating chronic disease workflows, longitudinal lab tracking, care-plan documentation, and billing reliability.
How pulmonology groups should evaluate EHR platforms for chronic respiratory workflows, diagnostics coordination, and specialty documentation/billing performance.
A practical neurology EHR guide for specialty documentation complexity, longitudinal care management, diagnostic coordination, and reimbursement reliability.
How urology groups should evaluate EHR systems for procedure workflows, chronic care follow-up, documentation quality, and payer performance.
A practical pain management EHR guide covering controlled-substance workflow governance, procedure documentation, risk controls, and reimbursement reliability.
A PM&R-focused EHR selection guide for longitudinal functional documentation, multidisciplinary coordination, and operational/billing consistency.
A practical buyer guide for allergy/immunology practices evaluating testing workflows, immunotherapy documentation, scheduling reliability, and claim performance.
How ENT groups should evaluate EHR systems for procedure workflow support, imaging/audio diagnostics coordination, and high-throughput documentation.
A specialty EHR guide for infectious disease groups focused on longitudinal management, care coordination, diagnostic workflow reliability, and compliance-ready documentation.
A practical buyer guide for sleep medicine groups evaluating diagnostic-study workflows, follow-up documentation, and operational/billing performance.
A specialty buyer guide for podiatry practices evaluating procedure workflows, chronic care follow-up, documentation speed, and claim quality.
How anesthesiology groups should evaluate EHR and perioperative workflow systems for documentation reliability, scheduling coordination, and claim performance.
A practical primary care EHR buyer guide for large provider groups focused on preventive care reliability, chronic care management workflows, panel access, and reimbursement performance.
A practical internal medicine EHR guide focused on complex chronic disease management, medication safety workflows, referral coordination, and enterprise revenue integrity.
A practical psychiatry EHR buyer guide for large provider groups focused on medication management safety, measurement-based care, privacy controls, and behavioral health operations.
A practical general surgery EHR buyer guide for procedure-heavy organizations evaluating perioperative workflow coordination, documentation quality, and claim-performance controls.
A practical EHR buyer guide for multispecialty provider groups balancing enterprise standardization with specialty-specific workflow fit, interoperability, governance, and operating economics.
A deeply practical family medicine EHR buyer guide for large provider groups focused on preventive-care delivery, chronic disease continuity, immunization workflow reliability, and revenue integrity.
A practical EHR buyer guide for cardiothoracic surgery programs focused on perioperative coordination, registry-ready documentation, quality reporting, and complex reimbursement workflows.
A practical neurosurgery EHR buyer guide focused on longitudinal neurologic documentation, perioperative coordination, imaging-driven workflow reliability, and enterprise reimbursement controls.
A practical oncology infusion EHR guide for provider groups evaluating regimen workflow safety, pharmacy coordination, hazardous-drug controls, and reimbursement reliability.
A practical EHR buyer guide for interventional spine and pain groups focused on procedure documentation reliability, controlled-substance workflow governance, and denial-resistant reimbursement operations.
A practical EHR buyer guide for radiology and imaging organizations focused on order-to-result reliability, structured reporting integration, referral throughput, and denial-resistant operations.
A practical fertility and reproductive endocrinology EHR buyer guide focused on cycle workflow coordination, lab integration, consent traceability, and reimbursement reliability.
A practical vascular surgery EHR buyer guide focused on imaging-informed procedure workflows, longitudinal follow-up reliability, and enterprise-grade reimbursement controls.
A practical hospitalist EHR buyer guide focused on admission/discharge workflow reliability, handoff quality, care-team coordination, and enterprise documentation integrity.
A practical home health and hospice EHR buyer guide focused on field workflow reliability, care-plan coordination, compliance-ready documentation, and reimbursement resilience.
A practical emergency medicine EHR buyer guide focused on triage-to-disposition throughput, clinician handoff safety, documentation quality, and reimbursement resilience.
A practical kidney-care EHR buyer guide for dialysis organizations focused on longitudinal treatment coordination, quality reporting reliability, and reimbursement control.
A practical PT and rehab EHR buyer guide focused on episode-of-care workflow consistency, therapist documentation speed, scheduling utilization, and denial prevention.
A practical ASC EHR buyer guide focused on perioperative throughput, scheduling and block-time controls, anesthesia coordination, documentation quality, and reimbursement reliability.
A practical women's health EHR buyer guide for multisite provider groups focused on longitudinal preventive care workflows, reproductive health documentation, and reimbursement reliability.
A practical New York-focused checklist for clinic operators covering privacy controls, prescribing workflow governance, and operational safeguards for multi-site provider groups.
A practical Illinois-focused compliance checklist for clinic operators covering prescribing governance, data privacy, incident response, and operational audit readiness.