The Starr ConspiracyAI-Era Leaderboard
Electronic Health Records (EHR) & Healthcare Practice Management Software

Electronic Health Records (EHR) & Healthcare Practice Management Software

Who's winning in the AI Era? Using millions of data points, we've analyzed 20 vendors across two dimensions: AI Product Leadership and AI GTM Leadership.

20

Vendors Tracked

16,099

AI Citations

5

Vertical AI Readiness

Struggling

Who's Winning

The leaders across GTM, product, and overall AI-Era performance

GTM Leader

Praxis EMR

AI GTM Leader
GTM Score98.2
Citation Share17.8%
Rank#1
Engine BalanceDual-engine

Product Leader

Oracle

AI Product Leader
Product Score98.8
AI TierAI-Native
AI DepthPlatform-level AI
AI Features10 detected

AI-Era Leader

AthenaHealth

AI-Era Leader
Overall Score90.2
GTM Score90.4
Product Score90.1
Last AI Ship2025-11

AI-Era Position Matrix

20 vendors plotted by AI GTM Leadership and AI Product Leadership.

AI-Era LeadersAI Product LeadersAI GTM LeadersCatching UpAI GTM Leadership →AI Product Leadership →Praxis EMRAthenaHealthModMedOmniMDEpic SystemsPrognoCIS (Biz…NextGen Health…CareCloudOracleElation Health

GTM Leaderboard

Who's winning the go-to-market game in the AI Era

#VendorGTM ScoreCitation ShareCoveragePerplexityAI Overviews
1Praxis EMR98.217.8%5.5%65%35%
2AthenaHealth90.410.8%3.3%87%13%
3ModMed82.815.8%1.4%97%3%
4OmniMD82.67.4%3.0%94%6%
5Epic Systems75.65.1%1.8%89%11%
6PrognoCIS (Bizmatics)73.24.3%1.8%81%19%
7NextGen Healthcare72.65.3%1.2%81%19%
8CareCloud68.74.0%1.6%78%22%
9Oracle68.05.0%1.3%66%34%
10Tebra (Kareo)59.62.5%1.0%38%62%

AEO Leaderboard

Pure citation performance across AI answer engines

#VendorCitation ShareCoveragePerplexityAI OverviewsAEO Score
1Praxis EMR17.8%5.5%65%35%97.3
2ModMed15.8%1.4%97%3%85.4
3AthenaHealth10.8%3.3%87%13%88.1
4OmniMD7.4%3.0%94%6%83.2
5NextGen Healthcare5.3%1.2%81%19%74.7
6Epic Systems5.1%1.8%89%11%76.1
7Oracle5.0%1.3%66%34%73.1
8PrognoCIS (Bizmatics)4.3%1.8%81%19%73.1
9CareCloud4.0%1.6%78%22%68.9
10Tebra (Kareo)2.5%1.0%38%62%61.1

Product Leaderboard

AI product capabilities — who's building real AI vs. marketing it

#VendorProduct ScoreAI TierDepthFeaturesLast ShipConfidence
1Oracle98.8NativePlatform102026-04-22high
2AthenaHealth90.1NativePlatform92025-11high
3Epic Systems81.3AugmentedPlatform72026-02-04high
4Praxis EMR81.2NativePlatform72025high
5Elation Health78.8AugmentedModule92026-03high
6eClinicalWorks78.8AugmentedModule92026-03high
7CareCloud76.0AugmentedModule92025-12-15high
8Veradigm (Allscripts)71.5AugmentedModule82026-01-28high
9NextGen Healthcare70.6AugmentedModule72025-11high
10AdvancedMD70.4AugmentedModule52026-02-19high

Citation Share Universe

How AI answer engines distribute citations across this vertical

Vendor vs. Vendor

How citation share is distributed among tracked vendors

Praxis EMR17.8%AthenaHealth10.8%ModMed15.8%OmniMD7.4%NextGen Heal...5.3%

AI Product Intelligence

How each vendor stacks up on real AI capabilities vs. marketing claims

Loading AI intelligence data...

Messaging vs. Reality

Are vendors walking the talk? Product reality vs. marketing claims.

6 Aligned13 Overstating0 Underselling
0255075100
Meditab
Overstating
Azalea Health
Overstating
OmniMD
Overstating
DrChrono
Overstating
PrognoCIS (Bizmatics)
Overstating
AdvancedMD
Overstating
NextGen Healthcare
Overstating
CareCloud
Overstating
Elation Health
Overstating
eClinicalWorks
Overstating
Product ScoreMarketing MessagingGap (line color = severity)