The Starr ConspiracyAI-Era Leaderboard
Electronic Health Records & Practice Management Systems

Electronic Health Records & Practice Management Systems

Who's winning in the AI Era? Using millions of data points, we've analyzed 24 vendors across two dimensions: AI Product Leadership and AI GTM Leadership.

24

Vendors Tracked

36,299

AI Citations

4.2

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 Score98.0
Citation Share17.1%
Rank#1
Engine BalanceDual-engine

Product Leader

AthenaHealth

AI-Era Leader
Product Score92.1
AI TierAI-Native
AI DepthPlatform-level AI
AI Features10 detected

AI-Era Leader

AthenaHealth

AI-Era Leader
Overall Score92.6
GTM Score93.1
Product Score92.1
Last AI Ship2025-11

AI-Era Position Matrix

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

AI-Era LeadersAI Product LeadersAI GTM LeadersCatching UpAI GTM Leadership →AI Product Leadership →Praxis EMRAthenaHealthOmniMDCareCloudSimplePracticeModMedEpic SystemsPrognoCIS (Biz…eClinicalWorksGreenway

GTM Leaderboard

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

#VendorGTM ScoreCitation ShareCoveragePerplexityAI Overviews
1Praxis EMR98.017.1%5.1%67%33%
2AthenaHealth93.111.5%3.5%86%14%
3OmniMD87.77.3%2.8%90%10%
4CareCloud81.25.4%2.1%69%31%
5SimplePractice79.16.8%1.1%78%22%
6ModMed77.38.5%0.9%98%2%
7Epic Systems76.35.6%1.6%84%16%
8PrognoCIS (Bizmatics)73.14.7%1.8%73%27%
9CureMD70.13.7%1.1%53%47%
10eClinicalWorks69.96.1%0.8%93%7%

AEO Leaderboard

Pure citation performance across AI answer engines

#VendorCitation ShareCoveragePerplexityAI OverviewsAEO Score
1Praxis EMR17.1%5.1%67%33%97.0
2AthenaHealth11.5%3.5%86%14%91.2
3ModMed8.5%0.9%98%2%80.0
4OmniMD7.3%2.8%90%10%85.2
5SimplePractice6.8%1.1%78%22%80.9
6eClinicalWorks6.1%0.8%93%7%72.3
7Epic Systems5.6%1.6%84%16%77.2
8CareCloud5.4%2.1%69%31%78.6
9Greenway5.2%0.8%99%1%67.1
10PrognoCIS (Bizmatics)4.7%1.8%73%27%73.4

Product Leaderboard

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

#VendorProduct ScoreAI TierDepthFeaturesLast ShipConfidence
1AthenaHealth92.1NativePlatform102025-11high
2Greenway92.0NativePlatform92026high
3OmniMD86.2NativePlatform72025-11-04high
4eClinicalWorks82.5AugmentedPlatform72026-03-04high
5Praxis EMR79.2NativePlatform62025high
6NextGen Healthcare78.1AugmentedPlatform72025-11high
7CareCloud77.0AugmentedPlatform62025-12high
8DrChrono76.3AugmentedModule72026-04-02high
9AdvancedMD74.4AugmentedModule72026-02-19high
10PrognoCIS (Bizmatics)74.3AugmentedModule62026-04-02high

Citation Share Universe

How AI answer engines distribute citations across this vertical

Vendor vs. Vendor

How citation share is distributed among tracked vendors

Praxis EMR17.1%AthenaHealth11.5%OmniMD7.3%SimplePractice6.8%ModMed8.5%

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.

8 Aligned16 Overstating0 Underselling
0255075100
CureMD
Overstating
Tebra (Kareo)
Overstating
ModMed
Overstating
Altera Digital Health
Overstating
Epic Systems
Overstating
PrognoCIS (Bizmatics)
Overstating
AdvancedMD
Overstating
DrChrono
Overstating
CareCloud
Overstating
NextGen Healthcare
Overstating
Product ScoreMarketing MessagingGap (line color = severity)