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Healthcare · head to head

NextGen Healthcare vs VisionVPM

NextGen Healthcare logo

NextGen Healthcare

Healthcare

Integrated EHR and practice management solutions

From
$150/month
Rated
-
Full reviewWebsite
VisionVPM logo

VisionVPM

Veterinary

On-premise practice management for veterinary groups in Australia, New Zealand, the UK and Ireland

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: NextGen Healthcare no pricing published on website; VisionVPM it needs a Windows server, a backup regime and someone responsible for both, so the true cost includes IT support that cloud competitors absorb into their subscription.
  • They diverge on capability: NextGen Healthcare covers Electronic Health Records, VisionVPM covers Local database.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which NextGen Healthcare and VisionVPM actually diverge.

Attributes where NextGen Healthcare and VisionVPM differ
AttributeNextGen HealthcareVisionVPM
Starting price$150/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, iOS, AndroidWindows
CategoryHealthcareVeterinary
Founded1997Unknown

Identical on both: free tier (No), user rating (Not yet rated).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in NextGen Healthcare

  • Electronic Health Records
  • Practice Management
  • Revenue Cycle Management
  • Telehealth
  • Analytics
  • Labs
  • Pharmacies
  • Clearinghouses

Only in VisionVPM

  • Local database
  • Large and mixed animal modules
  • Stock and wholesale ordering
  • Debtor and account management
  • Multi-site consolidation
  • Clinical reminders

What people use each for

The jobs each tool is most often brought in to do.

NextGen Healthcare

  • Cloud-based EHR and practice management for ambulatory and specialty practicesnot VisionVPM
  • AI-assisted clinical documentation to reduce after-hours charting timenot VisionVPM

VisionVPM

  • A rural mixed practice where internet connectivity is too unreliable to depend on a browser-only systemnot NextGen Healthcare
  • A corporate group that requires clinical and financial data to remain on infrastructure it controlsnot NextGen Healthcare
  • A farm-heavy practice needing herd recording and monthly account billing that companion-animal cloud systems handle poorlynot NextGen Healthcare
  • An established VisionVPM site weighing an upgrade against the cost and disruption of migrating to a cloud systemnot NextGen Healthcare

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

NextGen Healthcare

  • No pricing published on website

VisionVPM

  • It needs a Windows server, a backup regime and someone responsible for both, so the true cost includes IT support that cloud competitors absorb into their subscription.
  • Upgrades are scheduled events with downtime rather than transparent releases, which means version drift across a multi-site group and a coordination burden at each release.
  • Covetrus is steering customers towards its cloud product, so development effort is unlikely to favour VisionVPM long term and buyers should assume a migration eventually.
  • Remote and out-of-hours access requires a remote desktop or Citrix layer, which adds licensing, latency and another system to secure.
  • Ordering and prescription workflows are built around Covetrus as the supplier, so a practice buying from other wholesalers loses the automated parts and reverts to manual entry.

Pricing, plan by plan

NextGen Healthcare

$150/month

No published plan breakdown. See the NextGen Healthcare review.

VisionVPM

On request
  • VisionVPM$undefined/year
    • Licence and annual support quoted per practice
    • Server hardware and Windows licences bought separately
    • Data migration quoted per site

Which should you pick?

Choose NextGen Healthcare if

  • You need electronic health records.
  • You work on Web, iOS, Android.
  • You also want practice management.
NextGen Healthcare review

Choose VisionVPM if

  • You need local database.
  • You work on Windows.
  • You also want large and mixed animal modules.
VisionVPM review

Questions people ask

Is NextGen Healthcare or VisionVPM better?
Neither clearly leads. NextGen Healthcare starts at $150/month and VisionVPM at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, NextGen Healthcare or VisionVPM?
NextGen Healthcare starts at $150/month and VisionVPM at On request.
Does NextGen Healthcare or VisionVPM run on more platforms?
NextGen Healthcare runs on Web, iOS, Android. VisionVPM runs on Windows.
What is NextGen Healthcare best used for?
NextGen Healthcare is most often used for cloud-based ehr and practice management for ambulatory and specialty practices, ai-assisted clinical documentation to reduce after-hours charting time. Of those, cloud-based ehr and practice management for ambulatory and specialty practices and ai-assisted clinical documentation to reduce after-hours charting time are not what VisionVPM is typically brought in for.
What can NextGen Healthcare do that VisionVPM cannot?
NextGen Healthcare covers Electronic Health Records, Practice Management, Revenue Cycle Management, Telehealth. VisionVPM covers Local database, Large and mixed animal modules, Stock and wholesale ordering, Debtor and account management.

Answered from the vendors’ own pages

NextGen Healthcare: How much does NextGen Healthcare cost?

NextGen Healthcare does not publish pricing on its website. The company directs customers to schedule a meeting, request a demo, or chat with sales to receive custom pricing.

Source
VisionVPM: Can VisionVPM run in the cloud?

Only by hosting the Windows server yourself or through a partner and connecting over remote desktop. It is not a browser application and hosting it does not make it one.

VisionVPM: Is VisionVPM still being developed?

It receives maintenance and compliance updates, but its owner sells a separate cloud product and directs new development there. Plan on a migration within the life of your next server.

VisionVPM: Does it work outside Australasia and the UK?

It is sold and supported in Australia, New Zealand, the UK and Ireland. Tax handling and supplier integrations are built for those markets.

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