Practice Fusion, Inc

Practice Fusion is a cloud-based ambulatory electronic health record (EHR) and practice management system designed primarily for small to mid-sized outpatient medical practices. Founded in 2005 and acquired by Allscripts in 2018, the platform was subsequently transferred to Veradigm (formerly Allscripts' data and analytics business) following Allscripts' merger with Change Healthcare assets in 2022. The system operates as a fully web-based solution requiring no local server infrastructure, making it accessible from any internet-connected device.

The platform targets independent practices and smaller healthcare organizations with 1-10 providers, offering core ambulatory EHR functionality including clinical documentation, e-prescribing, patient scheduling, lab integration, and basic practice management capabilities. Practice Fusion distinguishes itself through its cloud-native architecture and historically offered a freemium model, though it has since transitioned to a subscription-based pricing structure following regulatory settlements and ownership changes.

A significant aspect of Practice Fusion's history involves a 2020 Department of Justice settlement related to soliciting and receiving kickbacks from pharmaceutical companies in exchange for implementing clinical decision support alerts that promoted opioid prescriptions. The company paid $145 million to resolve criminal and civil investigations, which led to substantial changes in its business practices and ownership structure under Veradigm.

The system is ONC 2015 Edition certified and supports MIPS/MACRA reporting requirements for federal quality programs. It integrates with major laboratory networks like Quest Diagnostics and LabCorp, prescription networks through Surescripts including EPCS capability, and various third-party billing and practice management systems. The platform supports multiple specialties including family medicine, internal medicine, pediatrics, and various subspecialties through customizable templates.

Practice Fusion's market position has evolved considerably since its acquisition, now functioning as part of Veradigm's broader health data and analytics ecosystem. The system competes in the crowded small-practice EHR market against vendors like eClinicalWorks, athenahealth, and Kareo, differentiated primarily by its cloud-only deployment model and integration with Veradigm's data analytics capabilities. Current market share estimates suggest Practice Fusion serves tens of thousands of providers, though exact figures are not publicly disclosed by Veradigm.