EHR and practice management software is the clinical and operational backbone of ambulatory care - independent physician groups, specialty practices, dental and veterinary offices, behavioural health providers and federally qualified health centres. Distinct from the enterprise hospital EHR market dominated by Epic and Oracle Cerner, this category covers smaller and mid-sized practices that run on cloud-native suites combining EHR, scheduling, billing and patient engagement. The shift from server-based products to cloud SaaS is largely complete on the ambulatory side, and Meaningful Use and the 21st Century Cures Act drove almost universal adoption in the US. PE has rolled up the category aggressively over the past decade.

The sector spans ambulatory EHR for primary care and specialty practices, integrated practice management and billing suites, dental and veterinary practice software, behavioural and mental health practice platforms, FQHC and community health centre software, and the patient engagement and front-office layer wrapped around them.

Revenue comes from per-provider monthly subscriptions, percentage-of-collections billing fees on the RCM side, transaction fees on patient payments and claims, implementation and migration services revenue, and a growing line from add-on modules covering patient acquisition, marketing and online reputation management.

EHR & practice management is part of Digital health.