Epic / MyChart The default for hospital systems and large multi-specialty groups. | incumbent | - • Universal interoperability via Care Everywhere + FHIR
- • Deep clinical depth in oncology, cardiology, ED
- • Brand trust with payers and health systems
| - • Six-figure implementation; multi-month onboarding
- • Cannabis appears as free-text — no structured data, no outcome scales
- • Patient portal feels like a 2014 web app
| Epic for the giants, Leafjourney for the practice that doesn't have a 60-person IT team. |
athenahealth Cloud EMR for ambulatory practices with strong RCM. | incumbent | - • Strong revenue cycle management + clearinghouse coverage
- • Reasonable practice-management workflows
- • Recognized brand in ambulatory care
| - • Cannabis-specific workflows are absent
- • Per-encounter pricing penalizes volume
- • Patient portal missing modern dose log + outcome surfaces
| athena is good at the bill. We're good at the visit and the bill. |
Elation Health Independent-practice EMR popular with primary care. | incumbent | - • Clean UI compared to Epic / Athena
- • Solid for primary care and pediatrics
- • Reasonable per-provider pricing
| - • No cannabis data model — clinicians fall back to PDFs
- • No supplement modeling for integrative practices
- • No marketplace integration
| Elation is fine for primary care. We're built for cannabis-medicine practices. |
Heally / Veriheal stack Cannabis telehealth platforms with light EMR features. | cannabis niche | - • Direct-to-consumer brand recognition
- • Multi-state provider network in place
- • Good at MMJ certification flow specifically
| - • Not a real EMR — minimal charting, no APSO templates
- • No revenue-cycle / payer-side billing fleet
- • No outcome tracking beyond completion of the cert visit
| They have the demand. We're the EMR they should have built. |
LifeFile / Cerbo Integrative medicine EMRs with supplement-aware features. | integrative | - • Supplement formularies built in
- • Reasonable for functional medicine practices
- • Familiar workflow for practices coming from Cerbo specifically
| - • Cannabis modeling is bolt-on, not native
- • Patient outcome data is unstructured
- • Limited research-cohort tooling
| Cerbo handles the supplements. We handle supplements + cannabis + Rx as one prescribing surface. |
Spreadsheets + paper Combo Wheel What 60% of cannabis-only clinics actually use today. | in house | - • Free / low cost
- • Clinician knows where everything is
| - • Loses data, loses claims, loses compliance
- • Cannot answer the question 'which strain helps anxiety best for our cohort'
- • Cannot scale beyond ~150 active patients per provider
| We replace the binder, the spreadsheet, and the wall poster with one surface. |