8 Best Telemedicine Software Providers in 2026
The leading telemedicine software providers in 2026 are Teladoc Health, Amwell (American Well), Doxy.me, Zoom for Healthcare, Mend, eClinicalWorks Healow, Spruce Health, and Caregility. The right choice depends on whether you need an enterprise platform integrated with an existing EMR, a lightweight tool for independent practice, or a specialty telehealth solution for specific clinical programs.
Telemedicine software divides into three segments. Enterprise platforms (Teladoc, Amwell, Caregility) are built for large health systems managing high visit volumes across multiple service lines with deep EMR integration requirements. Mid-market and practice-level platforms (Doxy.me, Mend, and Spruce Health) serve independent practices, specialty groups, and smaller health systems. EMR-native telehealth (eClinicalWorks Healow, Epic MyChart, and athenahealth) is built into existing EHR workflows for organizations already standardized on a major EMR.
1. What platforms are used for telehealth?
Telehealth platforms span four categories: enterprise telemedicine platforms, practice-level video visit tools, EMR-native telehealth modules, and specialty or condition-specific platforms. Most health systems use a combination.
| Category | Examples | Best for | EMR integration |
| Enterprise platform | Teladoc Health, Amwell, Caregility | Large health systems, multi-specialty, high volume | Deep integration with Epic, Cerner, Oracle Health |
| Practice-level tool | Doxy.me, Mend, Spruce Health | Independent practices, small groups, direct-pay | Lightweight API; some EMR connectors |
| EMR-native telehealth | Epic MyChart Video, eClinicalWorks Healow, athenahealth | Organizations standardized on a major EMR | Native; no separate integration required |
| Specialty platform | Cerebral, Hims/Hers, Nua Healthcare | Specific condition or patient population | Varies; often standalone |
2. The 8 telemedicine software providers reviewed
These eight platforms represent the most widely deployed telemedicine software in 2026, spanning enterprise, mid-market, and free options across the primary telehealth use cases.
Teladoc Health
EnterpriseWhite-label · Multi-specialty
Teladoc is the largest telemedicine platform by visit volume globally, operating as both a software platform and a direct-to-consumer virtual care network. For health systems, Teladoc offers a white-label enterprise platform covering primary care, mental health, dermatology, and chronic condition management.
Best for: Large health systems that want a proven enterprise telemedicine infrastructure with extensive clinical protocols.
Limitation: Cost and implementation complexity make it less suitable for smaller organizations.
Amwell (American Well)
EnterpriseAI documentation · Payer integration
Amwell is an enterprise telehealth platform serving large health systems, insurers, and employers. Its Converge platform integrates telehealth across care settings: urgent care, specialty, and behavioral health. Amwell has invested significantly in AI-assisted clinical documentation and is among the leaders in ambient scribing integration for telehealth encounters.
Best for: Organizations managing high-volume, multi-specialty telehealth programs with complex payer billing requirements.
Doxy.me
Free tier availableIndependent practice · HIPAA compliant
Doxy.me is the most widely used telemedicine platform among independent practitioners, with a free tier that has made it the default for individual clinicians who need HIPAA-compliant video visits without a complex implementation. The free tier covers one-provider use with basic video. Paid plans add waiting room customization, group calls, and analytics.
Best for: Solo practitioners and small practices needing simple, accessible telehealth with no implementation overhead.
Limitation: No deep EMR integration, which limits utility for larger organizations with workflow automation requirements.
Zoom for Healthcare
HIPAA BAA coveredLow training friction · Epic App Orchard
Zoom for Healthcare is a HIPAA Business Associate Agreement-covered version of Zoom with telehealth-specific features: waiting rooms, patient-facing interfaces, and integrations with major EHR systems through the Epic App Orchard and similar marketplaces. Its strength is that most clinicians and patients already know how to use Zoom, reducing training friction.
Best for: Organizations where familiarity and ease of adoption are the primary concerns.
Limitation: A video communication tool, not a full telemedicine platform, does not include scheduling, clinical documentation, or billing.
Mend
Mid-marketAI no-show prediction · Patient engagement
Mend is a mid-market telehealth platform focused on reducing no-show rates through AI-powered patient engagement: automated reminders, digital intake forms, insurance eligibility verification, and predictive no-show scoring. It covers video visits, secure messaging, and patient portal functionality alongside its engagement automation.
Best for: Specialty groups and mid-sized practices where patient volume predictability and administrative efficiency are the primary value drivers.
eClinicalWorks Healow Telehealth
EMR-nativeeClinicalWorks users only
Healow is the telehealth module within eClinicalWorks, one of the largest EHR vendors in the US by practice count. For organizations already running eClinicalWorks as their EHR, Healow is the lowest-friction telehealth option: patient scheduling, video visits, and clinical documentation flow within the existing EHR workflow without a separate integration.
Best for: Organizations already on eClinicalWorks EHR.
Limitation: Organizations not on eClinicalWorks have no reason to consider it as a standalone telehealth tool.
Spruce Health
Care coordinationChronic condition · DPC / concierge
Spruce Health is a patient communication and telehealth platform that combines secure messaging, video visits, automated care workflows, and a patient-facing app. It positions itself around care team communication as much as patient-facing telehealth, making it particularly suited for practices managing chronic conditions where ongoing messaging and care coordination between visits is as important as the visits themselves.
Best for: Direct primary care and concierge medicine practices that prioritize ongoing care coordination over episodic video visits.
Caregility
EnterpriseInpatient / acute care · Tele-ICU
Caregility is an enterprise telehealth platform originally built for inpatient and acute care settings: ICU, ED, nursing units, and specialist consultation within a hospital. Its differentiation is clinical-grade hardware integration and workflow design for acute care settings.
Best for: Health systems implementing tele-ICU or hospital-wide telehealth programs where the use case is connecting in-hospital staff to remote specialists.
Limitation: Not designed for the outpatient or direct-to-consumer model.
3. Which EMR is best for telemedicine?
Epic is the most comprehensive EMR for integrated telemedicine, with MyChart Video, native scheduling, and the broadest telehealth partner ecosystem through Epic App Orchard. For organizations not on Epic, eClinicalWorks offers the most mature native telehealth module for ambulatory care, and Oracle Health (Cerner) has deepened its telehealth integration for hospital-based programs.
The EMR question is best framed as: Does the telehealth platform need to be part of the EMR, or can it run alongside it with a documented integration? For large health systems with complex payer billing and clinical documentation requirements, EMR-native telehealth reduces the integration burden significantly. For independent practices and smaller groups, a best-of-breed telehealth tool with a lightweight EMR integration is often faster to implement and more cost-effective.
Academic medical centers & large IDNs
Epic MyChart Video dominates. Deepest telehealth integration, broadest partner ecosystem.
Ambulatory & independent practices
eClinicalWorks Healow leads. Lowest-friction telehealth for practices already on eCW.
Practices on athenaNet
athenahealth Telehealth. Native integration suits practices already standardized on athena.
For organizations considering a new EMR alongside telemedicine, the telehealth capability of the EMR should be evaluated as part of the selection, not as a separate decision.
4. Best free telemedicine platforms for telehealth
Doxy.me is the most widely used free telehealth platform, with a genuine free tier that covers individual provider HIPAA-compliant video visits. Zoom for Healthcare offers a free trial but requires a paid HIPAA BAA plan for ongoing use. Most other platforms do not offer meaningful free tiers.
| Platform | Free tier | What it covers | Limitation |
| Doxy.me | Free forever | 1 provider, unlimited HIPAA-compliant video visits, basic waiting room, screen sharing, no call time limit | No EMR integration, no group video |
| Zoom for Healthcare | 30-day trial | Full healthcare plan features during trial period | ~$200/mo after trial for HIPAA BAA plan |
| Google Meet / Teams | Not recommended | Free video calling via existing accounts | No BAA in standard offering; creates HIPAA liability |
5. How to choose a telemedicine software provider
The decision criteria that matter most are EMR integration depth, HIPAA and applicable regional compliance coverage, the patient-facing experience, and total cost of ownership including implementation.
EMR integration
If the organization runs a major EMR, evaluate whether native telehealth (Epic MyChart, eClinicalWorks Healow) or a documented integration with a best-of-breed platform is the better operational fit. Native integration eliminates a separate workflow; best-of-breed often offers better telehealth-specific features.
Compliance coverage
For US-based organizations, a HIPAA Business Associate Agreement with the platform vendor is non-negotiable. For APAC-based health systems, verify that the platform can satisfy local data residency requirements (PDPA for Singapore, APPI for Japan, PIPA for South Korea) before selecting a US-based platform.
Patient-facing experience
The platform a patient sees determines whether they complete the visit or drop off. Test the patient join flow on a mobile device (most patients join from a phone, not a laptop) before finalizing a selection.
Total cost of ownership
Per-visit pricing, per-provider pricing, and flat monthly pricing each favour different visit volume profiles. Calculate the 3-year total cost at your expected visit volume, including implementation, training, and integration, not just the licensing headline.
For a deeper look at what goes into building a telemedicine platform from the ground up, see the guide on healthcare software development.







