Continuity of care is non-negotiable in both hospice and long-term care — one measured in the final weeks of life, the other often stretching for years. Neither can afford a gap. Hospice / long-term care software sits at the intersection of skilled nursing facilities, assisted living communities, and hospice agencies, handling interdisciplinary care planning, PDPM and hospice billing, eMAR medication management, and whatever compliance reporting each setting demands.
This category spans dominant enterprise platforms built for large skilled nursing operators, post-acute suites that unify hospice with home health and senior living, and specialist EMRs built exclusively for hospice agencies. We judged tools on clinical documentation depth, billing and compliance automation, interoperability across care settings, pricing transparency, and native AI or MCP (Model Context Protocol) support — checking every finalist against its own official site.
Here are the seven best hospice and long-term care platforms for 2026: the dominant SNF platform, multi-setting post-acute suites, and hospice-only specialists, all compared side by side.
Quick summary: PointClickCare remains the dominant platform for large skilled nursing facilities, backed by an extensive AI Advisor Suite. WellSky Hospice & Palliative and Netsmart myUnity are the strongest multi-setting post-acute suites, both shipping AI documentation assistants (WellSky CareInsights and Netsmart Bells). MatrixCare and Axxess Hospice serve combined home health/hospice agencies, with Axxess adding natural-language AI search (Ask Axxess). ECP leads the assisted-living-specific category with AI medication safety alerts, and Hospice Tools is the specialist EMR built exclusively for independent hospice agencies. AI features are common across the category, but not one of these seven has a confirmed MCP (Model Context Protocol) server as of 2026.
Why You Need Hospice / Long-Term Care Software
- Automate PDPM and hospice billing: purpose-built billing engines handle PDPM reimbursement for SNFs and NOE/NOTR/claims workflows for hospice, so denials and late submissions drop.
- Coordinate interdisciplinary teams: IDG meeting tools, care plan sharing, and role-based documentation put nursing, social work, chaplaincy, and physicians on the same record instead of five separate ones.
- Manage medications safely: eMAR systems with drug interaction checks and allergy screening catch an error before it ever reaches the resident or patient.
- Track quality and compliance: built-in workflows keep you ready for CHAP, ACHC, and CMS surveys, plus HOPE model and quality measure reporting.
- Unify data across care settings: a platform spanning home health, hospice, and senior living keeps one record as a patient moves between levels of care instead of starting over each time.
Best 7 Hospice / Long-Term Care Software in 2026
1. PointClickCare
Skilled nursing facilities and senior living communities run overwhelmingly on PointClickCare, the dominant cloud-based EHR ecosystem in the space — and it reaches beyond that too, serving hospitals, health plans, and ACOs across the full post-acute care continuum.
Pricing: Not publicly disclosed; contact sales for a custom quote.
Key features:
- Skilled nursing modules for PDPM optimization and lab/imaging integration
- Senior living workflows for wellness coordination and resident-centric care
- Revenue cycle and billing solutions across care settings
- Workforce scheduling and hiring tools
- Real-time data visibility and quality metrics tracking
AI/MCP Integration: PointClickCare's Advisor Suite (Chart Advisor, Billing Advisor, Referral Advisor) delivers AI-powered decision support embedded directly in EHR workflows, alongside predictive analytics for risk stratification — confirmed AI features. No MCP (Model Context Protocol) server or integration is documented on the official site as of 2026.
Best for: Large skilled nursing operators (100+ beds) wanting the market-leading platform with the deepest AI decision support.
2. WellSky Hospice & Palliative
Intake, interdisciplinary charting, quality assurance, claims filing, predictive analytics — WellSky Hospice & Palliative folds all of it into one web-based, mobile-capable EHR built specifically for end-of-life care providers.
Pricing: Not publicly disclosed; the vendor notes no hosting fees or paid upgrades.
Key features:
- Intake and scheduling with referral processing and bereavement follow-up tracking
- Collaborative interdisciplinary charting with offline capability
- ESAS-based clinical decline tracking and custom SMART goals
- Expedited Medicare and managed care claims filing
- Multi-agency financial rollup and revenue cycle reporting
AI/MCP Integration: WellSky CareInsights for Hospice uses existing clinical data to predict mortality likelihood and revocation risk — a confirmed AI feature. No MCP (Model Context Protocol) server or integration is documented on the official site as of 2026.
Best for: Hospice agencies wanting a specialist EHR with predictive mortality and revocation-risk analytics.
3. Netsmart myUnity
A patient moving from home health to hospice to senior living stays on one record inside Netsmart myUnity, which also connects out to major hospital EHRs like Epic and Cerner.
Pricing: Not publicly disclosed; contact sales for a custom quote.
Key features:
- Unified patient record across all post-acute care settings
- Role-based interfaces for nursing, social work, chaplaincy, and admin staff
- KPI dashboards with near real-time clinical, financial, and operational tracking
- Multi-payer billing including alternative payment models (GUIDE, TEAM)
- Electronic referral receipt and HIE/ACO connectivity
AI/MCP Integration: Bells is Netsmart's embedded AI documentation assistant, providing in-workflow text recommendations and predictive risk insights without switching screens — a confirmed AI feature. No MCP (Model Context Protocol) server or integration is documented on the official site as of 2026.
Best for: Operators running patients across multiple post-acute settings (home health, hospice, senior living) on one platform.
4. MatrixCare
MatrixCare covers home-based and hospice care organizations end to end — clinical documentation, family communication, visit coordination, and Medicare-compliant billing — plus interdisciplinary tools built specifically for hospice.
Pricing: Not publicly disclosed; contact sales for a custom quote.
Key features:
- Point-of-care charting for wound care, vitals, medications, and care planning
- Hospice-specific tools for interdisciplinary meetings and bereavement tracking
- Pre-claim audits and denial management for Medicare-compliant billing
- Patient and family portals for secure two-way communication
- Offline mobile charting that works without internet connectivity
AI/MCP Integration: MatrixCare references a "MatrixCare Voice" documentation tool in customer testimonials, but the official site does not explicitly describe it as AI-powered or detail any AI capabilities. No MCP (Model Context Protocol) server or integration is documented on the official site as of 2026.
Best for: Combined home health and hospice agencies needing hospice-specific interdisciplinary workflows.
5. Axxess Hospice
IDG meeting prep, automated documentation, medication management, CMS-compliant billing including NOEs and NOTRs — Axxess Hospice is a cloud-based platform built specifically to handle all of that for hospice organizations.
Pricing: Not publicly disclosed; contact sales for a custom quote.
Key features:
- IDG meeting preparation and collaboration tools
- Automated documentation workflow from visit narratives to care plans
- Medication management with drug interaction checks and titration support
- HIPAA-compliant messaging with real-time team collaboration
- CHAP verified, ACHC certified, and HOPE model compliant
AI/MCP Integration: Axxess Intelligence ("Ask Axxess") offers AI-powered natural-language search, letting clinical leaders query patient data by risk factors, medications, or physician associations without manual chart review — a confirmed AI feature. No MCP (Model Context Protocol) server or integration is documented on the official site as of 2026.
Best for: Independent hospice agencies wanting natural-language AI search across patient charts.
6. ECP
eMAR, EHR, CRM, move-in admissions, billing — ECP (Extended Care Professional) pulls all of it into one system purpose-built for assisted living and senior living communities.
Pricing: Not publicly disclosed; contact sales for a custom quote.
Key features:
- eMAR with drug interaction detection and allergy screening
- 850+ pharmacy integrations, the largest network in assisted living per the vendor
- CRM for prospect tracking and occupancy management
- Automated billing converting clinical documentation into charges
- 75+ integrations across pharmacy, billing, workforce, and resident engagement tools
AI/MCP Integration: ECP markets "AI built for assisted living safety," including automated medication safety alerts, pattern recognition for late medications, and allergy/interaction screening — confirmed AI features. No MCP (Model Context Protocol) server or integration is documented on the official site as of 2026.
Best for: Assisted living and senior living communities wanting an all-in-one platform with AI medication safety alerts.
7. Hospice Tools
Its founders tried adapting a home health EMR for hospice work and found it fell short — so they built Hospice Tools instead, an EMR and billing platform made exclusively for independent hospice agencies.
Pricing: Starts at $85 per month per user, flat per-user pricing rather than census-based.
Key features:
- eDocs EMR for clinical documentation and care planning
- eBilling for claims management and revenue cycle operations
- TimeKeeper for timesheets, mileage tracking, and payroll
- Rapid IDG (Intake/Diagnosis/Goals) processes and smart care planning tools
- Mobile charting apps across devices
AI/MCP Integration: No AI features or MCP (Model Context Protocol) integration are documented on Hospice Tools's official site as of 2026 — no AI/MCP integration is confirmed at this time.
Best for: Independent hospice agencies wanting a purpose-built specialist EMR with transparent flat per-user pricing.
| Tool | Best For | Starting Price | Standout Feature | AI-MCP Support |
|---|---|---|---|---|
| PointClickCare | Large skilled nursing operators | Custom quote | Advisor Suite AI decision support | AI (Advisor Suite), no MCP |
| WellSky Hospice & Palliative | Specialist hospice EHR | Custom quote | CareInsights mortality/revocation prediction | AI predictive analytics, no MCP |
| Netsmart myUnity | Multi-setting post-acute operators | Custom quote | Unified record across home health/hospice/senior living | AI (Bells assistant), no MCP |
| MatrixCare | Combined home health + hospice agencies | Custom quote | Hospice-specific interdisciplinary tools | Voice tool referenced, AI unconfirmed |
| Axxess Hospice | Independent hospice agencies | Custom quote | Ask Axxess natural-language AI search | AI (Axxess Intelligence), no MCP |
| ECP | Assisted living / senior living communities | Custom quote | 850+ pharmacy integrations | AI medication safety alerts, no MCP |
| Hospice Tools | Independent hospice agencies, flat pricing | $85/user/month | CHAP Verified, flat per-user pricing | Not confirmed |
Final Thoughts
Which side of hospice and long-term care you sit on decides most of this, along with whether you operate across multiple settings. Large skilled nursing facility? PointClickCare remains the clear choice, with the deepest AI-powered decision support and the broadest continuum-of-care connectivity in the category. Running patients across home health, hospice, and senior living instead? Netsmart myUnity and WellSky are the strongest multi-setting suites, each with its own AI documentation assistant.
Hospice-only agencies really only need to compare two: Axxess Hospice, for its AI-powered natural-language chart search, and Hospice Tools, for flat, transparent per-user pricing and a CHAP-verified compliance focus. ECP is the outlier here — the assisted-living specialist, with the deepest pharmacy integration network in this whole roundup. And the same pattern holds as in the rest of this healthcare software series: AI features keep becoming standard, but MCP support doesn't. None of the seven has a confirmed MCP server as of 2026.