Hospice and long-term care both revolve around continuity of care for patients who can't afford gaps — one at the end of life, the other often for years. Hospice / long-term care software covers the two overlapping worlds of skilled nursing facilities, assisted living communities, and hospice agencies: interdisciplinary care planning, PDPM and hospice billing, eMAR medication management, and the compliance reporting each setting requires.
The 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 evaluated tools on clinical documentation depth, billing and compliance automation, interoperability across care settings, pricing transparency, and native AI or MCP (Model Context Protocol) support, verifying every finalist against its own official site.
Below are the seven best hospice and long-term care platforms for 2026, spanning the dominant SNF platform, multi-setting post-acute suites, and hospice-only specialists.
Quick summary: PointClickCare remains the dominant platform for large skilled nursing facilities, with 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 is the leading assisted-living-specific platform with AI medication safety alerts; and Hospice Tools is the specialist EMR built exclusively for independent hospice agencies. None of the seven has a confirmed MCP (Model Context Protocol) server as of 2026, despite AI features being common across the category.
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, reducing denials and late submissions.
- Coordinate interdisciplinary teams: IDG meeting tools, care plan sharing, and role-based documentation keep nursing, social work, chaplaincy, and physicians aligned on one record.
- Manage medications safely: eMAR systems with drug interaction checks and allergy screening catch medication errors before they reach the resident or patient.
- Track quality and compliance: Built-in compliance workflows support CHAP, ACHC, and CMS survey readiness, plus HOPE model and quality measure reporting.
- Unify data across care settings: Platforms spanning home health, hospice, and senior living give operators one record as a patient moves between levels of care.
Best 7 Hospice / Long-Term Care Software in 2026
1. PointClickCare
PointClickCare is the dominant cloud-based EHR ecosystem for skilled nursing facilities and senior living, also serving hospitals, health plans, and ACOs with tools spanning 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
WellSky Hospice & Palliative is an EHR built specifically for end-of-life care providers, covering intake, interdisciplinary charting, quality assurance, claims filing, and predictive analytics in one web-based, mobile-capable system.
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
Netsmart myUnity is a post-acute EHR unifying patient records across home health, hospice, senior living, palliative care, and personal care, with interoperability 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 is a complete EHR for home-based and hospice care organizations, combining clinical documentation, family communication, visit coordination, and Medicare-compliant billing, with dedicated hospice-specific interdisciplinary tools.
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
Axxess Hospice is a cloud-based platform built specifically for hospice organizations, covering IDG meeting preparation, automated documentation, medication management, and CMS-compliant billing including NOEs and NOTRs.
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
ECP (Extended Care Professional) is an all-in-one platform purpose-built for assisted living and senior living communities, integrating eMAR, EHR, CRM, move-in admissions, and billing into a single system.
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
Hospice Tools is an EMR and billing platform built exclusively for independent hospice agencies, founded specifically because its creators found adapted home health EMRs inadequate for hospice-specific workflows.
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
The right platform here depends heavily on which side of hospice and long-term care you sit on, and whether you operate across multiple settings. PointClickCare remains the clear choice for large skilled nursing facilities that need the deepest AI-powered decision support and the broadest continuum-of-care connectivity. If you run patients across home health, hospice, and senior living, Netsmart myUnity and WellSky are the strongest multi-setting suites, each with their own AI documentation assistant.
For hospice-only agencies, Axxess Hospice and Hospice Tools are the two purpose-built specialists worth comparing directly — Axxess for its AI-powered natural-language chart search, Hospice Tools for its flat, transparent per-user pricing and CHAP-verified compliance focus. ECP stands apart as the assisted-living specialist, with the deepest pharmacy integration network in this roundup. As with the rest of this healthcare software series, AI features are increasingly standard, but none of the seven has a confirmed MCP (Model Context Protocol) server as of 2026.