Best athenahealth alternatives in 2026

Looking for an alternative to athenahealth? Whether you've outgrown it, find the pricing steep, or just want to weigh your options, these are the strongest healthcare & medical alternatives in 2026 — ranked on pricing, features, and who each one fits best. athenahealth itself starts at custom, so we've flagged where each option is cheaper, simpler, or more specialized.

1
Spruce Health
Best for: medical-practices
HIPAA-compliant communication. A popular healthcare alternative to athenahealth — from $24/user/mo. Particularly strong for medical-practices.
4.6From $24/user/moVisit
2
Klara
Best for: medical-practices
If athenahealth feels like overkill or over-budget, Klara is a leaner option. Patient communication platform. Pricing: custom.
4.5CustomVisit
3
Luma Health
Best for: health-systems
Luma Health goes head-to-head with athenahealth on features. Patient engagement and access. Best suited to health-systems. Custom.
4.5CustomVisit
4
Phreesia
Best for: medical-practices
A well-rated healthcare pick. Patient intake and engagement. Phreesia starts at custom, making it a credible athenahealth replacement.
4.4CustomVisit
5
Waystar
Best for: health-systems
Healthcare revenue cycle platform. A popular healthcare alternative to athenahealth — custom. Particularly strong for health-systems.
4.2CustomVisit
6
Solutionreach
Best for: medical-practices
If athenahealth feels like overkill or over-budget, Solutionreach is a leaner option. Patient relationship management. Pricing: custom.
4.1CustomVisit
7
CareCloud
Best for: medical-practices
CareCloud goes head-to-head with athenahealth on features. EHR and revenue cycle platform. Best suited to medical-practices. Custom.
4.0CustomVisit
8
DrChrono
Best for: medical-practices
A well-rated healthcare pick. iPad-first EHR. DrChrono starts at custom, making it a credible athenahealth replacement.
4.0CustomVisit

Still considering athenahealth itself? Read our athenahealth review →

Frequently asked questions

What is the best athenahealth alternative?

Spruce Health is our top-rated athenahealth alternative for 2026. HIPAA-compliant communication. From $24/user/mo.

Is there a free athenahealth alternative?

Most alternatives are paid, but Spruce Health is the most affordable on this list at from $24/user/mo.

Why switch from athenahealth?

Common reasons are price, a simpler feature set, better fit for a specific use case, or platform support. Each tool above notes where it has an edge over athenahealth.