Best Kareo alternatives in 2026

Looking for an alternative to Kareo? 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. Kareo itself starts at custom, so we've flagged where each option is cheaper, simpler, or more specialized.

1
Tebra
Best for: independent-practices
Practice growth and EHR platform. A popular healthcare alternative to Kareo — custom. Particularly strong for independent-practices.
4.1CustomVisit
2
AdvancedMD
Best for: independent-practices
If Kareo feels like overkill or over-budget, AdvancedMD is a leaner option. EHR, billing, and practice management. Pricing: custom.
4.0CustomVisit
3
Jane
Best for: clinics
Jane goes head-to-head with Kareo on features. Practice management you'll love. Best suited to clinics. From $79/mo.
4.8From $79/moVisit
4
Spruce Health
Best for: medical-practices
A well-rated healthcare pick. HIPAA-compliant communication. Spruce Health starts at from $24/user/mo, making it a credible Kareo replacement.
4.6From $24/user/moVisit
5
TherapyNotes
Best for: therapists
EHR for behavioral health. A popular healthcare alternative to Kareo — from $49/mo. Particularly strong for therapists.
4.6From $49/moVisit
6
SimplePractice
Best for: therapists
If Kareo feels like overkill or over-budget, SimplePractice is a leaner option. Practice management for health & wellness. Pricing: from $29/mo.
4.6From $29/moVisit
7
Klara
Best for: medical-practices
Klara goes head-to-head with Kareo on features. Patient communication platform. Best suited to medical-practices. Custom.
4.5CustomVisit
8
Healthie
Best for: dietitians
A well-rated healthcare pick. EHR for nutrition & wellness. Healthie offers a free plan and starts at free – $49/mo, making it a credible Kareo replacement.
4.5Free – $49/moVisit

Still considering Kareo itself? Read our Kareo review →

Frequently asked questions

What is the best Kareo alternative?

Tebra is our top-rated Kareo alternative for 2026. Practice growth and EHR platform. Custom.

Is there a free Kareo alternative?

Yes — Healthie offers a free tier you can start on without a credit card.

Why switch from Kareo?

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 Kareo.