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Healthcare · head to head

Amwell vs GNU Health

A

Amwell

Healthcare

Telehealth platform connecting patients with providers

From
$99/visit
Rated
-
Full reviewWebsite
GNU Health logo

GNU Health

Healthcare

Free hospital and health information system from a small NGO, built on the Tryton framework

From
Free
Rated
-
Full reviewWebsite

The short version

  • Only GNU Health has a free tier, so it costs nothing to try first.
  • Each has a real cost: Amwell listed on UK G-Cloud 14 at £6.25 per user for SilverCloud by Amwell, submitted directly by American Well Corporation UK Limited; GNU Health development depends on GNU Solidario, a very small nonprofit funded by donations and training, so release cadence and long-term continuity are tied to a handful of people rather than to an engineering organisation.
  • They diverge on capability: Amwell covers Video Consultations, GNU Health covers Electronic medical record.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Amwell and GNU Health actually diverge.

Attributes where Amwell and GNU Health differ
AttributeAmwellGNU Health
Starting price$99/visitFree
Pricing modelsubscriptionOpen source, no licence fee
Free tierNoYes
PlatformsWeb, MobileLinux, Web, Self-hosted
Founded2002Unknown

Identical on both: user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Amwell

  • Video Consultations
  • Phone Consultations
  • Mental Health Services
  • Prescription Services
  • Digital Prescriptions
  • EHR Systems
  • Health Plans
  • HIPAA

Only in GNU Health

  • Electronic medical record
  • Hospital management
  • Laboratory information system
  • Social medicine modules
  • Tryton business modules
  • Health federation
  • ICD and standards support
  • Modular installation

What people use each for

The jobs each tool is most often brought in to do.

Amwell

  • Patient Carenot GNU Health
  • Medical Recordsnot GNU Health
  • Practice Managementnot GNU Health
  • Telehealthnot GNU Health

GNU Health

  • A public hospital in a low-resource setting that cannot fund commercial EMR licensing and has in-house Linux capabilitynot Amwell
  • A ministry building a national health network where source code inspection and data sovereignty are policy requirementsnot Amwell
  • A university teaching health informatics that needs a complete, inspectable system rather than a vendor demonstrationnot Amwell
  • A community health programme that needs socioeconomic determinants recorded alongside clinical datanot Amwell

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Amwell

  • Listed on UK G-Cloud 14 at £6.25 per user for SilverCloud by Amwell, submitted directly by American Well Corporation UK Limited

GNU Health

  • Development depends on GNU Solidario, a very small nonprofit funded by donations and training, so release cadence and long-term continuity are tied to a handful of people rather than to an engineering organisation.
  • It is built on Tryton, a framework few health IT staff know, so hiring or contracting people who can extend and maintain it is materially harder than for a mainstream stack.
  • Installation, upgrades and database administration assume Linux and Python competence, which puts the real cost on staffing rather than on licensing and defeats hospitals that lack that team.
  • The interface is functional rather than designed, and clinician acceptance is a genuine deployment risk compared with commercial systems that have invested heavily in usability.
  • Certification, regulatory conformance and interoperability testing that some jurisdictions demand of clinical systems are not provided by a vendor, so the adopting institution has to carry that work and that liability itself.

Pricing, plan by plan

Amwell

$99/visit
  • On-Demand Visit$99/visit
    • 24/7 availability
    • Board-certified doctors
    • Digital prescriptions

GNU Health

Free
  • GNU HealthFree
    • GNU GPL licence
    • All modules included
    • No patient, bed or user limits
  • Support and training$undefined/year
    • Paid support and implementation from GNU Solidario
    • Training courses and certification
    • Quoted per institution

Which should you pick?

Choose Amwell if

  • You need video consultations.
  • You work on Web, Mobile.
  • You also want phone consultations.
Amwell review

Choose GNU Health if

  • You need electronic medical record.
  • You want to start without paying.
  • You work on Linux, Web, Self-hosted.
  • You also want hospital management.
GNU Health review

Questions people ask

Is Amwell or GNU Health better?
Neither clearly leads. Amwell starts at $99/visit and GNU Health at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Amwell or GNU Health?
GNU Health has a free tier; the other does not. Paid plans start at $99/visit for Amwell and Free for GNU Health.
Does Amwell or GNU Health run on more platforms?
Amwell runs on Web, Mobile. GNU Health runs on Linux, Web, Self-hosted.
Can I use GNU Health for free?
Yes. GNU Health has a free tier, so you can try it without paying. Amwell starts at $99/visit.
What is Amwell best used for?
Amwell is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what GNU Health is typically brought in for.
What can Amwell do that GNU Health cannot?
Amwell covers Video Consultations, Phone Consultations, Mental Health Services, Prescription Services. GNU Health covers Electronic medical record, Hospital management, Laboratory information system, Social medicine modules.

Answered from the vendors’ own pages

GNU Health: Who develops GNU Health?

GNU Solidario, a Spanish nonprofit NGO, as an official GNU package under the GPL.

GNU Health: Is there commercial support?

Yes, in a limited form, from GNU Solidario itself and a small number of implementers. It is not a vendor support organisation.

GNU Health: What is it built on?

Tryton, a Python business application framework, which is where its accounting, stock and HR modules come from.

GNU Health: Is it suitable for a large hospital?

It is deployed in hospitals, but the deciding factor is whether you have internal Linux, Python and Tryton capability rather than the size of the institution.

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