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Healthcare · head to head

Athenahealth vs Healthie

Athenahealth logo

Athenahealth

Healthcare

Cloud-based medical practice management

From
$140/month
Rated
-
Full reviewWebsite
Healthie logo

Healthie

Healthcare

EHR, scheduling and client engagement for nutrition, wellness and virtual-first care

From
$19/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Athenahealth high implementation costs ranging up to $50,000+ for enterprise deployments; Healthie the Core plan is capped at ten active clients, which no working practice stays under, so the real entry price for anyone with a caseload is the 49 dollar Essentials tier or higher.
  • They diverge on capability: Athenahealth covers Electronic Health Records, Healthie covers Active client based tiers.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Athenahealth and Healthie actually diverge.

Attributes where Athenahealth and Healthie differ
AttributeAthenahealthHealthie
Starting price$140/month$19/month
Pricing modelUnknownPer month by active client count
PlatformsWeb, iOS, AndroidWeb, iOS, Android, API
Founded1997Unknown

Identical on both: free tier (No), 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 Athenahealth

  • Electronic Health Records
  • Medical Billing
  • Patient Engagement
  • Analytics
  • Labs
  • Pharmacies
  • Clearinghouses
  • Health Information Exchanges

Only in Healthie

  • Active client based tiers
  • Charting and templates
  • Food and symptom journalling
  • Programmes and courses
  • Public API
  • ePrescribing
  • Insurance claims

Both cover

  • Telehealth

What people use each for

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

Athenahealth

  • Patient Carenot Healthie
  • Medical Recordsnot Healthie
  • Practice Managementnot Healthie
  • Telehealthnot Healthie

Healthie

  • A registered dietitian in private practice who needs charting, scheduling, superbills and a client food journal in one subscriptionnot Athenahealth
  • A virtual care startup using the API as a compliant clinical backend rather than building charting and scheduling from scratchnot Athenahealth
  • A wellness group practice selling packaged twelve week programmes with group video sessions and course contentnot Athenahealth
  • A health coaching business that bills clients directly and needs card payment, intake forms and messaging without insurance complexitynot Athenahealth

Where each one falls short

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

Athenahealth

  • High implementation costs ranging up to $50,000+ for enterprise deployments
  • Pricing tiers not transparently listed, requiring custom quotes

Healthie

  • The Core plan is capped at ten active clients, which no working practice stays under, so the real entry price for anyone with a caseload is the 49 dollar Essentials tier or higher.
  • Insurance billing is not native: claim submission runs through a separately priced ClaimMD integration starting around 30 dollars a month, so a practice that bills payers is buying and reconciling two systems.
  • Costs stack quickly beyond the headline plan, with ePrescribing at 40 dollars per clinician per month, inbound fax at 10 dollars, additional Group clinicians at 50 dollars each and card processing at 2.9 per cent plus 30 cents.
  • Client counting is based on active clients, and the definition of active is set by the vendor rather than by you, so seasonal or intermittent caseloads can push a practice into a higher tier for clients it is barely seeing.
  • It is built around ambulatory wellness and virtual care, so specialties needing lab ordering, imaging, in house dispensing or complex care coordination will find the clinical model too thin and will not find those modules to buy.

Pricing, plan by plan

Athenahealth

$140/month

No published plan breakdown. See the Athenahealth review.

Healthie

$19/month
  • Core$19/month
    • Up to ten active clients
    • Scheduling and payments
    • Charting and telehealth
  • Essentials$49/month
    • Up to 250 active clients
    • Custom forms
    • CMS 1500 generation
  • Plus$129/month
    • Unlimited active clients
    • Group telehealth
    • Online programmes
  • Group$149/month
    • Unlimited active clients
    • Shared calendar and team management
    • Roles and permissions

Which should you pick?

Choose Athenahealth if

  • You need electronic health records.
  • You work on Web, iOS, Android.
  • You also want medical billing.
Athenahealth review

Choose Healthie if

  • You need active client based tiers.
  • You work on Web, iOS, Android, API.
  • You also want charting and templates.
Healthie review

Questions people ask

Is Athenahealth or Healthie better?
Neither clearly leads. Athenahealth starts at $140/month and Healthie at $19/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Athenahealth or Healthie?
Athenahealth starts at $140/month and Healthie at $19/month.
Does Athenahealth or Healthie run on more platforms?
Athenahealth runs on Web, iOS, Android. Healthie runs on Web, iOS, Android, API.
What is Athenahealth best used for?
Athenahealth is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what Healthie is typically brought in for.
What can Athenahealth do that Healthie cannot?
Athenahealth covers Electronic Health Records, Medical Billing, Patient Engagement, Analytics. Healthie covers Active client based tiers, Charting and templates, Food and symptom journalling, Programmes and courses. Both handle Telehealth.

Answered from the vendors’ own pages

Athenahealth: What platforms does Athenahealth serve?

Athenahealth's athenaOne serves small to medium-sized physician practices and hospitals with integrated clinical, financial, and operational workflows.

Source
Healthie: Is the API available without an enterprise contract?

Yes. API access is available on standard published plans, which is why digital health startups use it as a clinical backend.

Athenahealth: What is the pricing model for athenaOne?

Athenahealth uses customized pricing with percent-based or encounter-based models. Starting price reported at $140/month with implementation costs ranging from $5,000-$20,000 for small businesses.

Source
Healthie: Can Healthie submit insurance claims?

Only through the separately priced ClaimMD integration. Native CMS 1500 generation is included, but submission is an add-on.

Athenahealth: Does Athenahealth include revenue cycle management?

Yes, athenaOne includes network-driven claims scrubbing with 95%+ first-pass rates, denial management, and A/R optimization.

Source
Healthie: What does an active client mean for billing?

It is a client with recent activity in the platform, not everyone in your database. Tiers are set by that count, not by seats.

Athenahealth: What patient engagement features does Athenahealth offer?

Athenahealth provides athenaCommunicator for patient portals, automated appointment reminders, online scheduling, telehealth integration, digital intake, and broadcast messaging.

Source
Healthie: Is it HIPAA compliant?

Yes, and a business associate agreement is available. The client-facing mobile app and portal are covered.

Athenahealth: How many pre-built integrations does Athenahealth have?

Athenahealth's marketplace includes over 250 pre-integrated third-party apps, allowing practices to extend functionality without custom development.

Source
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