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Healthcare · head to head

Athenahealth vs VisionVPM

Athenahealth logo

Athenahealth

Healthcare

Cloud-based medical practice management

From
$140/month
Rated
-
VisionVPM logo

VisionVPM

Veterinary

On-premise practice management for veterinary groups in Australia, New Zealand, the UK and Ireland

From
On request
Rated
-

The short version

  • Each has a real cost: Athenahealth high implementation costs ranging up to $50,000+ for enterprise deployments; VisionVPM it needs a Windows server, a backup regime and someone responsible for both, so the true cost includes IT support that cloud competitors absorb into their subscription.
  • They diverge on capability: Athenahealth covers Electronic Health Records, VisionVPM covers Local database.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Athenahealth and VisionVPM actually diverge.

Attributes where Athenahealth and VisionVPM differ
AttributeAthenahealthVisionVPM
Starting price$140/monthOn request
Pricing modelUnknownquote
PlatformsWeb, iOS, AndroidWindows
CategoryHealthcareVeterinary
Founded1997Unknown

Identical on both: free tier (No), user rating (Not yet rated).

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
  • Telehealth
  • Analytics
  • Labs
  • Pharmacies
  • Clearinghouses

Only in VisionVPM

  • Local database
  • Large and mixed animal modules
  • Stock and wholesale ordering
  • Debtor and account management
  • Multi-site consolidation
  • Clinical reminders

What people use each for

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

Athenahealth

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

VisionVPM

  • A rural mixed practice where internet connectivity is too unreliable to depend on a browser-only systemnot Athenahealth
  • A corporate group that requires clinical and financial data to remain on infrastructure it controlsnot Athenahealth
  • A farm-heavy practice needing herd recording and monthly account billing that companion-animal cloud systems handle poorlynot Athenahealth
  • An established VisionVPM site weighing an upgrade against the cost and disruption of migrating to a cloud systemnot 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

VisionVPM

  • It needs a Windows server, a backup regime and someone responsible for both, so the true cost includes IT support that cloud competitors absorb into their subscription.
  • Upgrades are scheduled events with downtime rather than transparent releases, which means version drift across a multi-site group and a coordination burden at each release.
  • Covetrus is steering customers towards its cloud product, so development effort is unlikely to favour VisionVPM long term and buyers should assume a migration eventually.
  • Remote and out-of-hours access requires a remote desktop or Citrix layer, which adds licensing, latency and another system to secure.
  • Ordering and prescription workflows are built around Covetrus as the supplier, so a practice buying from other wholesalers loses the automated parts and reverts to manual entry.

Pricing, plan by plan

Athenahealth

$140/month

No published plan breakdown. See the Athenahealth review.

VisionVPM

On request
  • VisionVPM$undefined/year
    • Licence and annual support quoted per practice
    • Server hardware and Windows licences bought separately
    • Data migration quoted per site

Which should you pick?

Choose Athenahealth if

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

Choose VisionVPM if

  • You need local database.
  • You work on Windows.
  • You also want large and mixed animal modules.

Questions people ask

Is Athenahealth or VisionVPM better?
Neither clearly leads. Athenahealth starts at $140/month and VisionVPM at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Athenahealth or VisionVPM?
Athenahealth starts at $140/month and VisionVPM at On request.
Does Athenahealth or VisionVPM run on more platforms?
Athenahealth runs on Web, iOS, Android. VisionVPM runs on Windows.
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 VisionVPM is typically brought in for.
What can Athenahealth do that VisionVPM cannot?
Athenahealth covers Electronic Health Records, Medical Billing, Patient Engagement, Telehealth. VisionVPM covers Local database, Large and mixed animal modules, Stock and wholesale ordering, Debtor and account management.

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
VisionVPM: Can VisionVPM run in the cloud?

Only by hosting the Windows server yourself or through a partner and connecting over remote desktop. It is not a browser application and hosting it does not make it one.

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
VisionVPM: Is VisionVPM still being developed?

It receives maintenance and compliance updates, but its owner sells a separate cloud product and directs new development there. Plan on a migration within the life of your next server.

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
VisionVPM: Does it work outside Australasia and the UK?

It is sold and supported in Australia, New Zealand, the UK and Ireland. Tax handling and supplier integrations are built for those markets.

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
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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