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Healthcare · head to head

Healthie vs OpenClinica

Healthie logo

Healthie

Healthcare

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

From
$19/month
Rated
-
Full reviewWebsite
OpenClinica logo

OpenClinica

Healthcare

Clinical trial EDC with a genuinely open source community edition alongside a quoted commercial platform

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: 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.; OpenClinica the free community edition is a different and older product line from the commercial platform, so evaluating the open source build tells you little about what the paid product actually does.
  • They diverge on capability: Healthie covers Active client based tiers, OpenClinica covers Open source community edition.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Healthie and OpenClinica actually diverge.

Attributes where Healthie and OpenClinica differ
AttributeHealthieOpenClinica
Starting price$19/monthOn request
Pricing modelPer month by active client countquote
PlatformsWeb, iOS, Android, APIWeb, Self-hosted, iOS, Android

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 Healthie

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

Only in OpenClinica

  • Open source community edition
  • Electronic data capture
  • eConsent
  • eCOA and ePRO
  • Randomisation
  • EHR-to-EDC
  • Audit trail
  • Reporting and analytics

What people use each for

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

Healthie

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

OpenClinica

  • An academic coordinating centre running investigator-initiated trials that needs Part 11 compliant capture without an enterprise eClinical budgetnot Healthie
  • A registry or observational cohort study collecting structured data across many sites over yearsnot Healthie
  • A small device sponsor that needs eConsent and ePRO in the same system as its case report formsnot Healthie
  • An informatics group that wants to self-host the open source edition for a non-regulated internal studynot Healthie

Where each one falls short

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

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.

OpenClinica

  • The free community edition is a different and older product line from the commercial platform, so evaluating the open source build tells you little about what the paid product actually does.
  • The vendor provides no support or services at all for the community edition, which means outages, patching, database upgrades and validation documentation are entirely your problem.
  • Commercial pricing is not published, so you cannot benchmark it against alternatives without entering a sales process, and third-party figures around USD 1,000 a month are indicative rather than contractual.
  • Study build is skilled work: complex edit checks, randomisation schemes and integrations usually mean paying for vendor or consultant configuration services on top of the licence, which is a frequently underestimated line in the budget.
  • As a smaller vendor than the large eClinical suites it has a thinner partner and consultant ecosystem, so finding experienced build staff or a CRO already fluent in the platform is harder than with the market incumbents.

Pricing, plan by plan

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

OpenClinica

On request
  • Community Edition$undefined/year
    • Free and open source under the LGPL
    • Self-hosted, on the older 3.x line
    • No vendor support or services of any kind
  • OpenClinica Enterprise$undefined/year
    • Pricing only through a sales process
    • Hosted and validated instance
    • EDC, eConsent, eCOA, randomisation and analytics modules

Which should you pick?

Choose Healthie if

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

Choose OpenClinica if

  • You need open source community edition.
  • You work on Web, Self-hosted, iOS, Android.
  • You also want electronic data capture.
OpenClinica review

Questions people ask

Is Healthie or OpenClinica better?
Neither clearly leads. Healthie starts at $19/month and OpenClinica at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Healthie or OpenClinica?
Healthie starts at $19/month and OpenClinica at On request.
Does Healthie or OpenClinica run on more platforms?
Healthie runs on Web, iOS, Android, API. OpenClinica runs on Web, Self-hosted, iOS, Android.
What is Healthie best used for?
Healthie is most often used for a registered dietitian in private practice who needs charting, scheduling, superbills and a client food journal in one subscription, a virtual care startup using the api as a compliant clinical backend rather than building charting and scheduling from scratch, a wellness group practice selling packaged twelve week programmes with group video sessions and course content, a health coaching business that bills clients directly and needs card payment, intake forms and messaging without insurance complexity. Of those, a registered dietitian in private practice who needs charting, scheduling, superbills and a client food journal in one subscription and a virtual care startup using the api as a compliant clinical backend rather than building charting and scheduling from scratch are not what OpenClinica is typically brought in for.
What can Healthie do that OpenClinica cannot?
Healthie covers Active client based tiers, Charting and templates, Telehealth, Food and symptom journalling. OpenClinica covers Open source community edition, Electronic data capture, eConsent, eCOA and ePRO.

Answered from the vendors’ own pages

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.

OpenClinica: Is OpenClinica free?

There is a genuinely free, LGPL licensed community edition you host yourself with no vendor support. The commercial platform with eConsent, eCOA and a validated hosted instance is quoted and paid.

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.

OpenClinica: Is the open source version still maintained?

Yes, releases on the 3.x line continued through 2025, but it is a separate and older architecture from the commercial product.

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.

OpenClinica: Does it meet 21 CFR Part 11?

The commercial hosted platform is built for Part 11 and GCP compliance. If you self-host the community edition, compliance and validation are entirely your responsibility.

Healthie: Is it HIPAA compliant?

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

OpenClinica: What does the commercial version cost?

Not published. Third-party listings suggest enterprise arrangements from around USD 1,000 per month, but real cost depends on study count, subjects, modules and build services.

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