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Healthcare · head to head

Kareo vs Lyra Health

Kareo logo

Kareo

Healthcare

Cloud-based EHR and billing for small practices

From
$99/month
Rated
-
Full reviewWebsite
Lyra Health logo

Lyra Health

Healthcare

Employer purchased mental health benefit with a curated provider network and measurement based care

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Kareo kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product; Lyra Health covered sessions per member per year are set in the employer contract and vary widely between clients, so employees at two companies both using Lyra can receive very different benefits and the number is never published.
  • They diverge on capability: Kareo covers Electronic Health Records, Lyra Health covers Curated provider network.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Kareo and Lyra Health actually diverge.

Attributes where Kareo and Lyra Health differ
AttributeKareoLyra Health
Starting price$99/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, MobileWeb, iOS, Android
Founded2010Unknown

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 Kareo

  • Electronic Health Records
  • Scheduling
  • Patient Portal
  • Medical Billing
  • Payment Processing
  • Labs
  • Pharmacies
  • Clearinghouses

Only in Lyra Health

  • Curated provider network
  • Measurement based care
  • Self guided digital programmes
  • Coaching tier
  • Dependant and household coverage
  • Higher acuity pathways
  • Employer reporting
  • Global delivery

What people use each for

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

Kareo

  • Practice management, scheduling and billing for independent medical practicesnot Lyra Health
  • Electronic health records and e-prescribing for small clinicsnot Lyra Health
  • Insurance claim submission and patient payment collectionnot Lyra Health

Lyra Health

  • An employer whose legacy employee assistance programme has utilisation in the low single digits and cannot demonstrate any clinical outcomenot Kareo
  • A company with a distributed workforce needing therapist availability outside major metropolitan areas where the health plan network is thinnot Kareo
  • An employer wanting behavioural health outcomes measured with validated instruments so the benefit can be evaluated rather than merely offerednot Kareo
  • A multinational standardising mental health support across several countries under one contract and one reporting viewnot Kareo

Where each one falls short

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

Kareo

  • Kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • Tebra publishes no rate: pricing varies with provider count, features and implementation requirements and is quoted during a demo
  • Billing counts clinical providers such as MDs, DOs, NPs and PAs, so adding a prescriber raises the bill even though non clinical staff are free
  • Electronic prescribing of controlled substances setup costs about $75 per provider as a one time fee
  • PDMP integration costs $500 one time per facility plus about $50 per user per year

Lyra Health

  • Covered sessions per member per year are set in the employer contract and vary widely between clients, so employees at two companies both using Lyra can receive very different benefits and the number is never published.
  • When a member exhausts the employer funded session allowance, care transitions to the health plan network with its deductibles and copayments, or ends, and this handover is the most common source of employee dissatisfaction with the benefit.
  • The per employee per month fee is charged across the whole eligible population regardless of use, so an employer with low utilisation pays for the entire workforce to serve a small fraction of it.
  • Lyra costs materially more than a traditional employee assistance programme, and the business case depends on utilisation rising enough to justify the difference, which is not guaranteed by the contract.
  • International coverage is real but uneven, and a multinational will find provider depth and language availability in secondary markets well below what is available in the United States, which undermines the single global standard the contract implies.

Pricing, plan by plan

Kareo

$99/month
  • Starter$99/month
    • EHR
    • Scheduling
    • Patient Portal
  • Professional$199/month
    • Everything in Starter
    • Billing
    • Reporting

Lyra Health

On request
  • Lyra Health$undefined/year
    • Per employee per month fee across the eligible population, quoted not published
    • Covered sessions per member per year negotiated separately and varying widely by client
    • Dependant and household eligibility affects the rate

Which should you pick?

Choose Kareo if

  • You need electronic health records.
  • You work on Web, Mobile.
  • You also want scheduling.
Kareo review

Choose Lyra Health if

  • You need curated provider network.
  • You work on Web, iOS, Android.
  • You also want measurement based care.
Lyra Health review

Questions people ask

Is Kareo or Lyra Health better?
Neither clearly leads. Kareo starts at $99/month and Lyra Health at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Kareo or Lyra Health?
Kareo starts at $99/month and Lyra Health at On request.
Does Kareo or Lyra Health run on more platforms?
Kareo runs on Web, Mobile. Lyra Health runs on Web, iOS, Android.
What is Kareo best used for?
Kareo is most often used for practice management, scheduling and billing for independent medical practices, electronic health records and e-prescribing for small clinics, insurance claim submission and patient payment collection. Of those, practice management, scheduling and billing for independent medical practices and electronic health records and e-prescribing for small clinics are not what Lyra Health is typically brought in for.
What can Kareo do that Lyra Health cannot?
Kareo covers Electronic Health Records, Scheduling, Patient Portal, Medical Billing. Lyra Health covers Curated provider network, Measurement based care, Self guided digital programmes, Coaching tier.

Answered from the vendors’ own pages

Kareo: Does Kareo publish its pricing?

No. Kareo (now rebranded as Tebra) uses custom per-practice pricing that varies based on the number of providers, features needed, and implementation requirements. Pricing is determined during a demo with the sales team.

Source
Lyra Health: How is Lyra priced?

Per employee per month across the eligible population, billed to the employer. The rate is quoted, never published, and depends on headcount, dependant eligibility and the contracted session allowance.

Kareo: Are there discounts for adding multiple modules?

Yes. Tebra states that many practices qualify for bundled pricing or volume incentives when adopting multiple modules like EHR, billing, and patient experience tools together.

Source
Lyra Health: How many therapy sessions do employees get?

It depends entirely on what the employer bought. Session allowances vary widely between clients, so ask your benefits team for the contracted number rather than assuming a standard.

Kareo: What are the additional costs for controlled substance prescribing?

For providers who prescribe controlled substances, EPCS setup costs approximately $75 per provider as a one-time fee, and PDMP integration costs $500 one-time per facility plus around $50 per user per year.

Source
Lyra Health: Who pays, the employer or the health plan?

The employer pays the per employee per month fee and funds the covered sessions. After the allowance is exhausted, cost typically shifts to the health plan and the member.

Kareo: Does Kareo offer a free trial?

Kareo's website does not mention a free trial option. Access to pricing and trial arrangements requires contacting the sales team to request a demo.

Source
Lyra Health: Is there a minimum headcount?

Lyra does not publish one, but it sells primarily to mid sized and large employers and the commercial model does not suit small companies.

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