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Healthcare · head to head

Kareo vs SilverCloud by Amwell

Kareo logo

Kareo

Healthcare

Cloud-based EHR and billing for small practices

From
$99/month
Rated
-
Full reviewWebsite
SilverCloud by Amwell logo

SilverCloud by Amwell

Healthcare

Guided digital cognitive behavioural therapy with a published randomised trial evidence base

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; SilverCloud by Amwell the evidence base is for the guided model, and organisations that deploy SilverCloud as unstaffed self service get the completion rates of unguided self help, which is not what the trials measured.
  • They diverge on capability: Kareo covers Electronic Health Records, SilverCloud by Amwell covers Guided programmes.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Kareo and SilverCloud by Amwell actually diverge.

Attributes where Kareo and SilverCloud by Amwell differ
AttributeKareoSilverCloud by Amwell
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 SilverCloud by Amwell

  • Guided programmes
  • Supporter review
  • Symptom measurement
  • Clinician dashboard
  • Risk detection
  • NHS talking therapies alignment
  • Multiple deployment models

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 SilverCloud by Amwell
  • Electronic health records and e-prescribing for small clinicsnot SilverCloud by Amwell
  • Insurance claim submission and patient payment collectionnot SilverCloud by Amwell

SilverCloud by Amwell

  • An NHS talking therapies service needing a digital option that fits national reporting requirements and reduces waiting list pressure for step two interventionsnot Kareo
  • A health plan wanting a digital mental health offering it can defend to a clinical governance committee with peer reviewed trial evidencenot Kareo
  • A university counselling service facing demand it cannot staff, using guided digital cognitive behavioural therapy as a first stepnot Kareo
  • An employer that wants an evidence based clinical intervention rather than a wellbeing content librarynot 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

SilverCloud by Amwell

  • The evidence base is for the guided model, and organisations that deploy SilverCloud as unstaffed self service get the completion rates of unguided self help, which is not what the trials measured.
  • Supporter capacity is normally the buyer responsibility rather than part of the licence, so the real cost includes trained staff time that does not appear on the software quote.
  • Digital cognitive behavioural therapy has substantial dropout across all vendors, so a service planning capacity from enrolment numbers rather than completion numbers will overstate the throughput gained.
  • It is now sold as part of the Amwell portfolio, and Amwell has restructured its product lines since acquiring SilverCloud, so buyers should ask how SilverCloud is positioned within the Amwell Converge platform and whether it can still be bought standalone.
  • Guided digital cognitive behavioural therapy is a step two intervention and does not serve moderate to severe presentations, so a service that buys it without a funded escalation pathway simply relocates the queue.

Pricing, plan by plan

Kareo

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

SilverCloud by Amwell

On request
  • SilverCloud by Amwell$undefined/year
    • Priced per member per month or per completed course depending on the buyer type
    • Supporter capacity is usually provided by the buyer, not included in the licence
    • Programme library scope 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 SilverCloud by Amwell if

  • You need guided programmes.
  • You work on Web, iOS, Android.
  • You also want supporter review.
SilverCloud by Amwell review

Questions people ask

Is Kareo or SilverCloud by Amwell better?
Neither clearly leads. Kareo starts at $99/month and SilverCloud by Amwell at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Kareo or SilverCloud by Amwell?
Kareo starts at $99/month and SilverCloud by Amwell at On request.
Does Kareo or SilverCloud by Amwell run on more platforms?
Kareo runs on Web, Mobile. SilverCloud by Amwell 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 SilverCloud by Amwell is typically brought in for.
What can Kareo do that SilverCloud by Amwell cannot?
Kareo covers Electronic Health Records, Scheduling, Patient Portal, Medical Billing. SilverCloud by Amwell covers Guided programmes, Supporter review, Symptom measurement, Clinician dashboard.

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
SilverCloud by Amwell: Is SilverCloud still available under its own name?

Yes. It is marketed as SilverCloud by Amwell and has its own product pages and NHS partnership, though contracting runs through Amwell.

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
SilverCloud by Amwell: What evidence supports it?

It has been evaluated in independently led randomised controlled trials, including a National Institute of Mental Health funded study published in Nature Human Behaviour in 2026 examining prevalence of mental disorders over two years at scale.

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
SilverCloud by Amwell: Do we need to provide the supporters?

In most deployments, yes. The guided model requires trained supporter time, and that staffing is usually the buyer responsibility rather than included in the licence.

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
SilverCloud by Amwell: Is it suitable for severe presentations?

No. It is a step two style intervention for mild to moderate presentations, and it needs a funded escalation pathway for anything more severe.

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