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Healthcare · head to head

Koa Health vs Spring Health

Koa Health logo

Koa Health

Healthcare

Employer and health plan digital mental health, acquired by PsychPlus in June 2026

From
On request
Rated
-
Spring Health logo

Spring Health

HR

Employer mental health benefit that puts a share of its own fee at risk against measured symptom improvement

From
On request
Rated
-

The short version

  • Each has a real cost: Koa Health psychPlus acquired Koa Health in June 2026, so buyers are now contracting with the technology arm of an American psychiatry provider group rather than a European digital health company, and roadmap, data residency and European product investment should all be re-examined before renewal.; Spring Health per employee per month cost is several times a conventional employee assistance programme, reported publicly at roughly one hundred to one hundred and fifty dollars per employee per year, so the business case has to rest on measured outcomes rather than price.
  • They diverge on capability: Koa Health covers Stepped care triage, Spring Health covers Precision matching.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Koa Health and Spring Health actually diverge.

Attributes where Koa Health and Spring Health differ
AttributeKoa HealthSpring Health
CategoryHealthcareHR

Identical on both: starting price (On request), pricing model (quote), free tier (No), platforms (Web, iOS, Android), 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 Koa Health

  • Stepped care triage
  • Self guided digital modules
  • Licensed clinical care
  • Employer and plan reporting
  • Multi country delivery
  • Clinical governance

Only in Spring Health

  • Precision matching
  • Sponsored session model
  • Psychiatry and medication management
  • Repeated outcome measurement
  • Outcomes-based fee
  • Manager and workforce reporting
  • Care navigation

Both cover

  • Coaching tier

What people use each for

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

Koa Health

  • An employer that wants something between a meditation app and a full clinical benefit, with triage deciding which members need a cliniciannot Spring Health
  • A European health plan needing a digital mental health offering with clinical governance and local language deliverynot Spring Health
  • A health system wanting to absorb low acuity behavioural health demand before it reaches scarce psychiatry appointmentsnot Spring Health
  • A multinational standardising a stepped care pathway across several European markets under one contractnot Spring Health

Spring Health

  • An employer replacing an EAP with two percent utilisation that cannot demonstrate any clinical effect to its boardnot Koa Health
  • A benefits team facing long external waiting lists for therapy that are showing up in absence and disability claimsnot Koa Health
  • A distributed workforce where the incumbent EAP provider network is thin outside major metropolitan areasnot Koa Health
  • A health plan wanting to add a behavioural health layer without building a provider network itselfnot Koa Health

Where each one falls short

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

Koa Health

  • PsychPlus acquired Koa Health in June 2026, so buyers are now contracting with the technology arm of an American psychiatry provider group rather than a European digital health company, and roadmap, data residency and European product investment should all be re-examined before renewal.
  • Stepped care only produces savings when triage is accurate, and members routed to a self guided module when they believe they need a therapist commonly disengage entirely, which a utilisation report records as low engagement rather than as a triage failure.
  • Pricing is per employee or per member per month across the eligible population, so an employer with modest engagement pays for everyone in order to serve a minority.
  • Clinician availability and language coverage differ substantially by country, so a multinational contract that reads as one global standard delivers a materially different experience in secondary markets.
  • Koa competes against much larger and better funded benefits vendors in the United States, and the acquisition does not change the fact that its brand recognition with American benefits consultants is low, which affects broker driven shortlists.

Spring Health

  • Per employee per month cost is several times a conventional employee assistance programme, reported publicly at roughly one hundred to one hundred and fifty dollars per employee per year, so the business case has to rest on measured outcomes rather than price.
  • Outcomes-based pricing only puts a portion of the fee at risk, and the measured cohort is people who engaged, which flatters the reported improvement relative to any effect across the whole workforce.
  • Sponsored sessions run out, and members who need longer treatment are handed to their health plan benefit where network adequacy and cost sharing may be exactly the problem they came to avoid.
  • The eligibility file integration is a real HR IT project, and employers with messy dependent and contractor data spend meaningful effort before launch.
  • Coverage and provider depth outside the United States is thinner than the domestic network, so multinational employers usually end up running a second vendor for other regions.

Pricing, plan by plan

Koa Health

On request
  • Koa Health$undefined/year
    • Per employee per month or per member per month, quoted not published
    • Rate depends on which steps of the care ladder are included
    • Clinical tier access priced separately from digital content access

Spring Health

On request
  • Spring Health employer programme$undefined/year
    • Per employee per month, invoiced to the employer, with an eligibility file feed
    • Portion of fee available at risk against measured symptom outcomes
    • Sponsored session count negotiated per contract

Which should you pick?

Choose Koa Health if

  • You need stepped care triage.
  • You work on Web, iOS, Android.
  • You also want self guided digital modules.

Choose Spring Health if

  • You need precision matching.
  • You work on Web, iOS, Android.
  • You also want sponsored session model.

Questions people ask

Is Koa Health or Spring Health better?
Neither clearly leads. Koa Health starts at On request and Spring Health at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Koa Health or Spring Health?
Koa Health starts at On request and Spring Health at On request.
Does Koa Health or Spring Health run on more platforms?
Both run on Web, iOS, Android, so platform support will not decide this one for you.
What is Koa Health best used for?
Koa Health is most often used for an employer that wants something between a meditation app and a full clinical benefit, with triage deciding which members need a clinician, a european health plan needing a digital mental health offering with clinical governance and local language delivery, a health system wanting to absorb low acuity behavioural health demand before it reaches scarce psychiatry appointments, a multinational standardising a stepped care pathway across several european markets under one contract. Of those, an employer that wants something between a meditation app and a full clinical benefit, with triage deciding which members need a clinician and a european health plan needing a digital mental health offering with clinical governance and local language delivery are not what Spring Health is typically brought in for.
What can Koa Health do that Spring Health cannot?
Koa Health covers Stepped care triage, Self guided digital modules, Licensed clinical care, Employer and plan reporting. Spring Health covers Precision matching, Sponsored session model, Psychiatry and medication management, Repeated outcome measurement. Both handle Coaching tier.

Answered from the vendors’ own pages

Koa Health: Is Koa Health still operating?

Yes. PsychPlus acquired it in June 2026 and the brand and platform continue. It is not a shutdown, but the ownership and clinical direction have changed.

Spring Health: How is it priced?

Per employee per month, billed to the employer, with a portion available at risk against measured outcomes. Rates are not published; public statements from the company suggest roughly one hundred to one hundred and fifty dollars per employee per year.

Koa Health: Who buys Koa Health?

Employers, health plans and health systems. It is not sold direct to individuals.

Spring Health: Who pays, the employer or the health plan?

Usually the employer, for the sponsored session block. After those sessions the member typically continues under their health plan benefit with normal cost sharing.

Koa Health: How is it priced?

Per employee or per member per month, quoted rather than published, with the rate depending on which steps of the care ladder are in scope.

Spring Health: What does outcomes-based pricing actually guarantee?

That a defined portion of the vendor fee is contingent on measured change in assessment scores among engaged members. It is not a guarantee of workforce-level improvement.

Koa Health: Does it provide access to psychiatrists?

Clinical access is included in the higher tiers, and the PsychPlus acquisition adds psychiatry provider capacity in the United States. Confirm what your specific contract covers.

Spring Health: Is there a minimum headcount?

Yes in practice. Spring Health sells to mid-market and enterprise employers and health plans; very small employers are not the target and usually cannot get a quote.

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