Softwr

Healthcare · head to head

Koa Health vs TheraNest

Koa Health logo

Koa Health

Healthcare

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

From
On request
Rated
-
Full reviewWebsite
TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/month
Rated
-
Full reviewWebsite

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.; TheraNest the Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • They diverge on capability: Koa Health covers Stepped care triage, TheraNest covers Progress notes and treatment plans.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

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

Attributes where Koa Health and TheraNest differ
AttributeKoa HealthTheraNest
Starting priceOn request$29/month
Pricing modelquotePer user per month

Identical on both: free tier (No), platforms (Web, iOS, Android), 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 Koa Health

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

Only in TheraNest

  • Progress notes and treatment plans
  • Insurance claims
  • Client portal
  • Telehealth
  • Group and family sessions
  • Payroll and staff reporting

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 TheraNest
  • A European health plan needing a digital mental health offering with clinical governance and local language deliverynot TheraNest
  • A health system wanting to absorb low acuity behavioural health demand before it reaches scarce psychiatry appointmentsnot TheraNest
  • A multinational standardising a stepped care pathway across several European markets under one contractnot TheraNest

TheraNest

  • A solo therapist who needs a HIPAA aligned note and scheduling system and does not bill insurance, where the 29 USD entry tier is genuinely sufficientnot Koa Health
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot Koa Health
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot Koa Health
  • A behavioural health organisation that bills a steady volume of insurance claims each month and can size the Advanced allowance against its actual claim countnot 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.

TheraNest

  • The Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • Telehealth is only in the Premier plan, so a practice that wants video sessions pays 89 USD per therapist per month even if it needs nothing else from that tier.
  • An annual AMA CPT licence fee is billed separately each December on top of subscription cost, which surprises practices that budgeted only the monthly figure.
  • Additional administrative users are chargeable, so a practice with front desk and billing staff who never see clients still pays 19 to 29 USD per head for people who generate no revenue.
  • The product sits inside a consolidated portfolio that has already renamed the parent company from Therapy Brands to Ensora Health, and product investment in a portfolio is directed by the owner rather than by this product line, so roadmap commitments are worth less than they would be from a single product vendor.

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

TheraNest

$29/month
  • Essentials$29/month
    • Per therapist
    • Scheduling and client portal
    • HIPAA aligned notes and documentation
  • Advanced$59/month
    • Per therapist
    • 30 insurance claims per month included
    • Custom forms
  • Premier$89/month
    • Per therapist
    • Unlimited insurance claims
    • Billing automation

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.
Koa Health review

Choose TheraNest if

  • You need progress notes and treatment plans.
  • You work on Web, iOS, Android.
  • You also want insurance claims.
TheraNest review

Questions people ask

Is Koa Health or TheraNest better?
Neither clearly leads. Koa Health starts at On request and TheraNest at $29/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Koa Health or TheraNest?
Koa Health starts at On request and TheraNest at $29/month.
Does Koa Health or TheraNest 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 TheraNest is typically brought in for.
What can Koa Health do that TheraNest cannot?
Koa Health covers Stepped care triage, Self guided digital modules, Coaching tier, Licensed clinical care. TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth.

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.

TheraNest: Is TheraNest still sold under that name?

Yes. The company rebranded from Therapy Brands to Ensora Health and the product is now marketed as TheraNest by Ensora Health, but you still buy TheraNest.

Koa Health: Who buys Koa Health?

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

TheraNest: Can I bill insurance on the cheapest plan?

No. Essentials includes no claims. Advanced includes 30 claims a month and Premier is unlimited.

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.

TheraNest: Are there hidden costs?

Two. Additional admin users are charged per head, and an AMA CPT licence fee is billed annually in December per therapist.

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.

TheraNest: Does it support group practices?

Yes, with per clinician reporting and payroll figures, though every clinician and every admin is a paid seat.

Share

Related pages

More on Koa Health

More on TheraNest

Keep looking

Other head to heads