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Healthcare · head to head

Practice Fusion vs SilverCloud by Amwell

Practice Fusion logo

Practice Fusion

Healthcare

Free cloud-based EHR for medical practices

From
Free
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

  • Only Practice Fusion has a free tier, so it costs nothing to try first.
  • Each has a real cost: Practice Fusion cloud-based architecture requires constant internet connectivity; 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: Practice Fusion 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 Practice Fusion and SilverCloud by Amwell actually diverge.

Attributes where Practice Fusion and SilverCloud by Amwell differ
AttributePractice FusionSilverCloud by Amwell
Starting priceFreeOn request
Pricing modelsubscriptionquote
Free tierYesNo
Founded2005Unknown

Identical on both: 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 Practice Fusion

  • Electronic Health Records
  • e-Prescribing
  • Lab Orders
  • Patient Portal
  • Scheduling
  • Labs
  • Pharmacies
  • Imaging Centers

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.

Practice Fusion

  • Small to medium medical practicesnot SilverCloud by Amwell
  • Primary care clinicsnot SilverCloud by Amwell
  • Independent clinicians needing electronic chartingnot SilverCloud by Amwell
  • Practice management and billing workflowsnot 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 Practice Fusion
  • A health plan wanting a digital mental health offering it can defend to a clinical governance committee with peer reviewed trial evidencenot Practice Fusion
  • A university counselling service facing demand it cannot staff, using guided digital cognitive behavioural therapy as a first stepnot Practice Fusion
  • An employer that wants an evidence based clinical intervention rather than a wellbeing content librarynot Practice Fusion

Where each one falls short

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

Practice Fusion

  • Cloud-based architecture requires constant internet connectivity
  • Requires annual commitment for pricing

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

Practice Fusion

Free
  • Standard$199/month
    • Provider license with e-prescribing and chart signing
    • 3 signing staff licenses included
    • Unlimited non-signing staff licenses

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 Practice Fusion if

  • You need electronic health records.
  • You want to start without paying.
  • You work on Web, iOS, Android.
  • You also want e-prescribing.
Practice Fusion 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 Practice Fusion or SilverCloud by Amwell better?
Neither clearly leads. Practice Fusion starts at Free 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, Practice Fusion or SilverCloud by Amwell?
Practice Fusion has a free tier; the other does not. Paid plans start at Free for Practice Fusion and On request for SilverCloud by Amwell.
Does Practice Fusion or SilverCloud by Amwell run on more platforms?
Both run on Web, iOS, Android, so platform support will not decide this one for you.
Can I use Practice Fusion for free?
Yes. Practice Fusion has a free tier, so you can try it without paying. SilverCloud by Amwell starts at On request.
What is Practice Fusion best used for?
Practice Fusion is most often used for small to medium medical practices, primary care clinics, independent clinicians needing electronic charting, practice management and billing workflows. Of those, small to medium medical practices and primary care clinics are not what SilverCloud by Amwell is typically brought in for.
What can Practice Fusion do that SilverCloud by Amwell cannot?
Practice Fusion covers Electronic Health Records, e-Prescribing, Lab Orders, Patient Portal. SilverCloud by Amwell covers Guided programmes, Supporter review, Symptom measurement, Clinician dashboard.

Answered from the vendors’ own pages

Practice Fusion: How much does Practice Fusion cost?

Practice Fusion starts at $199 per month per provider with an annual commitment required. The pricing includes 3 signing staff licenses and unlimited non-signing staff licenses.

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.

Practice Fusion: Does Practice Fusion offer a free trial?

Yes, Practice Fusion offers a complimentary 2-week trial with no commitment, no upfront costs, and no credit card required.

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.

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.

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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