Healthcare · head to head
SilverCloud by Amwell vs Zanda Health

SilverCloud by Amwell
Healthcare
Guided digital cognitive behavioural therapy with a published randomised trial evidence base
- From
- On request
- Rated
- -

Zanda Health
Healthcare
Practice management and clinical notes for allied health clinics, formerly Power Diary
- From
- $19/month
- Rated
- -
The short version
- Each has a real cost: 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.; Zanda Health the 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
- They diverge on capability: SilverCloud by Amwell covers Guided programmes, Zanda Health covers Unlimited admin users.
- Prices and features above were last checked on 1 September 2026.
Where they differ
Only the attributes on which SilverCloud by Amwell and Zanda Health actually diverge.
| Attribute | SilverCloud by Amwell | Zanda Health |
|---|---|---|
| Starting price | On request | $19/month |
| Pricing model | quote | Per 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 SilverCloud by Amwell
- Guided programmes
- Supporter review
- Symptom measurement
- Clinician dashboard
- Risk detection
- NHS talking therapies alignment
- Multiple deployment models
Only in Zanda Health
- Unlimited admin users
- Australian funder billing
- Clinical note templates
- Two way SMS
- Telehealth Pro
- Practitioner rostering
- Client portal
- BizzyAI Scribe
What people use each for
The jobs each tool is most often brought in to do.
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 Zanda Health
- A health plan wanting a digital mental health offering it can defend to a clinical governance committee with peer reviewed trial evidencenot Zanda Health
- A university counselling service facing demand it cannot staff, using guided digital cognitive behavioural therapy as a first stepnot Zanda Health
- An employer that wants an evidence based clinical intervention rather than a wellbeing content librarynot Zanda Health
Zanda Health
- A five physiotherapist clinic in Melbourne that bulk bills Medicare and wants claiming inside the diary rather than a separate portalnot SilverCloud by Amwell
- A psychology group practice with more reception staff than clinicians, where per seat pricing elsewhere would double the billnot SilverCloud by Amwell
- A UK osteopathy practice moving off paper diaries that needs online booking and card payment without an implementation projectnot SilverCloud by Amwell
- A multi site podiatry business that needs room and equipment allocation alongside practitioner availabilitynot SilverCloud by Amwell
Where each one falls short
Documented limitations, not opinions. Every one is a constraint you would hit in normal use.
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.
Zanda Health
- The 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
- North American billing is not properly served: there is no claims clearinghouse and superbill handling is basic, so a United States practice will need a separate revenue cycle tool and will pay for two systems.
- Pricing is quoted in United States dollars while the company, support hours and product depth are Australian, so buyers outside those two time zones get support with an overnight lag on urgent clinical scheduling problems.
- SMS is billed per message beyond the plan allowance and a dedicated number is required in the United States and Canada, so a busy clinic sending reminders and follow ups accumulates a variable monthly cost that is not visible in the headline plan price.
- Reporting is adequate for a single clinic but weak for a group: cross site financial consolidation and practitioner productivity comparison generally end up exported to a spreadsheet, which becomes a monthly manual job as soon as you pass a handful of locations.
Pricing, plan by plan
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
Zanda Health
$19/month- Starter$19/month
- One practitioner
- One administrative user
- 1,000 appointments per year
- Growth$49/month
- Base fee plus 19 USD per additional practitioner per month
- Unlimited free administrative users
- Unlimited appointments
- Telehealth Pro add-on$9/month
- Per practitioner
- Unlimited video consultations
- Recording and waiting room
Which should you pick?
Choose SilverCloud by Amwell if
- You need guided programmes.
- You work on Web, iOS, Android.
- You also want supporter review.
Choose Zanda Health if
- You need unlimited admin users.
- You work on Web, iOS, Android.
- You also want australian funder billing.
Questions people ask
- Is SilverCloud by Amwell or Zanda Health better?
- Neither clearly leads. SilverCloud by Amwell starts at On request and Zanda Health at $19/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
- Which is cheaper, SilverCloud by Amwell or Zanda Health?
- SilverCloud by Amwell starts at On request and Zanda Health at $19/month.
- Does SilverCloud by Amwell or Zanda Health run on more platforms?
- Both run on Web, iOS, Android, so platform support will not decide this one for you.
- What is SilverCloud by Amwell best used for?
- SilverCloud by Amwell is most often used for an nhs talking therapies service needing a digital option that fits national reporting requirements and reduces waiting list pressure for step two interventions, a health plan wanting a digital mental health offering it can defend to a clinical governance committee with peer reviewed trial evidence, a university counselling service facing demand it cannot staff, using guided digital cognitive behavioural therapy as a first step, an employer that wants an evidence based clinical intervention rather than a wellbeing content library. Of those, an nhs talking therapies service needing a digital option that fits national reporting requirements and reduces waiting list pressure for step two interventions and a health plan wanting a digital mental health offering it can defend to a clinical governance committee with peer reviewed trial evidence are not what Zanda Health is typically brought in for.
- What can SilverCloud by Amwell do that Zanda Health cannot?
- SilverCloud by Amwell covers Guided programmes, Supporter review, Symptom measurement, Clinician dashboard. Zanda Health covers Unlimited admin users, Australian funder billing, Clinical note templates, Two way SMS.
Answered from the vendors’ own pages
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.
Zanda Health: Is Zanda Health the same as Power Diary?
Yes. Power Diary rebranded to Zanda Health in 2024. Same company, same product line, same data.
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.
Zanda Health: Do receptionists count as paid users?
No. On the Growth plan administrative users are unlimited and free. Only practitioners are charged.
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.
Zanda Health: Does it handle Medicare bulk billing?
Yes, Medicare Online, DVA and bulk billing claims are submitted from within the platform for Australian practices.
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.
Zanda Health: Is it suitable for a United States practice?
Only partly. Charting, scheduling and telehealth work, but there is no claims clearinghouse, so US insurance billing needs a separate system.
Related pages
More on SilverCloud by Amwell
More on Zanda Health
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