athenahealth Alternatives for Medical Practices and Groups (2026)

athenaOne combines EHR, practice management, and co-sourced billing in one system. Practices look elsewhere when they want to keep their current EHR, want billing fully done for them, or want to know their rate before signing. athenahealth reports more than 170,000 clinicians on its network.

Why teams look for athenahealth alternatives

• EHR migration: athenaOne replaces your current system.
• Co-sourced billing: Your staff still owns part of the work.
• Unpublished rate: Pricing follows collections, but the percentage is not public.

The best athenahealth alternatives

1. TruCare: A revenue operating system that works with 20+ EHRs. Certified billers handle claims and denials, TruCred handles credentialing, and rates start at 2.49% of collections.
2. AdvancedMD: Practice management and EHR software with published pricing and optional managed billing. Best for practices that want published software pricing.
3. Tebra: EHR, billing, and marketing software for independent practices. Best for small practices that bill in house.
4. CureMD: Specialty EHR with billing and credentialing services. Best for practices ready to switch EHRs.
5. Athelas: An AI EHR bundled with managed billing. Best for practices that want an AI EHR and billing together.

How to choose

If you want one system for everything, compare athenaOne with AdvancedMD and CureMD on specialty fit and migration effort. If your EHR works well and billing is the problem, keep the EHR and add a billing partner instead. Either way, ask how long migration takes.

Questions to ask every vendor

• EHR: Does our current EHR need replacing, or only our billing?
• Workload: Which billing tasks would stay with our staff?
• Rate: What percentage of collections will we pay?

The bottom line

Choose an all-in-one system if your EHR needs replacing anyway. If it doesn't, TruCare adds billing and credentialing without the migration.