TruCare vs athenahealth: Keep Your EHR or Switch to athenaOne

athenahealth sells athenaOne, an all-in-one EHR, practice management, and billing system with co-sourced RCM services. TruCare is a revenue operating system that works with the EHR you already use. The choice comes down to whether you want to switch EHRs.

How they differ

• EHR: athenaOne replaces your EHR and practice management system. TruCare connects to 20+ EHRs.
• Who does the work: athena co-sources billing, so your staff still owns part of the work. TruCare billers work flagged claims for you.
• Credentialing and intake: Both offer them. athena co-sources credentialing, and TruCare runs it through TruCred.
• Pricing: athena ties pricing to collections but does not publish the rate. TruCare starts at 2.49% of collections.

Where they overlap

Both cover eligibility, claims, denials, patient payments, credentialing, and intake. Both price based on collections, and both report on A/R and denial trends.

Choose TruCare if

You like your EHR, want billing and credentialing handled, and want to know your rate before you sign.

Choose athenahealth if

You want one system for charting, scheduling, and billing, and you are ready to migrate. athenahealth ranked #1 Best in KLAS 2026 for Practice Management for independent groups with 11 to 75 physicians.

Questions to ask on your demo

• Migration: How long will an EHR switch take, and who trains our staff?
• Workload: Which billing tasks stay with our team under co-sourcing?
• Rate: What percentage of collections will we pay, in writing?

The bottom line

athenaOne makes sense if you are ready to change your EHR and keep some billing work in house. TruCare makes sense if you want to keep your EHR and hand off billing and credentialing. Migration time and staff training are part of the real cost.