SimplePractice
Mature EHR and group-practice operations
The strongest public evidence for established solo and group workflows, client-portal operations, supervision, plan choices, switching, and data export.
Provider platform comparison · 2026
Compare three ways to support your practice.
Choose the model that fits how you work, get paid, and care for your community.
See how a mature general-purpose EHR, a national insurance-network membership, and an Oregon-and-Washington-focused connected-care platform support different practice needs.
Current first-party competitor sources · EttaCare launch claims require release verification
The short answer
Choose the model that fits your practice.
SimplePractice is designed first as a mature general-purpose EHR. Alma combines participation in its insurance-network model with bundled practice tools. EttaCare is designed to connect provider-owned practice operations, regional insurance workflows, transparent economics, and bookable client access in one Oregon-and-Washington-focused platform.
Release note: EttaCare statements describe its supplied launch specification. Final availability, payer contracts, and approved pricing must be confirmed before purchase.
Side by side
Compare the choices that shape your everyday work.
Concrete differences matter more than checkmarks. Competitor capabilities use the first-party sources listed below; EttaCare capabilities remain launch specifications until verified.
| Criterion | EttaCare | SimplePractice | Alma | Bottom line |
|---|---|---|---|---|
| Best fit | Oregon and Washington therapists who want regional insurance operations and practice management in one platform. | Solo and group practices that want a mature, broadly documented EHR. | Fully licensed independent providers who want a national commercial-insurance network plus bundled EHR tools. | Choose by operating model, not feature count. |
| Geographic model | The launch specification covers OR/WA commercial payers, Medicaid enrollment pathways, state licensing, consents, and Pacific Time support. | Nationally oriented EHR; no Oregon/Washington-specific operating model was identified in reviewed sources. | Provider availability spans all 50 states. Payer participation varies by plan and geography, and several Medicare and Medicaid variants are explicitly excluded. | EttaCare is the regional model; Alma has broader commercial reach. |
| Credentialing | CAQH management, application submission, a Medicaid track, expiry monitoring, and payer-stage visibility are specified. | Credentialing is delivered through Medallion; public materials say the resulting payer credential belongs to the provider. | Alma submits credentialing under Alma’s Tax ID. New members must credential with at least one of Aetna, Cigna, or Optum. | Confirm Tax ID, contract, and credential ownership before choosing. |
| Insurance operations | Eligibility, client cost estimates, claims, ERA posting, denial workflows, filing deadlines, and rate reconciliation are specified. | Electronic claims, eligibility checks, ERA/EOB workflows, and plan-based fees. | Eligibility, claims operations, client invoicing, copay collection, and scheduled payouts. | Alma is the closest current insurance comparator to EttaCare. |
| EHR and care delivery | Scheduling, intake, telehealth, notes, treatment plans, assessments, messaging, and payments are specified. | Mature scheduling, client portal, telehealth, notes, claims, payments, and group workflows. | EHR, Wiley planners, telehealth, Note Assist, intake, assessments, claims, and a directory profile are included. | All three cover core care delivery; depth and packaging differ. |
| Group practice | Roles, shared calendars, treating-provider access, reporting, and payroll-ready exports are specified. | Public documentation includes roles, additional team members, and supervision workflows. | Equivalent group administration was not established in the reviewed public sources. | SimplePractice has the strongest public group-practice evidence. |
| Data portability | One-click full export in standard formats is specified; formats and timelines are not yet named. | Public support documentation describes complete exports, including progress notes. | A complete export and offboarding workflow was not established in reviewed sources. | SimplePractice is best evidenced for portability. |
| Published subscription pricing | Proposed options: Complete $119/month; Complete + Billing $119/month plus a transparent flat billing fee; Group uses volume pricing for 2–20 clinicians. | Starter $49/month, Essential $79/month, and Plus $99/month. Promotions and add-ons vary. | $1,140/year, equivalent to $95/month, or $125 month-to-month. | Recheck pricing and compare total workflow cost. |
Pricing checked August 14, 2026. Promotions, payer participation, eligibility, credentialing timelines, and plan terms can change.
What each does best
Three models for different practice needs.
Alma
Commercial-insurance participation with bundled tools
A membership model that combines credentialing under Alma’s Tax ID, insurance operations, EHR, telehealth, directory exposure, and caseload support.
EttaCare
Connected OR/WA insurance and care operations
A launch specification connecting regional credentialing, Medicaid and commercial enrollment, booking, clinical work, claims, payments, reporting, and public discovery.
Workflow differences
Choose the model that supports your independence and finances.
Credential ownership and network structure
Confirm whose Tax ID and payer contract apply, who owns the resulting credentials, and what happens if you leave.
Insurance depth versus EHR maturity
Alma has the strongest current public evidence for a bundled insurance network. SimplePractice has the strongest evidence for a mature general-purpose EHR.
Regional operations
EttaCare is the only option here explicitly designed around Oregon and Washington payers, Medicaid programs, licensing sources, and Pacific Time support.
Pricing
Compare the cost of supporting your full workflow.
A fair comparison includes subscription, claims, eligibility, payments, AI, credentialing, telehealth, migration, and the administrative work that remains outside the platform.
Published pricing
SimplePractice
Starter $49/month, Essential $79/month, and Plus $99/month, with variable claims, eligibility, payment, and add-on fees.
Published pricing
Alma
$1,140 annual pricing, equivalent to $95/month, or $125 month-to-month. Card processing is separate.
Proposed, not yet approved
EttaCare
Complete is proposed at $119/month. Complete + Billing adds a transparent flat billing fee; group volume pricing is planned.
When to choose each
Choose the model you can build around.
Choose SimplePractice
Group roles, supervision, established EHR workflows, switching support, and documented exports matter more than a built-in insurance-network model.
Choose Alma
You are fully licensed, want access to Alma’s commercial-insurance program, accept credentialing under Alma’s Tax ID, and value included EHR, telehealth, AI note, and caseload tools.
Choose EttaCare
You practice in Oregon or Washington and want regional credentialing, insurance operations, public discovery, care delivery, claims, payments, and support connected—after confirming the features and payers you need are launch-ready.
FAQ
Clear answers before you choose.
Is EttaCare better than SimplePractice or Alma?
Not universally. EttaCare is designed for Oregon and Washington providers who want regional insurance operations and practice management connected in one workflow. Launch features, payer contracts, and pricing still require verification.
Which option costs less?
SimplePractice has the lowest published base plan. Alma publishes annual and month-to-month membership rates. EttaCare pricing is proposed, so total cost cannot be ranked reliably until final pricing and inclusions are approved.
Can EttaCare replace SimplePractice?
EttaCare is designed to cover scheduling, intake, telehealth, notes, claims, payments, and reporting. Confirm release verification, migration details, export formats, and payer availability before treating it as a complete replacement.
Can EttaCare replace Alma?
EttaCare is designed to cover many Alma-like insurance and practice workflows with deeper Oregon and Washington specificity. Replacement depends on payer contracts, credential ownership, reimbursement terms, and launch readiness.
Sources and verification
Competitor claims use the supplied first-party pages. EttaCare claims use the product-owner launch specification and should not be read as independent proof of implementation, payer contracting, or general availability.
Support your practice—and the care your community depends on.
EttaCare connects credentialing, eligibility, discovery, booking, care, claims, and payment around the provider’s practice.
Product availability, network participation, credentialing timelines, cost estimates, and final pricing depend on launch readiness, provider eligibility, payer contracts, and plan terms.