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Alternative guide · updated July 2026The Healthie alternative for practices that practice medicine
Short answer: if your organization is nutrition- or coaching-led and bills insurance, Healthie is genuinely good — stay. If you run medical protocols — GLP-1 titrations, hormone optimization, peptides, IV therapy, ketamine — CareOS is the Healthie alternative built for that work: structured protocols with contraindication checks, biomarkers trended against optimal ranges, native memberships, AI charting from clinical context, and per-state eligibility gating. $0/provider + 2% of collections (or flat from $119/mo, month-to-month, no contract), free migration, self-serve signup.
Where practices outgrow Healthie
Healthie was built — well — for nutrition and coaching organizations. The friction starts when medicine enters the picture:
- Protocols live in workarounds. A GLP-1 titration or TRT protocol needs dose steps, hold conditions, monitoring labs on a cadence, contraindication checks, and an immutable administration log. In coaching-first platforms that becomes note templates and custom fields — unstructured, unauditable, and invisible to scheduling.
- Labs stop at reference ranges. Wellness medicine's product is the trend toward optimal. If a vitamin D of 28 shows as "normal" because the lab's range says so, your platform is arguing with your medicine.
- Recurring revenue lives in add-ons. Memberships, packages, and program billing are the business model of a modern wellness practice — they belong in the chart's system of record, not a bolted-on payments tool.
- No eligibility gating. Multi-state telehealth with Schedule III prescribing (TRT, ketamine) means per-state DEA/PDMP obligations. Recording licenses isn't the same as blocking an ineligible booking or prescription.
Healthie vs CareOS, honestly
| CareOS | Healthie | |
|---|---|---|
| Built first for | Protocol-driven medical wellness (1–2 person clinics up) | Nutrition & coaching organizations |
| Structured protocol engine (titrations, contraindications, admin log) | ✓ Native | ✗ Templates/custom fields |
| Biomarker trending vs optimal ranges | ✓ Native | ✗ Reference ranges |
| Memberships, packages & programs | ✓ Native | Partial, via tiers/add-ons |
| AI charting from protocol + lab context | ✓ | Scribe-style |
| Multi-state eligibility gating (booking & eRx) | ✓ Native | ✗ |
| Insurance claims submission | Roadmap (superbills today) | ✓ |
| Entry price | $0 + 2% of collections (or $119 flat, month-to-month) | $19.99* |
| Annual contract required | Never | Varies by tier |
| Migration | Free, white-glove, every plan | — |
*Entry tiers exclude most capabilities above; realistic configurations cost substantially more. Sources: public pricing pages and third-party reviews, verified June 2026, re-checked July 2026. Spot an error? Email support@careos.help and we'll fix it.
Who should stay on Healthie
Honesty cuts both ways. Stay on Healthie if: insurance billing is your revenue backbone today; your organization is dietitian/coach-led without prescribing; or you've built deeply on Healthie's API. CareOS submits superbills but direct claims are still on our roadmap — if claims are non-negotiable, we're not your platform yet.
Switching without drama
- Export everything from Healthie first — patients, notes, documents, labs.
- Create a CareOS workspace self-serve (2 minutes, free 14 days, no card) and run 5–10 consented patient workflows in parallel for two weeks — including one full protocol cycle.
- We migrate your data white-glove, free, on every plan — in writing.
- Cut over on a Monday after a light week; keep read-only Healthie access for 90 days.
More context: the 2026 buyer's guide covers the full capability checklist, and the comparison page puts CareOS next to OptiMantra, Practice Better, Cerbo, and SimplePractice too.