Health & wellness
Flat-Rate Group Practice EHR
For small therapy group practices: one flat monthly price covers EHR, scheduling, reminders, 2-way calendar sync and unlimited claim filing.
Founder thesis
Five-to-ten clinician practices get billed per clinician and per claim, so a 5-clinician group on SimplePractice Plus pays $99 + 4 x $74 = $395/mo before filing a single claim. I am betting those owners will pay one flat price that includes claims and calendar sync. Why now: the cheap challenger already exists in Carepatron, so the opening is not price, it is the bundle and the claims support for multi-clinician groups.
What others got wrong
SimplePractice locks 2-way calendar sync in the top tier. A Reddit user with about 8 clients called the price for that sync 'absolutely insane'.
SimplePractice doubled its Starter plan from $29 to $49, and practitioners called the increase unreasonable instead of paying it.
Insurance-billing onboarding is slow and opaque. One clinician gave up at the start because the timeline 'feel so arduous and long' and kept using Office Ally.
Carepatron's low end is not flat either: free only up to 100 appointments with no claim filing, then per-user tiers from $0.25/claim.
What should work
Bill the practice, not the clinician or the claim. One flat price, illustratively $149/mo, covers the first 5 clinicians with unlimited claim filing and 2-way calendar sync.
Per-claim prices run $0.25 (Carepatron) to $1.79 (SimplePractice), so claims can be included in a flat price with margin.
Run a peer referral loop. SimplePractice pays account credit when a colleague signs up, which fits a profession where practitioners pick tools by peer recommendation.
Solicit first users directly in high-intent complaint threads, the way solo developers already do on r/therapists.
What kills it
- Carepatron already sells free plus $31/mo per user and $0.25/claim, so a flat-and-cheap pitch loses on price.
- Clinical records live in the incumbent. One Reddit user wrote 'I don't want to change EHR' even while dissatisfied.
- Claims need payer-by-payer EDI enrollment and clearinghouse integrations, built over years, not a weekend.
- Nothing shows group owners will pre-pay a new entrant over the cheapest incumbent or TherapyNotes' advertised 24/7 support.
What users want
4A price that does not jump.
A Reddit user on SimplePractice's Starter plan wrote the rate moved from $29 to $49 and said they are leaving for a cheaper EHR.
2-way calendar sync without buying the top tier.
A Reddit user with about 8 clients said the only reason to buy the highest tier is 2-way calendar sync and called that price 'absolutely insane'.
Insurance billing that does not take months.
A Reddit user gave up at the start of payer enrollment because the timeline 'feel so arduous and long' and kept using Office Ally.
A calendar that holds group appointments.
A Reddit user running a group practice reported SimplePractice blocked group appointment access, sent false 'too early' client errors, dropped out-of-office events and double-booked a 90-minute appointment.
- Sources
- 11
- Checked
- 10
- Competitors
- 4
- Gaps
- 7
- Page checked
- 10 · 91%
- Snippet only
- 1 · 9%
- Documented
- 9 · 69%
- Interpreted
- 4 · 31%
- pricing4
- complaint3
- playbook2
- market1
- revenue1
Competitors
4- SimplePractice$35/mo
- Jane App$15/mo
- Carepatron$15.5/mo
Parsed from public pricing blurbs (entry paid tier when available). Max in set: $35/mo.
| Competitor | From | Free tier | Source |
|---|---|---|---|
| SimplePractice | $35/mo | — | simplepractice.com✓ |
| Jane App | $15/mo | Yes | jane.app✓ |
| TherapyNotes | Unverified | Yes | therapynotes.com· |
| Carepatron | $15.5/mo | Yes | carepatron.com✓ |
What customers complain about
7| Gap | Src |
|---|---|
SimplePractice's Starter plan was doubled from $29 to $49, and practitioners call the increase unreasonable. The old $29 list price is the poster's claim, not a page I could fetch. | |
2-way calendar sync is gated into the top tier. A Reddit user with about 8 clients said it is the only reason to buy the highest tier and called the price 'absolutely insane'. | |
Insurance-billing onboarding is slow and opaque enough that a therapist gives up and keeps an external clearinghouse. One wrote the timeline 'feel so arduous and long' and worried a 'Pending 1' status would delay payments. | |
Reliability bugs hit group operations. A group-practice owner reported no access to group appointments, false 'too early' client errors, out-of-office events missing from the calendar, and a 90-minute appointment double-booked. | |
Group practices pay per extra clinician on top of a per-claim fee. A 5-clinician group on SimplePractice Plus pays $99 + 4 x $74 = $395/mo before claims, then $1.79/claim. That buyers switch for a flat price is not shown. | |
The cheap alternative is per-user and per-claim, not flat. Carepatron is free only up to 100 appointments with no claim filing, and paid tiers bill per user from $0.25/claim, so a 5-clinician group pays meters again. | |
Nothing shows group owners will pay a premium for a claims-included flat plan rather than the cheapest per-user plan. Switching intent is visible, but willingness to pay a specific new entrant is not measured. |
Documented Interpreted
How competitors find customers
4| Tactic | Src |
|---|---|
| Jane runs a public forum with 10,000+ allied health professionals plus an invitation-only Ambassador program launched June 2022, giving trusted practitioners a referral code, virtual huddles and roadmap access in place of a free trial. | jane.app✓ |
| Carepatron uses a no-credit-card free tier plus SEO specialty landing pages (therapists, counselors, psychologists, dentists, dietitians, chiropractors) to catch 'software for X' searches, with a cancel-anytime promise. | carepatron.com✓ |
| SimplePractice runs a refer-a-colleague account-credit program, which fits a profession where practitioners pick software by peer recommendation. | simplepractice.com✓ |
| Direct founder outreach inside high-intent competitor complaint threads on r/therapists, offering free access for feedback; usable but fragile because the subreddit moderates spam, advertising and market research. | reddit.com✓ |
Your angle & pricing wedge
| Piece | Claim | Src |
|---|---|---|
| Angle | One flat monthly price per practice covering the first N clinicians, with unlimited insurance claim filing, 2-way calendar sync, reminders and a shared group-practice inbox included rather than metered per clinician, per claim or per tier. Carepatron already offers free plus cheap per-user plans and $0.25/claim, and every incumbent already includes scheduling, notes and telehealth, so the difference is the bundle for multi-clinician practices, not any single feature. | |
| Wedge | Bill the practice, not the clinician or the claim: charge one flat price (illustratively $149/mo) for the first 5 clinicians including unlimited claim filing and 2-way calendar sync, instead of $99 + $74 per extra practitioner + $1.79/claim (SimplePractice) or per-user pricing plus $0.25/claim (Carepatron). A 5-clinician SimplePractice Plus practice is $99 + 4 x $74 = $395/mo before claims, so $149/mo is about 62% below the plan fee for that configuration, but Carepatron's free tier means a price-only pitch is not enough. |
How others got traction
4| Move | Why | Src |
|---|---|---|
| Carepatron gives away a free tier (unlimited clients, 100 appointments, telehealth, 1M AI tokens) and monetizes per-user subscriptions plus per-claim filing, and publishes a customer story of a practice growing from five clients to seventy in two months. | The free tier collapses the switching cost for solo and cash-pay clinicians, and per-user plus per-claim metering funds it; the 5-to-70 outcome is company-published and reflects one customer's growth, not a measured channel. | carepatron.com✓ |
| Jane builds a public community forum and an invitation-only Ambassador program giving practitioners a unique referral code, and offers no free trial, leaning on peer trust. | In a referral-driven, privacy-sensitive profession, named peers stand in for a free trial, though no conversion metric is published. | jane.app✓ |
| SimplePractice runs a structured refer-a-colleague program that pays an account credit when a colleague signs up. | Peer referral is the natural growth loop in a licensed profession where practitioners ask each other what to use, though the credit amount and referral rate are not published. | simplepractice.com✓ |
| Solo developers already in the niche solicit users directly inside competitor complaint threads on r/therapists, offering free access for feedback. | The thread is high-intent and repeatable for first users, but the subreddit removes comments flagged as spam or market research, so the channel is fragile. | reddit.com✓ |
Market heat
SimplePractice's pricing page self-reports 'Over 20M clients and 250k practitioners trust the SimplePractice platform', a company figure, not independently audited.
More ▾Carepatron sells a free tier with unlimited clients and a paid tier at $31/mo per user (promo $15.50) that files claims from $0.25 each, evidence the low end is actively contested.
More ▾Jane's pricing FAQ points to 'our community of over 10,000 allied health professionals', a company-reported community size.
r/therapists carries multiple concurrent threads about SimplePractice price hikes, insurance-billing enrollment friction and reliability bugs, which points to active dissatisfaction and switching intent.
More ▾
Revenue signals
4| Signal | Src |
|---|---|
SimplePractice self-reports 'Over 20M clients and 250k practitioners', company-reported and not independently verified, and it is a user count, not revenue. | simplepractice.com✓ |
Jane publishes full self-serve prices of CAD $54 to $99/mo plus metered add-ons but discloses no revenue, customer count or MRR. | jane.app✓ |
Self-serve pricing for a small practice spans $0 (Carepatron Free) to $99/mo per practitioner plus add-ons, with claim filing priced from $0.25/claim (Carepatron) and $1.79/claim (SimplePractice Insurance Navigator, listed 'coming soon'); a secondhand TherapyNotes figure of 14 cents per claim could not be re-verified because its page returned HTTP 403. Whether a $149/mo flat-for-5-clinicians entrant is viable is not shown, since Carepatron already sits far below SimplePractice on price. | carepatron.com✓ |
Carepatron publishes a customer story stating a practice 'grew My Therapeutic Concepts from five clients to seventy in two months', a vendor-published outcome, not a revenue figure or an audited metric. | carepatron.com✓ |
Should you build this?
The niche is real and the pain is documented, but the wedge is narrow and the low end is already crowded. The arithmetic is real for multi-clinician practices: SimplePractice Plus is $99 + $74 per extra practitioner plus $1.79/claim, so a 5-clinician practice pays $395/mo before claims, about 62% above a flat $149/mo plan, and per-claim prices of $0.25 to $1.79 show claims can be bundled with margin. But Carepatron already undercuts on price with a free tier and $0.25/claim, the core product is a commodity, and nothing shows group owners will pre-pay a new entrant. The first test: recruit 20 owners of 2-10 clinician practices on SimplePractice, Jane or Carepatron, collect the last three monthly invoices, claim volume, and one named billing or reliability incident from the last 6 months, re-price each under a flat $149/mo-for-5-clinicians plan, and take a refundable 3-month pre-order. Kill it if fewer than 6 of 20 pre-pay, fewer than 10 can show a real incident, or the only reason to switch is price.
More ▾
All sources
11| Source | Kind | Status | Accessed |
|---|---|---|---|
| pricing | page checked | 2026-09-18 | |
| pricing | page checked | 2026-09-18 | |
| pricing | snippet only | 2026-09-18 | |
| pricing | page checked | 2026-09-18 | |
| complaint | page checked | 2026-09-18 | |
| complaint | page checked | 2026-09-18 | |
| complaint | page checked | 2026-09-18 | |
| playbook | page checked | 2026-09-18 | |
| playbook | page checked | 2026-09-18 | |
| market | page checked | 2026-09-18 | |
| revenue | page checked | 2026-09-18 |