Healthie vs NextGen

Last updated: May 15, 2026

TL;DR

  • Healthie and NextGen are both EHR and practice-management platforms built for different practices.
  • Healthie spans solo to large groups across wellness and multi-specialty care, with native group charting.
  • NextGen targets scaling and large ambulatory medical groups with deep regulatory reporting and e-prescribing.
  • Choose by practice size, specialty, and whether group visits or high-volume medical billing matter most.

Who Each Platform Is Best For

Healthie is best for

Best for solo, small, and scaling group practices in nutrition, behavioral health, women's health, health coaching, and multi-specialty wellness that want to grow from solo to multi-provider without switching platforms, run group sessions, or deliver programs and asynchronous care.

SimplePractice is best for

Best for scaling and large ambulatory medical groups and multi-specialty practices that need deep regulatory reporting (MIPS/MACRA), native e-prescribing, and enterprise interoperability with health systems, labs, and payers.

Core Feature Comparison

Capability Healthie NextGen
Multi-provider support Native; built for teams of any size Designed for 1–10 physicians; multi-provider scheduling and shared data
Role-based permissions Multi-tier: admin, provider, billing, care team Role-based access control; admin/clinician roles; 2FA
Multi-location scheduling Supported across providers and locations Centralized across providers and locations (Enterprise PM)
Group appointments Native group scheduling, telehealth, and charting Group scheduling in Enterprise PM; group telehealth [VERIFY] Office tier
Group charting Native β€” single session generates individual records and claims Group encounter docs (Behavioral Health Suite) [VERIFY] Office tier
Insurance billing CMS-1500, superbills, ERA/EOB via partner integrations ERA/EOB, eligibility, claims; built-in HealthFusion clearinghouse
Reporting Provider-, location-, and org-level with exports Financial, operational, clinical analytics; MIPS/MACRA reporting
API access Full API; custom integrations supported FHIR DSTU2/R4 API; Mirth Connect integration engine
White-label options Available on enterprise configurations [VERIFY] No white-label option documented
AI scribe tool Available Ambient Assist; real-time SOAP notes
Workflow automation Available Background Business Processor; automated reminders and eligibility
Programs and courses Online programs and group webinars No structured programs; encounter-based patient education only
Telehealth Individual + Group Browser-based; individual and group
Mobile app iOS + Android iOS and Android (provider); browser portal for patients
Client portal Full β€” booking, forms, messaging, records Self-scheduling, records, bill pay, messaging
Intake and consent forms Custom β€” fully configurable Customizable by appointment type; auto-populates eligibility
Outcome measures [VERIFY] MIPS/MACRA tracking; population health analytics
E-prescribing Integration with partners [VERIFY] Core feature; CoverMyMeds included
Compliance certifications HIPAA, HITRUST, SOC 2 HIPAA, HITRUST CSF, SOC 2 Type II, SOC 3, TX-RAMP, ONC-certified
BAA available Yes Yes
Setup complexity Moderate β€” org-level configuration High β€” implementation fee; steep learning curve
Data migration Assisted with onboarding support CCDA import; conversion specialist; notes become read-only
Support Chat + email + video (Plus+); 1:1 (Group plan) Success Community, phone (M–F), training included; mixed reviews
Annual billing discount Yes β€” 10% off [VERIFY] No public pricing
Per-clinician pricing $50/month per clinician (Group plan) [VERIFY] ~$299–$549/provider/mo (third-party); custom quote
Free plan available No; 14-day free trial (Plus) No free plan or trial; demo only

Workflow Comparison

Scheduling

Healthie supports multi-provider and multi-location scheduling within a single organization account, meaning a practice administrator can view and manage calendars across all providers and office locations from one interface. Group appointments are natively supported β€” practices can book, run, and document sessions with multiple clients simultaneously without manual workarounds. SimplePractice scheduling is organized primarily around individual provider calendars, which works well for solo practices but creates coordination overhead when managing five or more providers. Group appointment support on SimplePractice is available on the Plus plan only and is capped at 15 clients per session.

Billing

Both platforms handle insurance billing. Healthie supports CMS-1500, superbills, and ERA/EOB via partner integrations, which suits practices billing multiple payers. NextGen provides ERA/EOB reconciliation, real-time eligibility, and claims processing with a built-in HealthFusion clearinghouse, supporting CMS-1500 and HCPCS/CPT coding; verify clearinghouse payer coverage for your specific payer mix.

Charting and Clinical Documentation

Healthie's group charting capability allows a provider to document a single group session and automatically generate individual client records and claims from that one visit β€” a meaningful operational difference for practices running group therapy, nutrition programs, or chronic care cohorts. SimplePractice does not offer group charting; providers must document each client separately following a group session, which adds documentation time and creates room for error in billing. Both platforms offer custom intake and consent forms. Outcome measures (e.g., PHQ-9, GAD-7) are flagged [VERIFY] for both platforms β€” this capability should be confirmed directly with each vendor before publishing or relying on it as a differentiator in clinical workflows.

Onboarding and Setup

SimplePractice is designed for low-complexity setup β€” solo providers and small teams can typically get operational quickly, and the platform offers free credentialing support at sign-up, which reduces friction for newly credentialed practitioners. Healthie's setup complexity is rated moderate: org-level configuration β€” including role assignments, location settings, and intake workflow customization β€” requires more investment upfront, but that configuration enables the multi-provider infrastructure that group practices need. Healthie offers assisted data migration with onboarding support; SimplePractice also supports migration from a prior EHR. Both platforms offer free trials β€” 14 days (Healthie) and 30 days (SimplePractice) β€” allowing practices to evaluate workflows before committing.

Pricing

Healthie

  • Core plan: $18/month (annual) / $20/month (monthly)
  • Essentials plan: $45/month (annual) / $50/month (monthly)
  • Plus plan: $115/month (annual) / $130/month (monthly)
  • Group plan: $135/month (annual) / $150/month (monthly) + $50/month per additional practitioner (unlimited)
  • Annual billing discount: 10% off monthly rate
  • Free trial: 14-day free trial of the Plus plan (no credit card required)

SimplePractice

  • ‍Starter: $49/month
  • Essential: $79/month
  • Plus: Practice managers $49-99/month each; additional clinicians priced by seats $39-$74/month
  • Annual billing discount: No - monthly billing only; no annual option
  • Free trial: 30-day free trial (no credit card required)

Pricing for both platforms changes periodically. Verify current rates at gethealthie.com and simplepractice.com before making a purchasing decision.

Switching and Migration

Healthie

Healthie offers assisted, CSV-based migration with onboarding support (demographics, tags, notes, documents, and appointments; chart notes as PDFs); timelines run roughly 1–12 weeks by complexity and migration is a paid add-on. NextGen accepts CCDA exports into NextGen Office (problem list, allergies, medical history, demographics; chart notes convert to read-only); a conversion specialist is assigned for complex migrations and the practice must obtain its own export from the prior vendor. Note that NextGen encounter notes become read-only post-migration and custom templates must be rebuilt. [VERIFY] NextGen migration timeline and included scope with sales.

SimplePractice

Data migration is supported from a prior EHR. Practices should confirm directly with SimplePractice support which source platforms are accepted and what the process entails.

Strengths and Limitations

Healthie

Strengths

  • Scales from solo to large groups without a platform switch
  • Native group scheduling, telehealth, and group charting (individual records and claims from one session)
  • Full API plus marketplace for custom integrations
  • Programs and courses for asynchronous and group care
  • Multi-tier role permissions and org-level reporting

Limitations

  • Moderate setup — org-level configuration takes time
  • E-prescribing is via partner integration rather than fully native [VERIFY]
  • Built-in outcome-measure tooling is unconfirmed [VERIFY]
  • May exceed the needs of a single-provider practice wanting minimal configuration

SimplePractice

Strengths

  • Deep regulatory and financial reporting (MIPS/MACRA via NextGen HQM)
  • Native e-prescribing with CoverMyMeds included
  • Strong interoperability — FHIR APIs and the Mirth Connect engine
  • Production AI scribe (Ambient Assist) generating SOAP notes
  • Broad compliance posture (HIPAA, HITRUST CSF, SOC 2 Type II, SOC 3, TX-RAMP)

Limitations

  • High setup complexity and a steep learning curve; implementation fee required
  • Encounter notes convert to read-only after migration; custom templates must be rebuilt
  • No structured programs or courses — patient education is encounter-based only
  • No public pricing and no white-label option documented [VERIFY]
  • Mixed user reviews on support responsiveness

Best Fit by Use Case

Frequently Asked Questions

Which platform is best for group practices β€” Healthie or NextGen?

It depends on team size and specialty. Healthie scales from solo to large groups across wellness and multi-specialty care with native group charting, while NextGen targets scaling and large ambulatory medical groups with deep regulatory reporting. Practices running group sessions tend to favor Healthie; high-volume medical groups may prefer NextGen.

How do Healthie and NextGen handle group visits?

Healthie provides native group scheduling, telehealth, and charting that generates individual client records and claims from one session. NextGen supports group scheduling in Enterprise PM and group encounter documentation in its Behavioral Health Suite; native group charting in NextGen Office should be verified.

Do both platforms offer an API?

Yes. Healthie offers a full API with a marketplace; NextGen offers FHIR DSTU2/R4 APIs and the Mirth Connect integration engine for interoperability.

What are the compliance certifications?

Healthie lists HIPAA, HITRUST, and SOC 2. NextGen lists HIPAA, HITRUST CSF, SOC 2 Type II, SOC 3, and TX-RAMP, and is ONC-certified. Both provide a BAA. Certifications have renewal cycles and should be verified at publication.

Summary

For solo to small or scaling group practices in nutrition, behavioral health, women's health, or multi-specialty wellness, Healthie offers an easier path from solo to multi-provider without switching platforms, plus native group charting. For larger ambulatory medical groups that need deep regulatory reporting (MIPS/MACRA), native e-prescribing, and enterprise interoperability, NextGen is a strong fit. Practices prioritizing group sessions lean Healthie; those prioritizing high-volume medical billing and FHIR interoperability may lean NextGen.