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Jane vs zHealthEHR vs NextGen Healthcare EHR vs Athenahealth EHR Comparison

Last updated:

Jane

Starting at $54 /month

  • Large Enterprises
  • Medium Business

Jane is an all-in-one practice management software designed to help healthcare providers streamline clinic operations while improving patient experiences. Built for clinics of all sizes, including physiotherapists, massa…

zHealthEHR

Starting at $116 /month

  • Large Enterprises
  • Medium Business

Starting at $129/mo, zHealth is an all-in-one chiropractic software with 100% customizable SOAP Notes, automated billing & powerful AI features. Automate appointments & intake: Patients book online & complete fully cus…

NextGen Healthcare EHR

Starting at Contact for pricing

  • Large Enterprises
  • Medium Business

NextGen Healthcare EHR is a robust, cloud-based electronic health record platform designed to streamline clinical, operational, and revenue workflows in ambulatory care settings. Tailored for practices of all sizes, it o…

Athenahealth EHR

3.3(26 reviews)

Starting at Contact for pricing

  • Large Enterprises
  • Medium Business

Athenahealth EHR is designed to make it easy for medical professionals to stay ahead of industry changes and maintain exceptional care. This software provides accurate documentation enabling users to excel in providing q…

Jane vs zHealthEHR vs NextGen Healthcare EHR vs Athenahealth EHR — at a glance

FeatureJanezHealthEHRNextGen Healthcare EHRAthenahealth EHR
Rating3.3 / 5
Reviews26
Starting price$54 /month$116 /monthContact for pricingContact for pricing
Free trial No No No No
Free version No No No No
Best forLarge Enterprises, Medium Business, Small BusinessLarge Enterprises, Medium Business, Small BusinessLarge Enterprises, Medium Business, Small BusinessLarge Enterprises, Medium Business, Small Business
CategoryChiropractic SoftwareEHR SoftwareEHR SoftwareEHR Software
Integrations5+ apps1+ apps
PlatformsSaaS/Web/CloudSaaS/Web/Cloud, Mobile - Android, Mobile - iOSSaaS/Web/CloudSaaS/Web/Cloud
API
Support modesOnline24/7 (Live rep), OnlineOnlineOnline
CertificationsHIPAASOC 2, HIPAA, GDPRSOC 2, HIPAASOC 2, HIPAA, GDPR
Data residencyGlobalUSGlobalUS

Key differences between Jane and zHealthEHR

  • Pricing: Jane starts at $54 /month, while zHealthEHR starts at $116 /month.
  • Deployment: Jane supports SaaS/Web/Cloud; zHealthEHR supports SaaS/Web/Cloud, Mobile - Android, Mobile - iOS.

Compare Jane vs zHealthEHR vs NextGen Healthcare EHR vs Athenahealth EHR — and walk away knowing which one fits.

01

Which tool fits your team best

02

Which is actually cheaper for your team size

03

Where each product wins, per real buyers

Most Chiropractic Software tools look identical on paper. This comparison cuts to the differences that matter — pricing structure, team fit, and what real buyers found after signing up.

Jane - Chiropractic Software
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zHealth - Chiropractic Software
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Biggest differences

Start here before you go deeper into features.

Jane

Best for small to medium allied health clinics needing all-in-one practice management.

Choose if
  • You run a chiropractic or physiotherapy clinic with 5-100 staff seeking streamlined operations.
  • You want an integrated platform combining booking, billing, charting, telehealth, and scheduling.
  • You value HIPAA-compliant data storage with AI-powered documentation assistance.
Consider alternatives if
  • You require extensive third-party integrations and custom app connectors for complex workflows.
  • You prefer minimalistic software with a fast onboarding process and fewer features.

zHealthEHR

Best for chiropractic clinics needing customizable AI-powered SOAP notes and billing.

Choose if
  • You require fully customizable SOAP notes tailored to your clinic’s workflow.
  • You want automated billing and appointment scheduling with multilingual patient intake.
  • Your practice values responsive customer service and a user-friendly interface.
Consider alternatives if
  • You need extensive onboarding support and out-of-the-box training materials.
  • Integrated email communication within the platform is critical for your workflow.

NextGen Healthcare EHR

Best for

Large Enterprises, Medium Business, Small Business

Athenahealth EHR

Best for

Large Enterprises, Medium Business, Small Business

Jane: Best for small to medium allied health clinics needing all-in-one practice management. zHealthEHR: Best for chiropractic clinics needing customizable AI-powered SOAP notes and billing.

Description

Jane is an all-in-one practice management software designed to help healthcare providers streamline clinic operations while improving patient experiences. Built for clinics of all sizes, ... Read More about Jane

Starting at $129/mo, zHealth is an all-in-one chiropractic software with 100% customizable SOAP Notes, automated billing & powerful AI features. Automate appointments & intake: Patients ... Read More about zHealthEHR

NextGen Healthcare EHR is a robust, cloud-based electronic health record platform designed to streamline clinical, operational, and revenue workflows in ambulatory care settings. Tailored ... Read More about NextGen Healthcare EHR

Athenahealth EHR is designed to make it easy for medical professionals to stay ahead of industry changes and maintain exceptional care. This software provides accurate documentation ... Read More about Athenahealth EHR

Entry Level Pricing

  • Starts from $54 , monthly
  • Starts from $116 , monthly
  • Not Available
  • Not Available

Free Trial Availability

  • No free trial
  • No free trial
  • No free trial
  • No free trial

Spotsaas Score

What's this? ↗

9.5/10

8.8/10

Not Available

Not Available

User Ratings

Based on verified Spotsaas reviews

3.3

(26)

Best Company Size

5-100 employeesSmall to medium healthcare clinics
1-100 employeesSmall to medium businesses
50 – 1,000+ Employees
5–50 Employees
Get pricing help
Get pricing help

Where each option fits best

See where each product is strongest, which teams it fits, and what causes buyers to keep looking — before you commit.

Based on buyer reviews and verified product data collected by Spotsaas.

Strengths

Key strengths

Jane

  • All-in-One Clinic Management: Jane combines booking, billing, charting, claims, and telehealth into one secure platform, reducing the need for multiple tools. This integration saves time and simplifies workflows for both practitioners and administrators.
  • Enhanced Patient Engagement: With features like online booking, automated reminders, and patient portals, Jane helps clinics build stronger patient relationships. These tools reduce no-shows and make healthcare more accessible and convenient.
  • Secure and Compliant Data Handling: Jane ensures HIPAA compliance and stores data in regional centers, offering reliable privacy protection. Clinics can confidently manage sensitive records while meeting healthcare regulations.

zHealthEHR

  • All-in-One Platform for Wellness Clinics: zHealth provides a comprehensive suite of features including appointment scheduling, billing, SOAP notes, online payments, EHR, and patient portals—streamlining administrative, clinical, and operational workflows within a single interface.
  • Customization and Ease of Use: The platform allows for customized SOAP templates, intuitive navigation, and flexible configurations, helping clinics adapt the software to their specific workflows without complexity.
  • Improved Patient Engagement: With automated text/email reminders, patient portals, and mobile access, zHealth enhances the overall patient experience and reduces no-show rates.

NextGen Healthcare EHR

  • Comprehensive feature-rich platform: Includes patient portal, specialty-specific workflows, practice management, e‑prescribing, and revenue cycle management—all under one cloud-based system.
  • Customizable and scalable: Highly adaptable templates, smart phrases, and specialty modules make it a solid fit for diverse healthcare settings from outpatient to hospitals.
  • Integrated patient engagement & mobility: Secure messaging, appointment management, mobile access, and population health tools improve patient experience and provider efficiency.

Athenahealth EHR

  • Integrated billing and scheduling: Athenahealth provides seamless integration between billing, scheduling, and clinical documentation, streamlining administrative tasks and reducing errors.
  • Cloud-based accessibility: Being a cloud-based platform, Athenahealth allows healthcare providers to access patient records and manage workflows remotely, enhancing flexibility and continuity of care.
  • Regulatory compliance support: The system is designed to help practices comply with healthcare regulations, including HIPAA, by incorporating necessary features such as secure messaging and audit trails.
Best fit

Best fit

Jane

  • 5–100 Employees
  • Healthcare, Chiropractic Clinics, Physiotherapy, Mental Health, Massage Therapy, Acupuncture, Allied Health Services.
  • Chiropractors, Physiotherapists, Clinic Managers, Massage Therapists, Counselors, Administrative Staff, Practice Owners.

zHealthEHR

  • 1 to 100 employees
  • Chiropractic, Physical Therapy, Acupuncture, Massage Therapy, Wellness Clinics, Holistic Health
  • Chiropractors, Practice Managers, Office Administrators, Billing Coordinators, Front Desk Staff, Physical Therapists, Massage Therapists

NextGen Healthcare EHR

  • 50 – 1,000+ Employees
  • Healthcare, Ambulatory Care, Specialty Clinics, Community Hospitals, Group Practices
  • Physicians, Nurse Practitioners, Practice Managers, Medical Billers, Health IT Staff, Care Coordinators

Athenahealth EHR

  • 5–50 Employees
  • General Medical Practices, Family Medicine, Internal Medicine, Pediatrics, Multispecialty Clinics
  • Physicians, Medical Assistants, Practice Managers, Billing Specialists, IT Support Staff
Watchouts

Reasons buyers look elsewhere

Jane

  • Some users seek more advanced customization and reporting features than Jane currently offers, especially in larger multi-specialty practices.
  • Competitors may provide more extensive third-party integrations, giving clinics flexibility with existing tools.
  • Clinics that prioritize offline functionality may prefer platforms that offer desktop-based solutions instead of cloud-only access.

zHealthEHR

  • Compared to more open platforms, zHealth has relatively fewer out-of-the-box integrations with external tools like advanced CRMs, marketing platforms, or analytics software.
  • While ideal for small to mid-sized practices, larger multi-location enterprises may require more robust enterprise features, analytics, or integrations not currently offered.
  • Some users find the built-in reporting features basic and may prefer software with deeper analytics and KPI dashboards for advanced decision-making.

NextGen Healthcare EHR

  • The interface requires significant time to master, especially for users transitioning from more intuitive platforms.
  • Tasks like rescheduling appointments often involve multiple steps, increasing administrative burden.
  • Users report delays and system sluggishness—sometimes exacerbated by server load or internet bandwidth issues.

Athenahealth EHR

  • While Athenahealth offers some degree of customization, many users find it insufficient for tailoring workflows and templates to specific practice needs. This limitation can hinder efficiency and adaptability.
  • Users have reported instances of system lag and slow loading times, which can disrupt clinical workflows and reduce productivity.
  • The platform's complexity necessitates comprehensive training for staff, which can be time-consuming and may temporarily disrupt practice operations.

Software Demo

Demo

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How do Jane, zHealthEHR, NextGen Healthcare EHR and Athenahealth EHR Compare on Features?

Total Features

10 Features

18 Features

9 Features

7 Features

Unique Features

No unique features

No unique features

No unique features

No unique features

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Compare Jane, zHealthEHR, NextGen Healthcare EHR and Athenahealth EHR on pricing

Review starting price, plan structure, and free-trial access side by side so you can see which option fits your budget and buying process.

Pricing Option

          Starting From

          • $54 , monthly
          • $116 , monthly
          • Not Available
          • Not Available

          Pricing Plans

          • Balance

            $54

            /month

            • Single practitioner profile

            • Up to 20 appointments per month

            • Unlimited admin & locations

            Show more +

          • Practice

            $79

            /month

            • Everything from Balance; plus:

            • Unlimited Usage:

            • Unlimited Appointments

            Show more +

          • Thrive

            $99

            /month

            • Everything from Practice plus:

            • Advanced Scheduling:

            • Rooms & Equipment

            Show more +

          • Essentials

            $129

            /month

            • Custom SOAP Notes

            • Self-Service SOAP Notes

            • Insurance Billing

            Show more +

          • Standard

            $349

            /month

            • Same features as Essentials; Plus:

            • Online Reviews

            • Automated Recall of Dropped Off Patients

            Show more +

          • Professional

            $549

            /month

            • Same features as Standard; Plus:

            • Practice Analytics

            • AI Scribe

            Show more +

          • Not Available
          • Not Available

          Pricing Page

          Jane pricing
          zHealthEHR pricing
          NextGen Healthcare EHR pricing

          Pricing information not available

          Other Details

          Organization Types supported

          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers

          Platforms Supported

          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)

          Modes of support

          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online

          API Support

          • Not Available
          • Not Available
          • Not Available
          • Not Available
          Get help choosing
          Get help choosing

          Security & Compliance

          Certifications, data handling, and security controls for IT and compliance evaluators.

          SOC 2

          ✓ Yes

          HIPAA

          ✓ Yes
          ✓ Yes

          GDPR

          ✓ Yes

          Single Sign-On (SSO)

          ✓ Yes

          Multi-Factor Auth (MFA)

          ✓ Yes

          Data Encryption

          ✓ Yes

          Audit Logs

          ✓ Yes

          Data Residency

          🌐 Global
          🇺🇸 US

          Jane vs zHealthEHR vs NextGen Healthcare EHR User Reviews & Rating Comparison

          User Ratings

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          Rating Distribution

          18

          2

          0

          0

          0

          25

          8

          1

          0

          1

          64

          62

          22

          9

          9

          5

          11

          6

          0

          8

          Spotsaas Editor’s POV generated by AI

          Buyer sentiment

          Users generally praise Jane for its intuitive interface and comprehensive practice management features, though some find the feature set overwhelming and desire more integrations.

          What buyers like

          • Ease of use
          • Comprehensive all-in-one functionality
          • Efficient appointment and scheduling management

          Common complaints

          • Steep learning curve for new users
          • Limited third-party app integrations

          Buyer sentiment

          Overall positive sentiment highlighting ease of use, customization, and customer support, tempered by concerns around onboarding and email integration.

          What buyers like

          • Ease of use
          • Customizable templates
          • Customer service

          Common complaints

          • Learning curve for customization
          • Email functionality limitations

          What buyers like

          • Easy to navigate and customize templates for individual needs, with support from the user community.
          • The system is user-friendly, quick to navigate, and has good training resources available.
          • Combines EHR and Practice Management into one system, providing a seamless experience.

          Common complaints

          • The interface design may feel outdated and lacks modern features, affecting user experience.
          • Some functions require multiple clicks to access, slowing down workflow efficiency.
          • Reports and customization options can be complex and challenging to set up, especially for large-scale systems.

          Buyer sentiment

          Buyer sentiment is mixed across 30 reviews, so it is worth reviewing the tradeoffs closely.

          What buyers like

          • Convenient and easy to share and update electronic records.
          • Intuitive scheduling system, helpful for both office staff and patients.
          • User-friendly interface, especially for daily patient record tracking.

          Common complaints

          • Disappointing implementation experience with setup complexities and lack of pre-formatted tools.
          • Limited training and support resources, making navigation difficult for new users.
          • Some users find the system non-intuitive in workflows.

          Pros and Cons

          • User-friendly and well-organized interface requiring little technical knowledge

          • Comprehensive all-in-one platform combining booking, billing, charting, claims, and telehealth

          • Centralized scheduling and appointment management that enhances productivity

          • Feature richness can be overwhelming for new users without proper guidance

          • Limited app marketplace and connector options restrict advanced customization

          • Streamlined electronic records and billing saving time and enhancing efficiency

          • Customizable SOAP note templates tailored to clinic workflows

          • User-friendly interface with responsive and helpful customer service

          • Steep learning curve for customization without sufficient support

          • Limited initial guidance on feature set and templates

          • Easy to navigate and customize templates for individual needs, with support from the user community.

          • The system is user-friendly, quick to navigate, and has good training resources available.

          • Combines EHR and Practice Management into one system, providing a seamless experience.

          • The interface design may feel outdated and lacks modern features, affecting user experience.

          • Some functions require multiple clicks to access, slowing down workflow efficiency.

          • Convenient and easy to share and update electronic records.

          • Intuitive scheduling system, helpful for both office staff and patients.

          • User-friendly interface, especially for daily patient record tracking.

          • Disappointing implementation experience with setup complexities and lack of pre-formatted tools.

          • Limited training and support resources, making navigation difficult for new users.

          Positive Reviews

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          Negative Reviews

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          Integrations

          Integration with other apps

          No Integration information available.

          No Integration information available.

          List of Customers

          Customers

          No Customers information available.

          Austin Chiropractic Associates

          Austin Chiropractic Associates

          Infinite Life Chiropractic

          Infinite Life Chiropractic

          Vaughn Chiropractic

          Vaughn Chiropractic

          Vision Care

          Vision Care

          KATZEN EYE GROUP

          KATZEN EYE GROUP

          Otis R. Bowen Center for Human Services

          Otis R. Bowen Center for Human Services

          No Customers information available.

          Media and Screenshots

          Screenshots

          Online Booking

          6 Screenshots

          zhealth - Appointment Management & Automated Reminders

          7 Screenshots

          Videos

          video-0

          3 Videos

          video-0

          2 Videos

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          Disclaimer: This research has been collated from a variety of authoritative sources. We welcome your feedback at [email protected].

          Frequently asked questions

          Which is better, Jane or zHealthEHR?
          Jane and zHealthEHR are closely matched with equal user ratings of -1.0. The right choice depends on your team size, budget, and specific EHR Software needs.
          Do Jane and zHealthEHR offer a free trial?
          Neither Jane nor zHealthEHR currently lists a free trial.
          What is the starting price of Jane vs zHealthEHR?
          Jane starts at $54 /month. zHealthEHR starts at $116 /month.
          What are the top alternatives to Jane?
          Top alternatives to Jane include WonderDoc, PayDC Chiropractic Software, ChiroCloud, ChiroPractice Pro, ChiroSpring.
          What are the top alternatives to zHealthEHR?
          Top alternatives to zHealthEHR include NextGen Healthcare EHR, Athenahealth EHR, PayDC Chiropractic Software, ChiroSpring, RAPID.

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