Elation Health vs Practice Fusion (2026): which should you pick?

Pick Elation Health if

• Fits if you run a primary care practice and want an EHR with an open developer platform
• Works for a practice that wants a mobile app on iPhone

Look elsewhere if

• Not for you if you run therapy or counseling, as the workflows are built around primary care
• Skip it if you want a price before a form, as a practice must wait for a personalized quote
• Not for you if you use Android, as the only app found was for iOS
• Watch out: no free plan or trial is listed

Pick Practice Fusion if

• Fits if you are a doctor in a small practice that needs e-prescribing
• Makes sense if three signing staff per provider is enough for you

Look elsewhere if

• Pricey if you are a solo therapist, at $199 per provider
• Skip it if you want therapy tools, since the pages mention no client portal or telehealth
• Tight if you need billing, as billing services are separate with no price
• Watch out: billed monthly but with a required annual commitment

Elation Health

• No prices are published; a practice must submit a form and wait for a personalized quote.
• It is built around primary care, so a therapy or counseling practice may find it a poor fit for its workflows.
• The only app store link found was for iOS; no Android app was confirmed.

Practice Fusion

• The $199 price carries a required annual commitment, even though it is billed monthly.
• Billing services are a separate offering with no published price.
• It is built for medical practices; the pages read do not mention therapy-specific features such as telehealth sessions or client portals.

Elation Health

EHR and charting

A cloud-based electronic health record for primary care, with documentation, clinical orders and referral management in the same system.

Native AI documentation

Elation's Note Assist and Scribe tools draft visit documentation inside the chart. The pricing page says native AI solutions are now included at no extra charge.

Billing and claims

Elation Billing covers real-time eligibility checks, claims submission and ERA posting, and Elation has announced AI-assisted billing built into the chart.

Patient Passport and telehealth

Patients get a portal for records and messages, and video visits run from inside the EHR.

Elation Go mobile app

A physician app for e-prescribing, calendar, patient messaging and starting video visits. Elation says it is free to EHR customers.

Developer platform and integrations

A public API plus HL7 and FHIR documentation, and an integrations directory with labs, imaging centers, immunization registries and health information exchanges.

Practice Fusion

Charting templates

A library of customizable charting templates for documenting visits, with signing licenses for providers and signing staff.

E-prescribing

Prescribing of regular and controlled substances and approval of refill requests. Controlled-substance prescribing is available only in the 50 US states and DC.

Labs and imaging

Orders go to lab and imaging centers from the chart, with structured results returned to the patient record and saved panels for re-ordering.

Reporting

Quality, clinical and practice management reports, plus MIPS, Meaningful Use and eCQM dashboards on provider licenses.

Billing services

An optional service with a billing team that handles claims scrubbing, submission, payment posting, denials and patient statements. Its price is not published.

Elation Health

Pricing could not be confirmed. See elationhealth.com.

Practice Fusion

• EHR provider license$199

  per provider / month, billed monthly with an annual commitment

  Each provider license includes 3 signing staff licenses and unlimited non-signing staff. Prices exclude taxes.