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Athenahealth vs Enter.Health Billing Software: 2025 Comparison Guide

Quick Comparison Summary

Athenahealth: The Cloud Pioneer

Athenahealth Strengths

  • Cloud-Native Platform: No on-premise servers or IT maintenance required
  • Integrated EHR: Combined clinical and billing workflows in one system
  • Performance-Based Pricing: Pay based on collections, not fixed fees
  • Market Experience: 25+ years in healthcare technology
  • Comprehensive Suite: EHR, practice management, and patient engagement tools

Athenahealth Limitations

  • High Total Cost: 4-8% of collections can exceed $100K annually
  • Long Contracts: 3-5 year commitments with expensive exit clauses
  • Complex Implementation: 3-6 months setup with significant workflow changes
  • Limited Customization: One-size-fits-all approach doesn't suit all practices
  • Performance Dependency: Costs fluctuate with collection performance

Enter.Health: The RCM Specialist

Enter.Health Strengths

  • Transparent Pricing: Fixed per-claim cost with no percentage fees
  • Rapid Implementation: Live in 2-8 weeks with minimal disruption
  • Superior Performance: 95-98% claim acceptance rates
  • Flexible Contracts: Month-to-month with no long-term commitments
  • EHR Agnostic: Works with any existing EHR system
  • Specialized Focus: Built exclusively for revenue cycle optimization

Enter.Health Limitations

  • RCM-Only Platform: Doesn't include EHR or practice management features
  • Newer Market Presence: Less brand recognition than established players
  • Integration Required: Must connect with existing clinical systems

Detailed Feature Comparison

Pricing Structure Analysis

Athenahealth Pricing:

  • 4-8% of total collections
  • Additional fees for premium features
  • Setup and implementation costs
  • Example: $2M practice pays $80K-$160K annually

Enter.Health Pricing:

  • $2-6 per claim processed
  • All features included
  • No setup fees
  • Example: $2M practice pays $24K-$48K annually

Winner: Enter.Health (50-70% lower total cost)

Implementation Speed

Athenahealth:

  • 3-6 month implementation timeline
  • Extensive workflow changes required
  • Comprehensive staff retraining needed
  • Data migration complexity

Enter.Health:

Winner: Enter.Health (3x faster implementation)

Performance Metrics

Athenahealth Results:

  • 88-92% first-pass claim acceptance
  • 15-20% denial rates
  • 45-60 days average collection time
  • 85-90% patient satisfaction scores

Enter.Health Results:

  • 95-98% first-pass claim acceptance
  • 8-12% denial rates
  • 30-45 days average collection time
  • 92-96% patient satisfaction scores

Winner: Enter.Health (superior performance across all metrics)

Contract Flexibility Comparison

Athenahealth Contract Terms

  • Length: 3-5 year commitments required
  • Exit Clauses: Expensive termination fees (often $50K+)
  • Price Increases: Annual escalations built into contracts
  • Flexibility: Limited ability to modify terms mid-contract

Enter.Health Contract Terms

  • Length: Month-to-month flexibility
  • Exit Clauses: 30-day notice, no termination fees
  • Price Stability: Transparent, predictable pricing
  • Flexibility: Easy to scale up or down based on needs

Winner: Enter.Health (significantly more flexible)

Integration Capabilities

Athenahealth Integration

  • EHR Integration: Native integration within athenahealth ecosystem
  • Third-Party Systems: Limited connectivity with external platforms
  • Data Portability: Difficult to export data to other systems
  • Customization: Minimal ability to modify workflows

Enter.Health Integration

Winner: Enter.Health (broader compatibility and flexibility)

Real Customer Results

Athenahealth Case Studies

Family Medicine Practice (8 providers):

  • Implementation: 4 months
  • Annual Cost: $120K (6% of collections)
  • Results: 10% revenue improvement after 18 months
  • ROI Timeline: 24 months

Orthopedic Group (12 providers):

  • Implementation: 6 months
  • Annual Cost: $180K (5% of collections)
  • Results: 15% efficiency gain after 2 years
  • ROI Timeline: 30 months

Enter.Health Case Studies

Family Medicine Practice (8 providers):

  • Implementation: 5 weeks
  • Annual Cost: $36K ($3 per claim)
  • Results: 28% revenue improvement in 6 months
  • ROI Timeline: 4 months

Orthopedic Group (12 providers):

  • Implementation: 7 weeks
  • Annual Cost: $48K ($4 per claim)
  • Results: 32% efficiency gain in 8 months
  • ROI Timeline: 5 months

Which Platform Should You Choose?

Choose Athenahealth If You:

  • Need a complete EHR replacement
  • Want an all-in-one cloud solution
  • Can commit to 3-5 year contracts
  • Have a budget for 4-8% of collections
  • Prefer established brand recognition

Choose Enter.Health If You:

Cost Comparison Calculator

For a practice collecting $2M annually:

Savings with Enter.Health: $570K-$935K over 5 years

The Verdict: Enter.Health Wins

Enter.Health is the clear winner for most healthcare providers because it delivers:

Better Financial Results

  • 70% lower total cost than Athenahealth
  • Higher claim acceptance rates (95-98% vs 88-92%)
  • Faster ROI (4-6 months vs 24-30 months)

Superior Implementation Experience

Greater Flexibility

  • No long-term contracts or exit fees
  • Transparent pricing that doesn't fluctuate
  • Easy to scale as your practice grows

Ready to Switch from Athenahealth?

Many practices are making the switch from Athenahealth to Enter.Health and seeing immediate improvements:

Get your free RCM assessment to see exactly how much you could save by switching to Enter.Health. Most practices discover they can:

Enter.Health is the leading specialized revenue cycle management platform, helping thousands of healthcare providers optimize their billing operations and maximize financial performance.

Results

Sources

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