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Healthcare Medicine

Top 10 Best Direct Primary Care Software of 2026

Discover top direct primary care software to streamline your practice. Explore now for the best solutions.

Rajesh Patel

Rajesh Patel

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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Direct Primary Care (DPC) practices thrive on efficient patient care, streamlined operations, and strong member relationships—making the right software indispensable. With options ranging from end-to-end platforms handling billing and engagement to specialized tools for telehealth and EHR, choosing the ideal solution is critical for sustainable success.

Quick Overview

  1. 1#1: Hint Health - Comprehensive platform for Direct Primary Care practices handling membership billing, patient onboarding, portals, and engagement tools.
  2. 2#2: Elation Health - Modern EHR and practice management software optimized for independent primary care physicians in DPC models.
  3. 3#3: Spruce Health - Secure messaging, telehealth, and patient communication platform widely used by DPC practices for efficient care delivery.
  4. 4#4: Healthie - Practice management and telehealth software supporting membership-based care with scheduling, billing, and client portals.
  5. 5#5: Practice Better - All-in-one EMR, telehealth, and practice management tool ideal for integrative and primary care DPC providers.
  6. 6#6: CharmHealth - Affordable cloud-based EHR and practice management system with patient portal suitable for small DPC practices.
  7. 7#7: Practice Fusion - Free EHR platform with charting, scheduling, and e-prescribing features popular among budget-conscious DPC doctors.
  8. 8#8: DrChrono - Integrated EHR, practice management, and telehealth solution adaptable for subscription-based primary care.
  9. 9#9: Tebra - Combined EHR, billing, and patient engagement platform from former Kareo, usable for DPC revenue management.
  10. 10#10: AdvancedMD - Robust practice management and EHR software with customization options for independent DPC operations.

Tools were ranked based on features prioritized for DPC workflows—including membership management, secure communication, and user-friendly interfaces—paired with reliability, scalability, and value to ensure they meet the diverse needs of independent primary care providers.

Comparison Table

Direct Primary Care (DPC) practices depend on tailored software to manage daily operations, and this comparison table explores key tools like Hint Health, Elation Health, Spruce Health, Healthie, and Practice Better. It details features, pricing models, and usability, enabling practices to assess which platform aligns with their workflow, patient care goals, and growth needs. Readers will gain insights into how each tool supports efficiency, communication, and personalized service within DPC settings.

Comprehensive platform for Direct Primary Care practices handling membership billing, patient onboarding, portals, and engagement tools.

Features
9.8/10
Ease
9.4/10
Value
9.5/10

Modern EHR and practice management software optimized for independent primary care physicians in DPC models.

Features
9.2/10
Ease
9.5/10
Value
8.7/10

Secure messaging, telehealth, and patient communication platform widely used by DPC practices for efficient care delivery.

Features
8.2/10
Ease
9.4/10
Value
8.5/10
4Healthie logo8.2/10

Practice management and telehealth software supporting membership-based care with scheduling, billing, and client portals.

Features
8.4/10
Ease
8.8/10
Value
7.8/10

All-in-one EMR, telehealth, and practice management tool ideal for integrative and primary care DPC providers.

Features
7.8/10
Ease
8.5/10
Value
7.2/10

Affordable cloud-based EHR and practice management system with patient portal suitable for small DPC practices.

Features
7.8/10
Ease
7.2/10
Value
9.0/10

Free EHR platform with charting, scheduling, and e-prescribing features popular among budget-conscious DPC doctors.

Features
6.5/10
Ease
8.2/10
Value
9.1/10
8DrChrono logo7.2/10

Integrated EHR, practice management, and telehealth solution adaptable for subscription-based primary care.

Features
6.8/10
Ease
8.1/10
Value
6.5/10
9Tebra logo6.7/10

Combined EHR, billing, and patient engagement platform from former Kareo, usable for DPC revenue management.

Features
7.0/10
Ease
7.2/10
Value
5.8/10
10AdvancedMD logo7.4/10

Robust practice management and EHR software with customization options for independent DPC operations.

Features
8.2/10
Ease
6.8/10
Value
6.5/10
1
Hint Health logo

Hint Health

specialized

Comprehensive platform for Direct Primary Care practices handling membership billing, patient onboarding, portals, and engagement tools.

Overall Rating9.7/10
Features
9.8/10
Ease of Use
9.4/10
Value
9.5/10
Standout Feature

Hint Billing Engine, which handles complex DPC membership lifecycles with automated renewals, pauses, and compliance

Hint Health is a leading Direct Primary Care (DPC) software platform that streamlines membership billing, patient engagement, and practice operations for subscription-based primary care practices. It automates recurring payments, patient onboarding, and compliance reporting while providing a branded patient portal for self-scheduling and secure messaging. With deep integrations to popular EHRs like Elation and Charm, it enables physicians to focus on care delivery without insurance complexities.

Pros

  • Seamless automated billing and membership management tailored specifically for DPC
  • Robust patient portal with self-service scheduling, payments, and telehealth
  • Advanced analytics and reporting for practice growth and retention insights

Cons

  • Higher pricing tiers may strain very small solo practices
  • Initial setup and integrations require some technical configuration
  • Limited native EHR functionality, relying on third-party partnerships

Best For

Established DPC practices seeking scalable tools to manage growing memberships and optimize revenue.

Pricing

Tiered pricing starting at $299/month for basics, scaling to $5-10 per active member/month plus one-time setup fees.

Visit Hint Healthhinthealth.com
2
Elation Health logo

Elation Health

specialized

Modern EHR and practice management software optimized for independent primary care physicians in DPC models.

Overall Rating9.1/10
Features
9.2/10
Ease of Use
9.5/10
Value
8.7/10
Standout Feature

Guided Charting with AI-assisted documentation optimized for primary care encounters

Elation Health is a cloud-based EHR platform specifically designed for primary care physicians, including Direct Primary Care (DPC) practices, focusing on intuitive workflows to enhance patient relationships. It provides tools for charting, scheduling, telehealth, e-prescribing, labs integration, and membership-based billing suited for DPC models. The system emphasizes reducing administrative burdens with features like automated patient summaries and a robust patient portal.

Pros

  • Highly intuitive interface praised by physicians for quick charting
  • Strong patient engagement via portal and telehealth
  • Dedicated DPC support with membership billing tools

Cons

  • Premium pricing may strain very small practices
  • Limited advanced customization options
  • Setup and training require initial investment

Best For

Solo or small DPC practices seeking an user-friendly EHR that prioritizes clinical workflow efficiency and patient-centered care.

Pricing

Starts at $359 per provider/month (billed annually), plus one-time setup fees around $1,500-$3,000 and optional add-ons for advanced features.

Visit Elation Healthelationhealth.com
3
Spruce Health logo

Spruce Health

specialized

Secure messaging, telehealth, and patient communication platform widely used by DPC practices for efficient care delivery.

Overall Rating8.6/10
Features
8.2/10
Ease of Use
9.4/10
Value
8.5/10
Standout Feature

WhatsApp-like secure messaging with unlimited texts, attachments, and video, fully HIPAA-compliant for superior patient-provider connectivity

Spruce Health is a modern telehealth and patient engagement platform tailored for primary care providers, including Direct Primary Care (DPC) practices, offering secure messaging, video visits, scheduling, payments, and basic charting tools. It emphasizes seamless communication between providers and patients via a mobile-first app, reducing administrative burdens in membership-based models. While not a full EHR, it integrates well with existing systems to support DPC workflows like subscription billing and virtual care.

Pros

  • Intuitive mobile-first interface that mimics consumer apps for effortless adoption
  • Strong secure messaging, video telehealth, and integrated payments ideal for DPC patient engagement
  • HIPAA-compliant with reliable uptime and easy integrations for scheduling and billing

Cons

  • Limited native EHR and charting depth, requiring supplements for comprehensive practice management
  • Per-provider pricing can become costly for multi-provider DPC practices
  • Fewer DPC-specific automations like automated membership renewals compared to dedicated platforms

Best For

Small to mid-sized DPC practices prioritizing patient communication, telehealth, and simplicity over full EMR capabilities.

Pricing

Starts at $79/provider/month (Essentials) for messaging and video; scales to $149 (Professional) or $219 (Enterprise) for advanced features like payments and integrations—no per-patient fees.

Visit Spruce Healthsprucehealth.com
4
Healthie logo

Healthie

specialized

Practice management and telehealth software supporting membership-based care with scheduling, billing, and client portals.

Overall Rating8.2/10
Features
8.4/10
Ease of Use
8.8/10
Value
7.8/10
Standout Feature

Built-in subscription billing and automated invoicing tailored for recurring DPC membership fees

Healthie is an all-in-one telehealth and practice management platform tailored for health professionals, offering scheduling, secure video visits, customizable charting, billing, and patient portals. For Direct Primary Care (DPC) practices, it excels in supporting membership-based models through Stripe-powered subscription billing and automated recurring payments. It also provides robust patient engagement tools like secure messaging, goal tracking, and shared care plans, making it suitable for virtual-first DPC delivery.

Pros

  • Seamless subscription billing for DPC memberships via Stripe integration
  • Intuitive telehealth with high-quality video and scheduling
  • Customizable EMR templates and patient portal for engagement

Cons

  • Charting geared more toward wellness/behavioral health than comprehensive primary care
  • Limited native support for in-office workflows or advanced lab integrations
  • Pricing escalates quickly for multi-provider practices

Best For

Solo or small DPC practices focused on telehealth, wellness-oriented care, and strong patient engagement.

Pricing

Starts at $169/month (Solo plan, unlimited clients), $289/month (Plus), up to $489+/month (Group/Enterprise); annual billing discounts available.

Visit Healthiegethealthie.com
5
Practice Better logo

Practice Better

specialized

All-in-one EMR, telehealth, and practice management tool ideal for integrative and primary care DPC providers.

Overall Rating7.6/10
Features
7.8/10
Ease of Use
8.5/10
Value
7.2/10
Standout Feature

Comprehensive client portal with self-scheduling, recurring payments, and educational content delivery

Practice Better is an all-in-one practice management platform tailored for integrative and holistic health practitioners, offering EHR charting, online scheduling, telehealth, billing, and a comprehensive client portal. For Direct Primary Care (DPC) practices, it supports recurring membership billing, patient self-scheduling, secure messaging, and customizable forms for documentation. While versatile, it excels more in wellness-focused workflows than traditional primary care charting or population health management.

Pros

  • User-friendly interface with quick setup
  • Robust client portal for membership payments and engagement
  • Integrated telehealth and recurring billing ideal for DPC models

Cons

  • Less optimized for complex primary care workflows like lab integrations
  • Transaction fees on payments reduce value for high-volume DPC
  • Reporting and analytics are basic compared to DPC specialists

Best For

Solo or small DPC practitioners focused on wellness-oriented primary care who prioritize patient self-service portals.

Pricing

Solo plan starts at $49/month (unlimited clients); team plans from $99/month; plus 0.8-2.9% payment processing fees.

Visit Practice Betterpracticebetter.io
6
CharmHealth logo

CharmHealth

specialized

Affordable cloud-based EHR and practice management system with patient portal suitable for small DPC practices.

Overall Rating7.6/10
Features
7.8/10
Ease of Use
7.2/10
Value
9.0/10
Standout Feature

Free, unlimited EHR with lifetime data access for solo providers

CharmHealth is a cloud-based EHR and practice management platform tailored for primary care, including Direct Primary Care (DPC) practices, offering charting, scheduling, patient portal, telehealth, and billing tools. It emphasizes affordability with a free core EHR for solo providers, enabling direct patient payments and communication without heavy insurance reliance. While versatile for small practices, it supports DPC through subscription-friendly payments and patient engagement features, though not exclusively DPC-optimized.

Pros

  • Highly affordable with free core EHR for solo DPC providers
  • Strong patient portal and secure messaging for direct access
  • Integrated telehealth and basic scheduling streamline DPC workflows

Cons

  • User interface feels dated and has a learning curve
  • Billing tools lean toward insurance models over pure DPC subscriptions
  • Limited native membership management compared to DPC specialists

Best For

Solo or small DPC practitioners prioritizing low-cost EHR with solid patient communication over advanced subscription billing.

Pricing

Free core EHR for solo providers; add-ons like scheduling ($99/user/mo), practice management ($225/mo), and telehealth ($49/mo).

Visit CharmHealthcharmhealth.com
7
Practice Fusion logo

Practice Fusion

specialized

Free EHR platform with charting, scheduling, and e-prescribing features popular among budget-conscious DPC doctors.

Overall Rating6.8/10
Features
6.5/10
Ease of Use
8.2/10
Value
9.1/10
Standout Feature

Fully free, cloud-based EHR with no base subscription fee

Practice Fusion is a cloud-based electronic health record (EHR) system designed for small to mid-sized medical practices, offering free core features like charting, e-prescribing, scheduling, and a patient portal. It supports HIPAA compliance and meaningful use certification, enabling efficient documentation and communication. While versatile for general primary care, it lacks native tools for Direct Primary Care (DPC) membership management, requiring workarounds for subscription billing and patient payments.

Pros

  • Free core EHR with no subscription for basic use
  • Intuitive interface and mobile accessibility
  • Strong e-prescribing and patient portal features

Cons

  • No built-in membership or subscription billing for DPC
  • Limited customization for DPC workflows
  • Ads in free version and upsells for advanced tools

Best For

Budget-limited solo or small primary care practices new to DPC needing a simple, free EHR without insurance billing complexity.

Pricing

Free for core EHR features; premium add-ons and support start at $149/provider/month.

Visit Practice Fusionpracticefusion.com
8
DrChrono logo

DrChrono

enterprise

Integrated EHR, practice management, and telehealth solution adaptable for subscription-based primary care.

Overall Rating7.2/10
Features
6.8/10
Ease of Use
8.1/10
Value
6.5/10
Standout Feature

Native iPad app for seamless, touch-based charting and practice management on the go

DrChrono is a comprehensive cloud-based EHR and practice management platform tailored for independent medical practices, offering tools for scheduling, charting, e-prescribing, telehealth, and patient engagement. While versatile for various specialties, it supports Direct Primary Care (DPC) through robust patient records, portals, and basic billing, but requires workarounds or integrations for true membership-based recurring payments. Its mobile-first design, especially the iPad app, enhances usability in smaller DPC settings focused on personalized care.

Pros

  • Intuitive mobile app for iPad/iPhone charting and workflows
  • Integrated telehealth and patient portal for better engagement
  • Strong EHR customization for primary care documentation

Cons

  • Billing system optimized for insurance claims, not DPC memberships
  • Pricing scales per provider, which can be costly for solo DPC practices
  • Lacks native recurring subscription billing without third-party integrations

Best For

Solo or small DPC practices needing a full-featured EHR with mobile accessibility over specialized membership tools.

Pricing

Starts at $199/provider/month (billed annually), plus one-time setup fees and add-ons for telehealth or advanced billing.

Visit DrChronodrchrono.com
9
Tebra logo

Tebra

enterprise

Combined EHR, billing, and patient engagement platform from former Kareo, usable for DPC revenue management.

Overall Rating6.7/10
Features
7.0/10
Ease of Use
7.2/10
Value
5.8/10
Standout Feature

Seamless all-in-one integration of EHR, revenue cycle management, and patient experience tools

Tebra is an all-in-one healthcare platform combining EHR, practice management, billing, and patient engagement tools primarily designed for independent medical practices handling insurance reimbursements. For Direct Primary Care (DPC), it offers scheduling, telehealth, patient portals, and basic payment processing but lacks native membership subscription billing or DPC-specific workflows. While versatile for general primary care, it's not optimized for the cash-pay, flat-fee DPC model, making it more suitable for hybrid practices.

Pros

  • Integrated EHR and practice management streamline daily operations
  • Strong patient engagement with portals and automated communication
  • Reliable telehealth and scheduling capabilities

Cons

  • No dedicated DPC membership or recurring billing tools
  • Pricing is high for cash-only DPC practices
  • Insurance-focused billing features add unnecessary complexity

Best For

Hybrid primary care practices blending DPC memberships with some insurance billing.

Pricing

Custom quotes starting at ~$300/provider/month for core plans, plus per-claim fees and add-ons.

Visit Tebratebra.com
10
AdvancedMD logo

AdvancedMD

enterprise

Robust practice management and EHR software with customization options for independent DPC operations.

Overall Rating7.4/10
Features
8.2/10
Ease of Use
6.8/10
Value
6.5/10
Standout Feature

Integrated revenue cycle management configurable for DPC membership billing and automated recurring collections

AdvancedMD is a comprehensive cloud-based EHR and practice management platform designed for medical practices, offering integrated scheduling, billing, patient engagement, and electronic health records. For Direct Primary Care (DPC), it supports membership-based billing through recurring payments and patient self-service portals, allowing physicians to manage subscriptions without heavy reliance on insurance claims. While powerful for larger practices, its full suite can be adapted for DPC but may include unnecessary features for smaller, pure membership models.

Pros

  • Robust EHR with customizable templates for primary care workflows
  • Integrated billing supports recurring membership payments
  • Strong patient portal and telehealth capabilities

Cons

  • Steep learning curve and complex interface
  • High cost relative to DPC-specific tools
  • Features heavily geared toward insurance billing, less optimized for pure DPC

Best For

Mid-sized or growing DPC practices transitioning from traditional insurance models that need scalable enterprise-level EHR and management tools.

Pricing

Custom quote-based pricing; typically $729+ per provider per month for core EHR and practice management, with add-ons increasing costs.

Visit AdvancedMDadvancedmd.com

Conclusion

The top 10 tools reviewed highlight the versatility of direct primary care software, with Hint Health leading as the comprehensive choice for membership billing, patient onboarding, and engagement needs. Close competitors Elation Health and Spruce Health stand out for their modern EHR optimization and efficient communication tools, respectively, catering to different practice priorities. Together, these solutions demonstrate the strength of the DPC software landscape, offering options that align with diverse operational and patient care goals.

Hint Health logo
Our Top Pick
Hint Health

For practices aiming to streamline management and boost patient engagement, Hint Health is the top pick—start exploring its features today. For those with specific needs like EHR customization or telehealth focus, Elation Health and Spruce Health offer exceptional alternatives, ensuring every practice finds its ideal fit.