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EMR Comparison

Krasyn vs. Elation Health

Elation is respected in primary care, but DPC membership billing requires adding Hint Health, telehealth requires a third-party tool, and ambient AI is not native. Krasyn bundles all three into a single platform built for independent outpatient medicine.

Feature Comparison

A side-by-side look at how Krasyn and Elation Health stack up on the features that matter most to outpatient clinicians. “Q4 2026” marks items on Krasyn's active roadmap — not yet shipped.

FeatureKrasynElation Health
AI ambient SOAP notes (real-time during encounter)IncludedPartial / Add-on
Real-time E/M level coding suggestionsIncludedPartial / Add-on
ICD-10 code suggestions during documentationIncludedIncluded
Billing code confidence scoringIncludedNot included
Purpose-built for outpatient medicineIncludedIncluded
DPC / membership practice billingIncludedPartial / Add-on
Practice-level pricing (no per-seat lock-in)IncludedNot included
Free tier availableIncludedNot included
Telehealth built-inIncludedPartial / Add-on
Patient portal includedIncludedIncluded
FHIR R4 interoperabilityIncludedIncluded
Lab ordering & results reviewIncludedIncluded
Standard e-prescribingQ4 2026Included
EPCS (controlled-substance e-Rx)Q4 2026Included
Care plan managementQ4 2026Partial / Add-on
Custom analytics & reportsQ4 2026Partial / Add-on
Structured data migration supportIncludedPartial / Add-on
Typical time to go live4–8 weeks4–8 weeks
Signup processSign up online, no call neededDemo call required

Competitor feature data sourced from public documentation and third-party reviews as of August 2026. Contact us if anything is out of date.

Pricing Comparison

Krasyn publishes its prices. No quote required to get started.

Krasyn

Free$0 / mo

AI scribe for one clinician: 10 AI-drafted notes each month. No patient chart required.

Therapy Practice$79 / provider / mo

For 1–15-provider non-prescribing therapy, counseling, and behavioral health practices.

Founding Starter$249 / provider / mo

For 1–3-provider medical practices after a readiness review.

Growth$429 / provider / mo

For 4–15-provider medical practices after a readiness review.

Elation Health

Elation EHR (estimated)~$349–$499/provider/mo

Elation does not publish a public price list. Third-party estimates for primary care practices; actual cost requires a sales conversation and varies by practice size.

DPC Plan (with Hint Health integration)EHR fee + Hint Health subscription

DPC practices typically pair Elation (clinical) with Hint Health (membership billing). Hint Health pricing is separate and adds to the total monthly cost.

TelehealthVia third-party integration

Native video visits are not included — practices use integrated third-party telehealth tools at additional cost.

Why Physicians Switch from Elation Health

Three recurring pain points we hear from practices exploring a move away from Elation Health.

DPC membership billing requires a second vendor

Elation is well-regarded by primary care physicians, but its billing architecture is built for fee-for-service. Direct Primary Care practices that want membership billing — recurring patient-level charges — must subscribe to Hint Health separately and manage two vendor relationships, two contracts, and two monthly fees.

Krasyn's answer

Krasyn includes DPC membership billing natively. Recurring patient charges, panel capacity management, and membership reporting are built into the platform — no separate subscription or integration to maintain.

No native ambient AI documentation

Elation has introduced some AI-adjacent features, but ambient real-time SOAP note drafting is not a native capability of the platform as of mid-2026. Practices that want ambient documentation integrate third-party scribing tools, adding cost and a workflow step outside the core encounter experience.

Krasyn's answer

Krasyn's ambient AI documentation runs during the encounter — not as a post-visit transcription step. The AI draft is grounded against the visit transcript and appears inside the encounter for provider review before signing.

Telehealth is an integration, not a built-in capability

Elation does not offer native video visits. Practices set up telehealth through integrated third-party platforms. This means a separate patient-facing link, a different login for the provider, and additional cost — workflow friction that grows with visit volume.

Krasyn's answer

Krasyn includes telehealth built in. Patients join through the Krasyn patient portal; providers launch the video visit from inside the encounter — the same interface they use for in-person visits.

What Makes Krasyn Different

AI-native SOAP notes

Ambient AI drafts structured clinical notes during the encounter — HPI, ROS, assessment, and plan — grounded against the visit transcript. Providers review and sign; they do not dictate or type from scratch.

Real-time E/M + ICD-10 coding

As the note is drafted, E/M level and ICD-10 codes are suggested with confidence scores and supporting context — surfacing undercoding opportunities before the encounter closes.

DPC-first pricing

Krasyn was designed around the economics of independent outpatient medicine — including Direct Primary Care. Membership billing is built-in, not an add-on.

No per-seat lock-in

Krasyn bills at the practice level, not per provider seat. Add a covering physician, a PA, or a nurse practitioner without a pricing cliff.

Frequently Asked Questions

Is Elation Health a good fit for primary care practices?

Elation has a strong reputation among independent primary care physicians for its clean interface and primary-care-first workflow design. Its main gaps relative to Krasyn are the absence of native ambient AI documentation, the need for a separate tool (Hint Health) for DPC membership billing, and telehealth handled via integration rather than built-in.

How does Krasyn compare to Elation for DPC practices?

Both platforms serve DPC practices, but with different architectures. Elation pairs with Hint Health for membership billing; Krasyn includes membership billing natively. Krasyn also includes ambient AI documentation and built-in telehealth, while Elation typically requires separate tools for both. Total cost of a DPC stack on Elation includes the Elation EHR fee plus the Hint Health subscription — Krasyn consolidates these into a single per-provider plan.

Can I migrate patient data from Elation to Krasyn?

Yes. Krasyn supports FHIR R4-based and structured export migrations from Elation. The migration covers demographics, active medications, problem lists, allergies, clinical notes, lab results, and scheduling history. A pre-migration assessment scopes what is extractable from your Elation instance before timeline commitments are made.

Does Krasyn support the same concierge medicine features as Elation?

Both platforms support concierge and direct-care practice models. Krasyn adds built-in membership billing and ambient AI documentation to the concierge feature set. If your concierge practice uses specific third-party integrations tied to Elation, a fit review will confirm compatibility before migration begins.

Ready to see Krasyn for yourself?

Plans that store patient records are open for sign-ups, with our standard HIPAA Business Associate Agreement presented for review and electronic acceptance inside your workspace. Prices above are unchanged.