Alternatives › Elation

Elation speeds up the visit. Wellpro keeps care working between visits.

Elation is a well-built, clinician-friendly EHR and billing platform for independent primary care, including direct primary care. Wellpro is built around each patient’s goals and a living care plan, for practices whose product is the outcome, not the encounter.

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The short answer

Which one fits your practice?

Elation is a strong fit

If you run a traditional or value-based primary care practice and want a mature charting and billing system with a lab and integration catalog.

Wellpro is the better fit

If you want one system built around each patient’s goals, a living care plan and the time between visits. That covers functional, integrative, longevity, precision, concierge and direct primary care practices today, and primary care and specialty practices that bill insurance, who can start alongside their current system now while insurance billing and claims are coming soon.

The real difference

What each system is built around.

Every health record is built around something. Elation was founded in 2010 and introduced its AI tools starting in 2024, beginning with Note Assist. Today it describes itself as an AI-native, agentic EHR and billing platform, and its AI is aimed at the visit and the note. Note Assist drafts the encounter note with ambient AI, Actions automates the routine follow-up, Clinical Insights summarizes the chart, and Wordsmith drafts letters and messages. The visit gets faster and better documented.

Wellpro is built around the patient’s goals. We call this outcome-native. Each patient’s goals map to clinical goals. Each clinical goal carries the actions that serve it, like labs, prescriptions, supplements, therapies and referrals, and the measures that show whether it is working: lab markers, wearable data and what the patient reports. The care plan is the center of the record, not the note.

That plan stays alive between visits. As results, wearable data and check-ins come in, Wellpro suggests changes to the plan and your clinicians approve them. Your team can see for each patient whether the plan is moving their measures toward their goals, and adjust before the next visit instead of discovering it there.

A visit is 15 to 60 minutes. The time between visits is when life and health happen. Wellpro was built for that time.

Wellpro started in October 2024 and was designed AI-native and outcome-native from the ground up.

Flows

Describe a workflow. Wellpro runs it.

With Flows and Care Orchestration, your practice builds its own care pathways and clinical and admin workflows by describing them in plain language: a new-member onboarding sequence, a 12-week retest cadence, chronic care check-ins, a renewal process. Wellpro’s AI agents carry out each step for every patient it applies to: sending messages, queuing orders for approval, scheduling follow-ups and flagging what needs a clinician. Your team steps in where judgment is needed.

AI-native

Five questions to ask any AI-native EHR.

  1. Is it built around structured goals, actions and measures? AI can only act on what the system understands.
  2. Does the AI do the work, or only suggest it? Drafting the note, the summary, the care plan updates and the orders, with your clinicians approving.
  3. Does the AI work between visits? Noticing new results and check-ins, suggesting plan changes and handling routine messages under your rules.
  4. Is the AI everywhere, or in a few features?
  5. Was it designed this way from the start, or added to an existing record?
Side by side

Elation and Wellpro, compared.

Elation
Wellpro
Built around
The visit, the note and the chart
Each patient’s goals and a living care plan
Who it is for
Independent primary care: family and internal medicine, pediatrics, GYN, geriatrics, DPC and value-based care
Functional, integrative, longevity, precision, concierge and direct primary care, plus primary care and specialty practices
AI
Note Assist (ambient scribe), Actions, Clinical Insights, Wordsmith, AI-enhanced intake forms and AI Billing, included at no extra cost per Elation
An ambient scribe that drafts the note, summary, care plan updates and orders; care plans that suggest changes as results arrive; routine patient messages answered under your rules
Care plans
Care plans kept in the chart, with care team collaboration and reminders
Living care plans: patient goals mapped to clinical goals, each with its actions and measures, updated between visits
Workflows and care pathways
Actions drafts orders, referrals, messages and a follow-up checklist from the visit
Flows: describe a care pathway or workflow in plain language, and Wellpro’s AI agents run it for every patient it applies to
Between visits
Patient Passport: records, secure messaging, appointments and family access
Thrive, the patient app branded for your practice: today’s steps, progress against each goal, messaging and membership
Wearables and CGM
Through partner apps in Elation’s marketplace, such as Guava Health (Dexcom, Libre, Apple Health and Garmin), with summaries saved to the Elation chart
Built in: CGM and more than 300 wearable devices, with readings tracked against each goal in the care plan
Labs
Lab and integration catalog
Order through Wellpro or bring results from any lab; connected through Evexia, Junction and Fullscript
Memberships
Recurring billing, patient self-enrollment, plan management, card and ACH through Stripe, payment failure alerts
Memberships, programs, packages, families, included services and enrollment from one link, in the same record as the care plan
Insurance billing
Mature claims and billing tools, including AI Billing
Superbills and CMS-1500 forms from the signed note today. Insurance claims are coming soon
Getting started
Tailored onboarding
Start alongside your current system, or transition to Wellpro in weeks with white glove data migration, setup and training
Memberships and billing

Memberships and billing, built in.

Membership revenue is the business model for most of the practices we serve, so Wellpro runs it in the same record as the chart and the care plan. There is no second system to keep in sync.

Everything you sell

Monthly, quarterly or annual memberships, fixed-term programs paid in full or as a deposit plus installments, prepaid packages, à la carte services and included services with rollover and expiry.

Families

One guarantor, age-based pricing and a family maximum, with each member’s balance kept separate.

Enrollment from one link

The plan, a personal price, your agreement, forms and payment in one link. The membership turns active when the patient signs, pays and finishes their forms.

Billing that runs on its own

Charges on schedule, automatic retries and card-update links, pause, resume and cancel under your agreement terms.

Every way patients pay

Cards, HSA and FSA cards, Apple Pay, Google Pay and bank debit. Your practice is the merchant, payments pay out to your own bank, Stripe is built in, and Wellpro can work with other merchant services and processors.

Know your numbers

Monthly recurring revenue, active members, churn, past-due balances and aging, renewals, and payouts reconciled to every charge.

Priced from the plan

When the care plan calls for it, turn it into an offer: a program, a membership with included services or a package, priced from your own catalog.

Coming soon

Employer billing, insurance claims and Wellpro AI billing reports.

Insurance practices

Bill insurance? Start alongside now.

Insurance billing and claims are coming to Wellpro, and we are building them with a small group of primary care and specialty practices. If you bill insurance today, your clinicians can work in Wellpro for charting, care plans and follow-up while your current system keeps handling claims. Tell us how you bill, and we will talk about working together.

Switching

Switching from Elation.

Wellpro works next to your current system through standard, FHIR-based integrations, so you can start alongside Elation and move over when you are ready. When you do, we migrate your records, set up your protocols and plans, and train your team. Most practices are live in weeks. Your protocols stay private to your practice, and patient data is never used to train AI models.

Questions

Questions practices ask.

What is the best Elation alternative for a cash-pay or membership practice?

One built around the outcome the patient is paying for. Wellpro connects each patient’s goals to a living care plan, tracks progress between visits in a branded patient app, and runs memberships and programs in the same record.

Is Wellpro an EHR?

Yes, and more. Wellpro includes charting, an ambient scribe, orders, e-prescribing, labs, messaging, telehealth, a patient app and membership billing in one system, built around the patient’s goals and care plan rather than the visit note.

Does Elation have AI?

Yes. Elation includes AI tools such as Note Assist, an ambient scribe, and Actions, which automates routine follow-up, at no extra cost according to Elation. Wellpro’s AI also works on the care plan, suggesting changes as results and check-ins arrive, and handles routine patient messages under your rules.

Is Elation AI-native?

Elation describes itself that way. Elation was founded in 2010 and introduced its AI tools starting in 2024. Wellpro started in October 2024 and was designed AI-native and outcome-native from the ground up. The five questions above are a fair way to compare any two systems.

Does Elation connect to wearables?

Yes, through partner apps in Elation’s marketplace. Guava Health, for example, brings in data from Dexcom, Libre, Apple Health and Garmin, and saves summaries to the Elation chart. In Wellpro, CGM and more than 300 wearable devices connect directly, and each reading is tracked against the goal it serves.

Does Elation have care plans?

In Elation, care plans are kept in the chart, with care team collaboration and reminders. In Wellpro, the care plan is the center of the record: each patient goal maps to clinical goals, each with its actions and measures, and the plan updates as results, wearable data and check-ins arrive between visits.

Can we build our own workflows and care pathways?

Yes. With Flows, you describe a care pathway or a clinical or admin workflow in plain language, and Wellpro builds it. Wellpro’s AI agents then carry out each step for every patient it applies to, such as sending messages, queuing orders for approval, scheduling follow-ups and flagging what needs a clinician. Your team steps in where judgment is needed.

What does outcome-native mean?

The system is organized around the result the patient is working toward. Goals, actions and measures are connected, so you can see what is working for each patient and adjust.

Can Wellpro handle memberships for families and programs?

Yes. Family plans with one guarantor, fixed-term programs with installments, prepaid packages, HSA and FSA cards and failed-payment recovery are built in.

We bill insurance. Can we use Wellpro?

Yes, alongside your current system. Insurance claims are coming soon to Wellpro. Today, your clinicians can work in Wellpro while your current system keeps handling claims, and Wellpro exports superbills and CMS-1500 forms from the signed note.

Can we run Wellpro alongside Elation?

Yes. Wellpro connects through standard, FHIR-based integrations, so you can start alongside and consolidate when you are ready.

See the difference in your own practice.

Let’s talkComparison based on Elation’s public website and partner pages as of November 3, 2026. Elation and Elation Health are trademarks of their owner. If anything here is out of date, tell us and we will correct it.