Practice Fusion Alternative: An Honest Comparison (2026)

If your practice runs on Practice Fusion and you are reviewing your options, this page compares it with MedTec on the points that are easy to check: price, contract, AI notes and what changes this December. It is written by MedTec, so we have kept to facts with sources and said where Practice Fusion is the better fit.

Last checked: October 20, 2026. Prices and features change, so confirm them with each vendor before deciding. For other vendors’ published prices, see our EHR price comparison.

What is changing at Practice Fusion

Practice Fusion’s patient portal, Patient Fusion, retires the week of Monday, December 7, 2026. Practice Fusion asks patients to sign in before then and save a copy of their records, and patient access moves to FollowMyHealth, another Veradigm product (Practice Fusion Help Center). The announcement is about the patient portal; it does not retire the Practice Fusion EHR.

For a practice, it means patients will need a new portal login. If you were already thinking about your software, it is a reasonable moment to compare.

Practice Fusion and MedTec side by side

	Practice Fusion	MedTec
Price	$199 per provider per month	$55 per provider per month (Clinical Pro)
Contract	Annual commitment required, billed monthly	No long-term contract, cancel anytime
Setup fee	Not listed on the pricing page	None
Free plan	None listed	Yes: online booking, reminders, patient portal and a practice profile. It does not include AI notes
AI scribe	Practice Fusion Scribe, by early access: Practice Fusion grants access, then a practice admin accepts an Early Adopters agreement	AI Scribe add-on (Speech-to-Text + AI Medical Assistant), from $74 per provider per month, not part of Clinical Pro. You review and sign every note
Claims and billing	Claim submission included; full billing services offered separately	Billing included in Clinical Pro
Track record	Running since 2005	A newer company, and we say so

Sources: Practice Fusion pricing page, Getting started with Practice Fusion Scribe, Patient Fusion retirement notice; MedTec plans and pricing.

Where Practice Fusion may be the better choice

• You are settled and happy with it. Switching takes time, even with help. If your notes and billing work for you, the portal change alone is not a reason to move.
• You want a long track record. Practice Fusion has been running since 2005. MedTec is a newer company.
• You depend on a specific report or connection. If you rely on a particular lab connection or quality report (Practice Fusion includes MIPS reporting), ask any alternative, us included, to show it on your own setup before you decide.

Where MedTec may fit better

• You want AI notes now. The AI Scribe is an add-on, from $74 per provider per month, and you review and sign every note.
• You do not want an annual contract. $55 per provider per month, no setup fee, cancel anytime.
• You want help moving. We move your patients, histories, schedules and balances for you.

Before you switch: what to check

1. Ask your current vendor for a full export of your data, and keep it.
2. Tell your patients about the portal change and where they will log in next.
3. Check when your contract renews. Practice Fusion’s plan requires an annual commitment.
4. See your own type of visit in a demo before you commit to anything.

Frequently asked questions

Is Practice Fusion shutting down?

Nothing we have found says so. What is retiring is Patient Fusion, the patient portal, during the week of December 7, 2026. Patients move to FollowMyHealth.

How much does Practice Fusion cost in 2026?

$199 per provider per month with a required annual commitment, according to its pricing page (checked October 20, 2026). Full billing services are offered separately.

Does Practice Fusion have an AI scribe?

It has Practice Fusion Scribe, available by early access: Practice Fusion grants access, and a practice admin then accepts an Early Adopters agreement. Some practices also use third-party scribes alongside it.

Does MedTec’s free plan include AI notes?

No. The free plan covers online booking, reminders, the patient portal and a practice profile page. Charting is in Clinical Pro at $55 per provider per month, and the AI Scribe (from $74 per provider per month) and other AI features are add-ons.

How long does it take to switch to MedTec?

We move the records for you. Your timeline depends on your data, and we will tell you on the demo.