7 Practice Better Alternatives for Coaches in 2026

The 7 Best Practice Better Alternatives in 2026

1. Talkspresso (Best for Live Video Coaching)

Talkspresso is the best alternative for coaches who prioritize session quality over clinical workflows. Built-in HD video, scheduling, payments, and AI features, all without a monthly fee.

What sets it apart from Practice Better:

• Built-in HD video (noticeably better than Practice Better's telehealth)
• 1:1 coaching, group sessions, and workshops for up to 500 attendees
• Automatic session recording with AI-generated summaries and action items
• Payment collection built into the booking flow
• Digital product sales (sell session recordings, worksheets, templates)
• Professional booking page with your branding
• Intake forms and client management
• No monthly fee (10% on paid sessions only)

The trade-off is clear: Practice Better gives you clinical tools (meal plans, supplements, labs). Talkspresso gives you better video, recording, AI summaries, and digital products. Choose based on which matters more to your practice.

Best for: General coaches, business coaches, consultants, and any coach who prioritizes video quality and session features over clinical workflows.

Pricing: Free to start. 10% on paid sessions. No monthly subscription.

2. SimplePractice (Best for Therapists and Clinical Professionals)

SimplePractice is the leading platform for therapists, counselors, and clinical professionals. If you need HIPAA compliance and insurance billing, this is the strongest alternative.

What makes it different:

• HIPAA-compliant telehealth
• Insurance billing and superbill generation
• Clinical notes and treatment plans
• Client portal with secure messaging
• E-signatures for documents
• Appointment reminders
• Waitlist management

Drawbacks:

• Monthly subscription ($29-99/month)
• Designed for clinical practice (overkill for general coaching)
• No group workshops or large sessions
• No digital product sales
• No AI session summaries
• Video quality is functional, not HD

Best for: Therapists, counselors, and clinical professionals who need HIPAA compliance and insurance billing.

Pricing: $29/month (Starter), $69/month (Essential), $99/month (Plus).

3. CoachAccountable (Best for Structured Coaching Programs)

CoachAccountable is built specifically for coaches who run structured programs with goals, homework, and accountability tracking.

What makes it different:

• Purpose-built for coaching (not adapted from clinical or therapy software)
• Goal and action tracking between sessions
• Worksheets and homework assignments
• Session notes tied to client records
• Metrics and progress measurement
• Group coaching programs
• Client portal with progress dashboard

Drawbacks:

• No built-in HD video (uses Zoom integration)
• Monthly cost scales with client count ($20-400/month)
• No digital product sales
• No AI session summaries or automatic recording
• Interface feels dated compared to newer platforms
• Pricing gets expensive with more clients

Best for: Coaches running structured programs who need goal tracking, homework, and accountability between sessions.

Pricing: $20/month (2 clients) to $400/month (100 clients). Scales with active client count.

4. Healthie (Best for Health and Wellness Practices)

Healthie is Practice Better's closest competitor in the health and wellness space. Similar features with some advantages in insurance billing and group programs.

What makes it different:

• Telehealth with HIPAA compliance
• Insurance billing (direct claim submission)
• Client portal with food journaling
• Group programs and challenges
• EMR (Electronic Medical Records)
• Custom forms and assessments
• API for custom integrations

Drawbacks:

• Monthly subscription ($49-149/month)
• Focused on health and wellness (not general coaching)
• Video is functional but not HD
• No AI session summaries
• More expensive than Practice Better
• Complex setup for full feature utilization

Best for: Health and wellness practitioners who need insurance billing and HIPAA compliance beyond what Practice Better offers.

Pricing: $49/month (Starter), $99/month (Growth), $149/month (Group Practice).

5. HoneyBook (Best for Client Management and Contracts)

HoneyBook handles the business side of coaching: proposals, contracts, invoicing, and client management. If your coaching involves formal engagement agreements, it covers the workflow well.

What makes it different:

• End-to-end client workflow (inquiry to payment)
• Proposals and contracts with e-signatures
• Professional invoicing
• Project management for client engagements
• Scheduling built into the workflow
• Automations for repetitive tasks
• Branded templates

Drawbacks:

• No built-in video
• Not designed for session delivery
• Monthly subscription ($19-79/month)
• No health or clinical features
• No session recording or AI features
• Overkill if you don't need contracts and proposals

Best for: Business coaches and consultants who sell engagement-based packages and need proposals, contracts, and invoicing.

Pricing: $19/month (Starter), $39/month (Essentials), $79/month (Premium).

6. Acuity Scheduling (Best for Flexible Booking)

Acuity Scheduling (by Squarespace) offers the most flexible booking system for coaches. Better at scheduling than Practice Better, though it lacks clinical features.

What makes it different:

• Highly customizable booking forms and pages
• Packages, subscriptions, and gift certificates
• Multiple appointment types and durations
• Group scheduling
• Intake forms and questionnaires
• Multiple payment processor support (Stripe, Square, PayPal)
• Timezone detection

Drawbacks:

• No built-in video
• Monthly subscription ($16-49/month)
• No clinical or health features
• No session recording or AI features
• No digital product sales

For pricing details, see our Acuity Scheduling pricing breakdown.

Best for: Coaches who need complex booking (multiple session types, packages, recurring appointments) without clinical features.

Pricing: $16/month (Emerging), $27/month (Growing), $49/month (Powerhouse).

7. That Clean Life (Best for Nutrition Coaches)

That Clean Life is a meal planning platform specifically for nutrition professionals. Not a full practice management tool, but the best at what it does.

What makes it different:

• Professional meal plan creation with 10,000+ recipes
• Grocery lists and nutritional analysis
• Client-facing meal plans with branding
• Macro and nutrient tracking
• Recipe scaling and customization
• Grocery list generation

Drawbacks:

• Only handles meal planning (not practice management)
• No scheduling, video, or payments
• Monthly subscription ($25-50+/month)
• Must be combined with other tools for a full practice
• No client communication features

Best for: Nutrition coaches who want the best meal planning tool and are willing to use separate tools for scheduling and video.

Pricing: $25/month (Solo), higher for teams.

Feature Comparison Table

How to Choose the Right Alternative

You're a general coach (life, business, career, executive):

Choose Talkspresso. You don't need meal plans, supplement protocols, or lab integration. You need great video, easy scheduling, seamless payments, and professional recording. No monthly fee means you're not paying for features you don't use.

You're a therapist or clinical professional:

Choose SimplePractice. HIPAA compliance and insurance billing aren't optional for clinical work. SimplePractice handles both plus clinical notes and treatment plans.

You run structured coaching programs with homework and accountability:

Choose CoachAccountable. Goal tracking, worksheets, and accountability features are purpose-built for structured coaching engagements.

You're a health coach who needs insurance billing:

Choose Healthie. It's Practice Better's closest competitor with stronger insurance billing features.

You sell coaching packages with contracts and proposals:

Choose HoneyBook. End-to-end client management from proposal to payment, with professional invoicing.

You need flexible scheduling with packages and recurring sessions:

Choose Acuity Scheduling. The most customizable booking system for service-based businesses.

You're a nutrition coach focused on meal planning:

Choose That Clean Life for meal plans, combined with Talkspresso or another tool for sessions.

The "Practice Management" Tax

Here's something worth considering: most coaches pay for practice management features they rarely use.

Practice Better charges $25-65/month for a full suite of features. But when you look at what coaches actually use day-to-day, it's usually:

1. Scheduling (booking sessions)
2. Video (delivering sessions)
3. Payments (getting paid)
4. Notes (following up)

Meal plans? Only nutrition coaches use them. Supplement protocols? Only functional medicine practitioners. Lab integration? A tiny subset of health coaches.

If you're paying $65/month for Practice Better but only using scheduling, video, and payments, you're essentially paying a "practice management tax" for features gathering dust.

The alternative: use a tool that covers what you actually do. Talkspresso handles scheduling, HD video, payments, and AI-powered notes with no monthly fee. You pay 10% when you earn, not $65/month regardless.

For a coach doing 15 sessions at $100/month ($1,500 revenue):

• Practice Better: $65/month fixed = 4.3% of revenue
• Talkspresso: $150/month (10% of $1,500) = 10% of revenue

Practice Better is cheaper in raw fees at this volume. But Talkspresso includes HD video (no Zoom needed), automatic recording, and AI summaries. Those would cost extra on top of Practice Better.

For coaches doing fewer than 8 sessions at $100/month ($800 revenue), Talkspresso is also cheaper in absolute dollars ($80 vs $65), and the gap closes as you factor in the Zoom subscription ($13/month) that Practice Better requires for decent video.

Making the Switch

Transitioning from Practice Better to another platform is straightforward for most coaches:

Step 1: Export your client contact list from Practice Better.

Step 2: Set up your new platform with session types, pricing, and your booking page.

Step 3: Update your booking link everywhere (website, social, email signature).

Step 4: Email existing clients with your new booking link. Position it as an upgrade: "I've moved to a platform with HD video and automatic session recordings."

Step 5: Cancel your Practice Better subscription after your last scheduled session on the platform.

Most coaches complete the transition within a week. The client impact is minimal because clients care about the coach, not the booking platform.

The Bottom Line

Practice Better is a solid platform for health and wellness coaches who use its clinical features. If you need meal plans, supplement protocols, and health assessments, it earns its $25-65/month.

For everyone else, there are better-fit alternatives. General coaches should look at Talkspresso for the best video and no monthly fee. Therapists should look at SimplePractice for HIPAA compliance. Program-based coaches should look at CoachAccountable for accountability tools.

Pick the tool that matches your actual workflow, not one that charges you for features you'll never touch.

Try Talkspresso free: HD video coaching with no monthly fee →

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