Axxess alternatives: 11 home health care tools compared
Agencies look for an Axxess alternative when the quote spans more modules than they need, when they run one care model rather than home health plus hospice plus palliative, or when they want a smaller vendor. Some also want to see prices before sitting through a demo. Options range from single-product home health vendors to home care and Medicaid-focused systems.
Short answer: Alora Home Health, KanTime and AxisCare head the list of Axxess alternatives drawn from our home health care software ranking. Where a category has smaller vendors worth recommending, they occupy the first three places and the big brands come below them. Alora Home Health is the one to try if you want a small single-product vendor for skilled and non-skilled care together. The 11 entries that follow are all ranked in Best Home Health Care Software in 2026; each one explains what sets it apart from Axxess.
Vendors can pay for more visibility on this website, for example a higher place in a ranking or more room on a page. Commercial relationships can also affect which products we feature and how prominently. Every vendor link is marked the same, whatever the arrangement behind it. How that works.
Pricing: Sold through a demo request; no prices shown on the site
Established in: United States
Built for: Mid-sized agencies that run home health and hospice and want one vendor for both
Not for: Small agencies that need a price list before a call
01
Why buyers look past Axxess
01
A broad suite behind a demo
Axxess sells home health, home care, hospice and palliative software, plus revenue cycle management, billing services, business intelligence, CAHPS surveys, a staffing marketplace and an AI search tool. An agency with one care model has to work out which of these pieces it actually needs before the quote means anything.
02
Prices appear only after contact
The Axxess home page and its home health page show no prices. Their demo buttons lead to a solutions page, so cost per module, per user or per patient is learned in a sales conversation. Buyers who compare several vendors side by side often find that slow, and ask rivals for written quotes.
03
Billing services sit in the same bundle
The platform offers real-time claims processing, AI-supported review before submission and separate Billing Services. For agencies that prefer to keep billing in-house, or hand it to a partner of their choosing, the question is which of these parts can be left out and how the price changes when they are.
you want to add EVV or adult day modules without replacing your whole system
#7
03
What each one does differently
1
Alora Home Health
United States · On request
Alora Healthcare Systems is a one-product company in Atlanta that puts skilled home health and non-medical home care in a single system. Billing covers Medicare, Medicaid, insurance, VA and self pay, and the clinician apps keep working offline. Pricing follows users or patients served and comes as a written quote, with no figures on the pages we read.
Switch from Axxess if you want a small single-product vendor for skilled and non-skilled care together.
KanTime calls itself an EMR for post-acute longitudinal care, with home care, home health, pediatrics, hospice, palliative care and self-direction on one record. The Dallas company shows no prices, trial or ownership details on its home page. Agencies that run several lines at once get a comparable breadth to Axxess, so the quote is the thing to compare.
Switch from Axxess if you run several care lines and want them on one patient record.
AxisCare comes from Waco, Texas, and keeps skilled care and IDD as separate sections beside its core home care platform. Optional managed revenue-cycle services handle Medicaid and VA billing. The quote is sized by client count in four bands, from 25 clients to over 1,000, and the pages checked show no figures or trial.
Switch from Axxess if your agency is mostly home care and the quote should scale with client count.
Homecare Homebase, LLC sits in the Hearst Health network and sells a core platform for home health, hospice and personal care. The PointCare mobile app, back-office tools and revenue cycle services are separate items, so a quote spans several pieces. Its site shows no prices, which means module-by-module questions belong in the first call.
Switch from Axxess if you want a home health and hospice platform sold as a core plus separate add-ons.
MatrixCare, Inc. of Bloomington, Minnesota sells a home health EHR next to senior living and skilled nursing products. Its home health pages mention CommonWell, Carequality and Surescripts connectivity, mobile document capture, e-fax inside the record and an OASIS review service. Prices and trial are not shown, so a quote is the only way to compare.
Switch from Axxess if record sharing with hospitals and pharmacies matters for your referrals.
AlayaCare, a Canadian company, prices by chosen modules grouped in three tiers, plus client volumes, branches and regions. It runs tailored demos instead of a trial. Most standard set-ups include the caregiver app, while advanced mobile functions and integrations are scoped in the proposal, so the first figure can rise. Editions exist for the USA, Canada, Australia and New Zealand.
Switch from Axxess if you operate across several countries and want a modular, regional edition.
WellSky Corporation, based in Overland Park, Kansas, lists Home Health beside personal care, infusion and other products. The home health page describes real-time OASIS issue identification, offline access, real-time EVV and claims management for managed care and Medicare patients. It is a large multi-product company, and no prices or trial appear.
Switch from Axxess if you want OASIS checks and claims from a vendor with many product lines.
CareSmartz360 charges by active clients rather than user licences, so extra office staff leave the quote unchanged. It bills Medicaid, VA, long-term care insurance and private pay, and lists more than 45 state EVV integrations. The pages checked name no OASIS or Medicare home health billing, so it suits non-medical agencies rather than skilled ones.
Switch from Axxess if you run non-medical home care and want pricing that ignores staff numbers.
Careswitch handles scheduling, billing and payroll exports for home care and adds an assistant named Looper whose output a person approves. It now belongs to Paradigm, a billing and revenue-cycle firm that can take over VA, Medicaid and long-term care claims. No skilled clinical documentation or prices appear on the pages we read.
Switch from Axxess if your agency does private pay or VA work and wants someone else to run claims.
HHAeXchange was founded in 2008 in New York and links providers, managed care organisations and state Medicaid programmes on one network. It carries state-sponsored EVV, billing and claims, and a caregiver app. Payers share the network and see activity across it. The site shows no prices or trial, so Medicaid-heavy agencies should ask about state coverage.
Switch from Axxess if most of your revenue is Medicaid personal care or I/DD.
Ankota, from Boston, serves organisations that keep older and disabled people at home: home care, EVV, adult day services and I/DD programmes. Some parts are sold as unbundled modules to agencies that keep their own systems. The pages checked describe no OASIS or Medicare home health billing, and the only company detail is the address.
Switch from Axxess if you want to add EVV or adult day modules without replacing your whole system.
You run skilled home health and non-medical care together
Alora Home Health: One system covers both, with offline clinician apps, and the price is a written quote by users or patients.
02
You run several care lines on one patient record
KanTime: It lists home care, home health, pediatrics, hospice, palliative care and self-direction in a single product.
03
Most of your revenue is Medicaid personal care
HHAeXchange: It connects providers, payers and state programmes with state-sponsored EVV and billing on one network.
04
You want pricing that does not rise with office staff
CareSmartz360: It prices by active clients, not user licences, for non-medical agencies.
05
You want claims handled by a billing firm
Careswitch: It is part of Paradigm, which can take over VA, Medicaid and long-term care claims.
04
When Axxess is still the right choice
Axxess is a reasonable choice when an agency wants home health, hospice and palliative care on one platform from one company. Its home health product lists a mobile app with offline access and integrated EVV, side-by-side OASIS analysis, automated claim workflows and Axxess Exchange access to Carequality and CommonWell. Agencies that already use several of these pieces gain little by splitting them across vendors.
05
What moving off Axxess involves
01
Patient records and open episodes need a plan
Active patients, orders and OASIS assessments in progress cannot simply be cut over mid-episode. Ask the new vendor how historical charts are imported, and decide whether to finish current episodes in Axxess or load them across on a quiet date.
02
Billing history and open claims
Claims still waiting for payment, remittances and denials stay tied to the system that sent them. Agree a date after which new claims go out from the new system, and keep read access to the old one until open items clear.
03
Clinician devices and connections
Staff will need the new mobile app, and any EVV and record-exchange links to payers, hospitals or physicians must be set up again. Allow time for training and for each external partner to confirm the new connection.
06
Questions about replacing Axxess
6 answers
Does Axxess publish its prices?
Not on the pages we read. The home page and the home health page show no prices, and their demo buttons lead to a solutions page. Cost per module has to be requested from the company.
Which Axxess products are there besides home health?
The site lists home care, hospice and palliative care software, revenue cycle management, billing services, business intelligence, CAHPS surveys, a clinician staffing marketplace, EVV and an AI search tool called Ask Axxess, among others.
Does the Axxess home health app work offline?
Its home health page describes a mobile-native app with offline access and integrated EVV, available on the Apple App Store and Google Play.
Which alternatives handle skilled home health with OASIS?
From our category notes, Alora Home Health, KanTime, Homecare Homebase, MatrixCare and WellSky Home Health describe skilled home health work. Check each one for the OASIS functions you rely on before booking demos.
Which alternatives suit non-medical home care only?
CareSmartz360, Ankota and Careswitch pages describe home care and show no OASIS or Medicare home health billing, so they fit non-medical agencies better than skilled ones.
Can I compare prices across these vendors?
Only partly. Most of the listed vendors show no figures and quote by users, clients or modules. Ask each for a written quote using the same agency size and module list, so the numbers can be set side by side.
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Sources
Checked 10 November 2026
Axxess home page: Product list, no prices on the page, demo buttons, billing services, Axxess Exchange and Connect.
Axxess home health software: OASIS analysis, mobile app with offline access, integrated EVV, claim workflows, Carequality and CommonWell access, no prices.
Alora Health: Skilled and non-skilled care in one system, offline apps, quote by users or patients.
KanTime: Six care lines on one record, Dallas address, no prices shown.
AxisCare: Home care with skilled and IDD sections, client-count size bands, managed billing option.
Homecare Homebase: Hearst Health network, PointCare app, separate service add-ons.
MatrixCare: Home health EHR, interoperability connections, OASIS review service.
AlayaCare: Three module tiers, regional editions, demo instead of trial.
WellSky: Home health OASIS checks, offline access, EVV and claims management.
CareSmartz360: Active-client pricing, multi-payer billing, state EVV integrations.
Careswitch: Looper assistant, Paradigm ownership, private pay and VA focus.
HHAeXchange: Medicaid network, state EVV, founded 2008 in New York.
Ankota: Home care, EVV, adult day and I/DD modules, Boston address.
Founder of The Knowledge Engineers and of 2 Steps Ahead, an AI search visibility agency. Editorially responsible for every page on this site; research and drafting are AI-assisted.
Author and fact-checker: Sebastiaan Smits. This page was last reviewed on 10 November 2026; our review process is public.
