The honest version
Alora has been doing this a long time and is genuinely good at Medicare-certified home health. They also out-market us in Minnesota right now — they have several Minnesota-specific pages ranking, and we are newer at this.
Where we differ is structural, not quality. Alora prices per user. We price per agency. And Alora is a home health platform, while we cover residential service lines on the same login.
If you are a Medicare-certified skilled agency with no group homes and no assisted living, Alora is a reasonable choice and we would rather say so than waste your demo slot.
What per-user pricing does at small scale
| Alora (reported) | Sothcare | |
|---|---|---|
| Pricing model | Per user, per month | Flat per service line |
| Reported entry | ~$150 per user / month | $199 / month total |
| Ten users | ~$1,000–$2,000 / month | $199–$519 depending on line |
| Onboarding | $2,000–$10,000 reported | Quoted up front, varies by line |
| Pricing published | No — contact sales | Yes, on the website |
| Free trial | Not offered | Not offered on this plan |
| Residential lines | Home health & home care | Adds 245D group home & 144G assisted living |
Alora figures come from third-party software directories, not from Alora. Alora does not publish pricing and actual costs vary by contract. Verify directly with them.
The cost that isn't on the invoice
Per-user pricing has an obvious cost and a quieter one. The obvious cost is that the bill rises every time you hire, and keeps charging for accounts belonging to people who left until somebody remembers to deprovision them.
The quieter cost is what small agencies do in response. When a login has a price attached, people ration them — and shared accounts appear. At that point your audit trail is no longer attributable to an individual, which is the entire reason a licensor wants an electronic record rather than a paper one.
A flat fee removes both. Every clinician and every DSP gets their own login because it costs nothing extra, and your invoice in a hiring month matches your invoice in a quiet one.
Where Alora is the better answer
Medicare-certified skilled home health, exclusively. Alora has years of focus there and a mature feature set. If skilled is all you do, their depth is real.
You need hospice. We do not do hospice. If you run it, we are not your platform.
Multi-state operations at scale. Alora operates nationally. Our deepest state-specific workflows are Minnesota, expanding from there.
We would rather tell you this now than have you leave in four months.
Where we think we win
Cost at small scale. Published flat pricing against roughly $1,000–$2,000 a month for a ten-person team on reported figures.
Residential coverage. 245D group homes, adult foster care and 144G assisted living on the same login as your home care. Most Minnesota operators hold more than one license and currently pay two vendors.
Minnesota compliance depth. EUMR and VAMRA workflows, MAARC-aligned incident reporting, HHAeXchange EVV measured against the current 80% threshold, CFSS under 256B.85.
Transparency. Our prices are on the website. You can compare us without booking a call, which is the point.
See Minnesota 245D detail →Common questions
Is Alora a bad product?
No. Alora is an established, home-health-focused platform with years in the market and real depth in Medicare-certified workflows. The question is fit and cost structure for a small agency, not quality.
What does Alora cost?
Third-party directories report Alora starting around $150 per user per month, with ten users landing roughly $1,000–$2,000 monthly and onboarding fees reported between $2,000 and $10,000. Alora does not publish pricing. Confirm directly with them.
What does Sothcare cost?
Published on our website: $199/mo Group Home or Assisted Living, $399 Non-Medical Personal Care, $519 Skilled Home Health, with unlimited staff accounts. A one-time implementation fee applies and varies by service line, quoted before you commit.
Does Alora cover group homes and 245D?
Alora is built for home health and home care. If you run a 245D group home or hold a 144G assisted living license, you will generally need a second system. Sothcare covers those on the same login.
Which is better for a Minnesota agency?
Alora has more Minnesota landing pages than we do and more years behind them. We have deeper Minnesota workflow coverage — 245D, 144G, CFSS under 256B.85, MAARC-aligned incident reporting — and published flat pricing. For a Medicare-certified skilled agency with no residential lines, Alora is a serious option.
Can we migrate from Alora?
Yes. We run in parallel with your existing system during onboarding rather than cutting over on a date, so patient records, active orders and documentation come across before you stop using Alora.
Bring your Alora invoice
20 minutes, founder-led, on the live product. We will run the comparison on your real numbers — and tell you if you should stay.
Book my 20-min demo or start free →Free start applies to skilled home health, for our first five agencies.
Competitor pricing figures are drawn from public software directories, not from the vendors themselves, and vary by contract, module selection and agency size. Verify directly before making a decision on cost. Last checked August 2026.
WellSky, Axxess, Homecare Homebase, Alora, AlayaCare, Therap and HHAeXchange are trademarks of their respective owners. Sothcare is not affiliated with, endorsed by or sponsored by any of them; their names are used here solely to identify the products being compared.