OhMD is a HIPAA-compliant text messaging service used by healthcare organizations across the U.S. However, many healthcare practices may be looking for more versatile solutions. After analyzing hundreds of user reviews and testing six leading alternatives, we found platforms that offer superior features, improved automations, more phone number types to choose from, and reliable messaging.
Ready to uncover the top OhMD alternatives in the market? Let's dive in.
Disclaimer: The features, pricing, and details mentioned for each product in this article were pulled from September 2025 and may have changed since then.
What's "wrong" with OhMD?
Don't get us wrong, OhMD is a solid HIPAA-compliant messaging platform that has helped many healthcare practices modernize their patient communication. However, after analyzing hundreds of reviews from G2, Capterra, Trustpilot, and healthcare forums, some recurring user complaints emerged:
- Basic message management: Lacks fundamental features like marking messages as read or unread, leading to missed conversations.
- Frequent technical disruptions: Users report regular logouts, failed message delivery, and system glitches that disrupt patient care.
- High pricing with limited features: Starting at $250/month with essential features requiring costly add-ons.
- Limited automation capabilities: Lacks advanced workflow automation and chatbot-driven patient engagement tools
- Landline-texting: OhMD requires businesses to have a landline phone number to text enable, making it less feasible for those who want a separate texting number.
(TL;DR) OhMD alternatives at a glance
1. Textline: The #1 OhMD alternative in the market right now
When healthcare organizations need bulletproof compliance and enterprise-grade security, Textline stands out as the most comprehensive alternative to OhMD. Unlike OhMD's basic messaging approach, Textline offers the first truly HIPAA-compliant business texting platform with patented consent workflows, making it the go-to choice for regulated industries. It also offers a much wider feature set than OhMD and gives medical practices the option of bringing their own phone number or getting one just for text messaging.
Textline vs. OhMD: Key differences
Key Textline features:
- Patented HIPAA consent workflows: The only platform with audit-ready proof of compliance, unlike OhMD's basic HIPAA messaging
- Trifecta of messaging capabilities: Textline offers the trifecta of messaging capabilities, including true group messaging, two-way texting, and mass texting.
- Advanced team collaboration: Textline is built for teams to manage SMS communication at scale and with ease. It’s packed with features like internal whispers, real-time claiming, and intelligent routing that OhMD lacks
- Unified omnichannel inbox: Manage multiple channels like SMS, MMS, Facebook, Instagram, and web chat in one place with Textline.
- Enterprise-grade security: Textline has many security safeguards in place, making it HIPAA, SOC 2, and TCPA compliant.
Pricing is customized for your business
Textline uses a credit-based system with custom pricing tailored to your organization's needs. Plans include message credits, with additional credits available at $0.03 each. Annual billing offers 10 percent to 20 percent savings.
What else can you do with Textline?
Beyond healthcare messaging, Textline's platform extends into comprehensive business communication with landline texting, a Chrome extension for seamless online texting, secure mobile apps for teams on the go, a developer-friendly API supporting 200 calls per minute, and advanced survey capabilities with CSAT, NPS, and custom polls. This makes it a complete HIPAA-compliant communication ecosystem rather than just a messaging tool.
2. Heymarket: Team Collaboration Focused SMS Platform
Heymarket excels at team-based messaging with advanced collaboration features that address OhMD's limitations in group communication and message management. Its shared inbox approach with AI-powered features makes it particularly strong for teams that need coordinated customer communication.
Key Heymarket features:
- True group messaging: Up to 10 participants in shared conversations, directly solving OhMD's biggest limitation
- AI-powered features: Message tuning, sentiment analysis, and suggested replies that OhMD lacks for enhanced productivity
- Advanced shared inbox: Routing, assignments, and presence indicators for better team coordination than OhMD's basic approach
- Multi-channel automation: Time and event-based triggers across channels, more sophisticated than OhMD's simple reminders
- HIPAA compliance: SOC 2 Type II certified with configurable data retention, matching OhMD's healthcare requirements
Considerations before going with Heymarket: While Heymarket offers strong team features, its healthcare-specific integrations are limited compared to OhMD's 85+ EHR connections. Email support is also still in beta, which may concern practices relying on multi-channel communication.
Heymarket’s pricing starts at $19 per user
Heymarket uses per-user pricing with different tiers based on features and AI capabilities needed. Be mindful that the starter plan requires a minimum of two users.
Heymarket may be great, but Textline is excellent.
3. Podium: AI-powered lead conversion platform
Podium differentiates itself with AI-powered automation that handles customer conversations 24/7, addressing OhMD's limitation of requiring manual responses. Its AI Employee responds in under one minute and is trained on 10+ years of industry-specific data, making it powerful for businesses focused on lead conversion.
Key Podium features:
- AI Employee: Automated responses that eliminate OhMD's manual reply requirements for faster patient engagement
- Industry-specific AI training: Pre-trained on healthcare, automotive, and service industry conversations vs OhMD's generic messaging
- Automated appointment booking: AI schedules appointments directly through SMS, more advanced than OhMD's basic reminders
- Review management automation: Automatically requests and responds to reviews, expanding beyond OhMD's communication focus
Considerations before going with Podium: Podium's focus on lead conversion and sales may not align with healthcare practices that need clinical communication tools. Its AI-driven approach might feel impersonal for patient care scenarios where OhMD's human-centered messaging is preferred.
Pricing starts at $399
Podium uses location-based pricing with comprehensive features included in each plan, targeting local businesses with multiple locations.
4. Twilio: Programmable communication APIs
Twilio offers the most flexible text messaging set up through its programmable APIs, making it ideal for organizations that need custom solutions beyond OhMD's pre-built healthcare messaging. With 700+ integrations and global reach, it's designed for businesses requiring scalable, developer-friendly communication infrastructure.
The key aspect about Twilio is that it doesn’t offer an out-of-the-box SMS solution, instead it’s best for businesses that want to build HIPAA-compliant communication into their existing apps and workflows with code.
Key Twilio features:
- Programmable messaging APIs: Custom SMS, MMS, WhatsApp, and RCS integration capabilities that OhMD's fixed platform cannot match
- 700+ pre-built integrations: Massive ecosystem including Segment CDP for unified customer data vs OhMD's healthcare-focused integrations
- Global scale infrastructure: Support for 100+ countries with local phone numbers, broader reach than OhMD's U.S. focus
- Real-time analytics and AI: Advanced reporting and Segment Engage for personalized marketing beyond OhMD's basic metrics
- Multi-channel orchestration: Voice, video, email, and messaging unified through single API vs OhMD's SMS-centric approach
Considerations before going with Twilio: Twilio requires significant technical expertise to implement and maintain, unlike OhMD's user-friendly interface. Healthcare organizations need to build their own HIPAA compliance and EHR integrations, which OhMD provides out-of-the-box.
Twilio pricing is pay-as-you-go
Twilio uses pay-as-you-go pricing with costs varying by service and volume, offering maximum flexibility for different usage patterns.
5. Klara: Patient engagement platform
Klara is specifically designed for healthcare practices, offering patient communication and collaboration features that directly compete with OhMD's core functionality. With EHR integration and telemedicine capabilities, it provides a comprehensive patient engagement solution beyond basic messaging.
Key Klara features:
- EHR integration with major systems: Seamless connection to AthenaHealth, Veradigm, Nextech, and others, similar to OhMD's 85+ integrations
- Call-to-text conversion: Automatically converts phone calls to SMS conversations, reducing phone volume more effectively than OhMD
- Built-in telemedicine: HIPAA-compliant video visits with virtual waiting rooms, expanding beyond OhMD's messaging focus
- AI-powered message routing: Automatically directs messages to correct staff members, more intelligent than OhMD's basic routing
- No patient app required: Patients text directly with their providers without downloads
Considerations before going with Klara: Klara's pricing structure may be less transparent than OhMD's, requiring custom quotes for most implementations. Some advanced features may require additional setup time compared to OhMD's straightforward messaging approach.
Pricing is custom, based on practice size and feature set
Klara uses custom pricing based on practice size and feature requirements, with different tiers for various healthcare organization needs. The organization offers three pricing tiers: Essential, Professional, and Enterprise.
6. TigerConnect: Clinical communication platform
TigerConnect specializes in clinical communication and collaboration, offering healthcare-specific features that compete directly with OhMD's medical practice focus. With HITRUST certification and 99.995% uptime, it's designed for mission-critical healthcare communication.
Key TigerConnect features:
- Role-based messaging system: Contact clinicians by role rather than name, more sophisticated than OhMD's basic contact management
- CareConduit integration engine: Vendor-agnostic system connecting EHRs, nurse calls, and medical devices beyond OhMD's EHR focus
- FDA-cleared alarm management: Routes critical device alarms to appropriate staff, clinical capabilities OhMD doesn't offer
- Dynamic team creation: Rapid response and escalation teams for clinical scenarios, more advanced than OhMD's basic groups
Considerations before going with TigerConnect: TigerConnect is primarily designed for large healthcare organizations and may be overly complex for smaller practices that find OhMD's simplicity appealing. Pricing is typically higher and requires enterprise-level commitments.
Pricing is not public, but largely customizable based on needs
TigerConnect uses per-user pricing with enterprise-focused plans designed for healthcare organizations of varying sizes. It offers three main pricing tiers, Professional, Enterprise and Enterprise Plus. The organization largely supports large-scale medical practices.
TigerConnect is great, but Textline is top-notch.
The Verdict: Which OhMD alternative should you choose? (Our Top 3 Picks)
After testing six of the leading alternatives, here are our top recommendations:
- Textline is the clear winner for healthcare organizations needing enterprise-grade security, a patient consent process, and advanced team collaboration features. Its top-notch messaging capabilities and unified omnichannel approach solve OhMD's biggest limitations while providing superior automation and integration options.
- Klara is best for healthcare practices wanting to stay within the medical communication space. Offers similar EHR integrations to OhMD but with better automation, telemedicine capabilities, and call-to-text conversion that reduces phone volume more effectively.
- Heymarket is ideal for teams that need advanced collaboration features with AI-powered assistance. Its shared inbox approach and group messaging capabilities address OhMD's team coordination limitations while maintaining healthcare compliance options.
For most healthcare organizations frustrated with OhMD's limitations, Textline provides the most comprehensive solution with its patented compliance features, superior team collaboration, and enterprise-grade security that scales with your organization's growth.
