Paradigm vs. TheraNest by Ensora Health

Paradigm makes it easy for home care agencies to connect with third party payers like the VA and Medicaid. We get you paid on time, and we do this by offering comprehensive solutions like automated billing, collections, enrollment, eligibility, EVV setup, EVV error handling, growth coaching, and payment reconciliations.

TheraNest®️ is a cloud-based EHR and practice management platform built for mental and behavioral health. Developed by Ensora Health, it combines clinical documentation, insurance billing, scheduling, HIPAA-compliant telehealth, e-prescribing, and a client portal in one system for solo therapists, group practices, and mid-size behavioral health organizations. New in 2026 is Ensai℠, Ensora's AI. Ensai drafts progress notes from telehealth and in-person sessions, polishes notes clinicians write themselves, and compiles signed documentation into case summaries.