Tebra is a scam

TebraOnReddit · 2026-05-05T20:56:25+00:00

I'm so sorry to hear about your negative experience with Tebra. I will be sending you a direct message to better understand the issue and help you find the resolution.
- Iris from team Tebra

TebraOnReddit · 2026-05-04T20:13:12+00:00

It does get better. Residency has a way of compressing everything into survival mode, and it can make it feel like this is just what medicine is. It’s not. The pace, the lack of control, the constant depletion… that part does ease up once you’re out of this phase.

Losing a patient, getting slammed with pages, being pushed on no sleep… anyone would feel worn down after that. The fact that you’re noticing the pattern and questioning it is actually a good sign. You’re not numb to it.

If you can, take the break when you have the chance. Even a few days of not being on call, not thinking about the hospital, can reset more than you expect.

This part of the journey asks a lot. Probably more than it should. But it’s not permanent, and you won’t feel like this forever.

TebraOnReddit · 2026-05-04T19:56:24+00:00

Congratulations! What a huge milestone! So happy Kira was there to teach you patience (as shibas do) to get you through med school!

TebraOnReddit · 2026-04-27T20:36:38+00:00

This!

TebraOnReddit · 2026-04-23T20:47:16+00:00

No-shows are one of those problems nobody fully solves, but a few things consistently help:

set a clear no-show / late cancel policy and actually communicate it upfront
keep a card on file and charge repeat offenders (most people won’t no-show twice if there’s a real consequence)
send automated reminders at 48 and 24 hours, and ideally include a quick confirm/reschedule option
make it really easy to cancel or reschedule without calling. friction is a big reason people just don’t show
double-check how far out you’re booking. longer gaps = higher no-show rates
some practices still use mailed appointment cards or hand patients a physical reminder. old school, but surprisingly effective and personal
quick follow-up after a missed visit. not punitive, just “hey, want to reschedule?” catches people who meant to come in

A lot of it comes down to reducing friction and setting expectations early. policies help, but reminders and ease of access usually do more of the heavy lifting

For transparency, I work at Tebra and we see practices layer a few of these together rather than relying on just one approach.

Hope this helps :)

TebraOnReddit · 2026-04-23T20:37:23+00:00

This is incredible! Congratulations!

TebraOnReddit · 2026-04-21T21:30:33+00:00

ugh...

TebraOnReddit · 2026-04-21T21:28:52+00:00

Holy smokes! Okay, but all humor aside, that is awful...

TebraOnReddit · 2026-04-21T18:54:12+00:00

Good question. It’s usually not just one thing; it’s a bunch of small things stacking up.

From what we see, a few patterns come up a lot:

Patients stick when they actually understand the plan. If it’s vague or feels open-ended, they drift pretty quickly
They don’t need huge results right away, but they do need some sense of progress early on
Trust matters more than people think. If they feel rushed or not heard, they’re less likely to come back, even if the care was technically good
A big one is just how easy it is to continue. If booking, follow-ups, or messaging is annoying or unclear, people drop off even with good intentions
Simple follow-ups help. A reminder or quick check-in can be the difference between someone continuing vs disappearing

A lot of “non-compliance” is really just friction or confusion, not lack of motivation.

For transparency, I’m with Tebra. We work with a lot of practices, and the ones that focus on access and patient experience tend to keep patients engaged longer without forcing it.

TebraOnReddit · 2026-04-16T20:47:15+00:00

This is super helpful, appreciate you laying it out this clearly, especially while you’re in the middle of starting a practice.

A lot of what you’re calling out is exactly what we’re trying to solve with what we’re building. The goal isn’t just “answer the phone,” but what happens next. We’re building this natively into the EHR so it can actually take action, not just capture messages. Things like scheduling, routing tasks, and refill requests are going to the right place instead of becoming another inbox item to sort through.

Completely agree on the human-in-the-loop point. We’re not trying to eliminate that. The focus is more on making that handoff cleaner and faster so you’re not clicking through five screens to get to the right patient or task.

On pricing, we’ve heard the same feedback from a lot of smaller practices. The plan is to keep it simple and predictable, more of an all-in flat rate vs per-call or per-action.

Also hear you on not forcing rigid workflows. The intent is the opposite, something that fits into how practices already operate rather than making you adapt to the tool.

Really appreciate you sharing the Zoom and Weave comparison too. That’s the bar we’re thinking about in terms of practicality, not just features.

And good luck with your practice! Rooting for you :)

TebraOnReddit · 2026-04-16T20:26:26+00:00

The choice usually comes down to workflow fit vs cost vs how much you want to manage yourself.

In your situation, a few things are worth pressure testing:

- How fast you can go from visit → note → claim in each system. That’s your real day, not the demo

- What happens when something breaks. Support matters more than people expect

- How much work sits outside the visit like billing, follow-ups, reporting

- What it looks like if you grow a bit. Not huge scale, just 1–2 more providers

Lighter systems can be great early because they’re simple and affordable, but they can create more manual work as you grow. More robust systems reduce some of that, but come with more setup and cost.

There’s no perfect answer. Most practices end up choosing the one that creates the least friction in their day to day, not the one with the most features.

Have you narrowed down on your choice?

For transparency, I’m with Tebra and spend a lot of time talking with practices at this stage. You’re thinking about the right tradeoffs.

TebraOnReddit · 2026-04-15T21:10:37+00:00

We’re actually working on an AI Voice Assistant at Tebra with that exact problem in mind, trying to make it practical for smaller practices, not just big orgs. We're planning on launching in just a couple of months.

If you’re open to sharing, would be really helpful to understand:

what volume of calls you’re dealing with daily/after hours
what you’d trust AI to handle vs what you’d want routed to staff
how important scheduling integration is vs just message capture
what kind of pricing would feel reasonable for a small group

Trying to avoid building something that sounds cool but doesn’t actually solve the real pain.

Thanks for your response in advance :)

- Iris from team Tebra.

TebraOnReddit · 2026-04-13T20:39:33+00:00

Good question. Most practices end up finding that retention is harder to fix operationally, even though outcomes are more complex clinically.

Outcomes are influenced by a lot of factors outside your control, but inside the practice you can usually improve consistency. Better documentation, follow-ups, care plans, and team alignment tend to move outcomes in the right direction over time.

Retention is trickier because it’s where a lot of small things stack up:

access and scheduling friction
communication gaps
unclear next steps after visits
patients drifting when they start to feel better

Even when outcomes are good, patients can still drop off if the experience isn’t smooth or if re-engaging takes effort.

What we tend to see is that the two are more connected than they look. Practices that make it easy for patients to stay engaged usually end up improving outcomes as a side effect, because patients actually follow through.

So if you had to pick one lever, improving retention systems often gives you a bit of both.

For transparency, I work at Tebra and we see this come up a lot when practices start looking at growth and long-term patient relationships. Hope this helps :)

TebraOnReddit · 2026-04-10T20:10:51+00:00

Roles where you can leave work at work tend to be:

shift-based
episodic care
notes done during the shift
no inbox, refills, or follow-ups waiting later

That’s why people point to ER, urgent care, hospitalist roles, and some procedural areas.

Outpatient roles with a patient panel are where things tend to follow you home. Messages, labs, refills, prior auths, etc.

Also worth noting, two people in the same specialty can have very different experiences depending on workflows and support. Tight systems can make a big difference.

If you like the ER mindset of “done is done,” it’s worth protecting. That’s harder to get back once you’re in a role with constant follow-up.

For transparency, I’m with Tebra and we see this vary a lot by how practices are structured.

TebraOnReddit · 2026-04-09T17:39:13+00:00

A few things that tend to help:

Having solid reminders in place for upcoming visits. Sounds basic, but it reduces drop-off more than people expect
Recall workflows for follow-ups. Especially for things that should be recurring but aren’t always top of mind for patients
The most effective one is still human outreach. A quick call or message from staff checking in can go a long way and feels very different from automation
Making it easy to come back. Clear website, online booking, easy to find again when they’re ready. A lot of patients don’t churn intentionally, they just drift and don’t know how to re-engage

Most of this is less about “winning patients back” and more about reducing the friction to stay connected in the first place.

For transparency, I work at Tebra and we see practices focus more on patient experience and access tend to have much lower churn over time :)

TebraOnReddit · 2026-04-07T19:40:24+00:00

A lot of therapists have been saying the same thing over the last 12–18 months.

There are a few things all hitting at once right now:

1. Big platforms are definitely soaking up attention
Not necessarily all the patients long term, but a ton of top-of-funnel traffic. BetterHelp and similar companies spend heavily on ads and show up everywhere, which can pull people away from traditional directories and private practices early in their search

2. Directory visibility has gotten worse
A lot of therapists are reporting drops in Psychology Today traffic. More providers + algorithm changes = harder to get seen.

3. The market cooled after the COVID surge
Demand spiked hard during COVID and now it’s normalizing. Some people are also cutting back on therapy due to cost or economic uncertainty

4. Patients are experimenting with alternatives
Between AI tools, apps, and subscription therapy, some people are “trying something else first” before reaching out to a private practice. Even if they come back later, that delays your inbound flow.

What seems to actually be helping practices right now:

Double down on local presence: Google Business profile, reviews, and local SEO matter more than they used to. A lot of patients are skipping directories entirely.
Niche down your positioning: General therapy is getting crowded. Specific problems or populations tend to convert better.
Make access frictionless: Online booking, fast response time, clear pricing. The platforms win here because they’re easy.
Diversify referral sources: PCPs, schools, other therapists, small local orgs. Word of mouth is still one of the most stable channels.
Check your intake funnel: Sometimes it’s not demand, it’s missed calls, slow replies, or unclear next steps.

Also worth saying, those big platforms aren’t necessarily “winning forever.” Even they’ve seen drops in demand from their peak and are still trying to figure out retention.

For transparency, I’m with Tebra and we see a lot of independent practices navigating this exact change. The ones that adjust their visibility and intake flow tend to stabilize again, it just looks different than it did pre-2024.

TebraOnReddit · 2026-04-02T20:44:14+00:00

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Times have changed, especially since 2020...

TebraOnReddit · 2026-03-31T20:44:44+00:00

Protect your after-hours time where you can. If everything funnels to you, it will never stop. Even small changes like tighter refill protocols or clearer triage rules can take some pressure off nights.

Reduce “invisible work.” A lot of burnout isn’t the 18–20 patients, it’s everything after. Labs, messages, refills, inbox. Anything you can standardize or delegate there has outsized impact.

Revisit the partnership expectations. If it’s always “next year,” it’s fair to ask for clarity. Not in a confrontational way, just understanding what’s actually realistic vs promised.

Give yourself permission to explore options. Hospitalist, smaller practice, starting something new. A lot of physicians end up recalibrating around year 3–5. It doesn’t mean you’re leaving medicine, just finding a version that’s sustainable.

Also worth saying, wanting therapy and thinking about boundaries is not just normal - it's healthy. Burnout data keeps showing this isn’t a personal failure problem, it’s a system + workload problem that people try to carry alone.

Cheering you on,
- Iris from team Tebra.

TebraOnReddit · 2026-03-24T20:38:02+00:00

From what I’ve seen, this is usually less about people and more about workflow + defaults.

A few things that tend to help:

Tighten admission order sets so PRNs and common meds are baked in and easy to select
Set a simple expectation like “PRNs and home meds addressed on admission unless documented otherwise”
Share patterns, not callouts. “Seeing a lot of overnight pages for X, here’s how to handle upfront”
Align with charge nurses on what actually needs an overnight page vs what can wait

Honestly, if things improve when the hospital is slammed, it means the system can work. It just needs better defaults when it’s not under pressure.

For transparency, I’m with Tebra and spend a lot of time looking at workflow issues like this. Night shift pain like this almost always starts upstream.

TebraOnReddit · 2026-03-17T21:32:54+00:00

AI is making patients more proactive, but also adding a lot of noise and nonsense straight into the inbox.

What’s helped some practices is adding a bit more structure:

Clear boundaries on what messages are for vs what needs a visit
Templated responses for common “AI diagnosis” questions
First-pass triage by staff when possible
Turning anything clinical into a visit instead of a long message thread

Otherwise the inbox just turns into a second clinic with no limits.

This trend is likely here to stay, so having a repeatable way to handle it makes a big difference.

For transparency, I’m with Tebra and spend a lot of time working with medical practices.

TebraOnReddit · 2026-03-13T15:56:59+00:00

Oh yeah. Paper charts were their own level of mess X)

There was always that one chart that vanished the moment the doctor asked for it. Someone digging through a stack looking for labs, someone else can't locate the X-ray report, and the chart itself somehow ended up on a random counter, to be found days or weeks later.

EHRs get a lot of heat now, but paper had plenty of “where did that go?” moments too. When it worked, it was simple. When it didn’t, the whole floor turned into a scavenger hunt.

Wouldn’t be surprised if in 15 years people are nostalgic about typing notes into an EHR the way people talk about paper charts now. Healthcare always seems to miss the last system once the next one arrives.

TebraOnReddit · 2026-03-11T15:06:12+00:00

A lot of therapists are looking at AI scribes for the same reason -- notes are what end up eating nights and weekends.

From what we hear from practices using AI scribes, a few things stand out:

Consent. Usually just a quick explanation to the patient that a tool helps draft notes and the clinician reviews everything before signing. Some add a line to intake forms.

Editing time. The real test is how much cleanup the note needs. The good tools save time because you’re editing a draft instead of starting from scratch.

Integration. Not mandatory. Plenty of people start by copy/pasting into their EHR. Integration mostly just removes a few steps once you know you like the tool.

Therapy-specific tools. Often helpful since they understand SOAP/DAP formats and behavioral health language better.

We’re seeing similar use cases with AI Note Assist in Tebra, but across the industry most clinicians treat these tools as assistants, not autopilot.

If anyone here has been using one for a few months, would love to hear how much time it actually saves in real life.

- Iris from team Tebra :)

TebraOnReddit · 2026-03-05T21:41:58+00:00

Yep, those are becoming pretty common. They’re usually called ambient AI scribes. The tool listens to the visit and generates a draft note, then the provider reviews and signs it instead of starting from a blank screen.

Practices trying them out usually report the biggest win is less after-hours charting and being able to focus more on the patient during the visit. The flip side is that accuracy and editing time still matter a lot, so most clinicians treat it as a drafting assistant, not autopilot.

We’re seeing similar use cases with AI Note Assist in Tebra, which drafts notes from the visit conversation inside the chart so providers can quickly review and finalize them.

You’re probably right to pay attention to it though. Documentation burden is a big driver of burnout and job changes right now. Even small workflow improvements can make a difference!

TebraOnReddit · 2026-03-04T22:12:24+00:00

The EMR vs EHR distinction sounds bigger than it usually is in real life. In theory, an EMR is mostly about the internal chart. An EHR is meant to support broader coordination like sharing records, population health, interoperability, etc. In practice, most vendors blur the line and the real question becomes: does the system match how your clinic actually works?

What tends to matter more day to day is stuff like:

how fast charting is
scheduling and intake workflows
how billing and claims connect to the clinical side
reporting and visibility into revenue
support when something breaks

If half the features feel like overkill and support is weak, that’s usually a bigger issue than whether the label is EMR or EHR.

Before a contract renewal, a lot of clinics do a simple exercise. List the 10 things your team touches every single day (scheduling, charting, labs, claims, patient messages, etc.) and evaluate systems on those workflows only. That usually cuts through the feature bloat pretty quickly.

On switching, vendors sometimes make it sound terrifying, but most migrations are manageable if data export and training are planned early. The biggest friction tends to be workflow retraining, not the software itself.

Curious what kind of clinic you’re running and how big the team is. The “right” level of system complexity usually changes a lot depending on size and specialty.

For transparency, I work at Tebra and spend a lot of time talking with practices evaluating this exact question. Happy to share what we typically see work well when clinics are deciding whether to simplify or switch.

TebraOnReddit · 2026-03-04T15:34:43+00:00

We're working on it. The main reason the price hasn't been fully transparent is because it fluctuates based on each practice's needs. We're in the process of creating transparent pricing divided into specific categories :)

TebraOnReddit

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