Blog

Jane App Alternatives: Which Ones Work Without Clinical Charting?

Jane is a clinical practice management system with charting and insurance billing. If you need SOAP notes, nothing here beats it. If your practice is wellness rather than clinical, the calculation changes.

Jane is the default for multi-disciplinary wellness clinics, and deservedly so. Charting, treatment plans, insurance billing, and a booking experience clinicians and patients both like — built by people who understand regulated practice. Mako is not a clinical records system and does not claim to be. It is the business layer underneath a service company. That distinction decides this comparison almost entirely, so it is worth being blunt about it up front rather than burying it.

Pricing

Jane App: Published, in Canadian dollars. Balance at C$54/month, Practice at C$79/month, and Thrive at C$99/month. Add-ons are priced separately — AI Scribe at about $15/month per opted-in practitioner, and Insurance Billing from about $20/month with per-practitioner increments on top. Note the currency: if you are budgeting in USD, convert before comparing.

Mako: Pulse is free. Basic at $139/month — the complete operational platform with three team members. Team at $249/monthfifteen team members, advanced reporting, QuickBooks sync. Enterprise at $999/month — unlimited members across three locations. Roughly 20% off annually, no contract.

Jane is cheaper, clearly, especially for a small clinic. That is the right read and we are not going to argue with it.

The Question That Actually Decides This

Do you need clinical charting?

If your practice requires SOAP notes, treatment plans, intake that feeds a clinical record, or insurance billing — physiotherapy, chiropractic, RMT in a regulated province, mental health — then Jane is built for that and Mako is not. Stop reading and pick Jane. We would rather tell you that than sell you something that will fail an audit.

If your practice is wellness rather than clinical — massage without insurance billing, acupuncture on a cash basis, coaching, bodywork, a studio with treatment rooms — then charting is not the constraint, and the question becomes what else the software does for the business.

Where Jane Wins

Charting and Clinical Records

Purpose-built charting with templates by discipline, treatment plans, and a record structure designed for regulated practice. Nothing in this comparison touches it.

Insurance Billing

Direct billing to insurers, claim submission and tracking. For practices where a meaningful share of revenue arrives through insurance, this is the whole ballgame.

Price and Reputation

Cheaper than Mako at every tier, and the practitioner community around Jane is unusually positive. That counts for something real.

Where Mako Wins

Business Financials

Jane reports revenue and appointments. Mako calculates profit per service after practitioner pay and consumables, cash-flow forecasting, and unit economics — so you know which treatments and which practitioners actually contribute margin, not just billings.

Commissions and Team Pay

If you pay practitioners on percentage splits that vary by service or seniority, tiered commission rules, tips, timesheets and payouts are native in Mako, using the pay rate that applied on the day of the appointment.

Retail and Inventory

Product sales, stock levels, low-stock alerts, and consumables linked to treatments — with margin visible. Relevant for any practice selling supplements, oils, or take-home products.

Retention Benchmarking

Pulse is free, imports from other platforms, and compares your client retention against market averages. You can run it alongside Jane without changing anything, which for a rebooking-driven practice is a cheap experiment.

The Decision

Pick Jane if:

  • You need clinical charting or SOAP notes — non-negotiable
  • You do insurance billing
  • You are a small clinic where the lower price genuinely matters
  • Your practitioners are regulated and your records have to stand up to scrutiny

Pick Mako if:

  • Your practice is wellness rather than clinical — no charting requirement
  • You pay a team on commission splits and payroll is taking hours
  • Retail and consumables are a real revenue line
  • You want profit per service, not billings per practitioner

Your practice is a business. Not a hobby, not a side project, not a calendar with a cash register. It deserves software that treats it accordingly. If your platform cannot tell you whether you are financially healthy, it is not doing its job. And in 2026, you have better options.

See Mako in action — no sales call required

Mako is built for independent practice owners who would rather spend their time on clients than on demo calls. Open the live demo, poke around, and see exactly how booking, payments, and financial intelligence come together in one place.

Try the demo: https://app.makocrm.so/demo

Self-serve. Instant access. No forms, no calendars, no "talk to sales."

Run the business, not the admin

Put the ideas into practice.

Mako brings bookings, customers, payments, your team, and real-time financials into one place.