HelloRache vs MEDVA
Updated October 16, 2026
Physicians who are buried in charting often look at HelloRache and MEDVA, two physician-founded firms that place remote medical assistants with American practices. The overlooked difference is scope: HelloRache is built around one assistant doing live charting at a posted hourly rate, while MEDVA sells many roles and a secured-office option for practices with strict record access rules. That split decides whether a practice is buying charting relief or a broader remote staff.
Our analysts compared HelloRache and MEDVA on published rates, charting help, security options, range of roles, and onboarding, using the HIR review of each firm and the rate posted on HelloRache's site. In the following sections, we compare the two firms in one table, describe the practice each suits best, and give a plain verdict.
HelloRache vs MEDVA at a glance, October 2026
| What buyers weigh | HelloRache | MEDVA |
|---|---|---|
| Published price | HelloRache lists about $9.50 per hour. | MEDVA quotes by role and security tier only. Confirm the current rate on a sales call. |
| Pricing model | A posted flat hourly rate for healthcare virtual assistants, with no contract and no setup fee. | A quoted flat rate by role and security tier (from standard remote to secured facility). MEDVA says there is no long-term commitment. |
| What drives cost | Hours, the mix of charting, reception, and admin work, and the specialty (medical, dental, veterinary, optometry). | Role (admin, bilingual, licensed MA, scribe), security tier, hours, and whether you need secured facility access for Epic. |
| Charting help | Charting is its main focus, built around after-hours documentation and the practice's EMR templates, and it scores 7.6 for charting and admin relief. Clear edge | Charting support is one of several roles, alongside phones, scheduling, and back-office work. |
| Security options | HIPAA-trained assistants, with no SOC 2 monitoring or secured-office tier in its marketing. | HIPAA training, SOC 2 monitored processes, and a secured-office tier for stricter access to records systems such as Epic. Clear edge |
| Range of work covered | Live charting, phones, referrals, and admin work, with tracks for medical, dental, veterinary, and optometry practices. | Admin, bilingual, licensed medical assistant, and scribe roles, and it scores 8.0 for covering the practice's work. Clear edge |
| Getting the practice live | Scores 7.6, with no contract and no setup fee marketed. | Scores 7.4, starting with a discovery call to set the role and security tier. |
| What you need first | A practice owner or office manager named to work with the assistant. | A named practice owner or office manager to work with the assistant. |
| Deal-breaker | You need an EHR or patient engagement product, not a person. | You need an EHR or patient engagement product, not a person. |
| Pricing clarity score | 7.8 Clearer pricing | 7.2 |
| HIR overall score | 7.5, Recommend. | 7.8, Recommend. Higher score |
| Best for | Clinicians who want a virtual assistant for live charting, reception, and admin work at a published low hourly rate. | Practices that want a large virtual assistant firm with HIPAA training and processes monitored under SOC 2, an outside security audit standard. |
| Not a fit for | Organizations that need a secured office approved for Epic access before they sign. | Practices that want to see an hourly rate on the website before a sales call. |
Which fits which buyer
The deciding question is whether charting or security is your biggest worry.
Choose HelloRache if
- Charting after hours is the main burden, and you want one assistant trained on your EMR templates.
- You want to see a flat hourly rate with no contract or setup fee before you talk to anyone.
- You run a medical, dental, veterinary, or optometry practice with simple access rules.
Choose MEDVA if
- Your security team requires SOC 2 monitored processes or a secured office for Epic access.
- You need several roles, such as bilingual front desk, licensed medical assistant, and scribe, from one firm.
- You are fine with a discovery call before you see a price.
Verdict
HelloRache is the better buy for a clinician who wants charting help at a known price. MEDVA is the better buy for a group with strict security rules or a need for many kinds of remote staff.
Neither works if nobody in the office will train the assistant and review the work.
Methodology
Each row comes from the HIR reviews of HelloRache and MEDVA, scored under the HIR method, and from each vendor's public pricing where it exists. Any published price for HelloRache or MEDVA was checked on that vendor's own site on October 16, 2026.
A green check marks a clear edge for HelloRache or MEDVA only where their review scores differ by at least 0.3 points or the two reviews show a plain difference. Rows with nothing published for either HelloRache or MEDVA are left out, and time to full value for each adds up the rollout stages in its review.
Sources
- HIR review of HelloRache and HIR review of MEDVA
- HelloRache pricing, checked October 16, 2026
- MEDVA website