specification: FinOps Framework
specificationVersion: '1.0'
schema: https://www.finops.org/framework/
provider: Akute Health
providerId: akute
created: '2026-06-21'
modified: '2026-06-21'
reconciled: false
tags:
- Healthcare
- EHR
- EMR
- FHIR
- Digital Health
- Telehealth
- FinOps
- Cost Management
- FOCUS
description: >-
  FinOps view of Akute Health spend. Akute bills primarily per active patient
  per month against a monthly minimum, plus flat per-provider add-ons for
  additional prescribers and EPCS. REST API and webhook access are part of
  higher, sales-led (Enterprise) agreements rather than separately metered
  per-call charges. Exact API-tier pricing is negotiated and not public, so
  cost figures here are not reconciled.
notes: >-
  Per-patient rates and add-on fees are from the public pricing page and may
  change; API-access pricing is sales-led. Verify against an Akute quote during
  reconciliation.
sources:
- https://www.akutehealth.com/pricing
- https://developer.akutehealth.com/
- https://focus.finops.org/focus-specification/v1-3/
alignedWith:
  framework: FinOps Foundation Framework
  frameworkUrl: https://www.finops.org/framework/
  dataSpec: FOCUS
  dataSpecVersion: '1.3'
  dataSpecUrl: https://focus.finops.org/focus-specification/v1-3/
publisherName: Akute Health
serviceCategory: Healthcare
billingModel:
  pricingCategory: Subscription
  billingFrequency: Monthly
  billingCurrency: USD
  chargeCategories:
  - Usage
  - Purchase
focusColumns:
  ServiceName: Akute Health EHR
  ServiceCategory: Healthcare
  ProviderName: Akute Health
  PublisherName: Akute Health
  InvoiceIssuerName: Akute Health
  BillingCurrency: USD
  ChargeCategory: Usage
  PricingCategory: Subscription
meters:
- name: active_patients
  description: Active patients in the account, billed per patient per month against a monthly minimum.
  unit: patients
  aggregation: sum
  dimensions:
  - account
  - plan
- name: prescribers
  description: Additional prescriber seats billed at a flat monthly rate per provider.
  unit: providers
  aggregation: sum
  dimensions:
  - account
- name: epcs_providers
  description: EPCS (controlled-substance e-prescribing) providers billed at a flat monthly rate.
  unit: providers
  aggregation: sum
  dimensions:
  - account
- name: api_access
  description: REST API and webhook access bundled into the negotiated Enterprise agreement (not per-call metered publicly).
  unit: contract
  aggregation: sum
  dimensions:
  - account
principles:
- name: Visibility
  description: Track active-patient counts and provider seats against the monthly minimum to understand effective unit cost.
- name: Allocation
  description: Map active patients and provider seats to programs, clinics, or cost centers.
- name: Optimization
  description: Right-size the plan tier and minimum to actual active-patient volume; deactivate inactive patients; consolidate prescriber seats.
- name: Accountability
  description: Assign owners per clinic/program and review monthly active-patient spend and add-on seats against budget.
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com