specification: FinOps Framework
specificationVersion: '1.0'
schema: https://www.finops.org/framework/
provider: TheraNest
providerId: theranest
created: '2026-07-10'
modified: '2026-07-10'
reconciled: false
tags:
- Behavioral Health
- Mental Health
- EHR
- Practice Management
- FinOps
- Cost Management
- FOCUS
description: >-
  FinOps view of TheraNest (Ensora Mental Health) spend. TheraNest is billed as
  a per-therapist SaaS subscription, not as a metered API. There is no API-usage
  meter, no request-based billing, and no developer plan - programmatic access,
  where it exists, is a negotiated partnership rather than a usage line item.
  The cost model is therefore seat-driven - per-therapist subscription plus
  per-additional-admin-user fees, an annual AMA CPT license fee, and optional
  add-ons such as telehealth on lower tiers. Spend scales with the number of
  clinicians and admin seats, not with API call volume.
notes: >-
  Prices are grounded from Ensora / directory listings as of July 2026 and can
  change; verify on the current pricing page. Because billing is per seat rather
  than per API call, FinOps optimization here is about seat and tier management,
  not throughput.
sources:
- https://ensorahealth.com/pricing/theranest-mental-health/
- https://theranest.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: Ensora Health
serviceCategory: Healthcare Practice Management and EHR
billingModel:
  pricingCategory: Subscription-Based
  billingFrequency: Monthly
  billingCurrency: USD
  chargeCategories:
  - Purchase
  - Adjustment
focusColumns:
  ServiceName: TheraNest (Ensora Mental Health)
  ServiceCategory: Healthcare Practice Management and EHR
  ProviderName: Ensora Health
  PublisherName: Ensora Health
  InvoiceIssuerName: Ensora Health
  BillingCurrency: USD
  ChargeCategory: Purchase
  PricingCategory: Subscription-Based
meters:
- name: therapist_seats
  description: Per-therapist subscription seats, the primary billing driver.
  unit: seats
  aggregation: sum
  dimensions:
  - account
  - plan
- name: admin_user_seats
  description: Additional admin-user seats billed on top of the per-therapist rate.
  unit: seats
  aggregation: sum
  dimensions:
  - account
  - plan
- name: ama_cpt_license
  description: Annual AMA CPT code license fee, charged per therapist each December.
  unit: seats
  aggregation: sum
  dimensions:
  - account
principles:
- name: Visibility
  description: Track active therapist and admin seats per plan tier; there is no API-usage meter to monitor because billing is per seat, not per request.
- name: Allocation
  description: Map therapist and admin seats to practices, teams, or cost centers so subscription spend is attributable.
- name: Optimization
  description: Right-size the plan tier to the features actually used, reclaim unused seats, and weigh Premier (telehealth included) against Essentials/Advanced plus telehealth add-on.
- name: Accountability
  description: Assign an owner for the subscription; review seat counts and the annual AMA CPT fee against practice headcount each billing cycle.
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com