1. What is MacPractice, as it describes itself?
“Medical and Dental Practice Management for the Mac.” That is the headline of MacPractice’s software page, and its home page describes it as practice management for the macOS environment, with information stored locally. A separate product, MP.Go, gives access to the practice’s information from a web browser.
The software page describes three packages, Essential, Plus and Premium, with up to 10, 15 and 20 individual user accounts respectively and more available on request. A patient portal is part of the Premium package, and prescriptions can be printed or sent through an e-prescribing integration. No prices are published; the site offers a demo.
For a practice that has run on Macs for years, with a local server it trusts and an IT arrangement that works, that is a coherent design. The question is whether it still fits the clinic you are running now.
2. Signs a clinic has outgrown a desktop system
Four come up again and again, and none of them is about the software being old for its own sake.
| The sign | Why it matters |
|---|---|
| Providers chart from home or a second site | Local data means remote access goes through a layer on top, rather than being the system itself |
| You are counting user accounts | A cap of 10, 15 or 20 users makes every new hire a licensing question |
| Visits have moved partly online | Telehealth is not mentioned on the MacPractice pages we read, so video lives in another tool |
| Notes take the evening | AI note drafting is not mentioned on those pages either |
Each of those can be solved with another product bolted alongside. The cost of that is not just the subscriptions; it is the second login, the second BAA and the copying between them.
3. MacPractice and Aminova compared
The core difference is architecture: a Mac application with local data against a cloud EMR you open in any browser or on a phone.
| MacPractice (as published, Oct 2026) | Aminova | |
|---|---|---|
| Where data lives | Stored locally; browser access through MP.Go | Cloud, encrypted, with a signed BAA |
| Devices | Built for macOS | Any modern browser, plus a patient app |
| User accounts | Up to 10 / 15 / 20 by package, more on request | Unlimited staff on every plan |
| Price | Not published | $199/mo with 1 prescribing provider and 1 AI scribe seat; +$99/mo per extra prescriber; $99/mo for the first 3 months for new clinics billed monthly |
| Patient portal | Included in Premium | Included, with an optional app under your own name |
| E-prescribing | Through an integration | From the chart, included with Prescribing |
| Telehealth | Not mentioned on the pages read | Built in |
| AI note drafting | Not mentioned on the pages read | AI scribe seat included; the provider reviews and signs |
| Specialties | Medical, chiropractic and dental | Cash-pay medical: hormone, longevity, weight loss, IV, med spa, functional |
“Not mentioned” means exactly that: the pages we read did not mention it. Ask MacPractice directly before you rule anything out. For how we keep data secure in the cloud, see our security page.
4. When MacPractice is still the right choice
If you run a dental or chiropractic practice, or a medical practice that wants its data on its own hardware, MacPractice may suit you better than we would.
Aminova does not do dental charting and is not built for chiropractic. And some practices genuinely prefer local storage: they have the IT support to back it up and keep it patched, and they value having the server in the building. That is a defensible choice, as long as the backups are tested.
The practices that tend to move are medical clinics, often cash-pay, whose providers work from more than one place and whose visits are partly online.
5. How to move from MacPractice
Ask for the export before you sign anything new, and ask in writing what format it comes in.
A local system can usually export patients, appointments and documents. Clinical notes may come out as documents rather than data, and the format matters more than the vendor: a CSV or spreadsheet export can be mapped field by field; a raw database backup has to be converted first. Our importer names a file it cannot read and tells you what to ask for instead, rather than filing it silently. The general sequence is in how to switch EHR without losing patient data, and the costs of leaving are in what it costs to leave your EHR.
On Aminova the data move is included in the $250 activation on the Prescribing plan, and the monthly plan starts the day you go live.
6. Frequently asked questions
Is MacPractice cloud-based?
MacPractice describes itself as practice management for the macOS environment with information stored locally, and offers MP.Go for access from a web browser, as of October 2026.
How many users does MacPractice allow?
Its software page lists up to 10 user accounts on Essential, 15 on Plus and 20 on Premium, with more available on request.
How much does MacPractice cost?
MacPractice does not publish prices on its website; it offers a demo. Aminova publishes $199/mo for Prescribing with one prescriber included and unlimited staff.
Does MacPractice have telehealth or an AI scribe?
Neither is mentioned on the MacPractice pages we read in October 2026. Ask them directly; absence from a page is not proof a feature does not exist.
What is a good MacPractice alternative for a cash-pay medical clinic?
A cloud EMR with unlimited staff, built-in telehealth and an AI scribe, priced in public. Aminova is one, built for hormone, longevity, weight-loss, IV and med spa clinics.