Compare medical VA providers
Best MEDVA Alternatives in 2026
The closest MEDVA alternatives are Hello Rache ($9.50/hour flat, Philippines), MedicalVirtual ($8-$12/hour, Latin America, signed BAA) and Virtual Latinos (from $1.6K/month, Latin America). LatinoPro, LatHire and Wing Assistant suit bilingual, self-managed or fully managed hiring. RemoteNurse is a training site and job board, not an agency.
Why do clinics look beyond MEDVA?
MEDVA is a large medical VA staffing firm. It says it has more than 2,400 active assistants, recruits in the Philippines and Latin America, endorses only the top 10% of trainees after competency assessments, and offers a secured-facility option for EMR access.
The pages we read did not publish a price, so you need a sales call to compare cost. Clinics also look elsewhere when they want a flat published rate, a bilingual assistant on US hours, no long-term contract, or to hire and manage someone themselves. Each option below fits one of those needs.
TL;DR: MEDVA alternatives compared
| Provider | Best for | Starting price | Hiring regions | Key difference |
|---|---|---|---|---|
| RemoteNurse | Clinics that want to post a role and hire directly, and candidates training for medical VA work | Lessons and scored practice cases are free; the free plan needs no card | Training is online; each posting on the board states who it accepts | We train candidates and list roles. We do not place, employ, pay or manage assistants. |
| Virtual Latinos | Practices that want a bilingual Latin American assistant and will train them in-house | $1.6K/month (published starting price; varies by role and experience) | Mostly Latin America | Published monthly price bands; you train and direct the assistant yourself. |
| LatinoPro | Practices that want an English-Spanish assistant quickly | Not published | Latin America | Says it endorses assistants within 1 to 2 business days of the discovery call. |
| LatHire | Practices that want to browse profiles and hire directly | Not one starting price; sample profiles show monthly rates (a medical assistant profile showed $1,900/month) | Latin America | A marketplace you browse yourself, with HR, payroll and compliance handled for you. |
| Hello Rache | Practices that want a flat hourly rate and no long-term contract | $9.50/hour flat rate (published) | Philippines | A published flat rate, weekly billing and cancel anytime. |
| MedicalVirtual | Practices that want a bilingual assistant on US hours with a signed BAA | $8-$12/hour for all staffing roles (published, as of Oct 2026) | Latin America | Says it signs a BAA and only shortlists people who have worked for US practices. |
| Wing Assistant | Practices that want the provider to supervise the assistant | Not shown in the page text we read | Not stated on the pricing page we read | A managed model: the provider oversees delivery and covers absences. |
1. RemoteNurse: Training and job board (not a staffing agency)
Strengths
- Every lesson and scored practice case is free, so candidates can show what they practised before you interview them.
- Employers can submit a remote healthcare-support role to the job board. Every listing is checked before it goes live.
- Role guides and a pay calculator help you scope the desk before you hire.
Limits
- We are not an agency. We do not vet, place, employ or replace assistants, run payroll, or sign a Business Associate Agreement (BAA) with your practice.
- Hiring stays with you: interviews, contracts, HIPAA onboarding and access control are your job.
- If you want someone else to recruit, employ and manage the assistant, an agency below fits better.
Who it’s for: Practices with an office manager who can interview, onboard and supervise a remote hire themselves.
Hiring yourself? Post a remote role, scope the desk with the role guides, or read how medical VAs train.
2. Virtual Latinos: Recruitment and payroll for Latin American remote staff
Strengths
- Publishes price bands: Starter $1.6K to $2.9K, Professional $1.7K to $3.4K, Advanced $2.1K to $4.4K a month.
- Says its pricing has no recruitment, access or setup fees, and that it handles sourcing, recruitment, payroll and retention.
- Offers English, Spanish or Portuguese speakers, and presents 3 to 4 candidates to interview.
- Replaces an assistant who is not the right match at no extra cost, with conditions.
Limits
- Not healthcare-only: the pricing page covers remote roles in general.
- Its FAQ says the assistant goes through your training and onboarding, as a regular employee would.
- We found no HIPAA or BAA statement on the pricing page we read.
Who it’s for: Clinics with Spanish-speaking patients and an existing training process.
3. LatinoPro: Bilingual virtual assistant staffing
Strengths
- Says it specialises in placing bilingual Latin American professionals into US healthcare practices.
- Lists healthcare support such as patient scheduling, medical billing, insurance verification and EMR management.
- Says it endorses assistants within 1 to 2 business days of an initial discovery call.
Limits
- No price on the home page; you book a call for one.
- Also serves legal and real estate, so it is not healthcare-only.
- We found no BAA statement on the home page we read.
Who it’s for: Clinics that need bilingual front-desk cover soon and are happy to get a quote on a call.
4. LatHire: Talent marketplace with HR and payroll
Strengths
- No upfront fee to browse; you pay only if you hire.
- Says it handles HR, international payroll and legal compliance at no additional cost.
- Offers health insurance through a partner for an extra $106/month per hire.
- Says it aims to deliver a custom shortlist within one to two days of a consultation.
Limits
- A general marketplace across tech, sales and admin; healthcare is one category among many.
- You manage the hire directly, so training and supervision are yours.
- We found no HIPAA or BAA statement on the home page we read.
Who it’s for: Practices comfortable choosing from profiles and managing the assistant themselves.
5. Hello Rache: Healthcare virtual assistant staffing
Strengths
- Publishes a flat rate of $9.50 an hour, with no long-term contracts and no setup fees.
- Says you work with licensed nurses and healthcare professionals in the Philippines, trained and vetted, and certified in HIPAA training.
- Same assistant every day, weekly billing, and you pick who to work with.
- Founded in 2017 by a family physician, Dr. Mark Carnett, D.O.
Limits
- Philippines-based, so a US day shift is overnight for the assistant.
- We found no BAA statement on the home page we read; ask for one.
Who it’s for: Practices that want predictable hourly cost for scribing, scheduling and back-office work.
6. MedicalVirtual: Healthcare virtual assistant staffing
Strengths
- Its pricing page lists staffing at $8-$12 an hour across all roles, part-time or full-time (as of Oct 2026).
- Says the hourly rate covers the assistant, in-country contract, payroll and compliance, with no separate recruitment or placement fee.
- Says assistants complete HIPAA training before they start, and that it executes a Business Associate Agreement with your practice before patient-data access.
- Says it only shortlists candidates who have already worked for US medical practices or billing companies.
- Is plain that HIPAA compliance depends on your practice's own safeguards, not on one trained person.
Limits
- Direct Hire and Build a Team are quote-only; its pricing page says there is no long-term contract for staffing.
- Its own page says matching time depends on the role; billing and prior authorization take longer to match.
Who it’s for: Clinics that want US-experienced, bilingual staff and written HIPAA paperwork from day one.
7. Wing Assistant: Managed virtual assistant service
Strengths
- No long-term contract, and says assistants go live in 48 hours.
- Says it is SOC 2 certified and has HIPAA safeguards for healthcare work.
- Offers 80- and 160-hour monthly plans with a dedicated assistant, free replacement and a customer success manager.
Limits
- A general VA service; healthcare is one of several roles.
- Its own page says it is not a fit if you are mainly looking for the lowest-cost option.
- Plan prices did not appear in the page text we read; ask for a quote.
Who it’s for: Practices without time to manage a remote hire day to day.
How we evaluated
On 2026-10-22 we opened each provider’s own home, pricing or careers page and restated only what it said: published prices, hiring regions, contract terms and HIPAA statements. We did not use third-party reviews, ratings or estimates, and we did not hire through any of them. Where a page did not say something, the table says so. RemoteNurse is our own product, so we list it first and spell out where an agency is the better fit. Prices and terms change; confirm them on a written quote.
Which MEDVA alternative should you choose?
- You want a published hourly rate: Hello Rache ($9.50/hour flat) or MedicalVirtual ($8-$12/hour, as of Oct 2026).
- You need English-Spanish cover on US hours: MedicalVirtual, LatinoPro or Virtual Latinos.
- You want HIPAA paperwork in writing from day one: ask every provider for a BAA; MedicalVirtual says it signs one.
- You want someone else to supervise the assistant: Wing Assistant’s managed model, or stay with MEDVA.
- You want to browse profiles and hire directly: LatHire, or post the role on RemoteNurse.
- You want to train someone yourself: RemoteNurse’s free medical VA path.
Still deciding on the region? Read Philippines vs Latin America for a clinic’s medical VA.
MEDVA alternatives: buying questions
How much does a MEDVA alternative cost?
Only some providers publish prices. On October 22, 2026, Hello Rache listed a flat $9.50 an hour and Virtual Latinos listed monthly bands starting at $1.6K. On October 27, 2026, MedicalVirtual listed staffing at $8-$12 an hour for all roles. MEDVA, LatinoPro and Wing Assistant did not show a price in the page text we read, so ask each for a written quote.
Are these medical virtual assistants HIPAA compliant?
HIPAA compliance depends on your practice's safeguards, not only on the assistant. Before an assistant sees patient data, ask the provider for a signed Business Associate Agreement and written security procedures. MedicalVirtual says it signs a BAA, MEDVA says its assistants work in SOC 2 monitored systems, Wing Assistant says it is SOC 2 certified, and Hello Rache says its assistants complete HIPAA training.
Philippines or Latin America: which region should I hire from?
Latin American assistants share or sit close to US time zones, and many speak Spanish. Philippines-based assistants can cover US hours on an agreed schedule, which is overnight for them. MEDVA recruits in both regions, Hello Rache in the Philippines, and Virtual Latinos, LatinoPro, LatHire and MedicalVirtual in Latin America.
Do I have to sign a long-term contract?
Not always. Hello Rache says it has no long-term contracts and bills weekly, and Wing Assistant says it has no long-term contract. LatHire charges nothing until you hire. Contract terms for the others were not on the pages we read, so ask before you sign.
Is RemoteNurse a staffing agency like MEDVA?
No. RemoteNurse is a training site and job board. You can post a role and hire directly, but we do not place, employ, pay or manage assistants. If you want someone else to recruit and manage the hire, use an agency.
Is RemoteNurse the same as Remote Nurse Connection?
No. RemoteNurse at remotenurse.org is a separate company from Remote Nurse Connection.
Sources
Every provider fact on this page comes from these pages. Last checked 2026-10-22.
- MEDVA homeOpen the source
- MEDVA CareersOpen the source
- MEDVA home: HIPAA Training & SecurityOpen the source
- RemoteNurse: post a remote roleOpen the source
- RemoteNurse: pricingOpen the source
- Virtual Latinos: PricingOpen the source
- Virtual Latinos: Pricing, Performance guaranteedOpen the source
- LatinoPro homeOpen the source
- LatHire homeOpen the source
- Hello Rache homeOpen the source
- Hello Rache home: licensed nurses and healthcare professionalsOpen the source
- MedicalVirtual homeOpen the source
- MedicalVirtual pricing (checked Oct 27, 2026)Open the source
- MedicalVirtual home FAQ: Business Associate AgreementOpen the source
- Wing Assistant: PricingOpen the source