An AlayaCare alternative for home infusion nursing agencies.
AlayaCare is a broad home-based care platform with an infusion offering for pharmacies and agencies. Paloma is built from the daily work of a home infusion nursing agency, publishes its price, and lets you start on your own. This page sets out who each is built for, how each is bought and what each covers, so you can decide which fits your agency.
What this page says about AlayaCare comes from alayacare.com as read on October 10, 2026. Sources
Which one to look at first.
Look at AlayaCare first if…
You are a specialty pharmacy coordinating a network of subcontracted nursing agencies, or a multi-state, multi-line organisation that needs payroll, electronic visit verification and a family portal alongside infusion. AlayaCare lists all of these.
Look at Paloma first if…
You are the nursing agency: you take infusion referrals from specialty pharmacies, send nurses, return documentation and invoice the pharmacy. You want to read the price, open a working demo without a sales call, and start on your own.
Paloma’s current commercial focus is home infusion and specialty pharmacy nursing. Paloma Cares is a broader healthcare operations platform, with Medicare-certified home health coming next and Paloma Talent providing workforce capabilities for eligible subscribers.
It is less about features than about which side of the referral you sit on.
Home infusion has two operators in every case: the pharmacy that dispenses the drug and the agency that sends the nurse. Software for this market has to choose whose day it is organised around.
AlayaCare describes its infusion product as “one platform to bring pharmacy and agency together”, built for “home infusion providers, specialty pharmacies, and the broader infusion industry”. It describes a workflow in which a pharmacy sends, receives and tracks referrals across its subcontractor network. That is a network view, and it suits an organisation large enough to run the network.
Paloma is run by the agency. The pharmacy’s order governs every visit, the nurse’s documentation returns to the pharmacy in the form that pharmacy requires, and the pharmacy’s invoice is built from reviewed visits. An agency that serves several pharmacies keeps each pharmacy’s requirements, bill-to details and contract rates on that pharmacy’s record.
Home infusion and specialty pharmacy nursing are Paloma’s current focus, where its workflows are built deeply around orders, nursing visits, pharmacy requirements, documentation, staffing and billing. Paloma is a broader operations platform for care delivered beyond the hospital, and it is expanding one service line at a time rather than launching every line at once: Medicare-certified home health is next.
The second difference is how you buy. One is bought through a demo, a proposal and a scoped implementation. The other publishes its price and lets you create your agency yourself.
AlayaCare and Paloma for a home infusion nursing agency.
The AlayaCare column quotes or summarises its own website on October 10, 2026. Confirm anything that matters to you with AlayaCare directly.
| AlayaCare | Paloma | |
|---|---|---|
| Built for | “Home infusion providers, specialty pharmacies, and the broader infusion industry”, alongside home care, private duty nursing and pediatrics. | Nursing agencies delivering care beyond the hospital. In daily use for home infusion nursing and healthcare staffing. |
| Price | Not published. “Custom pricing based on your organization’s size, care models, regions, and the modules you choose.” | Published. One price per agency, monthly or annual, with no per-user charges. Pricing → |
| Packaging | Solutions grouped into three tiers; a base subscription with additional modules and integrations. | No feature tiers. Every Clinical capability is included. |
| How you start | Book a demo and receive a custom quote. Implementation “is a scoped project that typically covers configuration, data migration, integrations, and training”. | Create your agency yourself: sign your agreements online, pay at checkout, then guided setup. A guided demo is available but not required. |
| Seeing it first | “Does not offer a generic free trial”; tailored demos and a demo library. | No free trial either. An open demo agency with synthetic data: no sign-up, no card. |
| Pharmacy side | A workflow for a pharmacy to send, receive and track referrals across its subcontractor network; “integrations across existing pharmacy management systems”. | A pharmacy portal gives each pharmacy partner role-based, read-only access to its own work with the agency: patients, referrals, reviewed nursing notes and invoices. |
| Agency–pharmacy work | Referrals, scheduling, documentation and billing “in one connected workflow”; configurable and therapy-specific forms. | Governing order per visit, per-pharmacy documentation requirements and contract rates, pharmacy invoices and statements from reviewed visits, corrections that preserve the original, factored statements. Pharmacy workflows → |
| Nurse in the field | “Mobile documentation, visit verification, care plans, and medication context.” | Today’s visits, a guided infusion note, notes returned for correction, credentials and pay on the nurse’s phone. Mobile tour → |
| Payroll | Listed as a solution. | Hours, wages and mileage calculated per pay period and exported today; a direct connection to your payroll provider can be built where the provider supports it. Paloma does not process payroll itself. |
| Electronic visit verification | Listed as a solution. | Paloma supports visit clock-in and clock-out today. State EVV submission is not yet a completed Paloma workflow. |
| Billing | Revenue cycle management listed as a solution. | Pharmacy invoices and statements from reviewed visits, payments, receivables and factoring; UB-04 claims. End-to-end electronic payer claim submission is not yet a completed Paloma workflow. |
| Integrations | Connector, API management and a marketplace listed as solutions. | Native workflows today; third-party API integrations built for customer-specific needs where the external system supports integration. |
| Finding nurses | “Fill staffing gaps faster and start services sooner with a connected referral network.” | Find Staff from the patient chart: your own eligible staff first, then Paloma Talent prospects near the patient. Paloma Talent → |
| Survey preparation | Audit, and data exploration and reporting, listed as solutions. | Survey Binder and Survey Simulator included, limited to authorized administrative roles. |
Where AlayaCare’s site is silent on something, this table is silent too; it does not mean AlayaCare lacks it.
Where AlayaCare is the stronger choice.
You are the pharmacy running the network
If you dispatch referrals across many subcontracted agencies, AlayaCare describes that network workflow. Paloma is run by the nursing agency, and gives each pharmacy partner a portal into its own work with that agency.
You run several lines of business
AlayaCare covers home care, private duty nursing and pediatrics beside infusion, across multiple states and branches. Paloma’s depth today is in infusion nursing and staffing, with Medicare-certified home health next.
You need payroll or state EVV today
AlayaCare lists both. Paloma exports each pay period and can connect to your payroll provider by integration. Paloma supports visit clock-in and clock-out today. State EVV submission is not yet a completed Paloma workflow.
You want a prebuilt integration marketplace
AlayaCare lists a connector, API management and a marketplace. Paloma builds third-party integrations for a customer’s specific needs rather than offering a marketplace.
You submit insurance claims electronically
AlayaCare lists revenue cycle management. In Paloma, billing is pharmacy invoices and UB-04 claims; end-to-end electronic payer claim submission is not yet a completed Paloma workflow.
You want implementation done for you
A scoped implementation project suits an organisation that wants configuration, migration and training delivered as a service.
Why a nursing agency chooses Paloma.
These describe Paloma. They are not claims about what AlayaCare cannot do.
The price is on the page
One price per agency, monthly or annual, with every Clinical capability included and no per-user charges. You know the cost before you talk to anyone.
You can see it without asking
The demo agency is a working Paloma with synthetic patients, pharmacies, orders, visits and invoices. Follow one order to its invoice on your own time.
You can start this week
Create your agency, sign a Business Associate Agreement and your order form online, pay at checkout, and go through guided setup: staff, pharmacies, patients, first visit.
Built around the pharmacy’s invoice
Only reviewed, signed visits become invoice lines, at the rates in your contract with that pharmacy. Paloma shows every completed visit that has not yet reached an invoice, and why.
Each pharmacy’s own requirements
Documentation requirements, bill-to details and contract rates sit on each pharmacy’s record, so several pharmacies do not mean several processes.
Built by a nurse who has run an agency
Paloma was built by a registered nurse and agency operator, around the records a surveyor, a pharmacy and a payer will ask to see.
The full picture for this care setting: Home infusion software →
Seven questions to put to both vendors.
Paloma’s answers are below each question. Ask AlayaCare the same ones.
- What will we pay in the first twelve months, including setup?Paloma: the price in the table below is what is charged at checkout, monthly or annual. Before you pay, Paloma shows exactly what is charged today, the period it covers and the next charge date.
- Does the price change when we add nurses or office staff?Paloma: no. There are no per-user charges.
- How long until our first real visit is documented in the system?Paloma: you can create your agency in one sitting; guided setup then takes you through staff, pharmacies, patients and the first visit at your pace.
- Can each of our pharmacies get its documentation back the way it requires?Paloma: per-pharmacy documentation requirements sit on the pharmacy’s record, and the reviewed note returns in the format that pharmacy requires.
- How is a pharmacy invoice produced, and what stops an unsigned visit from being billed?Paloma: invoice lines come only from reviewed, signed visits at your contract rates.
- What happens to our existing data?Paloma: You can move existing agency data into Paloma using bulk import and guided migration workflows. Paloma does not promise to reproduce every record from another system.
- What are we committing to, and how do we leave?Paloma: monthly ends by written notice at the end of the billing period; annual is twelve months paid in advance. The terms are on the pricing page.
What Paloma does not do today.
Paloma’s current billing workflows support its present operational and pharmacy-billing model. End-to-end electronic payer claim submission is not yet a completed Paloma workflow. Paloma does not process payroll itself: it calculates hours, wages and mileage for each pay period and exports them today, and can connect to your payroll provider by integration. Paloma supports visit clock-in and clock-out today. State EVV submission is not yet a completed Paloma workflow. Medicare-certified home health is the next major service line and is not available yet. Paloma supports its current native workflows and can build third-party API integrations for customer-specific operational needs where the external system supports integration.
Paloma’s price, published.
One price per agency, monthly or annual. No feature tiers and no per-user charges.
The complete Clinical product. Every Clinical capability included.
- Referral intake with AI document reading
- Orders and pharmacy workflows
- Scheduling
- Nurse charting and DON review
- Workforce readiness
- Billing and survey tools
$499 charged at checkout. Renews monthly.$4,990 charged at checkout. Renews annually.
Prefer help? Book a guided demo
Run the care and find the clinicians to deliver it. When a patient needs staffing, search from the patient chart: your own eligible staff first, then Paloma Talent prospects near the patient.
- Everything in Paloma Clinical
- Find Staff from the patient chart: your own eligible staff first, then Paloma Talent prospects near the patient
- Call, email or invite prospects straight from the staffing search; no patient-identifying details leave your agency
- No placement fee when you hire through Paloma Talent under this plan
$999 charged at checkout. Renews monthly.$9,990 charged at checkout. Renews annually.
Prefer help? Book a guided demo
Paloma Talent on its own has no monthly fee: a placement fee is earned only when a candidate we introduced accepts your offer. No hire, no fee. See Paloma Talent →
AlayaCare or Paloma: what agencies ask.
Is Paloma a replacement for AlayaCare?
For some agencies. Paloma is a fit for a nursing agency that takes infusion referrals from specialty pharmacies and invoices those pharmacies for visits. If payroll processing, state EVV submission or a pharmacy-run referral network are immediate requirements, AlayaCare currently publishes those capabilities.
How much does AlayaCare cost compared with Paloma?
AlayaCare does not publish prices. Its pricing page, read on October 10, 2026, says it uses custom pricing based on organisation size, care models, regions and modules, with a custom quote after a demo. Paloma publishes one price per agency, monthly or annual, on its pricing page.
Can I try either product before buying?
Neither offers a free trial. AlayaCare’s pricing page says it provides tailored demos instead. Paloma has an open demo agency with synthetic data that needs no sign-up and no card, and a guided demo if you want one.
Can we move our data from AlayaCare to Paloma?
You can move existing agency data into Paloma using bulk import and guided migration workflows. Paloma does not promise to reproduce every record from AlayaCare.
Is Paloma affiliated with AlayaCare?
Paloma is not affiliated with or endorsed by AlayaCare. Product names are used to help buyers evaluate software options.
Sources. Statements about AlayaCare are taken from its public pages alayacare.com/home-infusion-software and alayacare.com/pricing, read on October 10, 2026. Products change; if anything here is out of date, write to hello@palomacares.com and we will correct it.
Related: Home infusion software · Specialty pharmacy nursing software · Carecenta alternative · InMyTeam alternative · From referral to paid invoice · Pricing
Why agencies choose Paloma
The operational case, from the work between the records to the paid invoice, is on The Paloma advantage →
See your workflow in Paloma.
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