Head to head
For outpatient PT and orthopedic clinics evaluating RTM platforms

Orva vs. Sara Health for RTM

Sara has built real visibility in the rehabilitation market, and its no-app, SMS-first model will appeal to clinics that want lower initial patient friction. Orva is built for clinics that want a deeper patient experience and a more complete RTM operating system behind it.

The decision is not just about outreach

  • What kind of between-visit experience your patients actually engage with
  • How clearly staff can see qualification, missing activity, and month-end next steps
  • Whether the workflow stays coherent as patient volume grows

The short version

If you want the lightest possible starting point, Sara is easy to understand. If you want structured recovery, stronger operational visibility, and cleaner RTM workflow inside one system, Orva is the stronger fit.


Two valid approaches, with different ceilings

Sara’s strength is obvious. Patients receive personalized SMS check-ins, there is no app installation requirement, and the model can feel simple at first glance. For some clinics, that lower-friction starting point is a real advantage.

Orva takes a different position. It is built around a fuller recovery environment, where exercises, progress visibility, patient-reported outcomes, qualification tracking, and RTM workflow all live in the same operating layer. That matters because between-visit care is not just a communication problem. It is also a clinical follow-through problem and a month-end workflow problem.

The better fit depends on whether your clinic wants a lighter-touch outreach layer or a more complete system for engagement and RTM operations.


The architecture question matters more than the headline

Sara describes simplified workflow through integrations with browser-based EMR systems. Arrowhealth’s own case study is more precise. It describes ArrowBridge as working alongside EHR workflows rather than through traditional point-to-point integrations.

That does not make the model wrong. It does make the tradeoff clearer. A browser-based compatibility layer may help deployment, but it also introduces another vendor, another software layer, more browser dependence, and a broader support surface for IT and operations to evaluate.

Orva’s case is simpler. The platform is designed to keep patient engagement, qualification tracking, and billing-ready workflow in one system, so staff do not have to reconcile the same episode across separate operational layers at month-end.


Why clinics choose Orva

The strongest argument for Orva is not a slogan. It is operational specificity. Orva supports the full six-code musculoskeletal RTM workflow in one system, is built around clearer month-end closeout, and ties patient-reported outcomes directly into the same engagement and billing workflow.

90%+

of enrolled patients remain active enough to qualify for reimbursement

A stronger operational result than the engagement levels many clinics report before switching from legacy HEP and RTM tools.

$393

average reimbursement per patient over a 90-day plan of care

A practical proof point that engagement, qualification tracking, and billing workflow are working together.

3x

more completed PROs with less staff effort

Patients complete PROs in the same app where they do exercises, not in a separate portal or side workflow.


Comparison

Side by side

OrvaRTM-native
Sara Health
Patient experience
Structured recovery experience with exercises, PROs, and visible progress in one place
SMS-first engagement model designed around check-ins and responses without an app installation step
Initial onboarding friction
More complete recovery environment that asks patients to engage inside a dedicated experience
Lower-friction start for clinics and patients that prefer a lighter-touch, no-app model
Integration model
Single operating layer for engagement, qualification tracking, and billing-ready workflow
Browser-based compatibility layer via ArrowBridge working alongside EHR workflows rather than a native point-to-point EMR integration
RTM workflow visibility
Support for 98975, 98985, 98977, 98979, 98980, and 98981 in one workflow, with clearer month-end closeout
Billing support is part of the model, but clinics should ask to see how qualification appears in real time and how closeout actually works for staff
Operational dependencies
Patient engagement, PRO completion, qualification tracking, and billing workflow remain in the same system
Depends on Sara plus ArrowBridge for in-EHR compatibility, adding another operational layer for teams to evaluate and support
Best fit
Clinics that want deeper between-visit engagement, stronger staff visibility, and a more complete RTM operating layer
Clinics that prioritize lower initial friction and are comfortable with an SMS-first model plus a browser-based compatibility approach
Patient Experience
OrvaStructured recovery experience with exercises, PROs, and visible progress in one place
SaraSMS-first engagement model designed around check-ins and responses without an app installation step
Initial Onboarding Friction
OrvaMore complete recovery environment that asks patients to engage inside a dedicated experience
SaraLower-friction start for clinics and patients that prefer a lighter-touch, no-app model
Integration Model
OrvaSingle operating layer for engagement, qualification tracking, and billing-ready workflow
SaraBrowser-based compatibility layer via ArrowBridge working alongside EHR workflows rather than a native point-to-point EMR integration
RTM Workflow Visibility
OrvaSupport for 98975, 98985, 98977, 98979, 98980, and 98981 in one workflow, with clearer month-end closeout
SaraBilling support is part of the model, but clinics should ask to see how qualification appears in real time and how closeout actually works for staff
Operational Dependencies
OrvaPatient engagement, PRO completion, qualification tracking, and billing workflow remain in the same system
SaraDepends on Sara plus ArrowBridge for in-EHR compatibility, adding another operational layer for teams to evaluate and support
Best Fit
OrvaClinics that want deeper between-visit engagement, stronger staff visibility, and a more complete RTM operating layer
SaraClinics that prioritize lower initial friction and are comfortable with an SMS-first model plus a browser-based compatibility approach

Who each platform is actually for

Who should consider Sara

Sara is worth considering if your clinic values lower initial patient friction above all else and prefers a lighter-touch, SMS-first model. That is a legitimate preference, especially for teams that want the simplest possible onboarding story.

Who should choose Orva

Orva is the better fit for clinics that want between-visit care to feel like an actual extension of treatment, with a stronger patient experience and clearer staff visibility into qualification, documentation, and month-end RTM workflow.


Questions sophisticated buyers should ask

If you are evaluating Sara, ask to see the full patient experience over a real episode of care, not just the first touchpoint. Ask how the browser-based workflow works in practice, who owns support when something breaks, and how staff know what qualifies before the month closes.

If you are evaluating Orva, ask for the same level of proof. Ask to see the patient experience, the six-code RTM workflow live, how PRO completion feeds into the broader operating model, and what the month-end closeout process actually looks like for staff.

The right choice is not the platform that sounds simplest in a headline. It is the one that remains clear, credible, and operational once your clinic is using it at scale.


FAQ

Common questions

Is Sara Health better if we want no app download?

It can be. Sara’s clearest advantage is lower initial patient friction. Clinics that want the lightest starting point may find that appealing.

How is Orva different from an SMS-first RTM tool?

Orva is built as a fuller recovery and RTM operating system, not just a communication layer. Exercises, PROs, qualification tracking, and billing workflow live in one place.

What should we ask about Sara’s integration model?

Ask how the ArrowBridge workflow works in practice, what depends on the browser environment, who owns support, and how staff handle exceptions or downtime.

What makes Orva stronger operationally?

Support for the six-code RTM workflow, clearer month-end closeout, and patient-reported outcomes completed inside the same app where patients do their exercises.


See Orva in action

We will show you exactly how Orva works in practice, including the patient experience, PRO completion flow, live qualification tracking, and how the month-end RTM workflow stays clear inside one system.