How to Switch from Accountable HQ to Medcurity (2026 Migration Guide)
If you run a multi-location practice or dental group on Accountable HQ and your renewal math is starting to hurt, you are not alone. In 2026 the most common reason buyers leave Accountable HQ is not a feature gap — it is per-location pricing that grows with every clinic, dental site, or satellite office. A 5-location practice paying roughly $199/month per site is at $11,940/year on Accountable HQ versus a flat $499/year on Medcurity — about $11,441 of yearly savings, repeated every renewal. Most teams complete the switch in two to three weeks.
Why people switch from Accountable HQ
Accountable HQ has a respectable dental-vertical track record and a usable platform. The reasons we hear from incoming Medcurity customers tend to cluster around four themes:
- Per-location pricing scales painfully. Tiered at roughly $99–$299/month per location, a 5-location group pays $5,940–$17,940/year before add-ons. Multi-clinic and dental DSOs feel this fastest.
- SRA workflow depth is shallower than healthcare-native vendors. Buyers comparing risk assessment depth side-by-side often want more structured, auditor-shaped output.
- Dental-vertical strength does not always translate. FQHCs, behavioral health groups, and mixed-vertical MSOs need a tool that flexes beyond a single specialty.
- Programmatic content cadence has stalled. Their public blog has held at roughly 1,031 pages for the past three weeks — a small signal, but one buyers watching vendor momentum notice.
None of this makes Accountable HQ a bad product. It does make the math hard for any practice with more than two locations. For a side-by-side feature comparison, see our Medcurity vs. Accountable HQ comparison.
What to export from Accountable HQ before you switch
Pull all of this out before you cancel — it is yours, but easier to retrieve while the account is active. Plan a half-day to download and label everything.
- Current risk assessment plus the last two cycles of completed SRAs
- All policies and procedures (download as PDF or DOCX)
- Training completion records for every employee, per location
- BAA inventory across every location and every vendor
- Incident response documentation and any reported events
- Multi-location compliance status snapshot (a clean PDF of dashboard state)
- Audit history — any external audit responses or attestation materials
The 3-week migration playbook
Week 1 — Data export and Medcurity kickoff. Export everything in the list above. Stand up your Medcurity onboarding kickoff call and, if you operate multiple sites, configure your Parent-Child multi-site SRA structure so each location maps cleanly. Identify your internal compliance lead per location and a single project owner. Expect roughly 4–6 hours of internal time this week.
Week 2 — Policy import, customization, per-location provisioning. Upload exported policies into Medcurity, customize templates to match your organization’s actual workflow, and provision users by location with the right role and access level. Run a dry-run SRA on one location to confirm the workflow before scaling to all sites. About 6–8 internal hours.
Week 3 — Training, go-live, account closure. Re-enroll employees into Medcurity HIPAA training (typically 1–2 hours per employee, including a short knowledge import for staff already trained in the current cycle). Confirm Parent-Child SRA roll-up reporting. Send go-live communication to all locations. Then close the Accountable HQ account in writing — billing stops on the close date.
What is different about Medcurity
Three things matter most to teams leaving Accountable HQ:
- Flat, predictable pricing. $499/year for the SRA and $450/year for Training (or $949/year for both), regardless of how many locations or employees. No per-location ramp.
- Parent-Child multi-site SRA built for multi-location orgs. Designed for FQHCs, multi-clinic groups, and dental DSOs that need a roll-up across sites without re-keying data.
- Built by HIPAA auditors. The SRA structure reflects what auditors actually look for, with healthcare-native depth rather than horizontal-GRC breadth.
Accountable HQ still makes sense for single-location dental practices that prize their library and are comfortable with the per-site rate. For multi-location healthcare orgs, the flat-rate model is the bigger lever.
The per-location pricing math
Per-location pricing compounds fast. Run the math against your own location count and renewal-cycle horizon — the savings are not a one-time event, they repeat every year.
| Locations | Accountable HQ (~$199/mo avg per site) | Medcurity (flat $499/yr) | Yearly savings |
|---|---|---|---|
| 1 | $2,388 | $499 | $1,889 |
| 3 | $7,164 | $499 | $6,665 |
| 5 | $11,940 | $499 | $11,441 |
| 10 | $23,880 | $499 | $23,381 |
Frequently asked questions about switching
How long does an Accountable HQ to Medcurity migration take?
Two to three weeks is typical for a single or small multi-location practice. Larger DSOs with 10 or more sites and a heavy policy inventory may run closer to four weeks. The bottleneck is almost always internal review time, not the platform.
Do I have to re-do my employee HIPAA training when I switch?
You import completion records as proof of prior training and move employees onto Medcurity training going forward. Most staff need one to two hours to re-enroll and complete a short refresher; you do not redo the full course from scratch.
Will Medcurity work for a multi-location dental practice or DSO?
Yes. Medcurity’s Parent-Child multi-site SRA was built for multi-location organizations including dental DSOs, FQHCs, and multi-clinic groups. Each location keeps its own assessment with roll-up reporting at the parent level.
What does the migration cost?
There is no migration fee. Onboarding and policy import are included in the first-year subscription. The only cost is internal time — figure on 15 to 25 hours of compliance-lead time across the 2 to 3 weeks.
How quickly will I see the cost savings?
From month one. Accountable HQ billing terminates when you close the account; Medcurity flat-rate billing begins on go-live. For a 5-location practice, that is roughly $950 per month back in the operating budget starting on day one of the new contract.
Ready to switch?
If you’ve run the per-location math and the gap is what you suspected, we can scope a migration in a short conversation. Explore Medcurity solutions and tell us how many locations you operate today — we will map your 3-week migration plan from there.