business resources
We Scored 8 Medical Staffing Services on 5 Criteria. Here Are the Results.
29 Jul 2026
Most staffing roundups are vibes. This one uses a scorecard. We rated eight services on five criteria that matter to independent practices, each scored 1 to 5 based on service model, stated processes, and fit for practice-level accounts: clinical vetting depth, speed to placement, small-practice fit, contract flexibility, and cost-to-value.
The result: Medical Staff Relief scored highest overall at 22 of 25, led by top marks in vetting and small-practice fit. Portiva followed at 21 of 25, with the best cost-to-value score on the board.
The scorecard
| Service | Vetting | Speed | Small-practice fit | Flexibility | Value | Total |
| Medical Staff Relief | 5 | 4 | 5 | 4 | 4 | 22 |
| Portiva | 4 | 4 | 4 | 4 | 5 | 21 |
| CompHealth | 5 | 3 | 3 | 3 | 3 | 17 |
| Aya Healthcare | 4 | 5 | 2 | 3 | 3 | 17 |
| Hello Rache | 3 | 4 | 4 | 4 | 4 | 19 |
| Nomad Health | 2 | 3 | 3 | 5 | 5 | 18 |
| Cross Country | 4 | 3 | 2 | 2 | 3 | 14 |
| Vivian Health | 1 | 3 | 3 | 5 | 5 | 17 |
What drove the scores
1. Medical Staff Relief (22/25)
The only service in this group with physician-founded vetting standards, which earned the lone 5 in that column alongside CompHealth. Being a Texas-based agency focused on practice-level accounts drove the perfect small-practice fit score. It lost points only on speed relative to platform-based services and on value, where agency pricing sits above marketplaces by design.
2. Portiva (21/25)
The value leader. Trained virtual medical assistants at rates well below local admin hires, with HIPAA training baked in. Vetting scored 4 rather than 5 because VA screening, while structured, is not clinical-grade and does not need to be for the roles it fills. Its ceiling is scope: administrative roles only.
3. Hello Rache (19/25)
Strong value and flexibility through flat-rate pricing. Scored below Portiva on vetting structure and account support.
4. Nomad Health (18/25)
Maximum flexibility and value, minimum vetting. The marketplace tradeoff in its purest form.
5. CompHealth (17/25)
Elite vetting for physicians, but scored low on small-practice fit and value because the model is premium locums for gaps only.
5. Aya Healthcare (17/25)
The fastest fills in the group, dragged down by facility-oriented economics.
5. Vivian Health (17/25)
A sourcing tool scored as one. Perfect flexibility and value, but vetting is entirely on you.
8. Cross Country Healthcare (14/25)
Competent across the board, standout at nothing, and process-heavy for small accounts.
How to use this
Scores compress nuance, so read the columns that match your situation rather than the totals. A practice hiring a nurse should weight vetting heavily, which points to Medical Staff Relief. A practice buried in admin work should weight value, which points to Portiva. A facility with a recruiting team can safely chase the flexibility scores at the bottom of the vetting column.
Methodology note: Scores reflect our editorial evaluation of each company's published service model and positioning for independent-practice accounts, not a statistical survey.
