# R1 Gateway vs ACEP

The clearest difference is rating: R1 Gateway at 5.0 against ACEP's 4.5. ACEP's advantage is update cadence (monthly vs every 4 months) and ratings volume (11 vs 1). On price, ads, in-app purchases and monetization model there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

R1 Gateway holds the better App Store score, 5.0 against 4.5. That said, the two scores are not equally well evidenced: ACEP has 11 ratings behind it against 1, so its average is the more settled of the two.

R1 Gateway ships an update every 4 months, ACEP monthly. Both last shipped on November 3, 2026.

## The numbers

| Metric | R1 Gateway | ACEP |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (1 ratings)](https://appshunter.io/ios/app/r1-gateway/id1592572018/reviews)** | [4.5 (11 ratings)](https://appshunter.io/ios/app/acep-mobile/id1623855450/reviews) |
| Number of ratings | 1 | **11** |
| Positive reviews | — | 0.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 4 months | **Monthly** |
| Monetization | Free | Free |
| Size | 29 MB | 48 MB |
| Requires iOS | 16.0 | **15.1** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 4+ | 17+ |
| Developer | [R1 RCM Inc.](https://appshunter.io/developer/1592572020) | [American College of Emergency Physicians](https://appshunter.io/developer/527186923) |

## What reviewers say

### R1 Gateway

[App page](https://appshunter.io/ios/app/r1-gateway/id1592572018)

Access practice performance dashboards, scheduling, payroll, and chart management tools 24/7. This app offers communication features for physician organizations to streamline operations and improve efficiency.

**Highlights:** Practice performance dashboards, 24/7 access, Scheduling tools, Payroll information, Chart management, Communication tools

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### ACEP

[App page](https://appshunter.io/ios/app/acep-mobile/id1623855450)

Access essential medical information and resources for patient care, all consolidated in one convenient location. This application provides the tools and knowledge needed by healthcare professionals, when they need it most.

**Highlights:** All-in-one medical information, Patient care resources, On-demand access, Essential tools for physicians

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is R1 Gateway free?

R1 Gateway is free to download, with no in-app purchases.

### Is ACEP free?

ACEP is free to download, with no in-app purchases.

### Which has better reviews, R1 Gateway or ACEP?

R1 Gateway is rated higher. R1 Gateway averages 5.0 out of 5 from 1 ratings, while ACEP averages 4.5 from 11 ratings.

### Do R1 Gateway or ACEP have ads?

Neither R1 Gateway nor ACEP shows ads.

### Which is updated more often, R1 Gateway or ACEP?

R1 Gateway ships an update every 4 months, and ACEP monthly. Most recently, R1 Gateway was updated on November 3, 2026 and ACEP on November 3, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*