I pay for a Quicken Deluxe subscription and use One Step Update and Password Vault. I type in one password, and in theory, it downloads all of my information for all of my accounts. I download and accept transactions every few days. I reconcile every so often (maybe once every few months on each account), either to the statement balance or to the online balance, whichever I feel like.
It's pretty seamless. There are some accounts that don't work in One Step Update very well and some that don't support Quicken at all (like the 529s).
I reconcile all accounts to the penny at the end of each year, which catches any small errors that might have crept in.
Works well enough for me to not mess with Mint or PC. I've heard more negative comments about Mint and PC than about Quicken. But I've also used Quicken for close to 30 years, so I'm probably set in my ways that way.