Aiko: On-device AI transcription app for Mac, iOS, and visionOS that converts lecture and meeting audio to text privately. Tandem Health: Tandem Health is an AI medical scribe that listens to clinician-patient consultations and automatically generates structured clinical notes for review and one-click transfer to medical record systems. We compare them on cost, capture approach, and day-to-day fit so you can choose faster.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Aiko when transcribing recorded lectures into searchable text for studying matters most, and Tandem Health when assisting clinicians with diagnosis and procedure coding suggestions matters most. Trial each on a few real meetings before you commit — the better fit usually shows fast.
On-device AI transcription app for Mac, iOS, and visionOS that converts lecture and meeting audio to text privately.
Tandem Health is an AI medical scribe that listens to clinician-patient consultations and automatically generates structured clinical notes for review and one-click transfer to medical record systems.
Aiko is a native transcription app for macOS, iOS, and visionOS, developed by Sindre Sorhus, that converts speech to text from meetings, lectures, and recordings entirely on-device. It uses OpenAI's Whisper model running locally, so audio never leaves the user's device, which makes it appealing for students and professionals with privacy requirements. Aiko transcribes both audio and video files in common formats such as .m4a, .wav, .mp3, .mp4, and .mov, and supports around 100 languages. Transcriptions can be exported in multiple formats, including JSON, CSV, and SRT subtitles, and the app includes a word-replacement feature to automatically correct recurring errors. It also integrates with Apple Shortcuts for automation workflows. Because Aiko prioritizes accuracy over speed, it does not perform live transcription while recording and currently does not include speaker detection, so it is best for transcribing recorded lectures, interviews, and meetings after the fact. The app is offered as a Universal Purchase with a free trial via TestFlight, making it a low-cost, privacy-first option for turning lecture and meeting recordings into searchable text. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Tandem Health, founded in 2023 and based in Stockholm, builds an AI medical assistant for healthcare professionals. Its AI Scribe captures patient consultations by listening to the conversation in real time and transcribes the audio, then generates a structured clinical note ready for the clinician to review and send to their electronic health record in one click. The platform supports in-person visits and virtual consultations, and produces notes in the clinician's chosen language. Alongside the scribe, Tandem offers a Coding Assistant that suggests diagnosis and procedure codes from validated guidelines, and Clinical Decision Support that answers patient-specific clinical questions with source citations. The product integrates with more than 100 medical record systems across Europe. It is CE marked under EU MDR as Class IIa medical devices and holds ISO 13485 and ISO 27001 certifications, with GDPR compliance and a stated policy of not storing conversation audio after transcription. It is used by clinicians across general practice, mental health, veterinary, and other care settings throughout Europe.
Best suited for
Aiko is a free tier with paid upgrades (freemium); Tandem Health is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Aiko | Tandem Health |
|---|---|---|
| Core capability | Fully on-device transcription powered by a local Whisper model | AI Scribe that transcribes consultations and auto-generates structured clinical notes |
| Standout feature | Support for roughly 100 languages | Real-time voice capture for in-person and virtual consultations |
| Team usage | Transcription of audio and video files in formats like m4a, wav, mp3, mp4, and mov | One-click transfer of notes to electronic health record systems |
| Integrations | Export to multiple formats including JSON, CSV, and SRT subtitles | Coding Assistant suggesting diagnosis and procedure codes from validated guidelines |
| Languages & capture | Word-replacement feature to auto-correct common errors | Clinical Decision Support answering patient-specific questions with source citations |
| Best-fit workflow | Apple Shortcuts integration and Universal Purchase across Mac, iOS, and visionOS | Multi-language note generation and integration with 100+ medical record systems |
Aiko
Choose Aiko if you need transcribing recorded lectures into searchable text for studying — strengths include strong privacy because nothing leaves the device.
Tandem Health
Choose Tandem Health if you need generating clinical notes automatically during doctor-patient consultations to reduce documentation time — strengths include purpose-built for clinical documentation with deep ehr integration across europe.
Aiko
Tandem Health
It depends on your workflow. Aiko is strong for transcribing recorded lectures into searchable text for studying, while Tandem Health is strong for generating clinical notes automatically during doctor-patient consultations to reduce documentation time. Both transcribe and summarize meetings.
Aiko is a free tier with paid upgrades and Tandem Health is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
Yes. Many teams run more than one meeting assistant when the workflows are complementary.
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