Alter: macOS-native AI meeting assistant that records and transcribes calls locally with built-in Whisper and Parakeet models, no bots required. 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. Here's where each one pulls ahead on pricing, features, and the meetings it suits best.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Alter when freelancers and consultants privately capturing client calls without a visible bot 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.
macOS-native AI meeting assistant that records and transcribes calls locally with built-in Whisper and Parakeet models, no bots required.
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.
Alter is a native macOS application that records, transcribes, and analyzes meetings directly on the user's Mac without sending a bot into the call. Instead of joining a meeting as a visible participant, Alter captures audio from the system output and microphone, so it works across Zoom, Microsoft Teams, Google Meet, WhatsApp, FaceTime, Skype, Discord, and in-person conversations. Transcription runs through on-device models, with a choice of an optimized Parakeet model for major languages or Whisper for broader language coverage, and speaker identification is performed locally. Because processing happens on the device, recordings and transcripts stay on the Mac and the app can operate without an internet connection. Beyond raw transcripts, Alter generates summaries and action items, lets users chat with their meetings, and connects to tools such as Notion, Slack, Linear, Asana, and Jira. It targets solopreneurs, freelancers, consultants, and other professionals who want private, bot-free meeting capture on macOS. The product is actively developed and operating in 2025 and 2026. 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
Alter 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 | Alter | Tandem Health |
|---|---|---|
| Core capability | On-device transcription using built-in Whisper and Parakeet models | AI Scribe that transcribes consultations and auto-generates structured clinical notes |
| Standout feature | Bot-free capture of system audio and microphone across any meeting or call app | Real-time voice capture for in-person and virtual consultations |
| Team usage | Automatic speaker identification performed locally | One-click transfer of notes to electronic health record systems |
| Integrations | AI summaries, action items, and chat-with-your-meeting Q&A | Coding Assistant suggesting diagnosis and procedure codes from validated guidelines |
| Languages & capture | Integrations with Notion, Slack, Linear, Asana, Jira and other tools | Clinical Decision Support answering patient-specific questions with source citations |
| Best-fit workflow | Offline operation with recordings and transcripts stored locally | Multi-language note generation and integration with 100+ medical record systems |
Alter
Choose Alter if you need freelancers and consultants privately capturing client calls without a visible bot — strengths include local processing keeps recordings and transcripts on the user's own mac.
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.
Alter
Tandem Health
It depends on your workflow. Alter is strong for freelancers and consultants privately capturing client calls without a visible bot, while Tandem Health is strong for generating clinical notes automatically during doctor-patient consultations to reduce documentation time. Both transcribe and summarize meetings.
Alter 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.
Sure. Running both makes sense when their strengths don't overlap and the budget allows.
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