Alter: macOS-native AI meeting assistant that records and transcribes calls locally with built-in Whisper and Parakeet models, no bots required. Twofold Health: An AI medical scribe that captures clinical conversations from in-person and telehealth sessions and generates formatted clinical notes. 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 Alter when freelancers and consultants privately capturing client calls without a visible bot matters most, and Twofold Health when telehealth providers capturing and documenting zoom, doxy, or google meet visits matters most. Run both through a week of actual calls to see which suits your workflow.
macOS-native AI meeting assistant that records and transcribes calls locally with built-in Whisper and Parakeet models, no bots required.
An AI medical scribe that captures clinical conversations from in-person and telehealth sessions and generates formatted clinical notes.
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
Twofold Health is an AI medical scribe for clinicians that listens to patient encounters and automatically drafts structured clinical documentation. It captures audio from in-person visits or telehealth sessions on Zoom, Doxy, Google Meet, and other video platforms, and also supports dictating a summary, uploading an existing recording, or uploading handwritten notes via OCR. From the captured audio it produces formatted notes in formats such as SOAP, DAP, BIRP, GIRP, intake, History and Physical, discharge summaries, progress notes, treatment plans, and referral letters. An in-app assistant can answer progress questions, suggest ICD/CPT codes, and generate homework ideas. It runs in any modern browser on macOS, Windows, or Linux, with native iOS and Android apps, and works with EHR systems including Epic, Cerner, Athena, and SimplePractice. Twofold is HIPAA compliant, provides a signed Business Associate Agreement, and states it does not use audio, transcripts, notes, or PHI to train AI models. It targets mental and behavioral health, primary care, psychiatry, and allied health providers.
Best suited for
Alter is a free tier with paid upgrades (freemium); Twofold Health is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Alter | Twofold Health |
|---|---|---|
| Core capability | On-device transcription using built-in Whisper and Parakeet models | Captures audio from in-person visits and telehealth platforms (Zoom, Doxy, Google Meet) |
| Standout feature | Bot-free capture of system audio and microphone across any meeting or call app | Generates formatted clinical notes (SOAP, DAP, BIRP, GIRP, intake, H&P, discharge, progress notes) |
| Team usage | Automatic speaker identification performed locally | Multiple capture modes: live session, dictated summary, audio upload, and handwritten-note OCR |
| Integrations | AI summaries, action items, and chat-with-your-meeting Q&A | In-app assistant for progress questions, ICD/CPT code suggestions, and homework ideas |
| Languages & capture | Integrations with Notion, Slack, Linear, Asana, Jira and other tools | Works across browser (macOS, Windows, Linux) plus native iOS and Android apps |
| Best-fit workflow | Offline operation with recordings and transcripts stored locally | EHR compatibility including Epic, Cerner, Athena, and SimplePractice |
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.
Twofold Health
Choose Twofold Health if you need mental and behavioral health clinicians automating session notes and treatment plans — strengths include hipaa compliant with a signed business associate agreement, and states it does not train ai models on phi.
Alter
Twofold Health
It depends on your workflow. Alter is strong for freelancers and consultants privately capturing client calls without a visible bot, while Twofold Health is strong for mental and behavioral health clinicians automating session notes and treatment plans. Both transcribe and summarize meetings.
Alter is a free tier with paid upgrades and Twofold Health is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
You can — some teams pair them when each covers a different part of the meeting workflow.
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