BetterDictation: A macOS speech-to-text app that uses on-device Whisper to turn spoken words into typed text in any application. Twofold Health: An AI medical scribe that captures clinical conversations from in-person and telehealth sessions and generates formatted clinical notes. Which one wins depends on your platform mix, budget, and how hands-off you want notes to be.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist BetterDictation when dictating emails, documents, and notes hands-free across mac apps 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.
A macOS speech-to-text app that uses on-device Whisper to turn spoken words into typed text in any application.
An AI medical scribe that captures clinical conversations from in-person and telehealth sessions and generates formatted clinical notes.
BetterDictation is a system-wide dictation tool for macOS that converts speech into typed text inside any application. Users trigger it with a keyboard shortcut (Option+Space) and can choose push-to-talk or toggle-to-talk modes; the transcribed text is then inserted directly where the cursor sits. It runs OpenAI's Whisper model locally on Apple's Neural Engine, so basic transcription works fully offline and, per the vendor, no audio recordings or transcripts are stored. It supports 100+ languages and applies automatic punctuation. The app requires Apple Silicon (M1 or newer); Intel Macs are not supported. An optional Pro add-on adds stammer correction, automatic formatting, and post-processing of dictations. It is aimed at people who write or capture text frequently, such as founders, engineers, and writers, who want to dictate emails, documents, notes, and messages rather than type them. Because it works across all apps, it can be used to capture spoken notes alongside meetings, though it is a general dictation utility rather than a dedicated meeting-recording assistant.
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
BetterDictation is a free tier with paid upgrades (paid); Twofold Health is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | BetterDictation | Twofold Health |
|---|---|---|
| Core capability | System-wide dictation that inserts text into any macOS application | Captures audio from in-person visits and telehealth platforms (Zoom, Doxy, Google Meet) |
| Standout feature | On-device transcription using OpenAI's Whisper on Apple's Neural Engine | Generates formatted clinical notes (SOAP, DAP, BIRP, GIRP, intake, H&P, discharge, progress notes) |
| Team usage | Offline operation for basic dictation with no cloud round-trips | Multiple capture modes: live session, dictated summary, audio upload, and handwritten-note OCR |
| Integrations | Support for 100+ languages with automatic punctuation | In-app assistant for progress questions, ICD/CPT code suggestions, and homework ideas |
| Languages & capture | Push-to-talk and toggle-to-talk recording modes | Works across browser (macOS, Windows, Linux) plus native iOS and Android apps |
| Best-fit workflow | Optional Pro post-processing: stammer correction and automatic formatting | EHR compatibility including Epic, Cerner, Athena, and SimplePractice |
BetterDictation
Choose BetterDictation if you need dictating emails, documents, and notes hands-free across mac apps — strengths include runs locally on-device for privacy; vendor states no audio or transcripts are stored.
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.
BetterDictation
Twofold Health
It depends on your workflow. BetterDictation is strong for dictating emails, documents, and notes hands-free across mac apps, while Twofold Health is strong for mental and behavioral health clinicians automating session notes and treatment plans. Both transcribe and summarize meetings.
BetterDictation 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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