Empathia AI: Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians. Handy: Handy is a free, open-source, cross-platform push-to-talk app that transcribes your speech to text completely offline and pastes it into any text field. This comparison weighs them on pricing, features, and everyday workflow fit.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Empathia AI when clinicians automating post-visit charting and clinical note documentation matters most, and Handy when privacy-sensitive voice-to-text where audio must stay on-device matters most. Test each on your own meetings; the right choice tends to become obvious quickly.
Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians.
Handy is a free, open-source, cross-platform push-to-talk app that transcribes your speech to text completely offline and pastes it into any text field.
Empathia AI is an AI medical scribe built for clinicians and healthcare practices. Its core engine, EMMA, uses ambient AI to listen to doctor-patient interactions across in-person visits, telehealth, and phone calls, then transcribes the conversation and generates structured, customizable clinical notes. Beyond note-taking, it produces chart summaries, referral and consult letters, form autofill, patient instructions, and suggested ICD/CPT/service billing codes. The platform supports multi-speaker conversations, dictation, and multilingual encounters, and offers specialty-tuned templates across 20+ medical specialties. It works on desktop and mobile and integrates with numerous EMR/EHR systems, including Epic, Athenahealth, eClinicalWorks, NextGen, DrChrono, Practice Fusion, Elation, and Canadian systems such as Accuro, OSCAR, and Juno. Empathia emphasizes compliance, citing HIPAA, PHIPA, PIPEDA, and GDPR alignment, and notes pre-qualified vendor status with Canada Health Infoway's national AI scribe program. It targets individual practitioners and clinics seeking to reduce documentation time and refocus attention on patient care.
Best suited for
Handy is a free, open-source desktop application that turns your voice into text completely offline, with no audio ever leaving your computer. You press a configurable keyboard shortcut, speak, and release (push-to-talk), or use a toggle mode to start and stop; Handy transcribes what you said and automatically pastes the result into whatever text field is active. Because it runs entirely on-device, it is built for privacy-conscious users who want dictation without cloud uploads or subscriptions. Under the hood it is built with Tauri (a Rust backend with a React/TypeScript frontend) and supports multiple local speech-recognition models, including OpenAI's Whisper variants with GPU acceleration and the CPU-friendly Parakeet V3 model with automatic language detection. Silero Voice Activity Detection filters out silence so only speech is processed. Handy runs on macOS (Intel and Apple Silicon), Windows, and Linux, and is released under the MIT license. It positions itself as an accessible, extensible alternative to paid dictation tools, and is best suited for hands-free typing rather than recording multi-party meetings.
Best suited for
Empathia AI is a free tier with paid upgrades (freemium); Handy is open source (open source). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | Handy |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | Push-to-talk and toggle dictation modes with a configurable global keyboard shortcut |
| Standout feature | Automatic transcription and structured clinical note generation | Fully offline, on-device transcription with no cloud uploads |
| Team usage | Multi-speaker and multilingual support with dictation | Multiple local speech models including Whisper (GPU-accelerated) and Parakeet V3 (CPU, auto language detection) |
| Integrations | Specialty-tuned templates across 20+ medical specialties | Silero Voice Activity Detection to filter silence and process only speech |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | Automatically pastes transcribed text into any active application text field |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | Cross-platform desktop app (macOS, Windows, Linux) built with Tauri |
Empathia AI
Choose Empathia AI if you need clinicians automating post-visit charting and clinical note documentation — strengths include purpose-built for clinical documentation with deep emr integration.
Handy
Choose Handy if you need hands-free dictation into emails, documents, chat apps, and code editors — strengths include completely free, open-source (mit) with no subscription or paywall.
Empathia AI
Handy
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while Handy is strong for hands-free dictation into emails, documents, chat apps, and code editors. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and Handy is open source. 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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