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. MacParakeet: Free, open-source local voice app for Apple Silicon Macs offering on-device meeting recording, live transcripts, dictation, and file transcription powered by NVIDIA Parakeet. Here's where each one pulls ahead on pricing, features, and the meetings it suits best.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Empathia AI when clinicians automating post-visit charting and clinical note documentation matters most, and MacParakeet when system-wide dictation across applications for privacy-conscious users matters most. Trial each on a few real meetings before you commit — the better fit usually shows fast.
Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians.
Free, open-source local voice app for Apple Silicon Macs offering on-device meeting recording, live transcripts, dictation, and file transcription powered by NVIDIA Parakeet.
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
MacParakeet is a free, open-source voice application for Apple Silicon Macs that runs speech recognition entirely on-device using NVIDIA's Parakeet TDT model via FluidAudio CoreML. Beyond system-wide dictation and file or URL transcription, it includes a meeting recording mode with live transcript preview, in-app note-taking, and export, plus meeting calendar integration through macOS EventKit that can show reminders and optionally auto-start recording. Because all speech recognition runs locally, the project states that audio remains on the device, with no cloud speech-to-text, no required accounts, and opt-out telemetry. It supports around 25 European languages with automatic detection and includes a text cleanup pipeline for filler removal, custom word replacements, and snippet expansion. Optional AI features such as summaries, chat, and text formatting can be enabled through cloud or local providers when the user chooses. Built with Swift and SwiftUI and distributed under the GPL-3.0 license, MacParakeet is actively maintained on GitHub and can be installed via a notarized DMG, a Homebrew cask, or built from source. It is positioned as a privacy-respecting, bot-free option for capturing meetings directly from the Mac. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Empathia AI is a free tier with paid upgrades (freemium); MacParakeet is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | MacParakeet |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | On-device meeting recording with live transcript preview and note-taking |
| Standout feature | Automatic transcription and structured clinical note generation | Meeting calendar integration via macOS EventKit with optional auto-start |
| Team usage | Multi-speaker and multilingual support with dictation | System-wide dictation with hotkey and push-to-talk modes |
| Integrations | Specialty-tuned templates across 20+ medical specialties | File and URL transcription on the device |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | Local NVIDIA Parakeet TDT speech recognition with no cloud STT |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | Text cleanup pipeline including filler removal and custom replacements |
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.
MacParakeet
Choose MacParakeet if you need capturing and transcribing meetings locally on a mac without a bot — strengths include free and open source with on-device speech recognition.
Empathia AI
MacParakeet
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while MacParakeet is strong for capturing and transcribing meetings locally on a mac without a bot. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and MacParakeet is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
Often yes: teams combine tools when one handles capture and another handles analysis.
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