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. Speakr: Self-hosted web app for transcribing meeting recordings with diarization, summaries, action items, per-recording chat, and library-wide semantic search. 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 Empathia AI when clinicians automating post-visit charting and clinical note documentation matters most, and Speakr when extracting action items and decisions from recorded calls matters most. Run both through a week of actual calls to see which suits your workflow.
Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians.
Self-hosted web app for transcribing meeting recordings with diarization, summaries, action items, per-recording chat, and library-wide semantic search.
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
Speakr is a self-hosted web application designed for transcribing audio recordings such as meetings, generating concise summaries and titles, and interacting with the content through a chat interface. It runs entirely on the user's own server, giving full control over data, and is dual-licensed under AGPL-3.0 and a commercial license. The project is actively maintained, with a v0.9.0-alpha release dated June 2026 and over 970 commits. Speakr produces transcripts with automatic language detection and optional AI-powered speaker diarization so users can see who said what. Its summarization can be customized with prompts, and meeting summaries include an action-items view that filters out general discussion to surface decisions, tasks, deadlines, and calendar-worthy events. For deeper interaction, a per-recording chat lets users ask questions about a single recording, while an experimental Inquire Mode provides semantic search and natural-language chat across an entire library of recordings. Speakr can capture system or browser-tab audio, supports configurable AI models and endpoints compatible with OpenAI, OpenRouter, and local models, and includes multi-user support with SSO, group workspaces, an admin dashboard, and export and sharing tools aimed at privacy-conscious teams. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Empathia AI is a free tier with paid upgrades (freemium); Speakr is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | Speakr |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | Self-hosted transcription with automatic language detection |
| Standout feature | Automatic transcription and structured clinical note generation | Optional AI-powered speaker diarization |
| Team usage | Multi-speaker and multilingual support with dictation | Customizable summaries plus an action-items view for decisions and tasks |
| Integrations | Specialty-tuned templates across 20+ medical specialties | Per-recording chat and an Inquire Mode for semantic search across the whole library |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | System and browser-tab audio capture |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | Multi-user support with SSO, group workspaces, and admin dashboard |
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.
Speakr
Choose Speakr if you need privacy-conscious teams self-hosting transcription and summaries for internal meetings — strengths include runs entirely on the user's own infrastructure for full data control.
Empathia AI
Speakr
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while Speakr is strong for privacy-conscious teams self-hosting transcription and summaries for internal meetings. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and Speakr 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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