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. Spokenly: Spokenly is a system-wide AI dictation app for Mac and iPhone that converts speech to text using offline Whisper and Parakeet models or bring-your-own-key cloud engines. Below, they line up on price, capture method, and how each fits a real meeting stack.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Empathia AI when clinicians automating post-visit charting and clinical note documentation matters most, and Spokenly when privacy-conscious offline speech-to-text for sensitive or confidential work 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.
Spokenly is a system-wide AI dictation app for Mac and iPhone that converts speech to text using offline Whisper and Parakeet models or bring-your-own-key cloud engines.
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
Spokenly is an AI dictation and speech-to-text app for Mac and iPhone (with Windows listed by the developer). You press a shortcut, speak, and your words are inserted at the cursor in any application — browsers, email, chat, notes, or IDEs. It can run entirely offline on Apple Silicon using local models such as OpenAI's Whisper and NVIDIA's Parakeet, or connect to cloud engines including OpenAI, Deepgram, Groq, Anthropic, and Google through a bring-your-own-key model. Transcription supports 100+ languages with automatic language detection and automatic punctuation, and every transcription is saved to a history. The app also offers AI text processing with custom prompts, a Local Only Mode that blocks network requests for privacy, and an MCP server so AI coding agents like Claude Code and Cursor can trigger voice input. It is built primarily for professionals and developers who want fast, private, accurate dictation rather than a passive meeting recorder. The app is developed by an independent developer, Vadim Akhmerov, and is in active development.
Best suited for
Empathia AI is a free tier with paid upgrades (freemium); Spokenly is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | Spokenly |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | Offline local transcription on Apple Silicon using Whisper and NVIDIA Parakeet models |
| Standout feature | Automatic transcription and structured clinical note generation | Bring-your-own-key cloud engines (OpenAI, Deepgram, Groq, Anthropic, Google) |
| Team usage | Multi-speaker and multilingual support with dictation | System-wide dictation that inserts text at the cursor in any app |
| Integrations | Specialty-tuned templates across 20+ medical specialties | Speech-to-text in 100+ languages with automatic detection and punctuation |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | Local Only Mode that blocks network requests for full privacy |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | MCP server integration for AI coding agents like Claude Code and Cursor |
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.
Spokenly
Choose Spokenly if you need dictating emails, messages, and notes by speaking instead of typing — strengths include genuinely free unlimited on-device transcription on apple silicon, with voice staying local.
Empathia AI
Spokenly
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while Spokenly is strong for dictating emails, messages, and notes by speaking instead of typing. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and Spokenly is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
Yes. Many teams run more than one meeting assistant when the workflows are complementary.
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