Andy AI vs Roger Healthcare (2026)
Two ambient scribes built for home health, which is a genuinely different documentation problem because the artifact is a federally mandated assessment that sets both quality reporting and episode payment rather than a clinical note. Andy structures everything around that assessment, drafting it end to end with a real write back into the record system and review gates at two points. Roger moves the work earlier, pulling referral documents and schedule context before the visit and prompting the clinician in real time about items not yet covered, which is a better compliance mechanism because a missed item can still be captured while the nurse is in the house. Both carry the same unexamined incentive: documentation that raises case mix raises payment, and neither publishes an audit result showing the additional codes were justified.
- The whole product is structured around the federally mandated assessment rather than around a note, drafting the assessment itself alongside wound and medication documentation and a quality pass over the full history.
- The write back is genuine rather than a transfer step, so the completed chart including the assessment lands in the record system rather than being pasted into it.
- A review gate is described at two distinct points, which is more than most of this segment offers for documentation that drives both payment and survey exposure.
- Most of the work happens before and during the visit rather than after it, pulling referral documents and schedule context ahead of the encounter and prompting in real time about items the clinician has not covered.
- Prompting forward is a materially better compliance mechanism than checking backward, because a missed assessment item can still be captured while the clinician is with the patient.
- The architecture is named rather than described as proprietary, which is unusual in this segment.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Andy AI and Roger Healthcare are each graded against the same capability taxonomy, from each vendor's own public materials and the regulatory record, under the AI Health Index verification standard. No vendor pays for placement, and no vendor has reviewed this page. How this evidence is graded
Plain facts
| Fact | Andy AI | Roger Healthcare |
|---|---|---|
| Primary category | Ambient Scribes | Ambient Scribes |
| Founded | 2023 | 2023 |
| Headquarters | San Francisco, California | San Francisco Bay Area, California |
| Website | with-andy.com | rogerhealthcare.com |
Side by Side
Select any grade to read the note behind it.
Each vendor in one paragraph
Written to be quoted whole. Each paragraph opens the AI Health Index profile of the vendor: what the product is, who buys it and what it does.
Ambient scribe built for home health field clinicians and structured entirely around the OASIS, the federally mandated assessment instrument that drives both quality reporting and episode payment under PDGM. A nurse or therapist starts recording with one tap and does the visit; Andy drafts the narrative, medications, vitals, wound documentation and OASIS items, and the clinician reviews and confirms rather than writing, which the company describes as saving about an hour per OASIS.
Source: AI Health Index, August 2026
Ambient scribe for home health clinicians, built around the OASIS assessment and the routine visit note, with much of the work happening before and during the visit rather than after it.
Source: AI Health Index, August 2026
Questions buyers ask
How do Andy AI and Roger Healthcare work with the EHR?
The completed chart including the OASIS is generated into the agency's record system, the agency connects that system to Andy's cloud as a deployment step, and the companion app deliberately does not produce an OASIS on the device, so the record of truth stays in the agency's system.
With Roger Healthcare, the sync is a proprietary robotic process automation layer operating in near real time, working in both directions: pulling attachments, schedules and referral packets out of the record system before the visit and filling in the chart afterward. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
How do Andy AI and Roger Healthcare handle patient data?
In Andy AI's case, the application captures images as well as audio. In home health those are wound photographs, and they are taken inside a patient's home.
For Roger Healthcare, the integration is a robotic process automation layer holding credentials to the agency record system, and it does not deposit a note: it populates an entire regulated assessment, field by field. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Which settings and specialties do Andy AI and Roger Healthcare cover?
With Andy AI, the depth shows in the detail: it names the instruments rather than counting specialties, working to the OASIS and PDGM and organizing the product around start of care as the pivotal chart. Wound documentation via photograph and medication list reconciliation are the two field specific capabilities.
In Roger Healthcare's case, the product covers the comprehensive assessment rather than a summary of the conversation, and it names the instruments rather than the specialty: the OASIS including the M1800 series and the GG functional scores, the Plan of Care, wound measurements and medication reconciliation, alongside routine visit notes. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
What evidence is published for Andy AI and Roger Healthcare?
For Andy AI, the company also declined to submit products for a CB Insights analyst briefing, which is neutral in itself but means no third party analyst view exists either.
With Roger Healthcare, the Central Coast material describes adoption speed and clinician reaction rather than measured outcomes, and the remaining evidence is unattributed clinician quotes. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers. The full set for this category is on the Ambient Scribes page.
Home health documentation drives episode payment under the prospective payment model, so a documentation tool that raises case mix is doing two things at once, and neither vendor separates them. Andy reports a case mix increase figure without an accompanying accuracy or audit measure, and that number should be read as a commercial claim rather than a quality one.
Neither vendor publishes a security attestation, retention schedule, training use position or pricing, and neither publishes a business associate posture in Roger's case. Both should be asked what happens under a payer audit of documentation their software drafted.