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
Each record in one paragraph
Written to be quoted whole. Each paragraph states what the AI Health Index verified about the vendor, with the caveats attached. Generated from this pair’s live capability grades, so it moves when a grade moves.
The AI Health Index awards Andy AI its top capability grade on AI Centrality. Set against Roger Healthcare, Andy AI grades higher on Autonomy and Oversight Model and EHR and Interoperability Depth. Its thinnest published disclosure sits on Model Supply Chain Disclosure and Security Certifications and Trust Center. Grades reflect evidence the AI Health Index could verify at the last review, so a low grade records disclosure the vendor has not published rather than a capability it has been shown to lack.
Source: AI Health Index, August 2026
The AI Health Index awards Roger Healthcare its top capability grade on AI Centrality. Set against Andy AI, Roger Healthcare grades higher on Model and Technology Transparency, Model Supply Chain Disclosure and Security Certifications and Trust Center. Grades reflect evidence the AI Health Index could verify at the last review, so a low grade records disclosure the vendor has not published rather than a capability it has been shown to lack.
Source: AI Health Index, August 2026
Questions buyers ask
Should we choose Andy AI or Roger Healthcare?
On the axes where the AI Health Index separates them, Andy AI grades higher on Autonomy and Oversight Model and EHR and Interoperability Depth, and Roger Healthcare grades higher on Model and Technology Transparency, Model Supply Chain Disclosure and Security Certifications and Trust Center. Roger Healthcare leads on the greater share of scored axes, but the split means the decision turns on which constraint is binding rather than on an overall winner.
Where do Andy AI and Roger Healthcare differ most?
The widest separation the AI Health Index records between Andy AI and Roger Healthcare is on Autonomy and Oversight Model, where Andy AI grades B and Roger Healthcare grades C. That axis sits in the AI Capability group, so it should carry the most weight for a buyer whose binding constraint is how much of the work the model itself is trusted to do.
Where do Andy AI and Roger Healthcare grade the same?
The AI Health Index grades Andy AI and Roger Healthcare the same on several axes, including AI Centrality, Clinical and Operational Evidence and AI Safety and PHI Stewardship. Neither holds an advantage the index can evidence on those axes, so they should not carry weight in a selection between these two.
What have Andy AI and Roger Healthcare not disclosed?
At the last review, at least one of Andy AI and Roger Healthcare published thin or absent detail on Model Supply Chain Disclosure and Security Certifications and Trust Center. The AI Health Index treats an absent disclosure as a gap in the public record rather than a failure of the product, so these are the axes to get in writing during diligence instead of inferring from the grade.
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, which makes the coding incentive sharper here than anywhere else in this index: a documentation tool that raises case mix is doing two things at once and no vendor in this segment 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.