# SMARTMD vs CascadeMD

The clearest difference is ratings volume: SMARTMD at 266 against CascadeMD's 4. On price, rating, update cadence and ads there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

On the App Store both sit at effectively the same score — 4.7 for SMARTMD against 4.8 for CascadeMD. That said, the two scores are not equally well evidenced: SMARTMD has 266 ratings behind it against 4, so its average is the more settled of the two.

SMARTMD ships an update every 2 weeks, CascadeMD weekly. The most recent releases landed on October 17, 2026 and October 5, 2026 respectively.

## The numbers

| Metric | SMARTMD | CascadeMD |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.7 (266 ratings)](https://appshunter.io/ios/app/smartmd/id578624369/reviews) | **[4.8 (4 ratings)](https://appshunter.io/ios/app/cascademd/id1563681802/reviews)** |
| Number of ratings | **266** | 4 |
| Positive reviews | 53.8% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 2 weeks | **Weekly** |
| Monetization | Free | Free |
| Size | 76 MB | 51 MB |
| Requires iOS | 15.0 | 15.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [SMARTMD Corp](https://appshunter.io/developer/578624372) | [Cascade Transcription LLC](https://appshunter.io/developer/1563681804) |

## What reviewers say

### SMARTMD

[App page](https://appshunter.io/ios/app/smartmd/id578624369)

This app provides HIPAA-compliant tools for medical professionals to document patient visits, dictate reports, and manage referrals. It integrates with existing EHR systems and offers offline functionality for documenting encounters, capturing charges, and recording quality measures while on the go.

**Highlights:** HIPAA-compliant documentation, EHR schedule integration, Medical transcription, EHR scribing, Cloud file sharing, Referral management, Offline functionality

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### CascadeMD

[App page](https://appshunter.io/ios/app/cascademd/id1563681802)

This app allows healthcare providers to dictate entire patient visits using their mobile device or tablet. Its advanced voice-to-text and AI engine captures relevant data and populates electronic medical records, reducing manual transcription and data entry time.

**Highlights:** Mobile and web dictation, Natural language voice-to-text, AI inferencing engine, EMR integration, Reduced transcription time, Increased revenue potential

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is SMARTMD free?

SMARTMD is free to download, with no in-app purchases.

### Is CascadeMD free?

CascadeMD is free to download, with no in-app purchases.

### Which has better reviews, SMARTMD or CascadeMD?

CascadeMD is rated higher. SMARTMD averages 4.7 out of 5 from 266 ratings, while CascadeMD averages 4.8 from 4 ratings.

### Do SMARTMD or CascadeMD have ads?

Neither SMARTMD nor CascadeMD shows ads.

### Which is updated more often, SMARTMD or CascadeMD?

SMARTMD ships an update every 2 weeks, and CascadeMD weekly. Most recently, SMARTMD was updated on October 17, 2026 and CascadeMD on October 5, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*