Inside Abridge: The AI Listening to 100 Million Doctor Visits — Abridge's Janie Lee & Chai Asawa
May 14, 2026 · 1:06:38
Abridge's Janie Lee and Chai Asawa explain how the company is building a clinical intelligence layer for healthcare, starting with ambient documentation that saves clinicians 10-20 hours per week of 'pajama time' and expanding into real-time prior authorization and clinical decision support. They argue that context is everything—integrating EHR data, payer policies, and medical literature to make AI proactive rather than reactive, exemplified by guiding a doctor to ask two extra questions during a visit to guarantee an MRI approval before the patient leaves. The hardest AI problem is delivering high-quality, low-latency, low-cost real-time guidance in a high-stakes setting, which Abridge tackles using a constellation of models, efficient post-training on its proprietary dataset of over 100 million medical conversations, and progressive rollout with rigorous specialty-specific evaluations. They emphasize personalization at three levels—individual style, specialty (e.g., cardiology vs. dermatology), and health system guidelines—and see clinicians embedded as 'clinician scientists' on engineering teams as a key competitive advantage. Looking ahead, they envision the same conversation…
