The AI Scribe Wars have hit critical mass--AI scribes have raised hundreds of millions of dollars in 2024--and we're seeing a major land grab unfold in the space.
Here's a quick lay of the land + key positioning based on conversations I've had with folks in the space.
Much of the summarization, aggregation, tech pieces are commoditized table stakes at this point.
Plus, there's plenty of noise introduced into the space on a daily basis as every 'AI-enabled' company whips up a new offering.
How do you differentiate then?
With the commoditization problem, AI scribes are differentiating themselves on👇
- channel partnerships & distribution; EMR alignment
- downstream partnerships and tech (nudges, RCM integration etc)
- quality and integrity of data/LLMs
- and, of course, brute force (e.g., who has the most money..duh)
Specific players to call out:
1. Nuance Communications: Microsoft acquired the 800 lb gorilla for ~$20B, attributing half of the value at the time to opportunities within healthcare. Nuance's products in the AI scribe space are a major path forward for the company and though it's the highest priced option by a landslide, Microsoft's leveraging the product in an enterprise cross-selling strategy. Nuance is also aligned with Epic & is actively working within the Epic ecosystem on AI solutions.
2. Augmedix, the only publicly traded company in the space and one of the first movers (they originally used Google Glass to help physicians with dictation and documentation!) Augmedix has released a breadth of products and holds a major partnership opportunity with HCA.
3. Abridge is the up and comer in the space, recently raising $150M+, aligning deeply with Epic, getting funding from major sources like Nvidia, and seemingly announcing a new health system partnership every week. Integration advantages with Epic are a key strategy for the Abridge team.
4. Other notable players include Nabla & Ambience Healthcare.
Key trends to watch:
- Keep an eye on how EMRs react to AI scribes. Will they have a preferred vendor of choice, create their own white-labeled solutions, or do a combo of the 2?
- What is actual adoption looking like; how many physicians or clinicians are onboarding and using the tech?
- Who's paying for the tech, does it drive tangible value for clinicians or not? (I think the value pays for itself, but this is a consideration for health systems.)
-Scribes will differentiate based on care setting, specialty focus, EMR alignment, customizable features, and integrations into downstream/upstream areas (RCM) and more.
Time will tell, but for now, I'm keeping my eye on some of the largest AI scribes in the space (above). Let's see who comes out on top 🚀
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