Shiv Rao, featured in the AI Power index, has created what is possibly the most discovered applity of AI in medicine today. A cardiologist-turned-inventor, Rao has seen first-hand the burden of modern medicine falling on the complexity of paperwork around it. After many days with patients, hours of charding and documents often follow, which contributes to record levels of inflammation in this work. His health startup, Fortune Teller, set out to fix that by transforming one of the most prolific yet legendary sources of health data.
Founded in 2018, AbraryGridge uses Emient AI to transform the conversational exchange between doctors and patients with accurate, real-time clinical notes that integrate directly with electronic health records. What began as a miraculous attempt at linguistic understanding is now a $5.3 billion enterprise trusted by the largest health systems in the US in the large field of EHR, partnering with Epic to move its technology into existing workflows rather than rebuilding. Health practices that implement abridge have reported reductions in work hours of more than 80 percent and dramatic improvements in physician satisfaction. But Rao emphasizes the real goal lies in the restoration of empathy and connection to medical practice. ““It’s not just about cutting costs,” he said. It’s about bringing humanity back to health care. ”
He is a cardiologist who built an AI company that is now worth $5.3 billion. What problem have you seen in the hospital that technology entrepreneurs working in Silicon Valley entirely?
As a doctor, nothing was more painful than working a full day helping patients come home and having hours of documentation. I knew the key was unlocking what was said in the test room in real time: Gathering intelligence in the chat room. Now ABRIGHL’s Emist-green-green-environment environment is the largest and most complex health systems in the US and we are expanding the number of clinical discussions in that work to attract providers, payers and patients.
Bridge transforms Doctor – patient conversations with clinical notes in real time. How often is anxiety misunderstood, and how do you handle those mistakes?
Science is at the heart of demolition. All notes are linked back to the interview transcript so that the clinicians can confirm the evidence before signing. We run continuous validation loops and send models only after clinical trials at Clinigian in-the-loop. Doctors always sign in last. Pioneering models of proven biologics ensure that AI Hallucinations are eliminated from draft documents with market-leading accuracy that doctors can trust. Ridiculous They accounted for 97 percent of the distribution, or claims not supported by unique clinical records, outside of GPT-4O, which was captured by only 82 percent.
You are partnering with EPIC rather than trying to replace them. Many healthcare startups want to disrupt the EHR Giants. Why did you choose disruption integration?
Our partnership with Epic has always been and always will be based on solving the most important problems for health systems, doctors and patients. By focusing on the conversation itself, we enable better flow, deeper integration and meaningful results at scale. We meet the doctors where they are and this is only the beginning of what happens when they are interviewed.
Your platform now works for more than 150 health services, growing by 50 percent in just four months. What is driving such rapid adoption – is it the exhaustion of doctors or true efficiency?
Both. Leaders feel a sense of urgency to deal with burnout, but recovery only sticks if efficiency is real. Abridge integrates seamlessly within EHR workflows across care settings, 55+ capabilities, and 28+ spoken languages. This year alone, abridge will support doctors in more than 50 million medical consultations, which have helped reduce burnout by up to 60 to 70 to 70 percent. In health youth, doctors using abridge reported a An 83 percent reduction in an attempt to write down. in Lee Health in Florida86 percent of physicians report working less than an hour.
Administrative costs are 30 percent of operating costs. If AI scripts work well, how much of that forest can you eliminate?
The 30 percent stat is surprising, but it’s not about cutting costs — it’s about bringing humanity back into health care. With Brigged, the return on investment includes more than just improving units of service value, increasing medication efficiency and reducing clinical reemployment and retention costs. And what happens when doctors feel happy again, when patients feel heard and when health systems eliminate backlogs and unsustainable workflows.
Expanding from general documentation to Pediatrics and emergency care. What makes medical AI different beyond skills – not just documents?
A special context changes everything. For children, the “historian” is sometimes a parent or many guardians, so the AI must be called who said, captures the appropriate plans and meets the CENDRIC plans. In emergency medicine, speed, development and a systematic approach to clinical consultation. Trigger Cars, time stamps and problem-prone summaries should be visible. We have created models with specific details and workflows for children’s hospitals and ED teams so the note shows how those clinics think and write every template.