Clinical notes connect care delivery to healthcare payment

Transcript

Transcribed by machine (Whisper) from the episode’s audio, so a word may be off here and there.

1. 27:05

   that that dialogue that conversation is the most human signal period but certainly in health care and that you can build a platform on top of it. But one of the products of that conversation is a note, and that note is a bill. And we were always very upfront about that. We told people and made clear for everyone out there that doctors don't get compensated for the care that they deliver. They get compensated.

2. 27:30

   for the care that they documented, that they deliver. So if these notes are essentially bills, then providers care a lot and payers care a lot. They're the ones who are paying, like who are figuring this out with the employers and ultimately with people, with consumers. And so you can use then that as a way to build a bridge, you know, to bring them together. So the way it works now, for example, I see a patient and I don't want to know all the rules related to this patient's insurance plan and how that note should look.

3. 28:02

   I don't want to know all the rules related to the cardiac MRI I'm going to order and what I need to document in order for the insurance company to know that this patient deserves the cardiac MRI, that it's clinically appropriate. I don't want to know all the rules related to Medicare, if this patient's on Medicare, and how I need to document so that I can get full credit that allows me to actually keep this Medicare patient healthier, like that allows me to send a care manager to their house to help them with their insulin injections. It's impossible to keep track with all these rules. AI can keep track of all those rules. So behind the scenes, ultimately in service of the patient, the AI understands what the health system wants to get into that note, what the payer wants to put into that note, what life sciences companies would want to put into

4. 28:50

   that note. And we can thread the needle across all of them to get all the jobs done, to drive all those different outcomes. Does that make sense? Yeah, I think so. But obviously Epic existed. I wrote 10 years ago about Viva kind of trying to do the HRs. Was there something philosophically unique or different about the way Abridge was approaching this? And as you've created this category where we see some high growth startups now trying to compete with you guys, at least in some of what you do, where would you say a bridge is most differentiated or maybe philosophically different moving forward as well?

5. 29:23

   I think the philosophy piece is really key. All companies need to have one strong idea at least that they hold tightly to, and that's the North Star. Otherwise, especially in healthcare, you get blown in so many different directions. When you're at scale, as we are, there's also so many opportunities. There's a lot of low-hanging dollars. We want to make sure that we're going after the dollars that build trust so we are in workflow trust is the most important thing we're not going to put like ads into that workflow that sacrifice trust we are always going to be in service of delivering a better experience and a better a better clinical outcome. We want to be deflationary. We want to save time, save money, save lives. That actually starts to make clear then for us what we need to focus on building

6. 30:10

   and how we need to build that in what order. So when we think about how to get after saving time, money, and lives, it becomes clear that actually where we need to live is on top of multiple