In short
Podcast Episode Summary: Groq's Revenue Woes, Waabi's Driverless Trucks, and AI Healthcare & E-commerce Agent Battles
Episode Details
- Podcast Title: The Information's TITV
- Episode Title: Groq's Revenue Woes, Waabi's Driverless Trucks, and AI Healthcare & E-commerce Agent Battles
- Air Date: July 30, 2025
- Host: Akash Pasricha
- Guests:
- Miles Kruppa (The Information Reporter)
- Raquel Urtasun (Founder & CEO of Waabi)
- Nikhil Buduma (Co-Founder & Chief Scientist of Ambience Healthcare)
- Ann Guillen (E-commerce Reporter at The Information)
Episode Overview This episode discusses several significant updates in the tech industry, focusing on the challenges faced by AI chipmaker Groq, advancements in autonomous trucking by Waabi, AI applications in healthcare, and the emerging competition between e-commerce AI agents.
---
Key Segments
- Groq's Revenue Projections
- Main Points:
- Groq, an AI chipmaker, had to significantly reduce its revenue projections from over $2 billion to approximately $500 million.
- The downward revision is attributed to issues in data centers' readiness to accept their chips, particularly tied to contracts in Saudi Arabia.
- Insights:
- Groq's architecture focuses on AI inference, competing with NVIDIA but is dependent on a large number of chips to match NVIDIA's performance.
- The challenges reflect broader themes in hardware versus software company revenue expectations.
- Waabi's Autonomous Trucking Innovations
- Main Points:
- Raquel Urtasun discussed Waabi's approach to autonomous trucking, which utilizes existing platforms (like Volvo trucks) and proprietary software to enable self-driving capabilities.
- The company is actively deploying driverless trucks in Texas and is making strides toward full commercialization.
- Innovations:
- Waabi has developed a mixed-reality simulator that allows for testing in a controlled environment, enhancing safety and efficiency without real-world risks.
- Business Model:
- Waabi is partnering with major companies like Uber Freight to ensure broad deployment and market penetration.
- AI in Healthcare: Ambience Healthcare
- Main Points:
- Nikhil Buduma introduced Ambience Healthcare's AI-driven platform that streamlines clinical workflows by automating documentation and administrative tasks.
- The platform aims to alleviate the burden on clinicians, allowing them to focus more on patient care.
- Market Context:
- Ambience Healthcare recently raised $243 million to enhance their technology and support healthcare systems in adopting AI.
- The competitive landscape in AI healthcare includes established players like Abridge and Nuance.
- E-commerce AI Agent Wars
- Main Points:
- Ann Guillen covered the competitive dynamics between e-commerce platforms like Amazon and AI agents from companies like Google and OpenAI.
- Amazon has implemented measures to prevent AI agents from accessing its site, reflecting concerns over data control and customer interaction.
- Strategic Moves:
- Shopify is adopting a more collaborative approach, partnering with AI agents while also protecting its checkout processes.
- Implications for Consumers:
- The evolving landscape suggests that consumers may see limited product recommendations due to restrictions imposed by major retail platforms.
---
Key Takeaways
- Groq's Challenges: The revision of Groq's revenue outlook highlights the difficulties faced by hardware companies in scaling production and managing supply chain dependencies.
- Waabi's Innovations: Waabi is at the forefront of autonomous trucking technology, leveraging simulation for safer testing and aiming for a significant market presence.
- AI in Healthcare: As healthcare systems increasingly turn to AI for operational efficiency, companies like Ambience Healthcare are positioned to meet the rising demand for automated solutions.
- E-commerce Dynamics: The introduction of AI agents in e-commerce is prompting major players to reassess their strategies to maintain consumer engagement and data control.
---
Conclusion This episode of The Information's TITV provides valuable insights into the current state of AI technology across various sectors, revealing the complexities and competition shaping the future of technology and commerce. The discussions highlight not only the technical advancements but also the strategic maneuvers companies are taking in response to evolving market conditions.
Written by AI. May contain mistakes. Listen to the episode to check what was said.
Transcript
Automatic transcript. May contain errors.0:13Welcome, everyone, to the Informations TI TV. My name is Akash Pasricha. It is Wednesday, July 30th, and we have got Meta and Microsoft reporting earnings tonight. We are going to get to that. I should say before we start, Mark Zuckerberg just released a clip this morning with some more color about how he is thinking about superintelligence. You can find that on our social feeds. But today on the show, we have got the founders of two of the fastest growing autonomous trucking and AI healthcare companies, two separate companies, I should say. The founders of those companies are coming on the show.
0:47We are also talking about a big scoop from our finance team about the revenue projections of a big startup taking on NVIDIA. And we are closing out the show by talking about the AI agent wars in the land of e-commerce. Now, before we start, I want to talk about two big headlines coming out of our own newsroom. Cohere, the Canadian AI company competing with Anthropic and OpenAI. They are talking to investors about raising money at a$6.3 billion valuation. That is a 25 % jump from the last valuation it got a year ago. The company expects to generate more than$200 million in annualized revenue by the end of this year.
1:27And the second funding scoop that we had is that crypto exchange Kraken is looking to raise$500 million at a$15 billion valuation. That is up from the$11 billion valuation that it fetched back in 2022. Of course, crypto has changed a lot in three years, but that scoop comes from our Dealmaker newsletter that goes out on Tuesdays and Thursdays. So be sure to check that out. A couple other headlines for you before we get started. Palo Alto Networks is buying identity management company CyberArk for$25 billion. Palo Alto Networks hasn't traditionally done as much in the software space related to logins.
2:05Okta, Microsoft, and Cisco. These are some of the companies that have. This is clearly a play from Palo Alto to start diving into that login space. So we will see how that shakes out. I mentioned Meta and Microsoft are reporting tonight. Big thing to pay attention to with Meta. I mentioned Mark Zuckerberg, his comments this morning. Whether or not he says anything about all the gobs of money that he is spending on i, that will be the thing to listen for on the call tonight. Microsoft, we said it yesterday, but it's all eyes on Azure. Azure growth accelerated last quarter to 33%. And so if it can top that, that will be something worth paying attention to.
2:42Okay, let's get to our first guest. We have written a lot at the information about how chip companies are vying to take on NVIDIA. One of the best known startups in that space is Grok, not to be confused with XAI's Grok chatbot. This is Grok with a Q. The company has been in talks to raise money at a$6 billion valuation, But we were first to report this week that the company has had to revise its revenue projections. And I want to bring on Myles Krupa, the reporter who broke that story, to tell us more about what he's found out. Myles, welcome to TITV. Thanks, Akash. So tell us, what did you learn about Grok?
3:22Well, what we learned really is that after having given out these fairly high revenue projections early in the year, they said that they were expecting a bit over$2 billion in revenue this year. That more recently when fundraising, they've been telling investors they're expecting closer to$500 million in revenue. And so that's a very big difference. And we tried to get to the bottom of it. And what the company ended up telling us is that they shifted some of their revenue expectations to 2026 because of a requirement that they deliver their chips to certain data centers in a certain region. but basically that the data centers weren't ready to accept the chips.
4:13You know, Grok recognizes revenue upon delivery. And so because of that, they have pushed back their revenue projections into next year. So they're telling you that it's kind of a capacity issue, that the data centers are what's holding them back from getting that revenue. Is that right? That's right. And while they didn't specifically point to Saudi Arabia as the reason for this, the context basically is that in February of this year, around the time they gave out the projections, they had signed a big new contract with Ramco Digital, which is part of Ramco, the Saudi oil company. You know, Saudi Arabia is undergoing a major push to open data centers and go big on AI.
5:04But, you know, there are lots of competing initiatives in Saudi Arabia right now. They're spending a lot of money on Neom, for instance, their big futuristic city in the desert. And they've also started importing chips from AMD and NVIDIA. And so there's just a lot going on right now. in Saudi Arabia. And that's sort of been the cornerstone of Grok's business. So, you know, while Grok wouldn't say that Saudi Arabia was to blame here, you know, it's possible to draw the conclusion that something's going on there. I want to come back to Saudi Arabia and sort of the demand element. But, you know, let's talk about Grok more fundamentally.
5:44I mean, this is one of many NVIDIA challengers. Grok has gotten a lot of funding. What makes Grok different? And why are investors so bullish on the company? Yeah, there are a few different companies that have raised a lot of money trying to develop AI chips that can compete with NVIDIAs. What's interesting about Grok, this was a company founded about a decade ago. Jonathan Ross, the CEO, worked on Google's internal AI chip, the TPU, which is widely viewed as a huge success. And what they've come up with is a sort of different architecture to what NVIDIA does. And Grok is really focused on inference.
6:28So they're focused on trying to run AI models as quickly and cheaply as possible. The other thing to know about Grok is that its chips really work in systems of sort of hundreds. So you have to link together a few hundreds of them to get the performance of a few NVIDIA chips. Once you do, you know, the company claims they run a lot faster and a lot more efficiently. So, I mean, let's come back to sort of the revenue projections. This is a pretty big change in my view. I guess what I'm wondering is, is it common for companies to change their revenue figures so drastically in this space? you know i wouldn't say it's super common um clearly hardware companies have a different set of challenges than software companies do you know the marginal cost of building a new unit of software is close to zero whereas hardware has all these questions about supply chain and in the case of a company like grok clearly are there physical um buildings where you can put your hardware that are ready to accept the chips.
7:44You know, I will say Grok is currently fundraising. You know, when a company is fundraising, usually they're trying to tell investors that we beat expectations, that we're ahead of projections. So, you know, I think it's safe to say that this is not ideal for Grok. You know, another thing that this kind of reminded me of was the SPAC boom of a few years ago, you would see companies come out with these very optimistic projections to entice public investors, become public companies, and then frequently miss those revenue targets or sales targets. And so it just feels like that might also be another sort of example to point to of, you know, where we might see this kind of thing.
8:35Yeah. And look, I think it's a good point. You mentioned about this sort of being similar to the SPAC boom. Let's take a step back a bit. I mean, your beat at the information is covering AI and financing. And so when you think about that and this context in the story of that, I mean, what kind of themes are you focused on right now as a reporter? Yeah, you know, the sort of big question is basically, where's the money for AI going to come from? And I think it's clear just in the few months that I've been here that the Middle East is going to be a huge part of that. Saudi Arabia ramping up its AI efforts with a new company called Humane.
9:17They're starting a$10 billion venture fund. We know they're in talks with Grok about investing. um you know i think uh the sort of rising stature of the middle east in ai not to mention abu dhabi um that's a huge theme something i'm going to be watching closely um and then i think also um just more broadly this kind of question of whether nvidia's dominance in ai chips can continue and for how long. With companies like Grok growing fast and winning new customers, with companies like AMD trying very hard to get their chips in the hands of more AI developers, helping to start companies like Tensorwave, which is sort of the core weave of AMD.
10:11These are just some really interesting themes And I'm going to be, I think, spending a lot of time on chips over the next few months. Before I let you go, you know, we talked about how Grok is sort of, you know, framing this as a supply issue or rather a capacity issue, I should say, in terms of its ability to, you know, deliver. I just want to come back to the demand side because you mentioned the contract with Saudi Arabia. It's a$1.5 billion contract. You know, that was supposed to be conceivably a large part of that revenue projection that it had initially put forward outside of the Saudi contract.
10:49What kind of a sense are you getting in terms of what demand customers have for Grok's chips? Yeah, it's interesting. There are kind of two different prongs of the business. Basically, Grok had almost no revenue in 2023. It was not having an easy time selling its chips directly to other companies. And so it created this cloud business that lets you run open source models like Llama on Grok hardware. And so that business is growing nicely, although it's not profitable. So they have some customers like Dropbox that are using open source models on Grok hardware through that service. And then they're doing these kind of partnerships or direct sales like they're doing with Saudi Arabia.
11:43Another one is Bell Canada, which is building some data centers with Grok chips to serve Canadian customers. um you know and then um grok is also just going out and uh filling data centers with uh grok chips in anticipation of bigger demand you know they just built a big data center in finland i believe um so uh they're moving forward full steam ahead anticipating there will be great demand for their chips well great look it's it's a fascinating story to cover and i will say that you know, it's not just Grok. We've got a database of all the AI chip companies that are taking on NVIDIA. And so we will link that in the show notes because, you know, there's companies like Sampanova, like Cerebrus, we have a scoop about them.
12:36Smaller companies like Dmatrix, all these companies are out there fundraising right now. And so I look forward to having you back on the show, Miles, to talk about those companies. Thank you so much for being here with us. That is Myles Krupa on our finance team here at The Information. Now, autonomous vehicles have been all the rage lately. You've got Waymo, you've got Tesla, Uber is running its own tests right now through partnerships. There is also the arena of autonomous trucking, which itself was a fast growing space that has gotten a lot of funding. Of course, that space hasn't come without hardship.
13:09But I want to bring on someone who has been in the arena for nearly a decade. Raquel Ortasun is the founder and CEO of autonomous trucking company Wabi. The company is backed by Coastal Ventures and Raquel's former employer, Uber, they have raised more than$280 million. Raquel, thank you so much for being here. Thank you for having me, Akash. So help me understand this, Wabi designs software that you then install into trucks that then makes them autonomous? Yeah, the way to think about us is that, you know, we are revolutionizing the physical world with a new generation of AI technology. And as it relates to self-driving trucks, it's our first vertical, where the OEM for us, Volvo, provides the base platform, which is the truck that is ready for autonomy.
14:01And then we install, you know, sensors, compute, as well as all the software, our proprietary software that does drive those trucks autonomously. And are these trucks on the road yet? Yes. So we've been doing commercial operations with our cell driving trucks for over two years. We are in Texas, which is kind of ground zero of cell driving tracking. Right. And what you're going to see by the end of the year is Wabi trucks with no human on board. By the end of this year. By the end of this year. And I started the company only four years ago, which is amazing to see the progress to date. And just to be clear, so when I say on the road, so these are just tests that are happening in Texas or they are literally roaming the highways right now?
14:49Yeah, so they are roaming the highways, you know, doing commercial operations with some of the biggest, you know, shippers and carriers. So really exciting times for us. And yeah, just gearing up for, you know, true commercialization, which is when you don't have, you know, any human on board. So when it's truly helpful. And what kind of companies are you selling these trucks to right now? So, what we have made public is our partnership with Uber Freight. This is a very, very big partnership with billions of miles of committed deployment of the Uber Freight network. And we really like this because Uber Freight sits in the middle of supply and demand when one third of the Fortune 500 companies can actually get access to Wabi driver technology.
15:38We have other very exciting customers. We just haven't talked publicly about them yet. I want to talk about how you are testing this technology because it strikes me that it's a big lift to put trucks on the road to test them in a safe way. You guys came out with this new product a little while ago. It's a mixed reality truck simulator is the way I understand it. Help us understand what this simulator is that you built. Yeah, yeah. So when, you know, Wabi has been, you know, has brought to market very differentiated technology within simulation-first company. And what we just announced is something we've been doing for two years, which is not only super important for safety, but it's also, you know, the coolest technology out there.
16:26And the idea is that we can actually have our cell-driving vehicles have the equivalent of augmented reality goggles so that when they are driving in the physical world, they are actually seeing a world that is not reality, but it's a mixture of reality and virtual. So that, you know, they get exposed to all sorts of safety critical scenarios and things as you are driving in the physical world. We do this in a closed course. And this is a massive unlock in terms of being able to test the safety of the system, being able to assess whether we can do things like avoid unavoidable or reduce, you know, for example, the effects of unavailable accidents, make sure that, you know, we kind of test the safety of the systems to the limit.
17:14Help me understand. I mean, like, you know, I think it's a neat idea, this virtual reality or mixed reality concept, I should say. I mean, what is the advantage of this as opposed to like just testing it on a closed course, like you said, and having it go through simulations, obstacles, you know, putting, I don't know, like a garbage can on the road or something. Yeah, yeah. So if you look at what traditionally has been doing, has been done in the industry to date, is that you basically, you know, engineer a handful of tests, typically one dozen, two dozen tests that you do, you know, where it's really like creating a movie stunt where you see teams with walkie-talkies saying, you know, oh, we're going to test, you know, a vehicle is slowing down in front of us, then go and test this, which is not scalable, it's not diverse.
18:07You cannot really push the safety limits because they are real vehicles or real pedestrians, so consequences of if the system cannot handle it could be tremendous, right? But this is what everybody does in the industry today. That's the equivalent of the safety test for self-driving. So as you can imagine, you know, this is absolutely not sufficient. And then what people do is like, let's go to public roads and let's, you know, crank miles to see whether you can handle certain situations. But obviously, you know, the red events, the safety critical, you will need, you know, hundreds of millions, billions to expose, you know, to even see those events once, right?
18:49So you don't have a good way of testing. with this augmented reality with no consequences, we can test all those things in the physical world. So it's a massive unlock. So it's cheaper. It's much cheaper. It's cheaper. It's much more efficient. For the first time, you can test things that was impossible before. And again, with no consequences in terms of the safety of anybody around. And that is a massive unlock on the industry. And definitely since we have showcased this, uh it has created you know a lot of uh you know noise and excitement i would say uh you know across across every competitor right oh i want to take a step back here you know you came from uber where you basically helped lead the company's autonomous driving efforts um of course we know that those self-driving efforts were sold to a company called aurora innovation um you know they are also doing autonomous trucking we'll we'll come back to uber's role in a second i find it interesting that they're your customer and, you know, they also, you know, they sort of sold their stuff to Aurora.
19:54But let's focus on you versus Aurora. I mean, what makes Wabi different than what Aurora is doing right now? Yeah, yeah. So, you know, the main difference is not on the business model that is similar, it's really on the technology, right? And four years ago, I started Wabi because I saw a tremendous opportunity in the industry to build a disruptor. And the idea was that, you know, to have very different technology rooted on really addressing the key pain points of the industry. And this was, you know, two, I would say two theses. One was that, you know, we need to really unleash the power of AI and build an end-to-end system that is verifiable and that is able to reason.
20:38This was before, you know, Tesla or the such were doing any end-to-end approaches. And the second was that there is always going to be a data problem, so we need to build a simulator that is the same as reality, the matrix for cell driving. But, I mean, I just want to come up, I mean, why is Wabi's technology better than Aurora's? I mean, Aurora is a traditional approach that is a hand-in-genier system that is very unscalable, that has really difficulties in terms of how are you going to expand that geographically in terms of every bit of progress is harder and harder and harder. And if you look at, And it's very capital intensive, right?
21:25Look at the amount of capital that has gone into it and look at where you are in terms of milestones, et cetera. If you take Wabi's approach, the advantage is both on the development, which is much faster, as well as much more capital efficient, while we are, what, one-twentieth of their capital needs, right? But more importantly, our product is better, much better. And this is because we don't need terminals, thanks to our differentiated approach. We can go to the end customer from day one. That's massive in terms of the economics and the adding an extra complexity that you need with drainage.
22:02We can expand geographically much faster. We can expand to different OEMs, four factors, really, really easy, potentially other verticals. And since we are much more capital efficient, we can actually have much better pricing and the product is safer. and we can assess the safety of the system much better with our technology through simulation and this makes reality testing. So not only is a development advantage, but also the product is really something that others much better, the customer needs, and can be scaled much faster as well. So it's a very interesting time now in terms of how the two companies and our trajectories are crossing.
22:40Well, and I was going to say, that's the trucking space. But, you know, if we look at sort of the autonomous passenger vehicles space, right, you mentioned we've got Waymo, we've got Tesla, Uber is now doing its own test as well. I mean, let's keep trucking aside for a minute. I would love to get your take on sort of, you know, the passenger vehicle, autonomous vehicle space. How do you think about that market right now and the different players that are there? I mean, what is your sense about, you know, who you think is going to succeed? Tesla has made a huge bet on it. I mean, who do you think wins there?
23:15Yeah, so I will say that, you know, I expect not just one winner, but a small handful of winners. I think it's been great to see, you know, the deployments on the scaling of Waymo. I think, you know, before there was a question about will customers want this product versus not, that is not anymore that question. And I think that you see as well, you know, right selling market also betting, you know, in definitely big in sell driving because that's the future, right? I think, you know, as you think of who can enter this market and be a real contender, I will boil down to you can't just try to do the same as Waymo and then try to catch up.
24:03I think that ship has sailed. I think that what you need to do really is enter with a next generation of technology where capital efficiency is scale. And there is where you can actually really, you know, be a contender for that, you know, massive market. This, you know, from my perspective, it's as big as, you know, the self-driving tracking market as well. So that's sort of like what I think will happen. We will see over the next couple of years, but it's very interesting to see both robot taxis as well as trucks. Yeah. Well, like you said, it's a very interesting time in both of these spaces.
24:49You've got a very interesting approach. The mixed reality approach is, I got to be honest, I never would have thought that we would have seen autonomous trucks in mixed reality simulation. It is not an intersection I thought we would have seen, but thank you very much for coming on and explaining it to us. And when more of those trucks are on the road by the end of this year, we're going to have you on and we're going to do an interview with you in the truck while the truck is driving. I know you said it's driverless, but you're going to be FaceTiming us from there and we'll do another interview from there.
25:22How about that? Yeah, I think, Akash, you should come and also experience mixed reality on our driverless trucks so that it will blow your mind. You will see it's amazing to see this life. But happy to showcase our technology life. Great. Well, thank you, Raquel, for coming on. That is Raquel Ortasun, the founder of Wabi, the autonomous trucking company. Now, for our next guest, AI for health... Let me pause. AI for healthcare is a booming industry, I should say. We have seen a ton of companies raising money in this space, not the least of which was Ambience Healthcare. The company raised$243 million this week at a$1.25 billion valuation.
26:06It was led by Andresen Horowitz and by Oak HCFT. I am told that that stands for Healthcare and FinTech. That's a good acronym. I want to bring on Ambience Healthcare's co-founder and chief scientist Nikhil Baduma to talk about why he thinks his company will win this race. Nikhil, welcome to the show. Thanks for being here on TITV. Thank you for having me. So you guys have this neat platform. I mean, the AI listens to the appointment. It takes all the notes and it produces the chart for the doctor. The doctor can ask questions. So all this money that you raised, I mean, is it to make those features better or are there new products that you're working on?
26:47Yeah. So the platform today, the goal is to really address the holistic clinical workflow for a physician. So that starts before the clinician even walks in the room. It actually looks through the electronic medical record, summarizes the past notes, the labs, the fax documents into a single dashboard that they need to catch up on the context of the patient. And like you said, during the visit, it's listening in the background. It's automatically generating the documentation for the clinician and also a summary for the patient and their family so they understand the care that's happening. And then afterwards, it turns out that healthcare is full of these administrative workflows downstream in revenue cycle, coding and billing prior auth, which is how health systems get paid.
27:30And our technology automates and simplifies a lot of those administrative burdens as well. And so the goal of the platform is to solve for the clinical burden holistically. So clinicians are liberated from the keyboard and they can really just focus on taking care of their patients. I think for us, this funding round is for a couple of things. The first is a big part of how we've been able to do what we do is investing incredibly deeply into the foundation model layer. We work very closely with folks like OpenAI and other foundation model makers to create the most capable models in healthcare and medicine.
28:01And so this is going to be an opportunity for us to double down and continue to make sure we have the most capable clinical reasoning models in the market. The second component is we're just seeing an incredible amount of growth. And as you can imagine, healthcare systems need a capable partner on the other side to help them implement and actually realize the full value of AI across their organizations. And so this funding is going to help us make sure that we are able to staff up our care transformation team to help organizations realize the full value of the AI technology. How many doctors are using your product right now?
28:32It's rapidly growing. We work with about 40 plus different healthcare institutions, including folks like Cleveland Clinic, UCSF, Houston Methodist. I'll give you an example. Cleveland Clinic, 80 % of all their clinicians use ambience every single day in clinic. They use ambience for 70 % of their visits. And so... So it's on in the background for 80 % of the physicians at Cleveland Clinic. That's right. It's transcribing. It's taking the notes right now as it is. That's right. And you walk, if you're in San Francisco, you walk into UCSF, chances are your clinician is using ambience in the background as well.
29:06And I mean, you know, did these... So after the... I'm just imagining how I use AI. Presumably, these doctors have to go in and edit these notes after, right? I mean, there must be some hallucinations involved or errors or stuff like that. I think the clinician is indeed responsible for the fidelity and integrity of everything that ultimately ends up in the medical record, that's for sure. But the level of precision and accuracy that we've been able to build into these models across the 100-plus different subspecialties that are at an academic medical center like like a UCSF or a Cleveland Clinic, we're getting to a place where we're taking the time that clinicians are spending after hours charting from two, three hours a day, pulling them down to maybe 20, 30 minutes in total.
Read the full transcript
29:49And so, yeah, there's still a review process that's really important, but the feedback from clinicians is that it feels like the technology's reading their mind because it so deeply understands the care that's being delivered in that room. And do the patients know that when I walk in to see my physician, do they know that I'm being recorded? they do so normally the conversation goes somewhat like this akash i'm your physician i actually have this piece of ai software that's going to be taking notes so there is a permit yeah there is a we can focus on you that's right right okay so look i want to come back to the product it's a very interesting product i i do want to talk about sort of the landscape at large for these um ai healthcare you know charting transcription tools i mean it's a very competitive space you know our readers know the name abridge very well they've raised money at a 5.3 billion valuation they have this partnership epic microsoft obviously has nuanced so how is it that ambience is going to win against these giants i think there's a couple of different pieces in our in our space we've got a ton of companies you named a couple that are building point solutions some point solutions for before the clinical workflow starts some point solutions to listen to the conversation and produce documentation, some point solutions for aspects of revenue cycle and coding and billing.
31:06I think one of the things that we've done effectively is actually build a single platform with shared context that holistically solves the problem across the entire continuum before, during, and after the visit. On top of that, you think about the academic medical centers in this country like Cleveland Clinic or UCSF, they're home to 100 plus different specialty and subspecialty areas. Turns out in those specialties, the medicine being practiced is different. The workflows are different, both the split of responsibilities between the staff as well as the actual integrations instead of the EHR.
31:37And then the downstream administrative rules are different. And it turns out that the differences are so significant that it's almost like building a completely different product for every single one of these specialty and subspecialty areas to actually address those needs. And so while there's a lot of excitement in our space around AI to solve the clinical workflow, if you walk into the average health system today, the vast majority of clinicians are living like it is a pre-AI world. and most clinicians don't have a tool that they can actually use. And so the kinds of sort of utilization numbers we're talking about at Cleveland Clinic at UCSF, they're unheard of in the rest of the market, probably two to three times higher.
32:10And a big part of that is really perfecting our ability to address the clinical needs across the sort of wide range of specialty areas in a health system. So in short, you know, where Abridge might have this big partnership with Epic, you know, your approach is you are, Amiens is trying to go, you know, directly to the health systems and develop technology that works a bit better from the doctor's head, I guess. You're really focused on those specialties, is what I'm understanding. A hundred percent. And you think about most of the major health systems in the country, they understand that the AI layer is a major strategic initiative.
32:44And so they're actually testing all the solutions in the market. Cleveland Clinic last year took five of the major vendors in our sector, put them all side by side, ran a significant evaluation, published the results actually, and used that as the foundation to decide what is the platform for their long-term sort of AI strategy. And the same we're seeing is playing out across the country. It's not really about who gets there first, who signs a pilot first. It's about who actually can actually drive system-level utilization and real outcomes and ROI in a world in which health systems need results, not narrative.
33:16Your role at the company, you've co-founded the company. You are a chief scientist. What is the biggest technical challenge that you are facing right now? I think the biggest challenge for us is the gap between general purpose reasoning models and models that are actually clinical grade and compliance grade and can operate in sort of the wide range of settings inside of a health system is vast. The last mile problem you'll hear what people talk about in healthcare is one of the most challenging sort of vertical AI problems in existence. And so that's part of the reason why we've had to invest incredibly deeply in R &D and the engineering infrastructure for training models to actually bridge that gap between where sort of foundation models are today versus how they need to be to be useful for clinicians in the front lines.
33:57Got it. So the last mile you're talking about is taking that model and then making it specific for a healthcare setting. Is that what you're talking about? Exactly. The post-training that's required to actually make sure the clinical reasoning, the administrative reasoning is at the level required to get to that clinical grade and compliance grade requirement for a healthcare use case. Right. Last question for you. Is your software also giving treatment recommendations to doctors? We currently don't have any features that are doing treatment recommendations. We have a couple of announcements coming up soon around clinical decision support.
34:31It's a very exciting space. But for the time being, our technology is mostly used to support the clinical workflow and automate the administrative burden as opposed to make a diagnostic decision. And so what do you see the role of the doctor then in this world where AI can give treatment recommendations? Well, I think the exciting part about being a physician is in the past, you lived in this world where you would walk in the room, you couldn't look your patient in the eye. if you had to go look something up, you'd have to step out of the room to actually look up reference material. And there's a version of the world coming within the next two to three years, whereas a clinician, you could walk into that room, you get to have a face-to-face conversation with the patient, and everything you need to know is sort of magically and ambiently brought up in the background, so you're not sort of searching for the right information.
35:18You can focus on building an authentic relationship, helping make good decisions together, looking over the options for someone's care, and then ultimately sort of tying in both what's the right clinical thing to do, but also what's the right thing to do for this person, given their context and their socioeconomic background and their preferences. Right. Well, look, it's a fascinating landscape here. Like I said, there are so many AI healthcare companies in this space. Congratulations on the fundraise this week. I'm really excited to see how things pan out. And I look forward to having you on the show again.
35:50That is Nikhil Baduma, the co-founder and chief scientist of Ambience Healthcare. For our next guest, every day there is more and more discussion about how companies are dealing with the growing proliferation of AI agents. The big tech companies are no different. Amazon is finding new ways to ward off agents from Google, Perplexity, Anthropic, ChatGPT. And I want to bring on our e-commerce reporter, Anne Guillen, who wrote a great story this morning, diving deep into these agent wars. Anne, welcome to TITV. Hey, Akash. How are you? I'm doing great. Right. I'm ready to talk agents and e-commerce, and I'm also ready to talk about, you know, perhaps how I could be using some of them for my own shopping needs.
36:31But, I mean, let's start with the story that you wrote this morning. What was it, you know, tell us the gist of the story. Sure. So, like you mentioned, one of the most common uses for AI agents that we keep hearing about is e-commerce. So whether you're researching and buying a new pair of running shoes, kitchen gadgets, party supplies, booking flights, travel, things like that, these use cases are something that companies love to talk about. You know, these are the things we're all going to be using AI agents for. And up until now, we've seen e-commerce companies like Amazon, like Shopify, try to remain pretty open and avoid defining too clearly an agent strategy.
37:12Since we're pretty early stage here, this tech is super new and they aren't used super widely for e-commerce yet. But if agents do really take off, that could mean a lot of shoppers stop going directly to sites like Amazon, like Shopify merchant sites, and just use agents or chatbots to do all of their browsing and shopping for them. And so that would be a pretty big deal since retailers really, really need this data that comes from people going directly to their websites. They need it for marketing, advertising, pricing, and merchandising decisions. So what I reported in my story today is we're seeing companies like Amazon start to take some initial steps to try to protect that a little bit and prevent agents from totally cutting them out of the shopping process.
38:04So, you know, I reported today that Amazon has quietly added some language to its website code in the past couple of weeks that says that Google's agents are not allowed to access its site. And other e-commerce companies are starting to make similar moves. So Shopify recently did something similar to keep agents away from specifically the checkout pages on its sites, making it so that you can't use an agent to automatically complete a checkout for you. So these companies are definitely making some early moves now to try to assert some control before agents really do take off to try to carve out some space and make sure that they don't get totally cut out of the shopping process.
38:45I want to come to Shopify in a second, but let's go back to Amazon and Google. So when you say Amazon has added language to prevent Google's agents from accessing the site, language, is that code saying we are not allowing it or is it just a recommendation? Sure. So it's in what's called the robots.txt file. And historically, this has been really important for SEO and search optimization, but it's becoming kind of an interesting indicator for how people are thinking about agents as well. So Amazon updated their robots.txt file saying that Google's Project Mariner agent isn't allowed to access its site.
39:29So that's not a legally binding hard and fast rule, but it's generally interpreted as kind of a signal of what these companies expect in terms of bots and agents coming to their site, kind of the expectations that they have. And just to sort of come full circle with this, so does this mean that Google cannot access the site set or just that it's like a handshake agreement that they won't? It's more of a handshake. We've seen in the past that Google has said it abides by robots.txt instructions. So I assume we'll see them take the same approach here. The company didn't say anything specifically when I asked them about that.
40:15But historically, they've followed those rules in the past. Got it. Well, I mean, let's talk about, you know, some of the other companies that are in the space. You talked about Shopify. Shopify has actually partnered with some of these agent companies. And they seem to have taken a little bit more of a proactive approach saying, you know, we want to work with these agents. So are they for agents or are they kind of against them in the way that you said some of the other companies might be? Sure. Shopify is taking a little bit more of a middle ground here. It seems like they're a little bit more open to agents coming onto their sites, but they also want to set some ground rules.
40:52So an important thing to know here is Shopify's major business, even though they're known for helping merchants set up and run their websites, is payments processing. So more than 75 % of their revenue last year came from a division it calls Merchant Solutions, which is all the add-on services besides the basic website hosting. And a huge piece of that revenue is processing the payments for all the millions of transactions on their sites. So Shopify has restricted, you know, the rules that they're setting to checkout so far. And so that's an indicator they want to be really protective of this checkout process and make sure that, you know, agents aren't buying things without people's permission or buying the wrong items.
41:37or, you know, instead of buying one pair of running shoes, they're buying 10 pairs of running shoes before the shopper has a chance to review it. So Shopify is definitely a little bit more open. The Financial Times reported a couple of weeks ago that OpenAI is weighing adding Shopify checkout buttons to some chat GPT chat windows. Shopify has a similar deal already with Perplexity, where you can check out using Shopify's checkout directly from perplexity search results for some users. So this is something that we've seen Shopify do with other kind of new ways of shopping or browsing before. They did a similar kind of partnership integration with TikTok Shop.
42:23So Shopify historically has been pretty willing to work with these new platforms and been pretty early to want to make a deal with these platforms to get their checkout in there. Right. Let's bring it back to you and I very quickly. What does all this mean for people shopping online? Sure. So like I said, this is still very early stage. We're not seeing agents go out and buy your weekly grocery order yet, but that's definitely coming. So for now, this means that the products that you see at GPT or Perplexity or Google's Project Mariner start to recommend or pull up in their search results, that might be a little bit limited as especially Amazon kind of clamps down on access.
43:15So I actually searched earlier this week for best Amazon kitchen gadgets on both ChatGBT and Perplexity, and both wouldn't pull up direct links to Amazon. So it does seem like they're abiding by. The handshake agreement. Yes. There's the handshake agreement. The robots.txt handshake agreement. I love it. Right, right. I asked specifically, you know, I want links to Amazon, and it was still pulling up other retailers like Macy's, Walmart. So that product selection might be a little bit limited, but I suspect in the future we will see Amazon have some kind of solution to this. And I suspect it'll likely be beefing up their own AI tools, but also could be partnerships with OpenAI with perplexity.
44:04I think just Amazon's still trying to figure out what exactly their strategy is going to be. Great. Well, look, it's a pretty interesting space and I'm excited to see how it pans out. Thank you, Anne, for coming on the show and explaining it to us. That is Anne Guillen, our e-commerce reporter at The Information. That does it for today's show. A reminder that we are live on this stream Monday through Friday at 10 a.m. Pacific, 1 p.m. Eastern. I want to thank Amazon Web Services, who is our presenting sponsor for this production. And I want to thank you for tuning in. We really do appreciate your viewership.
44:38I am already excited for tomorrow's show, So until next time, bye-bye for now.
From the publisher
The Information reporter Miles Kruppa talks with TITV Host Akash Pasricha about AI chipmaker Groq's revenue projections. We also talk with Raquel Urtasun, Founder & CEO of Waabi, about autonomous trucking and Nikhil Buduma Co-Founder & Chief Scientist Ambience about AI in healthcare. Lastly we break down Amazon, Google and Shopping AI agent wars with our reporter Ann Gehan.
Articles discussed on this episode:
- https://www.theinformation.com/articles/amazon-locks-googles-ai-shopping-agents
- https://www.theinformation.com/articles/ai-chipmaker-groq-slashes-projections-soon-sharing-investors
TITV airs on YouTube, X and LinkedIn at 10AM PT / 1PM ET. Or check us out wherever you get your podcasts.
