Ambient AI scribes generated $600M in revenue in 2025. They only transcribe.
Nura transcribes, reasons, and acts.
The crisis
3+ hrs
per day spent on documentation alone
J Gen Intern Med, 2023
251,454
deaths/year from medical errors (3rd leading cause, US)
Makary & Daniel, BMJ/Johns Hopkins, 2016
43%
of physicians experience burnout across 10 high-income countries
Commonwealth Fund, 2025
1M
health workers short by 2030 in WHO European Region
WHO Europe, 2026
The $600M ambient scribe market is already commoditizing; 67% of providers plan to switch vendors. The next opportunity isn't better transcription. It's autonomous clinical intelligence.
Menlo Ventures, State of AI in Healthcare, Oct 2025
Abridge, DAX, Nabla
Epic alerts, Lexicomp
Nura — zero commands
01
Real-time streaming transcription with speaker diarization
02
Medications, symptoms, allergies, conditions
03
Drug interactions & allergy conflicts checked instantly
04
Urgency classification, referral routing, gap analysis
05
SOAP notes, record updates, referrals, appointments
Documentation is table stakes. Clinical reasoning is the differentiator.
| Capability | Abridge | DAX Copilot | Nabla | Nura |
|---|---|---|---|---|
| Real-time transcription | ✓ | ✓ | ✓ | ✓ |
| Speaker diarization | ✓ | ✓ | ✓ | ✓ |
| SOAP note generation | ✓ | ✓ | ✓ | ✓ |
| Drug interaction detection | — | — | — | ✓ |
| Allergy conflict alerts | — | — | — | ✓ |
| Autonomous referral routing | — | — | — | ✓ |
| Patient record auto-update | — | — | — | ✓ |
| Follow-up scheduling | — | — | — | ✓ |
| Zero commands needed | — | — | — | ✓ |
Documentation + Clinical Decision Support + Autonomous Actions = three markets in one product.
Total Addressable Market
$16.25B
Ambient Clinical Intelligence by 2035
Serviceable Market (US)
$2.87B
ACI market in 2025, growing 2.4x YoY
Healthcare AI Spend
$1.4B
Tripled from 2024; 85% goes to startups
Menlo Ventures, 2025
Italy's AI in healthcare market: EUR 3.19 billion by 2030(Markets & Markets, 2026)
Foundation Technology
Without Speechmatics, the entire pipeline breaks. It's not a component; it's the foundation that enables everything downstream.
2x better than nearest competitor on medical terminology. ICD-10 codes, drug names, dosages.
WebSocket API delivers words as they're spoken. Not batch processing; true real-time.
Separates doctor from patient automatically. Enables role-aware clinical reasoning.
Custom dictionary boosted for clinical terms. Procedures, medications, anatomy.
Powers 100% of UK emergency calls. Zero-downtime, production-grade infrastructure.
Multilingual support ready for EU expansion. HIPAA-compliant with zero data retention.
Processing Pipeline — 2-5 second end-to-end latency
Audio Stream → Speechmatics Medical Model
98% accuracy, real-time streaming, speaker diarization
Diarized Transcript (Doctor | Patient)
Timestamped, role-separated, medical terms recognized
Gemini 3 Flash — Clinical Reasoning Engine
Multimodal understanding with Featherless AI fallback
Autonomous Agent Actions (parallel)
Drug interactions · Allergy alerts · Urgency classification · Referral routing · Record updates · SOAP notes
Real-time SSE → Frontend
< 3 seconds from speech to clinical decision
Published research proves the category works. Nura goes further.
What peer-reviewed research shows
13.4%
reduction in total EHR time per appointment
JAMA, 2024
5.6 min
saved per appointment with virtual scribes
JAMA Network Open, 2024
2.5x
greater time savings for power users per note
medRxiv, 2025
600+
offices using AI scribes at Kaiser Permanente (40 hospitals)
AHA, 2024
Nura goes beyond
Those systems only generate notes. Nura does everything they do plus detects drug interactions, flags allergies, routes referrals, and books follow-ups — autonomously.
Preventable errors
44K–98K
hospital deaths/year (US)
StatPearls, 2024
For a 200-doctor hospital
400h
documentation hours saved per day
$60K
saved per day at $150/hr physician cost
$15.6M
annual savings per hospital
$500K+
cost to replace one physician
Mayo Clinic Proceedings, 2022
PCP burnout costs US healthcare $260M/year in excess spending from turnover alone.Sinsky et al., Mayo Clinic Proceedings, 2022
No login. No setup. Three real scenarios.
Demo 1
Lisinopril + Ibuprofen prescribed in conversation. Nura catches the interaction and alerts in real-time.
Demo 2
Sulfa drug prescribed to patient with documented sulfa allergy. Nura flags it before the prescription leaves the room.
Demo 3
Patient describes chest pain on exertion. Nura classifies urgency and routes a cardiology referral autonomously.
From hackathon to enterprise deployment.
Now
Real-time transcription, clinical reasoning, autonomous actions on pre-loaded patient scenarios.
Q3 2026
Speechmatics 55+ language support. FHIR/HL7 interop for real EHR systems.
Q4 2026
Real-time microphone input (already prototyped). Multi-patient batch analysis for hospital shifts.
2027
Prior authorization automation. Payer-provider AI coordination. Clinical trial matching.
2027+
Speechmatics supports on-prem. Hospital-grade deployment with data sovereignty guarantees.
251,454 deaths per year from medical errors. 1 million health workers short in Europe by 2030. The $600M scribe market only transcribes. Nura transcribes, reasons, and acts.
Launch Live DemoNo login. No setup. Three real scenarios included.