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To provide high-quality AI insights in real-time without prohibitive costs, Abridge employs a "fast and slow" thinking approach. It uses a constellation of models, where a cheaper, faster model first triages a situation and then hands off complex tasks to a more powerful, expensive model only when necessary.

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Don't use your most powerful and expensive AI model for every task. A crucial skill is model triage: using cheaper models for simple, routine tasks like monitoring and scheduling, while saving premium models for complex reasoning, judgment, and creative work.

Advanced AI architectures will use small, fast, and cheap local models to act as intelligent routers. These models will first analyze a complex request, formulate a plan, and then delegate different sub-tasks to a fleet of more powerful or specialized models, optimizing for cost and performance.

Just as developers use various databases for different needs, AI applications will rely on a "constellation" of specialized models. Some tasks will require expensive, high-reasoning models, while others will prioritize low-latency or low-cost models. The market will become heterogeneous, not monolithic.

Relying solely on premium models like Claude Opus can lead to unsustainable API costs ($1M/year projected). The solution is a hybrid approach: use powerful cloud models for complex tasks and cheaper, locally-hosted open-source models for routine operations.

An intelligent AI orchestration layer can achieve a cost-to-accuracy balance superior to any single model. By routing queries to a portfolio of different models (large, small, specialized), it creates a new Pareto frontier, delivering higher success rates at a lower average cost than relying on one "best" model.

For low-latency applications, start with a small model to rapidly iterate on data quality. Then, use a large, high-quality model for optimal tuning with the cleaned data. Finally, distill the capabilities of this large, specialized model back into a small, fast model for production deployment.

A hybrid approach to AI agent architecture is emerging. Use the most powerful, expensive cloud models like Claude for high-level reasoning and planning (the "CEO"). Then, delegate repetitive, high-volume execution tasks to cheaper, locally-run models (the "line workers").

To optimize AI costs in development, use powerful, expensive models for creative and strategic tasks like architecture and research. Once a solid plan is established, delegate the step-by-step code execution to less powerful, more affordable models that excel at following instructions.

To operate efficiently under power and compute constraints, edge AI systems use a pipeline approach. A simple, low-power model runs continuously for initial detection, only activating a more complex, power-intensive model when a specific event or object of interest is identified.

As AI costs rise, using one powerful frontier model for every task is no longer financially viable. The solution is to create a dedicated "Model Sommelier" role responsible for curating a portfolio of models, continuously testing and selecting the most cost-effective option for each specific business use case.