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In a deep dive, Nabla's executive chairman sheds light on an alternative to large language models (LLMs) that could reshape how AI understands and interacts with the world.
In this edition of STAT’s AI Prognosis, Brittany Trang interviews Alex LeBrun, the executive chairman of AI scribe company Nabla. The conversation delves into the concept of a "world model," an alternative to large language models (LLMs) that could significantly enhance AI's understanding and interaction with real-world scenarios.
LeBrun starts by explaining that while LLMs have made remarkable strides in natural language processing, they often lack a deep understanding of the physical world. This limitation can be problematic in fields like healthcare, where nuanced context is crucial for accurate decision-making. "LLMs are great at generating text and capturing patterns," LeBrun says, "but they don't really understand the world in the way humans do."
The world model approach aims to bridge this gap by integrating a more comprehensive understanding of the physical and social environment into AI systems. Here’s how it works:
LeBrun emphasizes that this approach is not just about adding more data but about structuring it in a way that mimics human cognition. "It's about creating a model that can reason about the world, not just recall information," he explains.

To illustrate the practical applications of world models, LeBrun provides an example from healthcare:
LeBrun also discusses the challenges and ethical considerations of implementing world models:
The world model approach represents a significant shift in how AI systems understand and interact with the world. By integrating diverse data sources and continuously learning, these models can provide more accurate and contextually relevant insights. While there are challenges to overcome, the potential benefits in fields like healthcare make this an exciting area of research and development.
As LeBrun concludes, "The future of AI is not just about generating text but about truly understanding and interacting with the world around us."
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What is a ‘world model’? Nabla's Alex LeBrun explains
↗ https://www.statnews.com/2026/07/22/what-is-a-world-model-nabla-alex-lebrun-explains-ai-prognosis
About the author
Kai built ML infrastructure at a Bay Area startup before developing an obsession with transformer architectures and inference optimisation that eventually pulled him out of product work entirely. A stint at a compute research lab sharpened his instinct for what actually matters in a model release versus what is marketing. He writes from the inside — from the perspective of someone who has debugged the systems he is describing at three in the morning. He is allergic to hype and instinctively drawn to the unglamorous plumbing questions that everyone else skips over.
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27 July 2026
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