Double eligibility registrants dealt with by Medicare and Medicaid are often disabled in receiving high quality treatment in a timely manner. Digital platforms such as ZOCDOC and SolveOr what portion You can call “Office available for emergency treatment” so that the patient can easily find a provider and make a reservation.
The US health care system is often not enough to provide adjusted and accessible treatment. 12.5 million In general, an American who is 65 years old (over 65 years old), a chronic health condition or a disability, and has a dual qualification of income or resources. This is mainly due to the combination of fragmented networks, unmet social needs and providers.
Only one solution, while Digital Health Care Marketplaces can solve these many barriers.
Pieces
Despite the continuous reform efforts, the qualified registrants are still Be struggling Navigate the sculpture system. Medicare and Medicaid are not designed to work together different Benefits, provider networks and qualifications-by state change Add to confusion. The integrated treatment model aims to simplify the service but now reach. Slight Submitter and evidence Their influence is still limited.
Digital Health Marketplages, such as ZOCDOC and SOLV, allow the patient to find treatment more easily by allowing the patient to search and reservation with the provider accepting the patient. Both insurance. Founded in 2007, ZOCDOC includes providers of the Health Center, which guarantees more than 250 specialty fields. Or young start -up SOLV focuses on emergency treatment. However, both platforms provide real -time commitment solubility. within 24 ~ 72 hours -Patients with a short long waiting time Generally face. It also includes a dual qualified user. ZOCDOC allows the patient to enter the second insurance through intake form, and SOLV can upload both insurance cards to his account.
youNMET social demand
There is a social demand that is not satisfied extended This is another reason why the approach to treatment among the qualified registrants is difficult. Factors such as poverty, housing instability, limited digital literacy, language barriers and traffic shortages ~ Initiative Delayed or missed promise.
Digital tools can’t remove all barriers, but platforms like Zocdoc and Solv provide some helpful features. Provide both platforms Artificial intelligence assistant Support Users with limited digital literacy provide remote health services to help reduce transport barriers. The ZOCDOC Integration Google and Apple Maps help the patient make a direct appointment. ZOCDOC also provides reviews for providing provider filters and patients for multilingual support, language and gender. Culturally reacts care.
Lack of providers
People who are looking for suppliers who accept both Medicare and Medicaid are especially difficult in areas with lack of suppliers. one study One -third of the County, which has the largest dual qualified population, found that a major shortage of primary care, especially restrictions, faces important primary care in the southeastern state, which restricts the role of nurse practitioners and doctors. This gap is difficult to approach in a timely manner, and the patient leaves a patient with little alternative.
Platforms such as ZOCDOC and SOLV cannot solve this systematic problem directly, but the patient helps to explore the already present options. For example, in 2022 15% ZOCDOC reservations were made by federal funding patients, including double qualified registrants, and more than 85% of the providers (excluding mental health) accepted Medicare or Medicaid. However, it is not clear that the ratio of this reservation is only for double eligors. This data is not publicly provided on SOLV.
limits
There is a remarkable limit to consider in this market.
First, there are few alternatives to the market, and evidence of these platform performance is limited. One one study Reservations through ZOCDOC are low in no show and others study MEDICAID patients have less nearby appointment options than medicare and individual patients despite the overall available use.
Second, ZOCDOC and SOLV are mainly promised reservation platforms, so they do not provide continuous treatment adjustment and cannot solve structural approaches or applications. This requires legislation action Strengthen existing programs from policy makers.
Third, these platforms seem to work only when sufficient suppliers participate, but the provider fee may not continue to participate. Zocdoc now A new promise to a doctor $ 40-140 move At $ 3,600 annual subscription fee that has been controversial. SOLV does not disclose the price publicly, but reports that the fee is charged by location (not per user) using annual, quarterly or monthly payment options.
Finally, the platform still has useful problems. For example, ZOCDOC and SOLV are not allowed for the current user to select. Many When filtering the search results, the insurance provider at the same time. Adding this feature will greatly simplify the process.
Next step
With the dual qualified population expectation By 2028, the growth of more than 15 million Americans grows 6% every year, printing these restrictions is increasingly urgent. ZOCDOC department Veterans’ military work, electronic health record system and practice management software company. Solv is likely to expand its reach with a partner relationship with the emergency treatment association. consumer Recognition campaign.
Digital tools do not modify broken systems, but can be easier to explore. For double eligible subscribers, platforms such as ZOCDOC and SOLV will help to bridge the gap between intention and access. With the right support, they can be more than simply “emergency treatment”. They can be the main gate of a more fair and connected medical system.
The study of this work was supported by Arnold Ventures.
