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We were busy in 2014 building new tools for medical providers and their patients, including:
- Secure messaging for improved communication
- Streamlined lab testing through Quest Diagnostics
- Prescription re-send and enhanced pharmacy finder
- PayPal integration for simple, secure payment
- Request an invite for easier sign up
We are excited about 2015 and look forward to making health care more convenient and price transparent for you! Remember to add the Push Health icon to your smartphone so that trusted health care is only a few clicks away.
From bricks to clicks to code: 100,000+ patients, 50,000+ injections, 100,000+ lab test results, and free software serving over 4,500 medical providers without $1 of insurance accepted.
In 2007, my business partner and I began our journey to work on health care price transparency and access. We studied the retail-clinic models that were popping up like Minute Clinic, Redi-Clinic, and Health care Clinic. We liked the simplicity, but didn’t want to be constrained by operating within a retail store and accepting insurance seemed like a strange thing for everyday health care needs.
In October 2008, we opened Accesa Health, a brick and mortar walk-in medical clinic in Torrance, CA. Our biggest decision at the time was to stay 100% outside of the insurance world, which would help us manage SUPERFECTA Health. As such, we had to find patients that were willing and able to pay out of pocket for health care needs. As discussed here, it was not a simple road, but we were determined. We also knew that we needed to make the experience incredible so our patients would want to come back when future needs arose and would tell their friends about us.
Over a period of several years we learned the ins and outs of running a 100% self-pay health care facility from connecting with self-pay patients using the internet, to actively listening to and providing the care desired by these patients, to setting up and managing health care vendor relationships. Over 22,000 patients, nearly 80,000 total visits and 5-Star Yelp reviews make us feel that we are doing something right.
As we listened to our patients at Accesa Health discuss their needs, the desire for better access to medical lab testing was heard time and again. Improved access not only meant getting tested, but actually receiving results (good) in a timely manner (better) and not receiving mystery bills in the mail months later (best). We had learned people use the internet to find health care services, but would they actually purchase a service online? We had a suspicion they would, so we started Accesa Labs as an online portal for patients to order lab tests, get tested and receive results in a straightforward process. The feedback was so positive that we contracted with medical providers in other states to offer the testing services nationwide. Since late 2010, over 66,000 people have used our services to get tested.
Push Health is the evolution of what we have discovered serving self-pay patients in person and online and applying scalable technology to deliver tools to the individual medical provider so that they can serve their networks in a more convenient and price transparent way. We are focused on delivering an awesome, FREE set of HIPAA compliant and secure tools for patient network building, messaging, virtual consults with 100% price transparency and things like simple documentation, e-prescribing, & pre-paid e-lab ordering built in. No more mystery bills showing up in the mail.
We have done all the work so the individual clinician and his or her network can more easily enter this new world of higher deductible insurance and increased “patient cost-sharing”. It is early innings, but we recently passed the 4,500 registered provider mark and look forward to working hard to delight them and their patients.
If you are a medical provider, join Push Health and let us know what you think. If you are a patient, encourage your medical provider to join.
What we learned about the U.S. healthcare system by including “FREE” in our Google AdWords campaigns
When we opened Accesa Health in 2008, we were confronted with the handful of advertising options that local businesses face to help customers find them: print ads (yellow pages, weekly mailer services, flyer services, etc.), and the internet.
Print ads seemed like an expensive proposition, demanding upfront fees with no guarantee that customers would show up. The internet seemed like a big place for a small brick and mortar health care business to advertise, but we found Google AdWords which would let us take baby steps with spending and iterate quickly on messages. It would also, theoretically, connect us with patients when they actually needed our services, not randomly as with most print ads.
With health only comprising 2% of reviews on Yelp, the big unknown at the time was would people use the internet to shop for health care services? My partner and I still remember the first patient who came in and said that he had found us on the internet. It was a so-called aha moment, but there were problems.
A few things to point out: 1) 90+% of US health care expenses are currently paid by some form of insurance, and 2) We don’t accept insurance.
Simple, fuzzy math says that at best only 10% of people searching the internet for health care services in Los Angeles would possibly be searching for a service like ours. And if you believe what you read, those 10% are probably too poor to afford health care and don’t have access to the internet anyway. Were we crazy?
We believed in our mission to bring price transparency to everyday health care, so we pressed on. A primary challenge with Google AdWords is determining which keywords are best for connecting with your target audience.
We started very simply with terms like “clinic” and “urgent care”. Predictably, the early phone calls came from people asking us whether or not we accepted their insurance. As a bootstrapping entrepreneur, I could physically feel the money leave my pocket with each ad clicked by those callers.
We also received many calls asking us whether or not we were a “Free” clinic. Strangely, we weren't receiving many calls asking us how much a service cost. How could this be? Americans are GREAT at shopping.
More calls about insurance and free clinics led to more frustration until we started saying “Not Free, but affordable” in our Google ads. An interesting thing started to happen. People started calling and inquiring about our prices -- another aha moment. Many people who are searching for FREE health care services are actually willing and able to pay, but don’t know where to go.
Time and time again, this experience has been validated. And now, almost 11 years later, great than 90% of our first time patients across our businesses find us on the internet and many when searching for free health care.
There is an overriding perception about access to US Health care: Insurance or Free and no in between.
Think deeply about that for a moment and the type of system that this dichotomy creates.
We believe that Push Health can go a long way to change that perception and are excited about the journey.
If you are a medical provider, join Push Health and let us know what you think. If you are a patient, encourage your medical provider to join.
