Towards a backdrop of debate on Capitol Hill over extending subsidies for ACA Market plans and drug costs, UberDoc desires to chop out payers because the middlemen. As a substitute, it desires to simplify reserving appointments with major and specialty care physicians by way of a platform the place sufferers or self-funded employers pay out of pocket for his or her care. In an interview, UberDoc CEO Sean Kearney talked about its strategy, plans for 2026 and the way firms like UberDoc make healthcare cheaper.
Worth transparency is a crucial a part of UberDoc’s choices. Sufferers see a hard and fast worth earlier than they guide, and that worth doesn’t change. No shock billing, nor insurance coverage necessities for the appointment. Physicians set their costs.
“We wish to drive this market financial system, we actually need physicians to be in charge of the companies they supply, and we would like sufferers to be empowered to grasp the fee for the care that they obtain,” Kearney mentioned.
Kearney clarified that there’s a place within the healthcare system for insurance coverage but it surely needs to be used the place it supplies essentially the most worth. He added that sufferers ought to have possession over their well being prices and outcomes.
Kearney’s healthcare background began with investing in and advising well being tech firms in addition to taking up CFO roles at Genomenon and Ruya AI. He additionally works as an adviser at Tau Ventures and Upswing Well being.
UberDoc launched in 2016 when vascular surgeon Paula Muto noticed a solution to streamline the doctor-patient relationship and enhance doctor job satisfaction by chopping out payers. Not like most firms on this area, the vast majority of medical appointments UberDoc helps are in-person. Physicians get fast and simple funds, however they’ll additionally steadiness their work between self-insured employers and dealing immediately with customers.
The mission of the corporate, as Kearney sees it, is to disrupt the insurance-based ecosystem, giving physicians the ability to drive care guided by their coaching and expertise whereas giving sufferers the power to guide the care they want with out community restrictions.
“If you concentrate on the ecosystem as a complete, at this time’s healthcare client is proscribed by the insurance-based framework. As we begin to reframe how our healthcare ecosystem works, extra folks will acknowledge that worth transparency and rapid entry goes to empower customers to keep away from the burdens and the complications of premiums and insurance coverage referrals. That not solely advantages the patron, however will give physicians the power to return to delivering healthcare as they meant after they pursued this profession path.”
Kearney mentioned UberDoc balances current doctor brick and mortar areas with digital visits for a hybrid care mannequin. Roughly one-quarter of UberDoc’s sufferers go for digital care. The bricks and mortar areas are geographically various and are unfold out throughout 44 states. Digital care plugs gaps in areas the place it lacks physicians. Sufferers will pay by bank card or by way of their well being financial savings account.
“We don’t perform inside the confines and the boundaries of the prevailing insurance-based healthcare system,” Kearney mentioned. “Our strategy is radically easy. We derive income by way of an appointment by appointment foundation in out-of-pocket transactions. Not like different rising well being platforms on the market, there may be not a subscription charged to the affected person or a membership payment, so sufferers are solely paying for the care that they or their family members want.”
UberDoc has extra income streams as nicely. It has a SaaS income mannequin that a few of its board-certified physicians subscribe, which permits them to realize entry to its suite of software program instruments. Enterprise-to-business contracts are channeled by way of partnerships with employers and different facilitators, with whom UberDoc has a income share settlement. For its employer phase, firms pay based mostly on a per member/per 30 days income mannequin, based mostly on the variety of staff utilizing the service.
Kearney claims that the breadth of specialists it affords is unmatched by different firms. Not like well being suppliers like Hims and Hers or Ro, UberDoc covers all specialties and isn’t restricted to a subset of healthcare.
AI represents an thrilling alternative for UberDoc in a couple of areas. Greater than 66% of physicians reported utilizing AI of their scientific follow in 2024. Greater than half, 57%, regard decreasing the executive burden for working doctor practices as the most important influence for AI, decreasing prices and enhancing clinicians’ high quality of life. UberDoc is creating a product suite and roadmap that may assist to offer physicians with new instruments and capabilities popping out in 2026. It is going to be aimed toward decreasing friction, facilitating onboarding and credentialing, and serving to physicians to market their practices.
Kearney additionally sees alternatives to make use of AI to help affected person navigation to assist sufferers establish essentially the most acceptable doctor specialist to guide an appointment with, based mostly on their signs and wishes. It may be deployed to assist sufferers perceive what their out-of-pocket prices might be with their insurance coverage service, based mostly on the suppliers of their space. On this method, UberDoc can assist folks make the very best healthcare choices for themselves and their households.
“M&A might be a key part of our development technique,” Kearney mentioned. “Our platform has confirmed to be remarkably common, which has drawn sturdy curiosity from companions throughout the healthcare ecosystem. We’re exploring M&A and strategic collaborations that develop entry, improve our know-how, and strengthen our price to each physicians and sufferers. On the similar time, we’re tapping public capital markets to gas this subsequent stage of development.”
UberDoc plans to commerce by way of the Canadian public fairness exchanges earlier than transferring into the over-the counter alternate within the U.S. subsequent 12 months.
As modifications happen within the ACA market, premiums rise or subsidies shrink, sufferers might be incentivized to pursue extra inexpensive and clear alternate options that UberDoc affords.
Photograph: ljubaphoto, Getty Photographs
