- Rideshare services such as Uber are revolutionizing the way patients access care, with far more patients opting for an Uber than an ambulance ride during a non-life-threatening medical emergency, according to a working paper out of the University of Kansas.
An analysis of ambulance utilization in over 750 cities in the 43 states in which Uber operated between 2013 and 2015 revealed that patients are opting for the cheapest version of healthcare transportation. Since Uber’s arrival in each city, ambulance utilization dropped by an average of 7 percent, the researchers found.
This trend aligns with overall industry efforts to deliver the highest quality of care at the lowest cost possible, said co-author David Slusky, assistant professor of economics at KU.
"In order to lower health care spending while improving health outcomes, people can use the least-skilled professional who is still qualified," Slusky said in a statement. "It's the same in the provider space: you don't need a neurosurgeon to diagnose strep throat."
A similar mindset applies to using Uber in place of traditional ambulance transportation. A patient might need to visit the emergency department, but does not require medical attention on the way there.
"Many patients don't need something that can break traffic laws and don't need something staffed by paramedics with a bunch of fancy equipment," Slusky said.
In turn, opting to use an Uber can save patients thousands of dollars. Ambulance rides are notoriously expensive, so selecting a less costly but still effective alternative is a step forward in value-based care.
There are some alternative explanations, conceded Slusky and co-author Leon Moskatel, of the Department of Medicine at Scripps Mercy Hospital in San Diego. Uber utilization could cut down on the number of unsafe or drunk drivers, ultimately leading to a lower rate of car crashes. Fewer car crashes could mean lower emergency department and ambulance use.
However, the pair asserted that because of mixed evidence their initial hypothesis is more likely. Patients are opting for Uber rides in non-life-threatening situations instead of more expensive ambulances.
This news could have positive implications for the healthcare industry, Slusky and Moskatel said. For one, this trend aligns with industry efforts to deliver high-quality healthcare at the lowest possible cost.
Additionally, patients using Uber are making it easier for patients truly in need to access ambulances. Some health emergencies do require immediate medical attention on the way to the hospital. With fewer non-life-threatening cases using ambulance resources, patients in critical need can access these rides.
"Given that even a reduction of a few minutes can drastically improve survival rates for serious conditions, this could be associated with a substantial welfare improvement," the researchers said in the paper.
These findings have some policy implications, particularly for healthcare payers. Payers often bear at least some of the cost of an expensive ambulance ride. Payers can reduce their own costs by encouraging patients to use Uber when possible. One strategy is offering patients a $50 gift card to Uber or another ridesharing company, Slusky and Moskatel suggested.
Even simple patient education efforts can motivate patients to access less costly ridesharing options when heading to the emergency department, the researchers said.
"We want to find every way possible to bend the medical cost curve,” Slusky concluded.
Rideshare services such as Uber and Lyft have proven effective solutions to patient care access cost barriers. A 2016 study published in the Journal of the American Medical Association found that Lyft partnerships reduce per-ride costs by 30 percent. Thanks to the program, patients accessing care via Lyft now fact transportation costs between $31.54 and $21.32.
The Lyft partnership also improved patient satisfaction scores by about 80 percent.
As healthcare professionals continue to identify strategies for lowering healthcare costs while increasing quality, they should look into better rideshare partnerships. Ridesharing options offer cost-effective transportation, while also ensuring patients get necessary medical attention.