The concept of disruption in the business world is often associated with being cheaper, as Clayton Christensen, a renowned mentor, taught. The idea is that disruptors enter the market with “good enough” alternatives at a lower cost and gradually move upmarket. This strategy has been exemplified by companies like Toyota, whose economy cars eventually paved the way for the luxurious Lexus brand. However, in the realm of American healthcare, urgent care facilities are disrupting the traditional model, even though they typically charge slightly more than a traditional primary care visit. This paradoxical approach is proving to be highly successful.
To delve deeper into this trend, I had the opportunity to interview Dr. Andrea Giamalva, who transitioned from a family medicine physician to the Chief Medical Officer at Experity, an urgent care IT company. With over a decade of experience in the field, Dr. Giamalva provided valuable insights into how urgent care is systematically gaining market share, despite its higher costs compared to primary care visits.
One of the key factors contributing to urgent care’s success is its ability to cater to a significant portion of the population that does not have a designated primary care provider. Dr. Giamalva highlighted that between 40% and 80% of patients walking into urgent care facilities fall into this category. This trend is particularly pronounced among younger generations, with nearly 40% of Gen Z lacking traditional primary care relationships. As the healthcare landscape grapples with a projected shortage of primary care physicians, urgent care is stepping in to fill the gaps.
Urgent care’s appeal lies in its offering of same-day access, minimal wait times, and convenient locations. While it may cost slightly more than a primary care visit, the superior accessibility and efficiency of urgent care facilities make them a preferred choice for many patients. Additionally, urgent care is diverting patients away from costly emergency department visits, offering a more affordable alternative for non-emergent healthcare needs.
The integration of technology has played a crucial role in transforming urgent care into a viable primary care alternative. AI and health IT systems have streamlined processes, allowing for seamless patient experiences. Platforms like Experity enable patients to secure appointments, receive real-time updates on wait times, and access post-visit information effortlessly. This technological advancement has enhanced the quality of care provided by urgent care facilities, making them a competitive player in the healthcare industry.
Looking ahead, Dr. Giamalva envisions a future where urgent care facilities handle lower-complexity patients, while traditional primary care offices focus on more complex cases requiring specialized care. This shift in the healthcare continuum reflects a strategic realignment to optimize patient care and alleviate the burden on primary care providers.
In conclusion, the rise of urgent care facilities offers valuable lessons that extend beyond the realm of healthcare. It underscores the importance of delivering value beyond price, adapting to demographic shifts, and leveraging technology to enhance services. As the healthcare landscape continues to evolve, urgent care’s trajectory serves as a blueprint for redesigning care delivery to meet the evolving needs of patients.

