Forward Motion: Rideshare in STL Navigating transportation options in St. Louis to reduce infant mortality rates Chad Schubert - MBA Derek Holland - MPH Laura Tomassi - MBA Rene Morency -MBA/JD Shelby Rouse -MBA
Background
NEMT Ride Sharing Options
Does Rideshare Improve Outcomes? ● Clinical Study ○ Appointment rates not significantly different ● Rideshare Pros ○ Cost and Waiting Time Reduced ○ Increased Satisfaction ● New Markets ○ Opportunity for growth
Uber Health and Lyft Concierge
Pickup scheduled by health care provider
Patient texted/called with confirmation and when driver en route
Patient picked up at doorstep
Uber/Lyft Challenges and Opportunities The total cost of missed healthcare appointments in the United States is $150 billion annually
“Many hospitals are paying for the rides out of their own budgets, finding it cheaper than the cost of missed appointments.� Jay Holley, Head of Partnerships at Uber Health
Suggested Driver “Hotspots”
The Economy of Rideshare Uber & Lyft: Driver & Vehicle Requirements ○ ○ ○ ○
Age Background Checks Vehicle Requirements Insurance Requirements
Do these requirements present barriers for drivers in target zip codes?
10%
44%
Focus Group Results:
8
8
3
# participants with a vehicle
# participants with rideshare app
# participants who used app in last month
Focus Group Comments ● Safety is a concern ● Interest In: ○ “Uber-Doc” ○ Increased access to vehicles ○ BFL Branded Cars ○ Addressing Liability
“Help people do right. Get Right. Help people hold it.”
Customer Research
Medicaid clients’ pain points include communication and client education
Fit Where might Rideshare fit in the transportation ecosystem?
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National vs. state contracts Scale Exclusivity Timing of entry
Continuing considerations ● Continuity of care through the first year of life ● How can you drive appointment “loyalty”? ● Potential Uber/Lyft revenue opportunities that maximize invested fixed costs
Moving Forward Rideshare for healthcare is coming; how do we do it right? ● Opportunity to keep Economic Development local ● Racial Equity Lens ● Integrating with existing systems ● Collaboration
Appendix Slides
Make your date Info Cons ● ● ●
Pros Limited to Detroit Area NEMT one component of multimodal program Advertisement/marketing to parents before 1st appointment
Focus on holistic approach to healthy pregnancies ● ●
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Partnered with Sister Friends Detroit Utilizes evidence based research for full term pregnancy programs Free Detroit demographics similar to St. Louis
Chemo Cars How it Works: ● Platform integration with Uber and Lyft ● Reserve via online calendar or by calling - in real time ● Text message confirmations ● Paid for, in-full, by Chemo Cars who is funded by (not tax-deductible) donations
Eligibility & Restrictions: ● Geographic restrictions ● For approved destinations only ● Cell phone access required ● Must be able to manage communication and mobility without assistance
Chemo Cars: Pros and Cons Pros: ● Cell phone access in United States is up to 95% ●
●
Chemo Cars does not require use of a smartphone No transactions for customers
Cons: ● Does not serve patients with mobility issues ●
Text messaging is required
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Non-surgical procedures only
Lyft Concierge Pros ● ● ● ●
Lyft Concierge ties directly into medical records Nationwide (All cities Lyft currently works in) Incentives for riders Partnered with circulation
Cons ● ● ●
Internet/online access necessary Car Requirements (age 2002) Incentives to recruit and keep drivers needed ● Quick driver turn around (less than six months)