
Hosted by Erik Torenberg
Written by a model from the transcript; not yet reviewed.
This episode explores the evolution of healthcare scheduling and how artificial intelligence can finally fix access issues that have persisted for decades. The guest explains how Zocdoc built an infrastructure connecting patients to doctors across hundreds of scheduling systems and why the company now makes that technology available to third parties like payers and AI platforms. They discuss the historical barriers to creating a unified provider directory, the reality of last-minute cancellations and load factors in medical practices, and the strategic partnership with Gemini to power conversational healthcare booking. The conversation highlights why consumer-aligned marketplaces succeed where walled gardens fail, and what changes when finding the right doctor becomes as easy as booking a flight.
The hosts introduce the episode, explain the focus on healthcare scheduling and AI, and set the stage for the interview.
Discussion of Zocdoc’s partnership with Gemini, the idea that no single company should own the healthcare front door, and how better scheduling can reduce wait times.
Oliver details the technical hurdles of connecting hundreds of EHRs, insurance plans, and practice workflows to enable seamless booking.
Oliver explains how AI agents can use Zocdoc’s infrastructure to provide personalized, actionable booking experiences for patients.
Oliver recounts Zocdoc’s shift from a flat subscription model to a discovery‑booking fee model, and how payer partnerships fit into the strategy.
The conversation turns to metrics, showing how Zocdoc reduces average wait times to about three days and improves provider load factors.
Oliver discusses the criteria for keeping doctors on the platform, handling high‑quality providers, and maintaining service standards.
The host and Oliver reflect on upcoming AI initiatives, expansion plans, and the broader vision of opening every healthcare front door.
Why Directories Failinsight
Provider directories act like the Encyclopedia Britannica, becoming out of date by publication, whereas transactional platforms act like Wikipedia and validate information continuously.
Solving the Post-It Note Problemstory
Integrating with 175 different electronic health record systems required solving thousands of edge cases, including doctors using physical post-it notes for scheduling changes instead of software.
Healthcare Is A Cityinsight
The walled garden premise in healthcare is flawed because patients do not stay locked in one building; they navigate a city and need multiple doors to open depending on their needs.
Distributing Availability via AIstrategy
Instead of doctors hunting down every new AI agent or front door platform, a single integration with Zocdoc distributes their availability to all consumer tools automatically.
Oncology Bookings at Scaledata
Zocdoc handles tens of thousands of oncology bookings in New York City alone, proving that open scheduling extends far beyond primary care into highly specialized fields.
While national average wait times for primary care have worsened to 31 days, Zocdoc users can typically see a doctor within 72 hours by capturing last-minute cancellations.
Best Doctors Have Worst Utilizationinsight
Top academic doctors often have high appointment wait times and poor utilization because they do not double book and deal with busy patients who cancel frequently.
“But in healthcare, simply booking an appointment can still take weeks.”
“We are of data that's more than 99% accurate, which compares quite favorably with your average insurance directory.”
“We make it really difficult for patients to do business with us. And that's not what patients actually want.”
“We have our own qualification entities and rules. And we do make sure that the doctors that are on Zocdoc all pass that.”
“We charge a provider for a discovery booking, meaning a booking where the patient was doing a general search and we connected them to that doctor.”
“We fill that last minute capacity. And this is how we can get to the three day average time.”
Why is booking a doctor's appointment still so difficult, and can AI finally change that? Zocdoc CEO Oliver Kharraz argues that the real problem isn't finding doctors, but connecting patients to accurate availability and making appointments bookable wherever they start their search. Oliver joins a16z General Partner Julie Yoo to discuss how Zocdoc spent nearly 20 years building the infrastructure behind online scheduling, and why it's now opening that technology to AI agents, insurers, and other platforms. They explore Zocdoc's partnership with Gemini, why patients shouldn't be locked into a single healthcare platform, and how surfacing last-minute availability can reduce appointment wait times from weeks to days. They also discuss what happens when AI becomes a new front door to healthcare and why Oliver believes the future of Zocdoc extends far beyond its own app.
6,224 words · 3 speakers
Speaker names marked are inferred from speaking time and the show’s known hosts — they are not voice-verified.
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