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If People Can Use TikTok, Why Can’t They Use Healthcare?

By Scott H. Schnell on December 09, 2025 9:29 am

In my latest MedCity Influencers piece, I argue that member disengagement—especially in Medicaid—isn’t a motivation problem or a compliance problem. It’s a design problem.


Healthcare spends billions trying to “engage” people, yet most experiences are confusing, bureaucratic, and built around how the system wants people to behave—not how people actually live. Engagement doesn’t come from reminders and portals alone. It comes from experience: simplicity, trust, personalization, and human connection.


As HR1 reforms accelerate, redeterminations shorten, and provider strain grows, every friction point becomes a risk point. If we want people to stay connected to care, we have to design healthcare to be usable—by combining thoughtful technology with relationship-based support.


Would love to hear how others are thinking about experience reform as healthcare’s next frontier. 


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asa binney
Jun 08

Because societies are trying to move Slither io healthcare closer to accessibility—but it can never behave exactly like a social media app.

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pio
Apr 08
Rated 5 out of 5 stars.

These challenges amplify the consequences of poor design. Every confusing process, delay, GeoGuessr or barrier increases the likelihood that individuals will disengage from care, which can lead to worse health outcomes and higher long-term costs.

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Guest
Feb 05

This simple mechanic creates deep gameplay of Drift Boss, as players must perfectly match their inputs with the curves of the road.

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