Open Sesame: A First Step in Fixing American Health Care

David Goldhill
Sesame
Published in
3 min readFeb 19, 2019

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For more than a decade, I’ve been working to make American healthcare more customer-driven and, ultimately, more affordable.

This mission started in 2007 with a personal catalyst: the death of my father due to a hospital error.

I’ve written articles and books about what’s wrong with our system.

Now with some talented and equally passionate colleagues, I’m launching Sesame as a practical solution to many of the challenges people face trying to get high-quality care for a fair price.

A marketplace for the uninsured

Sesame is a marketplace for health services where customers pay upfront for care.

With Sesame, people who are uninsured get fair prices for services because they’re paying in cash before they see the doctor. When physicians don’t have to deal with hassles of insurance, the patient gets a more affordable price.

You’ll see a full range of services on Sesame — well outside what is typically seen online. From preventative and chronic care to physical therapy, dental services, and more, we’re proud to offer a wide range of care options at transparent prices.

Sesame is more than just appointments

Use Sesame to find individual services, bundles, or subscriptions for recurring healthcare needs.

Buy bundles of acne management appointments, sleep management care, or a package of back pain care at prices you won’t find anywhere else. We’re making it possible for people to see a primary care doctor for $50 or an orthopedist for $125.

No surprise bills, no hidden costs. Just great doctors offering their services at fair, transparent prices.

Sesame is good for doctors too

The flexibility of the Sesame platform allows doctors to offer great prices and excellent care in ways previously unavailable to them. Providers can fill last-minute cancellations or newly expanded office hours and offer special packages of care, tests, and treatments. And pre-paid direct care greatly reduces doctors’ overhead and collection costs, which means they can pass on more affordable rates to direct-pay customers.

This is our calling

It’s our mission to transform America’s broken healthcare system, one patient at a time.

Sesame should not be viewed as a substitute for health insurance. Rather, we’re here to help serve people who can’t afford insurance or have inadequate coverage. Our team is determined to build a platform that enables you to find the care you need at affordable prices from doctors you trust.

We promise to keep you and your data secure and to give you complete control of your medical records. There are few things more personal than your health information, which is why everything we do is HIPAA compliant.

I’m thrilled to invite you to see what we’ve been working on and share Sesame with your friends and family.

This is the start of a profound shift in making health care accessible and affordable for every American. And I can’t wait to see where we go next.

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David Goldhill
Sesame

Co-Founder and CEO @ Sesame. Advocate for hospital safety & health care transparency. Author of #CatastrophicCare