Tag: Evan Steele

AI Is the New Referral Gatekeeper: Here’s What It Already Knows

Evan Steele

By Evan Steele, Founder and CEO, rater8.

A patient wakes up with knee pain. Instead of calling their primary care doctor, they open ChatGPT, Claude, or Google and type a question. From there, these AI tools pull from what they already know: your reviews, your directory listings, what patients have said about you in forums, and return a short list of recommendations.

You weren’t consulted. You didn’t get a chance to make your case. And you probably have no idea what it said. For the patient, the process feels simple. For healthcare organizations, it raises a new question: what information are these AI tools using to describe your practice?

The Referral Network You’re Not Part Of

For decades, patient acquisition followed a predictable pattern. Another doctor made a referral, the patient had a friend or neighbor who recommended their surgeon, or perhaps a coworker or family member vouched for a nearby specialist. These were human conversations built on relationships, and practices could influence them by delivering great care and building strong professional networks.

Today, the process often begins somewhere else: the search bar. Increasingly, that search leads to an AI-generated summary from tools like Google’s AI Overviews, ChatGPT, or Gemini. Instead of scrolling through links, patients get one synthesized answer. Part of the reason is structural. Younger patients, for example, are less likely to enter the healthcare system through a traditional referral.

According to a national survey from the Cleveland Clinic, nearly two in five Gen Z adults do not have a primary care provider. At the same time, 45% of Gen Zers are enrolled in high-deductible health plans, which typically do not require referrals to see a specialist. Without a PCP guiding the process, many patients start their search online.

When these AI models recommend one provider over another, they influence which practices prospective patients investigate first, and which ones they never see.

AI Is Looking Beyond Your Practice’s Website

Many healthcare organizations assume that if their website is accurate and up to date, they are in good shape. In reality, AI tools pull from a much wider range of sources. They analyze Google reviews and listings on sites like Healthgrades, Vitals, and WebMD, and they scan patient discussions in online forums like Reddit, Quora, and local Facebook groups. Some AI models even incorporate employee feedback from sites like Glassdoor.

Together, these sources form a holistic picture that AI systems use to describe your practice. This means that information a practice rarely monitors, such as an outdated directory listing, an old review thread, or a frustrated patient comment about their parking experience, can influence how AI is summarizing that organization to prospective patients.

How to Show Up Where Patients Are Searching

The first step is surprisingly simple: search the way your patients would. Ask AI tools the questions a prospective patient might ask: “who is the best orthopedic surgeon near me,” “who is the top dermatologist in Phoenix,” “which cardiologist in Dallas has the best reviews?” Then, review the responses carefully. Is the description accurate? Are competitors appearing instead? From there, organizations can begin tracing where those answers are coming from.

When organizations begin running these searches, they often uncover a pattern: certain providers appear frequently, while others are missing entirely. One of the most common reasons is the “silent profile.” Many providers, especially newer physicians or specialists in smaller service lines, simply do not have enough recent reviews or online activity for AI models to confidently recommend them. Even highly respected providers can become invisible in AI-generated answers if their profiles appear inactive or outdated. Maintaining a steady flow of fresh patient reviews and ensuring provider profiles remain active across all platforms like Google, Healthgrades, Vitals, and WebMD can help close that gap.

Your reputation has always been shaped by what patients say about you. What’s changing is how that information gets interpreted. That makes the information surrounding your practice across review sites, directories, and community conversations more important than ever. Healthcare organizations don’t need to become experts in AI, but they do need to understand how patients are searching today, and how those tools are describing them when they do.

When AI Becomes Your Front Door: Preparing Your Practice for the New Patient Search

Evan Steele

By Evan Steele, founder and CEO, rater8.

Over the past decade, patients have steadily shifted from word-of-mouth referrals to digital search when making healthcare decisions. Today, that evolution is accelerating even faster as artificial intelligence (AI) tools, not traditional search engines, emerge as the new front door to finding care.

Instead of spending time talking to friends or browsing through pages of Google results, patients now often simply ask ChatGPT, Google’s AI Overviews, and other consumer AI assistants a simple question: “Who is the best doctor near me?” These tools don’t return lists anymore. They return answers. And which doctors are recommended depends on signals most practices still don’t understand or fully control.

The result? A patient visibility vortex is emerging, where AI will decide which providers appear, which disappear, and which rise above their competitors in 2026 and beyond.

AI is Rewriting the Patient Search Journey

According to rater8’s 2025 Patient Preferences Survey, 31% of patients already use AI tools to research providers. Even more striking: 52% trust AI results as much as or more than traditional search. This shift is accelerating.

AI models now ingest large volumes of public information: practice websites, review sites, news articles, directory listings, Reddit posts, and social media posts. They synthesize all of it into a single recommendation.

As John Bulmer, Public Information Officer at Capital Cardiology Associates, observed in a recent rater8 panel webinar: “Your website is no longer the first place prospective patients meet you — it may be the second or third. And now, with AI pulling information from sources you may not even realize, your broader online presence has never mattered more.”

The old rules of patient search habits no longer apply. Online visibility isn’t earned once and done; it must be constantly maintained because AI evaluates recency, consistency, and credibility across every corner of the internet. Practices that can’t keep pace risk becoming digitally invisible, even if they provide exceptional care in real life.

Inconsistent Information is Killing Your Online Visibility

When AI tools scan the web, they look for clarity. If a practice’s online presence is fragmented or difficult to parse (e.g., different hours listed across directories, mismatched provider bios, or outdated service information), AI hesitates to recommend that practice.

This is where many practices fall behind. Their information may be technically available, but it isn’t standardized. Imagine telling someone to visit your practice, but on one map the building is open, on another it’s closed, and on a third the doctor they’re trying to see doesn’t even work there anymore. That inconsistency erodes trust instantly.

Practices that maintain consistent provider names and credentials, matching hours and phone numbers across major directories, schema-optimized provider pages, and regularly updated content give AI confidence. That confidence translates directly into recommendations.

As healthcare consumerism moves into an AI-first model, structured data will become the new digital bedside manner that signals accuracy, reliability, and professionalism before the patient ever walks through the door.

The Power of the Patient Voice in the Age of AI

Of all the signals AI consumes, verified patient feedback has emerged as one of the most powerful trust indicators.

Unlike testimonials or website copy, verified reviews provide rich, unfiltered, keyword-dense sentiment about the patient experience. AI systems favor this content because it’s recent, specific to the provider, generated by real patients, and difficult to manipulate. This explains why many practices with strong clinical reputations still underperform in AI-driven search. They lack the volume and recency of patient-generated content that AI models prioritize.

Verified reviews, particularly those captured through structured, patient-initiated systems, give AI the credibility it needs to confidently recommend a provider. These reviews also reduce the influence of outdated or unrepresentative feedback, helping practices build a more balanced and accurate online reputation.

Preparing for the Visibility Vortex of 2026

As AI assistants become the default method of care navigation, practices need to think less about SEO tactics and more about visibility ecosystems. That includes:

The patient search process is changing faster than most organizations realize. But with the right strategy, healthcare providers can position themselves at the center of this visibility vortex: earning trust, improving transparency, and making sure their best physicians are the ones AI recommends next.

AI is Changing Patient Search and Medical Practices Need To Evolve

Evan Steele

By Evan Steele, founder and CEO, rater8.

The way patients search for care is undergoing a seismic shift. Traditional search results, those familiar blue links we’re all familiar with, are giving way to answers generated by artificial intelligence (AI).

Tools like Google’s Search Generative Experience (SGE), ChatGPT, and Perplexity are now delivering curated, conversational responses that quickly guide patients to providers — and away from your website. This shift has major implications for how healthcare practices get discovered, and trusted, by new patients online.

Why This Matters

Healthcare is one of the industries most affected by these changes, and the implications are real: websites are seeing less organic traffic, ad costs are rising, and providers with weak online reputations are falling off the map entirely.

In the past, patients might have searched “best orthopedic surgeon near me” and combed through the local listings. Today, they’re more likely to be conversational with their search queries and ask questions such as, “Who’s the best orthopedic surgeon in Austin accepting new patients?”

AI responds with a single answer, not a list of options. And the practices that show up? They’re the ones with a strong online presence, detailed reviews, and structured content that’s easy for AI to parse through.

Moreover, Google is now citing its own reviews in AI Overviews, alongside third-party listings like Healthgrades and Vitals. This change signals a broader shift: Google is casting a wider net to populate AI-generated results, which means practices must maintain a presence across all major review platforms. Visibility is no longer just about ranking high on Google — it’s about being referenced in the sources that AI has already been trained to trust.

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Unwrapping the Potential of Patient Feedback

Evan Steele

By Evan Steele, founder and CEO, rater8.

As the year comes to a close, patients are racing against the calendar, not just to complete their holiday shopping, but also to schedule end-of-year medical appointments.

For many, meeting their annual deductible or taking advantage of flexible holiday schedules makes December the perfect time to prioritize healthcare.

For medical practices, this seasonal rush presents more than just full waiting rooms; it’s an opportunity to strengthen their online presence and gather meaningful patient feedback to carry into the new year.

Post-Care Surveys vs. Online Reviews

While related, post-care surveys and online reviews serve distinct purposes in the patient feedback ecosystem. Post-care surveys help practices capture real-time insights to improve operations, while online reviews are a public reflection of patient experiences that boost reputation and visibility. When used together, they can drive impactful changes, offer benchmarking against competitors, and build trust with both current and prospective patients.

Why Patient Feedback Matters During the Holidays

The end-of-year surge in patient engagement is the perfect time to prioritize both surveys and reviews. Here’s why:

  1. Patients are ready to engage: With healthcare top of mind, patients are more likely to provide meaningful feedback. Post-care surveys allow practices to gather input shortly after appointments, ensuring that responses are timely and relevant.
  2. Online reviews build momentum for the new year: A steady stream of patient reviews helps practices stand out online and reinforces trust with existing and prospective patients. Positive reviews improve a practice’s visibility and credibility online, creating a solid foundation for growth in the new year.
  3. Patient feedback drives meaningful change: While positive reviews enhance reputation, constructive criticism from surveys provides clear opportunities to refine operations, improve patient experience, and identify gaps in care delivery.

How to Boost Participation in Post-Care Surveys

Even in the hustle and bustle of the holiday season, you can inspire patients to participate in post-visit surveys with a few thoughtful strategies:

  1. Simplify the process: Send short surveys via text or email right after checkout with a direct link for easy access. A quick and seamless process is a win for busy patients.
  2. Communicate the value:  Be transparent about how their feedback helps improve care. When patients feel heard, they’re more likely to provide candid responses.
  3. Incentivize participation: Consider holiday-themed incentives, like a raffle entry or a personalized thank-you message, to encourage participation.

The Hidden Gift of Patient Feedback

It’s easy to focus on positive feedback: it feels good, boosts morale, and reinforces what you’re doing right. But the truth is, negative feedback can be just as valuable, if not more so. Honest criticism highlights areas where patients feel underserved and uncovers opportunities for meaningful improvement.

For instance, if several patients mention long wait times, it could be a sign to revisit scheduling processes or adjust staffing during peak hours. Or, perhaps feedback about confusing billing processes or difficulty reaching staff might indicate a need for better communication tools or additional training. These insights, while sometimes difficult to hear, are gifts in their own right, offering a clear path to better care. Moreover, gathering patient feedback and acting on it allows practices to benchmark themselves against competitors. By reviewing what other groups in your market are doing well or not so well, you can identify areas for improvement and differentiate yourself.

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