According to the Association of American Medical Colleges (AAMC), the U.S. is projected to face a physician shortage of up to 86,000 by 2036. This constraint is shaping how employees access care and health information today, with 71% of adults in the U.S. turning to search engines, and 20% turning to consumer AI tools.
To ensure employees receive safe and timely care from trusted sources, employers must consider how to adopt a modern front door to healthcare to expand access.
74 million Americans lack access to basic healthcare today. Demand continues to rise due to population growth, aging demographics, and increasing chronic disease prevalence, while the physician shortage continues to grow.
The impact of the clinician shortage is visible in longer wait times for primary care, currently at 31 days to schedule an appointment. This gap also translates into measurable consequences, including delayed care leading to costly and complex downstream complications and greater reliance on urgent care and emergency departments
Traditional models, such as telehealth, nurse lines, or concierge primary or urgent care services, are limited by fixed capacity. Appointment availability, office hours, and geographic concentration of providers create bottlenecks even when networks appear robust on paper. Distributed workforces feel these constraints most acutely, as remote or geographically dispersed employees often face longer travel times and inconsistent access to local providers.
Access challenges are widespread. A national survey published by the American Association of Nurse Practitioners found that more than 40% of adults in the U.S. experienced healthcare wait times that were longer than reasonable, and nearly half of those individuals did not ultimately receive care.
While virtual care has improved convenience, traditional telehealth models often remain episodic. Fragmented intake processes, repeated questioning, and limited longitudinal context can leave clinicians without a complete picture and employees uncertain about next steps. These limitations reduce engagement and can shift utilization unnecessarily toward higher-cost settings. These challenges set the stage for more integrated, scalable AI-enabled primary care solutions that drive strategic value for employers.
Clinician shortages directly affect benefits performance. As delays increase, appropriate utilization declines. Employees may defer preventive services, allow manageable symptoms to worsen, or seek care in emergency settings when care is unavailable. Each year, $8.3 billion is spent on ER visits that could have been handled more appropriately through upstream, cost-effective settings.
Without early, organized intervention, even minor health concerns can generate avoidable claims and dissatisfaction.
AI-enabled care models introduce a new, scalable solution. Solutions, like Counsel, combine the best of artificial and human intelligence to deliver every employee care when they need it most.
By partnering with Counsel, employers adopt a single, connected front door to care that supports employees across a wide spectrum of health needs, from urgent care to labs, prescriptions, referrals, and chronic condition management. Counsel also integrates into an employer’s benefits ecosystem, resulting in advanced care triage to specialized solutions when specialized follow-up is needed.
AI-enabled care improves access to timely care, enabling earlier intervention and faster resolution of health concerns. Employees receive clarity on next steps quickly, which supports confidence and sustained engagement with employer-sponsored benefits.
For employers navigating rising claims costs, fragmented point solutions, and low utilization of existing benefits, Counsel becomes the organization’s modern front door to healthcare. By intelligently triaging employees’ health needs from the first interaction, Counsel resolves medical concerns without unnecessary escalation, reducing avoidable in-person care and downstream claims costs. Counsel also amplifies utilization of an employer’s existing benefits ecosystem by routing employees to the right benefit when specialized follow-up is needed.
Successful implementation requires attention to governance and integration. Key considerations include:
Counsel’s physician-supervised model reinforces safety and credibility, ensuring that AI augments rather than replaces clinical judgment.
AI will continue to enhance workforce health management by scaling access, personalizing triage, and supporting continuous engagement between episodes of care. As shortages persist, scalable triage infrastructure will become critical to reshape benefits strategies for the modern era of care.
Request a demo and discover how Counsel’s AI-enabled primary care model can unlock value for your benefits strategies today.
Association of American Medical Colleges. The complexities of physician supply and demand: Projections from 2021 to 2036. https://www.aamc.org/media/75236/download
American Association of Nurse Practitioners. Two in Five Americans Report Unreasonable Health Care Wait Times. https://www.aanp.org/news-feed/two-in-five-americans-report-unreasonable-health-care-wait-times
United Healthcare. ER impact: 3 ways to help employers manage ER utilization. https://www.uhc.com/agents-brokers/employer-sponsored-plans/news-strategies/er-redirection-strategies
The Counsel Health editorial team is a multidisciplinary group of writers and editors dedicated to delivering clinically grounded, evidence-based health information. Their work is informed by real-world care delivery and guided by physician expertise, ensuring content is accurate, accessible, and trustworthy. By translating complex medical topics into clear, practical guidance, the team helps readers understand their health, explore care options, and make informed decisions in a rapidly evolving healthcare landscape.

Javier Monterrosa is a healthcare marketing leader who has spent his career driving growth across AI, metabolic health, interoperability, and EHR companies. He holds a Master’s in Analytics and has co-authored published research examining how strategic decisions shape business growth. Having grown up in Latin America, he is driven to partner with mission-driven teams committed to improving healthcare access and outcomes through responsible technology.
Our content is created for informational purposes and should not replace professional medical care. For personalized guidance, talk to a licensed physician. Learn more about our editorial standards and review process.