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GRAPHIC_BLOG_Chris_The Call Your Contact Center Isnt Answering (1)
Picture of Chris Derizzo
  • Picture of Chris Derizzo Chris Derizzo
8 min

Published on

  • 11 Aug 2026
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Blog Summary

Health systems have poured money into digital front doors, yet patients keep picking up the phone anyway. 67% of people still prefer the phone, and more than 80% of appointments are still scheduled that way. Chris DeRizzo argues the real cost isn’t the calls themselves, it’s the 7% that go unanswered: on 2,000 daily calls, that’s 140 missed patient interactions and up to $45,000 in daily revenue exposure. The math gets worse when hold times stretch to 4.4 minutes (more than five times HFMA’s benchmark) and peak staffing covers only 60% of required call volume. Beyond the P&L, DeRizzo makes the equity case: patients with limited English proficiency, low income, or dexterity conditions rely on the phone disproportionately, and legacy IVR systems leave them underserved. Voice AI isn’t positioned as a replacement for contact center staff, but as the way to absorb the repetitive, high-volume work so agents can focus on conversations that need human judgment. The post closes with a vendor evaluation checklist for health systems getting ready to invest, grounded in the track record of managed service delivery and 10+ year average customer tenure that Parlance has built.

The Call Your Contact Center Isn’t Answering

The data on phone access, abandoned calls, and health equity makes a clear case for voice AI, if you know where to look.

Start with the numbers. Forty-one percent of patients report switching healthcare providers at least partly because they couldn’t reach their previous practice by phone. The average hold time in a healthcare call center is 4.4 minutes, more than five times the Healthcare Financial Management Association’s (HFMA) target of 50 seconds. A 7% call abandonment rate on 2,000 daily calls translates to roughly 140 missed patient interactions per day, which at the industry average visit value represents up to $45,000 in daily revenue exposure. And 67% of patients still prefer the phone over digital channels for healthcare access, including appointment scheduling, billing questions, and care coordination.

Those are not technology statistics. They are operational and financial ones. Health systems have invested heavily in digital front doors, patient portals, online scheduling, yet patients still pick up the phone. The question for healthcare leaders is not how to move patients away from the voice channel, it is how to make that channel work the way patients expect it to.

I have had this conversation with healthcare leaders for decades. Many still use the phone the same way they have since the 1990s to greet their patients. There has long been a belief that modernizing the contact center is a technology project rather than a patient access strategy. It is the latter, and the cost of delay shows up in the health system’s abandonment rates, patient satisfaction scores, and revenue cycles before it shows up anywhere else.

The Phone Channel Is Not Going Anywhere

Every generation of healthcare technology has been accompanied by a prediction that patients will stop calling. It has not happened, and the data from 2026 makes clear it will not. More than 80% of appointments are still scheduled by phone, and a July 2025 Medical Group Management Association (MGMA) poll found that 71% of medical groups have fewer than one in four patients using digital tools to schedule appointments at all, a sign of how far adoption still lags the shift health systems have invested in. As the U.S. population ages, inbound call volume is increasing, not decreasing.

The reason is not stubbornness. It is complexity. Many times, a patient needs to manage an appointment, obtain a referral, settle a billing dispute or insurance issue. They want to connect or perform a task with someone or something that can hear them, understand their situation, and help them move forward in a single interaction. That is exactly what modern voice AI for the contact center delivers. And at HIMSS and VIVE 2026, the industry reached a clear consensus: 2026 is the year voice AI moves from pilot programs to production-scale deployment across health systems and clinic groups.

Certainly, the capabilities and workflows have advanced greatly. The integration pathways with major EHR platforms are established. The compliance frameworks (HIPAA, BAA requirements, data localization), are well-understood by serious vendors. What remains is the organizational decision to make the investment. In most cases, the payback is fast and ends up being a cost saver due to the challenges of managing incoming patient calls discussed earlier. Health systems and clinics that act now are making a necessary business decision to make it easier for their patients.

The Hidden Revenue Math Behind Call Abandonment

Healthcare finance leaders are often surprised by the size of the number when they calculate it. A 7% abandonment rate sounds modest. Applied to 2,000 daily calls, it is 140 patients a day who called your contact center and left without help. Some will try again. Many will not and will instead go to a competitor. At an average primary care visit reimbursement of $259, the figure reported in the Milbank Memorial Fund and Physicians Foundation’s 2025 primary care scorecard, the annual revenue impact of that abandonment rate can reach into the millions for a mid-size health system.

The staffing equation compounds the problem. Healthcare call centers routinely report that peak staffing levels meet only about 60% of required call volume coverage. The average agent tenure in healthcare contact centers is low because the role is demanding, repetitive, and prone to burnout. Training costs, turnover costs, and the operational ceiling on how many calls a human team can handle efficiently create a structural limitation that hiring alone cannot solve.

Voice AI does not replace the contact center team. It handles the high-volume, repeatable, and mundane interactions. These can include appointment scheduling, directions, hours, prescription refill routing, and insurance verification intake. The goal is to let agents focus on the conversations that genuinely require human judgment. Organizations that have deployed voice AI through a managed service model report substantial results. One mid-size health system with 11 hospitals and 68 clinics saved 6,070 agent hours monthly, translating to $1.5 million in annual savings. In every case, the ROI is not theoretical. Instead, it shows up in reduced overtime, lower turnover, and measurable containment rate improvements immediately after go-live.

Who Gets Left Behind When the Phone Fails

There is a dimension of this conversation that does not always make it into the business case, but it should. Approximately 30 million Americans have limited English proficiency. Roughly 38 million live below the federal poverty line. And a meaningful share of patients live with a hand or dexterity-related condition, whether from arthritis, age, injury, or a chronic illness, that makes typing and touchscreen navigation difficult or impossible. These populations rely on the voice channel disproportionately. For many of them, a phone call is not a preference. It is the only realistic option.

When a health system’s contact center is overwhelmed, hold times stretch past four minutes, calls abandon, and after-hours callers reach a voicemail box instead of an intelligent assistant that can log a call within their medical record. The patients most affected are not those with the resources to navigate a portal or drive to a different practice. They are the patients with the fewest alternatives.

Modern voice assistants address this directly. Accessible voice interaction for patients who struggle with digital interfaces, combined with 24/7 availability, extends the reach of the contact center to populations that legacy IVR systems leave underserved. This is not simply a feature. It is an equity argument, and it belongs in every health system’s patient access strategy alongside the financial case.

What to Demand From a Voice AI Partner

The market for healthcare voice AI has expanded rapidly. Vendors are entering the space with grandiose promises of fast deployment, coupled with unproven claims about the percentage of calls they can offload from staff. Some of those claims are legitimate, while many others are point solutions that will require the health system’s own team to operate, maintain, and troubleshoot a system that was sold as a complete solution. The distinction matters enormously when something breaks at 2 a.m. and patients cannot reach the on-call line.

A few questions are worth asking in any vendor evaluation. Does the vendor offer a true managed service, or do they hand off the system after implementation? Can they provide a Business Associate Agreement and articulate their HIPAA compliance posture in detail? What does their customer tenure look like, not average contract length, but how long organizations actually stay?

These are not difficult questions, but the answers can reveal meaningful differences between vendors. At Parlance, no customer has ever asked to return to their previous system, which in most cases was a menu-based IVR or a fully live-answer model. Our average customer tenure exceeds 10 years, and some organizations have been with us for more than 20. That is not a marketing claim. It is the result of a managed service model where our team remains accountable for outcomes long after go-live, and where the integration work is done by people who have connected voice AI to healthcare infrastructure hundreds of times before. Thirty years of that experience does not appear in a feature comparison matrix. But it shows up in production.

Both the operational data and the equity case point to the same conclusion: the contact center is the highest-leverage patient access investment a health system or clinic group can make right now. The question isn’t whether voice AI is ready for healthcare. It is whether the organization is ready to move away from how things have always been done and embrace enabling this capability now to help patients and staff.


Ready to see what this looks like in practice?

See how Parlance transforms healthcare contact centers. Book a 30-minute demo with our team.

By Chris DeRizzo

About the Author

Chris DeRizzo is an Enterprise Account Executive at Parlance with over 25 years of experience guiding health systems through contact center transformation. He specializes in demonstrating how voice AI can redirect existing contact center budgets from repetitive tasks to strategic initiatives while improving patient access and health equity outcomes.

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