Patient Access Opportunity Review

Unlocking $11.8M in Annual Impact

A preliminary view of CommonSpirit Health’s access journey points highlights recoverable revenue in no-show reduction, collections uplift, referral conversion, and avoidable call volume — the levers with the most direct impact on care continuity.

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Modeled Annual Opportunity

$8.0M

Recovered Appointments through No Shows and Cancellation Backfill

$1.4M

Collections Uplift Patient Responsibility

$1.4M

Contact Center Deflection

$1.0M

Referral Conversion

Total Annual Impact
CommonSpirit Health

$11.8M

Industry Average

No-show rate

18%

Patients miss 18% of scheduled appointments without proactive outreach.1

Average transfers per call

Up to 19%

Healthcare call transfer rates run as high as 19%—and a single transfer alone cuts patient satisfaction by 12%.2

Avoidable contact center calls

4.4 min

Average hold time runs about 4.4 minutes—more than 5x the 50-second benchmark set by HFMA. And a meaningful share of that volume is avoidable.3

30-day readmission rate

15–20%

15–20% of patients are readmitted within 30 days—a rate directly linked to inadequate post-discharge follow-up.4

Referral leakage rate

30%

Approximately 30% of referrals placed by physicians never result in a completed visit.5

Patient responsibility collections

18–20%

Only 18–22% of patient responsibility is typically collected before service.6

1. MGMA Medical Group Operations Survey, 2023

2. Envera Health, "Behind the Metrics" (2023)

3. Physicians Angels, 2025

4. CMS HRRP / HFMA, 2023

5. Advisory Board referral research

6. HFMA / Kodiak Solutions, 2026

Where Patients Are Experiencing Friction

Referral journey silos

22–30% of referrals never convert to a booked appointment, largely due to a lack of automated follow-up as they cross service lines.

Voice journey fragmentation

Fragmented legacy phone systems cause long hold times, unnecessary transfers, and lost context—whether patients call about H.R. 1 requirements, billing, or scheduling — straining already-stretched access teams.

Post-discharge follow-up

A 30-day readmission rate of 15–20% is directly linked to missing proactive follow-up after discharge—a costly, largely preventable gap.

Authentication friction

Manual verification and shared-access workflows create friction and identity-management risk, especially for patients relying on family caregivers to help manage their care.

Affordability barriers to care

67% of patients with healthcare debt can't fully pay a bill due to lack of funds—common among the self-pay and underinsured populations Catholic and community IDNs serve.

Where Patients Are Experiencing Friction

Stronger referral completion, easier access

Recovering referrals keeps patients inside the network's care ministry, protecting continuity of care and downstream revenue.

Scalable multilingual support

Fewer dropped or frustrated callers across languages, preserving trust and compassionate service without scaling interpreter or agent staffing costs.

Protect operating margins

A few points of readmission reduction avoids CMS penalties and uncompensated care costs, frees bed capacity, and restores care continuity across the network.

Lower operational burden and compliance risk

Fewer repeat calls, transfers, and escalations tied to authentication problems, and lower exposure to identity-related compliance risk.

Uplift in patient responsibility collections

Providers using automated self-service and outreach to provide upfront cost estimates have seen pre-service collections increase by up to 47%—improving cash flow and reducing bad debt and downstream write-offs.

Unlock $11.8M in Annual Impact

Addressing key patient access friction points will capture more revenue, retain more patients, and improve operational performance. Explore your opportunity with the ROI calculator below.

Use Cases (select all that apply)

Increase Revenue

Improve Operational Efficiency

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