In healthcare, the patient journey doesn’t begin in the waiting room—it often starts with a phone call. Whether searching for a specialist, verifying whether their insurance is accepted, or inquiring about appointment availability, potential patients are making decisions that significantly influence their experience with a healthcare system.
Despite the rapid adoption of portals, apps, and chatbots, the phone remains the most direct and personal channel for patient engagement. Phone calls remain the primary channel for scheduling appointments and most other new patient inquiries. Typically, large health systems can receive 2,000 calls each month but, in many cases, these calls are overlooked as a source of actionable insights for healthcare marketers and patient engagement professionals.
This is a significant missed opportunity to improve patient experiences and drive revenue. Calls are rich in data and hold many opportunities for those willing to look for patient intent, satisfaction, and loyalty. Specialized AI-powered systems can analyze this data and unlock intelligence that can be used to drive better marketing attribution, improve operations, and deliver stronger patient connections.
Why Data from Phone Calls Matters
People, as consumers, judge health systems as they would other service-based businesses, but their first interaction with them is often judged harshly. Unfortunately, too many healthcare organizations fall short during the first interaction.
- The average hold time in healthcare call centers is 4.4 minutes, far exceeding the HFMA’s target of 50 seconds.
- First Call Resolution averages just 52% in healthcare, meaning nearly half of patients need multiple calls to resolve an issue.
- Patients often make 3.5 calls for each scheduling need.
- A 7% abandonment rate on 2,000 calls translates to approximately 140 missed calls, which potentially results in $45,000 in lost revenue every day (show calculation here).
A recent Accenture study also shows that patients who experience negative phone interactions are four times more likely to switch caregiving organizations. With the average patient encounter generating nearly $1,400 in net revenue and lifetime value often reaching thousands of dollars, the stakes are high.
Missed appointments alone cost the U.S. healthcare system an estimated $150 billion annually. Every abandoned or mishandled call is not just a service failure—it’s a revenue loss and a missed opportunity to strengthen patient trust.
How AI for Healthcare Can Transform Conversations into Intelligence
Traditional call metrics, like volume, duration, and abandonment, tell very little of the whole story. These metrics don’t capture what is said or how patients feel, and why a patient experience goes haywire. But conversation intelligence changes this by analyzing every call to uncover trends, conversation themes, sentiment, and much more. Health systems can learn:
- Which campaigns actually drive booked appointments? Instead of tracking clicks, marketers can connect calls back to their digital channels, such as search ads or social campaigns, thereby tying the attributable marketing spend to patient outcomes.
- Why do patients abandon the scheduling process? AI can surface friction points, such as unclear instructions, long hold times, and confusing IVR menus, that prevent patients from booking.
- How patient sentiment predicts satisfaction. Specialized AI can detect frustration, urgency, or satisfaction during calls, enabling staff to anticipate issues before they appear in surveys.
- Where staffing and training need improvement, conversation intelligence can score agent interactions (human and AI agents), highlight staff coaching opportunities, and improve First Call Resolution (FCR) so patients’ needs are met the first time.
Even IVRs, often a source of frustration, can be improved through AI optimization. A 2023 Simbo AI study found that when implemented effectively, IVRs can boost patient visits by 30% and reduce no-shows by 25%.
From Insight to Action
The value of conversation intelligence lies not just in data collection, but in transforming those insights into actionable strategies that drive meaningful change.
- Link Marketing Spend to Outcomes. Rather than relying on impressions or clicks, organizations can track which campaigns result in actual appointments, and why. This reduces wasted spend and strengthens ROI.
- Identify Service Gaps. Calls reveal where patients struggle—whether it’s long hold times, confusing insurance verification, or repeated transfers. Fixing these gaps directly improves patient access and experience.
- Enable Real-Time Feedback Loops. Insights from calls can be shared across marketing, operations, and patient access teams, creating a more connected organization that can adapt quickly.
- Build Loyalty and Retention. Patients who feel heard and supported are more likely to return to their care. Healthcare organizations with high patient satisfaction tend to achieve more revenue compared to those with lower satisfaction.
The data is clear, improving FCR will lower repeat call volume, easing staff burden, and improving patient satisfaction. Also, reducing no-shows and identifying dissatisfaction early through sentiment analysis, for example, allows for proactive outreach before a patient decides to switch where they receive their care.
Creating a Culture of Listening
Technology alone isn’t enough. To fully realize the benefits of conversation intelligence, health systems must create a culture that values the patient voice as a strategic business asset. Doing so requires a few steps:
- Train staff to capture context and deliver empathetic service.
- Remove operational silos to ensure the seamless flow of patient conversation insights between marketing, operations, and care delivery teams.
- Use AI not as a replacement for human interaction, but as a solution to amplify staff effectiveness and decision-making.
Every patient call should be seen as both a service touchpoint and a data point—an opportunity to strengthen relationships while improving organizational performance.
Conclusion
With tight budgets and rising patient expectations, healthcare organizations can’t afford to ignore critical insights hiding in plain sight. Every phone call is rich in intent, caller sentiment, and opportunities for enhancing patient engagement.
By applying conversation intelligence to analyze data from these calls, health systems can transform routine conversations into actionable insights, linking marketing to outcomes, improving operations, and building stronger patient connections.
Poor phone experiences can undo much of an organization’s brand-building efforts. By listening intelligently at scale, healthcare organizations can turn every conversation into an opportunity to build trust, loyalty, and sustainable growth.
The patient journey begins with a call. The organizations that learn from those calls—and act on what they hear—will be the ones that thrive.

Lyall Vanatta
Lyall Vanatta is Vice President of Marketing for Marchex.