Article

What is the most important bottleneck to address in the patient journey?

Elad Ferber
July 16, 2026

(skip to the end, or read through to find the answer)

You find a real bottleneck. A painful workflow, blocking your healthcare organization from effectively providing care. You make it a top priority to get an AI deployment into production, prove that it works, and measure the ROI. It’s a big milestone – getting AI anywhere into a real healthcare workflow is hard. But the biggest outcomes follow.

Before go-live, there are conversations about risk. Will it work? Can we trust it? How do we know if something goes wrong? Then the questions change. there are fewer debates on whether this is helpful or useful, and the conversation shifts to “where can we deploy this next”.

With one provider, we started by automating insurance verification and payor phone calls. We eliminated 58% of manual calls, grew orders by 25% without adding staff, and reduced patient set-up time by 30%. These numbers were only the beginning. This first wedge mattered because it helped demonstrate ROI and get the executive and operations teams buy-in.

In another organization, we started one problem: referrals and documents were arriving faster than the team could process them. We deployed a referral and order intake solution to quickly address this massive pain point. We reduced referral processing time by 96% and cleared weeks long backlogs across multiple regions. This was the whole scope of the engagement. However, over the following months, the deployment expanded into scheduling, consent, insurance verification and order qualification. Additional workflows for enhanced patient access are now in development and deployment.

The same pattern shows up elsewhere. A home medical equipment supplier began with a voice agent handling resupply calls for one product line. It expanded into another product line and in-call payment collection. Then it moved deeper into intake, where AI classifies documents, extracts order information, and checks orders against payer requirements across additional equipment categories.

A cardiac-device company started with document intake and automated order creation. It then expanded into payer-specific clinical review and packet assembly, and is now exploring the same approach in another department.

The starting workflows are different. The trajectory is not.

Trust compounds because the operating model is reusable

People often assume that every new AI workflow means starting over. To be honest, that is exactly what we should be trying to avoid.

The first deployment is the hardest because the organization is not only testing the technology. It is learning how to operate it.

Who owns the workflow? What happens when the agent is uncertain? Where does a person step in? Which metric tells us the workflow is actually improving? How do we change the system without creating risk somewhere downstream?

Once those questions have real answers, the second deployment can move faster.

We saw this with an outreach team that first used AI to assist staff during patient calls. Once the team saw that the system could handle those conversations reliably, it moved AI to the front of the process. AI handled the early outreach, while people focused on exceptions and the patients who needed them.

The result was roughly 77% fewer staff hours required per outreach cycle.

The underlying technology had not suddenly changed. The organization had learned where it could trust the system, how to measure it, and where human judgment created the most value.

Expansion only works when the foundation is modular

There is a reason we have spent so much time building reusable capabilities rather than a collection of disconnected point solutions.

Look at almost any administrative healthcare workflow and you will find the same core work: read unstructured information, extract what matters, validate it, classify it, apply business rules, and coordinate the next action.

Those capabilities repeat across intake, insurance verification, prior authorization, scheduling, patient communication, billing, and many other workflows. What changes is the operating model: the customer's systems, rules, people, exceptions, and measures of success.

That is why orchestration matters. Workflow mapping matters. Reusable implementation patterns matter. The goal is not to force every customer into one rigid process. The goal is to meet the customer where they are, show ROI now, and create a foundation that makes the next workflow easier to deploy.

The second deployment should be faster than the first. The third should be faster than the second. If every workflow requires starting from zero, we have not really built a platform or a repeatable operating model.

The most important step

To quote a famous author “The most important step a man can take. It's not the first one, is it? It's the next one. Always the next step”

(can you recognize where this is from?)

Or in healthcare AI terms, “the most important bottleneck is not the first one, is it? It’s the next one. Always the next bottleneck”. That’s when AI deployment translates to operational excellence.

Let’s go!