The $108 Billion AI Opportunity for Specialty Practices

Costs are rising faster than revenue, and specialty practices can’t control labor costs or reimbursement rates. What a practice does control is how well it runs: how long patients wait to get through on the phone, how effective a reminder to return for a visit is, how accurate a benefits check is, which claims go out clean, and how much existing balances get recovered.

In new research, Prosper AI found that 18% of calls go unanswered during office hours and 81% after hours. The front door is just the beginning of where the revenue opportunity lies.

This report identifies four actionable levers within practice leaders’ control: capturing demand from missed calls, recapturing demand from existing patients, protecting reimbursements from avoidable denials, and recovering the revenue patients owe. Together, they represent an estimated annual revenue opportunity of $125,000 per physician, or $108 billion nationally.