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Case StudyMidwest Orthopaedics at Rush

Breaking the Headcount Trap: How Midwest Orthopaedics at Rush Eliminated the Prior Auth Bottleneck

I was surprised at really how smooth and natural Joy's voice sounded. I really felt like I was talking with my sister... I've used a lot of other AI agents, and I've always found them to be staccato, with intermittent response times. Joy was smooth, easy. It was a very natural conversation.

Dr. Charles A. Bush‑Joseph

MD, Sportsmedicine Physician/Surgeon at Midwest Orthopaedics at Rush

Midwest Orthopaedics at RushRush UniversityChicago White SoxChicago Bulls

Key Metrics Achieved

Massive Scale Supported : Successfully deployed across

07

Full-Service Locations

18

Physical Therapy Locations

When Midwest Orthopaedics at Rush, a premier sports medicine and orthopedic practice in Chicago, deployed VoiceCare AI, they fundamentally shifted their operational model. By letting AI autonomously handle the complex maze of prior authorizations and benefits verifications directly within their EHR, the practice accelerated patient care, restored staff job satisfaction, and proved that clinical growth doesn't require a linear increase in manual administrative hours.

Significant Time Savings : Eliminating the administrative burden of navigating multiple fragmented payer portals and waiting on hold music

Up to

500

Saved

Per

1000

Payer phone calls

Accelerated Patient Throughput : Patients get scheduled and treated faster by removing authorization delays.

Zero

Authorization Delays

The Problem: Administrative Gridlock and Staff Burnout

Before VoiceCare AI, Midwest Orthopaedics faced a glaring bottleneck. It wasn't clinical capacity limiting their growth; it was the back office. The practice struggled with three major issues:

The Linear Growth Trap

Every new patient required manual administrative time to log into various payer portals, wait on phone calls to verify coverage, and secure authorization. You cannot scale a medical practice efficiently if headcount must grow at the exact same rate as patient volume.

As patient volume increases, the number of staff also grows

Plummeting Staff Satisfaction

Clinical admins were trapped navigating fragmented portals and hold music purgatory. As Dr. Bush-Joseph noted, the burden of getting proper authorization is "probably the biggest difficulty we deal with," leading to intense frustration for staff who want to facilitate care rather than wrestle with payer interfaces.

As authorization burden rises, staff satisfaction falls

Delayed Care and Frustrated Patients

When benefits verification or prior authorizations stalled, patients in pain were forced to wait. Unverified coverage led to frantic calls to patients to reschedule, wasting valuable clinical time and administrative bandwidth.

More patients lead to more stalled verifications and longer wait times.

The Solution: Deploying an Autonomous Workforce

Midwest Orthopaedics realized that throwing more human capital at a broken process or relying on clunky offshore BPOs wasn't the answer. They needed to automate the phone and portal maze natively within their existing tech stack.

They deployed VoiceCare AI directly into their core EHR workflows. The AI acts as an autonomous reasoning engine executing prior authorizations and benefits verifications by interacting with payers seamlessly across both voice and web interfaces. For a high-trust, elite medical environment, the key differentiator was the quality and natural flow of the AI's interactions, ensuring the technology matched the practice's reputation.

The Results: Operational Leverage and Elevated Care

Delegating the most frustrating, time-consuming tasks to VoiceCare AI created immediate operational leverage across all 25+ locations.

Faster Treatment Paths

By automating authorizations, the dreaded "reschedule due to delayed PA" is becoming obsolete. Patients get into the system and start their treatment quicker and easier.

Wait times remain flat even as patient volume scales

Elevated Administrative Roles

With the AI handling the rote, repetitive calls, staff are freed up to focus on higher-value, more complex tasks that actually drive the practice forward.

Eliminating hold time frees up bandwidth for high-value tasks

Restored Job Satisfaction

Removing the friction of legacy RCM workflows directly improved the daily lives of the front desk and clinical admin teams, changing the atmosphere of the back office.

High patient volumes no longer lead to high staff burnout.

The Bottom Line for Healthcare Leaders

In healthcare operations, standing still is moving backward. The complexity of payer rules is increasing, and margins are compressing. For practice administrators, VPs of Patient Experience, and Directors of Technology, the mandate is clear: adopt autonomous workflows or get crushed by overhead. VoiceCare AI provides the security, compliance, and EHR harmonization required by enterprise IT, allowing practices to stop scaling their headcount and start scaling their revenue.

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What our customers say

Dr. Charles A. Bush-Joseph, MD

Sportsmedicine Physician/Surgeon at Midwest Orthopaedics at Rush

Midwest Orthopaedics at RushRush UniversityChicago White SoxChicago Bulls
I was surprised at really how smooth and natural Joy's voice sounded. I really felt like I was talking with my sister. I've used a lot of other AI agents for other tasks and I've always found the voices to be staccato, with intermittent response times. Joy was smooth, easy. It was a very natural conversation. For us, it's probably job satisfaction and the ability to get patients into the system and get their treatment going quicker, faster, and easier.

Prior Authorization

7

Full-service

18

PT locations

athenahealth

Dr. Charles A. Bush-Joseph, MD

Sportsmedicine Physician/Surgeon at Midwest Orthopaedics at Rush

Midwest Orthopaedics at RushRush UniversityChicago White SoxChicago Bulls
I was surprised at really how smooth and natural Joy's voice sounded. I really felt like I was talking with my sister. I've used a lot of other AI agents for other tasks and I've always found the voices to be staccato, with intermittent response times. Joy was smooth, easy. It was a very natural conversation. For us, it's probably job satisfaction and the ability to get patients into the system and get their treatment going quicker, faster, and easier.

Prior Authorization

7

Full-service

18

PT locations

athenahealth