MUSC Health and Notable Unlock the Future of Patient Access Through AI-Driven Automation

MUSC Health’s decision to deepen its use of Notable marks a deliberate shift in how integrated health systems are scaling patient access transformation. This expansion is setting the stage for systemic efficiency, equity, and financial resilience.

Notable’s platform is taking on higher-order administrative functions. In addition to scheduling and patient registration, AI agents are now piloted for voice call notifications and revenue cycle processes, with prior authorizations and referral management slated next. This roadmap is a textbook example of strategic low-code deployment that clinics and hospitals can replicate and be  grounded in direct clinical value.

Operational metrics have shifted significantly. With an average of 110,000 monthly digital registrations via Notable’s front‑desk AI agent, MUSC Health is routinely reclaiming more than 5,000 staff hours each month. These freed-up resources are being redeployed to high-value tasks like advanced patient engagement which are interactions that deepen care quality and provider satisfaction. Digital triage now extends to Spanish-speaking patients, closing equity gaps with a 30 percent uplift in intake completion for that cohort.

Financially, automation is proving its worth. About 15 percent of co-payments are now collected without staff intervention, easing revenue cycle workloads and reducing friction in the patient experience. Meanwhile targeted outreach campaigns, for example mammogram reminders, have proactively scheduled over 1,100 screenings through automated follow-up workflows. This effort resulted in 122 actionable abnormal results that may have otherwise gone undetected.

Strategically, this signals a maturation of AI governance and stakeholder alignment. Notable’s flow-based automation model, where clinical operations experts can build and iterate AI workflows,  exemplifies a partnership model rooted in shared responsibility and built-in change management. It demonstrates how technology adoption increasingly depends on cultural alignment as much as technical integration.

Key implications for forward-looking health systems include:

• Patient-centric access models — Digital-first registration and scheduling shift the burden from the provider desk to intelligent automation, offering smoother patient journeys while lightening staff workloads.

• Operational scalability — As appointment volumes rise, AI agents enable MUSC Health to increase access without proportionally increasing hires which addresses labor shortage pressures with productivity gains.

• Health equity advancement — Multilingual support and tailored outreach show that AI-driven access can promote inclusion and support underserved populations without substantial human resource investment.

• Financial resilience — Automated co-pay collection and revenue cycle triage reduce bad debt risk and support financial health during macroeconomic uncertainty.

MUSC Health and Notable’s deepening partnership illustrates a model for strategic digital transformation in patient access. Notable’s value is not in automating one-off tasks. Instead, it lies in delivering measurable improvements in equity, revenue, and capacity, while fostering shared accountability for continued advancement. Forward-thinking health systems should now evaluate AI platforms not by feature sets, but by their ability to generate operational ROI, reduce disparities, and evolve alongside patient and organizational needs.