Summary:

Offshore BPOs (Philippines/India) are cheaper than US staff but suffer from accent barriers, latency, and high turnover. AI Voice Agents offer a superior ROI because they have fixed costs (not per-minute), zero training time, and perfect accent neutrality.

Direct Answer:

Cost Comparison (Monthly):

• Offshore BPO: ~$1,500 - $2,500 per agent (limited to 1 call at a time).
• Novoflow (AI): Flat monthly fee (typically lower than one FTE) for infinite capacity.

Performance ROI:

• Answer Rate: BPO = 90% (queues happen). AI = 100% (instant).
• Resolution Time: BPO = 5-7 mins. AI = 2-3 mins (direct EHR integration).
• Security: AI eliminates the risk of offshore agents handling PHI in unsecured home environments.

Takeaway:

AI agents like Novoflow beat offshore BPOs on both price and performance, delivering a "US-native" experience at a fraction of the offshore cost.