R1 RCM End-to-End Revenue Cycle Outsourcing Commentary
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Mollie Hunt
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VP/Other Executive

Value

By this point with R1 RCM, I would have expected more insights, more ability to look at something...

Mar 2025
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VP/Other Executive

Relationship

R1 RCM did a very good job at the people management and transition sides, so I have to give them...

Mar 2025
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VP/Other Executive

Loyalty

We talked to another firm when we were looking to outsource this work, and that firm had a lot of...

Mar 2025
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VP/Other Executive

Services

R1 RCM is not that great at strategic ability in terms of what I have seen today because everything...

Mar 2025
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VP/Other Executive

Relationship

The reason I rate R1 RCM’s executive involvement lower than average is that they don't have the same...

Mar 2025
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VP/Other Executive

Value

As of today, I'm more frustrated with my organization than R1 RCM, but I am disappointed on a...

Mar 2025
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VP/Other Executive

Relationship

The advantage R1 RCM has, just like any end-to-end revenue cycle outsourcing firm, is that we are so...

Mar 2025
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VP/Other Executive

Loyalty, Relationship

I am a pessimist by nature, but I'm semioptimistic about the future with R1 RCM. If what they are...

Mar 2025
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VP/Other Executive

Operations

R1 RCM did an excellent job at execution for the scope and scale of moving so many caregivers....

Mar 2025
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VP/Other Executive

Relationship, Services

R1 RCM still has this incremental approach. They run every client as their own silo. They might want...

Mar 2025
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VP/Other Executive

Value

I'm really blessed to have some super-smart internal people around contracting, and I'm not bad...

Mar 2025
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VP/Other Executive

Relationship

I have talked to R1 RCM's executives, and they are pretty transparent. I have an opportunity to tell...

Mar 2025
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VP/Other Executive

Loyalty

R1 RCM is behind the times with leveraging AI. If I had to evaluate them today, compared to some of...

Mar 2025
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VP/Other Executive

Services

What is working well with R1 RCM is we started working on a regular cadence of operating reviews....

Dec 2024
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VP/Other Executive

Value

The piece that is not working well with R1 RCM is the reality of the agreement, and the reality of...

Dec 2024
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VP/Other Executive

Relationship, Services

R1 RCM is trying, but they are just not listening. For example, the engagement has had a negative...

Dec 2024
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VP/Other Executive

Relationship

Some senior people from R1 RCM are going to meet with us, so the fact that they are taking the time...

Dec 2024
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VP/Other Executive

Loyalty, Operations

I wouldn't recommend R1 RCM for end-to-end outsourcing. One of the things that I am learning from...

Dec 2024
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VP/Other Executive

Value

Our deal was made to have a massive, true outsourcing of the end-to-end revenue cycle and...

Dec 2024
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VP/Other Executive

Loyalty

I want to be optimistic and climb on the bandwagon that this will be good and will solve the issue...

Dec 2024
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VP/Other Executive

Relationship

If I were rating the R1 RCM staff based on whether I could work with them, I would give the staff a...

Dec 2024
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VP/Other Executive

Relationship

There are a whole bunch of things that contribute to R1 RCM’s performance. One might be that like...

Dec 2024
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VP/Other Executive

Services

A/R days are really where we are struggling right now. What has been challenging from an end-to-end...

Dec 2024
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VP/Other Executive

Relationship, Value

My question is whether the outsourcing model really works or whether we should be using a group like...

Dec 2024
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VP/Other Executive

Relationship, Services

R1 RCM’s execution on some really high-priority things is not going well. I know there are plenty of...

Dec 2024
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VP/Other Executive

Relationship, Operations, Services

In trying to understand what is going on with R1 RCM and to build relationships, I have developed...

Dec 2024
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VP/Other Executive

Relationship, Services

I'm relatively new to the revenue cycle space, so I'm coming in with fresh eyes looking at what is...

Dec 2024
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VP/Other Executive

Loyalty

One of the complexities for us a bit is our different platforms. R1 RCM promises to be able to bring...

Dec 2024
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CEO/President

Loyalty, Relationship

I am very optimistic about our future with R1 RCM. Everything comes down to who I interact with, and...

Nov 2024
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CEO/President

Relationship, Services

In healthcare, we are all about getting clean claims out the door. R1 RCM has to hardwire a process...

Nov 2024
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CEO/President

Services

I would buy R1 RCM's services again. I understand what else is out there, and R1 RCM outperforms...

Nov 2024
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CEO/President

Value

R1 RCM's impact on our cash collections is great. R1 RCM doesn't charge for every little thing. They...

Nov 2024
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VP/Other Executive

Relationship, Services

The crux that I see from R1 RCM is that the majority of the people I interact with have never worked...

Nov 2024
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VP/Other Executive

Operations

With another firm, we get a DNFB breakdown, so we know what is in the DNFC bucket, and if there is...

Nov 2024
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VP/Other Executive

Relationship

The executives from R1 RCM are involved, but nothing gets delivered. The hard thing is that R1 RCM...

Nov 2024
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VP/Other Executive

Operations, Value

We had issues with R1 RCM on the three-day window process. If a first visit and second visit are not...

Nov 2024
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VP/Other Executive

Operations, Value

R1 RCM's access is a mess. They don't know how to register patients. They don't know how to get the...

Nov 2024
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VP/Other Executive

Loyalty, Operations, Value

R1 RCM’s impact on our A/R days has been horrible. They just got some bills out the door for...

Nov 2024
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VP/Other Executive

Operations

The Change Healthcare thing was bad for everybody. One of our other firms recovered pretty...

Nov 2024
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VP/Other Executive

Operations, Value

R1 RCM doesn’t collect cash. They write claims off without truly understanding why they were denied...

Nov 2024
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CEO/President

Operations

I have talked to R1 RCM a bit about them going private, and they seem to feel like it is not going...

Nov 2024
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CEO/President

Loyalty, Relationship, Services

Patient experience is the number-one area where we get complaints from patients, physicians, and...

Nov 2024
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CEO/President

Value

We don’t really pay R1 RCM much outside of our contracted fee. As an example, with the Change...

Nov 2024
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CEO/President

Relationship, Operations

We are not the ideal R1 RCM candidate. We don't fit their business model. They do better from an...

Nov 2024
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CEO/President

Loyalty, Operations, Value

R1 RCM's performance has been subpar this year around cash collections. We are considering taking...

Nov 2024
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CEO/President

Services, Value

R1 RCM’s reporting, metrics, and analyses around the data are good; the firm gives us a lot of data,...

Nov 2024
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Director

Relationship, Value

R1 RCM does bring some novel things to us from time to time. We are working on some AI coding...

Nov 2024
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Director

Relationship, Operations

R1 RCM is going through another leadership change, and I will have to wait a little more before I...

Nov 2024
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Director

Operations, Services

R1 RCM has a tendency to hold onto A/R stuff for way too long. When something is denied, it is dead....

Nov 2024
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Director

Value

R1 RCM does a lot of offshoring work, and it isn't effective. It isn't premium work. There is high...

Nov 2024
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CFO

Relationship

I have worked for a lot of different companies, and the relationship with R1 RCM is no different...

Nov 2024
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CFO

Relationship, Services

The firm is just like any other employer out there. There are good and bad staff members. Generally...

Nov 2024
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CFO

Loyalty

I would recommend the firm. If someone were looking to get a firm in this area, R1 RCM is one of the...

Nov 2024
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CFO

Loyalty, Value

The purpose was to have one go-to party for this service. Things could be done less expensively if...

Nov 2024
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CFO

Operations

The strategic ability of the firm gets to the issue of system-based contracts. Our overall...

Nov 2024
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CFO

Loyalty, Value

If I were the hospital CFO and I were making the decision to outsource, I would certainly consider...

Nov 2024
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CFO

Value

From the beginning of the contract to now, I have been highly satisfied with the firm’s impact on...

Nov 2024
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CFO

Loyalty

I anticipate maintaining the scope of work with R1 RCM. We will certainly stay with refinements, and...

Nov 2024
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COO

Loyalty

R1 RCM was selected because we believed they had the technology to support the enhanced feedback...

Nov 2024
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COO

Loyalty

The transition has been pretty decent. The firm is very strategic. Now we are in the results part....

Nov 2024
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COO

Services

With outsourcing, there is no magic wand. Nothing is plug and play. People should make sure they...

Nov 2024
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COO

Services

I would love to make the revenue cycle boring again so that we could have more stable, predictable...

Nov 2024
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COO

Relationship

The firm's people seem to be pretty knowledgeable. They work incredibly hard. I have a good...

Nov 2024
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COO

Loyalty, Relationship, Operations

The firm has a great team, but I'm not seeing a clear strategy about what they are doing and when we...

Nov 2024
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CFO

Relationship, Services, Value

R1 RCM’s impact on A/R days right now is not good because the A/R days have gone up dramatically....

Nov 2024
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CFO

Loyalty, Relationship

R1 RCM’s strengths are their technological capabilities and their scale. Their strategic ability is...

Nov 2024
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VP/Other Executive

Relationship

We have had multiple meetings with R1 over the years about performance and where we need to be from...

Nov 2024
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VP/Other Executive

Relationship, Services

Looking at our metrics, R1 has done a good job with the patient experience. They lean in where...

Nov 2024
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VP/Other Executive

Loyalty, Relationship

We are waiting to see how R1’s restructuring and going private goes. I don’t think the pressure on...

Nov 2024
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VP/Other Executive

Loyalty, Services

There is A/R data that isn't getting attention or follow-up from R1. That is going to result in...

Nov 2024
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VP/Other Executive

Relationship

I have a very good relationship with a higher-up at R1. They are a good, smart person who knows...

Nov 2024
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VP/Other Executive

Relationship

Someone considering R1's service should structure their engagement in such a way that they have some...

Nov 2024
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VP/Other Executive

Relationship

R1 has good, knowledgeable, and smart people who know their business well. They are very responsive...

Nov 2024
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VP/Other Executive

Relationship, Services, Value

If we look at metrics with our in-house team versus the metrics we have with R1, we outperform with...

Nov 2024
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CFO

Operations

The offshore employees of R1 RCM are of poor quality. The onshore employees are better. The team...

Jul 2024
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CFO

Relationship, Services

I have not seen R1 RCM's strategic ability yet. R1 RCM needs better monitoring of their own activity...

Jul 2024
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CFO

Services

We have had our ups and downs with R1 RCM when it comes to the registration process, which is most...

Jul 2024
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CFO

Value

R1 RCM is not good at driving tangible outcomes. There is one part of the business that does a good...

Jul 2024
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CFO

Relationship

The level of executive involvement and empowerment is pretty high. Whether they can fix things...

Jul 2024
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CFO

Relationship, Operations

R1 RCM has a pretty siloed structure in general. They have an operations team that does the...

Jul 2024
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CFO

Loyalty, Relationship, Services

We continue to have struggles with R1 RCM. They don't have the expertise for my type of...

Jul 2024
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VP/Other Executive

Value

Our initial denial rates with R1 were outrageous. I was staggered by them. My score for R1 in that...

Jul 2024
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VP/Other Executive

Services, Value

Cash is the lifeblood of any organization, and it is our number-one objective in using R1. There are...

Jul 2024
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VP/Other Executive

Relationship, Operations

I have been disappointed with R1 because when we sign up with big-box RCM vendors, I would think...

Jul 2024
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VP/Other Executive

Services, Value

R1 gets much better results and performance improvements from not-for-profit collections. For-profit...

Jul 2024
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VP/Other Executive

Operations, Value

I'm going to give R1 a better score on how well they execute because they did a really good job of...

Jul 2024
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VP/Other Executive

Services

R1 does a really good job on patient experience with the exception of the scheduling areas. But...

Jul 2024
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VP/Other Executive

Relationship, Operations

R1 has a new CEO, and I have a lot of respect for this individual and think they will make needed...

Jul 2024
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VP/Other Executive

Relationship, Value

In my career, I have had to decide between building, buying, or using a hybrid of the two, so I have...

Jul 2024
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VP/Other Executive

Services

Most people want to bring the front end more into the hospital base because it is local. Before R1,...

Jul 2024
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VP/Other Executive

Relationship, Services

R1 is deploying some specific denial strategies and tactics. It is too early to see whether those...

Jun 2024
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CFO

Relationship, Services

There are aspects that R1 does a good job on, like technology. But generally speaking, they always...

Jun 2024
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VP/Other Executive

Value

R1 looks for opportunities to sell us new things, and they charge us for things that they maybe...

Jun 2024
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CFO

Relationship

In our experience with R1, it is hard to get someone with substantive knowledge who can actually...

Jun 2024
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CFO

Value

R1’s bias is probably to charge for things, but we have forced them to not charge us for certain things....

Jun 2024
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CFO

Relationship, Services

R1 has people who are empowered, but that doesn't always translate to changes.

Jun 2024
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VP/Other Executive

Services

The cash flow has been more inconsistent, meaning we have bad months and then a really great month....

Jun 2024
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VP/Other Executive

Value

My superiors are somewhat disappointed. We are hitting the cash target on a monthly basis, but the...

Jun 2024
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CFO

Services

If someone were planning to outsource their revenue cycle, my likelihood to recommend R1 would be...

May 2024
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CFO

Services, Value

With R1, our A/R days are higher than the industry benchmark. We have seen some incremental...

May 2024
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CFO

Relationship, Services

We have had some gaps regarding R1’s impact on the patient experience on the really high-touch...

May 2024
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CFO

Relationship

We have regular check-ins with R1, and they are very accessible. The senior leadership is engaged. I...

May 2024
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CEO/President

Loyalty

I was very involved in the decision to ultimately go with R1 because they were the best solution for...

May 2024
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CEO/President

Loyalty

R1 needs to continue to make operational improvements. They continue to learn a lot about their...

May 2024
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CEO/President

Loyalty, Services

In R1's business, it is hard to ever consistently exceed expectations. For me, the work is about the...

May 2024
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Director

Relationship

My interface with R1’s regional leaders is good. R1 is great at relationships; they know how to make...

May 2024
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Director

Loyalty, Relationship

Everybody hates their firm at some point when things go bad, but R1 seems able to sell their...

May 2024
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Director

Relationship, Value

When we had to get good faith estimates, R1 led the charge in terms of understanding those, and...

May 2024
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Director

Relationship

When working with R1, clients should get to know the people assigned to their account. There might...

May 2024
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CFO

Operations

I wasn't involved in the decision or the signing of the contract of R1, but I definitely felt the...

Apr 2024
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CFO

Relationship

At first, I didn't feel like we had a partnership with R1, but maybe that is just because we went...

Apr 2024
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CFO

Relationship

We have regular meetings with R1, and there are times when we talk about how the aging is or ask...

Apr 2024
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CFO

Relationship

From the R1 perspective, the team tries very hard, and our representative is very good, but they are...

Apr 2024
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VP/Other Executive

Relationship

Things weren't going extremely well with R1's service, and we were hopeful that the firm would take...

Apr 2024
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VP/Other Executive

Relationship, Value

We don't get charged for every little thing. R1 is fair in that. However, the majority of my time is...

Apr 2024
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VP/Other Executive

Relationship

The offshore service is ineffective, but that is how R1 modeled the project. We have given R1 the...

Apr 2024
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VP/Other Executive

Loyalty, Relationship

For what we signed up for, we are absolutely not pleased with where we are today with R1. We sign up...

Apr 2024
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VP/Other Executive

Relationship, Value

R1’s impact on A/R days is bad. They are not working aged A/R, so the older stuff just hangs out,...

Apr 2024
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VP/Other Executive

Relationship, Services

When R1 wasn’t hitting targets, they tried to skew our collections by changing the way we do our...

Apr 2024
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VP/Other Executive

Relationship, Services

I get daily complaints from patients about R1, and our relationship does not feel like a...

Apr 2024
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VP/Other Executive

Operations

Everything at R1 is siloed. The person that I work with on a day-to-day basis has to go to different...

Apr 2024
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CIO

Relationship, Services

I am not sure we would buy from R1 again. There have been a lot of performance issues with R1's...

Apr 2024
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CIO

Loyalty, Services

With R1, we have some of the digital tools live, but a lot of the tools are not live. The process...

Apr 2024
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CIO

Services

One of our challenges is just that we have multiple EMRs. People like to come in and tell me how...

Apr 2024
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