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

Loyalty, Value

R1 RCM nickel-and-dimes us to death. How the base fee was derived is so complicated that when we...

Nov 2025
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VP/Other Executive

Loyalty, Operations, Value

There are certain aspects I would highly recommend from R1 RCM, but I wouldn't recommend all of...

Nov 2025
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VP/Other Executive

Relationship, Operations, Services

R1 RCM has some really good people at certain levels. Their customer operations team has excelled...

Nov 2025
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VP/Other Executive

Relationship, Services

R1 RCM has such good qualities and capabilities; something is just missing there. I know the...

Nov 2025
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VP/Other Executive

Operations, Value

The A/R-resolution cash looks pretty good; R1 RCM has done much better on cash this year. But a lot...

Nov 2025
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VP/Other Executive

Services

We get pretty consistent complaints about language barriers with R1 RCM’s offshore team from patients....

Nov 2025
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VP/Other Executive

Operations, Services, Value

The people we work with at R1 RCM are great. I have zero complaints about the hired individuals and...

Nov 2025
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VP/Other Executive

Operations, Services, Value

We have had to make some adjustments to some R1 RCM teams that we have to manage. They just make...

Nov 2025
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VP/Other Executive

Loyalty, Value

R1 RCM is deploying new technology, and that is great, but with the way our contract is set up, we...

Nov 2025
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VP/Other Executive

Value

R1 RCM’s impact to our cash collection has gotten better, and so has their impact on our A/R days....

Nov 2025
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VP/Other Executive

Loyalty, Relationship, Operations, Value

I’m somewhat optimistic about R1 RCM. Where they are going actually has some potential for...

Nov 2025
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VP/Other Executive

Loyalty, Relationship

I would never recommend the partnership that we have with R1 RCM; it is one of my biggest gripes. R1...

Nov 2025
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VP/Other Executive

Relationship, Operations

One of my biggest concerns with R1 RCM is the fact that they are approaching relationships from a...

Nov 2025
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VP/Other Executive

Relationship

I respect almost all the people I work with; they are trying. I'm just not seeing a change in the...

Nov 2025
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VP/Other Executive

Services

If the firm had a revenue cycle model that says how things work best and that they are moving to...

Nov 2025
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VP/Other Executive

Loyalty, Value

We are not getting an analysis of the A/R in terms of the opportunity, what we are going to do, and...

Nov 2025
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VP/Other Executive

Relationship, Value

We are stumbling with our proactive conversations. If there is an issue, a special project, or...

Nov 2025
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VP/Other Executive

Relationship, Services

We have an engagement at the system level, and the hospital is very important to our leaders. We...

Nov 2025
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VP/Other Executive

Relationship

I would recommend the firm to a peer, depending on what they need. If they need a turnaround group,...

Nov 2025
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VP/Other Executive

Relationship

I don't feel like the firm has a detailed execution strategy plan, so they just kind of turn things...

Nov 2025
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VP/Other Executive

Relationship

I do want the engagement to work. Sometimes we micromanage things too much, but we need to build our...

Nov 2025
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VP/Other Executive

Relationship

There is a sense of urgency that isn't always there because the firm will look at how we are...

Nov 2025
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CFO

Operations

R1 RCM does a fine job. They are extremely good at carrying out our policies and directives and...

Oct 2025
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CFO

Relationship, Operations

R1 RCM does a decent job front-to-back. I would not give them any gold medals, but at the same time,...

Oct 2025
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CFO

Operations

Denials are an area where R1 RCM really needs to buckle down and put some more AI in place.

Oct 2025
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VP/Other Executive

Relationship, Services

R1 RCM has recently been doing more frequent NPS surveys, and they have been rounding with some of...

Oct 2025
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VP/Other Executive

Loyalty, Relationship, Services

It has been painful to get to where we are, but by the end of our time frame, if we stay on pace or...

Oct 2025
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VP/Other Executive

Relationship

The client-facing folks are stellar. They do a good job of working with us. We speak a lot of the...

Oct 2025
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VP/Other Executive

Services, Value

R1 RCM has some really great points and some great technology. Given the complexity of our...

Oct 2025
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VP/Other Executive

Relationship, Services

As far as the end users and the folks who are actually doing the work are concerned, R1 RCM has...

Oct 2025
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VP/Other Executive

Relationship

One of the asks that we had was to have more folks and resources available to our hospitals. What...

Oct 2025
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VP/Other Executive

Relationship

When it comes to patients having questions about their bills or trying to get scheduled or things...

Oct 2025
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VP/Other Executive

Relationship, Services

The folks at R1 RCM have knowledge. They are pretty well-informed about what is going on in the...

Oct 2025
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VP/Other Executive

Loyalty, Operations, Services

As R1 RCM has rolled things out, they have taken a bit long. They have almost been the gift that...

Oct 2025
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VP/Other Executive

Relationship

Within the past year, R1 RCM has really stepped up. They have come strong to the table and taken a...

Oct 2025
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VP/Other Executive

Relationship

There have been a lot of changes with the R1 RCM team. I feel like there is a lot more engagement....

Oct 2025
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VP/Other Executive

Services

From a denials perspective, R1 RCM is not as aggressive as I would like to see them be with pursuing...

Oct 2025
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VP/Other Executive

Relationship, Services

A major frustration with R1 RCM is the disconnect between the client-facing teams and shared...

Oct 2025
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VP/Other Executive

Loyalty, Relationship

R1 RCM tries to own everything, but no firm can do it all, so we are increasingly using specialized...

Oct 2025
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VP/Other Executive

Relationship, Operations

R1 RCM’s staffing quality is mixed. Some of the field staff members are excellent, but others lack...

Oct 2025
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VP/Other Executive

Loyalty, Relationship, Operations

Despite the challenges, I’m optimistic. R1 RCM's new CEO has the right vision and seems serious...

Oct 2025
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VP/Other Executive

Relationship, Services

R1 RCM has the desire to improve, but performance isn’t improving as fast as we would like. We have...

Oct 2025
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VP/Other Executive

Relationship, Operations

With Joe Flanagan back, things have definitely gotten better at R1 RCM. He is more responsive than...

Oct 2025
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VP/Other Executive

Relationship

If things fit within R1 RCM's operational model, those things will work very well. However, if they...

Oct 2025
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VP/Other Executive

Value

R1 RCM is incentivized to hit certain denial performances, and our A/R has grown significantly...

Oct 2025
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VP/Other Executive

Relationship, Value

R1 RCM has all of the technical resources and capabilities to really knock things out of the park,...

Oct 2025
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VP/Other Executive

Relationship

I think we have had some good outcomes with R1 RCM. The majority of the things with cash collections...

Oct 2025
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VP/Other Executive

Relationship

We work with a number of people at R1 RCM who are very good and capable. However, I think other...

Oct 2025
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VP/Other Executive

Relationship, Services

With one of our biggest denial strategies, R1 RCM couldn't figure out how to connect the dots. I...

Sep 2025
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VP/Other Executive

Relationship

We had shared and escalated things directly to an R1 RCM person. They said they were trying, and...

Sep 2025
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VP/Other Executive

Services

We have had some issues with offshoring and other considerations as well. I think we do a lot better...

Sep 2025
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VP/Other Executive

Relationship, Services

Most of the ideas and solutions for doing things differently or solving problems are coming from us....

Sep 2025
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VP/Other Executive

Relationship, Value

The reality is that people need to understand the level of frustration we are facing. We are dealing...

Sep 2025
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VP/Other Executive

Services

Over the last few months, in some cases, things with R1 RCM have gotten worse, and our need for...

Sep 2025
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VP/Other Executive

Loyalty

We are optimizing R1 RCM’s workflow technology. It was a deciding factor between the other solutions...

Sep 2025
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VP/Other Executive

Loyalty, Relationship

R1 RCM has said there are a couple of changes in the pipeline to address our recent issues. I wonder...

Sep 2025
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VP/Other Executive

Relationship

Clients need to be brutally direct with R1 RCM in asking what the firm really thinks they are going...

Sep 2025
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VP/Other Executive

Loyalty

There will be automated denials, and I think those are going to add a lot of value. A lot of people...

Sep 2025
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VP/Other Executive

Loyalty

We are going through an exhaustive process to peel back the layers on what things really mean. The...

Sep 2025
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VP/Other Executive

Relationship, Services

R1 RCM can’t figure out how to do a mid-month projection on bad debt and charity care. I have edited...

Sep 2025
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VP/Other Executive

Loyalty, Relationship, Services

One of my big concerns is that the hospital and physician operations are two different companies. It...

Sep 2025
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VP/Other Executive

Services

R1 RCM has some really solid modular services and some good end-to-end pieces. I appreciate R1 RCM’s...

Jul 2025
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VP/Other Executive

Relationship, Services

R1 RCM's timeliness to solve the problems is what we are struggling with. We need R1 RCM to assist...

Jul 2025
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VP/Other Executive

Value

The advice I would give someone considering going with R1 RCM would be to set clear, aggressive...

Jul 2025
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VP/Other Executive

Services

With R1 RCM, there is a quality component related to a lot of the offshore processes and a decrease...

Jul 2025
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VP/Other Executive

Relationship, Services

There are a few niche areas that are very important for providers but that might not be as valuable...

Jul 2025
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VP/Other Executive

Operations, Value

The firm's business model is based on how low they can get their costs while balancing that with...

Jun 2025
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VP/Other Executive

Services, Value

When it comes to the firm’s impact on the patient experience, someone told me the other day that it...

Jun 2025
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VP/Other Executive

Value

When I think about getting my money's worth, I think about the way our contract is structured and...

Jun 2025
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VP/Other Executive

Relationship, Operations, Services

Since R1 RCM went private and since Joe Flanagan took the helm, I have felt a desire from him to do...

Jun 2025
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VP/Other Executive

Operations

We have heard of the firm's R37 lab, which is their joint venture with Palantir. I want to be...

Jun 2025
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VP/Other Executive

Relationship, Services

One of our big challenges is with the executive involvement from the firm. I think the firm is aware...

Jun 2025
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VP/Other Executive

Value

The firm’s impact on our cash collections has improved. We are also in a very holistic agreement...

Jun 2025
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CEO/President

Value

Notably, we have achieved some key successes with R1 RCM, particularly in negotiating reduced fees...

Jun 2025
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CEO/President

Relationship, Services

There are several areas where improvement is needed with R1 RCM, including customer support. We...

Jun 2025
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CEO/President

Relationship, Services

As a smaller organization not using a specific vendor, we often feel outside R1 RCM’s core customer...

Jun 2025
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CEO/President

Services

R1 RCM’s strategic investment in software and application development has been good. They appear to...

Jun 2025
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VP/Other Executive

Value

If someone is looking for a cheap alternative to their own staff being expensive and if someone is...

Jun 2025
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VP/Other Executive

Operations, Services

When I pushed the envelope enough and forced the issue, R1 RCM gave us more staff. When there were...

Jun 2025
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VP/Other Executive

Operations, Services

We would like R1 RCM to be ahead of the metrics. If they see a trend, we want them to come to us...

Jun 2025
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VP/Other Executive

Relationship, Services, Value

We did some specific things as incentives to R1 RCM, and those have had a night-and-day change to...

Jun 2025
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VP/Other Executive

Loyalty, Operations

Since TowerBrook has come in, they have been looking to redesign and reengineer R1 RCM as a company....

Jun 2025
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VP/Other Executive

Loyalty, Operations, Value

Sometimes it is hard to split apart some of the performance trends that we have that everybody else...

May 2025
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VP/Other Executive

Services, Value

I feel like we are getting regurgitated metrics from R1 RCM. I already know what cash is and what...

May 2025
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VP/Other Executive

Operations, Value

We have had to basically give R1 RCM templates on how to give us reports and tell them how to...

May 2025
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VP/Other Executive

Operations, Services

Most of the staff members from R1 RCM are good. Like with any group, some aren’t. I enjoy the...

May 2025
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VP/Other Executive

Loyalty, Relationship, Operations, Services

We would like to see R1 RCM invest the time and money to do something more than make a slightly...

May 2025
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VP/Other Executive

Loyalty, Value

I would not contract with R1 RCM again. Looking at things overall, the last several months might...

May 2025
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VP/Other Executive

Relationship, Operations, Services

R1 RCM has great, smart people. They are technically competent and knowledgeable. They are great...

May 2025
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VP/Other Executive

Operations, Services

In some ways, R1 RCM’s impact on our patient experience is getting better. Scheduling is still a...

May 2025
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VP/Other Executive

Relationship

With some changes we are making at our organization, it has been a challenge to work with R1 RCM’s...

May 2025
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VP/Other Executive

Operations, Services, Value

We don't interact a lot with the operators at R1 RCM. We work with them a little, but my guess is...

May 2025
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VP/Other Executive

Loyalty, Relationship

I am somewhat optimistic about the future with R1 RCM. Part of that is based on recent performance....

May 2025
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VP/Other Executive

Operations

R1 RCM is investing heavily in future technology. They have a partnership with Palantir with a new...

May 2025
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VP/Other Executive

Loyalty, Relationship, Services

R1 RCM has gone private and has new leadership at the top. With the current plan we have worked on...

May 2025
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VP/Other Executive

Operations, Services

The technology to facilitate a positive patient experience on the front end for patient access and...

May 2025
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VP/Other Executive

Relationship, Services

Historically, R1 RCM’s executive involvement has been very low, but with the adjustments that R1 RCM...

May 2025
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VP/Other Executive

Loyalty, Value

We have pushed back a lot on R1 RCM charging for everything, and they have kind of conceded to not...

May 2025
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VP/Other Executive

Operations, Value

I don't know how R1 RCM utilizes AI internally to our benefit. We have another revenue cycle partner...

May 2025
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VP/Other Executive

Value

I was expecting R1 RCM’s performance to be higher. We have had a pretty substantial lag in cash...

May 2025
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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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(0)
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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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