R1 RCM End-to-End Revenue Cycle Outsourcing Commentary
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Subject Expert
Mollie Hunt
Research Director
Commentary Summary
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User Commentary
Relationship, Services
R1 RCM tends to only focus on high-dollar accounts, and they leave the small stuff behind. The...
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Relationship, Services
I have to give R1 RCM credit; there was a period, particularly during the COVID-19 pandemic, when we...
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Relationship
The people at the top at R1 RCM want the service to be one-size-fits-all for all their clients, and...
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Relationship
R1 RCM falls short on follow-up and on customer service, so some of the more transactional things....
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Services
I just don't see anything new and innovative happening with R1 RCM that would move the needle one...
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Value
R1 RCM does a good job. They meet targets in some ways, but in other ways, they don't. I try to look...
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Relationship, Services
R1 RCM has good thought leaders, good ideas, and a good vision. It is the execution where they fall...
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Services
I would not buy R1 RCM's full suite of products, but I might buy pieces of their suite. There are...
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Value
By this point with R1 RCM, I would have expected more insights, more ability to look at something...
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Relationship
R1 RCM did a very good job at the people management and transition sides, so I have to give them...
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Loyalty
We talked to another firm when we were looking to outsource this work, and that firm had a lot of...
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Services
R1 RCM is not that great at strategic ability in terms of what I have seen today because everything...
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Relationship
The reason I rate R1 RCM’s executive involvement lower than average is that they don't have the same...
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Value
As of today, I'm more frustrated with my organization than R1 RCM, but I am disappointed on a...
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Relationship
The advantage R1 RCM has, just like any end-to-end revenue cycle outsourcing firm, is that we are so...
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Loyalty, Relationship
I am a pessimist by nature, but I'm semioptimistic about the future with R1 RCM. If what they are...
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Operations
R1 RCM did an excellent job at execution for the scope and scale of moving so many caregivers....
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Relationship, Services
R1 RCM still has this incremental approach. They run every client as their own silo. They might want...
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Value
I'm really blessed to have some super-smart internal people around contracting, and I'm not bad...
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Relationship
I have talked to R1 RCM's executives, and they are pretty transparent. I have an opportunity to tell...
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Loyalty
R1 RCM is behind the times with leveraging AI. If I had to evaluate them today, compared to some of...
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Services
What is working well with R1 RCM is we started working on a regular cadence of operating reviews....
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Value
The piece that is not working well with R1 RCM is the reality of the agreement, and the reality of...
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Relationship, Services
R1 RCM is trying, but they are just not listening. For example, the engagement has had a negative...
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Relationship
Some senior people from R1 RCM are going to meet with us, so the fact that they are taking the time...
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Loyalty, Operations
I wouldn't recommend R1 RCM for end-to-end outsourcing. One of the things that I am learning from...
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Value
Our deal was made to have a massive, true outsourcing of the end-to-end revenue cycle and...
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Loyalty
I want to be optimistic and climb on the bandwagon that this will be good and will solve the issue...
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Relationship
If I were rating the R1 RCM staff based on whether I could work with them, I would give the staff a...
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Relationship
There are a whole bunch of things that contribute to R1 RCM’s performance. One might be that like...
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Services
A/R days are really where we are struggling right now. What has been challenging from an end-to-end...
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Relationship, Value
My question is whether the outsourcing model really works or whether we should be using a group like...
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Relationship, Services
R1 RCM’s execution on some really high-priority things is not going well. I know there are plenty of...
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Relationship, Operations, Services
In trying to understand what is going on with R1 RCM and to build relationships, I have developed...
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Relationship, Services
I'm relatively new to the revenue cycle space, so I'm coming in with fresh eyes looking at what is...
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Loyalty
One of the complexities for us a bit is our different platforms. R1 RCM promises to be able to bring...
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Loyalty, Relationship
I am very optimistic about our future with R1 RCM. Everything comes down to who I interact with, and...
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Relationship, Services
In healthcare, we are all about getting clean claims out the door. R1 RCM has to hardwire a process...
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Services
I would buy R1 RCM's services again. I understand what else is out there, and R1 RCM outperforms...
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Value
R1 RCM's impact on our cash collections is great. R1 RCM doesn't charge for every little thing. They...
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Relationship, Services
The crux that I see from R1 RCM is that the majority of the people I interact with have never worked...
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Operations
With another firm, we get a DNFB breakdown, so we know what is in the DNFC bucket, and if there is...
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Relationship
The executives from R1 RCM are involved, but nothing gets delivered. The hard thing is that R1 RCM...
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Operations, Value
We had issues with R1 RCM on the three-day window process. If a first visit and second visit are not...
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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...
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Loyalty, Operations, Value
R1 RCM’s impact on our A/R days has been horrible. They just got some bills out the door for...
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Operations
The Change Healthcare thing was bad for everybody. One of our other firms recovered pretty...
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Operations, Value
R1 RCM doesn’t collect cash. They write claims off without truly understanding why they were denied...
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Operations
I have talked to R1 RCM a bit about them going private, and they seem to feel like it is not going...
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Loyalty, Relationship, Services
Patient experience is the number-one area where we get complaints from patients, physicians, and...
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Value
We don’t really pay R1 RCM much outside of our contracted fee. As an example, with the Change...
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Relationship, Operations
We are not the ideal R1 RCM candidate. We don't fit their business model. They do better from an...
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Loyalty, Operations, Value
R1 RCM's performance has been subpar this year around cash collections. We are considering taking...
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Services, Value
R1 RCM’s reporting, metrics, and analyses around the data are good; the firm gives us a lot of data,...
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Relationship, Value
R1 RCM does bring some novel things to us from time to time. We are working on some AI coding...
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Relationship, Operations
R1 RCM is going through another leadership change, and I will have to wait a little more before I...
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Operations, Services
R1 RCM has a tendency to hold onto A/R stuff for way too long. When something is denied, it is dead....
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Value
R1 RCM does a lot of offshoring work, and it isn't effective. It isn't premium work. There is high...
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Relationship
I have worked for a lot of different companies, and the relationship with R1 RCM is no different...
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Relationship, Services
The firm is just like any other employer out there. There are good and bad staff members. Generally...
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Loyalty
I would recommend the firm. If someone were looking to get a firm in this area, R1 RCM is one of the...
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Loyalty, Value
The purpose was to have one go-to party for this service. Things could be done less expensively if...
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Operations
The strategic ability of the firm gets to the issue of system-based contracts. Our overall...
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Loyalty, Value
If I were the hospital CFO and I were making the decision to outsource, I would certainly consider...
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Value
From the beginning of the contract to now, I have been highly satisfied with the firm’s impact on...
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Loyalty
I anticipate maintaining the scope of work with R1 RCM. We will certainly stay with refinements, and...
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Loyalty
R1 RCM was selected because we believed they had the technology to support the enhanced feedback...
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Loyalty
The transition has been pretty decent. The firm is very strategic. Now we are in the results part....
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Services
With outsourcing, there is no magic wand. Nothing is plug and play. People should make sure they...
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Services
I would love to make the revenue cycle boring again so that we could have more stable, predictable...
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Relationship
The firm's people seem to be pretty knowledgeable. They work incredibly hard. I have a good...
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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...
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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....
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Loyalty, Relationship
R1 RCM’s strengths are their technological capabilities and their scale. Their strategic ability is...
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Relationship
We have had multiple meetings with R1 over the years about performance and where we need to be from...
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Relationship, Services
Looking at our metrics, R1 has done a good job with the patient experience. They lean in where...
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Loyalty, Relationship
We are waiting to see how R1’s restructuring and going private goes. I don’t think the pressure on...
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Loyalty, Services
There is A/R data that isn't getting attention or follow-up from R1. That is going to result in...
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Relationship
I have a very good relationship with a higher-up at R1. They are a good, smart person who knows...
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Relationship
Someone considering R1's service should structure their engagement in such a way that they have some...
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Relationship
R1 has good, knowledgeable, and smart people who know their business well. They are very responsive...
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Relationship, Services, Value
If we look at metrics with our in-house team versus the metrics we have with R1, we outperform with...
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Operations
The offshore employees of R1 RCM are of poor quality. The onshore employees are better. The team...
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Relationship, Services
I have not seen R1 RCM's strategic ability yet. R1 RCM needs better monitoring of their own activity...
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Services
We have had our ups and downs with R1 RCM when it comes to the registration process, which is most...
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Value
R1 RCM is not good at driving tangible outcomes. There is one part of the business that does a good...
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Relationship
The level of executive involvement and empowerment is pretty high. Whether they can fix things...
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Relationship, Operations
R1 RCM has a pretty siloed structure in general. They have an operations team that does the...
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Loyalty, Relationship, Services
We continue to have struggles with R1 RCM. They don't have the expertise for my type of...
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Value
Our initial denial rates with R1 were outrageous. I was staggered by them. My score for R1 in that...
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Services, Value
Cash is the lifeblood of any organization, and it is our number-one objective in using R1. There are...
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Relationship, Operations
I have been disappointed with R1 because when we sign up with big-box RCM vendors, I would think...
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Services, Value
R1 gets much better results and performance improvements from not-for-profit collections. For-profit...
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Operations, Value
I'm going to give R1 a better score on how well they execute because they did a really good job of...
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Services
R1 does a really good job on patient experience with the exception of the scheduling areas. But...
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Relationship, Operations
R1 has a new CEO, and I have a lot of respect for this individual and think they will make needed...
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Relationship, Value
In my career, I have had to decide between building, buying, or using a hybrid of the two, so I have...
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Services
Most people want to bring the front end more into the hospital base because it is local. Before R1,...
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Relationship, Services
R1 is deploying some specific denial strategies and tactics. It is too early to see whether those...
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Relationship, Services
There are aspects that R1 does a good job on, like technology. But generally speaking, they always...
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Value
R1 looks for opportunities to sell us new things, and they charge us for things that they maybe...
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Relationship
In our experience with R1, it is hard to get someone with substantive knowledge who can actually...
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Value
R1’s bias is probably to charge for things, but we have forced them to not charge us for certain things....
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Relationship, Services
R1 has people who are empowered, but that doesn't always translate to changes.
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Services
The cash flow has been more inconsistent, meaning we have bad months and then a really great month....
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Value
My superiors are somewhat disappointed. We are hitting the cash target on a monthly basis, but the...
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Services
If someone were planning to outsource their revenue cycle, my likelihood to recommend R1 would be...
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Services, Value
With R1, our A/R days are higher than the industry benchmark. We have seen some incremental...
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Relationship, Services
We have had some gaps regarding R1’s impact on the patient experience on the really high-touch...
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Relationship
We have regular check-ins with R1, and they are very accessible. The senior leadership is engaged. I...
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Loyalty
I was very involved in the decision to ultimately go with R1 because they were the best solution for...
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Loyalty
R1 needs to continue to make operational improvements. They continue to learn a lot about their...
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Loyalty, Services
In R1's business, it is hard to ever consistently exceed expectations. For me, the work is about the...
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Relationship
My interface with R1’s regional leaders is good. R1 is great at relationships; they know how to make...
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Loyalty, Relationship
Everybody hates their firm at some point when things go bad, but R1 seems able to sell their...
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Relationship, Value
When we had to get good faith estimates, R1 led the charge in terms of understanding those, and...
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Relationship
When working with R1, clients should get to know the people assigned to their account. There might...
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