R1 Underpayment Recovery Services Commentary
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Subject Expert
Mollie Hunt
Research Director
Commentary Summary
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User Commentary
Relationship, Services
R1 RCM has done a good job of being accessible to us, having meetings, and trying to address our...
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Services
R1 RCM has done some mergers while we have worked with them, so they have gone through a variety of...
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Operations, Services
R1 RCM is moderately innovative in the services they provide. They look at our charges on the...
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Loyalty, Relationship, Value
We selected R1 RCM because they offer us competitive rates and are very responsive to our needs....
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Services
We still have to massage the reports we get from R1 RCM a bit. It could be because of how...
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Relationship
I really like the people I work with at R1 RCM. Our client manager frequently joins our meetings...
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Value
R1 RCM is a great company. They don't nickel-and-dime us.
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Services
Something that R1 RCM can improve on is some of their reports. We should be able to create our own...
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Operations
The education that R1 RCM provides is excellent. That is always valuable so that we don't continue...
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Operations, Value
With regard to cash and liquidating A/R, early on things with Cloudmed were pretty good. But from an...
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Value
Having a contingency-based agreement, I think that we have focused on near-term opportunities or...
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Relationship
We do not have a partnership conversation with Cloudmed where we touch base on a regular basis. Some...
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Relationship
We have so many different touchpoints. I would say Cloudmed’s support is decentralized and spotty at...
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Services
Expectations haven't been met related to Cloudmed, visit pay, or anesthesia outsourcing. Reputation...
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Relationship, Value
In consulting, typically a firm will sit down, talk to us about our business problem, give us a...
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Services
If I were Cloudmed, I would try to get with the higher-ups of the organizations I work with and talk...
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Services
We would expect to get at least quarterly if not monthly reports on performance from a third-party...
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Relationship, Value
I am stunned that Cloudmed is Best in KLAS. When we started poking around and asking some questions...
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Relationship, Services
R1 RCM is really good at reporting. They do very good high-level analytics and reporting in terms of...
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Relationship, Services, Value
With R1 RCM, I would probably not buy charge capture again, and I have some frustrations with the...
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Relationship
The only challenge that I have had with the quality of the firm's staff is that there has been a lot...
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Relationship, Value
I wouldn't necessarily call the firm innovative. They are just using data to find opportunities. I...
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Relationship, Services
R1 is very innovative and informative, and our communication with them is good. I have never found...
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Relationship, Services
The biggest factor in this space is just knowledge. R1 needs to have the knowledge to know where...
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Relationship
R1 just does a retrospective review and a rereview, so because of the scope of work they are doing...
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Operations
R1 has been really consistent in one area, and that has somewhat stabilized us. We found comfort...
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Relationship, Services
R1 needs to work on being more innovative, and they need to bring forward more opportunities or have...
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Relationship, Services
We would like better communication and more complete information with details attached so that it is...
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Relationship, Services
R1 is organized in terms of their presentation format. It is standardized, so we know what to...
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Operations, Services
R1 is definitely capable of strategic ability. I just don't agree with the practices. Having to...
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Relationship, Services
I work with vendors or business partners that provide reports of outcomes and things that need to be...
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Relationship
A little bit ago, R1 had a bit of a change in leadership, and I thought they were really going to...
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Services
I don't think R1 is doing anything fancy when it comes to innovation. They haven't proposed new...
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Services
In terms of identifying opportunities to improve our internal processes, the data that the firm...
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Relationship, Services
With R1, we would like to see consistency and responsiveness to current workflows rather than...
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Services
When it comes to R1’s reporting, we are not getting a lot of data right now. When the firm finally...
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Relationship, Operations
We are struggling a bit with R1. We have a major delay on our IT side in building out our interface...
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Relationship
R1 pushes us to make changes to the way we have our system do things. The firm pushes us to...
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Services
Very often, we have downgrades from our payers related to DRG billing, and R1 picks up the trends on...
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Value
Whenever we use R1, there is a huge value, and they make a ton of money for their businesses. By the...
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Relationship
R1 does well in terms of our partnership and communication. They have subject matter experts who are...
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Relationship
The piece that is challenging for me is that R1 doesn't have the best name in our state. Because of...
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Relationship
I am a pre-R1 client. I had Triage doing the work, and then Cloudmed did it, and now R1 is taking...
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Relationship, Operations
When we started doing this type of work, we literally gave work out to firms and just hoped they did...
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Loyalty
The primary factor driving my decision to select an underpayment recovery services firm is the use...
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Loyalty, Services
R1 looks for revenue opportunities that we might have missed, anything from contract reviewing to...
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Loyalty, Relationship
When our organization was selecting an underpayment recovery services firm, the primary factor that...
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Relationship, Services
An R1 executive has to get involved a lot. Also, I don't think R1 is using AI for appeals. I don't...
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Relationship
I would not buy R1's underpayment recovery services again. I was happier with the services we...
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Relationship, Value
I would tell someone looking into the firm that R1 is a good partner for identifying high-dollar...
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Relationship
R1 is starting to move the needle on innovation. In our state, there is a very specific nuance with...
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Relationship, Value
R1 is contingent only. They are awesome, but they are expensive, even with preferred pricing.
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Relationship
R1 has a solid team, and there has been little turnover in the folks who work on our account. That...
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Relationship, Services
R1 exceeding our expectations is almost a double-edged sword. From a vendor-management perspective,...
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Relationship, Services
Sometimes when we want to make some changes with R1, it does take a bit to execute, and R1 has had...
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Relationship, Services
To be innovative, a firm should be cutting edge and putting something else out there that makes them...
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Loyalty, Value
I don't know whether we noticed anything different from our partnership perspective when Cloudmed...
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Relationship, Services
R1 is very much able to give us the reports and deep dive. We can really get into a lot of...
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Operations
When we pick a firm, we look at the caliber of the person doing the work, how well they are trained,...
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Relationship
R1 works with us to integrate things. They do not leave us with a report and walk away. They work...
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Operations
R1 has a great concept and hires sharp people. However they train their employees, they train them...
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Value
We wanted a rate reduction, and R1 had a proposal for one. R1’s rates for the noncommodity services...
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Relationship, Services
R1 does good work. When I compare the work that they do to somebody else doing something similar,...
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Relationship
I have known R1’s executives and staff for a while. In addition to their operations, R1’s culture...
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Loyalty, Services
Being able to drive immediate change very fast through an R1 outsource transition was significant as...
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Value
R1 has a contingency fee, so their reimbursement or fees were appropriate for the work that they...
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Relationship, Services
R1’s biggest strengths are their proprietary databases, proprietary systems, and the way that they...
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Operations
I would like to have additional presentations of areas of opportunity that the firm is seeing....
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Relationship
The firm takes a lot on themselves when they are working with accounts. They handle contacting the...
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Value
The contingency cost might be a little high for what the firm does now as opposed to several years ago....
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Relationship
The firm does a great job. One way they could improve is by finding more trends and being able to...
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Relationship
My only big thing about R1 is the lack of feedback. I started reviewing their invoices more closely...
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Services
R1 does a wonderful job of understanding payer regulations and rules that our end users may not be...
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Relationship
Unfortunately, R1 has a lot of turnover, so there is a transfer of knowledge issue that I have been...
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Relationship
R1 is a wonderful company to have alongside us. They make our organization feel secure in any...
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Services
R1 probably could do more if they were contracted to do more, but they have certain parameters in...
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Relationship
R1 is very knowledgeable. Their knowledge of all the different payment schemes is very valuable, and...
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Relationship
R1 is responsive when we need something or if we even push back. They listen and are very attentive....
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Loyalty, Services
There needs to be more reporting transparency. Once asked, I think the firm will deliver. It is...
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Loyalty, Relationship, Value
We implemented Cloudmed because we had an initiative to make sure we were getting the most bang for...
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Relationship
I have worked with another firm in the past, and I must say that Cloudmed is better than that firm....
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Relationship
We have a strong partnership with Cloudmed. We have met on several occasions and voiced our...
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Relationship, Value
Our contract is set up so that there is a fee per account. When Cloudmed makes an identification,...
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Relationship
We hire Cloudmed to do underpayments for appeals or difficult accounts where we have exhausted all...
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Relationship
We would tell Cloudmed to keep their knowledge and expertise. The firm occasionally rotates...
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Relationship, Value
Cloudmed is a very good partner. We were leery when the original firm changed to Cloudmed, but the...
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Relationship
Cloudmed consistently exceeds our expectations; they participate in our calls. Aside from working...
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Relationship, Services
If I need a report, all I have to do is pick up the phone. I get the report within days. R1 is very...
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Relationship, Services
When R1 does their reviews, they use a proprietary system to do the first cut of where they may...
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Relationship, Value
I don't know R1 at all, and I have never had any business with them. I have never had a desire to do...
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Relationship
The staff from R1 that we deal with is available at all times to address any of our questions or...
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Loyalty, Relationship, Services
To improve, the firm could look at claims more holistically. They could review more than just the...
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Relationship
R1 is a good company to work with. I have worked with other firms, and they are good too, but R1's...
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Relationship
As I network with my counterparts, I receive some really good reviews and recommendations regarding...
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Value
Cloudmed is underperforming. They oversold what they could do for us. We are getting some good value...
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Relationship, Services
R1 is dabbling in different things and has had some failed experiments. They should stick to the...
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Relationship
R1 fancies themselves as experts in the revenue cycle. We listened to their sales pitch, and it...
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Relationship, Value
The firm might identify things that are happening with the payers in terms of where the payers are...
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Relationship, Value
One thing I like about R1 is that they work denials and DRGs. If there is an account where the firm...
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Relationship
The acquisition of Cloudmed by R1 has not impacted my experience. We are still working with the same...
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Loyalty, Relationship, Value
We saw an opportunity to get increased revenue because we were maybe undercoding DRGs. We brought...
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Services, Value
Sometimes R1 puts a charge into multiple buckets even though it should only be in one. We have to...
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Relationship, Value
R1 finds things that we may otherwise miss, so they definitely drive tangible outcomes. Also, the...
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Relationship, Services
R1’s reimbursement model is not effort based. Making one phone call is way different than having to...
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Services
R1 reviews our accounts for reimbursement opportunities. If they identify an underpayment, they...
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Value
R1 is focused on what they can recover. They charge us contingent rates, so they look at...
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Relationship
R1 has been a very good partner. I don't interact with R1 much, but they are good in my experience....
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Relationship
Our relationship with R1 is great. We recently had a meeting with them to go over some of our...
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Relationship
R1 is aware of some wrinkles that our coders don't recognize initially or misinterpret. The firm is...
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Relationship
If I have a concern with R1, it is that they tend to roll through their staff very quickly. I have...
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Services
We sometimes question R1’s reviews and whether they are picking and choosing on the data file that...
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Relationship
We usually have regular meetings with R1, and they do not charge us for certain costs, so they do...
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Services
The process improvements in the examples that R1 provides when they do their analytical review and...
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Services
If anyone is looking to work with R1 and loves analytics, one of the main strengths that R1 has is...
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Relationship, Operations
R1’s launching and product delivery are always seamless. I have worked with other firms, and a lot...
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Services
Cloudmed gives me data that is actionable. As an example, when one of our departments went down in...
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Services, Value
Cloudmed uses AI and charges. One of the unique things about Cloudmed is the fact that they...
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Value
As we increase our volume, R1 changes their pricing for a review and the appeals and breaks things...
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Relationship
R1 doesn't change the leadership too often, and that helps me. I have worked with the same...
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Relationship, Services
R1 is an excellent partner. I would call them a partner, not a vendor. They have been with us for a...
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Value
R1 is very fair, and they monitor their costs with the resources that we utilize. If we are...
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Relationship, Services
R1 is constantly inventing new things. Right now, we are having a discussion on preauthorization...
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Value
Cloudmed’s costs are all pretty straightforward and contingency based. As long as we reconcile the...
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Services
Cloudmed is meeting my expectations in some areas. If our focus is purely on underpayments, they are...
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Relationship
Cloudmed has been very responsive to us in terms of organization. The initiatives that we have...
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Relationship
Cloudmed is doing a very good job and is a good partner. Their leadership team has been inclusive,...
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Relationship
R1 has done a great job for us. They have really done a nice job of doing annual project planning...
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Relationship
Compared to some previous relationships that we have had, the work and the recoveries have been a...
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Relationship, Services
If I were to suggest things for R1 to improve, I would suggest having an easier alignment,...
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Relationship
R1 is a role model for partnerships in all aspects, including engagement, reports, and...
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Relationship, Services, Value
R1 has really helped our team to find some things that we would not have found had the firm not been...
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Relationship, Value
There is still a lot of value in what R1 does for us, but sometimes they bring forward things that...
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Relationship, Value
R1 was quick with their overall level of execution. They were in, out, and done, and we started...
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