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End-to-End Revenue Cycle Outsourcing 2025
Which Firms Are Delivering Superior Outcomes Through Innovation & Collaboration?
Author
Mollie Hunt
Author
Shawn Howell
Healthcare organizations are striving to build on and improve their revenue cycle processes but are often limited by their internal budgets, expertise, resources, and technology. As they reach these limits, many turn to end-to-end revenue cycle outsourcing (RCO) firms, who are positioned to leverage technology and expertise at scale to drive growth and financial improvement. This report helps organizations identify the end-to-end RCO firm best suited to their needs by examining client satisfaction with firms—focusing on key revenue cycle outcomes, drivers of clients’ future outlook, and AI’s impact on the space. The report also explores market energy—including the factors driving decisions and firms’ engagement methodologies—and shares advice from healthcare executives for those considering an end-to-end partnership.
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Key Findings:
- Deep Partnership Early on Leads to Strong Alignment & Results for Ensemble Clients; Guidehouse* Clients Highlight Value
- R1 RCM & Optum* Clients Struggle to Achieve Expected Cash-Collection Targets & Note Inconsistent Quality from Offshore Teams; Some R1 RCM Clients See Early Signs of Improvement
- While Most Firms Are Actively Investing in AI, Clients Have Yet to See Significant Operational or Financial Impacts
- End-to-End Revenue Cycle Outsourcing Sees Increased Energy in the Past 24 Months
- Success Goes Beyond Quantifiable KPIs
*Limited data
Writer
Carlisa Cramer
Designer
Kath Spencer
Project Manager
Sydney Toomer
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2025 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.