R1 RCM | Top 20 Healthcare Solution Company - 2017
R1 RCM: An Integrated Approach to RCM
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CIOREVIEW >> Healthcare >> R1 RCM

R1 RCM has been recognized by CIOReview Magazine as the recipient of “Top 20 Healthcare Solution Companies - 2017,” based on our proprietary methodology, reflecting its position in the industry. This profile has been developed by the CIOReview research and editorial team based on insights from an interview with Joe Flanagan, President & CEO.

R1 RCM
An Integrated Approach to RCM

R1 RCM

Joe Flanagan, President & CEO
Given continued consolidation and financial solvency pressures in healthcare, optimizing revenue cycle operations continues to be a key priority for healthcare systems. However, CFOs and revenue cycle executives have a wide array of approaches they can pursue. “The Revenue Cycle Management (RCM) market has not evolved to meet the needs of the market and has put providers on the hook for getting the right outcome from fragmented solutions,” says Joe Flanagan, President and CEO, R1 RCM. Knowing that healthcare organizations needed better approaches, Flanagan and his team harnessed the collective company experience and technology into the transformation of R1 RCM [OTCMKTS:ACHI]—to serve as the one revenue cycle management partner for healthcare providers regardless of their payment models, partner engagement structures, or care settings. Since joining R1 in 2013, Flanagan has focused primarily on building a holistic operating system called the R1 Performance Stack that can be used to deliver the right outcomes for customers, enhancing their revenue cycle performance. “We take control and accountability of the revenue cycle. Our R1 Performance Stack helps healthcare providers build a stronger commercial infrastructure,” says Flanagan.

Since its inception in 2003, the company has been challenging the standard practice of cobbling together technology point solutions to manage the revenue cycle. R1 has built an integrated, proprietary technology solution to effectively enable end to end management of the revenue cycle. “Our technology sits atop EMR systems pulling in data feeds from the host system and our workflow layer is purpose built to get the best outcomes from the revenue cycle. Being EMR agnostic, we interface with major EMR systems, helping standardize the process and the workflow,” says Flanagan. With this technology approach enabling the R1 Performance Stack, R1 ensures significant improvement in clients’ economics and boosts patient experience and client revenue predictability as payment models shift.

Highlighting the functioning of R1 Performance Stack and its proficiency in the revenue management space, Flanagan recalls an instance of working with a customer on the East Coast.

Our R1 Performance Stack delivers value by building stronger commercial infrastructure for healthcare providers


The firm performed a baseline assessment of the customer’s adherence to the stack, which turned out to be at 50 percent. “Working in partnership with us, in the course of 12 months, the progression was from 50s to upper 90s and the client also witnessed improved adherence that translated to financial outcomes,” explains Flanagan. In fact, a typical $3 billion health system can expect $100 million income statement and $125 million working capital improvement over 3 years working with R1, based on the company’s experience and track record.

To deliver value, R1 utilizes years of experience in end to end management to help customers transform their revenue cycle operations. “We’ve been doing this longer than anyone else out there and we know how to bring a thoughtful and flexible approach to our engagements to meet our customers where they are,” says Flanagan. “While our proprietary technology is core to our offering, we are equally as comfortable delivering value by co-managing and embedding ourselves in our customers’ organizations as we are directly operating their revenue cycle.” R1’s broad practical experience has told them a flexible, customized approach is the best way to deliver outcomes given customer situational differences.

As the fine line between financial and clinical goals blurs, healthcare providers need to work on the effectiveness of their revenue cycle operations no matter how the future evolves. This is where R1 offers the most value—encapsulating proprietary technologies, experienced talent, proven processes, analytics, accountability, and assured standardization into a singular umbrella.

R1 RCM

News

R1 RCM expands collaboration with Microsoft to accelerate integration of Azure OpenAI Service across the R1 enterprise

Friday, November 03, 2023

MURRAY, Utah, -- R1 RCM Inc. (NASDAQ: RCM), a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers, today announced an expansion of its collaboration with Microsoft to accelerate the development and integration of generative AI into R1’s industry-leading healthcare revenue cycle management platform.

R1’s proprietary technology, including automations, workflows and algorithms, built to reduce costs and drive revenue yield for the healthcare industry, will use Microsoft Azure OpenAI Service and other Azure AI services to rapidly introduce new product capabilities and drive greater productivity, improved customer and patient experiences, and faster time to value.

R1 recently delivered its first large language model (LLM) application that increases the productivity of physician coding quality assurance, integrating tools from Azure AI Studio. The application evaluates complex unstructured medical records to predict physician evaluation and management (E/M) codes and improve coding quality across patient charts. The application was conceived and delivered in under four months.

“R1 offers a unique combination of software and services, and we are leading the next wave of advanced technology for the healthcare revenue cycle – first with automation, then machine learning, and now with large language models and AI,” said Lee Rivas, chief executive officer of R1. “We are confident that these models applied to broad data sets at scale will enable greater automation and have a transformative impact on revenue cycle performance. Our collaboration with Microsoft opens the door to greater innovation with LLM-based applications that scale across the revenue cycle, supporting both operators and providers to achieve better results and improve patient satisfaction.”

R1’s technology roadmap features an array of initiatives leveraging LLMs on applications across the revenue cycle, from call centers to payer follow-up to scheduling and automation of accounts receivable activities.

“With the significant financial and staffing challenges facing healthcare providers today, Microsoft Azure AI plays a critical role in helping the industry achieve greater efficiencies, improved financial performance and increase quality of care,” said Peter Durlach, Corporate Vice President, Health & Life Sciences, Microsoft. “Our collaboration with R1 leverages their deep revenue cycle data and expertise with Azure AI to accelerate development of LLM-based applications that capitalize on AI’s transformative power to deliver immediate benefits to healthcare providers and the patients they serve.”

R1’s customer base, including 95 of the largest 100 health systems in the U.S., enables broad visibility into industry revenue cycle data including operational, financial, and clinical data. R1 models glean insights from over 500 million records and visibility into $900+ billion total net patient revenue.

Forward-Looking Statements

This press release contains “forward-looking statements” made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, as amended and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements generally relate to future events and relationships, plans, future growth, and future performance. These statements are often identified by the use of words such as “anticipate,” “believe,” “contemplate,” “designed,” “estimate,” “expect,” “forecast,” “goal,” “intend,” “may,” “outlook,” “plan,” “predict,” “project,” “see,” “seek,” “target,” “would,” and similar expressions or variations or negatives of these words, although not all forward-looking statements contain these identifying words. These statements are based on various assumptions, whether or not identified in this press release, and on the current expectations of the R1’s management and are not predictions of actual performance. These forward-looking statements are provided for illustrative purposes only and are not intended to serve as, and must not be relied on by any investor as, a guarantee, assurance, prediction or definitive statement of fact or probability. Actual outcomes and results may differ materially from those contemplated by these forward-looking statements as a result of uncertainties, risks, and changes in circumstances, including but not limited to risk and uncertainties related to: (i) economic downturns and market conditions beyond R1’s control, including periods of inflation; (ii) the quality of global financial markets; (iii) R1’s ability to timely and successfully achieve the anticipated benefits and potential synergies of the acquisition of Cloudmed; (iv) R1’s ability to retain existing customers or acquire new customers; (v) the development of markets for R1’s revenue cycle management offering; (vi) variability in the lead time of prospective customers; (vii) competition within the market; (viii) breaches or failures of R1’s information security measures or unauthorized access to a customer’s data; (ix) delayed or unsuccessful implementation of R1’s technologies or services, or unexpected implementation costs; (x) disruptions in or damages to R1’s global business services centers and third-party operated data centers; (xi) the volatility of R1’s stock price; and (xii) R1’s substantial indebtedness. Additional risks and uncertainties that could cause actual outcomes and results to differ materially from those contemplated by the forward-looking statements are included under the heading “Risk Factors” in R1’s annual report on Form 10-K for the year ended December 31, 2022, and any other periodic reports that R1 may file with the United States Securities and Exchange Commission. The foregoing list of factors is not exhaustive. All forward-looking statements included herein are expressly qualified in their entirety by these cautionary statements as of the date hereof and involve many risks and uncertainties that could cause R1’s actual results to differ materially from those expressed or implied in R1’s forward-looking statements. Subsequent events and developments, including actual results or changes in R1’s assumptions, may cause R1’s views to change. R1 assumes no obligation and does not intend to update these forward-looking statements, except as required by law. You are cautioned not to place undue reliance on such forward-looking statements.


R1 RCM Forms Special Committee to Evaluate Strategic Alternatives

Monday, April 15, 2024

MURRAY, Utah, -- >R1 RCM Inc.


R1 welcomes open, constructive communications with all stockholders and encourages input that advances our shared goal of enhancing stockholder value.



Consistent with its fiduciary duties, and in consultation with its independent advisors, the Special Committee will carefully review the communications from New Mountain Capital and evaluate strategic alternatives to determine the course of action that it believes is in the best interests of R1 and its stockholders.



R1 remains focused on providing clients with world-class revenue cycle solutions to help providers improve their financial performance and deliver an exceptional patient experience.



No assurances can be given regarding the outcome or timing of the Special Committee’s review process. R1 does not intend to make any further public comment regarding the review unless and until it has approved a course of action for which further disclosure is appropriate.

Top 20 Healthcare Solution Companies - 2017

Company
R1 RCM

Headquarters
Chicago, IL

Management
Joe Flanagan, President & CEO

Description
End to end revenue cycle management for hospitals and health systems.

Top 20 Healthcare Solution Companies - 2017

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