End-to-End Revenue Cycle Outsourcing Performance Report 2023

This report is a performance analysis of end-to-end revenue cycle outsourcing (RCO) firms in 2023, focusing on the challenges faced by healthcare organizations in managing costs and staffing post-COVID-19. It examines the motivations behind outsourcing, the selection of RCO partners, and the performance of various firms based on interviews with healthcare executives and client satisfaction data. The report includes insights from 19 organizations regarding their experiences with RCO firms over the past year, as well as in-depth conversations with 8 executives from organizations that have recently partnered with RCO firms. Key findings highlight the operational effectiveness of firms like Ensemble Health Partners and Guidehouse, while also noting concerns regarding communication and expertise with R1. The report outlines the importance of RCO firms in helping health systems achieve financial stability and access specialized revenue cycle expertise and technology, especially in areas with limited internal talent.