A Client’s Perspective on the RCM Buyer Journey

Part of our journey and our decision to outsource, you know, we had some significant financial challenges that we had to face. Internally, we had made cost reductions, material cost reductions. We had done all sorts of projects from supply chain to revenue cycle to turning around the rest of our back office functions. But really, we just couldn't get to a sustainable margin point that we felt like we needed. And sometimes from a health system standpoint, you look at, well, how much cash flow, how much free cash flow, how much margin do I generate to make the capital investments that I need? And when you went to calculate that out and look at our budget, we just couldn't get there without some bigger moves. So therefore we went to the market, we did an RFP, we looked at the top suppliers, we landed on R1 through that process, and we got to the financial pieces we needed, but we also got to a place that we felt like our employees would have a good opportunity. We felt like there was good technology investment. We felt like there was good oversight. So we originally went to market primarily from a financial standpoint, but also found a place we felt good about from, again, an employee standpoint and also technology, regulatory, everything else.