9 health systems outsourcing RCM functions

Becker's has reported on nine health systems that have opted to outsource finance jobs or other revenue cycle functions since July 14:

1. Owensboro (Ky.) Health selected Optum Jan. 10 to manage its revenue cycle operations and IT services. Optum is hiring 575 employees from the health system. 

2. Maine-based Northern Light Health tapped Optum Jan. 5 to manage its revenue cycle management, information systems, inpatient care management, analytics, project management office and supply chain functions. In March, 1,400 of the system's employees will become employed by Optum.

3. Annapolis, Md.-based Luminis Health tapped artificial intelligence-powered analytics company VisiQuate Dec. 15 to manage its revenue cycle management operations. Through the five-year partnership, Luminis will deploy VisiQuate's denials management, revenue management and reserve analytics tools.

4. Dayton (Ohio) Children's Hospital also tapped VisiQuate Dec. 1 to provide the hospital with billing analytics. The hospital aims for the four-year partnership to decrease claims denials, accelerate revenue and enable more equitable contractual agreements.

5. Cornerstone Specialty Hospitals West Monroe (La.) chose CareCloud Nov. 29 to handle its revenue cycle management services. Cornerstone aims for the partnership to maximize revenue capture and reduce labor costs and billing errors.

6. Winchester, Va.-based Valley Health System selected Ensemble Health Partners Nov. 2 to optimize its revenue cycle operations. Valley Health said it is working to rebound from financial losses due to lower procedural volumes, supply chain issues and staffing challenges stemming from the COVID-19 pandemic. 

7. West Burlington, Iowa-based Great River Health said Oct. 4 it was outsourcing medical coding to Omega Healthcare, effective Nov. 1. Omega offered the 35 affected employees permanent, full-time positions at similar compensation and benefits packages.

8. Pittsburgh-based St. Clair Health selected R1 RCM Aug. 25 to serve as its primary end-to-end revenue cycle management provider for the next 10 years. About 150 St. Clair Health revenue cycle employees were offered comparable positions, pay and benefits with R1 RCM. 

9. Sacramento, Calif.-based Sutter Health chose R1 RCM July 14 to be its exclusive end-to-end revenue cycle service partner for the next 10 years. As part of the agreement, about 1,150 Sutter revenue cycle employees were offered comparable positions, pay and benefits with R1 RCM.

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