Health systems aiming to strengthen revenue cycle performance but constrained by budgets, expertise or technology are increasingly turning to end-to-end outsourcing partnerships, according to a report from KLAS Research.
From July 2023 to May 2025, 14 systems struck new end-to-end outsourcing partnerships, up from eight during KLAS’ previous two-year analysis covering May 2021 to April 2023, according to the Sept. 11 report.
Health systems partnered with the following firms during the study period:
Ensemble: 8
Med-Metrix: 3
Optum: 2
R1 RCM: 1
KLAS interviewed executives from seven of the health systems that recently struck partnerships. Respondents said the rise in end-to-end agreements reflects growing pressure to improve performance and reduce costs while gaining access to tools and scale unavailable in-house.
Executives cited several driving factors: internal performance gaps, high costs, challenges scaling internal teams, and the desire to access AI and automation technologies that were too expensive to deploy independently.
Read the full report here.
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