16 health systems outsourcing RCM functions

Becker's has reported on 16 health systems that have opted to outsource finance jobs or other revenue cycle functions in 2024: 

1. Ensemble Health Partners struck an agreement Nov. 19 to provide end-to-end revenue cycle services for two of Greensburg, Pa.-based Independence Health System's hospitals. The RCM company will provide services for Butler (Pa.) Memorial Hospital and Clarion (Pa.) Hospital as well as Butler Medical Providers and the system's FasterCare urgent care facilities.

2. Fredericksburg, Va.-based Mary Washington Healthcare on Oct. 3 selected Ensemble Health Partners for a revenue cycle management partnership. 

3. Greenfield, Ind.-based Hancock Health is outsourcing 49 revenue cycle team members to Revology, effective Nov. 4, due to increasing difficulties in meeting insurance company demands.   

4. Conifer Health Solutions, Tenet Healthcare's revenue cycle management arm, entered into a 10-year contract to provide RCM services for five Alabama hospitals after Tenet completed the sale of its 70% ownership interest in Birmingham, Ala.-based Brookwood Baptist Health to Orlando (Fla.) Health. The deal closed Oct. 1.

5. Roanoke, Va.-based Carilion Clinic on July 10 selected Ensemble Health Partners for an end-to-end revenue cycle partnership. All 780 revenue cycle employees at Carilion are being offered comparable positions. The transition takes effect in September. 

6. The Brooklyn Hospital Center in New York City on May 30 entered into a 10-year partnership that will make Med–Metrix its exclusive revenue cycle management services provider. As part of the partnership, the independent community hospital's RCM staff have transitioned employment to Med-Metrix.

7. West Reading, Pa.-based Tower Health on April 10 selected Ensemble Health Partners to manage its revenue cycle operations. Tower Health will transition its revenue cycle operations, utilization review, patient access services, and provider advisers to Ensemble on July 1. Around 675 Tower Health employees will be rebadged as Ensemble employees. 

8. Orange, Calif.-based UCI Health on March 28 completed a deal to acquire Dallas-based Tenet Healthcare's Pacific Coast Network, which includes four hospitals in Southern California and their associated outpatient locations. Tenet CEO Saum Sutaria, MD, said on the company's Feb. 8 earnings call that the deal also includes a contract for Conifer services. 

9. Lewes, Del.-based Beebe Healthcare on March 7 selected Ensemble Health Partners to manage all of its revenue cycle operations

10. Tenet Healthcare and Roseville, Calif.-based Adventist Health announced Feb. 29 that Tenet's Conifer Health Solutions subsidiary will enter into an agreement to provide hospital and physician revenue cycle services for Adventist. Adventist also signed a definitive agreement to purchase two California hospitals from Tenet, which was finalized March 29. 

11. Conifer and Lebanon, N.H.-based Dartmouth Health extended their partnership through a new multiyear deal on Feb. 5. Conifer will continue to provide Dartmouth Health with comprehensive RCM services that include patient access, financial clearance, coding and patient financial services.

12. Minneapolis-based Allina Health announced Feb. 1 it will be transitioning 2,000 IT and revenue cycle employees to Optum as part of a new partnership between the organizations. The transition is expected to begin May 5. 

13. Winston-Salem, N.C.-based Novant Health completed its deal to acquire three South Carolina hospitals from Tenet on Feb. 1. As part of the deal, Conifer has entered into a new and expanded 15-year contract to provide RCM services to the three hospitals and related operations. 

14. R1 RCM completed its acquisition of revenue cycle management company Acclara from Renton, Wash.-based Providence on Jan. 17. The closing of the deal begins a 10-year agreement to provide middle and back-end RCM services for Providence. 

15. Tallahassee (Fla.) Memorial HealthCare entered into a RCM partnership Jan. 9 with Ensemble Health. The health system's CFO, Priscilla Needham, said the partnership "supports our goal of providing exceptional care for our patients and meeting the healthcare needs of the communities we serve."

16. Arlington, Va.-based VHC Health struck a 15-year, end-to-end revenue cycle partnership with Med-Metrix on Jan. 3. As part of the partnership, about 200 VHC Health revenue cycle employees are now employed by Med-Metrix. 

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