R1 RCM (RCM) Status Update summary

Technology Platform and Data Ecosystem

• Unmatched breadth and depth of healthcare data, spanning over 550 million patient encounters annually and covering 60% of the acute care market, with over 95% payer connectivity and 500+ health system customers.

• Unified data exchange integrates payer portals, EHRs, banks, and advanced technologies across the revenue cycle.

• Proprietary knowledge, best practices, and workflow orchestration are embedded in standard operating procedures, rules, and algorithms.

• Cloud migration to Microsoft Azure completed on time and under budget, migrating ~2 petabytes of data and improving scalability, resiliency, cost control, and cybersecurity.

• Integration of Cloudmed's AI platform and centralized cloud-based platform enhance data insights, solution quality, and reliability.

AI, Automation, and Innovation

• Automation-first, AI-enabled platform automates over 200 million tasks annually, impacting work equivalent to 5,000+ FTEs, with ongoing expansion using RPA, machine learning, and generative AI.

• AI-driven solutions include automated clinical appeals, physician coding quality assurance, call quality insights, and staff assistants, improving efficiency and accuracy.

• Modular, scalable technology investments are reused across multiple business lines, accelerating innovation and deployment.

• Automated prior authorizations leverage large language models to address complex payer requirements, expected to reduce costs by 40% and minimize patient care delays.

• Recent AI applications reduced clinical appeal creation time by 75%, improved coding accuracy, and enabled 100% QA of calls.

New Solutions and Customer Impact

• Insurance Discovery increases annual recoveries by over 10% compared to competitors.

• Modular Coding relieves staffing constraints, improves capacity by 2-3x, and reduces charging lag by ~30%.

• Patient Receivables solution improves patient payments by up to 10% and achieves over 90% patient satisfaction.

• Enhanced user interfaces, mini-automations, and guidance tools have delivered significant margin impact and improved employee satisfaction.

• Solutions have accelerated coding completion by 30% and increased patient payment collection rates by 10%, while maintaining high patient satisfaction.