Case Study: How One Company is Solving Healthcare's Biggest Frustration - Patient Access

Imagine calling to schedule a doctor's appointment and spending 20 minutes on hold, only to be told you need to verify your insurance first. Then you arrive at the hospital and spend another 30 minutes filling out paperwork. This frustrating experience is all too common in healthcare today. R1 RCM Inc. set out to change this reality.

Who is R1 RCM?

R1 RCM is a leading healthcare technology company serving over 1,000 hospitals and health systems across the United States. With 27,200 employees and $2.1 billion in annual revenue, they focus on making the patient experience smoother from the moment someone books an appointment to the final payment.

The Market Opportunity

The patient access solutions market is booming. The global market was valued at USD 1.87 billion in 2024 and is projected to reach USD 3.92 billion by 2034, growing at 7.72% annually. This growth is driven by an aging population and the fact that 129 million Americans live with chronic conditions requiring frequent healthcare interactions.

R1's Solution: The Entri Platform

In 2021, R1 launched Entri, a digital platform that transforms the patient experience. Think of it as the "Amazon of healthcare" - patients can:

• Search for doctors and specialists

• Book appointments online 24/7

• Complete registration forms from home

• Verify insurance automatically

• Pay bills in one place

The platform connects seamlessly with hospital systems, meaning no more duplicate forms or lost information.

Smart Acquisitions

R1 strengthened its position by acquiring SCI Solutions in 2020 for $190 million. This deal brought:

• 94,000 connected healthcare providers

• 1,200 care facilities on one network

• Technology serving $225 billion in patient revenue

Powered by AI

R1 partnered with Palantir Technologies to create R37, an AI lab that analyzes data from 90 of America's top 100 health systems and 550 million patient records. The AI helps:

• Verify insurance instantly

• Predict payment issues before they happen

• Route patients to the right services faster

Real Results

The impact is measurable:

• Best in KLAS Award: Ranked #1 for Ambulatory RCM Services for 5 consecutive years

• Faster Access: Automated insurance verification cuts wait times significantly

• Fewer Denials: Early clearance reduces claim rejections

• Better Experience: Patients complete registration at home, not in waiting rooms

One healthcare organization using R1's solutions reported that their prior authorization bottleneck was eliminated, leading to faster appointment scheduling and happier patients.

𝐄𝐱𝐩𝐥𝐨𝐫𝐞 𝐓𝐡𝐞 𝐂𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐂𝐨𝐦𝐩𝐫𝐞𝐡𝐞𝐧𝐬𝐢𝐯𝐞 𝐑𝐞𝐩𝐨𝐫𝐭 𝐇𝐞𝐫𝐞: 𝐂𝐥𝐢𝐜𝐤 𝐇𝐞𝐫𝐞

Key Takeaway

R1 RCM proves that healthcare doesn't have to be complicated. By combining smart technology, strategic partnerships, and a patient-first approach, they're transforming how millions of Americans access care. In a market projected to grow from $1.87 billion to $3.92 billion over the next decade, R1 is showing that better patient access isn't just good for patients - it's great business.