Seven Health Systems Outsource Revenue Cycle Operations in 2026
Becker's Hospital Review compiles seven hospitals and health systems that outsourced revenue cycle management functions or struck RCM partnerships in 2026, citing reimbursement complexity, rising denial rates and staffing challenges. Deals include UnityPoint Health with Omega Healthcare, St. John's Health with Sage Clinical RCM, Healthcare Systems of America with Conifer Health Solutions, Stamford Health with Ensemble Health Partners, Margaret Mary Health with Revology, Knox Community Hospital with Ovation Healthcare, and Trinity Health with an unnamed partner. Most arrangements involve offering affected revenue cycle employees transfer or rebadging opportunities with the RCM vendor, with some systems providing severance and transition support instead. The moves range from small critical access hospitals to large multihospital systems and affect anywhere from single-digit percentages to roughly 20% of a hospital's revenue cycle staff.