Facing limitations in internal expertise, resources and technology, many healthcare organizations have turned to end-to-end revenue cycle outsourcing (RCO) firms for support. Most are looking for a true partner, one who can provide more than just third-party vendor aid.
I strongly encourage folks to not use the word outsourcing. If you think this type of engagement is outsourcing, you probably ought to just stick with what you have. You are going to need a partnership that feeds the lifeblood of your organization, namely your revenue...If you can’t get your mind around the fact that this is a partnership and that each party is an extension of the other, then I think the experience will be difficult.
Key factors driving the choice of a partner in the revenue cycle include a firm’s:
- Model or approach
- Expertise + regional familiarity
- Technology
- Partnership
- Contract terms/price
- Reputation
Research and insights firm KLAS recently released its biannual End-to-End Revenue Cycle Outsourcing Report to assess the market impacts of these decisions, asking the question “Which firms are delivering superior outcomes through innovation and collaboration?”
Ensemble, the 2025 Best in KLAS winner for End-to-End Revenue Cycle Outsourcing and a five-time Best in KLAS winner, also received the highest client satisfaction across all metrics and a top overall performance score of 95.1 on a 100-point scale.
Our clients partner with us because our clients succeed with us.
Ensemble’s approach fuses performance excellence with strong, enduring partnerships, delivering results that matter and relationships that last.
I know every firm in the revenue cycle space, and I know the difference between Ensemble and every other firm. Quite honestly, there is no comparison. Things with Ensemble have been fantastic. From a client perspective and a services perspective, the responsiveness, the expertise, the support, and the performance against KPIs have all been extraordinary since day one.
This isn’t lip service — the proof comes directly from our clients. When surveyed by KLAS:
- 100% would buy again
- 94% say Ensemble exceeds expectations
That’s because we don’t just make promises. We deliver proven results across critical performance metrics.
In the KLAS report, nearly 88% of clients report being satisfied or highly satisfied with Ensemble’s impact across all key areas surveyed:
• 83% AR days
• 92% cash collections
• 92% denial rates
• 83% patient experience
We’re investing heavily in AI so our clients don’t have to.
We’ve repeatedly proven that we can deliver top results for our clients, but we’re determined to stay one step ahead of the market. This is just one of the reasons why we’re leading the industry in AI innovation and investment in RCM.
No E2E RCM firm is investing more in AI than Ensemble — it’s that simple. Respondents to the KLAS report expressed excitement about our significant investment in AI and expansion into payer strategy.
We see Ensemble as a pioneer in AI. Ensemble really has embraced AI from day one. They use it a lot in current technology, and they are always exploring new ways to use AI to help improve efficiency.
When it comes to RCM market growth, Ensemble has no peers.
The numbers don’t lie. Ensemble has experienced unrivaled growth in the end-to-end revenue cycle outsourcing space. Since the last KLAS report, Ensemble was selected in more validated new end-to-end RCM partnerships than any other firm in the sample.
This rapid growth is a vote of confidence from the organizations that sit at the heart of the revenue cycle, the providers on the frontlines with patient care. The ready expansion of Ensemble’s client base solidifies our position as the partner of choice for healthcare organizations seeking transformative RCM solutions.
The bottom line
Throughout the KLAS survey and in repeated testimonials, clients consistently highlight their deep, trust-based partnerships with Ensemble. These are built on:
- Transparent expectations set early in the sales process
- Structured governance and collaborative leadership post-implementation
- Frequent, purposeful communication
At Ensemble, it’s our partnerships with incredible hospitals and health systems that power our performance.
…Anytime we have a fire, such as a patient experience issue, Ensemble is willing to jump in and help solve the problems for us. If I call with a facility issue, they will have somebody on the ground the next week working with that facility. Ensemble has been very engaged and responsive. Ensemble has our long-term interests at heart…
The right end-to-end partnership is not just helpful or a “nice to have” option; it is an essential support mechanism for the lifeblood of a health system — its revenue cycle.
By grounding our efforts in measurable outcomes, offering comprehensive operational support and relying on a seasoned team backed by top talent, technology and transformation, Ensemble has proven repeatedly why we’re the top choice of healthcare organizations nationwide.
Read the full KLAS End-to-End Revenue Cycle Outsourcing 2025 Report.
