Top 5 RevCare Plus Alternatives & Competitors 2024‍

As a healthcare organization or MSO, you can improve your revenue using an end-to-end RCM partner like Experian, R1 RCM, and Waystar or a point solution like RevCare Plus – explored here – or MDClarity. Both types of companies balance consultants with proprietary software to optimize revenue and limit costs to collect. They provide automation for points in the revenue cycle where the organization interacts with the patient or payer. 

End-to-end solutions cover:

• front end RCM tasks - eligibility, prior authorization, good faith estimates
• mid-cycle - charge capture, clinical documentation, coding  
• back-end - claims filing, denials prevention and management, payment posting, patient billing, accounts receivable, and reporting and analytics. 

Point solutions handle one or a few of these tasks that are related. As specialists, point solutions tend to have more robust software for the narrow space in which they work. 

Technology is often just one half of what RCM partners provide. Consultants use the technology to review the business intelligence and software reports. These reports include underpayment and denials reports, first-pass yield, cash projections, net collection rate, clean claim rate, revenue leakage, and many more. Consultants also manually review the revenue cycle, interviewing staff and managers and examining workflows. Their cost is higher than what software only exacts. 

The National Association of Healthcare Revenue Integrity, Black Book, and others have established that, by shouldering repetitive, menial tasks, automation (with or without consultant involvement) not only supports staff but it also improves the speed and accuracy of these tasks. 

These messages are getting through. A 2023 MGMA survey revealed that more than 70% of healthcare executives put revenue cycle optimization efficiency (which translates as automation) as a top priority. With widespread RCM staffing shortages, healthcare systems are turning to automation, a technology that automates contract review and approval, compliance monitoring, underpayment identification, review status, version control, renewal reminders, reporting, and more. 

 It takes streamlined operations to achieve financial stability and operational excellence. RevCare Plus and other RCM companies help healthcare organizations achieve these goals. 

What is RevCare Plus and what markets does it serve? 

Based in Chicago, RevCare Plus is a point solution that combines proprietary software with consulting services to reduce denials and uncover underpayments. Started by a former chief operating officer of a large healthcare group of southwestern outpatient facilities, it is a newcomer to the revenue cycle management landscape. Its primary clients are hospitals. 

RevCycle Plus is narrowly focused on addressing denials issues and detecting underpayments via its product ORC or Optimize Revenue Cycle. It uses its proprietary software to analyze data in EHR platforms like Epic, AdvancedMed, and more. Its reporting and analysis identify specific departments or healthcare providers where targeted interventions would be most cost-effective. With root causes identified, consultants come in to recommend improvements to workflows that reduce future denials and underpayments. RevCyclePlus consultants seek the most high-yielding, low-effort solutions to streamline revenue cycle processes and enhance overall financial performance. 

Revcare Plus is unique in that, in addition to providing revenue cycle support, it offers social media promotion services called EPF or Enhanced Patient Flow. These repeating ads focus on the provider services with the most opportunity. Appearing on Instagram, Facebook, and others, these ads narrowly focus on those already indicating interest in the service or most likely to need it. This product aims to increase topline revenue via higher patient volume and bring in “scores” of new clients every month. 

Ratings

RevCare Plus has yet to earn reviews on G2, Capterra, or Software Advice.  

List of top 5 RevCare Plus alternatives

• MD Clarity
• Aroris
• Tribunus Health
• Payr Health
• Symplr

A proven underpayment and contract management solution 

MD Clarity

Description

10 years ago, MD Clarity embarked on revenue cycle automation with the mission of ensuring providers are paid fairly and patients understand their costs of healthcare. By specializing in contract management and modeling, and the adjacent task, underpayment recovery, the company helps healthcare organizations claim optimal revenue while cutting costs to collect.  The company provides RCM for MSOs, provider groups, and medical practices in many specialties.

MD Clarity’s advanced contract management and marketing tool RevFind automates insights, tasks, and alerts for the most complex contracts. With the largest healthcare systems among its clients, it handles all forms of contracts and payment methods across many specialties, locations, and states. Unlike competitors, MD Clarity's team handles the contract uploading work, significantly limiting healthcare staff administrative burden. It measures contract performance, differentiating top producers from bottom, so that you can truly understand the value each payer is providing. 

Like RevCare Plus, RevFind automatically compares payer actual payments against contracted rates. Every underpayment gets listed in an easily accessible report, preparing staff to appeal. Providers can find significant revenue opportunities when they analyze underpayments by CPT code, provider, location, and payer, all of which RevFind reporting provides. For instance, should payers underpay certain CPT codes frequently, the provider can examine whether staff is consistently failing to provide documentation required by the payer or if the payer is simply making an error. Discovering which payers underpay the most affords you contract negotiation fuel. This proactive approach can lead to substantial revenue recovery, potentially amounting to millions of dollars.

MD Clarity features in common with RevCare Plus

Both companies provide proprietary software point solutions software rather than end-to-end revenue cycle platforms. Both build contract management expertise into the software. This is where the similarities end, however.

Differences between MD Clarity and RevCare Plus

While MD Clarity and RevCare Plus products provide contract management and monitoring, MD Clarity’s performance features set it apart. Wringing the most from established contracts takes more than identifying the payment variances involved in underpayments and denials. 

RevFind supports staff in handling the entire contract lifecycle, from initiation through generation (with contract templates), negotiation (identification of unfavorable contract terms, term comparisons across payers), execution (version control), performance (best and worst performers), modeling (for net revenue forecasting) and renewal and expiration (alerts). Further, its real-time visibility into contract performance ensures that decisions get made on the most recent – and therefore most accurate – data, analytics, and insights. 

Take a quick, self-guided tour through MD Clarity’s powerful contract management and underpayments identification tool, RevFind:

MDClarity’s contract modeling features – which RevCare Plus does not have – also helps providers maintain strong revenue. At renewal time when proposed payer changes arrive, Revfind’s contract modeling feature more accurately generates the revenue impact of the changes payers propose. It also allows providers to spin up unlimited scenarios of the impact of various rate changes so they can work toward their preferred changes. Overall, contract modeling empowers providers to walk into negotiations with clarity and confidence. 

You can model exactly how proposed payer changes will impact your revenue. Experiment with your own changes via unlimited scenarios. Take a quick tour of MD Clarity’s efficient contract modeling in action here: 

Ratings

Recently,  Built-In recognized MD Clarity as a Best Place to Work. The company also made Inc. Magazine’s list of the 5000 fastest-growing private companies in America in 2024. 

G2 reviewers have given MD Clarity an average of 4.8 / 5 stars from 10 reviews.

A RevCare Plus competitor focused on denial prevention and management

Aroris

Description

Another newcomer to the RCM partner market is Aroris Health. Like RevCare Plus, this company aims to maximize healthcare providers' reimbursement rates through payer contract optimization. Their approach combines advanced data analytics with expert negotiation strategies to boost revenue by converting complex contract documents into user-friendly visual databases. Aroris caters to health systems, specialty groups, ambulatory surgery centers, primary care practices, behavioral health providers, and rural hospitals.

Aroris's platform offers a suite of features including digitized contracts, comprehensive dashboard reporting, and automated contract renewal notifications. They employ legal and contract experts to review healthcare contracts. 

Aroris Health offers a comprehensive suite of services designed to enhance healthcare providers' financial performance:

Contract Optimization

As with RevCare Plus, this service analyzes existing payer agreements to uncover hidden revenue opportunities. By leveraging advanced data analytics, Aroris builds compelling cases for improved reimbursement rates. Their peer benchmarking feature provides valuable insights into the competitive landscape, enabling providers to set ambitious yet achievable revenue goals.

Expert Negotiation

Aroris employs seasoned healthcare industry negotiators who navigate complex payer discussions. These experts balance assertiveness with compromise, leveraging data-driven arguments. Their approach involves cutting through payers' complexity to reach and influence key decision-makers.

Credentialing Services

Aroris offers credentialing services with the aim to maintain compliance and high-quality standards. This includes verifying and managing provider credentials through a blend of automation software and professional oversight. The service streamlines the process of enrolling new providers with insurance companies and government healthcare programs. It also handles ongoing re-credentialing requirements.

 Features Aroris Health shares with RevCare Plus

Aroris Health and RevCare Plus share some common features. Both use data analytics to inform the insights into contract performance. Both digitize contracts for easier analysis. Aroris Health and RevCare Plus use their contract management software to identify underpayments.

Another commonality between the two companies is their combination of software solutions and expert consultants. Both offer hands-on services including direct negotiation with payers on behalf of healthcare providers.  

Differences between Aroris Health and RevCare Plus

RevCare Plus’s products include Optimal Revenue Cycle ( denials and underpayments detection) and Enhanced Patient Flow only overlap on denials and underpayments management. Companies looking to add social media to their RCM automation may be more interested in RevCare Plus. Those needing credentialing services will find a better fit with Aroris. 

Ratings

Aroris Health has no reviews on G2, Capterra or others at this time. 

A RevCare Plus competitor focused on health systems

Tribunus Health

Description

Like RevCare Plus, Tribunus Health serves healthcare providers by combining payer contracting software solutions with expert consulting services. Their suite of services encompasses managed care contracting, reimbursement management, enrollment assistance, and advanced analytics. Tribunus Health targets substance abuse treatment centers, specialist groups, rural hospitals, and private equity-backed physician groups.

Tribunus Health conducts thorough contract analyses through comprehensive reviews. Additionally, Tribunus takes a step further by actively identifying potential payers that may be more profitable for providers. 

Features Tribunus shares with RevCare Plus

The combination of software and consultants is the unique commonality Tribunus shares with RevCare Plus. 

Differences between Tribunus Health and RevCare Plus

Unlike RevCare Plus, Tribunus has experts beyond contract consultants; it offers more hands-on contract services in general. They employ experienced attorneys, contract specialists, and other professionals to carefully oversee contract negotiation. For instance, before contract renewal time arises, Tribunus experts work closely with healthcare organization professionals to fashion provider value statements specific to each payer’s style and needs.  

Tribunus has the experience and strategy to update the most stale, complex contracts and prompt foot-dragging payers to negotiate fairly. 

Ratings

Tribunus Health has no reviews on G2, Capterra or others at this time.

A RevCare Plus competitor focused closely on contracts

PayrHealth

Description

PayrHealth delivers a holistic approach to payer contracting, integrating advanced software with seasoned consulting expertise. This integrated approach aims to secure favorable contract terms, optimize reimbursement rates, and enhance providers' financial performance across the healthcare spectrum.

PayrHealth provides a comprehensive approach to payer contract management, including:

Contract Optimization

• Thorough Evaluations: Ensuring providers have optimal agreements with suitable payers.
• Contract Language Review: Negotiating terms to enhance claims processing and streamline authorization.

Contract Analysis

PayrHealth conducts meticulous reviews of existing contracts, scrutinizing language intricacies and fee schedules to uncover potential areas for improvement.

Fee Schedule and Reimbursement

• Customized Assessments: Analyzing fee schedules based on billing patterns.
• Proactive Negotiations: Pursuing rate increases to keep pace with inflation and support future investments.

Market Insights and Strategy

• Market Intelligence: Guiding providers through evolving dynamics to capitalize on opportunities.
• New Payer Negotiations: Establishing favorable baseline terms when partnering with new payers.

Strategic Market Insights

The company provides in-depth market assessments, enabling healthcare providers to make informed decisions and maintain competitiveness.

Differences between PayrHealth and RevCare Plus

 Where PayrHealth provides complete payer management services, including contract negotiations and market analysis, RevCare Plus sticks to denials and underpayment solutions, along with social media services. It does unleash both software and consultants on those two points in the revenue cycle. 

Like Tribunus, PayrHealth also offers payer contracting. They cater to a wide range of healthcare providers, from primary care physicians to integrated delivery systems, and serve both small and large practices.

Ratings

PayrHealth has no reviews on G2, Capterra or others at this time. 

A RevCare Plus alternative that avoids negotiation

Symplr

Description

Symplr provides enterprise healthcare operations software and services. For over 30 years, Symplr has been developing solutions to help healthcare organizations streamline their operations, improve efficiency, and ensure regulatory compliance. 

Symplr's main services include:

• provider data management
•  workforce management
• contract management
• spend management
•  compliance, quality, and safety
• access management
•  talent management
•  clinical communications and collaboration
•  contingent Talent Management for healthcare staffing

These solutions are designed to help healthcare organizations optimize their operations, from managing provider credentials and workforce scheduling to ensuring regulatory compliance and streamlining spend management.

Key differences between RevCare Plus and Symplr

RevCare Plus and Symplr offer distinct approaches to healthcare contract management and operations. Symplr provides a comprehensive suite of healthcare operations tools where RevCare Plus focuses more narrowly on contract management and optimization, as well as social media services. Symplr primarily targets hospitals and large health systems, while RevCare Plus caters to a wider range of healthcare providers, from individual practices to large organizations. 

In terms of contract management, Symplr offers pre-configured compliance workflows optimized for healthcare contracting, with configurable templates, standardized terms, and renewal alerts. RevCare Plus, on the other hand, emphasizes customized contract management solutions tailored to each organization's specific needs and workflows. Symplr includes additional features for vendor management and workforce alignment, whereas RevCare Plus focuses more deeply on contract analytics and negotiation support.

Regarding RCM scalability, Symplr is highly scalable through API-based third-party integrations, suitable for organizations of various sizes. RevCare Plus emphasizes flexibility in its solutions but does not have the same level of built-in scalability. Finally, while Symplr primarily offers software solutions without emphasizing consulting services, RevCare Plus provides consultants to assist with contract negotiations and optimization strategies.

 In summary, Symplr offers a broader range of healthcare management solutions with a focus on software, while RevCare Plus specializes more deeply in contract management and negotiation with a stronger emphasis on customization and consulting services.

Ratings

Symplr Contract has earned a score of 3.6 / 5 on Capterra. 

How MD Clarity’s contract management & modeling solution optimizes your revenue

To remain viable, healthcare organizations today must proactively assess their contracts to optimize the revenue cycle. 

MD Clarity's RevFind automated contract management solution covers all seven stages in the contract lifecycle.  It not only provides templates for contract generation, it also evaluates and compares payer performance, and establishes alerts for contract renewal dates. By digitizing and centralizing all agreements in a single repository, it facilitates easy comparison of reimbursements across CPT codes, physicians, and provider locations. It meticulously compares each payment coming from payers to contract terms, listing them in reports. This enables staff to swiftly appeal improper reimbursements, safeguarding revenue integrity. 

RevFind incorporates Medicare benchmarks, providing an additional metric for evaluating payer contract performance. Detailed analytics help healthcare providers identify their most and least favorable payers, providing valuable leverage for negotiations.

The software's automated alerts for contract expiration, renewal, and exit dates ensure critical deadlines are never overlooked. Customizable notifications can be set 90 days in advance, allowing for timely initiation of negotiations. By generating automated reports and pinpointing systemic causes of underpayments, RevFind empowers healthcare providers to not only rectify current pricing discrepancies but also prevent future underpayments. This proactive approach to contract management and pricing accuracy helps healthcare organizations maximize revenue and maintain fair, consistent pricing for their services.

Schedule a demo to see how RevFind helps you strengthen your contracts, limit your underpayments and denials, and model proposed rate changes.  

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