Case Study: Multi-State Academic Health System achieves $169M A/R recovery and continuity during HIS conversion with Optum360

Multi-state provider realizes impressive ROI from Optum360 A/R recovery efforts

Multi-State Academic Health System faced a lengthy HIS conversion that required nearly all revenue cycle staff to focus on learning a new system and shifting from a decentralized to centralized structure. To prevent uncollected balances from turning into bad debt and maintain cash flow during the transition, the organization engaged Optum360 and its Optum A/R Recovery Service to manage legacy A/R and denials while internal teams concentrated on the new HIS.

Optum360 initially provided 42 FTEs and scaled up with an additional 90 FTEs and leadership to address nationwide payer rules, working denials and slow A/R across legacy systems. Over 12 months the partnership recovered $169M, delivered a client‑calculated 763% A/R recovery ROI, and exceeded monthly collection targets every month; the engagement preserved cash flow, reduced staff turnover and anxiety, and allowed the customer’s revenue cycle team to complete HIS training without operating two systems.