R1 Launches Phare, Healthcare’s First Revenue Operating System

The Phare OS is fully integrated across all major Electronic Medical Records ("EMR") and banks, with connections to over 1,000 payers and visibility into more than 670 million annual patient encounters. Phare can also adapt to policy and payer shifts in real time, setting a new standard in transparency, simplicity and compliance.

Steve Albert, Chief Product Officer at R1 said, "While other solutions providers seek to fix isolated problems within the revenue cycle, the Phare Operating System is a holistic approach to optimizing the entire cycle. The platform is designed to respond to problems autonomously, continuously learn from observed outcomes, and prevent problems from recurring. AI is embedded throughout - including large language models, voice models, and computer use models - powering the wide variety of agentic workflows required. Phare is designed to handle the scale and complexity of the most sophisticated health systems, many of whom are our customers today, to improve financial performance."

The Phare OS is already in production with select R1 customers. Phare Claim is delivering autonomous coding accuracy rates as high as 97% for service lines like emergency room and physician office visits. For inpatient coding - long resistant to automation due to its extensive documentation and multi-layered coding rules - Phare Claim is now achieving over 30% automation across specialties. Unlike term-matching systems, Phare Claim uses context-aware, clinically guided AI to generate complete, production-ready codelists with the correct sequencing, principal diagnosis, indicators and supporting evidence.

Phare Flow's agentic workflows are already fully automating over 20% of payer documentation requests by dollar volume and autonomously appealing any denial type when provided a complete medical record and account history. By the end of 2025, Phare Flow will deliver agentic coverage on almost 40% of denied dollars, including key segments like coordination of benefits, additional information requests and ED downgrades. Based on initial results, we expect Phare Flow to complete over 70% of payer calls using conversational AI. Existing R1 customers are enthusiastically adopting and welcoming the new technology:

"We recently completed our EMR implementation across our Utah, Idaho, and Nevada markets, with R1 playing an instrumental role in the preparation and execution of the revenue cycle components," said Clay Ashdown, Chief Financial Officer of Intermountain Health. "R1's commitment and responsiveness during the transition were essential to a successful go-live. As a strategic partner managing such a large and essential body of work, R1's leadership and investments in innovation and technology are paramount to our collective success, and serve as strong differentiators in the revenue cycle space."

Learn more about Phare at www.R1rcm.com/phare.