R1 RCM vs Change Healthcare (Optum)
Side-by-side from the Top 11 ranking of The 11 Best Revenue Cycle Management Software (2026). Last verified July 12, 2026.
The short answer
R1 RCM ranks higher on Top 11 (#2 vs #6) for Practice administrators, CFOs, and billing leaders at hospitals, physician groups, and specialty practices. Full-service revenue cycle partner built for large hospitals and health systems.
At a glance
| R1 RCM | Change Healthcare (Optum) | |
|---|---|---|
| Top 11 rank | #2 / The 11 Best Revenue Cycle Management Software (2026) | #6 / The 11 Best Revenue Cycle Management Software (2026) |
| Score (out of 9.4) | 9.1 | 8.2 |
| Best for | End-to-end outsourced RCM for systems | Very large clearinghouse and payer reach |
| Pricing | $$$$ (percentage of net collections, custom enterprise) | $$$ (custom, per-transaction) |
| HQ | Murray, USA | Nashville, USA |
| Founded | 2003 | 2007 |
R1 RCM
Full-service revenue cycle partner built for large hospitals and health systems.
www.r1rcm.comSee full entry in The 11 Best Revenue Cycle Management Software (2026)
Change Healthcare (Optum)
One of the largest US clearinghouses, with a 2024 outage on its record.
www.optum.com/en/business/insights/change-healthcare.htmlSee full entry in The 11 Best Revenue Cycle Management Software (2026)
Methodology and scoring weights live at /methodology. No vendor pays for placement — see about.