Med-Metrix
Med-Metrix is a privately held, PE-backed Revenue Cycle Management company that combines AI-powered technology with operator-led outsourcing services to help U.S. hospitals and physician groups improve collections, reduce denials, and recover underpayments across the full revenue cycle.
- Company typePrivate
- Founded2010
- HeadquartersParsippany, United States
- Headcount1,001–5,000
- GTM typeB2B
- OfferingServices
What Med-Metrix does
Med-Metrix, LLC is a privately held, Parsippany, New Jersey-based provider of technology-enabled Revenue Cycle Management (RCM) services to U.S. hospitals and physician groups. Founded in 2010 by former provider-side operators, the company has grown to a workforce of more than 5,000 professionals and serves more than 300 hospitals, 10,000+ physicians, and hundreds of healthcare systems across the country. Its offerings span end-to-end RCM outsourcing as well as point solutions across four service modules: Patient Intake, Revenue Integrity, Revenue Collection, and Business Insights & Administration. Pricing includes multi-year managed services contracts with compensation tied to client QA metrics, subscription/technology licensing, professional services, and outcome-based payment variance recovery where clients pay only on successful recovery.
The company's product architecture rests on four technology stacks (Patient Intake Stack, Revenue Integrity Stack, Revenue Collection Stack, and Business Insights Stack) that are integrated with client EMR systems via APIs, HL7 (ADT and SIU), FHIR, EDI, and RPA bots. AI capabilities are embedded throughout: proprietary AI Denials Management uses large language models and payer-specific training data to predict overturn probability and auto-generate appeal packets; AI Automated Coding, AI CDI, and AI DRG + Coding Audit (powered by Phare Health) review encounters pre-bill; and an AI-powered Patient Liability Estimator produces physician-specific cost estimates. Reported outcomes include 99.2% inpatient and 97.9% outpatient claim accuracy, a 60-70% denial overturn rate, a 43% reduction in Patient Intake-related denials, and 4x-10x ROI for end-to-end clients.
Med-Metrix has expanded primarily through M&A, acquiring Healthware Concepts (2011), Miller & Milone (2021), ARMCO Partners (2022), PatientPal (2022), Tritech Healthcare Management (2023), HBCS (2024), HRSI (2024), CanAide (2026, announced), and Vitalware (2026, announced for $147 million from Health Catalyst). The company rebranded all acquired brands under the unified Med-Metrix name in 2023 and opened an India operations center in 2024. Ownership is held by founder/CEO Joseph Davi and management alongside Harvest Partners (lead investor since mid-2025, with KKR leading the financing in August 2025) and a minority stake retained by A&M Capital Partners, which originally invested in 2021.
Med-Metrix firmographics
Firmographics- Name
- Med-Metrix
- Legal name
- Med-Metrix, LLC
- Website
- https://med-metrix.com
- Company type
- Private
- Founded year
- 2010
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- Med-Metrix is a privately held, PE-backed Revenue Cycle Management company that combines AI-powered technology with operator-led outsourcing services to help U.S. hospitals and physician groups improve collections, reduce denials, and recover underpayments across the full revenue cycle.
- Ownership category
- akta.pro rank
Med-Metrix industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- NAICS
- Custom Computer Programming Services (541511), Software Publishers (513210), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370), Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- RCM Outsourcing & Managed Billing Services (HLACACAN)
- akta.pro secondary industries
- Patient Access, Registration & Intake (Front-End RCM) (HLACACAE), Patient Billing, Statements & Payment Processing (HLACACAG), Price Transparency, Estimates & Patient Financial Clearance (HLACACAK)
Keywords
Where Med-Metrix is headquartered
LocationHeadquarters
- HQ city
- Parsippany
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Med-Metrix business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others
Revenue model
- End-to-End RCM Outsourcing: Comprehensive revenue cycle management outsourcing where Med-Metrix becomes the client's RCM team, handling all aspects from patient intake through final collection. The company ties team compensation to client QA metrics.
- Technology Licensing/SaaS: Licensing of proprietary RCM technology platforms including Patient Intake Stack, Revenue Collection Stack, Business Insights Stack, and Revenue Integrity Stack. Clients can license cutting-edge technology with implementation support.
- Point Solutions/Services: Specific RCM services including Billing & Collections, Denials & Revenue Recovery, Physician Advisory, HIM & Coding, Audits & Optimization, and Credentialing & Provider Enrollment.
- Payment Variance Recovery: Success-based pricing model where clients pay only if recovery is successful. Handles identification and recovery of underpayments and lost charges.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Outcome Based/ Performance | Pay-as-you-go | Outcome-based Payment Variance Recovery |
| Subscription | Multi-year contract | End-to-End RCM Outsourcing |
Go-to-market motion2 records
Distribution channels1 record
Marketing channels4 records
Med-Metrix product offering
Product offeringCore offering
Med-Metrix provides technology-enabled Revenue Cycle Management (RCM) services and proprietary AI-powered software platforms to hospitals and physician groups. The offering combines end-to-end RCM outsourcing (covering patient intake, revenue integrity, revenue collection, and business insights) with four plug-n-play tech stacks (Patient Intake Stack, Revenue Integrity Stack, Revenue Collection Stack, Business Insights Stack) that can be licensed separately. The company also delivers point-solution services including denials management, payment variance recovery, physician advisory, HIM and coding, audits, and credentialing.
Product overview
Med-Metrix is a technology-enabled Revenue Cycle Management (RCM) platform offering a unified, end-to-end solution combining operator-led outsourcing services with proprietary performance-enhancing technology. The core offering is the Med-Metrix End-to-End RCM platform, which integrates four service modules—Patient Intake Services, Revenue Integrity Services, Revenue Collection Services, and Business Insights & Administration—alongside four corresponding tech stacks (Patient Intake Stack, Revenue Integrity Stack, Revenue Collection Stack, and Business Insights Stack). The tech stacks include specific AI-powered modules: AI Denials Management, AI DRG & Coding Audit, AI CDI, AI Automated Coding, Intake Workflow, Collection Workflow, Liability Estimator, Contract Management, Reporting, Valuation, and Cost Accounting. The company has grown through acquisitions including HBCS, HRSI, Vitalware, CanAide, Miller & Milone, ARMCO Partners, PatientPal, Tritech Healthcare Management, and Healthware Concepts, plus the Medi-Centrix joint venture, all now operating under the unified Med-Metrix brand as of 2023. Med-Metrix deploys advanced technology including AI/ML, RPA, and real automation across tens of millions of transactions for 300+ hospitals and physician groups.
Differentiator
Problem solved
Functional benefit
Brands
- Medi-Centrix: Joint venture providing full outsource of physician groups and helping physicians prepare for value-based care, improve clinical integration, and enhance financial performance.
- Healthware Concepts
- Miller & Milone
- ARMCO Partners
- PatientPal
- Physician Advisor On-Call
- Tritech Healthcare Management
- HBCS Revenue Cycle
Products and services
- Med-Metrix End-to-End RCM Outsourcing Comprehensive revenue cycle management outsourcing covering the entire cycle from patient intake through final reimbursement collection for hospitals and physician groups. Med-Metrix becomes the client's RCM team with compensation tied to client QA metrics. Delivers 2-5% more revenue on average and 4x-10x ROI for end-to-end clients.
- Patient Intake Stack Front-end automation technology suite including Patient Intake Automation, Intake Workflow, and Liability Estimator modules for modernizing patient registration and financial clearance. Integrates with EMR systems via API, HL7, and RPA.
- Revenue Integrity Stack AI-powered middle-revenue-cycle technology suite including AI DRG & Coding Audit, AI CDI, and AI Automated Coding targeting coding errors, DRG assignment, and documentation gaps. Delivers 99.2% inpatient and 97.9% outpatient claim accuracy rates.
- Revenue Collection Stack End-to-end workflow automation suite for claims adjudication including Collection Workflow, Vendor Management, AI Denials Management, AI Claims Status Network, and AI Custom Bots. Delivers 60-70% denial overturn rate, 1.5-3% yield increase, and 11% faster account resolution.
- Business Insights Stack Decision support technology suite including Reporting, Contract Management, Valuation, and Cost Accounting with analyst interpretation services. Contract Management has priced hundreds of billions of dollars of claims across 13,000+ contracts.
- Patient Intake Services Front-end RCM services covering pre-arrival scheduling, registration, financial clearance, insurance verification, patient liability estimation, point-of-service collections, financial counseling, and Medicaid eligibility support. Achieves up to 43% reduction in Patient Intake-related denials.
- Revenue Integrity Services Middle-revenue-cycle services addressing pricing, coding, and claims accuracy including Physician Advisory, HIM & Coding, and Audits & Optimization for hospitals and physician groups.
- Revenue Collection Services Post-service billing, follow-up, and recovery services including Billing & Collections, Denials & Revenue Recovery, Self Pay, and Complex Claims handling. Clients achieve 11% faster account resolution on average and 60-70% denial overturn rate.
- Business Insights & Administration Services Administrative services and decision support including Credentialing & Provider Enrollment and the Business Insights Stack technology suite for hospitals and physician groups.
- Denials & Revenue Recovery Standalone denials management and appeals, payment variance recovery, and Transfer DRG analysis offered on outcome-based pricing with no upfront cost. Achieves 60-70% denial overturn rate on average and recovers underpayments and lost charges on a no-pay-unless-successful basis.
Quantifiable outcome
- Collects 2-5% more revenue on average for end-to-end RCM clients
- +8 more outcomes
Companies that use Med-Metrix
Customer profileNamed customers1 record
Segments2 records
Ideal customer profiles2 records
Med-Metrix technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration7 records
AI capability10 records
Feature10 records
Med-Metrix partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Health CatalystminorHealth Catalyst (NASDAQ: HCAT) sold its Vitalware business unit to Med-Metrix for $147 million in cash. This represents a divestiture/acquisition relationship rather than an active partnership.
Scale indicators16 records
Recent moves7 records
Expansion highlights7 records
Med-Metrix competitors and assessment
Company assessmentDirect peers
- R1 RCM: R1 RCM is a publicly traded, large-scale RCM outsourcing and technology provider serving hospitals, health systems, and physician groups with end-to-end revenue cycle services — directly comparable to Med-Metrix's core end-to-end RCM offering.
- Waystar: Waystar provides cloud-based RCM and healthcare payments software (including claims management, denials, and patient estimation) to U.S. hospitals and physician groups, competing with Med-Metrix's Patient Intake, Revenue Collection, and Business Insights tech stacks.
- Ensemble Health Partners: Ensemble Health Partners is a tech-enabled RCM services and analytics firm serving health systems with end-to-end outsourcing — a direct competitor to Med-Metrix's outsourced, operator-led delivery model.
- nThrive (now FinThrive): FinThrive (formerly nThrive) provides end-to-end RCM services and technology, including revenue integrity, patient access, and claims management for hospitals and health systems — overlapping directly with Med-Metrix's Patient Intake, Revenue Integrity, and Revenue Collection modules.
Broad incumbents
- Optum (UnitedHealth Group): Optum's RCM and healthcare services division serves providers with end-to-end revenue cycle, analytics, and consulting at massive scale, including Change Healthcare assets — a broad incumbent competing with Med-Metrix across most of its stack.
- Parallon (HCA Healthcare): Parallon is a large RCM and healthcare services provider affiliated with HCA Healthcare, offering end-to-end revenue cycle, patient access, and coding services to hospitals — a broad incumbent in the same provider RCM space as Med-Metrix.
- Health Catalyst: Health Catalyst (NASDAQ: HCAT) provides healthcare analytics and data platforms; it sold its Vitalware revenue integrity business to Med-Metrix in 2026, indicating overlapping mid-cycle RCM technology capabilities and a recent counterparty relationship.
- Experian Health: Experian Health offers patient access, identity management, eligibility, and claims management solutions to U.S. providers — competing with Med-Metrix's Patient Intake Stack and broader front-end RCM capabilities.
Emerging players
- CodaMetrix: CodaMetrix is an AI-driven autonomous medical coding platform serving U.S. health systems, directly competing with Med-Metrix's AI Automated Coding and AI CDI modules in the revenue integrity space.
- AKASA: AKASA provides AI-enabled RCM automation for hospitals and health systems, including patient access, claims, and denials workflows — an emerging AI-first competitor to Med-Metrix's automation modules in Patient Intake and Revenue Collection.
Market position
Strengths4 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Med-Metrix social profiles
Digital presenceMed-Metrix financial estimates
Financial estimateRevenue estimate
Valuation estimate
Med-Metrix leadership team
Management profileNumber of profiles
Profiles12 records
Med-Metrix subsidiaries and ownership
Company hierarchySubsidiaries10 records
Med-Metrix funding detail
Funding detailFunding overview
Funding rounds3 records
Investors4 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Med-Metrix M&A and investment
M&A and investmentM&A9 records
Investments4 records
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Med-Metrix
What does Med-Metrix do?
Med-Metrix provides technology-enabled Revenue Cycle Management (RCM) services and proprietary AI-powered software platforms to hospitals and physician groups. The offering combines end-to-end RCM outsourcing (covering patient intake, revenue integrity, revenue collection, and business insights) with four plug-n-play tech stacks (Patient Intake Stack, Revenue Integrity Stack, Revenue Collection Stack, Business Insights Stack) that can be licensed separately. The company also delivers point-solution services including denials management, payment variance recovery, physician advisory, HIM and coding, audits, and credentialing.
Is Med-Metrix a public or private company?
Med-Metrix is a private company. It is classified as private equity controlled and is currently operating.
When was Med-Metrix founded?
Med-Metrix was founded in 2010. It employs 1,001 to 5,000 people.
Where is Med-Metrix based?
Med-Metrix is headquartered in Parsippany, United States, in the North America region.
How does Med-Metrix make money?
Four revenue lines are on record. End-to-End RCM Outsourcing is the primary driver. The others are technology Licensing/SaaS, point Solutions/Services and payment Variance Recovery.
Who are Med-Metrix's main competitors?
Direct peers on record are R1 RCM, Waystar, Ensemble Health Partners and nThrive (now FinThrive). Broad incumbents are Optum (UnitedHealth Group), Parallon (HCA Healthcare), Health Catalyst and Experian Health. Emerging players are CodaMetrix and AKASA.
Does Med-Metrix have an API?
No public API is recorded for Med-Metrix.
What industry is Med-Metrix in?
Med-Metrix's product category is Healthcare Revenue Cycle Management. Its primary akta.pro industry code is HLACACAN, RCM Outsourcing & Managed Billing Services, with a secondary code of HLACACAE, Patient Access, Registration & Intake (Front-End RCM). Its NAICS code is 541511 and its SIC code is 7372.