Cloudmed
Cloudmed provides AI-enabled revenue intelligence and recovery solutions to US hospitals and health systems, combining the CloudmedAI Platform with specialized automation and expert services across the full revenue cycle.
- Company typePrivate
- Founded1996
- HeadquartersOak Brook, United States
- Headcount1,001–5,000
- GTM typeB2B
- OfferingServices
What Cloudmed does
Cloudmed is a US-based healthcare revenue cycle management company that delivers a "Revenue Intelligence" platform to hospitals, health systems, and provider networks. Its core technology is the CloudmedAI Platform, which combines data-driven analytics with decades of human revenue cycle expertise to surface actionable insights across the full revenue cycle. The offering is organized into four integrated suites: an Acceleration Suite (denials recovery, complex claim referrals, AR recovery, Entri Pay, physician advisory), an Optimization Suite (DRG validation, charge capture, underpayment recovery, transfer DRG), a Government Navigation Suite (Medicare Bad Debt, Disproportionate Share Hospital, Worksheet S-10, SSI redetermination, 340B recovery), and an Automation Suite that simplifies labor-intensive workflows.
Cloudmed firmographics
Firmographics- Name
- Cloudmed
- Legal name
- Cloudmed
- Website
- https://cloudmed.com
- Company type
- Private
- Founded year
- 1996
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- Cloudmed provides AI-enabled revenue intelligence and recovery solutions to US hospitals and health systems, combining the CloudmedAI Platform with specialized automation and expert services across the full revenue cycle.
- Ownership category
- akta.pro rank
Cloudmed industry classification
Industry- Product category
- Healthcare Revenue Cycle Management Services
- NAICS
- Software Publishers (5132), Computer Systems Design and Related Services (54151)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370), Services-Management Services (8741)
- akta.pro primary industry
- Cloud Managed Services (Operations, Monitoring, Patching) (BPAEACAF)
Keywords
Where Cloudmed is headquartered
LocationHeadquarters
- HQ city
- Oak Brook
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Cloudmed business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
Revenue model
- Revenue Cycle Management Services: Cloudmed provides revenue cycle management services to healthcare providers, operating as part of the R1 RCM ecosystem. The company helps healthcare organizations identify and capture revenue opportunities through their Revenue Intelligence platform and suite of specialized solutions.
Go-to-market motion1 record
Distribution channels1 record
Marketing channels3 records
Cloudmed product offering
Product offeringCore offering
Cloudmed provides Revenue Intelligence solutions for healthcare providers, combining data-driven technology (the CloudmedAI Platform) with deep revenue cycle management expertise. It sells four integrated service suites — Acceleration, Optimization, Government Navigation, and Automation — that identify, capture, and recover missed or underpaid revenue across the entire revenue cycle, from denials and AR recovery to 340B and Medicare programs.
Product overview
Cloudmed is a revenue intelligence platform for healthcare providers, offering a unified platform-plus-modules architecture. The core CloudmedAI Platform powers four integrated solution suites: Acceleration Suite (Denials Recovery, Complex Claim Referrals, AR Recovery, Entri Pay, Physician Advisory Solutions), Optimization Suite (DRG Validation, Charge Capture, Underpayment Recovery, Transfer DRG), Government Navigation Suite (Medicare Bad Debt, Disproportionate Share Hospital, Worksheet S-10, SSI Redetermination, 340B Recovery), and Automation Suite. The platform delivers Revenue Intelligence combining industry expertise with data-driven technology to help healthcare providers identify and capture revenue opportunities across the entire revenue cycle.
Differentiator
Problem solved
Functional benefit
Brands
- CloudmedAI Platform: AI-powered platform that delivers Revenue Intelligence by combining industry expertise with data-driven technology.
- Acceleration Suite
- Optimization Suite
- Government Navigation Suite
- Automation Suite
- RevintConnect
Products and services
- Acceleration Suite Solutions that fast-track cash by recovering denied, aged, complex, and clinically challenged claims for healthcare providers. Includes denials recovery, complex claim referrals, AR recovery, Entri Pay, and physician advisory services.
- Optimization Suite Comprehensive payment review services to capture missed or underpaid revenue across the entire revenue cycle, including DRG validation, charge capture, underpayment recovery, and transfer DRG.
- Government Navigation Suite Specialist services that optimize government reimbursement accuracy, maximize pharmacy savings, and ensure compliance across Medicare Bad Debt, Disproportionate Share Hospital, Worksheet S-10, SSI Redetermination, and 340B Recovery.
- Automation Suite Award-winning automation services that simplify complex, labor-intensive revenue cycle workflows, configured, managed, and optimized by revenue cycle and technology experts. Recognized as 2023 Best in KLAS for Robotic Process Automation.
- Revenue Intelligence The core Cloudmed offering that delivers actionable insights at the convergence of industry-leading revenue cycle expertise and data-driven technology, enabling healthcare providers to identify and capture revenue opportunities while preventing further losses.
- CloudmedAI Platform The proprietary data-driven technology platform that powers all Cloudmed Revenue Intelligence solutions, combining industry expertise with AI-driven analytics to surface actionable revenue cycle insights.
- par8o Healthcare technology solution specializing in 340B drug pricing discovery and patient referral management, powered by machine learning technology acquired by Cloudmed.
- MCRC Group Managed Care Revenue Consulting Group offering revenue cycle solutions for hospital networks, acquired by Cloudmed to enhance its Revenue Intelligence platform.
Quantifiable outcome
- Cloudmed has generated large amounts of money for clients in recoveries they didn't know were coming
- +1 more outcomes
Companies that use Cloudmed
Customer profileNamed customers5 records
Segments1 record
Ideal customer profiles1 record
Cloudmed technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability2 records
Feature3 records
Cloudmed partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- R1 RCMcoreR1 RCM acquired CloudMed for $4.1 billion, integrating Cloudmed into the R1 RCM ecosystem. Cloudmed now operates as an R1 company, with the same advanced technology and deep RCM expertise under the R1 umbrella. The acquisition represents a major consolidation in the healthcare RCM sector, with Clayton Dubilier & Rice and TowerBrook Capital Partners' $8.9 billion take-private of R1 RCM providing the backing.
Scale indicators2 records
Recent moves7 records
Expansion highlights4 records
Cloudmed competitors and assessment
Company assessmentBroad incumbents
- R1 RCM: R1 RCM is the parent company of Cloudmed and a leading end-to-end healthcare revenue cycle management platform serving large hospital systems. Direct overlap in denials management, underpayment recovery, and enterprise RCM technology; R1 provides the broader platform into which Cloudmed is integrated.
- Optum (UnitedHealth Group): Optum is the largest US healthcare services and technology platform, offering revenue cycle management, analytics, and AI-driven automation to providers and payers. Comparable as a full-stack RCM and healthcare data analytics incumbent competing for the same large hospital networks.
- Experian Health: Experian Health offers revenue cycle management, identity management, and patient engagement solutions to US hospitals and health systems. Comparable as an enterprise RCM technology vendor with overlapping denials and AR recovery capabilities.
Direct peers
- Waystar: Waystar provides cloud-based healthcare revenue cycle management software including claims management, denials, and patient payment solutions. Direct competitor to Cloudmed's Acceleration and Optimization Suites for mid-to-large healthcare providers.
- FinThrive: FinThrive is a healthcare RCM technology platform covering patient access, mid-cycle, and business office workflows, including denials and underpayment management. Closely comparable product portfolio and target market to Cloudmed's multi-suite RCM offering.
- Craneware: Craneware provides healthcare revenue cycle software focused on charge capture, 340B, and value-based care analytics. Overlaps with Cloudmed's Optimization Suite (Charge Capture, Transfer DRG) and Government Navigation Suite (340B Recovery).
- Availity: Availity operates a healthcare information network for revenue cycle and clinical data exchange, including eligibility, claims, and denials management. Comparable as a technology-enabled RCM platform serving large provider networks.
- nThrive: nThrive (formerly known as MedAssets/Precyse) provides end-to-end RCM services and technology including denials management, underpayment recovery, and analytics. Direct overlap with Cloudmed's full-suite RCM managed services model.
Emerging players
- Huron Consulting Group: Huron provides healthcare RCM consulting and managed services including revenue cycle optimization and technology-enabled performance improvement. Comparable advisory-plus-technology model competing for the same large health system engagements.
- AKASA: AKASA applies AI/ML to healthcare revenue cycle workflows including claims, denials, and appeals automation. Comparable as an AI-first RCM automation player emerging as an alternative to Cloudmed's Automation and Acceleration Suites.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Cloudmed social profiles
Digital presenceCloudmed compliance and trust
Trust signalCompliance5 records
Cloudmed financial estimates
Financial estimateRevenue estimate
Valuation estimate
Cloudmed leadership team
Management profileNumber of profiles
Profiles5 records
Cloudmed funding detail
Funding detailFunding overview
Funding rounds1 record
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Cloudmed M&A and investment
M&A and investmentM&A9 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Cloudmed
What does Cloudmed do?
Cloudmed provides Revenue Intelligence solutions for healthcare providers, combining data-driven technology (the CloudmedAI Platform) with deep revenue cycle management expertise. It sells four integrated service suites — Acceleration, Optimization, Government Navigation, and Automation — that identify, capture, and recover missed or underpaid revenue across the entire revenue cycle, from denials and AR recovery to 340B and Medicare programs.
Is Cloudmed a public or private company?
Cloudmed is a private company. It is classified as private equity controlled and is currently operating.
When was Cloudmed founded?
Cloudmed was founded in 1996. It employs 1,001 to 5,000 people.
Where is Cloudmed based?
Cloudmed is headquartered in Oak Brook, United States, in the North America region.
How does Cloudmed make money?
One revenue line is on record: revenue Cycle Management Services.
Who are Cloudmed's main competitors?
Broad incumbents on record are R1 RCM, Optum (UnitedHealth Group) and Experian Health. Direct peers are Waystar, FinThrive, Craneware, Availity and nThrive. Emerging players are Huron Consulting Group and AKASA.
Does Cloudmed have an API?
No public API is recorded for Cloudmed.
What industry is Cloudmed in?
Cloudmed's product category is Healthcare Revenue Cycle Management Services. Its primary akta.pro industry code is BPAEACAF, Cloud Managed Services (Operations, Monitoring, Patching). Its NAICS code is 5132 and its SIC code is 7370.