The United States revenue cycle workforce is under sustained pressure. Data from the Bureau of Labor Statistics projects eight percent growth in medical records and health information roles through 2032, with more than fifteen thousand openings each year driven by turnover and staffing shortages. Workforce trends from the AAPC show continued difficulty

A/R and denial management rarely collapse all at once. They fail slowly, quietly in the space between what needs to be worked today and what actually gets worked. A claim doesn’t get touched for a week, then a month. A denial sits waiting for documentation. A payer changes a policy without warning.

Quick Summary Why Revenue Cycle Outsourcing Matters in 2026 The U.S. healthcare revenue cycle is under real strain. In the 2025 Experian Health State of Claims survey, 41% of providers reported denial rates of 10% or higher, a major driver of revenue leakage. Optum’s 2024 Denials Index, based on 441 million claim