Beyond Clean Claim Rates: Why Touchless Claim Rate Is the New RCM Standard

The article introduces touchless claim rate (TCR) as a superior metric for measuring healthcare revenue cycle management effectiveness, defined as the percentage of claims submitted correctly, adjudicated properly, and processed automatically without manual intervention. It argues that traditional clean claim rate metrics fail to capture automation’s true impact, and explains how Candid Health uses TCR to demonstrate measurable improvements in collections, cost reduction, and operational scalability.