Why Healthcare RFPs Slow Down in Q4: Industry-Wide Insights for Vendors

As 2025 closes, healthcare vendors targeting hospitals and health systems are seeing fewer open RFPs on the market. This annual drop isn’t anecdotal; it’s verified by independent research and benchmarked industry data.

2025 RFP Cycle Key Findings

  • Loopio’s 2025 Trends Report confirms a drop in annual RFP submissions, averaging 153 in 2024 versus 175 in 2023, across all sectors.

  • Seasonality matters. The volume dip peaks in late fall and winter (Q4/Q1), as decision-makers close budget cycles, focus on contracting, and take year-end PTO.

  • Selectivity is up: 83% use formal go/no-go decision matrices, and quality-focused teams win more, up to 45% average win rate this year.

Industry Context: HFMA and McKinsey

  • HFMA’s latest executive survey emphasizes that hospital C-suites and sourcing teams face rising operational complexity, rapid technological change, and an urgent need for innovation and payer collaboration in contracting cycles. Many leaders report under-resourcing and feel pressure to upskill in AI, tech procurement, and vendor partnerships, all crucial as more organizations outsource and look for demonstrable ROI.

  • McKinsey’s procurement analysis finds hospitals are increasingly pursuing labor productivity and contract optimization. In 2025, value-based care, margin improvement, and digital transformation are top priorities. The report predicts Q2/Q3 procurement peaks linked to fiscal cycles and contract renewals, with contracting activity dipping, especially for new RFPs, in Q4.

RFPs Remain Vital for Revenue, Relationships, and Strategy

  • RFPs drive 37% of average company revenue (Loopio), with healthcare and medical segments reporting 35-44% depending on category. These contracts anchor vendor pipelines in nearly all specialties.

  • Both HFMA and McKinsey confirm that as value-based models and tech investments grow, RFPs will target partners who offer measurable financial and patient outcome improvement.

  • The shift to specialized, higher-value partnerships makes selectivity and competitive positioning more crucial than ever, especially in Q4’s quieter RFP environment.

Technology, AI, and Strategy in 2025

  • Loopio’s data highlights sharp growth in RFP software (65% adoption) and AI (68% adoption), reducing writing time, improving win rates, and driving ROI within a year.

  • McKinsey’s tech trends report reinforces this: healthcare organizations are investing in automated solutions, modular technologies, and advanced analytics to boost procurement and contracting outcomes, with priorities concentrated in contract-heavy Q2/Q3 cycles.

Action Items for Vendors

  • Recognize Q4 slowdowns as industry-wide and use the time for strategy, relationship-building, and collateral prep.

  • Invest in RFP technology, software, and AI to improve efficiency, win rates, and cross-team satisfaction.

  • Track key metrics beyond win rates: advancement, proposal quality, cost per bid, team performance, and client alignment.

Takeaway: Timing, Value, and Smart Strategy Win in 2026

With Loopio’s benchmarks and strategic input from HFMA and McKinsey, vendors have clear guidance: Q4 brings fewer new solicitations, but quality wins, tech adoption, and strategic positioning are all on the rise. Prepare now for Q1-Q3 contracts, and use quiet periods to strengthen your approach.

For healthcare RFP intelligence, live listing access, and vendor tools, visit RCR|HUB.

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