Search results for: 'payer'

US-based providers lose an estimated $260 billion to $270 billion annually due to poor financial risk management and lack of infrastructure to support data-driven business decisions. For every dollar claimed, private and public payers on average offer a reimbursement of 86 cents to providers, resulting in a negative margin of 14% per dollar per pat...

The global digital health solutions market for behavioral health management is demonstrating steady and sustained growth, driven by rising demand for accessible, scalable mental health services across employers, payers, and health systems. Persistent workforce shortages, increasing prevalence of mental health conditions, and growing recognition of ...

The global biopharma patient access market is undergoing a structural shift as specialty medicines make downstream commercialization more complex and strategically important. Patient access is no longer limited to reimbursement support or hub services; it is becoming a commercialization control layer spanning authorization, affordability, therapy i...

Author: Koustav Chatterjee The concept of value-based care was established to address critical challenges encountered by all healthcare stakeholders—government, providers, health plans, and patients. Historically, the US healthcare system has largely focused on the treatment of patients with immediate needs. In most cases, the market has failed t...

This study charts how digital health ecosystems are likely to form and scale through 2040 and what that implies for providers, payers, technology vendors, and retail/community partners. We define a digital health ecosystem as an interoperable platform that coordinates people, data, and decisions across home, retail, and hospital settings—secured by...

The Healthcare IT Outlook 2026 examines the industry’s transition from experimentation to enterprise-scale execution, as artificial intelligence (AI), workflow orchestration, and platform consolidation reshape clinical, operational, and financial workflows. Following several years of pilot-led innovation, 2026 marks a pivotal inflection point where...

30 Jan 2020  |  North America  |  Market Research

Assessment of the US Revenue Cycle Management Market, Forecast to 2024

The Next Generation RCM is Prioritizing Consumer Centricity

Infographics

×

This study primarily strives to: • Analyze the market forces affecting the utilization of next-generation Revenue Cycle Management (RCM) IT and service solutions among US hospitals and physician practices. • Evaluate the latest regulatory objectives that mandate episodic financial risk management initiatives. • Highlight the best practi...

31 Mar 2022  |  North America  |  Market Research

US Ambulatory Surgery Centers Growth Opportunities

Future Growth Potential of Ambulatory Surgery Centers Increases Opportunities for Medtech

Infographics

×

The shift of surgery volumes from inpatient to outpatient has been ongoing for a while, owing to lower costs. While several procedures are done in outpatient settings, public and private payers in the US push for ambulatory surgery centers (ASCs) to conduct these procedures in outpatient settings than in hospital outpatient departments (HOPDs), as ...

19 Aug 2022  |  North America  |  Frost Radar

Frost Radar™: Healthcare Data Analytics, 2022

A Benchmarking System to Spark Companies to Action - Innovation that Fuels New Deal Flow and Growth Pipelines

Infographics

×

Healthcare organizations must be able to manage, analyze, and interpret data in order to identify strategic, tactical, and operational insights for decision making. This allows providers and payers to provide the best ways of delivering high-quality care. There has been a slow but steady change in the healthcare industry at the very core of its bus...