US Physician Revenue Cycle Management

US Physician Revenue Cycle Management

Overview and Outlook, 2012–2017

RELEASE DATE
11-Jun-2013
REGION
North America
Research Code: NB9F-01-00-00-00
SKU: HC02580-NA-MR_16702
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Description

This study provides a roadmap for understanding technology applications and collection services used in the physician revenue cycle management (RCM) market. Included is an overview of trends in physician demographics and medical practice organization, national health expenditures, and healthcare reform. The study discusses physicians' adoption of health information technology including EHRs and practice management systems used for revenue cycle and outlines key trends in next generation RCM technology. Competitive market issues including business and pricing approaches and profiles of key competitors are provided. Market forecasts for the total market and key market segments (applications and services) for 2012 through 2017 are included.

Table of Contents

Executive Summary

Executive Summary (continued)

Executive Summary (continued)

Executive Summary—Market Engineering Measurements

Executive Summary—Market Engineering Measurements (continued)

Executive Summary—CEO’s Perspective

Definitions and Scope of Study

Key Issues This Study Will Address

Market Segmentation for Physician RCM Solutions

Research Methodology

Research Methodology (continued)

Research Methodology (continued)

Overview of National Health Expenditures

National Health Expenditures by Category, 2001 and 2011

Definition of Hospital Care and Physician and Clinical Services

Definition of Hospital Care and Physician and Clinical Services (continued)

Total National Health Expenditure Forecast

Hospital Care Expenditure Forecast

Physician and Clinical Services Expenditure Forecast

Growth Rate Forecast Comparison for NHE, Hospital Care, and Physician and Clinical Services

Shifts in Percent Allocation of NHE from 1980 to 2012

Trends in Hospital Expenditures by Source of Funds

Trends in Expenditures for Physicians and Clinical Services by Source of Funds

Summary of NHE Forecast Highlights from 2011 through 2021

Overview of Physician Demographics

Market Segmentation of US Physicians

Number of Office-Based Physicians by Medical Specialty

Number of Office-Based Physicians by Medical Specialty (continued)

Percent of Office-Based Physicians by Medical Specialty

Percent of US Physicians by Age

Percent of US Physicians and Enrolled Medical Students by Sex

The United States Faces a Growing Shortage of Physicians

Quantifying the Shortage of Physicians in the United States

Percent of Physicians by Ownership

Physicians’ Attitude About the Current and Future State of the Medical Profession

What is RCM?

Reimbursement of Physician Services

The Changing Reimbursement Environment

The Physician RCM Pathway

Patient Access

Registration and Charge Capture

Billing and Collection

Enveloping Elements Impacting Physician RCM

The Evolution of the Use of Health Information Technology

Growing Adoption of EHR

Percent of Physicians Using EHRs

Percent of Physicians Using Any and Basic EHRs

EHR Technology Platforms Used by Physicians

Introduction to Physician Practice Management Systems

Common Capabilities Included in Practice Management Systems*

Stand Alone Versus Integrated Systems

Integrated Practice Management Systems with Clinical Systems

Practice Management Systems that Include EHRs

Features of Physician Practice Management System

On Premise Versus Hosted Practice Management Software

Percent of Medical Practice Management Software and Medical Billing Software Products

Hosted Software Versus Cloud Computer

Next Generation RCM Information Technology Solutions

Next Generation RCM

Drivers and Restraints

Drivers Explained

Drivers Explained (continued)

Drivers Explained (continued)

Drivers Explained (continued)

Drivers Explained (continued)

Restraints Explained

Restraints Explained (continued)

Restraints Explained (continued)

Market Impact of Top Trends

Healthcare Reform Will Exert the Greatest Impact on the Physician RCM Market

Competitive Market Forces

Competitive Environment

Competitive Environment (continued)

Competitive Environment (continued)

Competitive Environment (continued)

Competitive Environment (continued)

Company Profile—ADP AdvancedMD, Inc.

Company Profile—Allscripts Healthcare Solutions, Inc.

Company Profile—athenahealth, Inc.

Company Profile—Cerner Corporation

Company Profile—Epic Systems Corporation

Company Profile—eClinicalWorks, LLC

Company Profile—e-MDs, Inc.

Company Profile—GE Healthcare

Company Profile—Greenway Medical Technologies, Inc.

Company Profile—McKesson Corporation

Company Profile—NextGen Healthcare Information Systems, LLC

Company Profile—Practice Fusion, Inc.

Company Profile—Pulse Systems Inc.

Company Profile—RemitDATA, Inc.

Company Profile—Vitera Healthcare Solutions, LLC

Market Engineering Measurements

Market Engineering Measurements (continued)

Total Physician RCM Market—Revenue Forecast Assumptions

Total Physician RCM Market—Revenue Forecast

Total Physician RCM Market—Revenue Forecast Discussion

Total Physician RCM Market—Revenue Forecast by Segment Type

Total Physician RCM Market—Applications Revenue Forecast Assumptions and Discussion

Total Physician RCM Market—Revenue Forecast by Applications

Total Physician RCM Market—Services Revenue Forecast Assumptions and Discussion

Total Physician RCM Market—Revenue Forecast by Services

Total Physician RCM Market—Revenue Forecast by Segment Type

Total Physician RCM Market—Percent of Revenue by Segment Type

Total Physician RCM Market—Applications Penetration Analysis

Total Physician RCM Market—Services Penetration Analysis

The Last Word—Three Big Predictions

The Last Word—Discussion

The Last Word—Discussion (continued)

The Last Word—Discussion (continued)

The Last Word—Discussion (continued)

Legal Disclaimer

Market Engineering Methodology

Sources

Sources (continued)

Sources (continued)

Table of Acronyms Used

Learn More—Next Steps

Related Research
This study provides a roadmap for understanding technology applications and collection services used in the physician revenue cycle management (RCM) market. Included is an overview of trends in physician demographics and medical practice organization, national health expenditures, and healthcare reform. The study discusses physicians' adoption of health information technology including EHRs and practice management systems used for revenue cycle and outlines key trends in next generation RCM technology. Competitive market issues including business and pricing approaches and profiles of key competitors are provided. Market forecasts for the total market and key market segments (applications and services) for 2012 through 2017 are included.
More Information
No Index Yes
Podcast No
Author Nancy Fabozzi
Industries Healthcare
WIP Number NB9F-01-00-00-00
Is Prebook No