Global Healthcare Revenue Cycle Management Market, Forecast to 2028

Global Healthcare Revenue Cycle Management Market, Forecast to 2028

AI, Analytics, and Automation-enabled Solutions Enhancing Transformative Potential of Healthcare RCM

RELEASE DATE
16-Nov-2023
REGION
North America
Deliverable Type
Market Research
Research Code: K963-01-00-00-00
SKU: HC_2023_311
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$4,950.00
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SKU
HC_2023_311

Global Healthcare Revenue Cycle Management Market, Forecast to 2028
Published on: 16-Nov-2023 | SKU: HC_2023_311

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Healthcare challenges such as workforce shortages, decline in revenue and operating margins, patient payment collection issues, complex claims compliance requirements, and increased patient expectations for seamless experience are compelling healthcare providers to rethink their revenue cycle management (RCM) approach. Providers are realizing the importance of a robust RCM strategy to address revenue and margin challenges. Improving turnaround time from service to payment is a key focus of RCM strategies. Effective and efficient payer-provider coordination will be a competitive advantage for providers. Growing shift toward value-based care, process-specific inefficiencies such as the need for a digital front door, error-prone coding and documentation, and poor denial management drive the demand for technology-driven RCM solutions. Healthcare leaders consider RCM a top healthcare IT strategy, highlighting their appetite for new technology adoption. Intelligent technologies such as conversational AI, Generative AI, and automation will spur the transformational growth of the RCM market.

Author: Sagar Mukhekar

Why is it Increasingly Difficult to Grow?

The Strategic Imperative 8™

The Impact of the Top 3 Strategic Imperatives on the Healthcare Revenue Cycle Management (RCM) Industry

Growth Opportunities Fuel the Growth Pipeline Engine™

Scope of Analysis

Solution Segmentation of RCM

End User Segmentation of RCM

Segmentation by Geography

Key Competitors

Key Competitors (continued)

RCM Process Pathway—Selected Financial Metrics and Statistics

Current State of the RCM

Key Provider Challenges

RCM—Phase-wise Challenges and Key Value Propositions

Key Trend—VBC and its Impact on RCM

RCM Companies Driving Providers’ VBC Goals

Key Trend—Align Goals of Payment Integrity and Revenue Integrity

Key Trend—Growing Pressure of Claim Denials and Management

Key Trend—Automation in RCM Functions

Key Trend—Focus on Healthcare Price Transparency

Key Trend—Promising Gen AI Use Cases across RCM Cycle

Gen AI—High-impact RCM Functions

Clinical Documentation—Top RCM Function with Gen AI Activities

Voices from the Industry—How do RCM Solutions Impact the Revenue Cycle Process?

Growth Metrics

Growth Drivers

Growth Restraints

Forecast Assumptions

Revenue Forecast

Revenue Forecast by Solution

Revenue Forecast by End User

Forecast Analysis

Pricing Trends and Forecast Analysis

Revenue Forecast by Region

Revenue Forecast Analysis by Region

Analysis of the Attractiveness of RCM Solutions

Result—Regional Attractiveness Ranking and Mapping

Competitive Environment

Revenue Share

Revenue Share Analysis

Competitive Overview

Competitive Overview (continued)

Company Spotlight

Company Spotlight

Company Spotlight

Company Spotlight

Growth Metrics

Revenue Forecast

Revenue Forecast by Region

Forecast Analysis

Growth Metrics

Revenue Forecast

Revenue Forecast by Region

Forecast Analysis

Growth Metrics

Revenue Forecast

Revenue Forecast by Region

Forecast Analysis

Growth Opportunity 1: Conversational AI for Front-end RCM

Growth Opportunity 1: Conversational AI for Front-end RCM (continued)

Growth Opportunity 2: Automation for Efficient RCM

Growth Opportunity 2: Automation for Efficient RCM (continued)

Growth Opportunity 3: Hybrid RCM Approach

Growth Opportunity 3: Hybrid RCM Approach (continued)

Growth Opportunity 4: Blockchain for RCM

Growth Opportunity 4: Blockchain for RCM (continued)

Your Next Steps

Why Frost, Why Now?

List of Exhibits

List of Exhibits (continued)

Legal Disclaimer

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  • Growth Opportunities
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Impacting your company's future growth potential.

Healthcare challenges such as workforce shortages, decline in revenue and operating margins, patient payment collection issues, complex claims compliance requirements, and increased patient expectations for seamless experience are compelling healthcare providers to rethink their revenue cycle management (RCM) approach. Providers are realizing the importance of a robust RCM strategy to address revenue and margin challenges. Improving turnaround time from service to payment is a key focus of RCM strategies. Effective and efficient payer-provider coordination will be a competitive advantage for providers. Growing shift toward value-based care, process-specific inefficiencies such as the need for a digital front door, error-prone coding and documentation, and poor denial management drive the demand for technology-driven RCM solutions. Healthcare leaders consider RCM a top healthcare IT strategy, highlighting their appetite for new technology adoption. Intelligent technologies such as conversational AI, Generative AI, and automation will spur the transformational growth of the RCM market. Author: Sagar Mukhekar
More Information
Deliverable Type Market Research
Author Sagar Mukhekar
Industries Healthcare
No Index No
Is Prebook No
Keyword 1 Revenue Cycle Management
Keyword 2 Healthcare Revenue Cycle
Keyword 3 Revenue Cycle Process In Healthcare
Podcast No
WIP Number K963-01-00-00-00