U.S. Hospital Revenue Cycle Management

Overview and Outlook, 2012-2017

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This study provides a roadmap for understanding the hospital revenue management (RCM) market. Herein Frost & Sullivan provides an in-depth overview of the market including major government initiatives driving changes in the market, defines and describes major market segments including technology solutions and services used by hospitals, discusses the competitive market structure including business models and pricing approaches, and reviews key market considerations and strategic imperatives relevant to a variety of stakeholders including IT vendors. Market forecasts are provided for the total market as well as key market segments for 2012 through 2017. Also provided are brief profiles of 12 technology vendors serving the market.

Table of Contents

Executive SummaryExecutive Summary Executive Summary (continued) Executive Summary (continued) Executive Summary—Market Engineering MeasurementsExecutive Summary—Market Engineering Measurements (continued)Executive Summary—CEO’s PerspectiveStudy Scope and Research MethodologyDefinitions and Scope of StudyKey Issues this Study will AddressResearch MethodologyResearch Methodology (continued)Research Methodology (continued)Market OverviewMarket Overview—What is Revenue Cycle Management (RCM)?Market Overview—What is Revenue Cycle Management RCM? (continued)Market Overview—The Hospital RCM PathwayMarket Overview—The Hospital Patient Admission ProcessMarket Overview—Hospital Patient Account Data FlowMarket Overview—Enveloping Elements Impacting Hospital RCMMarket Overview—Next-generation RCMMarket AnalysisMarket Analysis—SegmentationMarket Analysis—Definition of Core Platform SolutionsMarket Analysis—Definition of Core Platform Solutions (continued)Market Analysis—Definition of Core Platform Solutions (continued)Market Analysis—Hospital Adoption of RCM ApplicationsMarket Analysis—Hospital Adoption of RCM Applications (continued)Market Analysis—Hospital Adoption of RCM Applications (continued)Market Analysis—Point SolutionsMarket Analysis—Consulting ServicesMarket Analysis—OutsourcingExternal Challenges: Drivers and Restraints—Hospital RCM MarketKey Events TimelineDrivers and RestraintsDrivers ExplainedDrivers Explained (continued)Drivers Explained (continued)Drivers Explained (continued)Drivers Explained (continued)Restraints ExplainedRestraints Explained (continued)Restraints Explained (continued)Restraints Explained (continued)Restraints Explained (continued)Market Impact of Top Ten TrendsCompetitive Market StructureCompetitive Market ForcesCompetitive EnvironmentCompetitive Environment (continued)Competitive Environment (continued)Market Share Analysis—Leading Hospital RCM VendorsMarket Share Analysis—Select Vendors by RCM Stage and FunctionMarket Share Analysis—ADT/Registration Platform ApplicationsMarket Share Analysis—Bed Management Platform ApplicationsMarket Share Analysis—Contract Management Platform ApplicationsMarket Share Analysis—Computer-assisted Coding (CAC) Platform ApplicationsMarket Share Analysis—Credit Collection Platform ApplicationsMarket Share Analysis—EDI Platform ApplicationsMarket Share Analysis—Encoder Platform ApplicationsMarket Share Analysis—EMPI Platform ApplicationsMarket Share Analysis—Patient Billing Platform ApplicationsMarket Share Analysis—Patient Scheduling Platform ApplicationsCompetitor ProfilesCompany Profile—3M Health Information SystemsCompany Profile—Accretive Health Inc.Company Profile—Allscripts Healthcare Solutions Inc.Company Profile—Conifer Health Solutions, Inc.Company Profile—Emdeon, Inc.Company Profile—GE Healthcare Company Profile—McKesson Provider TechnologiesCompany Profile—MedAssets Inc. Company Profile—Medical Information Technology Inc. (MEDITECH)Company Profile—OptumInsightCompany Profile—QuadraMed, Inc.Company Profile—Siemens HealthcareForecast and Trends—Hospital RCM MarketMarket Engineering MeasurementsMarket Engineering Measurements (continued)Revenue AssumptionsHospital RCM Market—Revenue ForecastRevenue Forecast Discussion Hospital RCM Market—Revenue Forecast by Segment TypesHospital RCM Market—Applications Revenue ForecastHospital RCM Market—Applications Revenue Forecast Assumptions and DiscussionHospital RCM Market—Services Revenue ForecastHospital RCM Market—Services Revenue Assumptionsand DiscussionHospital RCM Market—Revenue Forecast by Segment TypesHospital RCM Market—Percent of Revenue Segment TypesDemand AnalysisHospital RCM Market—Penetration AnalysisThe Last WordThe Last Word—Three Big PredictionsThe Last Word—DiscussionThe Last Word—Discussion (continued)The Last Word—Discussion (continued)Legal DisclaimerAppendixMarket Engineering MethodologySourcesTable of Acronyms UsedLearn More—Next Steps




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