With rising challenges, such as increasing staffing costs, medical supplies costs, and rising underpayments, healthcare providers are streamlining administrative and workflow processes, enhancing the supplier/payor relationship, and deploying workforce management strategies to keep operational expenses in RCM operations under control. They are also prioritizing process automation, EHR system upgrades, patient payment models, and AI solutions to enhance revenue cycle management (RCM) operations. Service providers are utilizing generative AI-based solutions to improve efficiency across routine processes in the RCM operations, including denial management, prior authorization, and appeal generation.
Both demand-side and supply-side trends are covered in our Revenue Cycle Management (RCM) Business Process Transformation 2025 Market Insights™ and Revenue Cycle Management (RCM) Business Process Transformation 2025 RadarView™, respectively.
These reports present a comprehensive study of RCM service providers and closely examine market leaders, innovators, disruptors, and challengers.
Avasant evaluated 44 service providers across three dimensions: practice maturity, domain ecosystem, and investments and innovation. Of the 44 providers, we recognized 24 that brought the most value to the market during the past 12 months.
The RadarView recognizes service providers in four categories:
Figure 1 below from the full report illustrates these categories:
“Healthcare providers are streamlining supplier/payor relations and administrative and workflow processes to tackle rising costs,“ said Avasant Senior Director Chirag Sharma. “They are investing in automation, EHR system updates, patient payment models, and AI-driven analytics or advanced billing software to transform RCM operations.”
The reports provide several findings, including the following:
“Prior authorization is majorly responsible for care delays and patient frustration, resulting in admin and financial challenges for providers,” said Ashutosh Darmal, lead analyst at Avasant. “They are turning to end-to-end prior authorization platforms and AI to improve turnaround times, collections, and patient experience.”
The RadarView also features detailed profiles of 24 service providers, along with their solutions, offerings, and experience in assisting enterprises in their RCM services journeys.
This Research Byte is a brief overview of the Avasant’s Revenue Cycle Management (RCM) Business Process Transformation 2025 Market Insights™ and Revenue Cycle Management (RCM) Business Process Transformation 2025 RadarView™. (Click for pricing.)
Avasant’s research and other publications are based on information from the best available sources and Avasant’s independent assessment and analysis at the time of publication. Avasant takes no responsibility and assumes no liability for any error/omission or the accuracy of information contained in its research publications. Avasant does not endorse any provider, product or service described in its RadarView™ publications or any other research publications that it makes available to its users, and does not advise users to select only those providers recognized in these publications. Avasant disclaims all warranties, expressed or implied, including any warranties of merchantability or fitness for a particular purpose. None of the graphics, descriptions, research, excerpts, samples or any other content provided in the report(s) or any of its research publications may be reprinted, reproduced, redistributed or used for any external commercial purpose without prior permission from Avasant, LLC. All rights are reserved by Avasant, LLC.
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