The report helps enterprises identify key revenue cycle management (RCM) service providers to digitally transform healthcare providers’ RCM operations. It begins with a summary of key trends that are shaping the RCM space. We then continue with a detailed assessment of 20 providers offering their services in the RCM outsourcing domain. Each profile provides an overview of the service provider, its key IP assets for RCM services, and a list of clients and partnerships, along with brief client case studies. Each profile concludes with analyst insights on the provider’s practice maturity, domain ecosystem, and investments and innovations.
Why read this RadarView?
Healthcare providers continue to look for end-to-end digital transformation of their RCM function, leading to increased RCM outsourcing. An increase in US government spending on insurance and telehealth has also led to an increase in demand for RCM services. Amid the ongoing COVID-19 pandemic, the significance of emerging technologies in transforming the RCM function has never been more important.
The RCM Business Process Transformation 2022 RadarView™ highlights key outsourcing trends in the RCM space and Avasant’s viewpoint on them. It aids companies in identifying top service providers to assist them in transforming their RCM operations. It also offers an analysis of each service providers’ capabilities in technology, domain expertise, and delivery-related support, enabling healthcare organizations to identify the right strategic partners for their RCM transformation.
Featured providers
This RadarView includes a detailed analysis of the following RCM service providers: Access Healthcare, AGS Health, Atos, Ciox, Cognizant, Conifer Health, CorroHealth, Ensemble Health, Exela Technologies, Firstsource, GeBBS, Genpact, HGS Healthcare, IKS Health, nThrive, Omega Healthcare, Optum, R1 RCM, Sutherland, and Wipro.
Methodology
The industry insights and recommendations are based on our ongoing interactions with enterprise CXOs and other key executives, targeted discussions with service providers, subject matter experts, and Avasant Fellows, along with lessons learned from consulting engagements.
Our evaluation of service providers is based on primary input from the providers, focused briefings, public disclosures, validation from their clients, and our ongoing market interactions. The assessment is across the three dimensions of practice maturity, domain ecosystem, and investments and innovation, leading to our recognition of those service providers that have brought the most value to the market over the past 12 months.
Table of contents
About the report (Page 3)
Executive summary (Pages 5–7)
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- Key RCM outsourcing trends shaping the market
- Avasant RCM Business Process Transformation 2022 RadarView
RCM market trends (Pages 8–19)
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- Government funding for telehealth has increased amid the pandemic, supported by changing patient preferences
- Healthcare providers face several challenges that affect their profitability
- RCM outsourcing sees double-digit growth among healthcare providers
- RCM service providers act as the essential bridge between payors and providers, creating synergy and interoperability among them
RadarView overview (Pages 20–25)
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- Methodology and coverage
- Interpretation of classification
- RadarView assessment
Service provider profiles (Pages 26–66)
Detailed profiles for Access Healthcare, AGS Health, Atos, Ciox, Cognizant, Conifer Health, CorroHealth, Ensemble Health, Exela Technologies, Firstsource, GeBBS, Genpact, HGS Healthcare, IKS Health, nThrive, Omega Healthcare, Optum, R1 RCM, Sutherland, and Wipro.
Key contacts (Page 67)
Read the Research Byte based on this report.
