Revenue Cycle Management (RCM) Business Process Transformation 2024 RadarView™

September, 2024

$2,950.00

Report Summary

This RadarView™ provides a view into the leading service providers trends offering revenue cycle management (RCM) services. It begins by summarizing key trends shaping the market’s supply side. It continues with a detailed assessment of 22 providers offering RCM services. Each profile provides an overview of the service provider, its key IP assets, 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 innovation.

Why read this RadarView?

Service providers are strengthening their RCM capabilities by integrating generative AI into a wide range of services across the value chain. Escalating healthcare costs, shrinking margins, and the growing demand for patient convenience are driving the shift toward RCM outsourcing. To remain competitive, healthcare providers must adopt technology-enabled platforms, decision support tools, workflow management systems, and automation solutions to transform their RCM processes and elevate the patient experience. However, the success of these initiatives depends on the ability to optimize RCM operations while delivering cost-effective support services. At the same time, providers must remain adaptable to the constantly evolving healthcare landscape to sustain long-term success.

The Revenue Cycle Management (RCM) Business Process Transformation 2024 RadarView™ highlights key supply-side trends in the RCM services space and Avasant’s viewpoint on them. It aids companies in identifying top service providers to assist them in outsourcing RCM services. It also analyzes each service provider’s technology and delivery support capabilities, enabling organizations to identify the right strategic partners for RCM services.

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Featured providers

This RadarView includes a detailed analysis of the following clinical service providers: Access Healthcare, AGS Health, Atos, Cognizant, Conifer Health, Datavant, Exela Technologies, FinThrive, Firstsource, GeBBS Healthcare Solutions, Genpact, Innova Solutions, NextGen Healthcare, Omega Healthcare, Optum, R1 RCM, Sagility, Savista RCM, Shearwater Health, Sutherland, Teleperformance, and WNS.

Methodology

Our evaluation of service providers is based on primary input from the providers, focused briefings, public disclosures, validation from their clients, and Avasant’s 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 4–9)

    • Definition and scope of revenue cycle management (RCM) business process transformation, functionality, and features
    • Avasant recognizes 22 top-tier service providers offering RCM business process transformation services
    • Provider comparison

Supply-side trends (Pages 10-14)

    • Around 50% of enterprises prefer outcome-linked pricing to have transparency and accountability in their operations.
    • With even growth across all client sizes, very large enterprises are driving half the revenues.
    • Providers are maximizing their RCM investments by focusing on product growth.
    • India continues to lead the demand for RCM outsourcing with major FTE allocation toward backend processes

Service provider profiles (Pages 15–59)

    • Detailed profiles for Access Healthcare, AGS Health, Atos, Cognizant, Conifer Health, Datavant, Exela Technologies, FinThrive, Firstsource, GeBBS Healthcare Solutions, Genpact, Innova Solutions, NextGen Healthcare, Omega Healthcare, Optum, R1 RCM, Sagility, Savista RCM, Shearwater Health, Sutherland, Teleperformance, and WNS.

Appendix (Pages 60–63)

    • Research methodology and coverage
    • Interpretation of classification
    • RadarView assessment

Read the Research Byte based on this report. Please refer to Avasant’s Revenue Cycle Management (RCM) Business Process Transformation 2024 Market Insights™ for detailed insights on the service providers and supply-side trends.