This report highlights key demand-side trends in the revenue cycle management (RCM) services sector, providing healthcare providers with insights to refine their revenue cycle and operational strategies. It covers significant trends and challenges in the RCM space, as identified through Avasant’s comprehensive assessment.

Why read this Market Insights?

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 improve patient experience, enhance critical workflows in emergency departments, hospitalist operations, and ambulatory care, and increase patient collections.

The Revenue Cycle Management (RCM) Business Process Transformation 2025 Market Insights™ aims to provide a view into important market trends and developments to help build a granular understanding of the RCM services ecosystem.

Methodology

The industry insights presented in this report are based on our ongoing interactions with enterprise CXOs and other key executives; targeted discussions with service providers, subject matter experts, and Avasant Fellows; analyst insights from primary and secondary research; and lessons learned from consulting engagements.

Table of contents

About the report (Page 3)

Executive summary (Pages 4–7)

• • Definition and scope of revenue cycle management business process transformation, functionality, and features
  • Key enterprise RCM BPT trends shaping the market
  • Avasant recognizes 24 top-tier service providers offering revenue cycle management business process transformation services

State of the market (Pages 8–14)

• • Medical practices’ operating costs continue to rise due to increasing staffing costs, medical supplies costs, and rising underpayments.
  • Healthcare providers are implementing different strategies to manage rising medical costs and staff retention and satisfaction.
  • Rise in charity care and bad debt due to higher denials and an increase in patient visits.
  • Prior authorization leads to care delays and frustration due to a lack of standardization.
  • Organizations prioritizing process automation, EHR system upgrades, patient payment models, and AI solutions to enhance RCM.
  • Enterprises are focusing on AI and advanced automation investments to streamline RCM operations.

Key contacts (Page 15)

Read the Research Byte based on this report. Please refer to Avasant’s Revenue Cycle Management (RCM) Business Process Transformation 2025 RadarView™ for detailed insights on the service providers and supply-side trends.