至 2028 年全球醫療收益週期管理市場預測

支援人工智慧、分析和自動化的解決方案可增強醫療保健 RCM 的轉型潛力

勞動力短缺、收益和營業報酬率下降、患者付款問題、複雜的申請合規要求以及患者對無縫體驗的期望不斷提高等醫療保健挑戰正在推動醫療保健組織專注於收益周期管理(RCM)。我們面臨著壓力重新考慮我們的方法。醫療保健組織正在認知到穩健的 RCM 策略對於應對收益和報酬率挑戰的重要性。縮短服務到支付的周轉時間是任何 RCM 策略的重點。有效且高效的付款人-提供者協作是醫療保健提供者的競爭優勢。

向基於價值的護理的日益轉變、固有的流程效率低下（例如對數位前門的需求、容易出錯的編碼和文件以及不良的否認控制）正在推動對技術主導的RCM 解決方案的需求，而且這種需求正在不斷增加。醫療保健領導者將 RCM 視為其醫療保健 IT 策略的重中之重，並強調他們希望採用新技術。對話式人工智慧、生成式人工智慧和自動化等智慧型技術預計將推動 RCM 市場的變革性成長。

目錄

戰略問題

• 為什麼成長如此困難？
• The Strategic Imperative 8（TM）
• 關鍵策略要求對醫療保健收益週期管理 (RCM) 產業的影響
• 推動Growth Pipeline Engine（TM） 的成長機會

成長機會分析

• 分析範圍
• RCM解決方案細分
• RCM最終用戶部分
• 區域細分
• 主要競爭
• RCM 流程途徑- 選定的財務指標和統計數據
• RCM現狀
• 提供者面臨的主要挑戰
• RCM - 按階段和關鍵價值提案分類的挑戰
• 主要趨勢 – 對 VBC 和 RCM 的影響
• 推進提供者 VBC 目標的 RCM 公司
• 主要趨勢 - 支付完整性和收益完整性的結合
• 主要趨勢- 申請被拒絕和行政壓力增加
• 主要趨勢 - RCM 功能自動化
• 主要趨勢 - 強調醫療保健價格透明度
• 主要趨勢 - RCM 週期中前景廣闊的人工智慧使用案例
• AI 生成 – 高影響力的 RCM 功能
• 臨床文件創建 - 頂級 RCM 功能，其中 AI 世代發揮積極作用
• 來自產業的聲音 - RCM 解決方案如何影響收益週期流程？
• 成長指標
• 生長促進因子
• 成長抑制因素
• 預測假設
• 收益預測
• 按解決方案：收益預測
• 按最終用戶：收益預測
• 預測分析
• 價格趨勢和預測分析
• 按地區：收益預測
• 按地區分類：收益預測分析
• RCM解決方案的吸引力分析
• 結果 - 區域吸引力排名和繪圖
• 競爭環境
• 收益佔有率
• 收益佔有率分析
• 競爭概況
• 企業聚光燈
• 聚光燈
• 聚光燈
• 企業聚光燈

成長機會分析 - 醫院/門診診所

• 成長指標
• 收益預測
• 地區收益預測
• 預測分析

成長機會分析 - 醫生/專科診所

• 成長指標
• 收益預測
• 地區收益預測
• 預測分析

成長機會分析 - 其他護理設施

• 成長指標
• 收益預測
• 地區收益預測
• 預測分析

成長機會宇宙

• 成長機會1：前端RCM的互動式AI
• 成長機會 2：自動化實現高效 RCM
• 成長機會 3：混合RCM 方法
• 成長機會 4：RCM 區塊鏈

下一步

AI, Analytics, and Automation-enabled Solutions Enhancing Transformative Potential of Healthcare RCM

Healthcare challenges such as workforce shortages, decline in revenue and operating margins, patient payment collection issues, complex claims compliance requirements, and increased patient expectations for seamless experience are compelling healthcare providers to rethink their revenue cycle management (RCM) approach. Providers are realizing the importance of a robust RCM strategy to address revenue and margin challenges. Improving turnaround time from service to payment is a key focus of RCM strategies. Effective and efficient payer-provider coordination will be a competitive advantage for providers.

Growing shift toward value-based care, process-specific inefficiencies such as the need for a digital front door, error-prone coding and documentation, and poor denial management drive the demand for technology-driven RCM solutions. Healthcare leaders consider RCM a top healthcare IT strategy, highlighting their appetite for new technology adoption. Intelligent technologies such as conversational AI, Generative AI, and automation will spur the transformational growth of the RCM market.

Table of Contents

Strategic Imperatives

• Why is it Increasingly Difficult to Grow?
• The Strategic Imperative 8™
• The Impact of the Top 3 Strategic Imperatives on the Healthcare Revenue Cycle Management (RCM) Industry
• Growth Opportunities Fuel the Growth Pipeline Engine™

Growth Opportunity Analysis

• Scope of Analysis
• Solution Segmentation of RCM
• End User Segmentation of RCM
• Segmentation by Geography
• Key Competitors
• RCM Process Pathway-Selected Financial Metrics and Statistics
• Current State of the RCM
• Key Provider Challenges
• RCM-Phase-wise Challenges and Key Value Propositions
• Key Trend-VBC and its Impact on RCM
• RCM Companies Driving Providers' VBC Goals
• Key Trend-Align Goals of Payment Integrity and Revenue Integrity
• Key Trend-Growing Pressure of Claim Denials and Management
• Key Trend-Automation in RCM Functions
• Key Trend-Focus on Healthcare Price Transparency
• Key Trend-Promising Gen AI Use Cases across RCM Cycle
• Gen AI-High-impact RCM Functions
• Clinical Documentation-Top RCM Function with Gen AI Activities
• Voices from the Industry-How do RCM Solutions Impact the Revenue Cycle Process?
• Growth Metrics
• Growth Drivers
• Growth Restraints
• Forecast Assumptions
• Revenue Forecast
• Revenue Forecast by Solution
• Revenue Forecast by End User
• Forecast Analysis
• Pricing Trends and Forecast Analysis
• Revenue Forecast by Region
• Revenue Forecast Analysis by Region
• Analysis of the Attractiveness of RCM Solutions
• Result-Regional Attractiveness Ranking and Mapping
• Competitive Environment
• Revenue Share
• Revenue Share Analysis
• Competitive Overview
• Company Spotlight
• Company Spotlight
• Company Spotlight
• Company Spotlight

Growth Opportunity Analysis-Hospitals & Ambulatory Clinics

• Growth Metrics
• Revenue Forecast
• Revenue Forecast by Region
• Forecast Analysis

Growth Opportunity Analysis-Physician & Specialty Practices

• Growth Metrics
• Revenue Forecast
• Revenue Forecast by Region
• Forecast Analysis

Growth Opportunity Analysis-Other Care Sites

• Growth Metrics
• Revenue Forecast
• Revenue Forecast by Region
• Forecast Analysis

Growth Opportunity Universe

• Growth Opportunity 1: Conversational AI for Front-end RCM
• Growth Opportunity 2: Automation for Efficient RCM
• Growth Opportunity 3: Hybrid RCM Approach
• Growth Opportunity 4: Blockchain for RCM

Next Steps

• Your Next Steps
• Why Frost, Why Now?
• List of Exhibits
• Legal Disclaimer