表紙
市場調查報告書

收入週期管理 (RCM) 美國市場:市場分析與預測

Assessment of the US Revenue Cycle Management Market, Forecast to 2024

出版商 Frost & Sullivan 商品編碼 590283
出版日期 內容資訊 英文 105 Pages
商品交期: 最快1-2個工作天內
價格
收入週期管理 (RCM) 美國市場:市場分析與預測 Assessment of the US Revenue Cycle Management Market, Forecast to 2024
出版日期: 2020年01月30日內容資訊: 英文 105 Pages
簡介

本報告研究美國醫院及診所的收入週期管理 (RCM) 解決方案市場,彙整市場定義和概要、市場背景、主要趨勢、導入推動和阻礙因素分析,提供按末端使用者和提供內容的收益預測、競爭環境、主要供應商簡介、成長機會分析、未來展望等情報。

第1章 摘要整理

第2章 市場概要

  • 市場定義
  • 市場背景

第3章 簡介

  • 美國RCM市場生態系統:主要產品導入處
  • 末端使用者和產品的分類
  • 產業推動因素
  • 末端使用者特殊推動因素
  • 醫師工作流程
  • RCM趨勢的重要性
  • 醫療請款和編碼化相關人材課題
  • 主要業務課題
  • RCM平台的轉換和附加價值的推動因素
  • 數位化情況和對提供商RCM費用的影響

第4章 醫院RCM市場分析

  • 重要RCM組成部分的導入
  • 次世代RCM組成部分的導入
  • 更換率 vs 單純升級

第5章 診所RCM市場分析

  • 主要課題
  • 診所管理解決方案優點
  • 從診療管理系統獲得最佳結果之考察
  • 診療管理系統的進步
  • 更換率 vs 首次購買 (包含add-on)
  • 醫院KPI

第6章 基於價值的RCM生態系統

第7章 外包RCM服務

  • 簡介和市場影響因素
  • 市場展望:多樣化商業模式
  • 主要考察
  • 最佳範例分析

第8章 市場預測與趨勢:整體市場

  • 市場工程測量
  • 預測方法和假設
  • 收益預測
  • 收益占比預測:按末端使用者
  • 收益預測:按末端使用者
  • 收益預測討論

第9章 市場預測與趨勢:醫院RCM市場

  • 市場工程測量
  • 收益預測
  • 收益預測討論
  • 收益預測:按提供內容

第10章 市場預測與趨勢:診所RCM市場

  • 市場工程測量
  • 收益預測
  • 收益預測討論
  • 收益預測:按提供內容
  • 收益預測討論:軟體
  • 收益預測討論:服務

第11章 普及分析

  • 醫院
  • 診所

第12章 供應商環境分析

  • 影響競爭因素
  • 供應商市場占比
  • 供應商趨勢
  • 透過基於價值的RCM解決方案降低風險策略
  • 美國的市場差距

第13章 競爭結構

  • 競爭環境
  • 醫療保健RCM的M&A
  • 主要M&A

第14章 供應商分類與簡介

  • 軟體應用程式提供商
  • 服務提供商

第15章 成長機會分析

  • 主要成長機會
  • 成功與成長策略要務

第16章 未來展望

  • 結論:三大預測
  • 結論:討論
  • 免責聲明

第17章 附錄

本網頁內容可能與最新版本有所差異。詳細情況請與我們聯繫。

目錄
Product Code: K43C-48

The Next Generation RCM is Prioritizing Consumer Centricity

This study primarily strives to:

  • Analyze the market forces affecting the utilization of next-generation Revenue Cycle Management (RCM) IT and service solutions among US hospitals and physician practices.
  • Evaluate the latest regulatory objectives that mandate episodic financial risk management initiatives.
  • Highlight the best practices in the areas of how RCM IT and service solutions are procured, deployed, and optimized.
  • Assess the outlook of outsourced or shared service-based RCM operating models.
  • Identify 5 major growth opportunities related to RCM.
  • Estimate the revenue potential of the total US RCM market (software applications and services), and include breakdowns by hospitals and physician practices, from 2019 to 2024.
  • Shortlist vendors that propose best-in class RCM IT and service solutions for hospitals and physician practices.

Market Overview::

  • CMS' tough stand on the final rule of Quality Payment Program (QPP), that increased reporting requirements for Merit-based Incentive Payment System (MIPS) participants in 2020 and 2021, will establish the value-based payment program as the predominant revenue model for all payers and providers in the next few years. Hence, the focus on RCM IT and service solutions that enable financial risk and quality management at an enterprise level will be intensified. This will also lead larger health systems consolidating their overall spend on core RCM IT solutions to fewer number of incumbent or prominent market participants.
  • Patients' direct contribution to total provider revenue is increasing rapidly, allowing payers and providers to invest on self-service tools that improve patients' overall financial experience by helping them schedule appointment, verify benefit eligibility, estimate financial responsibility, and facilitate secured payment online, from anywhere.
  • More patients are also deferring payment on their healthcare bills-resulting in cash flow issues and solvency concerns for providers. Hence, back-end RCM processes continue to be important. RCM service providers that specialize on medical billing, bad debt collection and complex contract management (e.g., Worker's Compensation Framework) will be working more closely with both payers (to provide input on sustainable premiums) and providers (to manage A/R).
  • The RCM outsourcing market is likely to sustain its strong momentum; however, business models remain inconsistent and contingent on the strength of providers' incumbent clinical documentation, coding, claims pre-authorization and denial management capabilities.
  • The RCM vendor market is going to be expanded to niche and third-party RCM service providers that render IT automation consumer centricity, EMR interoperability, and RCM performance reporting functions.
  • In the foreseeable future, progressive technologies (Natural Language Processing (NLP), voice assistants, Machine Learning (ML), chat bots) will become essential components of all advanced RCM portfolios that are used to reduce physician burden, improve coders' productivity, reduce denials, and manage financial risk.

Table of Contents

Executive Summary

  • Key Findings-Market Financials
  • Key Findings-Major Market Forces
  • Scope and Segmentation
  • Key Questions this Study will Answer
  • Market Engineering Measurements
  • Market Engineering Measurements (continued)
  • CEO's Perspective
  • Key Companies to Watch
  • Key Companies to Watch (continued)
  • Executive Summary-3 Big Predictions

Market Overview

  • Market Background-The Mature RCM Market is Preparing for an Upgrade
  • Market Background-Patients' Concern for Their Increasing Financial Liability is Real
  • Market Background-Regulatory Agencies are Favoring Modernization of RCM

Introduction to Next Generation RCM

  • Market Definition and Vendor Map
  • End-user and Product Segmentation of RCM
  • End-user and Product Segmentation of RCM (continued)
  • End-user and Product Segmentation of RCM (continued)

Hospital RCM Market Analysis

  • Market Overview
  • Top Growth Opportunities
  • Key Success Factors

Physician Practice RCM Market Analysis

  • Market Overview
  • Top Growth Opportunities
  • Key Success Factors

Outsourced RCM Services Market

  • Introduction to Outsourced RCM Services-Assessment of Market Forces
  • Outlook for Outsourced RCM Services-A Wide Array of Business Models are at Play
  • Assessment of Best Practices-Outsourced RCM Services

Forecasts and Trends-Total RCM Market

  • Market Engineering Measurements
  • Forecast Methodology and Assumptions
  • Revenue Forecast
  • Percent Revenue Forecast by End-user Segment
  • Revenue Forecast by End-user Segment
  • Revenue Forecast Discussion
  • Revenue Forecast Discussion (continued)

Growth Opportunity Assessment

  • 5 Major Growth Opportunities
  • Strategic Imperatives for Success and Growth

Hospital RCM Segment Analysis

  • Market Engineering Measurements
  • Revenue Forecast
  • Revenue Forecast Discussion
  • Revenue Forecast by Offering
  • Revenue Forecast by Offering (continued)
  • Revenue Forecast by Offering Discussion

Physician Practice RCM Segment Analysis

  • Market Engineering Measurements
  • Market Engineering Measurements (continued)
  • Revenue Forecast
  • Revenue Forecast Discussion
  • Revenue Forecast by Offering
  • Revenue Forecast by Offering (continued)
  • Revenue Forecast Discussion-Software and Service Applications

Penetration Analysis-Total RCM Market

  • Penetration Analysis-Hospitals
  • Penetration Analysis-Physician Practices

Competitive Market Structure

  • Competitive Environment
  • Competitive Environment (continued)
  • Competitive Environment (continued)
  • Competitive Environment (continued)
  • Competitive Environment (continued)

Vendor Landscape Assessment-Total RCM Market

  • Vendor Examples by RCM Applications and Services
  • Vendor Examples by RCM Applications and Services (continued)
  • Vendor Examples by RCM Applications and Services (continued)

Key Companies to Watch

  • Vendor Segmentation-Software Application Providers
  • Vendor Segmentation-Software Application Providers (continued)
  • Vendor Segmentation-Software Application Providers (continued)
  • Vendor Segmentation-Software Application Providers (continued)
  • Vendor Segmentation-Service Providers
  • Vendor Segmentation-Service Providers (continued)
  • Vendor Segmentation-Service Providers (continued)
  • Vendor Segmentation-Service Providers (continued)

Future Perspectives

  • 3 Big Predictions
  • Legal Disclaimer

Appendix

  • Abbreviation List
  • Abbreviation List (continued)
  • Vendor Segmentation Capability Definitions
  • List of Exhibits
  • List of Exhibits (continued)

The Frost & Sullivan Story

  • The Frost & Sullivan Story
  • Value Proposition-Future of Your Company & Career
  • Global Perspective
  • Industry Convergence
  • 360º Research Perspective
  • Implementation Excellence
  • Our Blue Ocean Strategy