至 2028 年全球医疗收益週期管理市场预测

支援人工智慧、分析和自动化的解决方案可增强医疗保健 RCM 的转型潜力

劳动力短缺、收益和营业报酬率下降、患者付款问题、复杂的申请合规要求以及患者对无缝体验的期望不断提高等医疗保健挑战正在推动医疗保健组织专注于收益周期管理(RCM)。我们面临着压力重新考虑我们的方法。医疗保健组织正在认识到稳健的 RCM 策略对于应对收益和报酬率挑战的重要性。缩短服务到支付的周转时间是任何 RCM 策略的重点。有效且高效的付款人-提供者协作是医疗保健提供者的竞争优势。

向基于价值的护理的日益转变、固有的流程效率低下（例如对数位前门的需求、容易出错的编码和文件以及不良的否认控制）正在推动对技术主导的RCM 解决方案的需求，而且这种需求正在不断增加。医疗保健领导者将 RCM 视为其医疗保健 IT 策略的重中之重，并强调他们希望采用新技术。对话式人工智慧、生成式人工智慧和自动化等智慧型技术预计将推动 RCM 市场的变革性成长。

目录

战略问题

• 为什么成长如此困难？
• The Strategic Imperative 8（TM）
• 关键策略要求对医疗保健收益週期管理 (RCM) 产业的影响
• 推动Growth Pipeline Engine（TM） 的成长机会

成长机会分析

• 分析范围
• RCM解决方案细分
• RCM最终用户部分
• 区域细分
• 主要竞争
• RCM 流程途径- 选定的财务指标和统计数据
• RCM现状
• 提供者面临的主要挑战
• RCM - 按阶段和关键价值提案分類的挑战
• 主要趋势 – 对 VBC 和 RCM 的影响
• 推进提供者 VBC 目标的 RCM 公司
• 主要趋势 - 支付完整性和收益完整性的结合
• 主要趋势- 申请被拒绝和行政压力增加
• 主要趋势 - RCM 功能自动化
• 主要趋势 - 强调医疗保健价格透明度
• 主要趋势 - RCM 週期中前景广阔的人工智慧使用案例
• AI 生成 – 高影响力的 RCM 功能
• 临床文件创建 - 顶级 RCM 功能，其中 AI 世代发挥积极作用
• 来自产业的声音 - RCM 解决方案如何影响收益週期流程？
• 成长指标
• 生长促进因子
• 成长抑制因素
• 预测假设
• 收益预测
• 按解决方案：收益预测
• 按最终用户：收益预测
• 预测分析
• 价格趋势和预测分析
• 按地区：收益预测
• 按地区划分：收益预测分析
• RCM解决方案的吸引力分析
• 结果 - 区域吸引力排名和绘图
• 竞争环境
• 收益占有率
• 收益占有率分析
• 竞争概况
• 企业聚光灯
• 聚光灯
• 聚光灯
• 企业聚光灯

成长机会分析 - 医院/门诊诊所

• 成长指标
• 收益预测
• 地区收益预测
• 预测分析

成长机会分析 - 医生/专科诊所

• 成长指标
• 收益预测
• 地区收益预测
• 预测分析

成长机会分析 - 其他护理设施

• 成长指标
• 收益预测
• 地区收益预测
• 预测分析

成长机会宇宙

• 成长机会1：前端RCM的互动式AI
• 成长机会 2：自动化实现高效 RCM
• 成长机会 3：混合RCM 方法
• 成长机会 4：RCM 区块链

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