Frost Radar：《北美收入週期管理运营，2025》

Frost Radar: Revenue Cycle Management Operations in North America, 2025

出版日期: 2025年11月04日 | 出版商:

Frost & Sullivan | 英文 74 Pages | 商品交期: 最快1-2个工作天内

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简介目录

基准化分析体系－创新驱动新交易与成长管道

收入週期管理 (RCM) 领域正经历着翻天覆地的变化，技术进步、监管政策以及不断变化的客户期望迫使 RCM 供应商采取行动，升级其价值提案和策略，以保持竞争力。过去几年，医疗服务提供者面临巨大的财务压力。医院和医生集团的利润率正在压缩，目前中位数营运利润率仅为 1% 至 3%，这使得外包非核心但至关重要的职能（包括 RCM）变得迫切需要。

产业正经历一场技术革命，人工智慧和自动化已成为收入週期管理 (RCM) 解决方案的差异化优势。生成式人工智慧、机器学习和机器人流程自动化 (RPA) 不再是可选项，而是前端、中阶和后端 RCM 的核心要素。供应商正被要求从人事费用服务转型为自主 RCM，从而实现人工智慧驱动的编码、索赔拒付预测、预核准和病患支付优化。

Frost & Sullivan公司对产业内的众多公司进行分析。公司根据其领导力及其他特征进行筛选，然后根据10项成长和创新标准进行基准测试，以确定其在Frost Radar™中的位置。报告会考虑每家公司的优势以及与这些优势最契合的机会，从而呈现Frost Radar™竞争格局。

The revenue cycle management (RCM) operations space is at a structural inflection, and the convergence of technology, regulations, and dynamic buyer expectations is compelling RCM vendors to act and upgrade their value propositions and strategies to remain competitive. Providers have been under significant financial stress in the past few years. Hospitals and physician groups face margin compression with median operating margins now commonly between 1% and 3%, creating urgency to outsource non-core but critical operations, including RCM.

The industry is witnessing a technological disruption, with AI and automation as differentiators in RCM offerings. Generative AI, machine learning, and robotic process automation are no longer optional add-ons but core components of front-end, middle, and back-end RCM. Vendors are under pressure to evolve from labor-intensive delivery to autonomous RCM, enabling AI-driven coding, denial prediction, prior authorization, and patient payment optimization.

Frost & Sullivan analyzes numerous companies in an industry. Those selected for further analysis based on their leadership or other distinctions are benchmarked across 10 Growth and Innovation criteria to reveal their position on the Frost Radar™. The publication presents competitive profiles of each company on the Frost Radar™ considering their strengths and the opportunities that best fit those strengths.