Category: Healthcare Industry

Business Process as a Service: A New Era in Healthcare Payer Solutions? | LinkedIn Live

LINKEDIN LIVE

Business Process as a Service: A New Era in Healthcare Payer Solutions?

Is Business Process as a Service (BPaaS) the next frontier in healthcare payer outsourcing transformations? 💡

The urgent need for integrated operations for healthcare payers is skyrocketing 🚀, with rising costs 💸 and ever-more complex regulatory requirements 📜 leading to a demand for more comprehensive, platform-led solutions. Third-party solution providers have struggled 😓 to deliver truly transformational impact with their current workflow and analytics solutions, but BPaaS models can be a game-changer 🎯, enabling them to drive holistic, scalable, and integrated outcomes for payer organizations.

Watch on-demand Everest Group experts Vivek Kumar, Practice Director, Vaibhav Srivastava, Senior Analyst, and Ankur Verma, Vice President, will cover the transformational benefits 🌟, including scalability, cost-effectiveness 💰, and integrated operations ⚙️ provided by BPaaS solutions, emphasizing how payers can futureproof their operations while seamlessly handling regulatory and other challenges today.

During this in-depth LinkedIn Live 🎙️, we discussed:

– Current enterprise priorities with respect to BPaaS solutions 📌
– Emerging innovations and investments 💡 in healthcare payer BPaaS, and how they are shaping the future of such solutions
– How BPaaS solution providers can tap into this growing opportunity 📈

Vivek Kumar
Practice Director
Vaibhav Srivastava
Senior Analyst
Ankur Verma
Vice President

Revenue Cycle Management (RCM) Operations PEAK Matrix® Assessment 2024

Revenue Cycle Management (RCM) Operations PEAK Matrix® Assessment

In 2023, US healthcare providers faced formidable challenges. Although patient volumes have started to recover, increased labor expense and talent shortage caused administrative burdens and workflow issues to become more pronounced. Despite slight improvements in hospital margins, denial rates continue to increase, putting pressure on revenue cycle performance and financial stability. Furthermore, being able to access and leverage clean data has become critical given medical coding’s rising complexity and the dynamic regulatory environment.

Additionally, the increase in patient responsibility has underscored third-party Revenue Cycle Management (RCM) service providers’ need to provide effective support. As healthcare providers strive to future-proof their revenue cycle operations, the focus remains on enhancing efficiency and mitigating current obstacles. Service providers are responding by scaling their talent pools, enhancing their technology portfolios with automation and analytics, and pursuing mergers and acquisitions to deepen their value chain coverage and remain competitive in the dynamic revenue cycle market.

Revenue Cycle Management (RCM) Operations

What is in this PEAK Matrix® Report

In this report, we assess 29 providers featured on the RCM Operations PEAK Matrix® Assessment 2024. Each profile offers a comprehensive picture of the provider’s service focus through a snapshot of its key strengths and limitations.

Scope:

  • Industry: healthcare
  • Geography: global

Contents:

In this report, we examine:

  • The RCM Operations PEAK Matrix® Assessment 2024
  • Key insights into PEAK Matrix® dimensions
  • The RCM business process services provider landscape
  • Providers’ key strengths, limitations, capabilities, and market shares
READ ON
 

RCM Peak

What is in this PEAK Matrix® Report

In this report, we assess 31 providers featured on the Revenue Cycle Management (RCM) Operations PEAK Matrix® Assessment 2023. Each profile offers a comprehensive picture of the provider’s service focus through a snapshot of its key strengths and limitations.

In this report, we examine:

  • The RCM Operations PEAK Matrix® Assessment 2023
  • Key insights into PEAK Matrix® dimensions
  • The RCM BPS provider landscape
  • Providers’ capabilities and market shares
  • Providers’ key strengths and limitations

Scope:

  • Industry: healthcare
  • Geography: global
  • Service: RCM Business Process Services (BPS)
  • The assessment is based on Everest Group’s annual RFI process for the calendar year 2023, interactions with leading RCM providers, client reference checks, and an ongoing analysis of the RCM services market
READ ON
 

Related PEAK Matrix® Assessments

Healthcare Payer Business Process as a Service (BPaaS) – Solutions PEAK Matrix® Assessment
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Healthcare Payer Business Process as a Service (BPaaS) – Solutions PEAK Matrix® Assessment 2024

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Care Management Platforms PEAK Matrix ® Assessment 2024

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What is the PEAK Matrix®?

The PEAK Matrix® provides an objective, data-driven assessment of service and technology providers based on their overall capability and market impact across different global services markets, classifying them into three categories: Leaders, Major Contenders, and Aspirants.

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