Revenue Cycle Management (RCM) Operations – Services PEAK Matrix® Assessment 2021

Revenue Cycle Management (RCM) continues to be a key focus area for healthcare providers, as is evident from the fact that administrative expenses account for nearly 20-25% of their total spend. Before COVID-19, healthcare providers were already operating on thin margins, but the pandemic further shrunk the volumes, with most hospitals and health systems losing about 20% inpatient volumes and roughly 35% outpatient volumes relative to baseline levels, as per the American Health Organization. The financial pressures due to falling volumes, the shift to Value-Based Care (VBC) models, changing regulations, and declining margins have made the year challenging. As a result, business leaders are realizing the importance of an effective and efficient RCM outsourcing strategy and embracing third-party support.

In this research, we present detailed analysis and assessments of 28 operations service providers featured on the RCM Operations – Services PEAK Matrix®. We provide a relative positioning and analysis of the service providers and our evaluation of the providers’ strengths and limitations.