Targeting U.S. Healthcare Provider BPS
Who Is This Report For?
NelsonHall’s “Targeting healthcare provider BPS” report is acomprehensive market assessment report designed for:
Sourcing managers investigating sourcing developments within thehealthcare provider services market
Vendor marketing, sales and business managers developing strategiesto target service opportunities within the healthcare provider servicesmarket
Scope of the Report
The report analyzes the global market for outsourced healthcare providerservices and addresses the following questions:
What is the current and future market for outsourced healthcareprovider services?
What is the size and growth of the U.S. revenue cycle managementBPS market?
Within outsourced healthcare provider services, which servicesegments are emerging strongly?
What are the market segments for outsourced healthcare providerservices, and their characteristics? What are the issues, drivers andbenefits for each segment? What are vendor capabilities by segment?
What are vendor challenges and critical success factors by marketsegment?
How are vendor offerings and delivery capabilities changing to meetemerging market needs?
How are vendors positioned within each outsourced healthcareprovider services market segment?
Key Findings & Highlights
NelsonHall's market analysis for healthcare provider BPS marketconsists of 43 pages. The report focuses on revenue cycle managementservices, along with analytics and RPA implementation.The market for outsourced revenue cycle management services ischanging, driven by a number of trends. These include:
Healthcare providers are facing increased costs due to medical codingerrors
Healthcare providers are facing reduced A/R intake and have to copewith A/R follow-up, a time consuming process
Healthcare providers do not have adequately trained personnel whocan provide RCM services in a low cost environment
Lack of medical coding audit trails and operational process audits leadsto time delays and greater costs from human error
There is a lack of clarity between payers and providers for certainofferings, as to who is most appropriate to provide services such astelemedicine, remote monitoring, transition of care, and wellnessmanagement
ACOs which offer new types of bundled services need guidance onengaging with patients on a post-discharge basis, to maximize CMSreimbursements by reducing hospitals readmissions.
Patients with one or multiple chronic care conditions including asthma,COPD, diabetes, hypertension, and lipid disorders are projected toincrease in the coming decades in the U.S. and other developedeconomies, as a result of dietary habits and lifestyle choices. Moreover,an increasing proportion of these patients will be elderly, adding risksfor further health complications leading to hospitalization. Providers,and consequently vendors, will be required to keep these specificpopulation groups out of hospital, in order to reduce healthcare costs,one of the mandates of the ACA
Accelerating healthcare start-ups that operate on (technologyleveraging) new care models might disrupt the healthcare market bystandardizing procedures on payer/provider clinical data integration,thus making EHR systems less isolated. Genomics is also importantfor payers and providers as a lot of investments have been observedin this market, in order to understand disease predisposition and risks,while significant investment is made in diabetes population monitoring.
This report investigates the impact of these trends in revenue cyclemanagement in the healthcare provider services market, to identifyboth the precise change in customer requirements and the change invendor offerings and delivery capabilities that are being put in place torespond to these requirements.
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