2022 was a tumultuous year for the US healthcare provider landscape. With patient volumes still below pre-pandemic levels, an increase in the average length of stay, severe talent shortages, and escalating costs, nearly half of the hospitals in the country faced negative margins. As healthcare providers face mounting revenue pressures, they are prioritizing the futureproofing of their revenue cycle operations. To overcome the current challenges, healthcare providers are seeking the support of third-party providers to optimize and streamline their revenue cycle processes.

In addition, providers are addressing healthcare providers’ needs by investing in scaling their talent pools, strengthening their technology portfolio to drive value through automation and analytics, and pursuing mergers and acquisitions to expand their value chain coverage and depth in the highly competitive revenue cycle market.

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.

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

Contents

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

Membership(s)

Healthcare Payer and Provider Business Process

Sourcing and Vendor Management