The healthcare providers in the United States spend ~US$400 billion every year on administrative services (mainly revenue cycle management). Considering the fact that this spend is the largest in the world – both in absolute as well as percentage (of the total spend) share terms – and a large part of it is due to inefficient processes such as manual intensive operations, lack of standardization, and errors, there is an immediate need to address this issue.

For the healthcare providers, administrative inefficiencies are not a one-solution problem but involve a range of coordinated steps in the form of technology investments, innovation, process reorganization, and specialists’ utilization (including third-party service providers). The healthcare providers – who were traditionally averse to outsourcing and offshoring – are now opening up to the idea of utilizing services of the third-party service providers.

This report covers the leading RCM BPS providers in the market along with their areas of expertise, along with focus on:

• Relative positioning of 23 service providers on Everest Group’s PEAK Matrix for RCM BPS
• Analysis of service providers’ market share
• Everest Group’s analysis of service providers’ strengths and areas of improvement

The scope and methodology of this report include:

• Over 180 RCM BPS contracts signed as of December 2018
• Coverage across 23 RCM BPS providers: Access Healthcare, AGS Health, Apexon Health, Atos, Cognizant, Exela Technologies, MedAssist (Firstsource), GeBBS, Genpact, HCL, HGS, IKS Health, MiraMed Ajuba, nThrive, NTT DATA, Omega Healthcare, Optum360, R1 RCM, Shearwater Health, Sutherland Global Services (SGS), Teleperformance, Visionary RCM, and WNS Global Services

Membership(s)

Healthcare & Life Sciences BPO