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.

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

Memberships

Healthcare Payer and Provider Business Process

Revenue Cycle Management

Sourcing and Vendor Management