The revenue cycle management market faces several challenges. Hospitals and healthcare providers struggle with inefficient and outdated revenue cycle processes, leading to losses in potential revenue. Stringent regulations and compliance requirements add complexity that traditional systems have difficulty addressing. Security of patient health information is also a major concern, as more data is digital but cyber threats continue to evolve. Care teams have less time dedicated to revenue-generating activities as administrative workload rises. New payment models will require agile systems to track performance and enable value-based reimbursement.
Market Opportunities: Emergence of cloud-based models
Cloud-based RCM solutions allow for flexibility and scalability as service capacity can be increased or instantiated rapidly without major investments in new infrastructure. This enables organizations to adapt quickly to changing market dynamics and scale processes up or down as needed. The cloud model also reduces upfront capital costs since infrastructure is sourced on-demand and costs are operationalized. This makes cloud RCM affordable for even small and medium sized healthcare facilities. Importantly, cloud solutions ensure 24/7 access to RCM systems from any location via an internet connection. This supports distributed and remote workforces as well as telehealth services that have grown rapidly during the pandemic.
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