The evolving landscape of Revenue Cycle Management (RCM) highlights how AI, automation, and outsourcing are transforming financial and operational efficiencies for healthcare providers. Despite persistent challenges such as billing complexities and staffing shortages, healthcare leaders are increasingly prioritizing advanced automation, AI-driven decision-making, and cybersecurity to modernize RCM processes. Generative AI is expected to play a vital role in this modernization, with 85% of RCM leaders believing it will enhance efficiency within the next five years.
This report underscores that AI-driven RCM is no longer an option but a necessity for healthcare providers seeking financial resilience and operational excellence. Additionally, it highlights key considerations for selecting the right RCM partner and outlines how third-party providers can enhance RCM workflows for greater efficiency and compliance.
Scope
- Industry: healthcare
- Geography: North America
Contents
In this report, we explore:
- Key RCM challenges healthcare providers face
- Investment priorities for 2025 through 2030
- Current adoption of advanced analytics and intelligent automation, along with priority use cases for technology
- The emergence of generative AI in RCM, healthcare providers’ readiness, key use cases under consideration, and mitigation strategies for associated risks and barriers
- An outsourcing strategy for healthcare providers to transition to a technology-powered outsourcing model
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