Market Analysis 

Differentiation between competitors in the Healthcare Provider Industry is being defined by customerservice, patient experience and quality. Providers and payers are leveraging technology to become more efficient and effective; web-based SaaS technology has proven to be a less capital-intensive information technology (IT) strategy. In light of this, provider IT investments have increased substantially. Applications supporting point of care decision support, use and storage of clinical data, purchase order entry systems, billing and claim submissions and status, lab order/results, practice management, EMRs and patient eligibility are experiencing rapid investment and consolidation.

Currently, providers must manage a disjointed and protracted receivables experience. As a result, they are seeking simplified methods to collect payments and manage receivables, reducing bad debt expense. Consumerism & HSA accounts will drive providers to invest in tools that provide visibility into the revenue cycle. Pressures on RCM companies to provide new services with functions like eligibility, claims submissions, and platforms that help providers assess the financial status of uninsured patients and qualify them for Medicaid are likely to lead to further consolidation.