Healthcare RCM: Trends in Alternative Payment Model Adoption | 2016

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Revenue cycle management (RCM) runs the show on the financial end of healthcare. RCM solutions come in all shapes and sizes from tracking patient data to appointment scheduling to insurance verification to coding… and beyond. A good RCM solution reduces time between service and payment– and getting paid sooner is always a good thing– while taking the load off of employees who have more important duties to perform.

In this updated data from a similar study last year, providers shared their current opinions on what they believe the impact of alternative payment models for value-based care will be on their organizations, which areas of RCM they will most likely need to outsource, and what vendors they are considering (whether for the first time or in replacement of their current solution).

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Critical aspects of RCM

With varying importance placed on each specific aspect, one thing is clear: effective RCM operations are absolutely critical to the overall health of every single provider organization in the country. But what aspect serves as a “hot button” for providers?


The roadmap toAPMs

Knowing just how many options providers have when it comes to alternative payment models (APMs), and what types of payments each model covers, is critical in understanding the revenue cycle management decision-making process.

Impact of value-based adoption

Making the change to value-based payments is in a word…intimidating. Providers believe that this switch will have a ripple effect throughout all operations– in what specific ways will providers need to tighten their grip?