Revenue Cycle Management
U.S. healthcare changed considerably over the last decade, transitioning into a more technologically advanced and regulated industry. Some of the most notable drivers include increasingly more stringent regulations like President Obama’s Patient Protection and Affordable Care Act (ACA), more detailed coding systems, and evolving valued-based reimbursement and payment models.
Although these changes present challenges and increased costs for healthcare providers, they also create sizeable business opportunities for the outsourced business services (OBS) sector, particularly companies specializing in revenue cycle management (RCM). RCM is an integral outsourced service for healthcare providers because of changes in legislation and regulation, administrative operations, and consumer demographics.
Overall, the RCM industry is a relatively young segment of the OBS sector that developed over the past few decades as a result of the evolving, and expanding, U.S. healthcare market. Before that, healthcare providers were primarily small-town physicians who treated neighbors and friends for unstructured costs, and were sometimes only paid if patients recovered. Between the 1980s and 1990s, large IT management companies began deploying systems designed to help clients more effectively manage their transaction processing, billing and receivables management needs as the RCM industry slowly gained recognition and traction within the healthcare industry.
The RCM industry changed drastically since its inception when it only handled billing and collections, and basic administrative functions. Today, healthcare is a technologically advanced market that requires expertise in treating medical problems and handling administrative functions through sophisticated billing and payment processing networks, and electronic health record systems.
In 2015, the RCM industry produced about $18 billion in revenue, and is projected to grow to more than $26 billion in annual revenue by 2021 at a compounded annual growth rate of 5.5 percent.
As a result of the ongoing evolution of the healthcare industry, the RCM industry continues to grow and attract interest from financial and strategic buyers. Kaulkin Ginsberg has worked with a number of these companies over the years, serving as both a strategic and transaction advisor to board-level executives.
We understand the history of the RCM industry, continue to garner expertise within it, and have the foresight to know where the industry is heading. We are excited about the potential within the RCM industry and look forward to working with owners and executives who are committed to achieving their growth and exit objectives.
If you are interested in receiving a copy of The Healthcare Revenue Cycle Management Industry Overview, or if you would like to confidentially discuss your interests in the RCM industry, please contact a member of our strategic advisory team at firstname.lastname@example.org.
Possible H-1B Visa Reform on the Horizon will Impact the ARM Industry
February 24, 2017
Human capital is a crucial aspect of efficient and innovative business processes, as well as a country's long-term growth potential. As such, the implications associated with changing the existing H-1B visa program structure will have far reaching consequences on all industries, including the outsourced business services. ....» see this post » all posts
Establishing Value Before Going to Market
February 1, 2017
Kaulkin Ginsberg recommends business owners establish a realistic value for their business before going to market. This ensures we are on the same page with our clients, and avoids causing undo stress to the management team by starting and stopping a sale process....» see this post » all posts
Check Payments: A Dying but Meaningful Market
January 19, 2017
Before the 21st century, collecting bad checks was one of the largest sources of new business for debt collection agencies. Innovations in fintech are continually changing consumers' transaction modes through the use of advanced technologies like mobile payment systems, and checks are becoming increasing rarer as a means of noncash payments. We examine trends within checking and discuss how changes in this market will affect the ARM industry. ....» see this post » all posts
Mike Ginsberg Leading Panel Discussion at DBA International 20th Anniversary Conference
February 1, 2017
Mike Ginsberg, President and CEO of Kaulkin Ginsberg, will be speaking in a panel discussion on Trends in Debt Buying on Wednesday, February 8th at the DBA International 20th Anniversary Conference in Las Vegas, Nevada....
Spring 2017 Research Fellowship Program Analyzes International Outsourced Business Services
February 1, 2017
Kaulkin Ginsberg, the leading consultancy and M&A advisory firm for the outsourced business services (OBS) industry, began the eighth semester of its Research Fellows Program on January 30th in conjunction with the University of Maryland, College Park's Department of Economics. Fellows will be analyzing and developing market research reports on the German, U.K., Australian, and Canadian OBS industries, with a particular focus on collection agencies and call centers.....
Kaulkin Ginsberg Releases the Healthcare RCM Overview
November 1, 2016
This report provides analyses of the current and anticipated challenges facing the healthcare market, trends facilitating growth, and an outlook for the future.....