Share
Stax Evaluated a New Business Opportunity in the Hospital Revenue Cycle Management (RCM) Market for a Healthcare Consultancy Firm
THE SITUATION
- A healthcare consultancy firm hired Stax to vet a new business concept in the hospital RCM market; the rationale being a combination of tighter regulation, increasing Medicare/Medicaid claims, and revenue leakage.
- The Client’s proposed solution was to be the one-stop-shop for hospital systems to fulfill their RCM optimization requirements. Acting as a strategic partner, they would design and implement outcomes-oriented improvements through both services and technology.
THE ASSIGNMENT
- To carry out a web survey and expert phone interviews with CFOs and revenue cycle SVPs/VPs at mid-sized and large hospitals along with extensive secondary research to assess the RCM market and gather insights on potential competitors.
THE BENEFITS
- Stax findings highlighted a clear growth pathway for the Client’s proposed solution within hospital systems and large independent hospitals with an immediate opportunity of ~$XX M.
THE FINDING
- The proposed solution garnered pockets of strong interest, particularly among lager hospital systems, where Stax estimated ~25% would be willing to sign up and spend around $XXX K within the first year.
- Among the top issues hospitals’ wanted addressed by a strategic partner were preventing and minimizing uninsured denials and bad debt, and expediting collections and accounts receivable (AR).
- Those not as likely to partner mentioned limited budget as a constraint, and shared a perception that an external solution would replace jobs of their corporate counterparts.
- From a competitive standpoint, the Client had strong awareness and reputation among its target customers. However, they were behind Epic and McKesson who were top-of-mind in part due to the extensive reach of their electronic health records (EHR) and patient administration system (PAS) platforms.
Read More
Palash MIsra was interviewed by PYMNTS to share his thoughts on AI's impact on FinTech. See what perspectives Palash shared on current investor priorities.
We are proud to congratulate Yiwei Jiang on being recognized at the 2026 Consulting Magazine Rising Star Awards in the category of Thought Leadership and Intellectual Capital. Read more.
Grant Thornton Stax Partner Chen Liu demonstrates our AI risk framework within a specific vertical software segment (GovTech ERPs). Read more about the our framework here.
Modernization is reshaping GovTech. See how resilient budgets, fragmented markets, and platform consolidation are creating new investment opportunities. Read more.
Grant Thornton Stax Director Sam Pinkes was recently featured by The Food Institute where she offered commentary around the growing humanization trend among pet owners. Read more.
We attended the RSA Conference, a premier flagship cybersecurity conference. Read our list of takeaways to learn about how cybersecurity assets will be impacted over the next year.