Frost Radar: Revenue Cycle Management Operations in North America, 2025

A Benchmarking System to Spark Companies to Action - Innovation That Fuels New Deal Flow and Growth Pipelines

The revenue cycle management (RCM) operations space is at a structural inflection, and the convergence of technology, regulations, and dynamic buyer expectations is compelling RCM vendors to act and upgrade their value propositions and strategies to remain competitive. Providers have been under significant financial stress in the past few years. Hospitals and physician groups face margin compression with median operating margins now commonly between 1% and 3%, creating urgency to outsource non-core but critical operations, including RCM.

The industry is witnessing a technological disruption, with AI and automation as differentiators in RCM offerings. Generative AI, machine learning, and robotic process automation are no longer optional add-ons but core components of front-end, middle, and back-end RCM. Vendors are under pressure to evolve from labor-intensive delivery to autonomous RCM, enabling AI-driven coding, denial prediction, prior authorization, and patient payment optimization.

Frost & Sullivan analyzes numerous companies in an industry. Those selected for further analysis based on their leadership or other distinctions are benchmarked across 10 Growth and Innovation criteria to reveal their position on the Frost Radar™. The publication presents competitive profiles of each company on the Frost Radar™ considering their strengths and the opportunities that best fit those strengths.