#rcm business


Healthcare is undeniably India s largest sector nowadays in terms of both revenue and employment. Healthcare as a whole comprise hospitals, medical devices / equipments, outsourcing, medical tourism and health insurance.

Deloitte Touche Tohmatsu India, a multinational professional service company has estimated that the overall Indian healthcare market today is worth US$ 100 billion and will likely to grow at a CAGR of 23 per cent to US$ 280 billion by 2020.

The Indian medical tourism industry is pegged at US$ 3 billion per annum, with an estimated 230,000 medical tourists arriving in the country. This is expected to double sharply in the next four years to US$ 6 billion.

The healthcare segment has attracted Foreign Direct Investment (FDI) worth US$ 3.41 billion between April 2000 and December 2015, according to the Department of Industrial Policy and Promotion (DIPP).

With this sharp increase, India requires 600,000 to 700,000 additional beds over the next five to six years, indicative of an investment opportunity of US$ 25-30 billion. Given this demand for capital, the number of transactions in the healthcare space is expected to witness a sharp increase in the near future. Increase in number of transactions means a healthy rise in Revenue Cycle Management (RCM) provided the RCM company adapts a holistic approach to the process and provide a complete solution. Those firms that follow this practice will be in a position to grab larger share of market in the future.

Other than this, the outsourced market in the healthcare segment is estimated to be around US$ 8 billion, a majority of which is in the US, followed by India. In a flourishing trend, most of the US Healthcare providers are outsourcing their non-core processes like RCM to third-party service providers in other English speaking countries, where India is choosen as a favourabe destination.

The competitive advantage that India has is her large pool of English speaking, talented, well trained professionals with good analytical skills which is essential for BPO indusry, not to mention the cost competitiveness compared to other English speaking countries. The matured medical education system in the country is also widely appreciated abroad.

Eventhough, apprehensions existed few years back about India s ability to handle complex US healthcare process, now they have been removed, as the RCM players have invested wisely for training and upgradation of systems with in the organisation.

So far the major RCM companies in India have been focussing on large sized hospitals in US, the less than 500 bed mid sized hospitals are untouched. This niche market will become attractive in the coming years for RCM companies to work on.

With the internal development in healthcare business with in the country along with the outsourced businesses, the RCM business in India has a tremendous growth opportunity in the coming years.

What is required to grab a major pie of this business is to keep investing money and time to employ / train periodically the healthcare management personnel and invest on the advanced technology to store, manage and analyse, data which helps in automating the RCM process. With these in place, no stopping India as a future leader in Revenue Cycle Management.

Written 4w ago Not for Reproduction

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