New research reveals that investing in AI and advanced automation is a top 2025 priority for RCM leaders
Waystar (WAY) has released findings from a comprehensive Qualtrics market survey on 2025 revenue cycle management (RCM) trends, polling 600 healthcare RCM, finance, and technology leaders. 92% of leaders prioritize AI and advanced automation investments for RCM operations.
The study reveals six key trends:
- AI and generative AI expansion in RCM operations
- Focus on strong ROI from RCM software investments
- Enhanced cybersecurity measures
- Shift to end-to-end platforms (70% using 1-2 software partners)
- Increased patient access automation
- Strengthened cash flow through error-free claims
Healthcare organizations face significant challenges, including $20 billion spent annually on denied claims, with 60% of denials originating from front-end patient access errors. Claim denials have increased by 20%, while labor costs for claims status inquiries have risen 71% over five years.
Waystar (WAY) ha pubblicato i risultati di un'ampia indagine di mercato condotta da Qualtrics riguardante le tendenze nella gestione del ciclo di entrate (RCM) per il 2025, intervistando 600 leader nei settori della RCM sanitaria, della finanza e della tecnologia. Il 92% dei leader dà priorità agli investimenti in intelligenza artificiale e automazione avanzata per le operazioni RCM.
Lo studio rivela sei tendenze chiave:
- Espansione dell'IA e dell'IA generativa nelle operazioni RCM
- Focus su un forte ROI dagli investimenti in software RCM
- Miglioramenti nelle misure di cybersecurity
- Passaggio a piattaforme end-to-end (70% utilizza 1-2 partner software)
- Aumento dell'automazione nell'accesso dei pazienti
- Rafforzamento del flusso di cassa attraverso richieste prive di errori
Le organizzazioni sanitarie affrontano sfide significative, tra cui 20 miliardi di dollari spesi annualmente per richieste negate, con il 60% delle negazioni che origina da errori di accesso dei pazienti nella fase iniziale. Le negazioni delle richieste sono aumentate del 20%, mentre i costi del lavoro per le richieste di stato delle richieste sono aumentati del 71% negli ultimi cinque anni.
Waystar (WAY) ha publicado los resultados de una extensa encuesta de mercado realizada por Qualtrics sobre las tendencias en la gestión del ciclo de ingresos (RCM) para 2025, encuestando a 600 líderes en RCM, finanzas y tecnología en el sector salud. El 92% de los líderes prioriza las inversiones en inteligencia artificial y automatización avanzada para las operaciones de RCM.
El estudio revela seis tendencias clave:
- Expansión de la IA y la IA generativa en las operaciones de RCM
- Enfoque en un fuerte ROI de las inversiones en software de RCM
- Medidas de ciberseguridad mejoradas
- Transición a plataformas de extremo a extremo (70% utiliza 1-2 socios de software)
- Aumento de la automatización en el acceso de pacientes
- Fortalecimiento del flujo de efectivo a través de reclamaciones sin errores
Las organizaciones de salud enfrentan desafíos significativos, incluyendo 20 mil millones de dólares gastados anualmente en reclamaciones denegadas, con el 60% de las denegaciones originándose en errores de acceso de pacientes en la parte frontal. Las denegaciones de reclamaciones han aumentado un 20%, mientras que los costos laborales por consultas sobre el estado de las reclamaciones han subido un 71% en los últimos cinco años.
Waystar (WAY)는 Qualtrics가 실시한 2025년 수익 주기 관리(RCM) 트렌드에 대한 종합 시장 조사 결과를 발표했습니다. 이 조사는 600명의 의료 RCM, 재무 및 기술 리더를 대상으로 진행되었습니다. 92%의 리더가 RCM 운영을 위한 AI 및 고급 자동화 투자에 우선 순위를 두고 있습니다.
이 연구는 여섯 가지 주요 트렌드를 밝혀냈습니다:
- RCM 운영에서의 AI 및 생성적 AI 확장
- RCM 소프트웨어 투자에서 강력한 ROI에 대한 집중
- 강화된 사이버 보안 조치
- 엔드 투 엔드 플랫폼으로의 전환 (70%가 1-2개의 소프트웨어 파트너 사용)
- 환자 접근 자동화 증가
- 오류 없는 청구를 통한 현금 흐름 강화
의료 기관들은 매년 200억 달러가 청구 거부에 지출되는 등 상당한 도전에 직면해 있으며, 청구 거부의 60%는 프론트 엔드 환자 접근 오류에서 발생합니다. 청구 거부는 20% 증가했으며, 청구 상태 문의에 대한 인건비는 지난 5년 동안 71% 상승했습니다.
Waystar (WAY) a publié les résultats d'une enquête de marché complète menée par Qualtrics sur les tendances de la gestion du cycle de revenus (RCM) pour 2025, interrogeant 600 dirigeants dans les domaines de la RCM, des finances et de la technologie en santé. 92% des dirigeants priorisent les investissements en IA et en automatisation avancée pour les opérations RCM.
L'étude révèle six tendances clés :
- Expansion de l'IA et de l'IA générative dans les opérations RCM
- Accent sur un ROI solide des investissements en logiciels RCM
- Mesures de cybersécurité renforcées
- Passage à des plateformes de bout en bout (70% utilisent 1-2 partenaires logiciels)
- Augmentation de l'automatisation de l'accès des patients
- Renforcement des flux de trésorerie grâce à des demandes sans erreur
Les organisations de santé font face à des défis importants, notamment 20 milliards de dollars dépensés chaque année pour des demandes refusées, 60% des refus provenant d'erreurs d'accès des patients en front-end. Les refus de demandes ont augmenté de 20%, tandis que les coûts de main-d'œuvre pour les demandes de statut ont augmenté de 71% au cours des cinq dernières années.
Waystar (WAY) hat die Ergebnisse einer umfassenden Marktforschung von Qualtrics zu den Trends im Bereich des Revenue Cycle Managements (RCM) für 2025 veröffentlicht, die 600 Führungskräfte aus den Bereichen RCM, Finanzen und Technologie im Gesundheitswesen befragt hat. 92% der Führungskräfte priorisieren Investitionen in KI und fortgeschrittene Automatisierung für RCM-Betrieb.
Die Studie zeigt sechs wichtige Trends auf:
- Erweiterung von KI und generativer KI in RCM-Operationen
- Fokus auf eine starke Rendite aus Investitionen in RCM-Software
- Verbesserte Maßnahmen zur Cybersicherheit
- Übergang zu End-to-End-Plattformen (70% nutzen 1-2 Softwarepartner)
- Erhöhte Automatisierung des Patienten Zugangs
- Gestärktes Cashflow durch fehlerfreie Ansprüche
Gesundheitsorganisationen stehen vor erheblichen Herausforderungen, darunter jährlich 20 Milliarden Dollar, die für abgelehnte Ansprüche ausgegeben werden, wobei 60% der Ablehnungen aus Fehlern beim Patienten Zugang an der Front stammen. Die Ablehnungen von Ansprüchen sind um 20% gestiegen, während die Arbeitskosten für Anfragen zum Status von Ansprüchen in den letzten fünf Jahren um 71% gestiegen sind.
- Strong market positioning with 92% of leaders prioritizing AI/automation solutions
- 100% of leaders report positive ROI with end-to-end platforms
- 70% of providers consolidating to 1-2 software partners, indicating market concentration
- Rising industry challenges: 20% increase in claim denials
- 71% increase in labor costs for claims status inquiries over 5 years
- Healthcare providers struggling with $20B annual costs from denied claims
Patient Access and Claim Management emerge as the top RCM functions prioritized for automation investment
Healthcare leaders face mounting pressure from rising administrative costs, increasing claim denials, payer conflicts, and cybersecurity threats. The research highlights a strong shift toward strategic software investments that accelerate cash flow, adapt to evolving payer policies, and optimize performance.
The top six trends for healthcare leaders in 2025 include:
- Expanding AI and generative AI investments to streamline RCM operations:
92% of leaders indicate their top priority is to invest in AI and advanced automation for RCM. Key focus areas for investment, in order of priority, include patient access, claim management, revenue integrity, patient financial care, denial prevention, and denial management. - Ensuring strong ROI from RCM software investments: Leaders emphasize return on investment (ROI) as a critical factor in their RCM purchasing decisions. Many providers consider alternative vendors when their current solutions underperform, citing low ROI as a core reason for switching platforms.
- Safeguarding data against cybersecurity breaches: Data security concerns with an existing vendor rank as the second most important factor in switching RCM software, following negative client support experiences. A strong focus on data security also ranks as a top factor when evaluating new revenue cycle software, reflecting the industry's focus on protecting sensitive financial and patient information.
- Adopting end-to-end software platforms over point solutions: In contrast to the historical reliance on multiple siloed, non-integrated point solutions, more than
70% of providers now work with one to two software partners for all RCM needs. A 2024 study shows that100% of leaders with end-to-end software platforms see a positive return on investment, which explains the industry's shift from point solutions toward a single platform. - Enhancing patient access to boost precision and prevent denials: Hospitals and health systems spend nearly
$20 billion 60% of denials stem from front-end patient access errors, healthcare organizations are increasing automation investments in financial clearance processes, such as prior authorizations and eligibility verification. As a result, Patient Access ranks as the top RCM automation investment priority, ensuring upfront accuracy and preventing downstream errors. - Strengthening cash flow with error-free claim submissions: With claim denials up
20% and labor costs for claims status inquiries rising71% over five years, providers are prioritizing automation in claim management to reduce errors and optimize cash flow. By increasing these investments, providers streamline claim submissions, track status in real-time, and monitor claims more effectively.
"Healthcare leaders are clear on their investment priorities for 2025: AI and advanced automation are critical to improving efficiency, accuracy, and security," said Matt Hawkins, Chief Executive Officer of Waystar. "Waystar is focused on delivering AI-powered software that maximizes return on investment for providers and simplifies healthcare payments in an increasingly complex landscape."
Waystar will discuss these findings during the 2025 HIMSS Global Healthcare Conference & Exhibition including at a panel on Tuesday, March 4 at 10:15 a.m. PT at The Venetian, Level 3, San Polo 3504. Attendees can also visit Waystar at Booth 4643 throughout the conference.
The full report is available at Waystar.com.
About Waystar
Waystar's mission-critical software is purpose-built to simplify healthcare payments so providers can prioritize patient care and optimize their financial performance. Waystar serves approximately 30,000 clients, representing over 1 million distinct providers, including 16 of 20 institutions on the
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