Healthcare: Business Models and Revenue Streams

Detailed examination of revenue cycle components including patient access, charge capture, coding, billing, and collections, with focus on supporting IT systems.

Comprehensive overview of healthcare revenue sources including insurance reimbursements, government funding, out-of-pocket payments, and emerging revenue models.

Detailed study of commercial insurance revenue streams, managed care organizations, capitation models, and technology systems supporting insurance-based revenue.

Analysis of Medicare, Medicaid, and other government healthcare programs, their funding mechanisms, regulatory requirements, and technology infrastructure needs.

Comprehensive comparison of payment methodologies, quality metrics, outcome-based payments, and the technology infrastructure required to support different payment models.

Study of healthcare pricing strategies, chargemaster systems, price transparency requirements, and technology solutions for pricing management.

Analysis of payer-led managed care models that incorporate care delivery and advanced analytics to serve complex healthcare needs and their technology requirements.

Study of alternative payment methodologies including bundled payments for episodes of care, shared savings programs, and risk-sharing arrangements.

Examination of healthcare capital investment trends, technology spending patterns, ROI measurement, and strategic investment decision-making processes.

Analysis of healthcare-specific financial metrics including operating margins, EBITDA, days in accounts receivable, and other KPIs tracked through financial systems.

Study of disruptive business models including subscription-based care, direct-to-consumer services, digital therapeutics, and platform-based healthcare delivery.

Analysis of healthcare economic principles including supply and demand dynamics, information asymmetries, moral hazard, and their influence on business models and IT solutions.