P2 Healthcare Providers Cheat Sheet
P2 Healthcare Providers Cheat Sheet
Market Landscape
- • 6,100 hospitals in the U.S. (AHA 2025), 4,000 acute-care facilities
- • 70%+ hospital ownership under health systems
- • Ecosystem includes hospitals, IPAs, CINs, ambulatory, post-acute care
Core Workflows
- • Inpatient: ADT, clinical documentation, bed management
- • Outpatient: Scheduling, referrals, chronic care
- • Emergency Dept: Triage → Stabilization → Admission
- • Surgery: Pre-op, OR scheduling, recovery
- • Post-Acute: Rehab, home health, remote monitoring
- • Revenue Cycle Management: Registration → Coding → Billing → Collections
Pain Points
- • Physician burnout & admin burden
- • Revenue leakage & denials
- • Interoperability gaps (payers/providers)
- • Rising costs & workforce shortages
- • Fragmented patient experience
Tech Stack Beyond EHR/EMR
- • RCM platforms: Waystar, Change Healthcare, Optum
- • Interoperability: HL7, FHIR, HIEs
- • Patient engagement: CRM, telehealth, portals
- • AI & Automation: Ambient scribing, prior auth automation, analytics
- • IoT & Smart Hospitals: Monitoring, robotics, connected devices
- • Enterprise Platforms: ECM, BPM, CCM (NewgenONE, Pega, Salesforce)
AI & Automation Value
- • Clinical: Decision support, care gap closure
- • Financial: Predictive RCM, denial management
- • Operational: Scheduling, workforce optimization, supply chain
Consulting Playbook
- 1. Discovery → Assess workflows & tech stack
- 2. Pilot → Target quick wins (RCM, scribing, telehealth)
- 3. Scale → Enterprise AI & interoperability
- 4. Platformize → AI-first operating model
Strategic Roadmap (3–5 Yrs)
- • Y1–2: Automate RCM, AI scribing, telehealth expansion
- • Y2–3: Predictive analytics for population health & capacity
- • Y3–5: AI-first hospitals, IoT-enabled smart care, payer-provider integration
Conclusion
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