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市場調查報告書
商品編碼
1493391

美國收益週期管理市場規模/佔有率/趨勢分析報告：按最終用途、按產品類型、按組件、按交付方式、按醫師專業、按採購、按功能、細分市場預測，2024-2030 年

U.S. Revenue Cycle Management Market Size, Share & Trends Analysis Report By End-use, By Product Type, By Component, By Delivery Mode, By Physician Specialty, By Sourcing, By Function, And Segment Forecasts, 2024 - 2030
出版日期: | 出版商: Grand View Research | 英文 100 Pages | 商品交期: 2-10個工作天內

價格

美國收益周期管理市場成長與趨勢：

Grand View Research, Inc.最新報告顯示，到2030年，美國收益週期管理市場規模預計將達到3,081.2億美元，預測期內複合年成長率為10.18%。

醫療保健系統的快速轉型和數位化的採用為醫療保健 IT 服務的實施鋪平了道路，例如收益週期管理 (RCM) 系統，該系統使用同步管理軟體解決方案來組織和簡化醫療保健組織的工作流程。

此外，隨著採用電子程式來管理申請和報銷，美國醫療保健系統正在發生重大變化。大量知名醫療機構的存在、醫療保健意識和支出的提高以及數位素養的提高預計將推動市場成長。政府機構的支持性監管變革和市場相關人員持續的技術進步預計將進​​一步推動成長。對持續技術進步的日益成長的需求迫使相關人員重新考慮他們的產品開發方法，以加強醫療機構中提供者與患者的聯繫。主要相關人員正專注於與其他市場參與企業的聯盟、收購和策略聯盟，以鞏固他們的專業知識並擴大他們的市場佔有率。

2024 年 1 月，Veradigm LLC 宣布收購全方位服務 RCM 供應商 Koha Health。此次收購為 Veradigm 網路增添了肌肉骨骼醫學 (MSK) 專業知識，並增強了使用各種電子健康記錄(EHR) 系統向門診手術中心 (ASC) 和門診醫療保健提供者提供收益週期服務的能力。 Veradigm 正在增強其全面的收益週期服務，以便為客戶提供更好的價值並開拓進一步的成長機會。

美國收益周期管理市場報告亮點

  • 按產品類型分類，由於醫療機構對管理財務活動的單一同步平台的需求不斷成長，整合系統將在 2023 年引領市場。
  • 從交付形式來看，2023 年基於網路的交付細分市場佔據主導地位。
  • 按最終用途分類，醫院最終用途細分市場將在 2023 年引領市場。
  • 由於其他醫療保健服務的保險覆蓋範圍不斷擴大，其他醫生專業在 2023 年佔據了市場主導地位。
  • 由於患者數量不斷增加以及申請管理系統效率低下，申請管理行業在 2023 年按功能領域領先市場。
  • 2022 年 9 月，AGS Health 宣布推出 AGS AI 平台，這是連網型解決方案。該解決方案旨在透過提供無縫整合和強大的流程自動化來緩解勞動力短缺並實現靈活和可擴展的成長。

目錄

第1章調查方法和範圍

第 2 章執行摘要

第3章 市場變數、趨勢與範圍

  • 市場體系展望
    • 母市場展望
    • 相關/輔助市場展望
  • 市場趨勢及展望
  • 市場動態
    • 市場促進因素分析
    • 市場限制因素分析
  • 監管情景和贖回前景
    • 監管場景
    • 贖回框架
  • 商業環境分析工具
    • 產業分析-波特五力分析
    • PESTEL分析

第 4 章產品類型的商業分析

  • 美國收益週期管理市場：產品類型變化分析
  • 美國收益週期管理市場：產品類型細分儀表板
  • 2023 年和 2030 年產品類型趨勢和市場佔有率分析
  • 產品類別
  • 綜合系統
  • 獨立系統

第 5 章元件業務分析

  • 美國收益週期管理市場：成分變化分析
  • 美國收益週期管理市場：組件細分儀表板
  • 2023 年和 2030 年成分變動與市場佔有率分析
  • 按成分
  • 軟體解決方案
  • 服務

第6章 供應業態業務分析

  • 美國收益週期管理市場：交付形式變化分析
  • 美國收益週期管理市場：可用性細分細分儀表板
  • 2023 年和 2030 年交付形式趨勢和市場佔有率分析
  • 按規定形式
  • 本地
  • 基於網路的
  • 雲端基礎

第7章 醫師專業業務分析

  • 美國收益週期管理市場：醫師專業變異分析
  • 美國收益周期管理市場：醫師專業細分儀表板
  • 2023 年和 2030 年醫師專業趨勢和市場佔有率分析
  • 按醫師專業
  • 腫瘤學
  • 心臟病學
  • 麻醉
  • 放射科
  • 病理
  • 疼痛管理
  • 緊急服務
  • 其他

第8章採購業務分析

  • 美國收益週期管理市場：採購波動分析
  • 美國收益週期管理市場：採購細分儀表板
  • 2023年及2030年採購趨勢及市場佔有率分析
  • 透過採購
  • 公司內部
  • 外部 RCM 應用程式/軟體
  • 外包RCM服務

第 9 章功能的商業分析

  • 美國收益週期管理市場：功能變化分析
  • 美國收益週期管理市場：功能細分儀表板
  • 2023 年和 2030 年功能趨勢和市場佔有率分析
  • 按功能分類
  • 產品開發
  • 產品開發
  • 會員參與度
  • 網路管理
  • 護理管理
  • 理賠管理
  • 風險與合規性

第 10 章最終用戶業務分析

  • 美國收益週期管理市場：最終用戶變化分析
  • 美國收益週期管理市場：最終用戶細分儀表板
  • 2023 年和 2030 年最終用戶趨勢和市場佔有率分析
  • 按最終用途
  • 醫院
  • 醫生和臨床服務

第11章競爭格局

  • 公司分類
  • 公司市場分析
  • 策略規劃
  • 公司簡介/名單
  • athenahealth, Inc.
  • Cerner Corporation
  • eClinicalWorks
  • Epic Systems Corporation
  • McKesson Corporation
  • NXGN Management, LLC
  • Oncospark, Inc.
  • R1 RCM, Inc.
  • The SSI Group, Inc.
  • Veradigm LLC (Allscripts Healthcare LLC)
Product Code: GVR-2-68038-680-6

U.S. Revenue Cycle Management Market Growth & Trends:

The U.S. revenue cycle management market size is expected to reach USD 308.12 billion by 2030, growing at a CAGR of 10.18% over the forecast period, according to a new report by Grand View Research, Inc. The rapidly transforming healthcare system and adoption of digitalization are paving a path for implementing healthcare IT services such as Revenue Cycle Management (RCM) systems to organize and streamline workflows of healthcare organizations using synchronized management software solutions.

Moreover, healthcare systems in the U.S. are experiencing substantial changes with the adoption of electronic procedures for managing claims and reimbursements. The presence of numerous distinguished healthcare establishments, rising healthcare consciousness & expenditure, and increasing digital literacy are anticipated to boost market growth. Supportive regulatory alterations from government bodies and consistent technological advancements by market stakeholders are projected to further propel growth. The growing need for ongoing technological advancements is compelling the participants to revise their product development approaches to enhance the provider-patient connection within healthcare institutions. Key stakeholders are concentrating on alliances, acquisitions, and strategic collaborations with other industry participants to merge expertise & expand their market presence.

In January 2024, Veradigm LLC announced the acquisition of Koha Health, a full-service RCM provider. The acquisition added further expertise in the Musculoskeletal Medicine (MSK) specialty to the Veradigm Network while also strengthening its capacity to provide revenue cycle services to Ambulatory Surgical Centers (ASCs) and ambulatory healthcare provider practices that use diverse Electronic Health Record (EHR) systems. Veradigm is enhancing its comprehensive revenue cycle services range to offer better value to clients and tap into additional growth opportunities.

U.S. Revenue Cycle Management Market Report Highlights:

  • On the basis of product type, the integrated system spearheaded the market in 2023 due to the growing demand from healthcare organizations for a synchronized single platform to manage financial activities.
  • On the basis of delivery mode, the web-based delivery mode segment dominated the market in 2023 due to the cost-effectiveness and rapid deployment of these solutions.
  • On the basis of end-use, the hospitals end-use segment led the market in 2023 due to the presence of well-established hospitals and growing healthcare IT infrastructure.
  • The others physician specialty segment dominated the market in 2023 due to increase in insurance coverage for other healthcare services.
  • The claim management segment led the market in 2023 in the function segment due to the increasing patient volume and the presence of ineffective claim management systems.
  • In September 2022, AGS Health introduced a connected solution that blends automation and Artificial Intelligence (AI) called AGS AI Platform. This solution aims to deliver seamless integration and robust process automation to ease labor shortages and allow flexible, scalable growth.

Table of Contents

Chapter 1. Methodology and Scope

  • 1.1. Market Segmentation & Scope
    • 1.1.1. Segment Definitions
  • 1.2. Estimates and Forecast Timeline
  • 1.3. Research Methodology
  • 1.4. Information Procurement
    • 1.4.1. Purchased Database
    • 1.4.2. GVR's Internal Database
    • 1.4.3. Secondary Sources
    • 1.4.4. Primary Research
    • 1.4.5. Details of Primary Research
    • 1.4.6. Research Assumption
  • 1.5. Information or Data Analysis
    • 1.5.1. Data Analysis Models
  • 1.6. Market Formulation & Data Visualization
  • 1.7. Model Details
    • 1.7.1. Commodity Flow Analysis
  • 1.8. Objectives
  • 1.9. List of Secondary Sources
  • 1.10. List of Secondary Sources

Chapter 2. Executive Summary

  • 2.1. U.S. Revenue Cycle Management Market
    • 2.1.1. Market Snapshot
    • 2.1.2. Segment Snapshot
      • 2.1.2.1. End-user & product type segment outlook
      • 2.1.2.2. Component & delivery mode segment outlook
      • 2.1.2.3. Physician specialty & sourcing segment outlook
      • 2.1.2.4. Function segment outlook
    • 2.1.3. Competitive Landscape Snapshot

Chapter 3. Market Variables, Trends, & Scope

  • 3.1. Market Lineage Outlook
    • 3.1.1. Parent Market Outlook
    • 3.1.2. Related/Ancillary Market Outlook
  • 3.2. Market Trends and Outlook
  • 3.3. Market Dynamics
    • 3.3.1. Market Driver Analysis
      • 3.3.1.1. Technological advancements
      • 3.3.1.2. Increase in outsourcing of RCM
      • 3.3.1.3. Increasing adoption of mHealth
      • 3.3.1.4. Growth of High-deductible Health Plans (HDHPs)
    • 3.3.2. Market Restraint Analysis
      • 3.3.2.1. Increasing payer partnerships
      • 3.3.2.2. Lack of Professionals to handle RCM processes
  • 3.4. Regulatory Scenario & Reimbursement Outlook
    • 3.4.1. Regulatory Scenario
    • 3.4.2. Reimbursement Framework
  • 3.5. Business Environment Analysis Tools
    • 3.5.1. Industry Analysis - Porter's Five Forces Analysis
      • 3.5.1.1. Supplier power
      • 3.5.1.2. Buyer power
      • 3.5.1.3. Substitution threat
      • 3.5.1.4. Threat of new entrant
      • 3.5.1.5. Competitive rivalry
    • 3.5.2. PESTEL Analysis

Chapter 4. Product Type Business Analysis

  • 4.1. U.S. Revenue Cycle Management Market: Product Type Movement Analysis
  • 4.2. U.S. Revenue Cycle Management Market: Product Type Segment Dashboard
  • 4.3. Product Type Movement & Market Share Analysis, 2023 & 2030
  • 4.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Product Type
  • 4.5. Integrated System
    • 4.5.1. Integrated system market, 2018 - 2030 (USD Billion)
  • 4.6. Standalone System
    • 4.6.1. Standalone system market, 2018 - 2030 (USD Billion)

Chapter 5. Component Business Analysis

  • 5.1. U.S. Revenue Cycle Management Market: Component Movement Analysis
  • 5.2. U.S. Revenue Cycle Management Market: Component Segment Dashboard
  • 5.3. Component Movement & Market Share Analysis, 2023 & 2030
  • 5.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Component
  • 5.5. Software Solution
    • 5.5.1. Software solution market, 2018 - 2030 (USD Billion)
  • 5.6. Services
    • 5.6.1. Services market, 2018 - 2030 (USD Billion)

Chapter 6. Delivery Mode Business Analysis

  • 6.1. U.S. Revenue Cycle Management Market: Delivery Mode Movement Analysis
  • 6.2. U.S. Revenue Cycle Management Market: Delivery Mode Segment Dashboard
  • 6.3. Delivery Mode Movement & Market Share Analysis, 2023 & 2030
  • 6.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Delivery Mode
  • 6.5. On-premise
    • 6.5.1. On-Premise market, 2018 - 2030 (USD Billion)
  • 6.6. Web-based
    • 6.6.1. Web-based market, 2018 - 2030 (USD Billion)
  • 6.7. Cloud-based
    • 6.7.1. Cloud-based market, 2018 - 2030 (USD Billion)

Chapter 7. Physician Specialty Business Analysis

  • 7.1. U.S. Revenue Cycle Management Market: Physician Specialty Movement Analysis
  • 7.2. U.S. Revenue Cycle Management Market: Physician Specialty Segment Dashboard
  • 7.3. Physician Specialty Movement & Market Share Analysis, 2023 & 2030
  • 7.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Physician Specialty
  • 7.5. Oncology
    • 7.5.1. Oncology market, 2018 - 2030 (USD Billion)
  • 7.6. Cardiology
    • 7.6.1. Cardiology market, 2018 - 2030 (USD Billion)
  • 7.7. Anesthesia
    • 7.7.1. Anesthesia market, 2018 - 2030 (USD Billion)
  • 7.8. Radiology
    • 7.8.1. Radiology market, 2018 - 2030 (USD Billion)
  • 7.9. Pathology
    • 7.9.1. Pathology market, 2018 - 2030 (USD Billion)
  • 7.10. Pain Management
    • 7.10.1. Pain management market, 2018 - 2030 (USD Billion)
  • 7.11. Emergency Services
    • 7.11.1. Emergency services market, 2018 - 2030 (USD Billion)
  • 7.12. Others
    • 7.12.1. Others market, 2018 - 2030 (USD Billion)

Chapter 8. Sourcing Business Analysis

  • 8.1. U.S. Revenue Cycle Management Market: Sourcing Movement Analysis
  • 8.2. U.S. Revenue Cycle Management Market: Sourcing Segment Dashboard
  • 8.3. Sourcing Movement & Market Share Analysis, 2023 & 2030
  • 8.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Sourcing
  • 8.5. In-house
    • 8.5.1. In-house market, 2018 - 2030 (USD Billion)
  • 8.6. External RCM Apps/Software
    • 8.6.1. External RCM Apps/Software market, 2018 - 2030 (USD Billion)
  • 8.7. Outsourced RCM Services
    • 8.7.1. Outsourced RCM services market, 2018 - 2030 (USD Billion)

Chapter 9. Function Business Analysis

  • 9.1. U.S. Revenue Cycle Management Market: Function Movement Analysis
  • 9.2. U.S. Revenue Cycle Management Market: Function Segment Dashboard
  • 9.3. Function Movement & Market Share Analysis, 2023 & 2030
  • 9.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Function
  • 9.5. Product Development
    • 9.5.1. Product development market, 2018 - 2030 (USD Billion)
  • 9.6. Product Development
    • 9.6.1. Product development market, 2018 - 2030 (USD Billion)
  • 9.7. Member Engagement
    • 9.7.1. Member engagement market, 2018 - 2030 (USD Billion)
  • 9.8. Network Management
    • 9.8.1. Network management market, 2018 - 2030 (USD Billion)
  • 9.9. Care Management
    • 9.9.1. Care management market, 2018 - 2030 (USD Billion)
  • 9.10. Claim Management
    • 9.10.1. Claim management market, 2018 - 2030 (USD Billion)
  • 9.11. Risk and Compliances
    • 9.11.1. Risk and compliances market, 2018 - 2030 (USD Billion)

Chapter 10. End-User Business Analysis

  • 10.1. U.S. Revenue Cycle Management Market: End-User Movement Analysis
  • 10.2. U.S. Revenue Cycle Management Market: End-User Segment Dashboard
  • 10.3. End-User Movement & Market Share Analysis, 2023 & 2030
  • 10.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by End use
  • 10.5. Hospitals
    • 10.5.1. Hospitals market, 2018-2030 (USD Billion)
  • 10.6. Physician & Clinical Services
    • 10.6.1. Physician & clinical services market, 2018-2030 (USD Billion)

Chapter 11. Competitive Landscape

  • 11.1. Company Categorization
  • 11.2. Company Market Position Analysis
  • 11.3. Strategy Mapping
    • 11.3.1. Partnership/Collaboration/Alliance
    • 11.3.2. New Product Launch
    • 11.3.3. Mergers & Acquisitions
    • 11.3.4. Others
  • 11.4. Company Profiles/Listing
    • 11.4.1. athenahealth, Inc.
      • 11.4.1.1. Overview
      • 11.4.1.2. Financial performance
      • 11.4.1.3. Product benchmarking
      • 11.4.1.4. Strategic initiatives
    • 11.4.2. Cerner Corporation
      • 11.4.2.1. Overview
      • 11.4.2.2. Financial performance
      • 11.4.2.3. Product benchmarking
      • 11.4.2.4. Strategic initiatives
    • 11.4.3. eClinicalWorks
      • 11.4.3.1. Overview
      • 11.4.3.2. Financial performance
      • 11.4.3.3. Product benchmarking
      • 11.4.3.4. Strategic initiatives
    • 11.4.4. Epic Systems Corporation
      • 11.4.4.1. Overview
      • 11.4.4.2. Financial performance
      • 11.4.4.3. Product benchmarking
      • 11.4.4.4. Strategic initiatives
    • 11.4.5. McKesson Corporation
      • 11.4.5.1. Overview
      • 11.4.5.2. Financial performance
      • 11.4.5.3. Product benchmarking
      • 11.4.5.4. Strategic initiatives
    • 11.4.6. NXGN Management, LLC
      • 11.4.6.1. Overview
      • 11.4.6.2. Financial performance
      • 11.4.6.3. Product benchmarking
      • 11.4.6.4. Strategic initiatives
    • 11.4.7. Oncospark, Inc.
      • 11.4.7.1. Overview
      • 11.4.7.2. Financial performance
      • 11.4.7.3. Product benchmarking
      • 11.4.7.4. Strategic initiatives
    • 11.4.8. R1 RCM, Inc.
      • 11.4.8.1. Overview
      • 11.4.8.2. Financial performance
      • 11.4.8.3. Product benchmarking
      • 11.4.8.4. Strategic initiatives
    • 11.4.9. The SSI Group, Inc.
      • 11.4.9.1. Overview
      • 11.4.9.2. Financial performance
      • 11.4.9.3. Product benchmarking
      • 11.4.9.4. Strategic initiatives
    • 11.4.10. Veradigm LLC (Allscripts Healthcare LLC)
      • 11.4.10.1. Overview
      • 11.4.10.2. Financial performance
      • 11.4.10.3. Product benchmarking
      • 11.4.10.4. Strategic initiatives

List of Tables

  • Table 1 List of secondary sources
  • Table 2 List of abbreviations
  • Table 3 U.S. revenue cycle management market, by product type, 2018 - 2030 (USD Million)
  • Table 4 U.S. revenue cycle management market, by component, 2018 - 2030 (USD Million)
  • Table 5 U.S. revenue cycle management market, by delivery mode, 2018 - 2030 (USD Million)
  • Table 6 U.S. revenue cycle management market, by physician specialty, 2018 - 2030 (USD Billion)
  • Table 7 U.S. revenue cycle management market, by sourcing, 2018 - 2030 (USD Billion)
  • Table 8 U.S. revenue cycle management market, by function, 2018 - 2030 (USD Billion)
  • Table 9 U.S. revenue cycle management market, by end use, 2018 - 2030 (USD Billion)

List of Figures

  • Fig. 1 U.S. revenue cycle management market segmentation
  • Fig. 2 Market research process
  • Fig. 3 Information procurement
  • Fig. 4 Primary research pattern
  • Fig. 5 Market research approaches
  • Fig. 6 Value-chain-based sizing & forecasting
  • Fig. 7 QFD modeling for market share assessment
  • Fig. 8 Market formulation & validation
  • Fig. 9 Market snapshot
  • Fig. 10 Segment outlook
  • Fig. 11 Segment outlook
  • Fig. 12 Competitive scenario
  • Fig. 13 U.S. revenue cycle management market trends & outlook
  • Fig. 14 Market driver relevance analysis (Current & future impact)
  • Fig. 15 Market restraint relevance analysis (Current & future impact)
  • Fig. 16 U.S. revenue cycle management market: Porter's Five Forces analysis
  • Fig. 17 U.S. revenue cycle management market: PESTLE analysis
  • Fig. 18 U.S. revenue cycle management market: Product type segment dashboard
  • Fig. 19 U.S. revenue cycle management market: by Product type: Market share analysis, 2023 & 2030
  • Fig. 20 Integrated market, 2018 - 2030 (USD Billion)
  • Fig. 21 Standalone market, 2018 - 2030 (USD Billion)
  • Fig. 22 U.S. revenue cycle management market: Component segment dashboard
  • Fig. 23 U.S. revenue cycle management market: by Component: Market share analysis, 2023 & 2030
  • Fig. 24 Software market, 2018 - 2030 (USD Billion)
  • Fig. 25 Services market, 2018 - 2030 (USD Billion)
  • Fig. 26 U.S. revenue cycle management market: Delivery mode segment dashboard
  • Fig. 27 U.S. revenue cycle management market: by Delivery mode: Market share analysis, 2023 & 2030
  • Fig. 28 On Premise market, 2018 - 2030 (USD Billion)
  • Fig. 29 Web Based market, 2018 - 2030 (USD Billion)
  • Fig. 30 Cloud Based market, 2018 - 2030 (USD Billion)
  • Fig. 31 U.S. revenue cycle management market: Physician specialty segment dashboard
  • Fig. 32 U.S. revenue cycle management market: by Physician specialty: Market share analysis, 2023 & 2030
  • Fig. 33 Oncology market, 2018 - 2030 (USD Billion)
  • Fig. 34 Cardiology market, 2018 - 2030 (USD Billion)
  • Fig. 35 Anesthesia market, 2018 - 2030 (USD Billion)
  • Fig. 36 Radiology market, 2018 - 2030 (USD Billion)
  • Fig. 37 Pathology market, 2018 - 2030 (USD Billion)
  • Fig. 38 Pain management market, 2018 - 2030 (USD Billion)
  • Fig. 39 Emergency services market, 2018 - 2030 (USD Billion)
  • Fig. 40 Others market, 2018 - 2030 (USD Billion)
  • Fig. 41 U.S. revenue cycle management market: Sourcing segment dashboard
  • Fig. 42 U.S. revenue cycle management market: by Sourcing: Market share analysis, 2023 & 2030
  • Fig. 43 In-house market, 2018 - 2030 (USD Billion)
  • Fig. 44 External RCM Apps/Software market, 2018 - 2030 (USD Billion)
  • Fig. 45 Outsourced RCM services market, 2018 - 2030 (USD Billion)
  • Fig. 46 U.S. revenue cycle management market: Function segment dashboard
  • Fig. 47 U.S. revenue cycle management market: by Function: Market share analysis, 2023 & 2030
  • Fig. 48 Product development market, 2018 - 2030 (USD Billion)
  • Fig. 49 Member engagement market, 2018 - 2030 (USD Billion)
  • Fig. 50 Network management market, 2018 - 2030 (USD Billion)
  • Fig. 51 Care management market, 2018 - 2030 (USD Billion)
  • Fig. 52 Claims management market, 2018 - 2030 (USD Billion)
  • Fig. 53 Risk and compliance market, 2018 - 2030 (USD Billion)
  • Fig. 54 U.S. revenue cycle management market: End-user segment dashboard
  • Fig. 55 U.S. revenue cycle management market: by End-user: Market share analysis, 2023 & 2030
  • Fig. 56 Hospitals market, 2018 - 2030 (USD Billion)
  • Fig. 57 Physician and clinical services market, 2018 - 2030 (USD Billion)
  • Fig. 58 Competition categorization
  • Fig. 59 Company market position analysis
  • Fig. 60 Strategy mapping