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Revenue Cycle Management Market Size, Share & Trends Analysis Report by Product (Software, Services), by Type (Integrated, Standalone), by Delivery Mode, by End Use, by Region, and Segment Forecasts, 2022-2030

  • ID: 4764581
  • Report
  • April 2022
  • Region: Global
  • 130 Pages
  • Grand View Research

FEATURED COMPANIES

  • CareCloud Corporation
  • Cerner Corporation
  • eClinicalWorks
  • Epic Systems Corporation
  • McKesson Corporation
  • NXGN Management, LLC
The global revenue cycle management market size is expected to reach USD 658.7 billion by 2030. The market is expected to expand at a CAGR of 11.6% from 2022 to 2030. Growing digitalization of healthcare is driving organizations to adopt healthcare IT solutions such as Revenue Cycle Management (RCM) systems. Unorganized data siloes generated from multiple healthcare functionalities and the increasing need to streamline workflows to enhance productivity and efficiency are driving the adoption of RCM systems and propelling market growth.



The existing healthcare systems are transitioning and readily adopting electronic processes for claims management, coding, and reimbursements. The growing digital literacy across the globe and increasing healthcare IT spending coupled with technological advancements in healthcare infrastructure are anticipated to boost the market growth. Rising demand for workflow optimization and favorable regulatory support from government bodies is shaping development and growth. Transforming healthcare systems and constant technological advancements are driving key players to focus on their innovative product development strategies to enhance the patient-provider relationship in healthcare facilities.

Market players are focusing on partnerships and technological collaborations with other players to expand their business footprint and grow their clientele. For instance, in January 2020, Professional Recovery Consultants (PRC) and Continuum Health Technologies entered into a partnership to improve healthcare claims denial management. This partnership includes the combination of PRC’s advanced claims services with Continuum Health Technologies’ proprietary software-Patient Estimator and Denial Challenger-which automate follow-ups on active receivables, reduce claim denials, and offer pricing transparency during the claim’s lifecycle. The partnership is expected to offer healthcare providers a cost-effective and automatic way of managing the collection process, along with providing pricing transparency to patients and the industry as a whole.

Similarly, key players are launching innovative product solutions to expand their product portfolio and cater to the growing global demand. For instance, in February 2020, Waystar Health inaugurated Hubble, which is an AI/RPA platform used for automating revenue cycle processes. The Hubble platform increases revenue capture with the help of advanced machine learning and predictive analytics algorithms, which automatically recognize DRG anomalies, missing charges, and coding variances, based on a company’s past charging practice, generating millions of net revenues for its clients every year.

Revenue Cycle Management Market Report Highlights

  • The market size is anticipated to be valued at USD 658.7 billion by 2030, owing to the growing digitalization of healthcare and outsourcing of RCM solutions.
  • In 2021, the software segment dominated the market owing to the growing amount of data and the need to streamline workflows and consolidate unorganized data.
  • The integrated services segment dominated the market in 2021 owing to the growing demand for a coordinated format to manage various financial activities through a single platform.
  • In 2021, the web-based delivery mode segment dominated the market owing to numerous benefits offered by web-based solutions over on-premises deployed systems.
  • The physician back-office segment dominated in 2021 owing to the growing number of physician offices in developed countries such as the U.S.
  • North America dominated the market in 2021 owing to the presence of well-established, large healthcare facilities and an increasing number of physician offices.
Frequently Asked Questions about the Global Revenue Cycle Management Market

What is the estimated value of the Global Revenue Cycle Management Market?

The Global Revenue Cycle Management Market was estimated to be valued at $273.9 Billion in 2022.

What is the growth rate of the Global Revenue Cycle Management Market?

The growth rate of the Global Revenue Cycle Management Market is 11.6%, with an estimated value of $658.7 Billion by 2030.

What is the forecasted size of the Global Revenue Cycle Management Market?

The Global Revenue Cycle Management Market is estimated to be worth $658.7 Billion by 2030.

Who are the key companies in the Global Revenue Cycle Management Market?

Key companies in the Global Revenue Cycle Management Market include The SSI Group, Inc., Allscripts Healthcare, LLC, Cerner Corporation, McKesson Corporation, Athenahealth, Inc. (VERITAS CAPITAL Fund Management, L.L.C. AND EVERGREEN COAST CAPITAL), Epic Systems Corporation, eClinicalWorks, NXGN Management, LLC and Quest Diagnostics, Inc..
Note: Product cover images may vary from those shown

FEATURED COMPANIES

  • CareCloud Corporation
  • Cerner Corporation
  • eClinicalWorks
  • Epic Systems Corporation
  • McKesson Corporation
  • NXGN Management, LLC

Chapter 1 Research Methodology
1.1 Research Methodology
1.1.1 Information procurement
1.1.2 Purchased database:
1.1.3 Internal Database
1.1.4 Secondary sources
1.1.5 Third-Party Perspective
1.1.6 Primary Research:
1.2 Information or Data Analysis
1.3 Market Formulation & Validation
1.4 List of Secondary Sources
1.5 List of Primary Sources
Chapter 2 Executive Summary
2.1 Market Outlook
2.2 Segment Outlook
2.3 Competitive Insights
2.4 Market Snapshot
Chapter 3 Industry Outlook
3.1 Market Segmentation
3.2 Market Lineage Outlook
3.2.1 Parent market outlook: Healthcare IT Market
3.2.2 Related/ancillary market outlook
3.2.2.1 Tele-Healthcare
3.2.2.2 Medical Coding
3.3 Penetration & Growth Prospect Mapping
3.4 Product Pipeline Analysis
3.5 User Perspective Analysis
3.5.1 Consumer Behavior Analysis
3.5.2 Market Influencer Analysis
3.6 List of Key End Users
3.7 Regulatory Framework, by Country
3.7.1 U.S.
3.7.1.1 Reimbursement framework
3.7.1.2 Regulatory Modifications Influencing Radiology Reimbursement
3.7.1.3 Regulatory Modifications Influencing Cardiology Reimbursement
3.7.1.4 Preparing for Value-Based Reimbursement in Oncology Practices
3.7.2 Standards & Compliances
3.7.3 Canada
3.7.3.1 Reimbursement framework
3.7.4 U.K.
3.7.4.1 Reimbursement framework
3.7.5 Germany
3.7.5.1 Reimbursement framework
3.7.6 Spain
3.7.6.1 Reimbursement framework
3.7.7 France
3.7.7.1 Reimbursement framework
3.7.8 Italy
3.7.8.1 Reimbursement framework
3.7.9 Japan
3.7.9.1 Reimbursement framework
3.7.10 China
3.7.10.1 Reimbursement framework
3.7.11 India
3.7.11.1 Reimbursement framework
3.7.12 Australia
3.7.12.1 Reimbursement framework
3.7.13 Singapore
3.7.13.1 Reimbursement framework
3.7.14 South Korea
3.7.14.1 Reimbursement framework
3.7.15 Brazil
3.7.15.1 Reimbursement framework
3.7.16 Mexico
3.7.16.1 Reimbursement framework
3.7.17 Argentina
3.7.17.1 Reimbursement framework
3.7.18 South Africa
3.7.18.1 Reimbursement framework
3.7.19 UAE
3.7.19.1 Reimbursement framework
3.7.20 Saudi Arabia
3.7.20.1 Reimbursement framework
3.8 Market Driver Analysis
3.8.1 Government reforms
3.8.2 Technical advancements
3.8.3 Increase in outsourcing of revenue cycle management
3.9 Market Restraint Analysis
3.9.1 Lack of professionals
3.9.2 Infrastructure loopholes
3.10 Industry Challenges
3.10.1 lack of reimbursement scenario
3.11 Revenue Cycle Management Market Analysis Tools
3.11.1 Industry Analysis-Porter’s
3.11.1.1 Threat of new entrants: Moderate
3.11.1.2 Bargaining power of suppliers: Low
3.11.1.3 Competitive rivalry: High
3.11.1.4 Bargaining power of buyers: Moderate
3.11.1.5 Threat of substitutes: Low
3.12 Major Deals & Strategic Alliances Analysis
3.13 Market Entry Strategies
3.14 Revenue Cycle Management (RCM) Market-PESTL Analysis
3.15 COVID-19 Impact on the RCM Market
Chapter 4 Revenue Cycle Management (RCM) Market: Product Estimates & Trend Analysis
4.1 Definitions & Scope
4.2 Market: Product Movement Analysis, USD Million, 2021 & 2030
4.3 Software
4.3.1 Market Revenue Estimates and Forecasts, 2016-2030 (USD Million)
4.4 Services
4.4.1 Market Revenue Estimates and Forecasts, 2016-2030 (USD Million)
Chapter 5 Revenue Cycle Management (RCM) Market: Type Estimates & Trend Analysis
5.1 Definitions & Scope
5.2 Market: Type Movement Analysis, USD Million, 2021 & 2030
5.3 Integrated
5.3.1 Market Revenue Estimates and Forecasts, 2016-2030 (USD Million)
5.4 Standalone
5.4.1 Market Revenue Estimates and Forecasts, 2016-2030 (USD Million)
Chapter 6 Revenue Cycle Management (RCM) Market: Delivery Mode Estimates & Trend Analysis
6.1 Market: Delivery Mode Movement Analysis, USD Million, 2021 & 2030
6.2 On-premise
6.2.1 Market Revenue Estimates and Forecasts, 2016-2030 (USD Million)
6.3 Web-based
6.3.1 Market Revenue Estimates and Forecasts, 2016-2030 (USD Million)
6.4 Cloud-based
6.4.1 Market Revenue Estimates and Forecasts, 2016-2030 (USD Million)
Chapter 7 Revenue Cycle Management (RCM) Market: End-use Estimates & Trend Analysis
7.1 Market: End-use Movement Analysis, USD Million, 2021 & 2030
7.2 Physician Offices
7.2.1 Market Revenue Estimates and Forecasts for Physician Offices, 2016-2030 (USD Million)
7.3 Hospitals
7.3.1 Market Revenue Estimates and Forecasts for Hospitals, 2016-2030 (USD Million)
7.4 Diagnostic Laboratories
7.4.1 Market Revenue Estimates and Forecasts for Diagnostic Laboratories, 2016-2030 (USD Million)
7.5 Others
7.5.1 Market Revenue Estimates and Forecasts for Others, 2016-2030 (USD Million)
Chapter 8 Revenue Cycle Management Market: Segment Analysis, Product by Delivery Mode
8.1 Market: Product by Delivery Mode Movement Analysis, USD Million, 2021 & 2030
8.1.1 Software
8.1.1.1 Market revenue estimates and forecasts, 2016-2030 (USD Million)
8.1.1.2 On-premise
8.1.1.2.1 Market revenue estimates and forecasts, 2016-2030 (USD Million)
8.1.1.3 Web-based
8.1.1.3.1 Market revenue estimates and forecasts, 2016-2030 (USD Million)
8.1.1.4 Cloud-based
8.1.1.4.1 Market revenue estimates and forecasts, 2016-2030 (USD Million)
8.1.2 Services
8.1.2.1 Market revenue estimates and forecasts, 2016-2030 (USD Million)
8.1.2.2 On-premise
8.1.2.2.1 Market revenue estimates and forecasts, 2016-2030 (USD Million)
8.1.2.3 Web-based
8.1.2.3.1 Market revenue estimates and forecasts, 2016-2030 (USD Million)
8.1.2.4 Cloud-based
8.1.2.4.1 Market revenue estimates and forecasts, 2016-2030 (USD Million)
Chapter 9 Revenue Cycle Management (RCM) Market: Regional Estimates & Trend Analysis
9.1 Regional Dashboard
9.2 Regional Market Share Analysis, by Leading Players, 2021
9.2.1 North America
9.2.2 Europe
9.2.3 Asia Pacific
9.2.4 Latin America
9.2.5 MEA
9.3 SWOT Analysis, by Factor (Political, Legal, Economic, and Technological)
9.3.1 North America
9.3.2 Europe
9.3.3 the Asia Pacific
9.3.4 Latin America
9.3.5 MEA
9.4 Revenue Cycle Management (RCM) Market: Regional Movement Analysis
9.5 North America
9.5.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.5.2 U.S.
9.5.2.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.5.3 Canada
9.5.3.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.6 Europe
9.6.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.6.2 U.K.
9.6.2.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.6.3 Germany
9.6.3.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.6.4 France
9.6.4.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.6.5 Spain
9.6.5.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.6.6 Italy
9.6.6.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.7 Asia Pacific
9.7.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.7.2 China
9.7.2.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.7.3 Japan
9.7.3.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.7.4 India
9.7.4.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.7.5 South Korea
9.7.5.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.7.6 Singapore
9.7.6.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.7.7 Australia
9.7.7.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.8 Latin America
9.8.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.8.2 Brazil
9.8.2.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.8.3 Mexico
9.8.3.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.8.4 Argentina
9.8.4.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.9 MEA
9.9.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.9.2 South Africa
9.9.2.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.9.3 Saudi Arabia
9.9.3.1 Market estimates and forecasts, 2016-2030 (USD Million)
9.9.4 UAE
9.9.4.1 Market estimates and forecasts, 2016-2030 (USD Million)
Chapter 10 Competitive Analysis
10.1 Recent Developments & Impact Analysis, by Key Market Participants
10.1.1 Allscripts Healthcare Solutions partnered with U.S. orthopedic alliance (usoa)
10.1.2 The SSI Group, Inc. partnered with rcxrules
10.1.3 Healthcare Veteran launched healthrev partners
10.1.4 Waystar Health launched Hubble
10.1.5 R1 RCM, Inc. launched R1 Professional
10.1.6 SOC Telemed launched RCM service offering
10.1.7 Mastercard launched a new unit for healthcare billing and data security
10.1.8 Homecare Home-base launched new RCM tool
10.1.9 Apprio, Inc. introduced ApprioHealth
10.1.10 The SSI Group, Inc. launched a new machine learning capability FOR PREDICTING payor remittance
10.1.11 Veritas Capital and evergreen coast capital acquired athenahealth, inc.
10.1.12 The SSI Group, Inc. partnered with cerner millenium
10.1.13 Healthcare Administrative Partners launched MIPS Measure Assurance Services
10.1.14 Patientco launched PatientWalletSM
10.2 Company Categorization (Key Innovators, Market Leaders, Emerging Players)
10.3 Vendor Landscape
10.3.1 List of key distributors and channel partners
10.3.2 Key customers
10.3.3 Company Market Share Analysis, 2021
10.4 Public Companies
10.4.1 Company Market Position Analysis
10.4.2 Company Market Share/Ranking, by region
10.4.3 Competitive Dashboard Analysis
10.4.3.1 Market Differentiators
10.4.3.2 Synergy Analysis: Major Deals & Strategic Alliances
10.4.3.2.1 Investments
10.4.3.2.2 Partnerships
10.4.3.2.3 Merger & Acquisition
10.5 Private Companies
10.5.1 List of key emerging companies’ /technology disruptors/innovators
10.5.2 Regional network map
10.5.3 Company market position analysis (geographic presence, product portfolio, key alliance, industry experience)
10.5.4 Supplier Ranking
10.6 Key Companies Profiled
10.6.1 The SSI Group, Inc.
10.6.1.1 Company overview
10.6.1.2 Product benchmarking
10.6.1.3 Strategic initiatives
10.6.2 Allscripts Healthcare, LLC
10.6.2.1 Company overview
10.6.2.2 Financial performance
10.6.2.3 Product benchmarking
10.6.2.4 Strategic initiatives
10.6.3 Cerner Corporation
10.6.3.1 Company overview
10.6.3.2 Financial performance
10.6.3.3 Product benchmarking
10.6.3.4 Strategic initiatives
10.6.4 McKesson Corporation
10.6.4.1 Company overview
10.6.4.2 Financial performance
10.6.4.3 Product benchmarking
10.6.4.4 Strategic initiatives
10.6.5 Athenahealth, Inc. (VERITAS CAPITAL Fund Management, L.L.C. and EVERGREEN COAST CAPITAL)
10.6.5.1 Company overview
10.6.5.2 Product benchmarking
10.6.5.3 Strategic initiatives
10.6.6 Epic Systems Corporation
10.6.6.1 Company overview
10.6.6.2 Product benchmarking
10.6.6.3 Strategic initiatives
10.6.7 eClinicalWorks
10.6.7.1 Company overview
10.6.7.2 Product benchmarking
10.6.7.3 Strategic initiatives
10.6.8 NXGN Management, LLC
10.6.8.1 Company overview
10.6.8.2 Financial performance
10.6.8.3 Product benchmarking
10.6.8.4 Strategic initiatives
10.6.9 CareCloud Corporation
10.6.9.1 Company Overview
10.6.9.2 Product Benchmarking
10.6.9.3 Strategic Initiatives
10.6.10 Quest Diagnostics, Inc.
10.6.10.1 Company overview
10.6.10.2 Financial performance
10.6.10.3 Product benchmarking
10.6.10.4 Strategic initiatives
10.6.11 R1 RCM, Inc.
10.6.11.1 Company overview
10.6.11.2 Financial performance
10.6.11.3 Product benchmarking
10.6.11.4 Strategic initiatives
Note: Product cover images may vary from those shown
  • The SSI Group, Inc.
  • Allscripts Healthcare, LLC
  • Cerner Corporation
  • McKesson Corporation
  • Athenahealth, Inc. (VERITAS CAPITAL Fund Management, L.L.C. AND EVERGREEN COAST CAPITAL)
  • Epic Systems Corporation
  • eClinicalWorks
  • NXGN Management, LLC
  • CareCloud Corporation
  • Quest Diagnostics, Inc.
  • R1 RCM, Inc.
Note: Product cover images may vary from those shown

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