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Revenue Cycle Management (RCM) Market Size, Share & Trends Analysis By Product (Software, Service), By Type (Integrated & Standalone), By Delivery Mode, By End Use, And Segment Forecasts, 2019 - 2026

  • ID: 4764581
  • Report
  • 100 pages
  • Grand View Research
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FEATURED COMPANIES

  • athenaHealth, Inc.
  • CareCloud
  • Cerner Corporation
  • eClinicalWorks LLC
  • EPIC Systems
  • McKesson Corporation
  • MORE
The global revenue cycle management market size is expected to reach USD 73.2 billion by 2026. It is anticipated to register a CAGR of 12.0% during the forecast period. In recent years, revenue cycle departments of private and community hospitals have received greater attention as an important driver to their revenue streams. The use of next-generation technology and data analytics tools enabled hospitals in tracking costs and identify cost-saving strategies, reducing denial management cases and optimizing financial performance.

Increase in cloud-based solutions, rising denial management cases, and strong government initiatives are expected to contribute to the growth in demand for Revenue Cycle Management (RCM) over the forecast period. According to the U.S based research firm Black Book, in the past six years, 400 out of 522 hospitals surveyed, implemented RCM systems. In January 2019, hospitals who have not systems in place, which is approximately 82.0%), said they are planning to have a revenue cycle management system in place.

However, the revenue cycle management market is facing stiff challenges such as lack of trained professionals and high deployment costs. Denial identification is another challenge for these systems. According to a study conducted by the Healthcare Information and Management Systems Society (HIMSS), it is estimated that approximately 31.0% of the providers are still using manual claims for the denial identification.

Further key findings from the report suggest:
  • Service segment is expected to showcase the highest CAGR of over 12.0% during the forecast period. Accounts receivable and denial management are expected to be the most outsourced services over the forecast period
  • Integrated solutions is expected to be the fastest growing segment. The systems are used with various other software to increase efficiency and communication in-between different departments. The web-based segment is projected to lead the market in 2026. These services are more affordable than cloud-based solutions
  • North America held the leading market share in 2018, owing to regulatory requirements in this region. Asia Pacific followed by Latin America are expected to report the fastest CAGR, over the forecast period, owing to the growth in IT infrastructure
  • Some of the players operating in the revenue cycle management market include McKesson Corp.; Cerner Corporation; Greenway Health, LLC, CareCloud Corporation; Epic Systems, Kareo, Inc.; The SSI Group, LLC; NextGen Healthcare, Quest Diagnostics, Inc.; eClinicalWorks; and Allscripts.

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Note: Product cover images may vary from those shown
2 of 3

FEATURED COMPANIES

  • athenaHealth, Inc.
  • CareCloud
  • Cerner Corporation
  • eClinicalWorks LLC
  • EPIC Systems
  • McKesson Corporation
  • MORE
Chapter 1 Methodology and Scope
1.1 Market segmentation & scope
1.2 Information procurement
1.2.1 Purchased database
1.2.2 Internal database
1.2.3 Secondary sources & third party perspectives
1.2.4 Primary research
1.3 Information analysis
1.3.1 Data analysis models
1.4 Market formulation & data visualization
1.5 Data validation & publishing

Chapter 2 Executive Summary
2.1 Market Outlook
2.2 Segment Outlook
2.3 Competitive Insights

Chapter 3 Revenue Cycle Management Market Variables, Trends & Scope
3.1 Market Lineage outlook
3.1.1 Parent market outlook
3.1.2 Related/ancillary market outlook
3.2 Penetration & Growth Prospect Mapping
3.3 Product Pipeline Analysis, by Stage
3.4 User perspective analysis
3.4.1 Consumer Behavior Analysis
3.4.2 Market Influencer Analysis
3.5 List of Key End-users, by region / by product / by country
3.6 Regulatory Framework
3.6.1 Reimbursement framework
3.6.2 Standards & Compliances
3.7 Market Dynamics
3.7.1 Market Driver Analysis
3.7.1.1 Government reforms
3.7.1.2 Technical advancements
3.7.1.3 Growth in outsourcing
3.7.2 Market Restraint Analysis
3.7.2.1 Lack of professionals
3.7.2.2 Infrastructure loopholes
3.7.3 Industry Challenges
3.7.3.1 Lack of reimbursement scenario
3.8 Revenue Cycle Management: Market Analysis Tools
3.8.1 Industry Analysis – Porter’s
3.8.1.1 Supplier Power: (High)
3.8.1.2 Buyer Power: (High)
3.8.1.3 Substitution Threat: (Low)
3.8.1.4 Threat from new entrant: (High)
3.8.1.5 Competitive rivalry: (High)
3.8.2 PESTEL Analysis
3.8.2.1 Political Landscape
3.8.2.2 Environmental Landscape
3.8.2.3 Social Landscape
3.8.2.4 Technology Landscape
3.8.2.5 Legal Landscape
3.8.3 Major Deals & Strategic Alliances Analysis
3.8.3.1 Joint Ventures
3.8.3.2 Mergers & Acquisitions
3.8.3.3 Licensing & Partnership
3.8.3.4 Technology Collaborations
3.8.3.5 Strategic Divestments
3.8.4 Market Entry Strategies

Chapter 4 Revenue Cycle Management Market: Segment Analysis, By Product, 2015 - 2026 (USD Million)
4.1 Definitions & Scope
4.2 Product type market share analysis, 2018 & 2026
4.3 Segment Dashboard
4.4 Global Revenue Cycle Management Market, by product, 2015 to 2026
4.5 Market Size & Forecasts and Trend Analyses, 2015 to 2026 for the following
4.5.1 Software
4.5.2 Services

Chapter 5 Revenue Cycle Management Market: Segment Analysis, By Type, 2015 - 2026 (USD Million)
5.1 Definitions & Scope
5.2 Type market share analysis, 2018 & 2026
5.3 Segment Dashboard
5.4 Global Revenue Cycle Management Market, by Type, 2015 to 2026
5.5 Market Size & Forecasts and Trend Analyses, 2015 to 2026 for the following
5.5.1 Integrated
5.5.2 Standalone

Chapter 6 Revenue Cycle Management Market: Segment Analysis, By Delivery Mode, 2015 - 2026 (USD Million)
6.1 Global Revenue Cycle Management Market, by Delivery Mode, 2015 to 2026
6.2 Market Size & Forecasts and Trend Analyses, 2015 to 2026 for the following
6.2.1 On-premise
6.2.2 Web-based
6.2.3 Cloud-based

Chapter 7 Revenue Cycle Management Market: Segment Analysis, By End Use, 2015 - 2026 (USD Million)
7.1 Global Revenue Cycle Management Market, by Delivery Mode, 2015 to 2026
7.2 Market Size & Forecasts and Trend Analyses, 2015 to 2026 for the following
7.2.1 Physician Offices
7.2.2 Hospitals
7.2.3 Diagnostic Laboratories
7.2.4 Others

Chapter 8 Revenue Cycle Management Market: Segment Analysis, Product by Delivery Mode, 2015 - 2026 (USD Million)
8.1 Global Revenue Cycle Management Market, by Product by Delivery Mode, 2015 to 2026
8.2 Market Size & Forecasts and Trend Analyses, 2015 to 2026 for the following
8.2.1 Software
8.2.1.1 On-premise
8.2.1.2 Web-based
8.2.1.3 Cloud-based
8.2.2 Services
8.2.2.1 On-premise
8.2.2.2 Web-based
8.2.2.3 Cloud-based

Chapter 9 Revenue Cycle Management Market: Regional Market Analysis, 2015 - 2026 (USD Million)
9.1 Definitions & Scope
9.2 Regional market share analysis, 2018 & 2026
9.3 Regional Market Dashboard
9.4 Regional Market Snapshot (Market Size, CAGR, Top Verticals, Key Players, Top Trends)
9.5 Regional Market Share and Leading Players, 2018
9.5.1 North America
9.5.2 Europe
9.5.3 Asia Pacific
9.5.4 Latin America
9.5.5 Middle East & Africa
9.6 SWOT Analysis, by Factor (Political & Legal, Economic And Technological)
9.6.1 North America
9.6.2 Europe
9.6.3 Asia Pacific
9.6.4 Latin America
9.6.5 Middle East & Africa
9.7 Market Size, & Forecasts, Volume and Trend Analysis, 2018 to 2025:
9.8 North America
9.8.1 Market estimates and forecast, by country, 2015 - 2026 (USD Million)
9.8.2 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.8.3 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.8.4 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.8.5 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.8.6 U.S.
9.8.6.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.8.6.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.8.6.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.8.6.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.8.7 Canada
9.8.7.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.8.7.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.8.7.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.8.7.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.9 Europe
9.9.1 Market estimates and forecast, by country, 2015 - 2026 (USD Million)
9.9.2 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.9.3 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.9.4 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.9.5 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.9.6 U.K.
9.9.6.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.9.6.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.9.6.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.9.6.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.9.7 Germany
9.9.7.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.9.7.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.9.7.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.9.7.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.9.8 France
9.8.1.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.8.1.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.8.1.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.8.1.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.9.9 Italy
9.9.9.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.9.9.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.9.9.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.9.9.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.9.10 Spain
9.9.10.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.9.10.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.9.10.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.9.10.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.10 Asia Pacific
9.10.1 Market estimates and forecast, by country, 2015 - 2026 (USD Million)
9.10.2 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.10.3 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.10.4 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.10.5 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.10.6 Japan
9.10.6.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.10.6.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.10.6.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.10.6.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.10.7 China
9.10.7.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.10.7.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.10.7.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.10.7.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.10.8 India
9.10.8.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.10.8.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.10.8.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.10.8.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.10.9 Australia
9.10.9.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.10.9.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.10.9.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.10.9.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.10.10 South Korea
9.10.10.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.10.10.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.10.10.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.10.10.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.10.10.5 Market estimates and forecast, by application, 2015 - 2026 (USD Million)
9.11 Latin America
9.11.1 Market estimates and forecast, by country, 2015 - 2026 (USD Million)
9.11.2 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.11.3 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.11.4 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.11.5 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.11.6 Brazil
9.11.6.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.11.6.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.11.6.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.11.6.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.11.7 Mexico
9.11.7.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.11.7.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.11.7.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.11.7.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.11.8 Argentina
9.11.8.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.11.8.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.11.8.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.11.8.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)
9.11.9 Columbia
9.11.9.1 Market estimates and forecast, by product, 2015 - 2026 (USD Million)
9.11.9.2 Market estimates and forecast, by type, 2015 - 2026 (USD Million)
9.11.9.3 Market estimates and forecast, by delivery mode, 2015 - 2026 (USD Million)
9.11.9.4 Market estimates and forecast, by end use, 2015 - 2026 (USD Million)

Chapter 10 Revenue Cycle Management Market – Competitive Analysis
10.1 Recent developments & impact analysis, by key market participants
10.2 Company/Competition 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 Key company market share analysis, 2018
10.4 Public Companies
10.4.1 Company market position analysis (Revenue, geographic presence, product portfolio, key serviceable industries, key alliances)
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
10.5 Private Companies
10.5.1 List of key emerging companies’ /technology disruptors/innovators
10.5.2 Funding Outlook (Optional)
10.5.3 Regional network map
10.5.4 Company market position analysis (geographic presence, product portfolio, key alliance, industry experience)
10.6 Supplier Ranking
10.7 Key companies profiled
10.7.1 The SSI Group, Inc.
10.7.1.1 Company Overview
10.7.1.2 Financial Performance
10.7.1.3 Product Benchmarking
10.7.1.4 Strategic Initiatives
10.7.2 Allscripts Healthcare Solutions, Inc.
10.7.2.1 Company Overview
10.7.2.2 Financial Performance
10.7.2.3 Product Benchmarking
10.7.2.4 Strategic Initiatives
10.7.3 Cerner Corporation
10.7.3.1 Company Overview
10.7.3.2 Financial Performance
10.7.3.3 Product Benchmarking
10.7.3.4 Strategic Initiatives
10.7.4 McKesson Corporation
10.7.4.1 Company Overview
10.7.4.2 Financial Performance
10.7.4.3 Product Benchmarking
10.7.4.4 Strategic Initiatives
10.7.5 athenaHealth, Inc.
10.7.5.1 Company Overview
10.7.5.2 Financial Performance
10.7.5.3 Product Benchmarking
10.7.5.4 Strategic Initiatives
10.7.6 EPIC Systems
10.7.6.1 Company Overview
10.7.6.2 Financial Performance
10.7.6.3 Product Benchmarking
10.7.6.4 Strategic Initiatives
10.7.7 eClinicalWorks LLC
10.7.7.1 Company Overview
10.7.7.2 Financial Performance
10.7.7.3 Product Benchmarking
10.7.7.4 Strategic Initiatives
10.7.8 NextGen Healthcare Information System LLC
10.7.8.1 Company Overview
10.7.8.2 Financial Performance
10.7.8.3 Product Benchmarking
10.7.8.4 Strategic Initiatives
10.7.9 CareCloud
10.7.9.1 Company Overview
10.7.9.2 Financial Performance
10.7.9.3 Product Benchmarking
10.7.9.4 Strategic Initiatives
10.7.10 Quest Diagnostics, Inc.
10.7.10.1 Company Overview
10.7.10.2 Financial Performance
10.7.10.3 Product Benchmarking
10.7.10.4 Strategic Initiatives

Chapter 11 KOL Commentary

Chapter 12 Recommendations

*Full List of Tables and Figures Available on Enquiry.
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  • Allscripts Healthcare Solutions, Inc.
  • Cerner Corporation
  • McKesson Corporation
  • athenaHealth, Inc.
  • EPIC Systems
  • eClinicalWorks LLC
  • NextGen Healthcare Information System LLC
  • CareCloud
  • Quest Diagnostics, Inc.
Note: Product cover images may vary from those shown
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