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Healthcare RCM Outsourcing Market in US 2023-2027

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    Report

  • 131 Pages
  • September 2023
  • Region: United States
  • TechNavio
  • ID: 5576311
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The healthcare RCM outsourcing market in US is forecasted to grow by USD 2930.4 mn during 2022-2027, accelerating at a CAGR of 11.49% during the forecast period. The report on the healthcare RCM outsourcing market in US provides a holistic analysis, market size and forecast, trends, growth drivers, and challenges, as well as vendor analysis covering around 25 vendors.

The report offers an up-to-date analysis regarding the current market scenario, the latest trends and drivers, and the overall market environment. The market is driven by improvements in healthcare administrative processes, rising demand for sophisticated healthcare solutions requiring periodic upgrades, and a growing mandate toward healthcare process transparency.

The healthcare RCM outsourcing market in US is segmented as below:

By Service

  • Back-end services
  • Middle services
  • Front-end services

By End-user

  • Hospitals
  • Clinics
  • others
This study identifies the increasing consolidation in the healthcare RCM outsourcing market as one of the prime reasons driving the healthcare RCM outsourcing market in US growth during the next few years. Also, the rise in the adoption of cloud computing and operational automation for medical process optimization will lead to sizable demand in the market.

The report on the healthcare RCM outsourcing market covers in US the following areas:

  • Healthcare RCM outsourcing market sizing in US
  • Healthcare RCM outsourcing market forecast in US
  • Healthcare RCM outsourcing market industry analysis in US
The robust vendor analysis is designed to help clients improve their market position, and in line with this, this report provides a detailed analysis of several leading healthcare RCM outsourcing market in US vendors that include 3M Co., CareCloud Inc., Change Healthcare Inc., Clearlake Capital Group L.P., DrChrono Inc., EdgeMED Healthcare LLC, Epic Systems Corp., Firstsource Solutions Ltd., Greenway Health LLC, NextGen Healthcare Inc., Optum Inc., Parallon Business Solutions, Quest Diagnostics Inc., R1 RCM Inc., Tenet Healthcare Corp., The SSI Group LLC, Vee Technologies Pvt. Ltd., Veradigm LLC, Vizient Inc., and MedData Inc.. Also, the healthcare RCM outsourcing market in US analysis report includes information on upcoming trends and challenges that will influence market growth. This is to help companies strategize and leverage all forthcoming growth opportunities.

The study was conducted using an objective combination of primary and secondary information including inputs from key participants in the industry. The report contains a comprehensive market and vendor landscape in addition to an analysis of the key vendors.

The publisher presents a detailed picture of the market by the way of study, synthesis, and summation of data from multiple sources by an analysis of key parameters such as profit, pricing, competition, and promotions. It presents various market facets by identifying the key industry influencers. The data presented is comprehensive, reliable, and a result of extensive research - both primary and secondary. The market research reports provide a complete competitive landscape and an in-depth vendor selection methodology and analysis using qualitative and quantitative research to forecast the accurate market growth.

Table of Contents

1 Executive Summary
1.1 Market overview
Exhibit 01: Executive Summary - Chart on Market Overview
Exhibit 02: Executive Summary - Data Table on Market Overview
Exhibit 03: Executive Summary - Chart on Country Market Characteristics
Exhibit 04: Executive Summary - Chart on Market Segmentation by Service
Exhibit 05: Executive Summary - Chart on Market Segmentation by End-user
Exhibit 06: Executive Summary - Chart on Vendor Market Positioning
2 Market Landscape
2.1 Market ecosystem
Exhibit 07: Parent market
Exhibit 08: Market Characteristics
3 Market Sizing
3.1 Market definition
Exhibit 09: Offerings of vendors included in the market definition
3.2 Market segment analysis
Exhibit 10: Market segments
3.3 Market size 2022
3.4 Market outlook: Forecast for 2022-2027
Exhibit 11: Chart on US - Market size and forecast 2022-2027 ($ million)
Exhibit 12: Data Table on US - Market size and forecast 2022-2027 ($ million)
Exhibit 13: Chart on US: Year-over-year growth 2022-2027 (%)
Exhibit 14: Data Table on US: Year-over-year growth 2022-2027 (%)
4 Historic Market Size
4.1 Healthcare RCM outsourcing market in US 2017 - 2021
Exhibit 15: Historic Market Size - Data Table on healthcare rcm outsourcing market in US 2017 - 2021 ($ million)
4.2 Services Segment Analysis 2017 - 2021
Exhibit 16: Historic Market Size - Services Segment 2017 - 2021 ($ million)
4.3 End-user Segment Analysis 2017 - 2021
Exhibit 17: Historic Market Size - End-user Segment 2017 - 2021 ($ million)
5 Five Forces Analysis
5.1 Five forces summary
Exhibit 18: Five forces analysis - Comparison between 2022 and 2027
5.2 Bargaining power of buyers
Exhibit 19: Chart on Bargaining power of buyers - Impact of key factors 2022 and 2027
5.3 Bargaining power of suppliers
Exhibit 20: Bargaining power of suppliers - Impact of key factors in 2022 and 2027
5.4 Threat of new entrants
Exhibit 21: Threat of new entrants - Impact of key factors in 2022 and 2027
5.5 Threat of substitutes
Exhibit 22: Threat of substitutes - Impact of key factors in 2022 and 2027
5.6 Threat of rivalry
Exhibit 23: Threat of rivalry - Impact of key factors in 2022 and 2027
5.7 Market condition
Exhibit 24: Chart on Market condition - Five forces 2022 and 2027
6 Market Segmentation by Service
6.1 Market segments
Exhibit 25: Chart on Service - Market share 2022-2027 (%)
Exhibit 26: Data Table on Service - Market share 2022-2027 (%)
6.2 Comparison by Service
Exhibit 27: Chart on Comparison by Service
Exhibit 28: Data Table on Comparison by Service
6.3 Back-end services - Market size and forecast 2022-2027
Exhibit 29: Chart on Back-end services - Market size and forecast 2022-2027 ($ million)
Exhibit 30: Data Table on Back-end services - Market size and forecast 2022-2027 ($ million)
Exhibit 31: Chart on Back-end services - Year-over-year growth 2022-2027 (%)
Exhibit 32: Data Table on Back-end services - Year-over-year growth 2022-2027 (%)
6.4 Middle services - Market size and forecast 2022-2027
Exhibit 33: Chart on Middle services - Market size and forecast 2022-2027 ($ million)
Exhibit 34: Data Table on Middle services - Market size and forecast 2022-2027 ($ million)
Exhibit 35: Chart on Middle services - Year-over-year growth 2022-2027 (%)
Exhibit 36: Data Table on Middle services - Year-over-year growth 2022-2027 (%)
6.5 Front-end services - Market size and forecast 2022-2027
Exhibit 37: Chart on Front-end services - Market size and forecast 2022-2027 ($ million)
Exhibit 38: Data Table on Front-end services - Market size and forecast 2022-2027 ($ million)
Exhibit 39: Chart on Front-end services - Year-over-year growth 2022-2027 (%)
Exhibit 40: Data Table on Front-end services - Year-over-year growth 2022-2027 (%)
6.6 Market opportunity by Service
Exhibit 41: Market opportunity by Service ($ million)
Exhibit 42: Data Table on Market opportunity by Service ($ million)
7 Market Segmentation by End-user
7.1 Market segments
Exhibit 43: Chart on End-user - Market share 2022-2027 (%)
Exhibit 44: Data Table on End-user - Market share 2022-2027 (%)
7.2 Comparison by End-user
Exhibit 45: Chart on Comparison by End-user
Exhibit 46: Data Table on Comparison by End-user
7.3 Hospitals - Market size and forecast 2022-2027
Exhibit 47: Chart on Hospitals - Market size and forecast 2022-2027 ($ million)
Exhibit 48: Data Table on Hospitals - Market size and forecast 2022-2027 ($ million)
Exhibit 49: Chart on Hospitals - Year-over-year growth 2022-2027 (%)
Exhibit 50: Data Table on Hospitals - Year-over-year growth 2022-2027 (%)
7.4 Clinics and others - Market size and forecast 2022-2027
Exhibit 51: Chart on Clinics and others - Market size and forecast 2022-2027 ($ million)
Exhibit 52: Data Table on Clinics and others - Market size and forecast 2022-2027 ($ million)
Exhibit 53: Chart on Clinics and others - Year-over-year growth 2022-2027 (%)
Exhibit 54: Data Table on Clinics and others - Year-over-year growth 2022-2027 (%)
7.5 Market opportunity by End-user
Exhibit 55: Market opportunity by End-user ($ million)
Exhibit 56: Data Table on Market opportunity by End-user ($ million)
8 Customer Landscape
8.1 Customer landscape overview
Exhibit 57: Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
9 Drivers, Challenges, and Trends
9.1 Market drivers
9.2 Market challenges
9.3 Impact of drivers and challenges
Exhibit 58: Impact of drivers and challenges in 2022 and 2027
9.4 Market trends
10 Vendor Landscape
10.1 Overview
10.2 Vendor landscape
Exhibit 59: Overview on Criticality of inputs and Factors of differentiation
10.3 Landscape disruption
Exhibit 60: Overview on factors of disruption
10.4 Industry risks
Exhibit 61: Impact of key risks on business
11 Vendor Analysis
11.1 Vendors covered
Exhibit 62: Vendors covered
11.2 Market positioning of vendors
Exhibit 63: Matrix on vendor position and classification
11.3 3M Co.
Exhibit 64: 3M Co. - Overview
Exhibit 65: 3M Co. - Business segments
Exhibit 66: 3M Co. - Key news
Exhibit 67: 3M Co. - Key offerings
Exhibit 68: 3M Co. - Segment focus
11.4 Change Healthcare Inc.
Exhibit 69: Change Healthcare Inc. - Overview
Exhibit 70: Change Healthcare Inc. - Business segments
Exhibit 71: Change Healthcare Inc. - Key news
Exhibit 72: Change Healthcare Inc. - Key offerings
Exhibit 73: Change Healthcare Inc. - Segment focus
11.5 Clearlake Capital Group L.P.
Exhibit 74: Clearlake Capital Group L.P. - Overview
Exhibit 75: Clearlake Capital Group L.P. - Product/Service
Exhibit 76: Clearlake Capital Group L.P. - Key offerings
11.6 Epic Systems Corp.
Exhibit 77: Epic Systems Corp. - Overview
Exhibit 78: Epic Systems Corp. - Product/Service
Exhibit 79: Epic Systems Corp. - Key offerings
11.7 Firstsource Solutions Ltd.
Exhibit 80: Firstsource Solutions Ltd. - Overview
Exhibit 81: Firstsource Solutions Ltd. - Business segments
Exhibit 82: Firstsource Solutions Ltd. - Key offerings
Exhibit 83: Firstsource Solutions Ltd. - Segment focus
11.8 MedData Inc.
Exhibit 84: MedData Inc. - Overview
Exhibit 85: MedData Inc. - Product/Service
Exhibit 86: MedData Inc. - Key offerings
11.9 NextGen Healthcare Inc.
Exhibit 87: NextGen Healthcare Inc. - Overview
Exhibit 88: NextGen Healthcare Inc. - Product/Service
Exhibit 89: NextGen Healthcare Inc. - Key offerings
11.10 Optum Inc.
Exhibit 90: Optum Inc. - Overview
Exhibit 91: Optum Inc. - Product/Service
Exhibit 92: Optum Inc. - Key offerings
11.11 Parallon Business Solutions
Exhibit 93: Parallon Business Solutions - Overview
Exhibit 94: Parallon Business Solutions - Product/Service
Exhibit 95: Parallon Business Solutions - Key offerings
11.12 Quest Diagnostics Inc.
Exhibit 96: Quest Diagnostics Inc. - Overview
Exhibit 97: Quest Diagnostics Inc. - Business segments
Exhibit 98: Quest Diagnostics Inc. - Key offerings
Exhibit 99: Quest Diagnostics Inc. - Segment focus
11.13 Tenet Healthcare Corp.
Exhibit 100: Tenet Healthcare Corp. - Overview
Exhibit 101: Tenet Healthcare Corp. - Business segments
Exhibit 102: Tenet Healthcare Corp. - Key offerings
Exhibit 103: Tenet Healthcare Corp. - Segment focus
11.14 The SSI Group LLC
Exhibit 104: The SSI Group LLC - Overview
Exhibit 105: The SSI Group LLC - Product/Service
Exhibit 106: The SSI Group LLC - Key offerings
11.15 Vee Technologies Pvt. Ltd.
Exhibit 107: Vee Technologies Pvt. Ltd. - Overview
Exhibit 108: Vee Technologies Pvt. Ltd. - Key offerings
11.16 Veradigm LLC
Exhibit 109: Veradigm LLC - Overview
Exhibit 110: Veradigm LLC - Business segments
Exhibit 111: Veradigm LLC - Key offerings
Exhibit 112: Veradigm LLC - Segment focus
11.17 Vizient Inc.
Exhibit 113: Vizient Inc. - Overview
Exhibit 114: Vizient Inc. - Product/Service
Exhibit 115: Vizient Inc. - Key offerings
12 Appendix
12.1 Scope of the report
12.2 Inclusions and exclusions checklist
Exhibit 116: Inclusions checklist
Exhibit 117: Exclusions checklist
12.3 Currency conversion rates for US$
Exhibit 118: Currency conversion rates for US$
12.4 Research methodology
Exhibit 119: Research methodology
Exhibit 120: Validation techniques employed for market sizing
Exhibit 121: Information sources
12.5 List of abbreviations
Exhibit 122: List of abbreviations
Exhibits:
Exhibits 1: Executive Summary - Chart on Market Overview
Exhibits 2: Executive Summary - Data Table on Market Overview
Exhibits 3: Executive Summary - Chart on Country Market Characteristics
Exhibits 4: Executive Summary - Chart on Market Segmentation by Service
Exhibits 5: Executive Summary - Chart on Market Segmentation by End-user
Exhibits 6: Executive Summary - Chart on Vendor Market Positioning
Exhibits 7: Parent market
Exhibits 8: Market Characteristics
Exhibits 9: Offerings of vendors included in the market definition
Exhibits 10: Market segments
Exhibits 11: Chart on US - Market size and forecast 2022-2027 ($ million)
Exhibits 12: Data Table on US - Market size and forecast 2022-2027 ($ million)
Exhibits 13: Chart on US: Year-over-year growth 2022-2027 (%)
Exhibits 14: Data Table on US: Year-over-year growth 2022-2027 (%)
Exhibits 15: Historic Market Size - Data Table on healthcare rcm outsourcing market in US 2017 - 2021 ($ million)
Exhibits 16: Historic Market Size - Services Segment 2017 - 2021 ($ million)
Exhibits 17: Historic Market Size - End-user Segment 2017 - 2021 ($ million)
Exhibits 18: Five forces analysis - Comparison between 2022 and 2027
Exhibits 19: Chart on Bargaining power of buyers - Impact of key factors 2022 and 2027
Exhibits 20: Bargaining power of suppliers - Impact of key factors in 2022 and 2027
Exhibits 21: Threat of new entrants - Impact of key factors in 2022 and 2027
Exhibits 22: Threat of substitutes - Impact of key factors in 2022 and 2027
Exhibits 23: Threat of rivalry - Impact of key factors in 2022 and 2027
Exhibits 24: Chart on Market condition - Five forces 2022 and 2027
Exhibits 25: Chart on Service - Market share 2022-2027 (%)
Exhibits 26: Data Table on Service - Market share 2022-2027 (%)
Exhibits 27: Chart on Comparison by Service
Exhibits 28: Data Table on Comparison by Service
Exhibits 29: Chart on Back-end services - Market size and forecast 2022-2027 ($ million)
Exhibits 30: Data Table on Back-end services - Market size and forecast 2022-2027 ($ million)
Exhibits 31: Chart on Back-end services - Year-over-year growth 2022-2027 (%)
Exhibits 32: Data Table on Back-end services - Year-over-year growth 2022-2027 (%)
Exhibits 33: Chart on Middle services - Market size and forecast 2022-2027 ($ million)
Exhibits 34: Data Table on Middle services - Market size and forecast 2022-2027 ($ million)
Exhibits 35: Chart on Middle services - Year-over-year growth 2022-2027 (%)
Exhibits 36: Data Table on Middle services - Year-over-year growth 2022-2027 (%)
Exhibits 37: Chart on Front-end services - Market size and forecast 2022-2027 ($ million)
Exhibits 38: Data Table on Front-end services - Market size and forecast 2022-2027 ($ million)
Exhibits 39: Chart on Front-end services - Year-over-year growth 2022-2027 (%)
Exhibits 40: Data Table on Front-end services - Year-over-year growth 2022-2027 (%)
Exhibits 41: Market opportunity by Service ($ million)
Exhibits 42: Data Table on Market opportunity by Service ($ million)
Exhibits 43: Chart on End-user - Market share 2022-2027 (%)
Exhibits 44: Data Table on End-user - Market share 2022-2027 (%)
Exhibits 45: Chart on Comparison by End-user
Exhibits 46: Data Table on Comparison by End-user
Exhibits 47: Chart on Hospitals - Market size and forecast 2022-2027 ($ million)
Exhibits 48: Data Table on Hospitals - Market size and forecast 2022-2027 ($ million)
Exhibits 49: Chart on Hospitals - Year-over-year growth 2022-2027 (%)
Exhibits 50: Data Table on Hospitals - Year-over-year growth 2022-2027 (%)
Exhibits 51: Chart on Clinics and others - Market size and forecast 2022-2027 ($ million)
Exhibits 52: Data Table on Clinics and others - Market size and forecast 2022-2027 ($ million)
Exhibits 53: Chart on Clinics and others - Year-over-year growth 2022-2027 (%)
Exhibits 54: Data Table on Clinics and others - Year-over-year growth 2022-2027 (%)
Exhibits 55: Market opportunity by End-user ($ million)
Exhibits 56: Data Table on Market opportunity by End-user ($ million)
Exhibits 57: Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
Exhibits 58: Impact of drivers and challenges in 2022 and 2027
Exhibits 59: Overview on Criticality of inputs and Factors of differentiation
Exhibits 60: Overview on factors of disruption
Exhibits 61: Impact of key risks on business
Exhibits 62: Vendors covered
Exhibits 63: Matrix on vendor position and classification
Exhibits 64: 3M Co. - Overview
Exhibits 65: 3M Co. - Business segments
Exhibits 66: 3M Co. - Key news
Exhibits 67: 3M Co. - Key offerings
Exhibits 68: 3M Co. - Segment focus
Exhibits 69: Change Healthcare Inc. - Overview
Exhibits 70: Change Healthcare Inc. - Business segments
Exhibits 71: Change Healthcare Inc. - Key news
Exhibits 72: Change Healthcare Inc. - Key offerings
Exhibits 73: Change Healthcare Inc. - Segment focus
Exhibits 74: Clearlake Capital Group L.P. - Overview
Exhibits 75: Clearlake Capital Group L.P. - Product/Service
Exhibits 76: Clearlake Capital Group L.P. - Key offerings
Exhibits 77: Epic Systems Corp. - Overview
Exhibits 78: Epic Systems Corp. - Product/Service
Exhibits 79: Epic Systems Corp. - Key offerings
Exhibits 80: Firstsource Solutions Ltd. - Overview
Exhibits 81: Firstsource Solutions Ltd. - Business segments
Exhibits 82: Firstsource Solutions Ltd. - Key offerings
Exhibits 83: Firstsource Solutions Ltd. - Segment focus
Exhibits 84: MedData Inc. - Overview
Exhibits 85: MedData Inc. - Product/Service
Exhibits 86: MedData Inc. - Key offerings
Exhibits 87: NextGen Healthcare Inc. - Overview
Exhibits 88: NextGen Healthcare Inc. - Product/Service
Exhibits 89: NextGen Healthcare Inc. - Key offerings
Exhibits 90: Optum Inc. - Overview
Exhibits 91: Optum Inc. - Product/Service
Exhibits 92: Optum Inc. - Key offerings
Exhibits 93: Parallon Business Solutions - Overview
Exhibits 94: Parallon Business Solutions - Product/Service
Exhibits 95: Parallon Business Solutions - Key offerings
Exhibits 96: Quest Diagnostics Inc. - Overview
Exhibits 97: Quest Diagnostics Inc. - Business segments
Exhibits 98: Quest Diagnostics Inc. - Key offerings
Exhibits 99: Quest Diagnostics Inc. - Segment focus
Exhibits 100: Tenet Healthcare Corp. - Overview
Exhibits 101: Tenet Healthcare Corp. - Business segments
Exhibits 102: Tenet Healthcare Corp. - Key offerings
Exhibits 103: Tenet Healthcare Corp. - Segment focus
Exhibits 104: The SSI Group LLC - Overview
Exhibits 105: The SSI Group LLC - Product/Service
Exhibits 106: The SSI Group LLC - Key offerings
Exhibits 107: Vee Technologies Pvt. Ltd. - Overview
Exhibits 108: Vee Technologies Pvt. Ltd. - Key offerings
Exhibits 109: Veradigm LLC - Overview
Exhibits 110: Veradigm LLC - Business segments
Exhibits 111: Veradigm LLC - Key offerings
Exhibits 112: Veradigm LLC - Segment focus
Exhibits 113: Vizient Inc. - Overview
Exhibits 114: Vizient Inc. - Product/Service
Exhibits 115: Vizient Inc. - Key offerings
Exhibits 116: Inclusions checklist
Exhibits 117: Exclusions checklist
Exhibits 118: Currency conversion rates for US$
Exhibits 119: Research methodology
Exhibits 120: Validation techniques employed for market sizing
Exhibits 121: Information sources
Exhibits 122: List of abbreviations

Executive Summary

The publisher recognizes the following companies as the key players in the healthcare RCM outsourcing market in US: 3M Co., CareCloud Inc., Change Healthcare Inc., Clearlake Capital Group L.P., DrChrono Inc., EdgeMED Healthcare LLC, Epic Systems Corp., Firstsource Solutions Ltd., Greenway Health LLC, NextGen Healthcare Inc., Optum Inc., Parallon Business Solutions, Quest Diagnostics Inc., R1 RCM Inc., Tenet Healthcare Corp., The SSI Group LLC, Vee Technologies Pvt. Ltd., Veradigm LLC, Vizient Inc., and MedData Inc..

Commenting on the report, an analyst from the research team said: 'The latest trend gaining momentum in the market is increasing consolidation in healthcare RCM outsourcing market.'
According to the report, one of the major drivers for this market is the improvement in healthcare administrative processes.

The study was conducted using an objective combination of primary and secondary information including inputs from key participants in the industry. The report contains a comprehensive market and vendor landscape in addition to a SWOT analysis of the key vendors.

Companies Mentioned (Partial List)

A selection of companies mentioned in this report includes, but is not limited to:

  • 3M Co.
  • CareCloud Inc.
  • Change Healthcare Inc.
  • Clearlake Capital Group L.P.
  • DrChrono Inc.
  • EdgeMED Healthcare LLC
  • Epic Systems Corp.
  • Firstsource Solutions Ltd.
  • Greenway Health LLC
  • NextGen Healthcare Inc.
  • Optum Inc.
  • Parallon Business Solutions
  • Quest Diagnostics Inc.
  • R1 RCM Inc.
  • Tenet Healthcare Corp.
  • The SSI Group LLC
  • Vee Technologies Pvt. Ltd.
  • Veradigm LLC
  • Vizient Inc.
  • MedData Inc.

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