The Global Revenue Cycle Management Software Market is estimated to be USD 95.87 Bn in 2023 and is expected to reach USD 186.06 Bn by 2028 growing at a CAGR of 14.18%.Adoption of AI and automation technologies to streamline billing, coding, and claims processes, improving efficiency and reducing errors
- The unexpectedly developing generation of digitalization of healthcare is driving the demand for superior RCM solutions. The growing range of a couple of records siloes and unorganized workflows in healthcare settings is paving a route for market improvement and increase. RCM combines third-party payers, price models, tips, and codes. An exerciser’s lifestyle depends upon acquiring the right property. As a specific medical service fee becomes increasingly more complicated, it increases the value of acquiring a green RCM solution.
- Health structures are currently forwarding in executing electronic processing for claims, coding, and reimbursements. Increasing healthcare expenses are driving enterprise individuals, vendors, and players to alter by accepting elements inclusive of cost-centric reimbursement structures, growth in chance sharing, and executing cost limits. These modifications and different marketplace dynamics present good-sized hurdles to health and sanatorium machine revenue cycles.
- The growing demand for workflow optimization in healthcare agencies and revolutionary synchronized management software structures is anticipated to propel market growth. Increasing Support from government bodies in the form of favorable regulatory reforms is using growth. The marketplace for sales cycle control is witnessing normal technological improvements, and the industry is continuously evolving. Various healthcare vendors and payers are swiftly adopting these innovative and upgraded RCM solutions.
- Innovations and advancements inside the RCM solutions have played a key function in improving provider-patient family members and include the implementation of ICD-10 for classifying, coding, and reporting records on disease diagnosis and treatment techniques, which at once enables healthcare structures to enhance care delivery. Healthcare facilities are outsourcing sales cycle management software solutions due to a lack of availability of skilled and professional experts, compliance and adherence to required policies, superior efficiency, and fee effectiveness.
- Due to the several favors, healthcare facilities are simply outsourcing RCM solutions and services. According to a Med USA article published in 2020, approximately -thirds of healthcare agencies outsource their revenue cycle control solutions and services. The developing adoption quotes are expected to propel market growth over the years. One of the foremost demanding situations in adopting and enforcing revenue cycle control software solutions is the lack of proper compensation rules with respect to insurance and different formalities. The current compensation coverage gaps between public and private insurers are restraining the growth of the marketplace for revenue cycle management.
Market Segmentations
- The Global Revenue Cycle Management (RCM) Software Market is segmented based on Product, Deployment, End User, and Geography.
- By Product, the Global Revenue Cycle Management (RCM) Software Market is classified into Integrated and Standalone.
- The integrated segment held a dominating market share due to the growing preference for volume-based payments over value-based payments. Using a single platform, integrated solutions provide a streamlined and synchronized format for various financial activities, resulting in a standardized data collection and analysis process. Several advantages of integrated revenue cycle management include increasing collections and developing alternate methods of payment and reimbursement.
- By Deployment, the Global Revenue Cycle Management (RCM) Software Market is classified into Cloud-based and On-premises.
- The on-premise segment held the largest market share for revenue cycle management. RCM software that is installed on-site gives businesses more customization and flexibility. The software can be customized to meet unique workflow, process, and reporting needs because it is deployed locally. This enables businesses better to match the RCM software to their particular requirements, delivering a more tailored and effective solution and increasing the segment share.
- By End User, the market is classified into Physicians, Hospitals and Care Providers, Laboratories, and Emergency Medical Services.
- In terms of market value and share, the Hospitals and Care Providers segment dominated the industry. The dominance of this market can be attributed to the increase in patient admissions, which brings in more money for hospitals. Hospitals use this solution to efficiently handle a revenue collection process, which helps explain the segment's growth over the analysis. The physician's office segment is anticipated to expand more quickly during the study period.
- By Geography, the market is classified into Americas, Europe, South America, Middle-East & Africa, and Asia-Pacific.
- The Americas accounted for the majority of the revenue cycle management market share in the global market due to the presence of major players. Additionally, the increased use of software/services in developing regions supports the expansion of the regional market. A further factor in the expansion of the market in the Americas is the introduction of novel solutions by the major players in this region.
Recent Development
- R1 RCM, Inc. entered into a strategic partnership with Rush University System for Health (RUSH) to achieve revenue cycle performance excellence and boost innovation in healthcare. - January 2020
Company Profiles
The report provides a detailed analysis of the competitors in the market. It covers the financial performance analysis for the publicly listed companies in the market. The report also offers detailed information on the companies' recent development and competitive scenario. Some of the companies covered in this report are NXGN Management, LLC, Optum Inc., Quest Diagnostics, Inc., R1 RCM Inc, The SSI Group, Inc., etc.Countries Studied
- America (Argentina, Brazil, Canada, Chile, Colombia, Mexico, Peru, United States, Rest of the Americas)
- Europe (Austria, Belgium, Denmark, Finland, France, Germany, Ireland, Italy, Luxemburg, Netherlands, Norway, Poland, Russia, Spain, Sweden, Switzerland, United Kingdom, Rest of Europe)
- Middle East and Africa (Egypt, Israel, Qatar, Nigeria, Saudi Arabia, South Africa, United Arab Emirates, and the Rest of MEA)
- Asia-Pacific (Australia, Bangladesh, China, India, Indonesia, Japan, Malaysia, Philippines, Singapore, South Korea, Sri Lanka, Thailand, Taiwan, Rest of Asia-Pacific)
Competitive Quadrant
The report includes Competitive Quadrant, a proprietary tool to analyze and evaluate the position of companies based on their Industry Position score and Market Performance score. The tool uses various factors for categorizing the players into four categories. Some of these factors considered for analysis are financial performance over the last 3 years, growth strategies, innovation score, new product launches, investments, growth in market share, etc.Ansoff Analysis
- The report presents a detailed Ansoff matrix analysis for the Global Revenue Cycle Management (RCM) Software Market. Ansoff Matrix, also known as Product/Market Expansion Grid, is a strategic tool used to design strategies for the growth of the company. The matrix can be used to evaluate approaches in four strategies viz. Market Development, Market Penetration, Product Development, and Diversification. The matrix is also used for risk analysis to understand the risk involved with each approach.
- The publisher analyses the Global Revenue Cycle Management (RCM) Software Market using the Ansoff Matrix to provide the best approaches a company can take to improve its market position.
- Based on the SWOT analysis conducted on the industry and industry players, the publisher has devised suitable strategies for market growth.
Why buy this report?
- The report comprehensively evaluates the Global Revenue Cycle Management (RCM) Software Market. The report includes in-depth qualitative analysis, verifiable data from authentic sources, and projections about market size. The projections are calculated using proven research methodologies.
- The research report also provides a detailed market size analysis and projections in volume and value terms. The projections are calculated using verified research methodologies.
- Excel data sheet for the market size will also be provided with the report.
- The report has been compiled through extensive primary and secondary research. The primary research is done through interviews, surveys, and observation of renowned personnel in the industry.
- The report includes an in-depth market analysis using Porter’s 5 forces model, PESTLE Analysis, and the Ansoff Matrix. In addition, the impact of COVID-19 on the market is also featured in the report.
- The report includes the regulatory scenario in the industry, which will help you make a well-informed decision. The report discusses major regulatory bodies and major rules and regulations imposed on this sector across various geographies.
- The report includes Self-Assessment Form, which helps customers evaluate their position in the market compared to their competitors
- The report offers customized research - tailored uniquely to our customers with a quick turnaround time. We offer a 15% customization option at no extra charge to all our clients for any of our syndicated reports.
Report Highlights:
- A complete analysis of the market, including the parent industry
- Important market dynamics and trends
- Impact Analysis - a comprehensive assessment to confront risk and make strategic & operational decisions to counter the changes in the market environment.
- Market segmentation
- Competitive Analysis: Comparative analysis of competitor
- Historical, current, and projected size of the market based on value and volume
- Market size of the US states
- Market shares and strategies of key players
- Recommendations to companies for strengthening their foothold in the market
Table of Contents
1 Report Description
2 Research Methodology
3 Executive Summary
4 Market Dynamics
5 Market Analysis
6 Global Revenue Cycle Management (RCM) Software Market, By Product
7 Global Revenue Cycle Management (RCM) Software Market, By Deployment
8 Global Revenue Cycle Management (RCM) Software Market, By End User
9 America’s Revenue Cycle Management (RCM) Software Market
10 Europe's Revenue Cycle Management (RCM) Software Market
11 Middle East and Africa's Revenue Cycle Management (RCM) Software Market
12 APAC’s Revenue Cycle Management (RCM) Software Market
13 Competitive Landscape
14 Company Profiles
15 Appendix
Companies Mentioned
- AllScripts Healthcare, LLC
- Ambulance RCM
- Athelas Inc.
- Athenahealth, Inc.
- Billing Blues RCM
- CareCloud Corp
- Cerner Corp
- Change Healthcare
- Conifer Health Solutions, LLC
- EClinicalWorks
- Experian Health
- GeBBS Healthcare Solutions
- MEDHOST
- Medical Information Technology, Inc.
- Optum Inc.
- Quest Diagnostics, Inc.
- R1 RCM Inc
- The SSI Group, Inc.
Table Information
Report Attribute | Details |
---|---|
No. of Pages | 149 |
Published | February 2024 |
Forecast Period | 2023 - 2028 |
Estimated Market Value ( USD | $ 95.87 Billion |
Forecasted Market Value ( USD | $ 186.06 Billion |
Compound Annual Growth Rate | 14.1% |
Regions Covered | Global |
No. of Companies Mentioned | 18 |