Global Revenue Cycle Management Market Report and Forecast 2023-2031
May 15, 2023
Expert Market Research
147
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Global Revenue Cycle Management Market Report and Forecast 2023-2031
Abstract Global Revenue Cycle Management Market Report and Forecast 2023-2031 Global Revenue Cycle Management Market Outlook The global revenue cycle management market value was USD 121.8 billion in 2022, driven by the increasing volume of patient data across the globe. The market size is anticipated to grow at a CAGR of 12.2% during the forecast period of 2023-2031to achieve a value of USD 342.6 billion by 2031.
Revenue Cycle Management: Introduction Revenue Cycle Management (RCM) refers to the financial processes that healthcare organizations employ to track patient care episodes, from registration and appointment scheduling to the final payment of a balance. RCM integrates various administrative and clinical functions, including patient eligibility verification, claims processing, payment collection, and denial management. It plays a critical role in ensuring the financial sustainability of healthcare providers while maintaining compliance with complex regulatory requirements and fostering a positive patient experience. Revenue Cycle Management Market Scenario The global revenue cycle management market has witnessed significant growth in recent years, driven by factors such as the increasing volume of patient data, the growing complexity of healthcare reimbursement processes, and the need to optimize healthcare revenue streams. The adoption of advanced technologies, such as artificial intelligence, machine learning, and automation, has further transformed RCM, enabling healthcare providers to streamline their financial workflows, reduce administrative burdens, and minimize errors. The adoption of RCM solutions has been increasing steadily due to factors such as the growing complexity of healthcare reimbursement processes, the need to optimize healthcare revenue streams, and the increasing volume of patient data. The integration of advanced technologies, such as artificial intelligence, machine learning, and automation, has further transformed RCM, enabling healthcare providers to streamline their financial workflows, reduce administrative burdens, and minimize errors. North America: The largest market for RCM, driven by factors such as the high adoption of advanced healthcare IT solutions, the complex reimbursement landscape, and the presence of well-established healthcare infrastructure. Europe: The second-largest market, with increasing demand for RCM solutions due to the growing need for efficient healthcare financial processes, supportive regulatory frameworks, and the adoption of advanced technologies in the healthcare sector. Asia-Pacific: Expected to witness the highest growth rate due to factors such as the rapidly expanding healthcare sector, increasing investments in healthcare IT infrastructure, and the growing awareness of the benefits of RCM solutions.
•Middle East and Africa Saudi Arabia United Arab Emirates Nigeria South Africa Others
Key Trends in the Revenue Cycle Management Market Some key trends of the market are as follows: •Integration of advanced technologies: The adoption of AI, machine learning, and automation in RCM solutions is enhancing the efficiency, accuracy, and speed of financial processes, leading to improved revenue collection and reduced costs. •Outsourcing of RCM services: Healthcare providers are increasingly outsourcing RCM functions to specialized third-party vendors, enabling them to focus on their core competencies and reduce operational costs. •Cloud-based RCM solutions: The shift towards cloud-based RCM solutions is providing healthcare organizations with scalable, flexible, and cost-effective options for managing their revenue cycle processes. Revenue Cycle Management: Competitor Landscape The key features of the market report include patent analysis, grants analysis, clinical trials analysis, funding and investment analysis, partnerships, and collaborations analysis by the leading key players. The major companies in the market are as follows: •Thermo Fisher Scientific •Bayer AG •Stem Cell Therapys International Group, Ltd. •Takeda Pharmaceutical Company Limited •MEDIPOST Co., Ltd. •JCR Pharmaceuticals Co., Ltd. •Astellas Pharma Inc. •Mesoblast Ltd. •Novadip Biosciences S.A. •Nuvasive Inc •Molecular Devices Corporation • Amgen Inc •GENEA BIOCELLS •WAISMAN BIOMANUFACTURING •TIGENIX
Content Table of Contents
1 Preface 1.1 Objectives of the Study 1.2 Key Assumptions 1.3 Report Coverage – Key Segmentation and Scope 1.4 Research Methodology 2 Executive Summary 3 Global Revenue Cycle Management Market Overview 3.1 Global Revenue Cycle Management Historical Value (2016-2022) 3.2 Global Revenue Cycle Management Forecast Value (2023-2031) 4 Global Revenue Cycle Management Market Landscape 4.1 Global Revenue Cycle Management Developers Landscape 4.1.1 Analysis by Year of Establishment 4.1.2 Analysis by Company Size 4.1.3 Analysis by Region 4.2 Global Revenue Cycle Management Product Landscape 4.2.1 Analysis by Structure 4.2.2 Analysis by Component 4.2.3 Analysis by End User 5 Global Revenue Cycle Management Market Dynamics 5.1 Market Drivers and Constraints 5.2 SWOT Analysis 5.3 Porter’s Five Forces Model 5.4 Key Demand Indicators 5.5 Key Price Indicators 5.6 Industry Events, Initiatives, and Trends 6 Global Revenue Cycle Management Market Segmentation 6.1 Global Revenue Cycle Management Market by Structure 6.1.1 Market Overview 6.1.2 In-House 6.1.3 Outsource 6.2 Global Revenue Cycle Management Market by Component 6.2.1 Market Overview 6.2.2 Software 6.2.3 Services 6.3 Global Revenue Cycle Management Market by Deployment Models 6.3.1 Market Overview 6.3.2 Web based 6.3.3 Cloud based 6.3.4 On-Premises 6.4 Global Revenue Cycle Management Market by Function 6.4.1 Market Overview 6.4.2 Claims and denial Management 6.4.3 Medical Coding and Billing 6.4.4 Clinical Documentation Improvement (CDI) 6.4.5 Insurance 6.4.6 Others 6.5 Global Revenue Cycle Management Market by End User 6.5.1 Market Overview 6.5.2 Hospitals 6.5.3 Physicians Practices 6.5.4 Diagnostic and Ambulatory Care Centres 6.5.5 Others 6.6 Global Revenue Cycle Management Market by Region 6.6.1 Market Overview 6.6.2 North America 6.6.3 Europe 6.6.4 Asia Pacific 6.6.5 Latin America 6.6.6 Middle East and Africa 7 North America Revenue Cycle Management Market 7.1 Market Share by Country 7.2 United States of America 7.3 Canada 8 Europe Revenue Cycle Management Market 8.1 Market Share by Country 8.2 United Kingdom 8.3 Germany 8.4 France 8.5 Italy 8.6 Others 9 Asia Pacific Revenue Cycle Management Market 9.1 Market Share by Country 9.2 China 9.3 Japan 9.4 India 9.5 ASEAN 9.6 Australia 9.7 Others 10 Latin America Revenue Cycle Management Market 10.1 Market Share by Country 10.2 Brazil 10.3 Argentina 10.4 Mexico 10.5 Others 11 Middle East and Africa Revenue Cycle Management Market 11.1 Market Share by Country 11.2 Saudi Arabia 11.3 United Arab Emirates 11.4 Nigeria 11.5 South Africa 11.6 Others 12 Patent Analysis 12.1 Analysis by Type of Patent 12.2 Analysis by Publication year 12.3 Analysis by Issuing Authority 12.4 Analysis by Patent Age 12.5 Analysis by CPC Analysis 12.6 Analysis by Patent Valuation 12.7 Analysis by Key Players 13 Funding Analysis 13.1 Analysis by Funding Instances 13.2 Analysis by Type of Funding 13.3 Analysis by Funding Amount 13.4 Analysis by Leading Players 13.5 Analysis by Leading Investors 13.6 Analysis by Geography 14 Partnership and Collaborations Analysis 14.1 Analysis by Partnership Instances 14.2 Analysis by Type of Partnership 14.3 Analysis by Leading Players 14.4 Analysis by Geography 15 Regulatory Framework 15.1 Regulatory Overview 15.1.1 US FDA 15.1.2 EU EMA 15.1.3 INDIA CDSCO 15.1.4 JAPAN PMDA 15.1.5 Others 16 Supplier Landscape 16.1 Allscripts Healthcare, LLC 16.1.1 Financial Analysis 16.1.2 Product Portfolio 16.1.3 Demographic Reach and Achievements 16.1.4 Mergers and Acquisitions 16.1.5 Certifications 16.2 Cerner Corporation 16.2.1 Financial Analysis 16.2.2 Product Portfolio 16.2.3 Demographic Reach and Achievements 16.2.4 Mergers and Acquisitions 16.2.5 Certifications 16.3 Epic Systems Corporation 16.3.1 Financial Analysis 16.3.2 Product Portfolio 16.3.3 Demographic Reach and Achievements 16.3.4 Mergers and Acquisitions 16.3.5 Certifications 16.4 Conifer Health Solutions, LLC 16.4.1 Financial Analysis 16.4.2 Product Portfolio 16.4.3 Demographic Reach and Achievements 16.4.4 Mergers and Acquisitions 16.4.5 Certifications 16.5 Bio-Rad Laboratories Inc. 16.5.1 Financial Analysis 16.5.2 Product Portfolio 16.5.3 Demographic Reach and Achievements 16.5.4 Mergers and Acquisitions 16.5.5 Certifications 16.6 MEDHOST 16.6.1 Financial Analysis 16.6.2 Product Portfolio 16.6.3 Demographic Reach and Achievements 16.6.4 Mergers and Acquisitions 16.6.5 Certifications 16.7 Medical Information Technology, Inc. 16.7.1 Financial Analysis 16.7.2 Product Portfolio 16.7.3 Demographic Reach and Achievements 16.7.4 Mergers and Acquisitions 16.7.5 Certifications 16.8 Optum Inc. 16.8.1 Financial Analysis 16.8.2 Product Portfolio 16.8.3 Demographic Reach and Achievements 16.8.4 Mergers and Acquisitions 16.8.5 Certifications 16.9 McKesson Corporation 16.9.1 Financial Analysis 16.9.2 Product Portfolio 16.9.3 Demographic Reach and Achievements 16.9.4 Mergers and Acquisitions 16.9.5 Certifications 16.10 eClinicalWorks 16.10.1 Financial Analysis 16.10.2 Product Portfolio 16.10.3 Demographic Reach and Achievements 16.10.4 Mergers and Acquisitions 16.10.5 Certifications 16.11 NXGN Management, LLC 16.11.1 Financial Analysis 16.11.2 Product Portfolio 16.11.3 Demographic Reach and Achievements 16.11.4 Mergers and Acquisitions 16.11.5 Certifications 16.12 CareCloud Corporation 16.12.1 Financial Analysis 16.12.2 Product Portfolio 16.12.3 Demographic Reach and Achievements 16.12.4 Mergers and Acquisitions 16.12.5 Certifications 16.13 Quest Diagnostics, Inc. 16.13.1 Financial Analysis 16.13.2 Product Portfolio 16.13.3 Demographic Reach and Achievements 16.13.4 Mergers and Acquisitions 16.13.5 Certifications 16.14 R1 RCM, Inc. 16.14.1 Financial Analysis 16.14.2 Product Portfolio 16.14.3 Demographic Reach and Achievements 16.14.4 Mergers and Acquisitions 16.14.5 Certifications 17 Global Revenue Cycle Management Market- Distribution Model (Additional Insight) 17.1 Overview 17.2 Potential Distributors 17.3 Key Parameters for Distribution Partner Assessment 18 Key Opinion Leaders (KOL) Insights (Additional Insight) 19 Company Competitiveness Analysis (Additional Insight) 19.1 Very Small Companies 19.2 Small Companies 19.3 Mid-Sized Companies 19.4 Large Companies 19.5 Very Large Companies 20 Payment Methods (Additional Insight) 20.1 Government Funded 20.2 Private Insurance 20.3 Out-of-Pocket
Global Revenue Cycle Management Market Report and Forecast 2023-2031 Global Revenue Cycle Management Market Outlook The global revenue cycle management market value was USD 121.8 billion in 2022, driven by the increasing volume of patient data across the globe. The market size is anticipated to grow at a CAGR of 12.2% during the forecast period of 2023-2031to achieve a value of USD 342.6 billion by 2031.
Revenue Cycle Management: Introduction Revenue Cycle Management (RCM) refers to the financial processes that healthcare organizations employ to track patient care episodes, from registration and appointment scheduling to the final payment of a balance. RCM integrates various administrative and clinical functions, including patient eligibility verification, claims processing, payment collection, and denial management. It plays a critical role in ensuring the financial sustainability of healthcare providers while maintaining compliance with complex regulatory requirements and fostering a positive patient experience. Revenue Cycle Management Market Scenario The global revenue cycle management market has witnessed significant growth in recent years, driven by factors such as the increasing volume of patient data, the growing complexity of healthcare reimbursement processes, and the need to optimize healthcare revenue streams. The adoption of advanced technologies, such as artificial intelligence, machine learning, and automation, has further transformed RCM, enabling healthcare providers to streamline their financial workflows, reduce administrative burdens, and minimize errors. The adoption of RCM solutions has been increasing steadily due to factors such as the growing complexity of healthcare reimbursement processes, the need to optimize healthcare revenue streams, and the increasing volume of patient data. The integration of advanced technologies, such as artificial intelligence, machine learning, and automation, has further transformed RCM, enabling healthcare providers to streamline their financial workflows, reduce administrative burdens, and minimize errors. North America: The largest market for RCM, driven by factors such as the high adoption of advanced healthcare IT solutions, the complex reimbursement landscape, and the presence of well-established healthcare infrastructure. Europe: The second-largest market, with increasing demand for RCM solutions due to the growing need for efficient healthcare financial processes, supportive regulatory frameworks, and the adoption of advanced technologies in the healthcare sector. Asia-Pacific: Expected to witness the highest growth rate due to factors such as the rapidly expanding healthcare sector, increasing investments in healthcare IT infrastructure, and the growing awareness of the benefits of RCM solutions.
•Middle East and Africa Saudi Arabia United Arab Emirates Nigeria South Africa Others
Key Trends in the Revenue Cycle Management Market Some key trends of the market are as follows: •Integration of advanced technologies: The adoption of AI, machine learning, and automation in RCM solutions is enhancing the efficiency, accuracy, and speed of financial processes, leading to improved revenue collection and reduced costs. •Outsourcing of RCM services: Healthcare providers are increasingly outsourcing RCM functions to specialized third-party vendors, enabling them to focus on their core competencies and reduce operational costs. •Cloud-based RCM solutions: The shift towards cloud-based RCM solutions is providing healthcare organizations with scalable, flexible, and cost-effective options for managing their revenue cycle processes. Revenue Cycle Management: Competitor Landscape The key features of the market report include patent analysis, grants analysis, clinical trials analysis, funding and investment analysis, partnerships, and collaborations analysis by the leading key players. The major companies in the market are as follows: •Thermo Fisher Scientific •Bayer AG •Stem Cell Therapys International Group, Ltd. •Takeda Pharmaceutical Company Limited •MEDIPOST Co., Ltd. •JCR Pharmaceuticals Co., Ltd. •Astellas Pharma Inc. •Mesoblast Ltd. •Novadip Biosciences S.A. •Nuvasive Inc •Molecular Devices Corporation • Amgen Inc •GENEA BIOCELLS •WAISMAN BIOMANUFACTURING •TIGENIX
Table of Contents
1 Preface 1.1 Objectives of the Study 1.2 Key Assumptions 1.3 Report Coverage – Key Segmentation and Scope 1.4 Research Methodology 2 Executive Summary 3 Global Revenue Cycle Management Market Overview 3.1 Global Revenue Cycle Management Historical Value (2016-2022) 3.2 Global Revenue Cycle Management Forecast Value (2023-2031) 4 Global Revenue Cycle Management Market Landscape 4.1 Global Revenue Cycle Management Developers Landscape 4.1.1 Analysis by Year of Establishment 4.1.2 Analysis by Company Size 4.1.3 Analysis by Region 4.2 Global Revenue Cycle Management Product Landscape 4.2.1 Analysis by Structure 4.2.2 Analysis by Component 4.2.3 Analysis by End User 5 Global Revenue Cycle Management Market Dynamics 5.1 Market Drivers and Constraints 5.2 SWOT Analysis 5.3 Porter’s Five Forces Model 5.4 Key Demand Indicators 5.5 Key Price Indicators 5.6 Industry Events, Initiatives, and Trends 6 Global Revenue Cycle Management Market Segmentation 6.1 Global Revenue Cycle Management Market by Structure 6.1.1 Market Overview 6.1.2 In-House 6.1.3 Outsource 6.2 Global Revenue Cycle Management Market by Component 6.2.1 Market Overview 6.2.2 Software 6.2.3 Services 6.3 Global Revenue Cycle Management Market by Deployment Models 6.3.1 Market Overview 6.3.2 Web based 6.3.3 Cloud based 6.3.4 On-Premises 6.4 Global Revenue Cycle Management Market by Function 6.4.1 Market Overview 6.4.2 Claims and denial Management 6.4.3 Medical Coding and Billing 6.4.4 Clinical Documentation Improvement (CDI) 6.4.5 Insurance 6.4.6 Others 6.5 Global Revenue Cycle Management Market by End User 6.5.1 Market Overview 6.5.2 Hospitals 6.5.3 Physicians Practices 6.5.4 Diagnostic and Ambulatory Care Centres 6.5.5 Others 6.6 Global Revenue Cycle Management Market by Region 6.6.1 Market Overview 6.6.2 North America 6.6.3 Europe 6.6.4 Asia Pacific 6.6.5 Latin America 6.6.6 Middle East and Africa 7 North America Revenue Cycle Management Market 7.1 Market Share by Country 7.2 United States of America 7.3 Canada 8 Europe Revenue Cycle Management Market 8.1 Market Share by Country 8.2 United Kingdom 8.3 Germany 8.4 France 8.5 Italy 8.6 Others 9 Asia Pacific Revenue Cycle Management Market 9.1 Market Share by Country 9.2 China 9.3 Japan 9.4 India 9.5 ASEAN 9.6 Australia 9.7 Others 10 Latin America Revenue Cycle Management Market 10.1 Market Share by Country 10.2 Brazil 10.3 Argentina 10.4 Mexico 10.5 Others 11 Middle East and Africa Revenue Cycle Management Market 11.1 Market Share by Country 11.2 Saudi Arabia 11.3 United Arab Emirates 11.4 Nigeria 11.5 South Africa 11.6 Others 12 Patent Analysis 12.1 Analysis by Type of Patent 12.2 Analysis by Publication year 12.3 Analysis by Issuing Authority 12.4 Analysis by Patent Age 12.5 Analysis by CPC Analysis 12.6 Analysis by Patent Valuation 12.7 Analysis by Key Players 13 Funding Analysis 13.1 Analysis by Funding Instances 13.2 Analysis by Type of Funding 13.3 Analysis by Funding Amount 13.4 Analysis by Leading Players 13.5 Analysis by Leading Investors 13.6 Analysis by Geography 14 Partnership and Collaborations Analysis 14.1 Analysis by Partnership Instances 14.2 Analysis by Type of Partnership 14.3 Analysis by Leading Players 14.4 Analysis by Geography 15 Regulatory Framework 15.1 Regulatory Overview 15.1.1 US FDA 15.1.2 EU EMA 15.1.3 INDIA CDSCO 15.1.4 JAPAN PMDA 15.1.5 Others 16 Supplier Landscape 16.1 Allscripts Healthcare, LLC 16.1.1 Financial Analysis 16.1.2 Product Portfolio 16.1.3 Demographic Reach and Achievements 16.1.4 Mergers and Acquisitions 16.1.5 Certifications 16.2 Cerner Corporation 16.2.1 Financial Analysis 16.2.2 Product Portfolio 16.2.3 Demographic Reach and Achievements 16.2.4 Mergers and Acquisitions 16.2.5 Certifications 16.3 Epic Systems Corporation 16.3.1 Financial Analysis 16.3.2 Product Portfolio 16.3.3 Demographic Reach and Achievements 16.3.4 Mergers and Acquisitions 16.3.5 Certifications 16.4 Conifer Health Solutions, LLC 16.4.1 Financial Analysis 16.4.2 Product Portfolio 16.4.3 Demographic Reach and Achievements 16.4.4 Mergers and Acquisitions 16.4.5 Certifications 16.5 Bio-Rad Laboratories Inc. 16.5.1 Financial Analysis 16.5.2 Product Portfolio 16.5.3 Demographic Reach and Achievements 16.5.4 Mergers and Acquisitions 16.5.5 Certifications 16.6 MEDHOST 16.6.1 Financial Analysis 16.6.2 Product Portfolio 16.6.3 Demographic Reach and Achievements 16.6.4 Mergers and Acquisitions 16.6.5 Certifications 16.7 Medical Information Technology, Inc. 16.7.1 Financial Analysis 16.7.2 Product Portfolio 16.7.3 Demographic Reach and Achievements 16.7.4 Mergers and Acquisitions 16.7.5 Certifications 16.8 Optum Inc. 16.8.1 Financial Analysis 16.8.2 Product Portfolio 16.8.3 Demographic Reach and Achievements 16.8.4 Mergers and Acquisitions 16.8.5 Certifications 16.9 McKesson Corporation 16.9.1 Financial Analysis 16.9.2 Product Portfolio 16.9.3 Demographic Reach and Achievements 16.9.4 Mergers and Acquisitions 16.9.5 Certifications 16.10 eClinicalWorks 16.10.1 Financial Analysis 16.10.2 Product Portfolio 16.10.3 Demographic Reach and Achievements 16.10.4 Mergers and Acquisitions 16.10.5 Certifications 16.11 NXGN Management, LLC 16.11.1 Financial Analysis 16.11.2 Product Portfolio 16.11.3 Demographic Reach and Achievements 16.11.4 Mergers and Acquisitions 16.11.5 Certifications 16.12 CareCloud Corporation 16.12.1 Financial Analysis 16.12.2 Product Portfolio 16.12.3 Demographic Reach and Achievements 16.12.4 Mergers and Acquisitions 16.12.5 Certifications 16.13 Quest Diagnostics, Inc. 16.13.1 Financial Analysis 16.13.2 Product Portfolio 16.13.3 Demographic Reach and Achievements 16.13.4 Mergers and Acquisitions 16.13.5 Certifications 16.14 R1 RCM, Inc. 16.14.1 Financial Analysis 16.14.2 Product Portfolio 16.14.3 Demographic Reach and Achievements 16.14.4 Mergers and Acquisitions 16.14.5 Certifications 17 Global Revenue Cycle Management Market- Distribution Model (Additional Insight) 17.1 Overview 17.2 Potential Distributors 17.3 Key Parameters for Distribution Partner Assessment 18 Key Opinion Leaders (KOL) Insights (Additional Insight) 19 Company Competitiveness Analysis (Additional Insight) 19.1 Very Small Companies 19.2 Small Companies 19.3 Mid-Sized Companies 19.4 Large Companies 19.5 Very Large Companies 20 Payment Methods (Additional Insight) 20.1 Government Funded 20.2 Private Insurance 20.3 Out-of-Pocket