Revenue Cycle Management Market/RCM Market by Product & Services (Eligibility Verification, Clinical Coding, CDI, Claims Processing, Denial Management, Outsourcing Services, Cloud), End User(Payers, Hospitals, Outpatient) (2022 - 2026)
Revenue cycle management (RCM) is the process used to track the revenue from patients, from their initial appointment or encounter with the healthcare system to their final payment of the balance. This process helps streamline the business operations of healthcare organizations and private practices. RCM solutions help providers manage and enhance revenue cycle functions such as medical coding & billing, patient insurance eligibility verification, electronic health records, clinical documentation, and claims & denials management.
[286 Pages Report] The global revenue cycle management market is projected to reach USD 67.8 billion by 2026 from USD 40.9 billion in 2021, at a CAGR of 10.6% during the forecast period. The growth of this market is majorly attributed to the growing regulatory requirements & government initiatives to boost the adoption of RCM solutions, increasing patient volumes & growth in health insurance, loss of revenue due to billing errors, and the rising need for robust process improvements in healthcare. However, high deployment costs & IT infrastructural constraints are restraining the growth of global market during the forecast period.
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Covid-19 Impact on the Revenue cycle management market
The COVID-19 outbreak has created immense pressure on medical practices of all sizes and the healthcare facilities across the globe have been overwhelmed by the large number of patients visiting them daily. Due to the growing patient volumes, the demand for healthcare IT solutions such as EHR and patient registry and platforms to manage complex patient data has increased. Hospitals are increasingly focusing on building their capabilities by integrating various hospital systems with EHRs. Players operating in this market have also integrated their RCM platforms with AI and upgraded their software solutions to help healthcare providers manage COVID-19 patients effectively. Key vendors such as Cerner Corporation, Optum, McKesson, and 3M Company have launched various RCM solutions integrated with advanced technologies to cope with the situation.
In addition, government and commercial payers are continually changing policies about COVID-19 treatment co-pays, patient responsibility amounts and their collection. Processing the new codes and keeping abreast of evolving policies has led to increased appeals, added claim resubmissions due to changes in patient responsibility and reworked patient statements. All these circumstances pile up to create a challenging situation for the healthcare provider. However, the situation has led to the high adoption of RCM solutions, especially outsourcing services & end-to-end solutions.
Revenue cycle management Market Dynamics
Driver: Increasing patient volume and subsequent growth in health insurance
The rapidly increasing geriatric population, the growing incidence of chronic disorders, and the rising demand for quality healthcare services are the major factors that have increased the burden on healthcare systems across the globe. According to the World Health Organization (WHO), the global number of people aged 60 and older is expected to increase from 900 million in 2015 to 2 billion by 2050. The CDC stated that chronic diseases like cancer, cardiovascular disease (CVD), diabetes, and respiratory diseases cause approximately 70% of deaths in the US every year. In addition to this, in the WHO European Region, the population aged 65 and over is projected to rise from 129 million in 2010 to 224 million by 2050; the number of people aged 85 years and older is expected to rise from 14 million to 40 million.
With a rapid increase in the elderly population and the subsequent rise in the prevalence of chronic diseases, the number of insurance claims has increased manifold across the globe. Moreover, with the implementation of the Affordable Care Act (ACA) in the US, almost 45 million more people will be eligible for Medicaid or coverage from insurance providers. This will further aid the demand for patient access solutions. Rising healthcare costs also compel people to opt for health insurance. According to Deloitte Global Health Care outlook 2019, spending on healthcare is projected to increase at an annual rate of 5.4%, from USD 7.724 trillion in 2017 to USD 10.059 trillion in 2022.
Restraint: IT infrastructural constraints in underdeveloped and developing countries
RCM solutions are typically integrated with EHR or practice management suites, where the EHR manages the patient’s clinical data while the RCM system processes the claims for payments. However, the success of RCM largely depends on the IT infrastructure and support within the organization. The software solutions offered by RCM companies to providers require IT expertise and infrastructure to function properly. This is necessary to obtain patient information from various departments as well as healthcare providers. Collective data from all these departments is used for correct billing and sharp coding, claims denial management, and establishing effective health data security. Most developing markets lack the required interoperability infrastructure to implement RCM solutions due to budgetary constraints. These infrastructural loopholes prove a major constraint for the growth of the RCM solutions market in developing regions.
Opportunity: Increasing outsourcing services in developing countries
Outsourcing is a popular strategy that healthcare organizations use to control the rising costs of providing services. With outsourcing, an external contractor assumes the responsibility of managing one or more of a healthcare organization’s business, clinical, financial, or hospitality services. Most healthcare leaders consider outsourcing the revenue cycle management process to reduce spending and focus on value-based care initiatives. Also, the cost of outsourcing the billing operations is comparatively less expensive than doing the billing in-house. A reliable RCM partner can manage day-to-day RCM activities like billing, reimbursements, registrations, and patient check-in/check-out. This helps healthcare facilities shift the burden from their staff to their outsourcing partners. Managing fewer staff members will allow providers to focus on their medical practice and network with other professionals. RCM outsourcing improves cash flows. RCM outsourcing partners are equipped with software and hardware solutions to handle a huge amount of billing. All procedures like insurance verification and AR collections are followed up within a day or two. Outsourcing equips end users with expert coders, CDI experts, financial experts, and A/R specialists, thereby curtailing the risk of errors.
Challenge: Reluctance to switch from conventional methods
The efficient utilization of RCM solutions largely depends on the willingness of end users to shift to electronic solutions from traditional paper-based solutions. Sufficient technical knowledge and IT skills are required to manage these HCIT solutions. Medical professionals, especially in emerging economies such as the APAC & Latin America, lack the technological know-how to operate advanced HCIT solutions and consider creating, maintaining, and using electronic systems a time-consuming task. Healthcare professionals are therefore reluctant to adopt new and innovative healthcare IT solutions such as revenue management solutions.
“The outsourcing services segment accounted for the largest share & expected to grow at the highest growth rate during the forecast period”
Among the product & services, the outsourcing services segment accounted for the largest share & expected to grow at the highest CAGR during the forecast period. The large share and high growth of this segment can be attributed to the growing need to manage data and technological advancements in HCIT.
“The cloud-based segment is expected to register highest growth of the revenue cycle management market”
Based on the delivery mode, the RCM solutions market is broadly categorized into on-premise & cloud-based. The cloud-based segment is expected to register highest growth of the global market. The growth of this segment can be attributed to their advantages such as minimum installation and maintenance costs, unlimited information storage, easy access to information at any location, and reduce spam and web threats.
“The healthcare providers segment accounted for the largest market share and also was the fastest growing segment in 2020.”
Based on end user, the revenue cycle management market is segmented into healthcare providers and healthcare payers. The large share and high growth of this end-user segment can be attributed to the growing need to improve the profitability of healthcare operations by providing value-based care, better transparency that improves the overall financial health of the provider organization.
“Middle East & Africa was the fastest growing regional market for revenue cycle management market in 2020“
The global RCM market is segmented into five major regions, namely, North America, Europe, the Asia Pacific, Latin America, and the Middle East & Africa. In 2020, Middle East & Africa is the fastest-growing market for Revenue cycle management market during the forecast period. The Middle East Africa market is projected to grow at the highest CAGR during the forecast period. The high growth in this regional market can be attributed to the growth in medical insurance adoption due to new regulatory requirements, increasing demand for patient data management services owing to the COVID-19 pandemic, government initiatives to promote digitalization, growing awareness, and the growing demand for quality healthcare.
Key Market Players
Prominent players in the global revenue cycle management market include R1 RCM (US), Cerner Corporation (US), Optum (US). Other prominent players in the market include McKesson Corporation (US), Change Healthcare (US), 3M (US), Experian plc (Ireland), Conifer Health Solutions (US), Allscripts Healthcare Solutions (US), GE Healthcare (US), Cognizant (US), athenahealth (US), SSI Group LLC (US), AdvantEdge Healthcare (US), and Huron Consulting Group (US).These companies adopted strategies such as service launches, expansions, agreements, partnerships, collaborations, and acquisitions to strengthen their market presence in the global market.
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|
Report Metric |
Details |
|
Market size available for years |
2020–2026 |
|
Base year considered |
2020 |
|
Forecast period |
2021–2026 |
|
Forecast units |
Value (USD Billion) |
|
Segments covered |
Product & services, delivery mode, end user and region |
|
Geographies covered |
North America, Europe, Asia Pacific, Latin America, and Middle East & Africa |
|
Companies covered |
R1 RCM (US), Cerner Corporation (US), Optum (US), McKesson Corporation (US), Change Healthcare (US), 3M (US), Experian plc (Ireland), Conifer Health Solutions (US), Allscripts Healthcare Solutions (US), GE Healthcare (US), Cognizant (US), athenahealth (US), SSI Group LLC (US), AdvantEdge Healthcare (US), and Huron Consulting Group (US) |
The research report categorizes the Revenue cycle management market into the following segments and subsegments:
Product & Services
- Solutions
- Patient Access Solutions
- Eligibility Verification Solutions
- Pre-certification & Authorization Solutions
- Other Patient Access Solutions
- Mid-Revenue cycle Solutions
- Clinical Coding Solutions
- Clinical Documentation Improvement Solutions
- Other Mid-revenue cycle Solutions
- Back-end Revenue cycle Solutions
- Claims Processing Solutions
- Denial Management Solutions
- Other Back-end Revenue cycle Solutions
- Patient Access Solutions
- Outsourcing Services
- Patient Access Outsourcing Services
- Mid-revenue cycle Outsourcing Services
- Back-end Revenue cycle Outsourcing Services
Delivery Mode
- On-premise Solutions
- Cloud-based Solutions
End User
- Healthcare Providers
- Inpatient Facilities
- Hospitals
- Others
- Outpatient Facilities
- Physicians Practices
- Ambulatory Surgical Centers (ASCs)
- Hospital Outpatient Facilities
- Diagnostic & Imaging Centers
- Other Outpatient Facilities
- Inpatient Facilities
- Healthcare Payers
Region
- North America
- US
- Canada
- Europe
- Germany
- UK
- France
- Italy
- Spain
- Rest of Europe
- Asia Pacific
- China
- Japan
- India
- Rest of Asia Pacific
- Latin America
- Middle East and Africa
Recent Developments
- In 2021, R1 and Mednax entered into an agreement to make R1 the primary provider of enterprise revenue cycle management services for Mednax.
- In 2021, Vanderbilt collaborated with McKesson to offer VHRxS’ full suite of specialty pharmacy consulting services to McKesson’s health system clients.
- In 2020, Cerner and Banner signed an agreement to add Cerner’s revenue cycle management solutions to Banner Health’s profile.
Frequently Asked Questions (FAQ):
How big is the Revenue Cycle Management Market?
Revenue Cycle Management Market worth $67.8 billion by 2026.
What is the growth rate of Revenue Cycle Management Market?
Revenue Cycle Management Market grows at a CAGR of 10.6% during the forecast period.
Which are the top industry players in the global revenue cycle management market?
The major players in the global revenue cycle management market are R1 RCM (US), Cerner Corporation (US), Optum (US). Other prominent players in the market include McKesson Corporation (US), Change Healthcare (US), 3M (US), Experian plc (Ireland), Conifer Health Solutions (US), Allscripts Healthcare Solutions (US), GE Healthcare (US), Cognizant (US), athenahealth (US), SSI Group LLC (US), AdvantEdge Healthcare (US), and Huron Consulting Group (US).
Which revenue cycle management products & services have been included in this report?
This report includes the following application:
- Solutions (patient access, mid & back-end software, software support solutions, end-to-end solutions)
- Outsourcing services (patient access, mid & back-end outsourcing services)
Which revenue cycle management delivery modes have been included in this report?
This report includes the following delivery mode:
- On-premise
- Cloud-based
Which geographical region is dominating the Revenue cycle management market?
The global Revenue cycle management market is segmented into North America, Europe, Asia Pacific, Latin America, and Middle East and Africa. North America accounted for the largest share of the market in 2020. Stringent regulations, increasing volume of claims denials, the presence of a high number of private healthcare payers and well-established government payers, and a large number of healthcare IT companies are some of the factors driving the growth of the market in this region.
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TABLE OF CONTENTS
1 INTRODUCTION (Page No. - 38)
1.1 OBJECTIVES OF THE STUDY
1.2 MARKET DEFINITION
1.3 MARKET SCOPE
1.3.1 INCLUSIONS AND EXCLUSIONS
1.3.2 MARKETS COVERED
1.3.3 YEARS CONSIDERED FOR THE STUDY
1.4 CURRENCY
1.5 STAKEHOLDERS
2 RESEARCH METHODOLOGY (Page No. - 41)
2.1 RESEARCH DATA
FIGURE 1 RESEARCH DESIGN
2.1.1 SECONDARY DATA
2.1.1.1 Key data from secondary sources
2.1.2 PRIMARY DATA
FIGURE 2 PRIMARY SOURCES
2.1.2.1 Key data from primary sources
2.1.2.2 Insights from primary experts
FIGURE 3 BREAKDOWN OF PRIMARY INTERVIEWS: SUPPLY-SIDE AND DEMAND-SIDE PARTICIPANTS
FIGURE 4 BREAKDOWN OF PRIMARY INTERVIEWS (SUPPLY SIDE): BY COMPANY TYPE, DESIGNATION, AND REGION
2.2 MARKET SIZE ESTIMATION: REVENUE CYCLE MANAGEMENT MARKET
FIGURE 5 MARKET SIZE ESTIMATION
FIGURE 6 CAGR PROJECTIONS FROM THE ANALYSIS OF DRIVERS, RESTRAINTS, OPPORTUNITIES, AND CHALLENGES
FIGURE 7 CAGR PROJECTIONS: OVERALL GLOBAL MARKET
2.2.1 TOP-DOWN APPROACH
2.3 MARKET BREAKDOWN AND DATA TRIANGULATION
FIGURE 8 DATA TRIANGULATION METHODOLOGY
2.4 MARKET RANKING ANALYSIS
2.5 ASSUMPTIONS FOR THE STUDY
2.6 RISK ASSESSMENT
TABLE 1 RISK ASSESSMENT: GLOBAL MARKET
2.7 LIMITATIONS
2.7.1 METHODOLOGY-RELATED LIMITATIONS
2.7.2 SCOPE-RELATED LIMITATIONS
2.8 COVID-19 HEALTH ASSESSMENT
2.9 COVID-19 ECONOMIC ASSESSMENT
2.10 ASSESSMENT OF THE IMPACT OF COVID-19 ON THE ECONOMIC SCENARIO
FIGURE 9 CRITERIA IMPACTING THE GLOBAL ECONOMY
2.11 COVID-19 IMPACT ON THE REVENUE CYCLE MANAGEMENT MARKET
3 EXECUTIVE SUMMARY (Page No. - 57)
FIGURE 10 REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2021 VS. 2026 (USD MILLION)
FIGURE 11 GLOBAL MARKET, BY DELIVERY MODE, 2021 VS. 2026 (USD MILLION)
FIGURE 12 GLOBAL MARKET, BY END USER, 2021 VS. 2026 (USD MILLION)
FIGURE 13 GEOGRAPHIC SNAPSHOT OF THE GLOBAL MARKET
4 PREMIUM INSIGHTS (Page No. - 61)
4.1 REVENUE CYCLE MANAGEMENT MARKET OVERVIEW
FIGURE 14 GROWING REGULATORY REQUIREMENTS AND GOVERNMENT INITIATIVES ARE DRIVING THE GROWTH OF THIS MARKET
4.2 GLOBAL MARKET: GEOGRAPHIC GROWTH OPPORTUNITIES
FIGURE 15 INDIA IS EXPECTED TO REGISTER THE HIGHEST GROWTH RATE DURING THE FORECAST PERIOD
4.3 REGIONAL MIX: GLOBAL MARKET (2019–2026)
FIGURE 16 MEA TO REGISTER THE HIGHEST GROWTH RATE DURING THE FORECAST PERIOD (2021–2026)
4.4 GLOBAL MARKET: DEVELOPED VS. DEVELOPING MARKETS, 2021 VS. 2026 (USD MILLION)
FIGURE 17 DEVELOPING MARKETS TO REGISTER HIGHER GROWTH DURING THE STUDY PERIOD
5 MARKET OVERVIEW (Page No. - 64)
5.1 INTRODUCTION
5.2 MARKET DYNAMICS
TABLE 2 IMPACT ANALYSIS: DRIVERS, RESTRAINTS, OPPORTUNITIES, AND CHALLENGES
5.2.1 DRIVERS
5.2.1.1 Growing regulatory requirements & government initiatives to boost the adoption of RCM solutions
5.2.1.2 Increasing patient volume and subsequent growth in health insurance
FIGURE 18 HEALTHCARE SPENDING, BY COUNTRY, 2019 (% OF GDP)
5.2.1.3 Loss of revenue due to billing errors and declining reimbursements
5.2.1.4 Growing need to manage unstructured healthcare data
5.2.1.5 Rising demand for robust process improvements in healthcare
5.2.2 RESTRAINTS
5.2.2.1 High deployment costs
5.2.2.2 IT infrastructural constraints in underdeveloped and developing countries
5.2.3 OPPORTUNITIES
5.2.3.1 Increasing outsourcing services in developing countries
5.2.3.2 Growing demand for AI & cloud-based deployment
5.2.4 CHALLENGES
5.2.4.1 Issues related to data security and confidentiality
5.2.4.2 Reluctance to switch from conventional methods
5.3 PATENT ANALYSIS
5.3.1 PATENT PUBLICATION TRENDS
FIGURE 19 PATENT PUBLICATION TRENDS: 2011 TO 2021
5.3.2 JURISDICTION ANALYSIS: TOP APPLICANTS (COUNTRIES) FOR REVENUE CYCLE MANAGEMENT PATENTS
TABLE 3 JURISDICTION ANALYSIS: TOP APPLICANT COUNTRIES FOR REVENUE CYCLE MANAGEMENT PATENTS
5.4 VALUE CHAIN ANALYSIS
FIGURE 20 REVENUE CYCLE MANAGEMENT MARKET: VALUE CHAIN ANALYSIS
5.5 SUPPLY CHAIN ANALYSIS
FIGURE 21 GLOBAL MARKET: ECOSYSTEM MAPPING (2020)
FIGURE 22 GLOBAL MARKET: SUPPLY CHAIN (2020)
6 INDUSTRY TRENDS (Page No. - 75)
6.1 INTRODUCTION
6.2 INDUSTRY TRENDS
6.2.1 INCREASING NUMBER OF PARTNERSHIPS AND COLLABORATIONS TO DRIVE INNOVATION
6.2.2 GROWING ADOPTION OF END-TO-END RCM SOLUTIONS
6.3 TECHNOLOGY TRENDS
6.3.1 AI PLATFORMS
6.3.2 CLOUD COMPUTING
6.4 END-USER TRENDS
6.4.1 SHIFT TOWARD OUTPATIENT FACILITIES
7 REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE (Page No. - 78)
7.1 INTRODUCTION
TABLE 4 GLOBAL MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
7.2 SOLUTIONS
TABLE 5 SOLUTIONS OFFERED BY KEY MARKET PLAYERS
TABLE 6 REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
7.2.1 PATIENT ACCESS SOLUTIONS
TABLE 7 PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 8 PATIENT ACCESS SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.2.1.1 Eligibility verification solutions
7.2.1.1.1 Eligibility verification solutions segment accounted for the largest share of the patient access solutions market
TABLE 9 ELIGIBILITY VERIFICATION SOLUTIONS OFFERED BY KEY MARKET PLAYERS
TABLE 10 ELIGIBILITY VERIFICATION SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.2.1.2 Pre-certification & authorization solutions
7.2.1.2.1 Electronic pre-certification and authorization helps reduce the risk of errors
TABLE 11 PRE-CERTIFICATION & AUTHORIZATION SOLUTIONS OFFERED BY KEY MARKET PLAYERS
TABLE 12 PRE-CERTIFICATION & AUTHORIZATION SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.2.1.3 Other patient access solutions
TABLE 13 OTHER PATIENT ACCESS SOLUTIONS OFFERED BY KEY MARKET PLAYERS
TABLE 14 OTHER PATIENT ACCESS SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.2.2 MID-REVENUE CYCLE SOLUTIONS
TABLE 15 MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 16 MID-REVENUE CYCLE SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.2.2.1 Clinical coding solutions
7.2.2.1.1 Increasing complexity of medical codes to drive the growth of this market segment
TABLE 17 CLINICAL CODING SOLUTIONS OFFERED BY KEY MARKET PLAYERS
TABLE 18 CLINICAL CODING SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.2.2.2 Clinical documentation improvement solutions
7.2.2.2.1 CDI solutions provide automated feedback and guidance that help physicians in improving the accuracy of patient records
TABLE 19 CDI SOLUTIONS OFFERED BY KEY MARKET PLAYERS
TABLE 20 CLINICAL DOCUMENTATION IMPROVEMENT SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.2.2.3 Other mid-revenue cycle solutions
TABLE 21 OTHER MID-REVENUE CYCLE SOLUTIONS OFFERED BY KEY MARKET PLAYERS
TABLE 22 OTHER MID-REVENUE CYCLE SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.2.3 BACK-END REVENUE CYCLE SOLUTIONS
TABLE 23 BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 24 BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.2.3.1 Claims processing solutions
7.2.3.1.1 Claims processing solutions help reduce false claims and manual efforts
TABLE 25 CLAIMS PROCESSING SOLUTIONS OFFERED BY KEY MARKET PLAYERS
TABLE 26 CLAIMS PROCESSING SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.2.3.2 Denial management solutions
7.2.3.2.1 Claims denial management solutions help healthcare payers and providers with effective claims management
TABLE 27 DENIAL MANAGEMENT SOLUTIONS OFFERED BY KEY MARKET PLAYERS
TABLE 28 DENIAL MANAGEMENT SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.2.3.3 Other back-end revenue cycle solutions
TABLE 29 OTHER BACK-END REVENUE CYCLE SOLUTIONS OFFERED BY KEY MARKET PLAYERS
TABLE 30 OTHER BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.3 OUTSOURCING SERVICES
TABLE 31 OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 32 OUTSOURCING SERVICES MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.3.1 PATIENT ACCESS OUTSOURCING SERVICES
7.3.1.1 Patient access outsourcing services segment to account for the largest share of the outsourcing services market
TABLE 33 PATIENT ACCESS OUTSOURCING SERVICES OFFERED BY KEY MARKET PLAYERS
TABLE 34 PATIENT ACCESS OUTSOURCING SERVICES MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.3.2 MID-REVENUE CYCLE OUTSOURCING SERVICES
7.3.2.1 Mid-revenue cycle outsourcing services are performed by expert coders and CDI experts
TABLE 35 MID-REVENUE CYCLE OUTSOURCING SERVICES OFFERED BY KEY MARKET PLAYERS
TABLE 36 MID-REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
7.3.3 BACK-END REVENUE CYCLE OUTSOURCING SERVICES
7.3.3.1 Shortage of skilled HCIT professionals driving the growth of this market segment
TABLE 37 BACK-END OUTSOURCING SERVICES OFFERED BY KEY MARKET PLAYERS
TABLE 38 BACK-END REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
8 REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE (Page No. - 105)
8.1 INTRODUCTION
TABLE 39 GLOBAL MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
8.2 ON-PREMISE SOLUTIONS
8.2.1 ON-PREMISE SOLUTIONS SEGMENT ACCOUNTED FOR THE LARGEST SHARE OF THE MARKET IN 2020
TABLE 40 ON-PREMISE REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
8.3 CLOUD-BASED SOLUTIONS
8.3.1 CLOUD-BASED REVENUE CYCLE MANAGEMENT SOLUTIONS ARE AFFORDABLE SOLUTIONS FOR SMALL AND MEDIUM-SIZED HEALTHCARE FACILITIES—A KEY FACTOR DRIVING MARKET GROWTH
TABLE 41 CLOUD-BASED REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
9 REVENUE CYCLE MANAGEMENT MARKET, BY END USER (Page No. - 109)
9.1 INTRODUCTION
TABLE 42 GLOBAL MARKET, BY END USER, 2019–2026 (USD MILLION)
9.2 HEALTHCARE PROVIDERS
TABLE 43 GLOBAL MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 44 GLOBAL MARKET FOR HEALTHCARE PROVIDERS, BY COUNTRY, 2019–2026 (USD MILLION)
9.2.1 INPATIENT FACILITIES
TABLE 45 GLOBAL MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 46 REVENUE CYCLE MANAGEMENT MARKET FOR INPATIENT FACILITIES, BY COUNTRY, 2019–2026 (USD MILLION)
9.2.1.1 Hospitals
9.2.1.1.1 The growing need to improve the profitability of healthcare operations is driving the adoption of RCM tools in hospitals
TABLE 47 GLOBAL MARKET FOR HOSPITALS, BY COUNTRY, 2019–2026 (USD MILLION)
9.2.1.2 Other inpatient facilities
TABLE 48 GLOBAL MARKET FOR OTHER INPATIENT FACILITIES, BY COUNTRY, 2019–2026 (USD MILLION)
9.2.2 OUTPATIENT FACILITIES
TABLE 49 GLOBAL MARKET FOR OUTPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 50 GLOBAL MARKET FOR OUTPATIENT FACILITIES, BY COUNTRY, 2019–2026 (USD MILLION)
9.2.2.1 Physician practices
9.2.2.1.1 The integration of EHR with a practice management system is currently high in demand among physician practices
TABLE 51 REVENUE CYCLE MANAGEMENT MARKET FOR PHYSICIAN PRACTICES, BY COUNTRY, 2019–2026 (USD MILLION)
9.2.2.2 Ambulatory Surgical Centers (ASCs)
9.2.2.2.1 Eroding patient volumes at hospitals due to the high infection rate of COVID-19 is driving the demand for ASCs
TABLE 52 GLOBAL MARKET FOR AMBULATORY SURGICAL CENTERS, BY COUNTRY, 2019–2026 (USD MILLION)
9.2.2.3 Hospital outpatient facilities
9.2.2.3.1 High volume of patients in hospital OPDs requires maintaining documentation—a key factor driving the demand for RCM solutions
TABLE 53 GLOBAL MARKET FOR HOSPITAL OUTPATIENT FACILITIES, BY COUNTRY, 2019–2026 (USD MILLION)
9.2.2.4 Diagnostic & imaging centers
9.2.2.4.1 Growing preference of patients opting for shorter waiting times & technologically advanced specialty clinics propel the growth of this end-user segment
TABLE 54 GLOBAL MARKET FOR DIAGNOSTIC & IMAGING CENTERS, BY COUNTRY, 2019–2026 (USD MILLION)
9.2.2.5 Other outpatient facilities
TABLE 55 GLOBAL MARKET FOR OTHER OUTPATIENT FACILITIES, BY COUNTRY, 2019–2026 (USD MILLION)
9.3 HEALTHCARE PAYERS
9.3.1 INCREASING PRODUCTIVITY AND PROFITABILITY OF CODING OPERATIONS IS DRIVING THE ADOPTION OF RCM SOLUTIONS BY HEALTHCARE PAYERS
TABLE 56 REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PAYERS, BY COUNTRY/REGION, 2019–2026 (USD MILLION)
10 REVENUE CYCLE MANAGEMENT MARKET, BY REGION (Page No. - 123)
10.1 INTRODUCTION
TABLE 57 GLOBAL MARKET, BY REGION, 2019–2026 (USD MILLION)
10.2 NORTH AMERICA
FIGURE 23 NORTH AMERICA: REVENUE CYCLE MANAGEMENT MARKET SNAPSHOT
TABLE 58 NORTH AMERICA: MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
TABLE 59 NORTH AMERICA: MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 60 NORTH AMERICA: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 61 NORTH AMERICA: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 62 NORTH AMERICA: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 63 NORTH AMERICA: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 64 NORTH AMERICA: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 65 NORTH AMERICA: MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 66 NORTH AMERICA: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 67 NORTH AMERICA: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 68 NORTH AMERICA: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 69 NORTH AMERICA: MARKET FOR OUTPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
10.2.1 US
10.2.1.1 Growing focus of healthcare providers on improving the quality of care and reducing medical errors & healthcare expenses to drive market growth in the US
TABLE 70 US: KEY MACROINDICATORS
TABLE 71 US: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 72 US: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 73 US: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 74 US: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 75 US: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 76 US: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 77 US: MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 78 US: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 79 US: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 80 US: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 81 US: MARKET FOR OUTPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
10.2.2 CANADA
10.2.2.1 Need for healthcare cost containment and financial management of healthcare organizations to support market growth
TABLE 82 CANADA: KEY MACROINDICATORS
TABLE 83 CANADA: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 84 CANADA: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 85 CANADA: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 86 CANADA: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 87 CANADA: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 88 CANADA: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 89 CANADA: GEMENT MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 90 CANADA: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 91 CANADA: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 92 CANADA: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 93 CANADA: MARKET FOR OUTPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
10.3 EUROPE
TABLE 94 EUROPE: REVENUE CYCLE MANAGEMENT MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
TABLE 95 EUROPE: MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 96 EUROPE: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 97 EUROPE: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 98 EUROPE: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 99 EUROPE: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 100 EUROPE: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 101 EUROPE: MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 102 EUROPE: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 103 EUROPE: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 104 EUROPE: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 105 EUROPE: MARKET FOR OUTPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
10.3.1 GERMANY
10.3.1.1 Increasing patient volume to boost the adoption of RCM solutions in the country
TABLE 106 GERMANY: KEY MACROINDICATORS
TABLE 107 GERMANY: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 108 GERMANY: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 109 GERMANY: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 110 GERMANY: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 111 GERMANY: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 112 GERMANY: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 113 GERMANY: MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 114 GERMANY: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 115 GERMANY: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 116 GERMANY: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 117 GERMANY: MARKET FOR OUTPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
10.3.2 FRANCE
10.3.2.1 Government initiatives will increase the need for effective RCM solutions in France
TABLE 118 FRANCE: KEY MACROINDICATORS
TABLE 119 FRANCE: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 120 FRANCE: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 121 FRANCE: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 122 FRANCE: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 123 FRANCE: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 124 FRANCE: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 125 FRANCE: MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 126 FRANCE: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 127 FRANCE: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 128 FRANCE: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 129 FRANCE: MARKET FOR OUTPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
10.3.3 UK
10.3.3.1 Growing patient pool is boosting the demand for RCM solutions & services in the UK
TABLE 130 UK: KEY MACROINDICATORS
TABLE 131 UK: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 132 UK: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 133 UK: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 134 UK: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 135 UK: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 136 UK: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 137 UK: MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 138 UK: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 139 UK: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 140 UK: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 141 UK: MARKET FOR OUTPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
10.3.4 ITALY
10.3.4.1 Initiatives towards digitalizing patient records to support the growth of the RCM market in Italy
TABLE 142 ITALY: KEY MACROINDICATORS
TABLE 143 ITALY: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 144 ITALY: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 145 ITALY: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 146 ITALY: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 147 ITALY: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 148 ITALY: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 149 ITALY: MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 150 ITALY: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 151 ITALY: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 152 ITALY: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 153 ITALY: REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
10.3.5 SPAIN
10.3.5.1 IT infrastructural improvements in the country to boost the growth of the RCM market in Spain
TABLE 154 SPAIN: KEY MACROINDICATORS
TABLE 155 SPAIN: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 156 SPAIN: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 157 SPAIN: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 158 SPAIN: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 159 SPAIN: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE,2019–2026 (USD MILLION)
TABLE 160 SPAIN: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 161 SPAIN: MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 162 SPAIN: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 163 SPAIN: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 164 SPAIN: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 165 SPAIN: REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
10.3.6 REST OF EUROPE (ROE)
TABLE 166 ROE: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 167 ROE: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 168 ROE: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 169 ROE: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 170 ROE: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 171 ROE: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 172 ROE: MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 173 ROE: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 174 ROE: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 175 ROE: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 176 ROE: REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
10.4 ASIA PACIFIC
FIGURE 24 ASIA PACIFIC: REVENUE CYCLE MANAGEMENT MARKET SNAPSHOT
TABLE 177 ASIA PACIFIC: MARKET, BY COUNTRY, 2019–2026 (USD MILLION)
TABLE 178 ASIA PACIFIC: MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 179 ASIA PACIFIC: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 180 ASIA PACIFIC: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 181 ASIA PACIFIC: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 182 ASIA PACIFIC: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 183 ASIA PACIFIC: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 184 ASIA PACIFIC: MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 185 ASIA PACIFIC: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 186 ASIA PACIFIC: REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 187 ASIA PACIFIC: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 188 ASIA PACIFIC: MARKET FOR OUTPATIENT FACILITIES, BY TYPE 2019–2026 (USD MILLION)
10.4.1 JAPAN
10.4.1.1 Government mandates to boost the adoption of RCM solutions in Japan
TABLE 189 JAPAN: MACROECONOMIC INDICATORS
TABLE 190 JAPAN: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 191 JAPAN: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 192 JAPAN: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 193 JAPAN: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 194 JAPAN: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 195 JAPAN: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 196 JAPAN: MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 197 JAPAN: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 198 JAPAN: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 199 JAPAN: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 200 JAPAN: REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES, BY TYPE 2019–2026 (USD MILLION)
10.4.2 CHINA
10.4.2.1 Digitalization & improving infrastructure to support RCM market growth in China
TABLE 201 CHINA: MACROECONOMIC INDICATORS
TABLE 202 CHINA: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 203 CHINA: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 204 CHINA: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 205 CHINA: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 206 CHINA: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 207 CHINA: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 208 CHINA: REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 209 CHINA: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 210 CHINA: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 211 CHINA: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 212 CHINA: MARKET FOR OUTPATIENT FACILITIES, BY TYPE 2019–2026 (USD MILLION)
10.4.3 INDIA
10.4.3.1 Growing patient pool to Support the growth of the RCM market in India
TABLE 213 INDIA: MACROECONOMIC INDICATORS
TABLE 214 INDIA: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 215 INDIA: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 216 INDIA: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 217 INDIA: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 218 INDIA: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 219 INDIA: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 220 INDIA: REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 221 INDIA: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 222 INDIA: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 223 INDIA: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 224 INDIA: REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES, BY TYPE 2019–2026 (USD MILLION)
10.4.4 REST OF ASIA PACIFIC
TABLE 225 ROAPAC: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 226 ROAPAC: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 227 ROAPAC: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 228 ROAPAC: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 229 ROAPAC: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 230 ROAPAC: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 231 ROAPAC: REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 232 ROAPAC: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 233 ROAPAC: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 234 ROAPAC: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 235 ROAPAC: REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES, BY TYPE 2019–2026 (USD MILLION)
10.5 LATIN AMERICA
10.5.1 HEALTHCARE INFRASTRUCTURAL DEVELOPMENTS IN LATIN AMERICA TO SUPPORT MARKET GROWTH
TABLE 236 LATIN AMERICA: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 237 LATIN AMERICA: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 238 LATIN AMERICA: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 239 LATIN AMERICA: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 240 LATIN AMERICA: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 241 LATIN AMERICA: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 242 LATIN AMERICA: REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 243 LATIN AMERICA: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 244 LATIN AMERICA: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 245 LATIN AMERICA: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 246 LATIN AMERICA: REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
10.6 MIDDLE EAST & AFRICA
10.6.1 GOVERNMENT INITIATIVES TO SUPPORT MARKET GROWTH IN THE MIDDLE EAST & AFRICA
TABLE 247 MEA: REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2019–2026 (USD MILLION)
TABLE 248 MEA: REVENUE CYCLE MANAGEMENT SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 249 MEA: PATIENT ACCESS SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 250 MEA: MID-REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 251 MEA: BACK-END REVENUE CYCLE SOLUTIONS MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 252 MEA: REVENUE CYCLE OUTSOURCING SERVICES MARKET, BY TYPE, 2019–2026 (USD MILLION)
TABLE 253 MEA: REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2019–2026 (USD MILLION)
TABLE 254 MEA: MARKET, BY END USER, 2019–2026 (USD MILLION)
TABLE 255 MEA: MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2019–2026 (USD MILLION)
TABLE 256 MEA: MARKET FOR INPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
TABLE 257 MEA: REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES, BY TYPE, 2019–2026 (USD MILLION)
11 COMPETITIVE LANDSCAPE (Page No. - 204)
11.1 INTRODUCTION
11.2 KEY PLAYER STRATEGIES/RIGHT TO WIN
11.2.1 OVERVIEW OF THE KEY STRATEGIES ADOPTED BY MAJOR PLAYERS IN THE REVENUE CYCLE MANAGEMENT MARKET
11.3 MARKET RANKING ANALYSIS
TABLE 258 REVENUE CYCLE MANAGEMENT: MARKET RANKING ANALYSIS, BY KEY PLAYER, 2020
11.4 FOOTPRINT ANALYSIS OF THE TOP PLAYERS IN THE REVENUE CYCLE MANAGEMENT MARKET
TABLE 259 COMPANY FOOTPRINT ANALYSIS
FIGURE 25 COMPANY PRODUCT FOOTPRINT
TABLE 260 COMPANY REGIONAL FOOTPRINT
11.5 GLOBAL MARKET: R&D EXPENDITURE
FIGURE 26 R&D EXPENDITURE OF THE KEY PLAYERS IN THE REVENUE CYCLE MANAGEMENT MARKET
11.6 COMPANY EVALUATION QUADRANT
11.6.1 STARS
11.6.2 EMERGING LEADERS
11.6.3 PERVASIVE PLAYERS
11.6.4 PARTICIPANTS
FIGURE 27 REVENUE CYCLE MANAGEMENT MARKET: COMPANY EVALUATION QUADRANT, 2020
11.7 COMPANY EVALUATION QUADRANT FOR STARTUPS/SMES
11.7.1 PROGRESSIVE COMPANIES
11.7.2 STARTING BLOCKS
11.7.3 RESPONSIVE COMPANIES
11.7.4 DYNAMIC COMPANIES
FIGURE 28 GLOBAL MARKET: COMPANY EVALUATION QUADRANT FOR START-UPS/SMES, 2020
11.8 COMPETITIVE SCENARIO
11.8.1 DEALS
TABLE 261 DEALS (JANUARY 2018–JULY 2021)
11.8.2 KEY PRODUCT & SERVICE LAUNCHES
TABLE 262 PRODUCT & SERVICE LAUNCHES (JANUARY 2018–JULY 2021)
12 COMPANY PROFILES (Page No. - 217)
12.1 KEY COMPANIES
(Business overview, Products offered, Recent developments, MNM view)*
12.1.1 OPTUM
TABLE 263 OPTUM: BUSINESS OVERVIEW
FIGURE 29 OPTUM: COMPANY SNAPSHOT (2020)
12.1.2 R1 RCM, INC.
TABLE 264 R1 RCM, INC.: BUSINESS OVERVIEW
12.1.3 CERNER CORPORATION
TABLE 265 CERNER CORPORATION: BUSINESS OVERVIEW
FIGURE 30 CERNER CORPORATION: COMPANY SNAPSHOT (2020)
12.1.4 CHANGE HEALTHCARE
TABLE 266 CHANGE HEALTHCARE: BUSINESS OVERVIEW
FIGURE 31 CHANGE HEALTHCARE: COMPANY SNAPSHOT (2020)
12.1.5 MCKESSON CORPORATION
TABLE 267 MCKESSON CORPORATION: BUSINESS OVERVIEW
FIGURE 32 MCKESSON CORPORATION: COMPANY SNAPSHOT (2020)
12.1.6 3M
TABLE 268 3M: BUSINESS OVERVIEW
FIGURE 33 3M: COMPANY SNAPSHOT (2020)
12.1.7 EXPERIAN PLC
TABLE 269 EXPERIAN PLC: BUSINESS OVERVIEW
FIGURE 34 EXPERIAN PLC: COMPANY SNAPSHOT (2020)
12.1.8 CONIFER HEALTH SOLUTIONS
TABLE 270 CONIFER HEALTH SOLUTIONS: BUSINESS OVERVIEW
FIGURE 35 CONIFER HEALTH SOLUTIONS: COMPANY SNAPSHOT (2020)
12.1.9 ALLSCRIPTS HEALTHCARE, LLC
TABLE 271 ALLSCRIPTS HEALTHCARE, LLC: BUSINESS OVERVIEW
FIGURE 36 ALLSCRIPTS HEALTHCARE, LLC: COMPANY SNAPSHOT (2020)
12.1.10 GE HEALTHCARE
TABLE 272 GE HEALTHCARE: BUSINESS OVERVIEW
FIGURE 37 GE HEALTHCARE: COMPANY SNAPSHOT (2020)
12.1.11 COGNIZANT
TABLE 273 COGNIZANT: BUSINESS OVERVIEW
FIGURE 38 COGNIZANT: COMPANY SNAPSHOT (2020)
12.1.12 ATHENAHEALTH
TABLE 274 ATHENAHEALTH: BUSINESS OVERVIEW
12.1.13 SSI GROUP, LLC
TABLE 275 SSI GROUP, LLC: BUSINESS OVERVIEW
12.1.14 ADVANTEDGE HEALTHCARE SOLUTIONS
TABLE 276 ADVANTEDGE HEALTHCARE SOLUTIONS: BUSINESS OVERVIEW
12.1.15 HURON CONSULTING GROUP INC.
TABLE 277 HURON CONSULTING GROUP INC.: BUSINESS OVERVIEW
FIGURE 39 HURON CONSULTING GROUP: COMPANY SNAPSHOT (2020)
12.1.16 NTHRIVE REVENUE SYSTEMS, LLC
TABLE 278 NTHRIVE REVENUE SYSTEMS, LLC: BUSINESS OVERVIEW
12.1.17 PLUTUS HEALTH
TABLE 279 PLUTUS HEALTH: BUSINESS OVERVIEW
12.1.18 QUEST DIAGNOSTICS
TABLE 280 QUEST DIAGNOSTICS: BUSINESS OVERVIEW
FIGURE 40 QUEST DIAGNOSTICS: COMPANY SNAPSHOT (2020)
12.1.19 GEBBS HEALTHCARE SOLUTIONS
TABLE 281 GEBBS HEALTHCARE SOLUTIONS: BUSINESS OVERVIEW
12.1.20 EPIC SYSTEMS CORPORATION
TABLE 282 EPIC SYSTEMS CORPORATION: BUSINESS OVERVIEW
*Business overview, Products offered, Recent developments, MNM view might not be captured in case of unlisted companies.
12.2 OTHER PLAYERS
12.2.1 OMEGA HEALTHCARE
12.2.2 TRUBRIDGE
12.2.3 CARECLOUD
12.2.4 CONSTELLATION SOFTWARE INC.
12.2.5 VEE TECHNOLOGIES
13 APPENDIX (Page No. - 278)
13.1 INSIGHTS FROM INDUSTRY EXPERTS
13.2 DISCUSSION GUIDE
13.3 KNOWLEDGE STORE: MARKETSANDMARKETS’ SUBSCRIPTION PORTAL
13.4 AVAILABLE CUSTOMIZATIONS
13.5 RELATED REPORTS
13.6 AUTHOR DETAILS
This study involved the extensive use of both primary and secondary sources. The research process involved the study of various factors affecting the industry to identify the segmentation types, key players, competitive landscape, key market dynamics, and key player strategies.
Secondary Research
The secondary research process involved the widespread use of secondary sources, directories, databases (such as Bloomberg Businessweek, Factiva, and D&B Hoovers), white papers, annual reports, company house documents, investor presentations, and SEC filings of companies. Secondary research was used to identify and collect information useful for the extensive, technical, market-oriented, and commercial study of the revenue cycle management market. It was also used to obtain important information about the key players and market classification and segmentation according to industry trends to the bottom-most level, and key developments related to market and technology perspectives. A database of the key industry leaders was also prepared using secondary research.
Primary Research
In the primary research process, various sources from both the supply and demand sides were interviewed to obtain qualitative and quantitative information for this report. The primary sources from the supply side include industry experts such as CEOs, vice presidents, marketing and sales directors, technology & innovation directors, and related key executives from various key companies and organizations operating in the revenue cycle management market. The primary sources from the demand side include clinicians, cardiologists, hospital managers, professors, and related key executives. Primary research was conducted to validate the market segmentation, identify key players in the market, and gather insights on key industry trends and key market dynamics.
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Market Size Estimation
The total size of the revenue cycle management market was arrived at after data triangulation from four different approaches. After each approach, the weighted average of the three approaches was taken based on the level of assumptions used in each approach.
Approach to calculate the revenue of different players in the revenue cycle management market
The size of the global revenue cycle management market was obtained from annual reports, SEC filings, online publications, and extensive primary interviews. A percentage split was applied to arrive at the size of market segments. Further splits were applied to arrive at the size for each sub-segment. These percentage splits were validated by primary participants. The country-level market sizes obtained from the annual reports, SEC filings, online publications, and extensive primary interviews were added up to reach the total market size for regions. By adding up the market sizes for all the regions, the global revenue cycle management market was derived.
Approach to derive the market size and estimate market growth
The market size and market growth were estimated through primary interviews on a regional and global level. All responses were collated, and a weighted average was taken to derive a probabilistic estimate of the market size and growth rate.
Data Triangulation
After arriving at the overall market size-using the market size estimation processes explained above-the market was split into several segments and sub-segments. To complete the overall market engineering process and arrive at the exact statistics of each market segment and sub-segment, the data triangulation and market breakdown procedures were employed, wherever applicable. The data was triangulated by studying various factors and trends from both the demand and supply sides.
Objectives of the Study
- To define, describe, and forecast the global revenue cycle management market by product & services, delivery mode, end-user, and region
- To provide detailed information about the significant factors influencing the market growth (such as drivers, restraints, opportunities, and challenges)
- To analyze micromarkets with respect to individual growth trends, prospects, and contributions to the overall revenue cycle management market
- To analyze market opportunities for stakeholders and provide details of the competitive landscape for key players
- To forecast the size of the revenue cycle management market in five major regions along with their respective key countries (North America, Europe, Asia-Pacific, Latin America, and Middle East & Africa)
- To profile the key players in the global revenue cycle management market and comprehensively analyze their core competencies and market shares
- To track and analyze competitive developments such as mergers, acquisitions, developments, expansions, partnerships, alliances, and R&D activities of leading players in the market
Available Customizations
With the given market data, MarketsandMarkets offers customizations as per the company’s specific needs. The following customization options are available for the report:
Geographic Analysis
- Further breakdown of the Rest of the Asia Pacific market into South Korea, Australia, New Zealand, and others
- Further breakdown of the Rest of Europe market into Belgium, Russia, Switzerland, and others
- Further breakdown of the Rest of the Latin America market into Brazil, Argentina, Colombia, Chile, and others
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