Revenue Cycle Management Market by Function (Claims & Denial Management, Consumables, Medical Coding & Billing, Patient Insurance Eligibility Verification, Payment Remittance, Electronic Health Record, Clinical Documentation Improvement and Other Functions) Offering (Software and Services), Product (Integrated Solutions and Standalone Solutions), End-User (Physicians, Hospitals, Laboratories, and Other End Users), Geography (North America, Europe, Asia Pacific and Rest of the World)

  • Revenue Cycle Management Market by Function (Claims & Denial Management, Consumables, Medical Coding & Billing, Patient Insurance Eligibility Verification, Payment Remittance, Electronic Health Record, Clinical Documentation Improvement and Other Functions) Offering (Software and Services), Product (Integrated Solutions and Standalone Solutions), End-User (Physicians, Hospitals, Laboratories, and Other End Users), Geography (North America, Europe, Asia Pacific and Rest of the World)

    Revenue cycle management is the financial process of the medical bills and utilized by the healthcare systems, mostly in developed countries such as the United States, Europe, and other parts the world. This process helps to track the revenue generated from the healthcare services by registering all the payment processes on the revenue cycle management platform. The revenue cycle management is a complex process; hence, healthcare providers can outsource their revenue cycle management process to other companies to handle the complex process with the help of professional agents. The major factors boosting the market growth is decreased reimbursements in the healthcare industry, electronic medical record, or electronic health records became mandatory in the healthcare industry. Somehow, the lack of skilled IT professionals in the revenue cycle management is hindering the market growth. The revenue cycle management market is estimated to grow at a CAGR of 12.9% in the forecasting period, from a base value of $71.11 billion in 2020 to $147.27 billion in 2026.

    The scope of the study on the revenue cycle management market has been defined based on function, offering, product, end-user, and geography.

    Based on Function:

    Claims & Denial Management

    Medical Coding & Billing

    Patient Insurance Eligibility Verification

    Payment Remittance

    Electronic Health Record

    Clinical Documentation Improvement

    Other Functions

    Based on Offering:

    Software

    Services

    Based on Product:

    Integrated Solutions

    Standalone Solutions

    Based on End User:

    Physicians

    Hospitals

    Laboratories

    Other End Users

    Based on Geography:

    North America

    Europe

    Asia Pacific

    Rest of the World

    On the basis of function, the claim and denial management segment is expected to lead the market share due to the increasing progress in the reimbursement structure, and the growing prevalence of claim denials or errors in the medical claims are the reasons for the great demand for claim and denial management.

    Based on the offering, the service segment is expected to exhibit the highest market share in the market due to the lack of skilled resources in the financial process in the healthcare industry resulted in increasing adoption of outsourcing the revenue cycle management process to the outsourced party.

    In the market, based on the product categorization, the integrated solution is expected to have the largest share in the market with the growing demand for value-based payment systems and the rising adoption of cost-effective data management solutions.

    Further market based on the end-user is segmented by physicians, hospitals, laboratories, and other end-users. The physicians segment is expected to have the largest share in the market because adoption management systems such as consolidated practice among the physicians boost the market growth in this segment.

    In the revenue cycle management market, North America accounted for the largest share due to the developed IT framework in the healthcare industry, the large numbers of hospitals, and efficient healthcare systems in this region. Europe accounted the second largest market share in the market due to the government initiatives for e-health and improved overall efficient healthcare organizations system in this region.

    The key players in the market of Revenue cycle management are Cerner, Mckesson, Quest Diagnostics, Allscripts Healthcare Solutions, Athenahealth, Ge Healthcare, ECLINICALWORKS, Conifer Health Solutions, Epic Systems, Gebbs Healthcare Solutions, Experian, Agilent Technologies, Inc, Constellation Software, The Ssi Group, and Nthrive.

    Globally, the demand for the revenue cycle management is increasing, and the major factors affecting the market growth are apprised regulatory mandates for the adoption of the electronic health records of the patients in the healthcare organizations and government is also taking the initiative towards the adoption of the revenue cycle management solutions in the healthcare industry. However, the risk in data security and privacy is a challenging factor for the market growth.

    Moreover, the revenue cycle management process has a great impact on the healthcare industry for the easy management of healthcare services bills and fewer occurrence of errors in the revenue management process. The qualitative and quantitative analysis of the market enables users to develop effective strategies to solidify their presence in the market.

    The competitive landscape includes the analysis of leading players strategic initiatives including product innovations, joint ventures, collaborations, and mergers and acquisitions

    This report also provides the portfolio analysis and capability analysis of the leading players

    Quantitative analysis of the market enables users to understand the actual facts of the market across four major regions

     

  • With tables and figures helping analyze worldwide Revenue Cycle Management market, this research provides key statistics on the state of the industry and is a valuable source of guidance and direction for companies and individuals interested in the market.


    1. Executive Summary

    2. Industry Outlook
    2.1. Industry Overview
    2.2. Industry Trends

    3. Market Snapshot
    3.1. Total Adressable Market
    3.2. Segment Addressable Market
    3.2.1. PEST Analysis
    3.2.2. Porter Five Forces
    3.3. Related Markets
    3.4. Ecosystem

    4. Market Outlook
    4.1. Overview
    4.1.1. Market Evolution
    4.2. Market Trends and Impact
    4.3. Pricing Analysis
    4.4. Market Segmentation
    4.5. Market Dynamics
    4.5.1. Drivers
    4.5.2. Restraints
    4.5.3. Opportunities
    4.6. DRO - Impact Analysis

    5. Function: Market Size & Analysis
    5.1. Overview
    5.2. Claims & Denial Management
    5.3. Medical Coding & Billing
    5.4. Patient Insurance Eligibility Verification
    5.5. Payment Remittance
    5.6. Electronic Health Record
    5.7. Clinical Documentation Improvement
    5.8. Other Functions

    6. Offering: Market Size & Analysis
    6.1. Overview
    6.2. Software
    6.3. Services

    7. Product: Market Size & Analysis
    7.1. Overview
    7.2. Integrated Solutions
    7.3. Standalone Solutions

    8. End-user: Market Size & Analysis
    8.1. Overview
    8.2. Physicians
    8.3. Hospitals
    8.4. Laboratories
    8.5. Other End Users

    9. Geography: Market Size & Analysis
    9.1. Overview
    9.2. North America
    9.3. Europe
    9.4. Asia Pacific
    9.5. Rest of the World

    10. Competitive Landscape
    10.1. Competitor Comparison Analysis
    10.2. Market Developments
    10.3. Mergers and Acquisitions, Legal, Awards, Partnerships
    10.4. Product Launches and execution

    11. Vendor Profiles
    11.1. Cerner
    11.1.1. Overview
    11.1.2. Business Units
    11.1.3. Geographic Revenue
    11.1.4. Product Offerings
    11.1.5. Developments
    11.1.6. Business Strategy
    11.2. Mckesson
    11.2.1. Overview
    11.2.2. Business Units
    11.2.3. Geographic Revenue
    11.2.4. Product Offerings
    11.2.5. Developments
    11.2.6. Business Strategy
    11.3. Quest Diagnostics
    11.3.1. Overview
    11.3.2. Business Units
    11.3.3. Geographic Revenue
    11.3.4. Product Offerings
    11.3.5. Developments
    11.3.6. Business Strategy
    11.4. Allscripts Healthcare Solutions
    11.4.1. Overview
    11.4.2. Business Units
    11.4.3. Geographic Revenue
    11.4.4. Product Offerings
    11.4.5. Developments
    11.4.6. Business Strategy
    11.5. Athenahealth
    11.5.1. Overview
    11.5.2. Business Units
    11.5.3. Geographic Revenue
    11.5.4. Product Offerings
    11.5.5. Developments
    11.5.6. Business Strategy
    11.6. Ge Healthcare
    11.6.1. Overview
    11.6.2. Business Units
    11.6.3. Geographic Revenue
    11.6.4. Product Offerings
    11.6.5. Developments
    11.6.6. Business Strategy
    11.7. ECLINICALWORKS
    11.7.1. Overview
    11.7.2. Business Units
    11.7.3. Geographic Revenue
    11.7.4. Product Offerings
    11.7.5. Developments
    11.7.6. Business Strategy
    11.8. Conifer Health Solutions
    11.8.1. Overview
    11.8.2. Business Units
    11.8.3. Geographic Revenue
    11.8.4. Product Offerings
    11.8.5. Developments
    11.8.6. Business Strategy
    11.9. Epic Systems
    11.9.1. Overview
    11.9.2. Business Units
    11.9.3. Geographic Revenue
    11.9.4. Product Offerings
    11.9.5. Developments
    11.9.6. Business Strategy
    11.10. Gebbs Healthcare Solutions
    11.10.1. Overview
    11.10.2. Business Units
    11.10.3. Geographic Revenue
    11.10.4. Product Offerings
    11.10.5. Developments
    11.10.6. Business Strategy

    12. Companies to Watch
    12.1. Experian
    12.1.1. Overview
    12.1.2. Market
    12.1.3. Business Strategy
    12.2. Agilent Technologies, Inc
    12.2.1. Overview
    12.2.2. Market
    12.2.3. Business Strategy
    12.3. Constellation Software
    12.3.1. Overview
    12.3.2. Market
    12.3.3. Business Strategy
    12.4. The Ssi Group
    12.4.1. Overview
    12.4.2. Market
    12.4.3. Business Strategy
    12.5. Nthrive
    12.5.1. Overview
    12.5.2. Market
    12.5.3. Business Strategy

    13. Analyst Opinion

    14. Annexure
    14.1. Report Scope
    14.2. Market Definitions
    14.3. Research Methodology
    14.3.1. Data Collation and In-house Estimation
    14.3.2. Market Triangulation
    14.3.3. Forecasting
    14.4. Report Assumptions
    14.5. Declarations
    14.6. Stakeholders
    14.7. Abbreviations

     

  • The Revenue Cycle Management Market has been segregated into various crucial divisions including applications, types, and regions. Each market segment is intensively studied in the report contemplating its market acceptance, worthiness, demand, and growth prospects. The segmentation analysis will help the client to customize their marketing approach to have a better command of each segment and to identify the most prospective customer base.

    Report Objectives / Segmentation Covered :
    By Companies / players:
      By Regions:
        By Type:
          By Application:
          Frequently asked questions(FAQ's):
          What is the Revenue Cycle Management Market really preparing for?

          Companies in the Revenue Cycle Management Industry will need to adapt swiftly to the behavioral changes that are reshaping consumer decision journeys.

          What are the major applications for Revenue Cycle Management?

          Revenue Cycle Management has a wide range of applications, including and others.

          What is the market value of the Revenue Cycle Management Industry?

          In 2023, the Revenue Cycle Management Market share exceeded USD xx million. Between 2024 and 2029, it will grow at a CAGR of yy%.

          In the current situation, what value does the Revenue Cycle Management Market have?

          The value of the Revenue Cycle Management Market is estimated to be USD XXX million.

          Who should consider the Revenue Cycle Management Market study?

          The Revenue Cycle Management Industry stakeholders, executives, and experts, as well as individuals who need to develop consumer-friendly strategies and use technology to stay ahead of the competition.

          Our Clients