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市場調查報告書
商品編碼
1519994

全球收入週期管理市場 2024-2031

Global Revenue Cycle Management Market 2024-2031
出版日期: | 出版商: Orion Market Research | 英文 160 Pages | 商品交期: 2-3個工作天內

價格

收入週期管理市場規模、佔有率和趨勢分析報告（按結構（內部和外包）、按類型（軟體和服務）、按功能（索賠和拒絕管理、醫療編碼和計費、臨床文件改進(CDI) 和保險）） ，以及最終使用者（醫院、醫生辦公室和診斷實驗室），預測期 (2024-2031)

預計收入週期管理 (RCM) 市場在預測期內（2024-2031 年）將以 9.4% 的複合年成長率成長。 RCM 是指管理醫療保健組織與患者、付款人和其他實體互動的財務方面的過程，以產生收入並確保及時支付所提供服務的費用。它涵蓋各個階段，包括患者註冊、保險驗證、編碼、費用捕獲、索賠提交、付款過帳、拒絕管理和收入分析。該行業向基於價值的護理模式的轉變，加上監管變化和成本控制的必要性，進一步推動了對 RCM 解決方案的投資。

目錄

第 1 章：報告摘要

  • 目前行業分析及成長潛力展望
  • 研究方法和工具
  • 市場區隔
    • 按細分
    • 按地區

第 2 章：市場概述與見解

  • 報告範圍
  • 分析師見解和當前市場趨勢
    • 主要市場趨勢
    • 建議
    • 結論

第 3 章：競爭格局

  • 主要公司分析
  • 3M Co.
    • 概述
    • 財務分析
    • SWOT分析
    • 最近的發展
  • Experian Information Solutions, Inc.
    • 概述
    • 財務分析
    • SWOT分析
    • 最近的發展
  • R1 RCM Inc.
    • 概述
    • 財務分析
    • SWOT分析
    • 最近的發展
  • 關鍵策略分析

第 4 章：市場細分

  • 按結構分類的全球收入週期管理市場
    • 內部
    • 外包
  • 按類型分類的全球收入週期管理市場
    • 軟體
    • 服務
  • 按功能分類的全球收入週期管理市場
    • 索賠和拒絕管理
    • 醫療編碼和計費
    • 臨床文件改進 (CDI)
    • 保險
  • 按最終用戶分類的全球收入週期管理市場
    • 醫院
    • 醫生辦公室
    • 診斷實驗室

第 5 章：區域分析

  • 北美洲
    • 美國
    • 加拿大
  • 歐洲
    • 英國
    • 德國
    • 義大利
    • 西班牙
    • 法國
    • 歐洲其他地區
  • 亞太
    • 中國
    • 印度
    • 日本
    • 韓國
    • 亞太其他地區
  • 世界其他地區
    • 拉丁美洲
    • 中東和非洲

第 6 章：公司簡介

  • Advantedge Healthcare Solutions
  • Athenahealth, Inc.
  • Carecloud, Inc.
  • Change Healthcare
  • Cognizant Technology Solutions Corporation
  • Conifer Health Solutions, LLC
  • Constellation Kidney Group
  • Epic Systems Corporation
  • FinThrive
  • GE Healthcare
  • GeBBs Healthcare Solution Inc.
  • Huron Consulting Group Inc.
  • Mckesson Corporation
  • NextGen Healthcare Inc.
  • Omega Healthcare
  • Optum, Inc.
  • Oracle
  • Plutus Health
  • Quest Diagnostics, Inc.
  • The SSI Group, Inc.
  • TruBridge
  • Vee Healthtech
  • Veradigm LLC
Product Code: OMR2028643

Revenue Cycle Management Market Size, Share & Trends Analysis Report by Structure (In-house and Outsourced), by Type (Software and Service) by Function (Claims & Denial Management, Medical Coding & Billing, Clinical Documentation Improvement (CDI) and Insurance), and by End-User (Hospitals, Physician's Office, and Diagnostic Laboratories), Forecast Period (2024-2031)

Revenue cycle management (RCM) market is anticipated to grow at a CAGR of 9.4% during the forecast period (2024-2031). RCM refers to the process of managing the financial aspects of a healthcare organization's interactions with patients, payers, and other entities to generate revenue and ensure timely payment for services rendered. It encompasses various stages, including patient registration, insurance verification, coding, charge capture, claims submission, payment posting, denial management, and revenue analysis. The industry's transition towards value-based care models, alongside regulatory changes and the imperative for cost containment, further propels investment in RCM solutions.

Market Dynamics

Transformative Impact of Technological Advancements on RCM Solutions

Technological advancements play a pivotal role in reshaping the landscape of RCM solutions. Automation, artificial intelligence (AI), and analytics have revolutionized traditional RCM processes, streamlining workflows, enhancing accuracy, and reducing administrative burdens. Automation, for instance, automates repetitive tasks like claims processing and payment posting, leading to significant efficiency gains and cost savings. AI-powered tools can analyze large datasets to identify trends, predict payment patterns, and flag potential billing errors or denials before they occur. Analytics provide actionable insights into revenue performance, helping healthcare organizations make informed decisions to optimize their revenue cycles. These technological advancements empower healthcare providers to improve their financial outcomes while delivering high-quality patient care. For instance, in November 2023, the Healthcare Financial Management Association (HFMA) formed a partnership with FinThrive, Inc. to introduce a five-stage model for RCM technology adoption, known as the RCMTAM. This model serves as a comprehensive framework enabling health systems to evaluate their existing RCM technology maturity level and develop strategic plans incorporating industry benchmarks to enhance operational efficiency.

Empowering Cost Containment Strategies Through RCM Solutions

Cost containment is a critical concern for healthcare organizations facing escalating expenses and shrinking reimbursement rates. RCM solutions are instrumental in addressing this challenge by helping organizations streamline their billing processes, reduce inefficiencies, and minimize revenue leakage. By automating manual tasks, such as claims submission and payment posting, RCM solutions enable staff to focus on value-added activities, thereby enhancing productivity and reducing labor costs. RCM solutions leverage data analytics to identify areas of revenue leakage, such as undercoding or missed charges, enabling organizations to capture all billable services and optimize revenue streams. By investing in RCM solutions, healthcare organizations can achieve sustainable cost containment while maintaining financial stability and ensuring the delivery of quality care to patients.

Market Segmentation

  • Based on structure, the market is segmented into in-house and outsourced.
  • Based on type, the market is segmented into software and service.
  • Based on function, the market is segmented into claims & denial management, medical coding & billing, clinical documentation improvement (CDI) and insurance.
  • Based on end-users, the market is segmented into hospitals, physician's offices, and diagnostic laboratories.

Medical Coding & Billing Segments is Projected to Emerge as the Largest Segment

The medical coding & billing segment is expected to hold the largest share of the market. The primary factor supporting the segment's growth includes the increasing complexity of healthcare billing and coding processes. As healthcare systems evolve and regulations become more stringent, there is a heightened demand for accurate and efficient medical coding and billing services. Healthcare providers seek to maximize revenue by ensuring proper coding and billing for services rendered, while also minimizing errors and compliance risks.

Service Segment to Hold a Considerable Market Share

The service segment commands a significant share of the RCM market due to its specialized expertise, cost-effectiveness, and focus on core competencies. Service providers offer tailored solutions in medical coding, billing, and claims processing, alleviating the burden on healthcare organizations and allowing them to concentrate on patient care. Moreover, these providers stay abreast of regulatory changes, ensuring compliance and minimizing billing errors. Leveraging advanced technologies, such as automation and AI, they streamline RCM processes, driving better financial outcomes for their clients. For instance, in June 2022, Olive launched its Autonomous Revenue Cycle (ARC), the company's flagship Revenue Cycle Management (RCM) suite of solutions. Olive's ARC redefines RCM by applying intelligent automation to reduce manual tasks, enabling healthcare organizations to focus more on patient care and alleviating employee burnout.

Regional Outlook

The global RCM market is further segmented based on geography including North America (the US, and Canada), Europe (UK, Italy, Spain, Germany, France, and the Rest of Europe), Asia-Pacific (India, China, Japan, South Korea, and Rest of Asia-Pacific), and the Rest of the World (the Middle East & Africa, and Latin America).

Rapid Expansion Helping Asia-Pacific to Register Fastest Growth in RCM Market

The Asia-Pacific region stands out as the fastest-growing market in the RCM market due to various factors. Economic growth and increasing healthcare spending drive demand for advanced RCM solutions, while the adoption of healthcare IT accelerates the digital transformation of healthcare systems. Expanded healthcare insurance coverage and a growing influx of medical tourists further fuel the need for efficient RCM systems to manage billing and reimbursement processes effectively. Government initiatives to modernize healthcare infrastructure and support the adoption of healthcare IT contribute to the region's rapid market growth. For instance, in May 2021, Optum, Inc. collaborated with Bassett Healthcare Network to deliver RCM services to Bassett's clinics, aiming to enhance patient care standards in Central New York.

North America Holds Major Market Share

Among all the regions, North America holds a significant share due to a highly developed healthcare infrastructure coupled with a robust regulatory framework, which drives the adoption of advanced RCM solutions to navigate complex billing and reimbursement processes effectively. Secondly, North America experiences high healthcare expenditure, with significant investments in technology aimed at improving operational efficiency and financial performance. Thirdly, the presence of major RCM solution providers and healthcare organizations in North America fosters innovation and competition, further consolidating the region's market leadership. For instance, in August 2022, Revecore Technologies acquired Kemberton and Cura Revenue Cycle Management, LLC, bolstering its capabilities and enhancing outcomes for health systems across the US.

Market Players Outlook

The major companies serving the global revenue cycle management market include 3M, Experian Information Solutions, Inc., R1, Oracle, and CARECLOUD, INC., among others. The market players are increasingly focusing on business expansion and product development by applying strategies such as collaborations, mergers and acquisitions to stay competitive in the market. For instance, in June 2023, a significant partnership between OnPoint Healthcare and Office Ally focused on expanding offerings to healthcare providers. This collaboration allowed OnPoint to integrate Office Ally's advanced RCM solutions, benefiting hospitals, health systems, providers, and Federally Qualified Health Centers (FQHCs).

Table of Contents

1. Report Summary

  • Current Industry Analysis and Growth Potential Outlook
  • 1.1. Research Methods and Tools
  • 1.2. Market Breakdown
    • 1.2.1. By Segments
    • 1.2.2. By Region

2. Market Overview and Insights

  • 2.1. Scope of the Report
  • 2.2. Analyst Insight & Current Market Trends
    • 2.2.1. Key Market Trends
    • 2.2.2. Recommendations
    • 2.2.3. Conclusion

3. Competitive Landscape

  • 3.1. Key Company Analysis
  • 3.2. 3M Co.
    • 3.2.1. Overview
    • 3.2.2. Financial Analysis
    • 3.2.3. SWOT Analysis
    • 3.2.4. Recent Developments
  • 3.3. Experian Information Solutions, Inc.
    • 3.3.1. Overview
    • 3.3.2. Financial Analysis
    • 3.3.3. SWOT Analysis
    • 3.3.4. Recent Developments
  • 3.4. R1 RCM Inc.
    • 3.4.1. Overview
    • 3.4.2. Financial Analysis
    • 3.4.3. SWOT Analysis
    • 3.4.4. Recent Developments
  • 3.5. Key Strategy Analysis

4. Market Segmentation

  • 4.1. Global Revenue Cycle Management Market by Structure
    • 4.1.1. In-house
    • 4.1.2. Outsourced
  • 4.2. Global Revenue Cycle Management Market by Type
    • 4.2.1. Software
    • 4.2.2. Service
  • 4.3. Global Revenue Cycle Management Market by Function
    • 4.3.1. Claims & Denial Management
    • 4.3.2. Medical Coding & Billing
    • 4.3.3. Clinical Documentation Improvement (CDI)
    • 4.3.4. Insurance
  • 4.4. Global Revenue Cycle Management Market by End-User
    • 4.4.1. Hospitals
    • 4.4.2. Physician's Office
    • 4.4.3. Diagnostic Laboratories

5. Regional Analysis

  • 5.1. North America
    • 5.1.1. United States
    • 5.1.2. Canada
  • 5.2. Europe
    • 5.2.1. UK
    • 5.2.2. Germany
    • 5.2.3. Italy
    • 5.2.4. Spain
    • 5.2.5. France
    • 5.2.6. Rest of Europe
  • 5.3. Asia-Pacific
    • 5.3.1. China
    • 5.3.2. India
    • 5.3.3. Japan
    • 5.3.4. South Korea
    • 5.3.5. Rest of Asia-Pacific
  • 5.4. Rest of the World
    • 5.4.1. Latin America
    • 5.4.2. Middle East & Africa

6. Company Profiles

  • 6.1. Advantedge Healthcare Solutions
  • 6.2. Athenahealth, Inc.
  • 6.3. Carecloud, Inc.
  • 6.4. Change Healthcare
  • 6.5. Cognizant Technology Solutions Corporation
  • 6.6. Conifer Health Solutions, LLC
  • 6.7. Constellation Kidney Group
  • 6.8. Epic Systems Corporation
  • 6.9. FinThrive
  • 6.10. GE Healthcare
  • 6.11. GeBBs Healthcare Solution Inc.
  • 6.12. Huron Consulting Group Inc.
  • 6.13. Mckesson Corporation
  • 6.14. NextGen Healthcare Inc.
  • 6.15. Omega Healthcare
  • 6.16. Optum, Inc.
  • 6.17. Oracle
  • 6.18. Plutus Health
  • 6.19. Quest Diagnostics, Inc.
  • 6.20. The SSI Group, Inc.
  • 6.21. TruBridge
  • 6.22. Vee Healthtech
  • 6.23. Veradigm LLC

LIST OF TABLES

  • 1. Global Revenue Cycle Management Market Research And Analysis By Structure, 2023-2031 ($ Million)
  • 2. Global In-House Revenue Cycle Management Market Research And Analysis By Region, 2023-2031 ($ Million)
  • 3. Global Outsourced Revenue Cycle Management Market Research And Analysis By Region, 2023-2031 ($ Million)
  • 4. Global Revenue Cycle Management Market Research And Analysis By Type, 2023-2031 ($ Million)
  • 5. Global Revenue Cycle Management Software Market Research And Analysis By Region, 2023-2031 ($ Million)
  • 6. Global Revenue Cycle Management Service Market Research And Analysis By Region, 2023-2031 ($ Million)
  • 7. Global Revenue Cycle Management Market Research And Analysis By Function, 2023-2031 ($ Million)
  • 8. Global Claims & Denial Management In Revenue Cycle Management Market Research And Analysis By Region, 2023-2031 ($ Million)
  • 9. Global Medical Coding & Billing Management In Revenue Cycle Management Market Research And Analysis By Region, 2023-2031 ($ Million)
  • 10. Global Clinical Documentation Improvement In Revenue Cycle Management Market Research And Analysis By Region, 2023-2031 ($ Million)
  • 11. Global Insurance In Revenue Cycle Management Market Research And Analysis By Region, 2023-2031 ($ Million)
  • 12. Global Revenue Cycle Management Market Research And Analysis By End-User, 2023-2031 ($ Million)
  • 13. Global Revenue Cycle Management For Hospitals Market Research And Analysis By Region, 2023-2031 ($ Million)
  • 14. Global Revenue Cycle Management For Physician's Office Market Research And Analysis By Region, 2023-2031 ($ Million)
  • 15. Global Revenue Cycle Management For Diagnostic Laboratories Market Research And Analysis By Region, 2023-2031 ($ Million)
  • 16. Global Revenue Cycle Management Market Research And Analysis By Region, 2023-2031 ($ Million)
  • 17. North American Revenue Cycle Management Market Research And Analysis By Country, 2023-2031 ($ Million)
  • 18. North American Revenue Cycle Management Market Research And Analysis By Structure, 2023-2031 ($ Million)
  • 19. North American Revenue Cycle Management Market Research And Analysis By Type, 2023-2031 ($ Million)
  • 20. North American Revenue Cycle Management Market Research And Analysis By Function, 2023-2031 ($ Million)
  • 21. North American Revenue Cycle Management Market Research And Analysis By End-User, 2023-2031 ($ Million)
  • 22. European Revenue Cycle Management Market Research And Analysis By Country, 2023-2031 ($ Million)
  • 23. European Revenue Cycle Management Market Research And Analysis By Structure, 2023-2031 ($ Million)
  • 24. European Revenue Cycle Management Market Research And Analysis By Type, 2023-2031 ($ Million)
  • 25. European Revenue Cycle Management Market Research And Analysis By Function, 2023-2031 ($ Million)
  • 26. European Revenue Cycle Management Market Research And Analysis By End-User, 2023-2031 ($ Million)
  • 27. Asia-Pacific Revenue Cycle Management Market Research And Analysis By Country, 2023-2031 ($ Million)
  • 28. Asia-Pacific Revenue Cycle Management Market Research And Analysis By Structure, 2023-2031 ($ Million)
  • 29. Asia-Pacific Revenue Cycle Management Market Research And Analysis By Type, 2023-2031 ($ Million)
  • 30. Asia-Pacific Revenue Cycle Management Market Research And Analysis By Function, 2023-2031 ($ Million)
  • 31. Asia-Pacific Revenue Cycle Management Market Research And Analysis By End-User, 2023-2031 ($ Million)
  • 32. Rest Of The World Revenue Cycle Management Market Research And Analysis By Region, 2023-2031 ($ Million)
  • 33. Rest Of The World Revenue Cycle Management Market Research And Analysis By Structure, 2023-2031 ($ Million)
  • 34. Rest Of The World Revenue Cycle Management Market Research And Analysis By Type, 2023-2031 ($ Million)
  • 35. Rest Of The World Revenue Cycle Management Market Research And Analysis By Function, 2023-2031 ($ Million)
  • 36. Rest Of The World Revenue Cycle Management Market Research And Analysis By End-User, 2023-2031 ($ Million)

LIST OF FIGURES

  • 1. Global Revenue Cycle Management Market Share By Structure, 2023 Vs 2031 (%)
  • 2. Global In-House Revenue Cycle Management Market Share By Region, 2023 Vs 2031 (%)
  • 3. Global Outsourced Revenue Cycle Management Market Share By Region, 2023 Vs 2031 (%)
  • 4. Global Revenue Cycle Management Market Share By Type, 2023 Vs 2031 (%)
  • 5. Global Revenue Cycle Management Software Market Share By Region, 2023 Vs 2031 (%)
  • 6. Global Revenue Cycle Management Service Market Share By Region, 2023 Vs 2031 (%)
  • 7. Global Revenue Cycle Management Market Share By Function, 2023 Vs 2031 (%)
  • 8. Global Claims & Denial Management In Revenue Cycle Management Market Share By Region, 2023 Vs 2031 (%)
  • 9. Global Medical Coding & Billing In Revenue Cycle Management Market Share By Region, 2023 Vs 2031 (%)
  • 10. Global Clinical Documentation Improvement In Revenue Cycle Management Market Share By Region, 2023 Vs 2031 (%)
  • 11. Global Insurance In Revenue Cycle Management Market Share By Region, 2023 Vs 2031 (%)
  • 12. Global Revenue Cycle Management Market Share By End-User, 2023 Vs 2031 (%)
  • 13. Global Revenue Cycle Management For Hospitals Market Share By Region, 2023 Vs 2031 (%)
  • 14. Global Revenue Cycle Management Physician's Office Market Share By Region, 2023 Vs 2031 (%)
  • 15. Global Revenue Cycle Management Diagnostic Laboratories Market Share By Region, 2023 Vs 2031 (%)
  • 16. Global Revenue Cycle Management Market Share By Region, 2023 Vs 2031 (%)
  • 17. US Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 18. Canada Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 19. UK Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 20. France Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 21. Germany Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 22. Italy Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 23. Spain Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 24. Rest Of Europe Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 25. India Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 26. China Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 27. Japan Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 28. South Korea Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 29. Rest Of Asia-Pacific Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 30. Latin America Revenue Cycle Management Market Size, 2023-2031 ($ Million)
  • 31. Middle East And Africa Revenue Cycle Management Market Size, 2023-2031 ($ Million)