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市場調查報告書
商品編碼
1569463

收益週期管理 (RCM) 市場規模、佔有率和成長分析:按產品/服務、類型、交付模式、最終用戶、地區 - 產業預測,2024-2031 年

Revenue Cycle Management Market Size, Share, Growth Analysis, By Product and Services, By Type, By Delivery Mode, By End User, By Region - Industry Forecast 2024-2031.

出版日期: | 出版商: SkyQuest | 英文 157 Pages | 商品交期: 3-5個工作天內

價格
簡介目錄

全球收益週期管理(RCM)市場規模到 2022 年將達到 2,750 億美元,將從 2023 年的 3,055.3 億美元增至 2031 年的 7,091.8 億美元,在預測期內(2024-2031 年)預計將成長年複合成長率為11.10%。

收益週期管理(RCM)市場正在經歷顯著成長,這主要是由於醫療保健支出的增加和技術的快速進步。隨著醫療保健成本持續上升和申請流程變得更加複雜,醫療保健組織迫切需要高效的 RCM 解決方案來提高財務績效和產生收入。許多公司正在積極投資 RCM 系統,以有效應對這些財務挑戰。人工智慧 (AI)、電子健康記錄(EHR) 和機器學習 (ML) 等創新在提高 RCM 流程的準確性和效率方面發揮關鍵作用,進一步推動市場成長。然而,市場面臨高昂的安裝和維修成本以及複雜的法規環境等挑戰,阻礙了採用。硬體、軟體和培訓所需的大量投資可能成為許多組織的障礙。儘管存在這些障礙,但市場透過不斷整合先進技術(特別是機器人流程自動化、人工智慧和機器學習)提供了成長機會,從長遠來看,這些技術可以簡化業務並降低成本,這就是我的承諾。隨著醫療保健組織尋求在不斷發展的行業格局中最佳化收益週期,創新技術的採用對於塑造 RCM 市場的未來格局至關重要。

目錄

介紹

  • 研究目的
  • 定義
  • 市場範圍

調查方法

  • 資訊採購
  • 二手資料來源和主要資料來源
  • 市場規模預測
  • 市場假設與限制

執行摘要

  • 市場概況展望
  • 供需趨勢分析
  • 按細分市場的機會分析

市場動態及展望

  • 市場動態
    • 促進因素
    • 機會
    • 抑制因素
    • 任務
  • 波特的分析

主要市場考察

  • 技術分析
  • 價格分析
  • 價值鏈分析
  • 案例研究分析
  • 貿易分析
  • 市場生態系統
  • 客戶和購買標準分析
  • 專利分析
  • 監管環境
  • PESTEL分析
  • 創新矩陣
  • 主要投資分析
  • 關鍵成功因素
  • 市場魅力指數
  • 競爭程度

收益週期管理(RCM)市場:依產品/服務分類

  • 市場概況
  • 軟體
  • 服務
  • 解決方案

收益週期管理(RCM)市場:按類型

  • 市場概況
  • 融合的
  • 獨立的

收益週期管理(RCM)市場:依交付模式

  • 市場概況
  • 本地
  • 基於網路
  • 雲端基礎

收益週期管理(RCM)市場:依最終用戶分類

  • 市場概況
  • 醫療機構
    • 醫院設施
    • 醫院
    • 其他
  • 門診設施
    • 醫生治療
    • 日間手術中心 (ASC)
    • 醫院門診設施
    • 診斷/影像診斷中心
    • 其他
  • 醫療保險公司

按地區分類的收益週期管理 (RCM) 市場規模

  • 市場概況
  • 北美洲
    • 美國
    • 加拿大
  • 歐洲
    • 德國
    • 西班牙
    • 法國
    • 義大利
    • 英國
    • 其他歐洲國家地區
  • 亞太地區
    • 中國
    • 印度
    • 日本
    • 韓國
    • 其他亞太地區
  • 拉丁美洲
    • 巴西
    • 其他拉丁美洲地區
  • 中東和非洲 (MEA)
    • 海灣合作理事會國家
    • 南非
    • 其他中東/非洲地區

競爭格局

  • 前5名企業對比
  • 主要企業市場定位(2023年)
  • 主要市場參與者所採取的策略
  • 近期市集活動
  • 主要企業市場佔有率(2023年)

主要企業簡介

  • Oracle Corporation(US)
  • Optum, Inc.(United States)
  • R1 RCM, Inc.(United States)
  • Oracle(United States)
  • McKesson Corporation(United States)
  • Experian Plc(Ireland)
  • Conifer Health Solutions, LLC(United States)
  • Veradigm LLC(United States)
  • GE Healthcare(United States)
  • Cognizant(United States)
  • The SSI Group, LLC(United States)
  • AdvantEdge Healthcare Solutions(United States)
  • Huron Consulting Group Inc.(United States)
  • FinThrive(United States)
  • Plutus Health(United States)
  • Quest Diagnostics Incorporated(United States)
  • GeBBS(United States)
  • Epic Systems Corporation(United States)
  • Omega Healthcare(United States)
  • TruBridge(United States)
  • CareCloud, Inc.(United States)
  • Constellation Software Inc.(Canada)
  • VEE Technologies(United States)
簡介目錄
Product Code: SQMIG35G2131

Global Revenue Cycle Management Market size was valued at USD 275.00 Billion in 2022 and is poised to grow from USD 305.53 Billion in 2023 to USD 709.18 Billion by 2031, at a CAGR of 11.10% over the forecast period (2024-2031).

The revenue cycle management (RCM) market is experiencing substantial growth, primarily driven by rising healthcare expenditures and rapid technological advancements. As healthcare costs escalate and billing processes become increasingly complex, there is a pressing need for efficient RCM solutions to enhance financial performance and revenue generation among healthcare organizations. Many enterprises are actively investing in RCM systems to navigate these financial challenges effectively. Innovations such as artificial intelligence (AI), electronic health records (EHRs), and machine learning (ML) are playing a pivotal role in enhancing the accuracy and efficiency of RCM processes, further propelling market growth. However, the market faces challenges, including high implementation and maintenance costs and a complicated regulatory environment, which can deter adoption. The significant investment required for hardware, software, and training can be a barrier for many organizations. Despite these obstacles, the market presents opportunities for growth through the increased integration of advanced technologies, particularly robotic process automation, AI, and ML, which promise to streamline operations and reduce costs over time. As healthcare organizations seek to optimize their revenue cycles amidst evolving industry dynamics, the adoption of innovative technologies will be crucial in shaping the future landscape of the RCM market.

Top-down and bottom-up approaches were used to estimate and validate the size of the global revenue cycle management market and to estimate the size of various other dependent submarkets. The research methodology used to estimate the market size includes the following details: The key players in the market were identified through secondary research, and their market shares in the respective regions were determined through primary and secondary research. This entire procedure includes the study of the annual and financial reports of the top market players and extensive interviews for key insights from industry leaders such as CEOs, VPs, directors, and marketing executives. All percentage shares split, and breakdowns were determined using secondary sources and verified through Primary sources. All possible parameters that affect the markets covered in this research study have been accounted for, viewed in extensive detail, verified through primary research, and analyzed to get the final quantitative and qualitative data.

global revenue cycle management Market Segmental Analysis

The Global Revenue Cycle Management Market is segmented by Product and Services, Type, Delivery Mode, End User, and Region. Based on Product and Services, the market is segmented into Software, Services, and Solutions. Based on Type, the market is segmented into Integrated and Standalone. Based on Delivery Type, the market is segmented into On-Premises, Web-Based, Cloud-Based. Based on End User, the market is segmented into Healthcare Providers (Inpatient Facilities {Hospitals, Other}, Outpatient Facilities [Physician practices, Ambulatory surgical centers (ASCs), Hospital outpatient facilities, Diagnostic & imaging centers, Other}), Healthcare Payers. By Region, the market is segmented into North America, Europe, Asia-Pacific, Middle East and Africa, and Latin America.

Driver of the global revenue cycle management Market

The transition from fee-for-service to value-based care is a significant market driver for the global revenue cycle management (RCM) market, necessitating sophisticated and mature RCM systems. This shift emphasizes enhancing patient outcomes and improving cost efficiency, prompting healthcare providers to seek integrated RCM solutions that align with these new care models. As organizations strive to streamline billing processes, reduce claim denials, and ensure compliance with evolving regulations, the demand for advanced RCM systems surges. Consequently, the increasing reliance on integrated RCM solutions underscores their critical role in achieving value-based care objectives, fueling widespread adoption and driving market growth.

Restraints in the global revenue cycle management Market

The global revenue cycle management market faces significant restraint due to escalating concerns over data privacy and security amid increasing digitalization of healthcare information. The imperative to safeguard sensitive patient data against cyber threats and breaches is critical, as failure to comply with regulations such as HIPAA and GDPR can lead to hefty financial penalties and reputational damage. This environment of heightened scrutiny not only complicates the implementation of revenue cycle management systems but also contributes to a growing apprehension among stakeholders, potentially limiting market growth and innovation due to the necessity of extensive compliance measures and robust security protocols.

Market Trends of the global revenue cycle management Market

The global revenue cycle management market is witnessing significant growth trends, driven by the increasing reliance on big data for informed decision-making and the rising popularity of cloud-based solutions. Organizations harness data analysis to tailor services to patient populations, optimize billing accuracy, and enhance reimbursement processes while mitigating compliance risks. Simultaneously, the shift towards cloud-enabled systems caters to the growing demand for convenience and accessibility in patient care management, allowing healthcare providers to operate more efficiently and securely with real-time data access. This convergence of data analytics and cloud technology is expected to propel the revenue cycle management market to unprecedented heights in the coming years.

Table of Contents

Introduction

  • Objectives of the Study
  • Definitions
  • Market Scope

Research Methodology

  • Information Procurement
  • Secondary & Primary Data Sources
  • Market Size Estimation
  • Market Assumptions & Limitations

Executive Summary

  • Market Overview Outlook
  • Supply Demand Trend Analysis
  • Segmental Opportunity Analysis

Market Dynamics & Outlook

  • Market Dynamics
    • Drivers
    • Opportunities
    • Restraints
    • Challenges
  • Porters Analysis
    • Competitive rivalry
    • Threat of Substitute Products
    • Bargaining Power of Buyers
    • Threat of New Entrants
    • Bargaining Power of Suppliers

Key Market Insights

  • Technology Analysis
  • Pricing Analysis
  • Value Chain Analysis
  • Case Study Analysis
  • Trade Analysis
  • Ecosystem of the Market
  • Customer & Buying Criteria Analysis
  • Patent Analysis
  • Regulatory Landscape
  • PESTEL Analysis
  • Innovation Matrix
  • Top Investment Analysis
  • Key Success Factor
  • Market Attractive Index
  • Degree of Competition

Revenue Cycle Management Market by Product and Services

  • Market Overview
  • Software
  • Services
    • Patient Access Outsourcing Services
    • Mid-revenue Cycle Outsourcing Services
    • Back-end Revenue Cycle Outsourcing Services
  • Solutions
    • Patient Access Solutions
    • Eligibility verification solutions
    • Pre-certification & authorization solutions
    • Other
    • Mid-revenue Cycle Solutions
    • Clinical coding solutions
    • Clinical documentation improvement solutions
    • Other
    • Back-end Revenue Cycle Solutions
    • Claims processing solutions
    • Denial management solutions
    • Other

Revenue Cycle Management Market by Type

  • Market Overview
  • Integrated
  • Standalone

Revenue Cycle Management Market by Delivery Mode

  • Market Overview
  • On-Premises
  • Web-Based
  • Cloud-Based

Revenue Cycle Management Market by End User

  • Market Overview
  • Healthcare Providers
    • Inpatient Facilities
    • Hospitals
    • Other
  • Outpatient Facilities
    • Physician practices
    • Ambulatory surgical centers (ASCs)
    • Hospital outpatient facilities
    • Diagnostic & imaging centers
    • Other
  • Healthcare Payers

Revenue Cycle Management Market Size by Region

  • Market Overview
  • North America
    • USA
    • Canada
  • Europe
    • Germany
    • Spain
    • France
    • Italy
    • UK
    • Rest of Europe
  • Asia Pacific
    • China
    • India
    • Japan
    • South Korea
    • Rest of Asia-Pacific
  • Latin America
    • Brazil
    • Rest of Latin America
  • Middle East & Africa (MEA)
    • GCC Countries
    • South Africa
    • Rest of MEA

Competitive Landscape

  • Top 5 Player Comparison
  • Market Positioning of Key Players, 2023
  • Strategies Adopted by Key Market Players
  • Recent Activities in the Market
  • Key Companies Market Share (%), 2023

Key Company Profiles

  • Oracle Corporation (U.S.)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • Optum, Inc. (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • R1 RCM, Inc. (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • Oracle (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • McKesson Corporation (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • Experian Plc (Ireland)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • Conifer Health Solutions, LLC (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • Veradigm LLC (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • GE Healthcare (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • Cognizant (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • The SSI Group, LLC (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • AdvantEdge Healthcare Solutions (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • Huron Consulting Group Inc. (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • FinThrive (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • Plutus Health (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • Quest Diagnostics Incorporated (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • GeBBS (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • Epic Systems Corporation (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • Omega Healthcare (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • TruBridge (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • CareCloud, Inc. (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • Constellation Software Inc. (Canada)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments
  • VEE Technologies (United States)
    • Company Overview
    • Business Segment Overview
    • Financial Updates
    • Key Developments