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商品編碼

1551333

到 2030 年的收益週期管理市場預測：按產品、服務、部署、定價模式、最終用戶和地區進行的全球分析

Revenue Cycle Management Market Forecasts to 2030 - Global Analysis by Product (Integrated Solutions and Standalone Solutions), Services (Implementation, Support and Maintenance and Other Services), Deployment, Pricing Models, End User and By Geography

出版日期: 2024年09月06日 | 出版商:

Stratistics Market Research Consulting | 英文 200+ Pages | 商品交期: 2-3個工作天內

價格

簡介目錄圖表

根據 Stratistics MRC 的數據，2024 年全球收益週期管理市場規模為 557 億美元，預計到 2030 年將達到 1,124 億美元，預測期內複合年成長率為 12.4%。

收益週期管理 (RCM) 是醫療機構用來追蹤病患治療狀況（從登記和預約安排到最終餘額支付）的財務流程。收益週期管理管理行政和臨床功能，例如保險驗證、申請和收款。其目的是透過減少錯誤並確保及時報銷來提高醫療保健提供者的財務表現和效率。

美國國家衛生統計中心的資料顯示，2020年美國醫療保健支出達4.1兆美元，佔國內生產總值（GDP）的19.7%。

醫療費用增加

不斷上漲的醫療保健成本是收益週期管理（RCM）市場的關鍵促進因素。隨著醫療保健成本持續上升，醫療保健提供者面臨著最佳化收益週期和改善財務績效的壓力。 RCM 解決方案可協助組織簡化申請流程、減少申請拒絕並加速現金流。透過實施有效的 RCM 系統，醫療保健組織可以產生更多收益，最大限度地減少損失，並更好地管理醫療保健成本上升帶來的財務挑戰。因此，對先進RCM技術和服務的需求不斷增加。

監理合規性

醫療保健組織必須不斷調整收益週期流程，以遵守複雜的申請規則、編碼要求和 HIPAA 等隱私法。保持合規性需要持續投資於技術升級和員工培訓。由於擔心違規而受到處罰，一些組織可能會對實施新的 RCM 解決方案猶豫不決。解決監管環境可能會為 RCM 實施帶來複雜性和成本，從而減緩市場成長。

更多採用雲端技術

與本地系統相比，雲端平台為醫療保健提供者提供了靈活性、擴充性和成本效益。輕鬆整合跨多個設施的 RCM 流程，並提供對財務資料的即時存取。雲端基礎的RCM 解決方案還可以降低IT基礎設施成本並簡化系統維護。隨著越來越多的供應商意識到這些優勢，對雲端 RCM 技術的需求預計將激增，市場也將擴大。

網路安全威脅

網路安全威脅為 RCM 市場帶來重大風險。隨著醫療保健組織日益數位化收益週期流程數位化並資料儲存敏感的財務和資料，他們變得更容易受到網路攻擊。資料外洩可能導致財務損失、監管處罰和聲譽損害。對強大安全措施的需求增加了 RCM 實施的複雜性和成本。對資料保護的擔憂可能會阻止一些提供者採用新的 RCM 技術，從而可能限制市場成長。

COVID-19 的影響：

COVID-19 的疫情對 RCM 市場產生了重大影響。遠端醫療和數位付款解決方案的採用加速，增加了對整合 RCM 系統的需求。然而，由於患者數量減少和選擇性手術減少，許多醫療機構的收益最初下降。此次疫情凸顯了高效率的 RCM 流程對於在危機時期維持金融穩定的重要性。

雲端基礎的細分市場預計將在預測期內成為最大的細分市場

由於其眾多優勢，雲端基礎市場預計將主導 RCM 市場。雲端解決方案比本地系統更靈活、擴充性且更具成本效益。醫療保健提供者可以從任何地方存取 RCM 工具和資料，從而更輕鬆地遠端工作和管理多個設施。雲端平台也簡化了系統更新和維護。隨著越來越多的組織意識到這些優勢並尋求實現 RCM 流程現代化，雲端基礎的解決方案的採用預計將激增並推動該領域的成長。

管理 RCM 服務業預計在預測期內複合年成長率最高

在收益週期管理市場中，託管 RCM 服務領域預計將經歷最高的複合年成長率。這一成長是由醫療保健申請和報銷流程日益複雜以及熟練的 RCM 專業人員短缺所推動的。託管 RCM 服務為醫療保健提供者提供了一種經濟高效的方式，將收益周期業務外包給專業專家。這些服務透過改善財務表現、減輕行政負擔並允許醫療機構專注於患者照護的核心使命來推動細分市場的成長。

比最大的地區

預計北美地區將在預測期內主導收益周期管理市場。這一優勢歸功於先進的醫療保健基礎設施、高額醫療保健支出以及醫療保健 IT 解決方案的早期採用。該地區還擁有複雜的報銷環境和嚴格的監管環境，增加了對先進 RCM 解決方案的需求。此外，主要 RCM 供應商的存在和正在進行的醫療改革也有助於北美市場的領導地位。

複合年成長率最高的地區：

在預測期內，亞太地區收益周期管理市場預計將快速成長。這一成長是由醫療保健成本上升、數位醫療解決方案的日益採用以及政府改善醫療保健基礎設施的舉措等因素推動的。該地區人口眾多，慢性病盛行率不斷上升，也增加了對高效 RCM 解決方案的需求。隨著亞太地區的醫療保健提供者尋求最佳化財務流程並改善患者照護，RCM 技術的採用預計將加速，預計市場成長率將很高。

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公司簡介
- 其他市場公司的綜合分析（最多 3 家公司）
- 主要企業SWOT分析（最多3家企業）
區域分割
- 根據客戶興趣對主要國家的市場估計、預測和複合年成長率（註：基於可行性檢查）
競爭標基準化分析
- 根據產品系列、地理分佈和策略聯盟對主要企業基準化分析

北美洲
- 美國
- 加拿大
- 墨西哥
歐洲
- 德國
- 英國
- 義大利
- 法國
- 西班牙
- 其他歐洲國家
亞太地區
- 日本
- 中國
- 印度
- 澳洲
- 紐西蘭
- 韓國
- 其他亞太地區
南美洲
- 阿根廷
- 巴西
- 智利
- 南美洲其他地區
中東/非洲
- 沙烏地阿拉伯
- 阿拉伯聯合大公國
- 卡達
- 南非
- 其他中東/非洲

第11章主要進展

合約、夥伴關係、協作和合資企業
收購和合併
新產品發布
業務拓展
其他關鍵策略

第12章公司概況

R1 RCM
Oracle
Optum
McKesson Corporation
Change Healthcare
Cerner Corporation
Allscripts Healthcare Solutions, Inc.
Athenahealth, Inc.
Epic Systems Corporation
GE Healthcare
Experian plc
Conifer Health Solutions
Veradigm
3M
Cognizant
SSI Group LLC
Huron Consulting Group
eClinicalWorks

簡介目錄圖表

Product Code: SMRC27116

According to Stratistics MRC, the Global Revenue Cycle Management Market is accounted for $55.7 billion in 2024 and is expected to reach $112.4 billion by 2030 growing at a CAGR of 12.4% during the forecast period. Revenue Cycle Management (RCM) is the financial process utilized by healthcare facilities to track patient care episodes from registration and appointment scheduling to the final payment of a balance. Revenue Cycle Management involves managing administrative and clinical functions such as insurance verification, billing, and payment collections. Its goal is to improve the financial outcomes and efficiency of healthcare providers by reducing errors and ensuring timely reimbursements.

According to data from the National Center for Health Statistics, healthcare spending in the United States reached $4.1 trillion in 2020, accounting for 19.7% of the country's Gross Domestic Product (GDP).

Market Dynamics:

Driver:

Increasing healthcare costs

Rising healthcare costs are a major driver for the Revenue Cycle Management (RCM) market. As medical expenses continue to climb, healthcare providers are under pressure to optimize their revenue cycles and improve financial performance. RCM solutions help organizations streamline billing processes, reduce claim denials, and accelerate cash flow. By implementing effective RCM systems, providers can capture more revenue, minimize losses, and better manage the financial challenges posed by escalating healthcare costs. This drives demand for sophisticated RCM technologies and services.

Restraint:

Regulatory compliance

Providers must constantly adapt their revenue cycle processes to comply with complex billing rules, coding requirements, and privacy laws like HIPAA. Staying compliant requires ongoing investments in technology upgrades and staff training. The fear of penalties for non-compliance may make some organizations hesitant to adopt new RCM solutions. Navigating the regulatory landscape adds complexity and costs to RCM implementations, potentially slowing market growth.

Opportunity:

Increasing adoption of cloud technology

Cloud platforms offer healthcare providers more flexibility, scalability, and cost-effectiveness compared to on-premise systems. They enable easier integration of RCM processes across multiple facilities and allow real-time access to financial data. Cloud-based RCM solutions also reduce IT infrastructure costs and simplify system maintenance. As more providers recognize these benefits, the demand for cloud RCM technologies is expected to surge, driving market expansion.

Threat:

Cybersecurity risks

Cybersecurity threats pose a significant risk to the RCM market. As healthcare organizations increasingly digitize their revenue cycle processes and store sensitive financial and patient data electronically, they become more vulnerable to cyberattacks. Data breaches can lead to financial losses, regulatory penalties, and damage to reputation. The need for robust security measures adds complexity and cost to RCM implementations. Concerns about data protection may make some providers hesitant to adopt new RCM technologies, potentially limiting market growth.

Covid-19 Impact:

The COVID-19 pandemic significantly impacted the RCM market. It accelerated the adoption of telehealth and digital payment solutions, driving demand for integrated RCM systems. However, reduced patient volumes and elective procedures initially decreased revenues for many providers. The pandemic highlighted the importance of efficient RCM processes to maintain financial stability during crises.

The cloud-Based segment is expected to be the largest during the forecast period

The cloud-based segment is projected to dominate the RCM market due to its numerous advantages. Cloud solutions offer greater flexibility, scalability, and cost-effectiveness compared to on-premise systems. They enable healthcare providers to access RCM tools and data from anywhere, facilitating remote work and multi-facility management. Cloud platforms also simplify system updates and maintenance. As more organizations recognize these benefits and seek to modernize their RCM processes, the adoption of cloud-based solutions is expected to surge, driving this segment's growth.

The managed RCM services segment is expected to have the highest CAGR during the forecast period

The managed RCM services segment is anticipated to experience the highest CAGR in the revenue cycle management market. This growth is driven by the increasing complexity of healthcare billing and reimbursement processes, coupled with a shortage of skilled RCM professionals. Managed RCM services offer healthcare providers a cost-effective way to outsource their revenue cycle operations to specialized experts. These services can help improve financial performance, reduce administrative burden, and allow healthcare organizations to focus on their core mission of patient care while propelling segment growth.

Region with largest share:

During the forecast period, the North American region is expected to dominate the revenue cycle management market. This dominance can be attributed to the presence of advanced healthcare infrastructure, high healthcare spending, and the early adoption of healthcare IT solutions. The region also has a complex reimbursement landscape and stringent regulatory requirements, driving the need for sophisticated RCM solutions. Additionally, the presence of major RCM vendors and ongoing healthcare reforms contribute to North America's leading position in the market.

Region with highest CAGR:

During the forecast period, the Asia Pacific region is expected to witness rapid growth in the revenue cycle management market. This growth is driven by factors such as increasing healthcare expenditure, growing adoption of digital health solutions, and government initiatives to improve healthcare infrastructure. The region's large population and rising prevalence of chronic diseases are also contributing to the demand for efficient RCM solutions. As healthcare providers in Asia Pacific seek to optimize their financial processes and improve patient care, the adoption of RCM technologies is expected to accelerate, leading to high market growth rates.

Key players in the market

Some of the key players in Revenue Cycle Management market include R1 RCM, Oracle, Optum, McKesson Corporation, Change Healthcare, Cerner Corporation, Allscripts Healthcare Solutions, Inc., Athenahealth, Inc., Epic Systems Corporation, GE Healthcare, Experian plc, Conifer Health Solutions, Veradigm, 3M, Cognizant, SSI Group LLC, Huron Consulting Group, and eClinicalWorks.

Key Developments:

In August 2024, The US Oncology Network (The Network), the largest organization of its kind dedicated to advancing local cancer care and better patient outcomes, announced today that Tennessee Cancer Specialists (TCS) has joined The Network, effective August 1, 2024. The practice is the largest community-based oncology provider in eastern Tennessee and the third largest oncology practice in the state. With the addition of TCS, The Network significantly extends its reach into eastern Tennessee while the practice enhances its ability to provide cancer patients in the region convenient access to high-quality, cutting-edge cancer care.

In February 2024, Minneapolis-based Allina Health is partnering with Optum to improve care for patients and providers across Minnesota and Western Wisconsin. Around 2,000 Allina information systems and revenue cycle management employees will transition employment to Optum, part of UnitedHealth Group, beginning May 5, but will continue to support Allina Health's patients and providers under the partnership. The Allina partnership comes after Optum and St. Louis-based SSM Health recently ended their administrative partnership around inpatient care management, digital transformation and revenue cycle management. The deal included the hiring of about 2,100 SSM employees by Optum.

Products Covered:

Integrated Solutions
Standalone Solutions

Services Covered:

Implementation
Support and Maintenance
Training and Education
Consulting
Managed RCM Services

Deployments Covered:

On-Premise
Cloud-Based
Hybrid

Pricing Models Covered:

Subscription-based
Per-transaction
Value-based

End Users Covered:

Hospitals
Physicians
Diagnostic and Ambulatory Care Centers
Long-Term Care Centers
Other End Users

Regions Covered:

North America
- US
- Canada
- Mexico
Europe
- Germany
- UK
- Italy
- France
- Spain
- Rest of Europe
Asia Pacific
- Japan
- China
- India
- Australia
- New Zealand
- South Korea
- Rest of Asia Pacific
South America
- Argentina
- Brazil
- Chile
- Rest of South America
Middle East & Africa
- Saudi Arabia
- UAE
- Qatar
- South Africa
- Rest of Middle East & Africa

What our report offers:

Market share assessments for the regional and country-level segments
Strategic recommendations for the new entrants
Covers Market data for the years 2022, 2023, 2024, 2026, and 2030
Market Trends (Drivers, Constraints, Opportunities, Threats, Challenges, Investment Opportunities, and recommendations)
Strategic recommendations in key business segments based on the market estimations
Competitive landscaping mapping the key common trends
Company profiling with detailed strategies, financials, and recent developments
Supply chain trends mapping the latest technological advancements

Free Customization Offerings:

All the customers of this report will be entitled to receive one of the following free customization options:

Company Profiling
- Comprehensive profiling of additional market players (up to 3)
- SWOT Analysis of key players (up to 3)
Regional Segmentation
- Market estimations, Forecasts and CAGR of any prominent country as per the client's interest (Note: Depends on feasibility check)
Competitive Benchmarking
- Benchmarking of key players based on product portfolio, geographical presence, and strategic alliances

1 Executive Summary

2 Preface

2.1 Abstract
2.2 Stake Holders
2.3 Research Scope
2.4 Research Methodology
- 2.4.1 Data Mining
- 2.4.2 Data Analysis
- 2.4.3 Data Validation
- 2.4.4 Research Approach
2.5 Research Sources
- 2.5.1 Primary Research Sources
- 2.5.2 Secondary Research Sources
- 2.5.3 Assumptions

3 Market Trend Analysis

3.1 Introduction
3.2 Drivers
3.3 Restraints
3.4 Opportunities
3.5 Threats
3.6 Product Analysis
3.7 End User Analysis
3.8 Emerging Markets
3.9 Impact of Covid-19

4 Porters Five Force Analysis

4.1 Bargaining power of suppliers
4.2 Bargaining power of buyers
4.3 Threat of substitutes
4.4 Threat of new entrants
4.5 Competitive rivalry

5 Global Revenue Cycle Management Market, By Product

5.1 Introduction
5.2 Integrated Solutions
5.3 Standalone Solutions
- 5.3.1 Front-End Solutions
  - 5.3.1.1 Patient Scheduling
  - 5.3.1.2 Insurance Verification
  - 5.3.1.3 Eligibility and Authorization
  - 5.3.1.4 Patient Access
- 5.3.2 Mid-End Solutions
  - 5.3.2.1 Claims Scrubbing and Editing
  - 5.3.2.2 Chargemaster Management
  - 5.3.2.3 Claims Submission
  - 5.3.2.4 Remittance Processing
  - 5.3.2.5 Denial Management
- 5.3.3 Back-End Solutions
  - 5.3.3.1 Accounts Receivable Management
  - 5.3.3.2 Collections Management
  - 5.3.3.3 Revenue Integrity
  - 5.3.3.4 Financial Analytics
  - 5.3.3.5 Patient Financial Services

6 Global Revenue Cycle Management Market, By Services

6.1 Introduction
6.2 Implementation
6.3 Support and Maintenance
6.4 Training and Education
6.5 Consulting
6.6 Managed RCM Services

7 Global Revenue Cycle Management Market, By Deployment

7.1 Introduction
7.2 On-Premise
7.3 Cloud-Based
7.4 Hybrid

8 Global Revenue Cycle Management Market, By Pricing Models

8.1 Introduction
8.2 Subscription-based
8.3 Per-transaction
8.4 Value-based

9 Global Revenue Cycle Management Market, By End User

9.1 Introduction
9.2 Hospitals
- 9.2.1 Small Hospitals
- 9.2.2 Medium-Sized Hospitals
- 9.2.3 Large Hospitals
- 9.2.4 Academic Medical Centers
9.3 Physicians
9.4 Diagnostic and Ambulatory Care Centers
9.5 Long-Term Care Centers
9.6 Other End Users
- 9.6.1 Dental Clinics
- 9.6.2 Veterinary Clinics
- 9.6.3 Retail Clinics

10 Global Revenue Cycle Management Market, By Geography

10.1 Introduction
10.2 North America
- 10.2.1 US
- 10.2.2 Canada
- 10.2.3 Mexico
10.3 Europe
- 10.3.1 Germany
- 10.3.2 UK
- 10.3.3 Italy
- 10.3.4 France
- 10.3.5 Spain
- 10.3.6 Rest of Europe
10.4 Asia Pacific
- 10.4.1 Japan
- 10.4.2 China
- 10.4.3 India
- 10.4.4 Australia
- 10.4.5 New Zealand
- 10.4.6 South Korea
- 10.4.7 Rest of Asia Pacific
10.5 South America
- 10.5.1 Argentina
- 10.5.2 Brazil
- 10.5.3 Chile
- 10.5.4 Rest of South America
10.6 Middle East & Africa
- 10.6.1 Saudi Arabia
- 10.6.2 UAE
- 10.6.3 Qatar
- 10.6.4 South Africa
- 10.6.5 Rest of Middle East & Africa

11 Key Developments

11.1 Agreements, Partnerships, Collaborations and Joint Ventures
11.2 Acquisitions & Mergers
11.3 New Product Launch
11.4 Expansions
11.5 Other Key Strategies

12 Company Profiling

12.1 R1 RCM
12.2 Oracle
12.3 Optum
12.4 McKesson Corporation
12.5 Change Healthcare
12.6 Cerner Corporation
12.7 Allscripts Healthcare Solutions, Inc.
12.8 Athenahealth, Inc.
12.9 Epic Systems Corporation
12.10 GE Healthcare
12.11 Experian plc
12.12 Conifer Health Solutions
12.13 Veradigm
12.14 3M
12.15 Cognizant
12.16 SSI Group LLC
12.17 Huron Consulting Group
12.18 eClinicalWorks

簡介目錄圖表

List of Tables

Table 1 Global Revenue Cycle Management Market Outlook, By Region (2022-2030) ($MN)
Table 2 Global Revenue Cycle Management Market Outlook, By Product (2022-2030) ($MN)
Table 3 Global Revenue Cycle Management Market Outlook, By Integrated Solutions (2022-2030) ($MN)
Table 4 Global Revenue Cycle Management Market Outlook, By Standalone Solutions (2022-2030) ($MN)
Table 5 Global Revenue Cycle Management Market Outlook, By Front-End Solutions (2022-2030) ($MN)
Table 6 Global Revenue Cycle Management Market Outlook, By Mid-End Solutions (2022-2030) ($MN)
Table 7 Global Revenue Cycle Management Market Outlook, By Back-End Solutions (2022-2030) ($MN)
Table 8 Global Revenue Cycle Management Market Outlook, By Services (2022-2030) ($MN)
Table 9 Global Revenue Cycle Management Market Outlook, By Implementation (2022-2030) ($MN)
Table 10 Global Revenue Cycle Management Market Outlook, By Support and Maintenance (2022-2030) ($MN)
Table 11 Global Revenue Cycle Management Market Outlook, By Training and Education (2022-2030) ($MN)
Table 12 Global Revenue Cycle Management Market Outlook, By Consulting (2022-2030) ($MN)
Table 13 Global Revenue Cycle Management Market Outlook, By Managed RCM Services (2022-2030) ($MN)
Table 14 Global Revenue Cycle Management Market Outlook, By Deployment (2022-2030) ($MN)
Table 15 Global Revenue Cycle Management Market Outlook, By On-Premise (2022-2030) ($MN)
Table 16 Global Revenue Cycle Management Market Outlook, By Cloud-Based (2022-2030) ($MN)
Table 17 Global Revenue Cycle Management Market Outlook, By Hybrid (2022-2030) ($MN)
Table 18 Global Revenue Cycle Management Market Outlook, By Pricing Models (2022-2030) ($MN)
Table 19 Global Revenue Cycle Management Market Outlook, By Subscription-based (2022-2030) ($MN)
Table 20 Global Revenue Cycle Management Market Outlook, By Per-transaction (2022-2030) ($MN)
Table 21 Global Revenue Cycle Management Market Outlook, By Value-based (2022-2030) ($MN)
Table 22 Global Revenue Cycle Management Market Outlook, By End User (2022-2030) ($MN)
Table 23 Global Revenue Cycle Management Market Outlook, By Hospitals (2022-2030) ($MN)
Table 24 Global Revenue Cycle Management Market Outlook, By Small Hospitals (2022-2030) ($MN)
Table 25 Global Revenue Cycle Management Market Outlook, By Medium-Sized Hospitals (2022-2030) ($MN)
Table 26 Global Revenue Cycle Management Market Outlook, By Large Hospitals (2022-2030) ($MN)
Table 27 Global Revenue Cycle Management Market Outlook, By Academic Medical Centers (2022-2030) ($MN)
Table 28 Global Revenue Cycle Management Market Outlook, By Physicians (2022-2030) ($MN)
Table 29 Global Revenue Cycle Management Market Outlook, By Diagnostic and Ambulatory Care Centers (2022-2030) ($MN)
Table 30 Global Revenue Cycle Management Market Outlook, By Long-Term Care Centers (2022-2030) ($MN)
Table 31 Global Revenue Cycle Management Market Outlook, By Other End Users (2022-2030) ($MN)
Table 32 Global Revenue Cycle Management Market Outlook, By Dental Clinics (2022-2030) ($MN)
Table 33 Global Revenue Cycle Management Market Outlook, By Veterinary Clinics (2022-2030) ($MN)
Table 34 Global Revenue Cycle Management Market Outlook, By Retail Clinics (2022-2030) ($MN)