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PUBLISHER: Grand View Research | PRODUCT CODE: 1493391
PUBLISHER: Grand View Research | PRODUCT CODE: 1493391
U.S. Revenue Cycle Management Market Size, Share & Trends Analysis Report By End-use, By Product Type, By Component, By Delivery Mode, By Physician Specialty, By Sourcing, By Function, And Segment Forecasts, 2024 - 2030
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U.S. Revenue Cycle Management Market Growth & Trends:
The U.S. revenue cycle management market size is expected to reach USD 308.12 billion by 2030, growing at a CAGR of 10.18% over the forecast period, according to a new report by Grand View Research, Inc. The rapidly transforming healthcare system and adoption of digitalization are paving a path for implementing healthcare IT services such as Revenue Cycle Management (RCM) systems to organize and streamline workflows of healthcare organizations using synchronized management software solutions.
Moreover, healthcare systems in the U.S. are experiencing substantial changes with the adoption of electronic procedures for managing claims and reimbursements. The presence of numerous distinguished healthcare establishments, rising healthcare consciousness & expenditure, and increasing digital literacy are anticipated to boost market growth. Supportive regulatory alterations from government bodies and consistent technological advancements by market stakeholders are projected to further propel growth. The growing need for ongoing technological advancements is compelling the participants to revise their product development approaches to enhance the provider-patient connection within healthcare institutions. Key stakeholders are concentrating on alliances, acquisitions, and strategic collaborations with other industry participants to merge expertise & expand their market presence.
In January 2024, Veradigm LLC announced the acquisition of Koha Health, a full-service RCM provider. The acquisition added further expertise in the Musculoskeletal Medicine (MSK) specialty to the Veradigm Network while also strengthening its capacity to provide revenue cycle services to Ambulatory Surgical Centers (ASCs) and ambulatory healthcare provider practices that use diverse Electronic Health Record (EHR) systems. Veradigm is enhancing its comprehensive revenue cycle services range to offer better value to clients and tap into additional growth opportunities.
U.S. Revenue Cycle Management Market Report Highlights:
- On the basis of product type, the integrated system spearheaded the market in 2023 due to the growing demand from healthcare organizations for a synchronized single platform to manage financial activities.
- On the basis of delivery mode, the web-based delivery mode segment dominated the market in 2023 due to the cost-effectiveness and rapid deployment of these solutions.
- On the basis of end-use, the hospitals end-use segment led the market in 2023 due to the presence of well-established hospitals and growing healthcare IT infrastructure.
- The others physician specialty segment dominated the market in 2023 due to increase in insurance coverage for other healthcare services.
- The claim management segment led the market in 2023 in the function segment due to the increasing patient volume and the presence of ineffective claim management systems.
- In September 2022, AGS Health introduced a connected solution that blends automation and Artificial Intelligence (AI) called AGS AI Platform. This solution aims to deliver seamless integration and robust process automation to ease labor shortages and allow flexible, scalable growth.
Product Code: GVR-2-68038-680-6
Table of Contents
Chapter 1. Methodology and Scope
- 1.1. Market Segmentation & Scope
- 1.1.1. Segment Definitions
- 1.2. Estimates and Forecast Timeline
- 1.3. Research Methodology
- 1.4. Information Procurement
- 1.4.1. Purchased Database
- 1.4.2. GVR's Internal Database
- 1.4.3. Secondary Sources
- 1.4.4. Primary Research
- 1.4.5. Details of Primary Research
- 1.4.6. Research Assumption
- 1.5. Information or Data Analysis
- 1.5.1. Data Analysis Models
- 1.6. Market Formulation & Data Visualization
- 1.7. Model Details
- 1.7.1. Commodity Flow Analysis
- 1.8. Objectives
- 1.9. List of Secondary Sources
- 1.10. List of Secondary Sources
Chapter 2. Executive Summary
- 2.1. U.S. Revenue Cycle Management Market
- 2.1.1. Market Snapshot
- 2.1.2. Segment Snapshot
- 2.1.2.1. End-user & product type segment outlook
- 2.1.2.2. Component & delivery mode segment outlook
- 2.1.2.3. Physician specialty & sourcing segment outlook
- 2.1.2.4. Function segment outlook
- 2.1.3. Competitive Landscape Snapshot
Chapter 3. Market Variables, Trends, & Scope
- 3.1. Market Lineage Outlook
- 3.1.1. Parent Market Outlook
- 3.1.2. Related/Ancillary Market Outlook
- 3.2. Market Trends and Outlook
- 3.3. Market Dynamics
- 3.3.1. Market Driver Analysis
- 3.3.1.1. Technological advancements
- 3.3.1.2. Increase in outsourcing of RCM
- 3.3.1.3. Increasing adoption of mHealth
- 3.3.1.4. Growth of High-deductible Health Plans (HDHPs)
- 3.3.2. Market Restraint Analysis
- 3.3.2.1. Increasing payer partnerships
- 3.3.2.2. Lack of Professionals to handle RCM processes
- 3.3.1. Market Driver Analysis
- 3.4. Regulatory Scenario & Reimbursement Outlook
- 3.4.1. Regulatory Scenario
- 3.4.2. Reimbursement Framework
- 3.5. Business Environment Analysis Tools
- 3.5.1. Industry Analysis - Porter's Five Forces Analysis
- 3.5.1.1. Supplier power
- 3.5.1.2. Buyer power
- 3.5.1.3. Substitution threat
- 3.5.1.4. Threat of new entrant
- 3.5.1.5. Competitive rivalry
- 3.5.2. PESTEL Analysis
- 3.5.1. Industry Analysis - Porter's Five Forces Analysis
Chapter 4. Product Type Business Analysis
- 4.1. U.S. Revenue Cycle Management Market: Product Type Movement Analysis
- 4.2. U.S. Revenue Cycle Management Market: Product Type Segment Dashboard
- 4.3. Product Type Movement & Market Share Analysis, 2023 & 2030
- 4.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Product Type
- 4.5. Integrated System
- 4.5.1. Integrated system market, 2018 - 2030 (USD Billion)
- 4.6. Standalone System
- 4.6.1. Standalone system market, 2018 - 2030 (USD Billion)
Chapter 5. Component Business Analysis
- 5.1. U.S. Revenue Cycle Management Market: Component Movement Analysis
- 5.2. U.S. Revenue Cycle Management Market: Component Segment Dashboard
- 5.3. Component Movement & Market Share Analysis, 2023 & 2030
- 5.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Component
- 5.5. Software Solution
- 5.5.1. Software solution market, 2018 - 2030 (USD Billion)
- 5.6. Services
- 5.6.1. Services market, 2018 - 2030 (USD Billion)
Chapter 6. Delivery Mode Business Analysis
- 6.1. U.S. Revenue Cycle Management Market: Delivery Mode Movement Analysis
- 6.2. U.S. Revenue Cycle Management Market: Delivery Mode Segment Dashboard
- 6.3. Delivery Mode Movement & Market Share Analysis, 2023 & 2030
- 6.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Delivery Mode
- 6.5. On-premise
- 6.5.1. On-Premise market, 2018 - 2030 (USD Billion)
- 6.6. Web-based
- 6.6.1. Web-based market, 2018 - 2030 (USD Billion)
- 6.7. Cloud-based
- 6.7.1. Cloud-based market, 2018 - 2030 (USD Billion)
Chapter 7. Physician Specialty Business Analysis
- 7.1. U.S. Revenue Cycle Management Market: Physician Specialty Movement Analysis
- 7.2. U.S. Revenue Cycle Management Market: Physician Specialty Segment Dashboard
- 7.3. Physician Specialty Movement & Market Share Analysis, 2023 & 2030
- 7.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Physician Specialty
- 7.5. Oncology
- 7.5.1. Oncology market, 2018 - 2030 (USD Billion)
- 7.6. Cardiology
- 7.6.1. Cardiology market, 2018 - 2030 (USD Billion)
- 7.7. Anesthesia
- 7.7.1. Anesthesia market, 2018 - 2030 (USD Billion)
- 7.8. Radiology
- 7.8.1. Radiology market, 2018 - 2030 (USD Billion)
- 7.9. Pathology
- 7.9.1. Pathology market, 2018 - 2030 (USD Billion)
- 7.10. Pain Management
- 7.10.1. Pain management market, 2018 - 2030 (USD Billion)
- 7.11. Emergency Services
- 7.11.1. Emergency services market, 2018 - 2030 (USD Billion)
- 7.12. Others
- 7.12.1. Others market, 2018 - 2030 (USD Billion)
Chapter 8. Sourcing Business Analysis
- 8.1. U.S. Revenue Cycle Management Market: Sourcing Movement Analysis
- 8.2. U.S. Revenue Cycle Management Market: Sourcing Segment Dashboard
- 8.3. Sourcing Movement & Market Share Analysis, 2023 & 2030
- 8.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Sourcing
- 8.5. In-house
- 8.5.1. In-house market, 2018 - 2030 (USD Billion)
- 8.6. External RCM Apps/Software
- 8.6.1. External RCM Apps/Software market, 2018 - 2030 (USD Billion)
- 8.7. Outsourced RCM Services
- 8.7.1. Outsourced RCM services market, 2018 - 2030 (USD Billion)
Chapter 9. Function Business Analysis
- 9.1. U.S. Revenue Cycle Management Market: Function Movement Analysis
- 9.2. U.S. Revenue Cycle Management Market: Function Segment Dashboard
- 9.3. Function Movement & Market Share Analysis, 2023 & 2030
- 9.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Function
- 9.5. Product Development
- 9.5.1. Product development market, 2018 - 2030 (USD Billion)
- 9.6. Product Development
- 9.6.1. Product development market, 2018 - 2030 (USD Billion)
- 9.7. Member Engagement
- 9.7.1. Member engagement market, 2018 - 2030 (USD Billion)
- 9.8. Network Management
- 9.8.1. Network management market, 2018 - 2030 (USD Billion)
- 9.9. Care Management
- 9.9.1. Care management market, 2018 - 2030 (USD Billion)
- 9.10. Claim Management
- 9.10.1. Claim management market, 2018 - 2030 (USD Billion)
- 9.11. Risk and Compliances
- 9.11.1. Risk and compliances market, 2018 - 2030 (USD Billion)
Chapter 10. End-User Business Analysis
- 10.1. U.S. Revenue Cycle Management Market: End-User Movement Analysis
- 10.2. U.S. Revenue Cycle Management Market: End-User Segment Dashboard
- 10.3. End-User Movement & Market Share Analysis, 2023 & 2030
- 10.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by End use
- 10.5. Hospitals
- 10.5.1. Hospitals market, 2018-2030 (USD Billion)
- 10.6. Physician & Clinical Services
- 10.6.1. Physician & clinical services market, 2018-2030 (USD Billion)
Chapter 11. Competitive Landscape
- 11.1. Company Categorization
- 11.2. Company Market Position Analysis
- 11.3. Strategy Mapping
- 11.3.1. Partnership/Collaboration/Alliance
- 11.3.2. New Product Launch
- 11.3.3. Mergers & Acquisitions
- 11.3.4. Others
- 11.4. Company Profiles/Listing
- 11.4.1. athenahealth, Inc.
- 11.4.1.1. Overview
- 11.4.1.2. Financial performance
- 11.4.1.3. Product benchmarking
- 11.4.1.4. Strategic initiatives
- 11.4.2. Cerner Corporation
- 11.4.2.1. Overview
- 11.4.2.2. Financial performance
- 11.4.2.3. Product benchmarking
- 11.4.2.4. Strategic initiatives
- 11.4.3. eClinicalWorks
- 11.4.3.1. Overview
- 11.4.3.2. Financial performance
- 11.4.3.3. Product benchmarking
- 11.4.3.4. Strategic initiatives
- 11.4.4. Epic Systems Corporation
- 11.4.4.1. Overview
- 11.4.4.2. Financial performance
- 11.4.4.3. Product benchmarking
- 11.4.4.4. Strategic initiatives
- 11.4.5. McKesson Corporation
- 11.4.5.1. Overview
- 11.4.5.2. Financial performance
- 11.4.5.3. Product benchmarking
- 11.4.5.4. Strategic initiatives
- 11.4.6. NXGN Management, LLC
- 11.4.6.1. Overview
- 11.4.6.2. Financial performance
- 11.4.6.3. Product benchmarking
- 11.4.6.4. Strategic initiatives
- 11.4.7. Oncospark, Inc.
- 11.4.7.1. Overview
- 11.4.7.2. Financial performance
- 11.4.7.3. Product benchmarking
- 11.4.7.4. Strategic initiatives
- 11.4.8. R1 RCM, Inc.
- 11.4.8.1. Overview
- 11.4.8.2. Financial performance
- 11.4.8.3. Product benchmarking
- 11.4.8.4. Strategic initiatives
- 11.4.9. The SSI Group, Inc.
- 11.4.9.1. Overview
- 11.4.9.2. Financial performance
- 11.4.9.3. Product benchmarking
- 11.4.9.4. Strategic initiatives
- 11.4.10. Veradigm LLC (Allscripts Healthcare LLC)
- 11.4.10.1. Overview
- 11.4.10.2. Financial performance
- 11.4.10.3. Product benchmarking
- 11.4.10.4. Strategic initiatives
- 11.4.1. athenahealth, Inc.
Product Code: GVR-2-68038-680-6
List of Tables
- Table 1 List of secondary sources
- Table 2 List of abbreviations
- Table 3 U.S. revenue cycle management market, by product type, 2018 - 2030 (USD Million)
- Table 4 U.S. revenue cycle management market, by component, 2018 - 2030 (USD Million)
- Table 5 U.S. revenue cycle management market, by delivery mode, 2018 - 2030 (USD Million)
- Table 6 U.S. revenue cycle management market, by physician specialty, 2018 - 2030 (USD Billion)
- Table 7 U.S. revenue cycle management market, by sourcing, 2018 - 2030 (USD Billion)
- Table 8 U.S. revenue cycle management market, by function, 2018 - 2030 (USD Billion)
- Table 9 U.S. revenue cycle management market, by end use, 2018 - 2030 (USD Billion)
List of Figures
- Fig. 1 U.S. revenue cycle management market segmentation
- Fig. 2 Market research process
- Fig. 3 Information procurement
- Fig. 4 Primary research pattern
- Fig. 5 Market research approaches
- Fig. 6 Value-chain-based sizing & forecasting
- Fig. 7 QFD modeling for market share assessment
- Fig. 8 Market formulation & validation
- Fig. 9 Market snapshot
- Fig. 10 Segment outlook
- Fig. 11 Segment outlook
- Fig. 12 Competitive scenario
- Fig. 13 U.S. revenue cycle management market trends & outlook
- Fig. 14 Market driver relevance analysis (Current & future impact)
- Fig. 15 Market restraint relevance analysis (Current & future impact)
- Fig. 16 U.S. revenue cycle management market: Porter's Five Forces analysis
- Fig. 17 U.S. revenue cycle management market: PESTLE analysis
- Fig. 18 U.S. revenue cycle management market: Product type segment dashboard
- Fig. 19 U.S. revenue cycle management market: by Product type: Market share analysis, 2023 & 2030
- Fig. 20 Integrated market, 2018 - 2030 (USD Billion)
- Fig. 21 Standalone market, 2018 - 2030 (USD Billion)
- Fig. 22 U.S. revenue cycle management market: Component segment dashboard
- Fig. 23 U.S. revenue cycle management market: by Component: Market share analysis, 2023 & 2030
- Fig. 24 Software market, 2018 - 2030 (USD Billion)
- Fig. 25 Services market, 2018 - 2030 (USD Billion)
- Fig. 26 U.S. revenue cycle management market: Delivery mode segment dashboard
- Fig. 27 U.S. revenue cycle management market: by Delivery mode: Market share analysis, 2023 & 2030
- Fig. 28 On Premise market, 2018 - 2030 (USD Billion)
- Fig. 29 Web Based market, 2018 - 2030 (USD Billion)
- Fig. 30 Cloud Based market, 2018 - 2030 (USD Billion)
- Fig. 31 U.S. revenue cycle management market: Physician specialty segment dashboard
- Fig. 32 U.S. revenue cycle management market: by Physician specialty: Market share analysis, 2023 & 2030
- Fig. 33 Oncology market, 2018 - 2030 (USD Billion)
- Fig. 34 Cardiology market, 2018 - 2030 (USD Billion)
- Fig. 35 Anesthesia market, 2018 - 2030 (USD Billion)
- Fig. 36 Radiology market, 2018 - 2030 (USD Billion)
- Fig. 37 Pathology market, 2018 - 2030 (USD Billion)
- Fig. 38 Pain management market, 2018 - 2030 (USD Billion)
- Fig. 39 Emergency services market, 2018 - 2030 (USD Billion)
- Fig. 40 Others market, 2018 - 2030 (USD Billion)
- Fig. 41 U.S. revenue cycle management market: Sourcing segment dashboard
- Fig. 42 U.S. revenue cycle management market: by Sourcing: Market share analysis, 2023 & 2030
- Fig. 43 In-house market, 2018 - 2030 (USD Billion)
- Fig. 44 External RCM Apps/Software market, 2018 - 2030 (USD Billion)
- Fig. 45 Outsourced RCM services market, 2018 - 2030 (USD Billion)
- Fig. 46 U.S. revenue cycle management market: Function segment dashboard
- Fig. 47 U.S. revenue cycle management market: by Function: Market share analysis, 2023 & 2030
- Fig. 48 Product development market, 2018 - 2030 (USD Billion)
- Fig. 49 Member engagement market, 2018 - 2030 (USD Billion)
- Fig. 50 Network management market, 2018 - 2030 (USD Billion)
- Fig. 51 Care management market, 2018 - 2030 (USD Billion)
- Fig. 52 Claims management market, 2018 - 2030 (USD Billion)
- Fig. 53 Risk and compliance market, 2018 - 2030 (USD Billion)
- Fig. 54 U.S. revenue cycle management market: End-user segment dashboard
- Fig. 55 U.S. revenue cycle management market: by End-user: Market share analysis, 2023 & 2030
- Fig. 56 Hospitals market, 2018 - 2030 (USD Billion)
- Fig. 57 Physician and clinical services market, 2018 - 2030 (USD Billion)
- Fig. 58 Competition categorization
- Fig. 59 Company market position analysis
- Fig. 60 Strategy mapping
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