PUBLISHED DATE : Aug 2023 | Pages : 214
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The U.S. Revenue Cycle Management Market Size, Share, & Trends Analysis Report by
Industry Analysis Report, Regional Outlook, Growth Potential, Price Trends, Competitive Market Share & Forecast 2023–2028.
214 Pages
59 Tables
74 Charts
1 Regions
1 Countries
42 Companies
5 Market Segment
| Report Attribute | Details |
|---|---|
| Market Size (2028) | USD 220.45 Billion |
| Market Size (2022) | USD 115.40 Billion |
| CAGR (2022-2028) | 11.39% |
| Base Year | 2022 |
| Forecast Year | 2023-2028 |
| Market Segments | Component Type, Delivery Mode, Solution Type, Service Type, and Geography |
| Geographic Analysis | North America, Europe, APAC, Latin America, and Middle East & Africa |
| KEY VENDORS | Change Healthcare, Epic Systems Corporation, Experian, MCKESSON CORPORATION, Oracle, R1 RCM, and Veradigm |
The U.S. revenue cycle management market was valued at USD 115.40 billion in 2022 and is expected to reach USD 220.45 billion by 2028, growing at a CAGR of 11.39% during the forecast period. The increasing adoption of digital technologies, such as artificial intelligence, machine learning, and blockchain, is driving the market. These technologies are being used to automate and streamline the revenue cycle process, allowing healthcare organizations to improve efficiency and reduce costs. The increasing demand for cost-effective healthcare services and the adoption of digital technologies drive the growth of the U.S. revenue cycle management market.
Revenue cycle management (RCM) is an essential process in the healthcare industry that encompasses various administrative and financial tasks to ensure the smooth flow of revenue from patient care services. It involves a patient's interaction with a healthcare provider, from appointment scheduling to payment collection. RCM is crucial in optimizing financial performance, streamlining operations, and ensuring compliance with regulatory requirements. Throughout the revenue cycle management process, monitoring and analysis of key performance indicators (KPIs) are vital. Metrics such as accounts receivable days, clean claim rate, denial rate, and collection rate provide insights into the organization's financial health and identify areas for improvement. Regularly analyzing these KPIs helps healthcare providers identify bottlenecks, implement process enhancements, and optimize revenue cycle performance.
The U.S. revenue cycle management market is constantly evolving, driven by changes in healthcare regulations, reimbursement models, and technology advancements. Healthcare organizations must stay abreast of these changes and adapt their RCM strategies and processes accordingly. Embracing innovative technologies, such as electronic health records (EHRs), revenue cycle management software, and analytics tools, can greatly enhance operational efficiency, accuracy, and compliance. Revenue cycle management is a critical function in the healthcare industry that encompasses a range of administrative and financial processes. It is pivotal in optimizing financial performance, ensuring compliance, and facilitating the efficient flow of revenue from patient care services. By implementing effective RCM strategies, leveraging technology, and adhering to industry best practices, healthcare organizations can enhance their financial stability, improve patient satisfaction, and ultimately provide high-quality care.
Growing Demand for AI & Cloud-based Deployment
Combining AI and cloud-based deployment in RCM brings significant advantages, including improved efficiency, accuracy, scalability, cost savings, and data security in the U.S. revenue cycle management market. As healthcare organizations strive to optimize their revenue cycle operations, the demand for AI and cloud-based solutions continues to grow, transforming how RCM processes are managed and enhancing financial performance.
The RCM industry is experiencing a growing demand for AI and cloud-based deployment solutions. These technologies offer numerous benefits and are transforming how RCM processes are managed. AI-powered RCM solutions automate manual and repetitive tasks, improving efficiency and reducing the need for human intervention. AI algorithms can analyze large volumes of data, identify patterns, and make intelligent predictions, enabling faster and more accurate claims processing, coding, and denial management.
Increase in Patient Volume and Rising Demand for Health Insurance
With more patients seeking healthcare services, there is a corresponding increase in the number of medical bills and insurance claims generated. This surge in volume creates a greater need for efficient RCM processes to handle the billing, coding, and claims management workflow. As patient volume and insurance demand increase, effective RCM practices become vital to ensure optimal revenue capture for healthcare providers. RCM solutions that accurately capture charges validate insurance eligibility, optimize coding accuracy, and minimize claim denials help maximize revenue and reduce revenue leakage.
Moreover, the population of the U.S. has increased significantly over the past decade, with the Census Bureau estimating that the population will reach nearly 400 million in 2060. This population growth is leading to an increase in the number of people seeking medical care. As the population grows, the demand for health care is increasing. This results in an increase in patient volume as more people seek medical care than ever before.
Automation in Revenue Cycle Management
Automation in RCM helps healthcare organizations improve efficiency, reduce costs, accelerate revenue cycles, and optimize financial outcomes in the U.S. revenue cycle management market. By leveraging technology and automation, providers can enhance their revenue cycle operations, allowing them to focus more on delivering quality patient care. Automation in revenue cycle management (RCM) refers to using technology and software solutions to streamline and automate various processes involved in managing the financial aspects of healthcare services. Automation in RCM offers several benefits, including increased efficiency, reduced errors, improved revenue capture, and enhanced overall financial performance. Furthermore, automation enables businesses to integrate their revenue cycle management process with other key business areas, such as finance, invoicing, and customer service.
INSIGHTS BY COMPONENT
The post-cycle component segment accounted for the largest U.S. revenue cycle management market share in 2022. The post-cycle component of RCM includes activities after the patient has received care, such as processing claims, collecting payments, and managing accounts receivable. The post-cycle component of RCM is essential to the financial success of healthcare organizations. It involves various activities, including claims submission, processing, payment posting, accounts receivable management, and reimbursement analysis. These activities are necessary to ensure that the organization is paid for its services.
INSIGHTS BY DELIVERY MODE
The U.S. revenue cycle management market by delivery mode is segmented as cloud-based and on-premises. In 2022, the cloud-based segment accounted for a larger market share. Cloud-based RCM is a relatively new technology that businesses have been able to leverage for improved efficiency and cost-effectiveness. By leveraging cloud-based solutions, businesses can optimize their revenue cycle, reducing time and related administrative costs by efficiently managing customer information, invoicing, and payments. Cloud-based RCM solutions provide cost benefits, improved customer experience, and enhanced security, among other benefits. One of the greatest advantages of utilizing cloud-based RCM solutions is its cost savings. By leveraging cloud technology, businesses can save on hardware, software, and maintenance, which can connect multiple remote sites without a traditional costly onsite setup.
INSIGHTS BY SOLUTION TYPE
The U.S. revenue cycle management market by solution type categorizes as integrated and standalone. The integrated segment dominated the market share in 2022. Integrated RCM is an approach to healthcare billing that integrates all processes, from insurance claims filing to payment collection. In a nutshell, RCM is how healthcare providers efficiently process billing and payments for their care. It’s all done to maximize cash flow, reduce costs, and increase revenue. Integration is central to a successful RCM system, allowing for data from multiple parts of the healthcare organization to be collected and shared. An enterprise-wide RCM system allows departments to share patient information, process claims quicker, and avoid conflicts between departments. The primary goal of RCM is to optimize revenue and increase cash flow. But it also serves a few other purposes. First, it streamlines the bill and payment process, reducing paperwork, duplicate entries, late payments, and manual processes. Second, it helps to keep costs and billing errors to a minimum while improving patient satisfaction and experience.
INSIGHTS BY SERVICE TYPE
The ambulatory care service dominated the U.S. revenue cycle management market, accounting for over 48% in 2022. Revenue cycle management in ambulatory care is critical to ensuring a successful practice and a steady cash flow. As providers of care, collections for services must be managed in an organized and timely way. This includes the accounting aspects of private payers and payers for government programs and patient collections from coinsurance, copays, and deductibles. By properly managing the revenue cycle, organizations can reduce overhead and ensure the highest quality of patient care without compromising payment integrity. The primary RCM process in ambulatory care includes patient scheduling and registration, coding and abstracting services, claims submission, payment posting, denials management, collections, and customer service.
INSIGHTS BY END-USER
The hospital's end-user segment accounted for the larger U.S. revenue cycle management market share. RCM is an important part of the healthcare system, especially in hospitals. RCM is a critical component in hospital operations due to its ability to help hospitals track patient data, maximize efficiency, improve patient satisfaction, and ultimately increase revenue. In today’s healthcare environment of rapidly changing technology and complicated regulations, RCM enables hospitals to remain competitive while adhering to these regulations.
The U.S. revenue cycle management market is highly competitive. The market is characterized by rapid technological change, including the introduction of cloud-based medical billing management, integration of electronic health records usage, and increased usage of the digital medium, which has revolutionized claim denials. Vendors are also constantly developing new technologies to acquire and market new services to access a new set of consumers.
The industry is highly fragmented, with a large number of vendors offering a variety of products and services. Major U.S. revenue cycle management market players include Change Healthcare, Epic Systems Corporation, Experian, MCKESSON CORPORATION, Oracle, R1 RCM, and Veradigm. Technological advancements, industry expertise, integration capabilities, regulatory compliance, customer support, scalability, and pricing models influence the competitive landscape. As the demand for effective RCM solutions continues to rise, companies that can differentiate themselves through innovation, expertise, and customer-centric approaches are poised to succeed in this dynamic market. Epic Systems Corporation, known for its widely adopted EHR system, has established a strong presence in the U.S. revenue cycle management market. With its comprehensive RCM solutions, integration capabilities, revenue capture, and coding functionalities, price transparency tools, revenue cycle analytics, industry expertise, and commitment to interoperability, the company assists healthcare organizations in optimizing their revenue cycles, improving financial performance, and enhancing patient billing experiences.
Frequently Asked Questions
How big is the U.S. revenue cycle management market?
The U.S. revenue cycle management market size was valued at USD 115.40 billion in 2022 and is expected to reach USD 220.45 billion by 2028.
What is the projected growth rate of the U.S. revenue cycle management market?
The U.S. revenue cycle management market is projected to grow at a CAGR of 11.39% during the forecast period.
Who are the key players in the U.S. revenue cycle management market?
Change Healthcare, Epic Systems Corporation, Experian, MCKESSON CORPORATION, Oracle, R1 RCM, and Veradigm are the key players in the U.S. revenue cycle management market.
What are the rising U.S. revenue cycle management industry trends?
The rising trends in the U.S. revenue cycle management industry are growing demand for AI & cloud-based deployment, automation in revenue cycle management, a shift toward value-based reimbursement, and increasing revenue cycle integration.
Which service type holds the most significant U.S. revenue cycle management market share?
The ambulatory care service type segment dominated the U.S. revenue cycle management market, accounting for over 48% in 2022.
The U.S. revenue cycle management market size is expected to grow at a CAGR of approximately 11.39% from 2022 to 2028.
The following factors are likely to contribute to the growth of the U.S. revenue cycle management market during the forecast period:
Base Year: 2022
Forecast Year: 2023-2028
The report considers the present scenario of the U.S. revenue cycle management market and its market dynamics for 2023−2028. It covers a detailed overview of several market growth enablers, restraints, and trends. The study covers both the demand and supply sides of the industry. It also profiles and analyzes leading companies and several other prominent companies operating in the industry.
Key Company Profiles
Other Prominent Vendors
Segmentation by Component Type
Segmentation by Delivery Mode
Segmentation by Solution Type
Segmentation by Service Type
Segmentation by End-user
1 RESEARCH METHODOLOGY
2 RESEARCH OBJECTIVES
3 RESEARCH PROCESS
4 SCOPE & COVERAGE
4.1 MARKET DEFINITION
4.1.1 INCLUSIONS
4.1.2 EXCLUSIONS
4.1.3 MARKET ESTIMATION CAVEATS
4.2 BASE YEAR
4.3 SCOPE OF THE STUDY
4.3.1 MARKET SEGMENTATION BY COMPONENT TYPE
4.3.2 MARKET SEGMENTATION BY DELIVERY MODE
4.3.3 MARKET SEGMENTATION BY SOLUTION TYPE
4.3.4 MARKET SEGMENTATION BY SERVICE TYPE
4.3.5 MARKET SEGMENTATION BY END-USER
4.3.6 MARKET SEGMENTATION BY GEOGRAPHY
5 REPORT ASSUMPTIONS & CAVEATS
5.1 KEY CAVEATS
5.2 CURRENCY CONVERSION
5.3 MARKET DERIVATION
6 MARKET AT A GLANCE
7 PREMIUM INSIGHTS
7.1 MARKET OVERVIEW
7.1.1 COMPONENT INSIGHTS
7.1.2 DELIVERY MODE INSIGHTS
7.1.3 SOLUTION TYPE INSIGHTS
7.1.4 SERVICE TYPE INSIGHTS
7.1.5 END-USER INSIGHTS
8 INTRODUCTION
8.1 OVERVIEW
9 MARKET OPPORTUNITIES & TRENDS
9.1 GROWING DEMAND FOR AI & CLOUD-BASED DEPLOYMENT
9.2 AUTOMATION IN RCM
9.3 SHIFT TOWARD VALUE-BASED REIMBURSEMENT
9.4 INCREASING REVENUE CYCLE INTEGRATION
10 MARKET GROWTH ENABLERS
10.1 INCREASE IN PATIENT VOLUME AND RISING DEMAND FOR HEALTH INSURANCE
10.2 GROWING COMPLEXITY OF BILLING AND PAYMENT PROCESSES
10.3 RISING IMPORTANCE OF DENIAL MANAGEMENT IN MEDICAL CLAIMS
10.4 INCREASE IN OUTSOURCING REVENUE CYCLE MANAGEMENT
11 MARKET RESTRAINTS
11.1 HIGH COST OF DEPLOYMENT
11.2 ISSUES RELATED TO DATA SECURITY & CONFIDENTIALITY
11.3 ADAPTING CHANGES IN MEDICAL BILLING & CODING
12 MARKET LANDSCAPE
12.1 MARKET OVERVIEW
12.2 MARKET SIZE & FORECAST
12.3 MARKET OPPORTUNITIES
12.3.1 MARKET BY COMPONENT
12.3.2 MARKET BY DELIVERY MODE
12.3.3 MARKET BY SOLUTION TYPE
12.3.4 MARKET BY SERVICE TYPE
12.3.5 MARKET BY END-USER
12.4 FIVE FORCES ANALYSIS
12.4.1 THREAT OF NEW ENTRANTS
12.4.2 BARGAINING POWER OF SUPPLIERS
12.4.3 BARGAINING POWER OF BUYERS
12.4.4 THREAT OF SUBSTITUTES
12.4.5 COMPETITIVE RIVALRY
13 COMPONENT
13.1 MARKET SNAPSHOT & GROWTH ENGINE
13.2 MARKET OVERVIEW
13.3 POST-CYCLE
13.3.1 MARKET OVERVIEW
13.3.2 MARKET SIZE & FORECAST
13.4 PRE-CYCLE
13.4.1 MARKET OVERVIEW
13.4.2 MARKET SIZE & FORECAST
13.5 MID-CYCLE
13.5.1 MARKET OVERVIEW
13.5.2 MARKET SIZE & FORECAST
14 DELIVERY MODE
14.1 MARKET SNAPSHOT & GROWTH ENGINE
14.2 MARKET OVERVIEW
14.3 CLOUD-BASED
14.3.1 MARKET OVERVIEW
14.3.2 MARKET SIZE & FORECAST
14.4 ON-PREMISES
14.4.1 MARKET OVERVIEW
14.4.2 MARKET SIZE & FORECAST
15 SOLUTION TYPE
15.1 MARKET SNAPSHOT & GROWTH ENGINE
15.2 MARKET OVERVIEW
15.3 INTEGRATED
15.3.1 MARKET OVERVIEW
15.3.2 MARKET SIZE & FORECAST
15.4 STANDALONE
15.4.1 MARKET OVERVIEW
15.4.2 MARKET SIZE & FORECAST
16 SERVICE TYPE
16.1 MARKET SNAPSHOT & GROWTH ENGINE
16.2 MARKET OVERVIEW
16.3 AMBULATORY CARE
16.3.1 MARKET OVERVIEW
16.3.2 MARKET SIZE & FORECAST
16.4 ACUTE CARE
16.4.1 MARKET OVERVIEW
16.4.2 MARKET SIZE & FORECAST
16.5 POST ACUTE CARE
16.5.1 MARKET OVERVIEW
16.5.2 MARKET SIZE & FORECAST
17 END-USER
17.1 MARKET SNAPSHOT & GROWTH ENGINE
17.2 MARKET OVERVIEW
17.3 HOSPITALS
17.3.1 MARKET OVERVIEW
17.3.2 MARKET SIZE & FORECAST
17.4 PHYSICIAN OFFICES
17.4.1 MARKET OVERVIEW
17.4.2 MARKET SIZE & FORECAST
17.5 OTHERS
17.5.1 MARKET OVERVIEW
17.5.2 MARKET SIZE & FORECAST
18 COMPETITIVE LANDSCAPE
18.1 COMPETITION OVERVIEW
18.2 MARKET SHARE ANALYSIS
18.2.1 CHANGE HEALTHCARE
18.2.2 EPIC SYSTEMS CORPORATION
18.2.3 EXPERIAN
18.2.4 MCKESSON CORPORATION
18.2.5 ORACLE
18.2.6 R1 RCM
18.2.7 VERADIGM
19 KEY COMPANY PROFILES
19.1 CHANGE HEALTHCARE
19.1.1 BUSINESS OVERVIEW
19.1.2 PRODUCT OFFERINGS
19.1.3 KEY STRATEGIES
19.1.4 KEY STRENGTHS
19.1.5 KEY OPPORTUNITIES
19.2 EPIC SYSTEMS CORPORATION
19.2.1 BUSINESS OVERVIEW
19.2.2 PRODUCT OFFERINGS
19.2.3 KEY STRATEGIES
19.2.4 KEY STRENGTHS
19.2.5 KEY OPPORTUNITIES
19.3 EXPERIAN
19.3.1 BUSINESS OVERVIEW
19.3.2 PRODUCT OFFERINGS
19.3.3 KEY STRATEGIES
19.3.4 KEY STRENGTHS
19.3.5 KEY OPPORTUNITIES
19.4 MCKESSON CORPORATION
19.4.1 BUSINESS OVERVIEW
19.4.2 PRODUCT OFFERINGS
19.4.3 KEY STRATEGIES
19.4.4 KEY STRENGTHS
19.4.5 KEY OPPORTUNITIES
19.5 ORACLE
19.5.1 BUSINESS OVERVIEW
19.5.2 PRODUCT OFFERINGS
19.5.3 KEY STRATEGIES
19.5.4 KEY STRENGTHS
19.5.5 KEY OPPORTUNITIES
19.6 R1 RCM
19.6.1 BUSINESS OVERVIEW
19.6.2 PRODUCT OFFERINGS
19.6.3 KEY STRATEGIES
19.6.4 KEY STRENGTHS
19.6.5 KEY OPPORTUNITIES
19.7 VERADIGM
19.7.1 BUSINESS OVERVIEW
19.7.2 PRODUCT OFFERINGS
19.7.3 KEY STRATEGIES
19.7.4 KEY STRENGTHS
19.7.5 KEY OPPORTUNITIES
20 OTHER PROMINENT VENDORS
20.1 ACCESS HEALTHCARE
20.1.1 BUSINESS OVERVIEW
20.1.2 PRODUCT OFFERINGS
20.2 ACROLOGIC BUSINESS SOLUTIONS
20.2.1 BUSINESS OVERVIEW
20.2.2 PRODUCT OFFERINGS
20.3 ADVANCEDMD
20.3.1 BUSINESS OVERVIEW
20.3.2 PRODUCT OFFERINGS
20.4 ADVANTUM HEALTH
20.4.1 BUSINESS OVERVIEW
20.4.2 PRODUCT OFFERINGS
20.5 ALLIANCEMED
20.5.1 BUSINESS OVERVIEW
20.5.2 PRODUCT OFFERINGS
20.6 BELLMEDEX
20.6.1 BUSINESS OVERVIEW
20.6.2 PRODUCT OFFERINGS
20.7 BIZMATICS
20.7.1 BUSINESS OVERVIEW
20.7.2 PRODUCT OFFERINGS
20.8 CARECLOUD
20.8.1 BUSINESS OVERVIEW
20.8.2 PRODUCT OFFERINGS
20.9 COGNIZANT
20.9.1 BUSINESS OVERVIEW
20.9.2 PRODUCT OFFERINGS
20.10 CORONIS HEALTH
20.10.1 BUSINESS OVERVIEW
20.10.2 PRODUCT OFFERINGS
20.11 CORROHEALTH
20.11.1 BUSINESS OVERVIEW
20.11.2 PRODUCT OFFERINGS
20.12 THE CRANEWARE GROUP
20.12.1 BUSINESS OVERVIEW
20.12.2 PRODUCT OFFERINGS
20.13 CUREMD HEALTHCARE
20.13.1 BUSINESS OVERVIEW
20.13.2 PRODUCT OFFERINGS
20.14 DATA MARSHALL
20.14.1 BUSINESS OVERVIEW
20.14.2 PRODUCT OFFERINGS
20.15 DRCHRONO
20.15.1 BUSINESS OVERVIEW
20.15.2 PRODUCT OFFERINGS
20.16 EHEALTHSOURCE
20.16.1 BUSINESS OVERVIEW
20.16.2 PRODUCT OFFERINGS
20.17 GREENWAY HEALTH
20.17.1 BUSINESS OVERVIEW
20.17.2 PRODUCT OFFERINGS
20.18 INSYNC HEALTHCARE SOLUTIONS
20.18.1 BUSINESS OVERVIEW
20.18.2 PRODUCT OFFERINGS
20.19 INTELLIRCM
20.19.1 BUSINESS OVERVIEW
20.19.2 PRODUCT OFFERINGS
20.20 KAREO
20.20.1 BUSINESS OVERVIEW
20.20.2 PRODUCT OFFERINGS
20.21 MEDICAL BILLERS AND CODERS
20.21.1 BUSINESS OVERVIEW
20.21.2 PRODUCT OFFERINGS
20.22 MGSI
20.22.1 BUSINESS OVERVIEW
20.22.2 PRODUCT OFFERINGS
20.23 MRO
20.23.1 BUSINESS OVERVIEW
20.23.2 PRODUCT OFFERINGS
20.24 NXGN MANAGEMENT
20.24.1 BUSINESS OVERVIEW
20.24.2 PRODUCT OFFERINGS
20.25 OSP
20.25.1 BUSINESS OVERVIEW
20.25.2 PRODUCT OFFERINGS
20.26 PERSISTENT SYSTEMS
20.26.1 BUSINESS OVERVIEW
20.26.2 PRODUCT OFFERINGS
20.27 PMMC
20.27.1 BUSINESS OVERVIEW
20.27.2 PRODUCT OFFERINGS
20.28 PROMANTRA
20.28.1 BUSINESS OVERVIEW
20.28.2 PRODUCT OFFERINGS
20.29 QUADAX
20.29.1 BUSINESS OVERVIEW
20.29.2 PRODUCT OFFERINGS
20.30 QWAY HEALTHCARE
20.30.1 BUSINESS OVERVIEW
20.30.2 PRODUCT OFFERINGS
20.31 REVELE
20.31.1 BUSINESS OVERVIEW
20.31.2 PRODUCT OFFERINGS
20.32 REVENUEXL
20.32.1 BUSINESS OVERVIEW
20.32.2 PRODUCT OFFERINGS
20.33 RIGHT MEDICAL BILLING
20.33.1 BUSINESS OVERVIEW
20.33.2 PRODUCT OFFERINGS
20.34 VEE TECHNOLOGIES
20.34.1 BUSINESS OVERVIEW
20.34.2 PRODUCT OFFERINGS
20.35 WAYSTAR
20.35.1 BUSINESS OVERVIEW
20.35.2 PRODUCT OFFERINGS
21 REPORT SUMMARY
21.1 KEY TAKEAWAYS
21.2 STRATEGIC RECOMMENDATIONS
22 QUANTITATIVE SUMMARY
22.1 MARKET BY COMPONENT
22.2 MARKET BY DELIVERY MODE
22.3 MARKET BY SOLUTION TYPE
22.4 MARKET BY SERVICE TYPE
22.5 MARKET BY END-USER
23 APPENDIX
23.1 ABBREVIATIONS
EXHIBIT 1 SEGMENTATION OF US RCM MARKET
EXHIBIT 2 MARKET SIZE CALCULATION APPROACH 2022
EXHIBIT 3 US RCM MARKET BY COMPONENT 2022 & 2028 (% SHARE)
EXHIBIT 4 US REVENUE CYCLE MANAGEMENT MARKET BY DELIVERY MODE 2022 & 2028 (% SHARE)
EXHIBIT 5 US REVENUE CYCLE MANAGEMENT MARKET BY SOLUTION TYPE 2022 & 2028 (% SHARE)
EXHIBIT 6 US REVENUE CYCLE MANAGEMENT MARKET BY SERVICE TYPE 2022 & 2028 (% SHARE)
EXHIBIT 7 US REVENUE CYCLE MANAGEMENT MARKET BY END-USER 2022 & 2028 (% SHARE)
EXHIBIT 8 IMPACT OF GROWING DEMAND FOR AI & CLOUD-BASED DEPLOYMENT
EXHIBIT 9 IMPACT OF AUTOMATION IN RCM
EXHIBIT 10 IMPACT OF SHIFT TOWARD VALUE-BASED REIMBURSEMENT
EXHIBIT 11 IMPACT OF INCREASING REVENUE CYCLE INTEGRATION
EXHIBIT 12 IMPACT OF INCREASE IN PATIENT VOLUME AND RISING DEMAND FOR HEALTH INSURANCE
EXHIBIT 13 IMPACT OF GROWING COMPLEXITY OF BILLING AND PAYMENT PROCESSES
EXHIBIT 14 IMPACT OF RISING IMPORTANCE OF DENIAL MANAGEMENT IN MEDICAL CLAIMS
EXHIBIT 15 MAJOR CAUSES FOR DENIALS OF MEDICAL CLAIMS (% SHARE)
EXHIBIT 16 IMPACT OF INCREASE IN OUTSOURCING REVENUE CYCLE MANAGEMENT
EXHIBIT 17 IMPACT OF HIGH COST OF DEPLOYMENT
EXHIBIT 18 IMPACT OF ISSUES RELATED TO DATA SECURITY & CONFIDENTIALITY
EXHIBIT 19 IMPACT OF ADAPTING CHANGES IN MEDICAL BILLING & CODING
EXHIBIT 20 US REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 21 US REVENUE CYCLE MANAGEMENT MARKET BY COMPONENT: MARKET OPPORTUNITY OVERVIEW ($ BILLION)
EXHIBIT 22 US REVENUE CYCLE MANAGEMENT MARKET BY DELIVERY MODE: MARKET OPPORTUNITY OVERVIEW ($ BILLION)
EXHIBIT 23 US REVENUE CYCLE MANAGEMENT MARKET BY SOLUTION TYPE: MARKET OPPORTUNITY OVERVIEW ($ BILLION)
EXHIBIT 24 US REVENUE CYCLE MANAGEMENT MARKET BY SERVICE TYPE: MARKET OPPORTUNITY OVERVIEW ($ BILLION)
EXHIBIT 25 US REVENUE CYCLE MANAGEMENT MARKET BY END-USER: MARKET OPPORTUNITY OVERVIEW ($ BILLION)
EXHIBIT 26 FIVE FORCES ANALYSIS 2022
EXHIBIT 27 INCREMENTAL GROWTH BY COMPONENT 2022 & 2028
EXHIBIT 28 US REVENUE CYCLE MANAGEMENT MARKET BY COMPONENT: INCREMENTAL GROWTH ($ BILLION)
EXHIBIT 29 US REVENUE CYCLE MANAGEMENT MARKET BY COMPONENT: ABSOLUTE GROWTH (%)
EXHIBIT 30 US POST-CYCLE REVENUE CYCLE MANAGEMENT MARKET: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 31 US POST-CYCLE REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 32 US PRE-CYCLE REVENUE CYCLE MANAGEMENT MARKET: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 33 US PRE-CYCLE REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 34 US MID-CYCLE REVENUE CYCLE MANAGEMENT MARKET: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 35 US MID-CYCLE REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 36 INCREMENTAL GROWTH BY DELIVERY MODE 2022 & 2028
EXHIBIT 37 US REVENUE CYCLE MANAGEMENT MARKET BY DELIVERY MODE: INCREMENTAL GROWTH ($ BILLION)
EXHIBIT 38 US REVENUE CYCLE MANAGEMENT MARKET BY DELIVERY MODE: ABSOLUTE GROWTH (%)
EXHIBIT 39 US CLOUD-BASED REVENUE CYCLE MANAGEMENT MARKET: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 40 US CLOUD-BASED REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 41 US ON-PREMISES REVENUE CYCLE MANAGEMENT MARKET: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 42 US ON-PREMISES REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 43 INCREMENTAL GROWTH BY SOLUTION TYPE 2022 & 2028
EXHIBIT 44 US REVENUE CYCLE MANAGEMENT MARKET BY SOLUTION TYPE: INCREMENTAL GROWTH ($ BILLION)
EXHIBIT 45 US REVENUE CYCLE MANAGEMENT MARKET BY SOLUTION TYPE: ABSOLUTE GROWTH (%)
EXHIBIT 46 US INTEGRATED REVENUE CYCLE MANAGEMENT MARKET: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 47 BENEFITS OF REVENUE CYCLE INTEGRATION
EXHIBIT 48 US INTEGRATED REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 49 US STANDALONE REVENUE CYCLE MANAGEMENT MARKET: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 50 US STANDALONE REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 51 INCREMENTAL GROWTH BY SERVICE TYPE 2022 & 2028
EXHIBIT 52 US REVENUE CYCLE MANAGEMENT MARKET BY SERVICE TYPE: INCREMENTAL GROWTH ($ BILLION)
EXHIBIT 53 US RCM MARKET BY SERVICE TYPE: ABSOLUTE GROWTH (%)
EXHIBIT 54 US AMBULATORY CARE REVENUE CYCLE MANAGEMENT MARKET: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 55 US AMBULATORY CARE REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 56 US ACUTE CARE REVENUE CYCLE MANAGEMENT MARKET: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 57 US ACUTE CARE REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 58 US POST ACUTE CARE REVENUE CYCLE MANAGEMENT MARKET: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 59 US POST ACUTE CARE REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 60 INCREMENTAL GROWTH BY END-USER 2022 & 2028
EXHIBIT 61 US REVENUE CYCLE MANAGEMENT MARKET BY END-USE: INCREMENTAL GROWTH ($ BILLION)
EXHIBIT 62 US RCM MARKET BY END-USER: ABSOLUTE GROWTH (%)
EXHIBIT 63 US HOSPITALS REVENUE CYCLE MANAGEMENT MARKET: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 64 US HOSPITALS REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 65 US PHYSICIAN OFFICES REVENUE CYCLE MANAGEMENT MARKET: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 66 US PHYSICIAN OFFICES REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 67 US OTHERS REVENUE CYCLE MANAGEMENT MARKET: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 68 US OTHERS REVENUE CYCLE MANAGEMENT MARKET 2022–2028 ($ BILLION)
EXHIBIT 69 VENDORS OFFERING COMMERCIAL REVENUE CYCLE MANAGEMENT SOLUTIONS: MARKET DOMINANCE ANALYSIS
EXHIBIT 70 VENDORS OFFERING COMMERCIAL REVENUE CYCLE MANAGEMENT SOLUTIONS: CAPABILITIES & EXPERTISE ASSESSMENT
EXHIBIT 71 EXPERIAN: TOTAL REVENUE 2020-2022 ($ BILLION)
EXHIBIT 72 MCKESSON CORPORATION: TOTAL REVENUE 2020-2022 ($ BILLION)
EXHIBIT 73 MCKESSON CORPORATION: REVENUE BY BUSINESS SEGMENT 2022 ($ BILLION)
EXHIBIT 74 R1 RCM: TOTAL REVENUE 2020-2022 ($ BILLION)
LIST OF TABLES
TABLE 1 KEY CAVEATS
TABLE 2 CURRENCY CONVERSION 2015−2022
TABLE 3 US REVENUE CYCLE MANAGEMENT MARKET BY COMPONENT: MARKET SIZE 2022–2028 ($ BILLION)
TABLE 4 US REVENUE CYCLE MANAGEMENT MARKET BY DELIVERY MODE: MARKET SIZE 2022–2028 ($ BILLION)
TABLE 5 US REVENUE CYCLE MANAGEMENT MARKET BY SOLUTION TYPE: MARKET SIZE 2022–2028 ($ BILLION)
TABLE 6 US REVENUE CYCLE MANAGEMENT MARKET BY SERVICE TYPE: MARKET SIZE 2022–2028 ($ BILLION)
TABLE 7 US REVENUE CYCLE MANAGEMENT MARKET BY END-USER: MARKET SIZE 2022–2028 ($ BILLION)
TABLE 8 CHANGE HEALTHCARE: MAJOR PRODUCT OFFERINGS
TABLE 9 EPIC SYSTEMS CORPORATION: MAJOR PRODUCT OFFERINGS
TABLE 10 EXPERIAN: MAJOR PRODUCT OFFERINGS
TABLE 11 MCKESSON CORPORATION: MAJOR PRODUCT OFFERINGS
TABLE 12 ORACLE: MAJOR PRODUCT OFFERINGS
TABLE 13 R1 RCM: MAJOR PRODUCT OFFERINGS
TABLE 14 VERADIGM: MAJOR PRODUCT OFFERINGS
TABLE 15 ACCESS HEALTHCARE: MAJOR PRODUCT OFFERINGS
TABLE 16 ACROLOGIC BUSINESS SOLUTIONS: MAJOR PRODUCT OFFERINGS
TABLE 17 ADVANCEDMD: MAJOR PRODUCT OFFERINGS
TABLE 18 ADVANTUM HEALTH: MAJOR PRODUCT OFFERINGS
TABLE 19 ALLIANCEMED: MAJOR PRODUCT OFFERINGS
TABLE 20 BELLLMEDEX: MAJOR PRODUCT OFFERINGS
TABLE 21 BIZMATICS: MAJOR PRODUCT OFFERINGS
TABLE 22 CARECLOUD: MAJOR PRODUCT OFFERINGS
TABLE 23 COGNIZANT: MAJOR PRODUCT OFFERINGS
TABLE 24 CORONIS HEALTH: MAJOR PRODUCT OFFERINGS
TABLE 25 CORROHEALTH: MAJOR PRODUCT OFFERINGS
TABLE 26 THE CRANEWARE GROUP: MAJOR PRODUCT OFFERINGS
TABLE 27 CUREMD HEALTHCARE: MAJOR PRODUCT OFFERINGS
TABLE 28 DATA MARSHALL: MAJOR PRODUCT OFFERINGS
TABLE 29 DRCHRONO: MAJOR PRODUCT OFFERINGS
TABLE 30 EHEALTHSOURCE: MAJOR PRODUCT OFFERINGS
TABLE 31 GREENWAY HEALTH: MAJOR PRODUCT OFFERINGS
TABLE 32 INSYNC HEALTHCARE SOLUTIONS: MAJOR PRODUCT OFFERINGS
TABLE 33 INTELLIRCM: MAJOR PRODUCT OFFERINGS
TABLE 34 KAREO: MAJOR PRODUCT OFFERINGS
TABLE 35 MEDICAL BILLERS AND CODERS: MAJOR PRODUCT OFFERINGS
TABLE 36 MGSI: MAJOR PRODUCT OFFERINGS
TABLE 37 MRO: MAJOR PRODUCT OFFERINGS
TABLE 38 NXGN MANAGEMENT: MAJOR PRODUCT OFFERINGS
TABLE 39 OSP: MAJOR PRODUCT OFFERINGS
TABLE 40 PERSISTENT SYSTEMS: MAJOR PRODUCT OFFERINGS
TABLE 41 PMMC: MAJOR PRODUCT OFFERINGS
TABLE 42 PROMANTRA: MAJOR PRODUCT OFFERINGS
TABLE 43 QUADAX: MAJOR PRODUCT OFFERINGS
TABLE 44 QWAY HEALTHCARE: MAJOR PRODUCT OFFERINGS
TABLE 45 REVELE: MAJOR PRODUCT OFFERINGS
TABLE 46 REVENUEXL: MAJOR PRODUCT OFFERINGS
TABLE 47 RIGHT MEDICAL BILLING: MAJOR PRODUCT OFFERINGS
TABLE 48 VEE TECHNOLOGIES: MAJOR PRODUCT OFFERINGS
TABLE 49 WAYSTAR: MAJOR PRODUCT OFFERINGS
TABLE 50 US REVENUE CYCLE MANAGEMENT MARKET BY COMPONENT 2022−2028 ($ BILLION)
TABLE 51 US REVENUE CYCLE MANAGEMENT MARKET BY COMPONENT 2022−2028 (%)
TABLE 52 US REVENUE CYCLE MANAGEMENT MARKET BY DELIVERY MODE 2022−2028 ($ BILLION)
TABLE 53 US REVENUE CYCLE MANAGEMENT MARKET BY DELIVERY MODE 2022−2028 (%)
TABLE 54 US REVENUE CYCLE MANAGEMENT MARKET BY SOLUTION TYPE 2022−2028 ($ BILLION)
TABLE 55 US REVENUE CYCLE MANAGEMENT MARKET BY SOLUTION TYPE 2022−2028 (%)
TABLE 56 US REVENUE CYCLE MANAGEMENT MARKET BY SERVICE TYPE 2022−2028 ($ BILLION)
TABLE 57 US REVENUE CYCLE MANAGEMENT MARKET BY SERVICE TYPE 2022−2028 (%)
TABLE 58 US REVENUE CYCLE MANAGEMENT MARKET BY END-USER 2022−2028 ($ BILLION)
TABLE 59 US REVENUE CYCLE MANAGEMENT MARKET BY END-USER 2022−2028 (%)
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"The report by Arizton was spot on. It not only gave us insight into the pro audio market, we used it to raise funds for our company. The data proved (to the VC we pitched to) that the market was large enough for our company to not only survive but also grow."
