U.S. Revenue Cycle Management Market – Industry Outlook & Forecast 2023-2028

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THE U.S. REVENUE CYCLE MANAGEMENT MARKET IS EXPECTED TO REACH USD 220.45 BILLION BY 2028 FROM USD 115.40 BILLION IN 2022, GROWING AT A CAGR OF 11.39% DURING THE FORECAST PERIOD.

The U.S. Revenue Cycle Management Market Size, Share, & Trends Analysis Report by

  • Component Type: Post-cycle, Pre-cycle, and Mid-cycle
  • Delivery Mode: Cloud-based and On-premises
  • Solution Type: Integrated and Standalone
  • Service Type: Ambulatory Care, Acute Care, and Post Acute Care
  • End-user: Hospitals, Physician Offices, and Others

Industry Analysis Report, Regional Outlook, Growth Potential, Price Trends, Competitive Market Share & Forecast 2023–2028. 

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U.S. REVENUE CYCLE MANAGEMENT MARKET REPORT SCOPE

REPORT ATTRIBUTEDETAILS
Market Size (2028)USD 220.45 Billion
Market Size (2022)USD 115.40 Billion
CAGR (2022-2028)11.39%
Base Year2022
Forecast Year2023-2028
Market SegmentsComponent Type, Delivery Mode, Solution Type, Service Type, and Geography
Geographic AnalysisNorth America, Europe, APAC, Latin America, and Middle East & Africa
KEY VENDORSChange Healthcare, Epic Systems Corporation, Experian, MCKESSON CORPORATION, Oracle, R1 RCM, and Veradigm
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MARKET INSIGHTS

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.

MARKET TRENDS & DRIVERS

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.

SEGMENTATION INSIGHTS

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.

VENDOR LANDSCAPE

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:

  • Increase in Patient Volume and Rising Demand for Health Insurance
  • Growing Complexity of Billing and Payment Processes
  • Rising Importance of Denial Management In Medical Claims
  • Increase in Outsourcing Revenue Cycle Management

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

  • Change Healthcare
    • Business Overview
    • Product Offerings
    • Key Strategies
    • Key Strengths
    • Key Opportunities
  • Epic Systems Corporation
  • Experian
  • MCKESSON CORPORATION
  • Oracle
  • R1 RCM
  • Veradigm

Other Prominent Vendors

  • Access Healthcare
    • Business Overview
    • Product Offerings
  • Acrologic Business Solutions
  • AdvancedMD
  • Advantum Health
  • AllianceMed
  • BellMedEx
  • Bizmatics
  • CareCloud
  • Cognizant
  • Coronis Health
  • CorroHealth
  • The Craneware Group
  • CureMD Healthcare
  • Data Marshall
  • DrChrono
  • EHealthSource
  • Greenway Health
  • InSync Healthcare Solutions
  • IntelliRCM
  • Kareo
  • Medical Billers and Coders
  • MGSI
  • MRO
  • NXGN Management
  • OSP
  • Persistent Systems
  • PMMC
  • Promantra
  • Quadax
  • QWay Healthcare
  • Revele
  • RevenueXL
  • Right Medical Billing
  • Vee Technologies
  • Waystar

Segmentation by Component Type

  • Post-cycle
  • Pre-cycle
  • Mid-cycle

Segmentation by Delivery Mode

  • Cloud-based
  • On-premises

Segmentation by Solution Type

  • Integrated
  • Standalone

Segmentation by Service Type

  • Ambulatory Care
  • Acute Care
  • Post Acute Care

Segmentation by End-user

  • Hospitals
  • Physician Offices
  • Others

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 (%)

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

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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.