封面
市场调查报告书
商品编码
1493391

美国收益週期管理市场规模/份额/趋势分析报告:按最终用途、按产品类型、按组件、按交付方式、按医师专业、按采购、按功能、细分市场预测,2024-2030 年

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

出版日期: | 出版商: Grand View Research | 英文 100 Pages | 商品交期: 2-10个工作天内

价格

美国收益周期管理市场成长与趋势:

Grand View Research, Inc.最新报告显示,到2030年,美国收益週期管理市场规模预计将达到3,081.2亿美元,预测期内复合年增长率为10.18%。

医疗保健系统的快速转型和数数位化的采用为医疗保健 IT 服务的实施铺平了道路,例如收益週期管理 (RCM) 系统,该系统使用同步管理软体解决方案来组织和简化医疗保健组织的工作流程。

此外,随着采用电子程式来管理申请和报销,美国医疗保健系统正在发生重大变化。大量知名医疗机构的存在、医疗保健意识和支出的提高以及数位素养的提高预计将推动市场成长。政府机构的支持性监管变革和市场相关人员持续的技术进步预计将进​​一步推动成长。对持续技术进步的日益增长的需求迫使相关人员重新考虑他们的产品开发方法,以加强医疗机构中提供者与患者的联繫。主要相关人员正专注于与其他市场参与企业的联盟、收购和策略联盟,以巩固他们的专业知识并扩大他们的市场份额。

2024 年 1 月,Veradigm LLC 宣布收购全方位服务 RCM 供应商 Koha Health。此次收购为 Veradigm 网路增添了肌肉骨骼医学 (MSK) 专业知识,并增强了使用各种电子健康记录(EHR) 系统向门诊手术中心 (ASC) 和门诊医疗保健提供者提供收益週期服务的能力。 Veradigm 正在增强其全面的收益週期服务,以便为客户提供更好的价值并开拓进一步的成长机会。

美国收益周期管理市场报告亮点

  • 按产品类型划分,由于医疗机构对管理财务活动的单一同步平台的需求不断增长,整合系统将在 2023 年引领市场。
  • 从交付形式来看,2023 年基于网路的交付细分市场占据主导地位。
  • 按最终用途划分,医院最终用途细分市场将在 2023 年引领市场。
  • 由于其他医疗保健服务的保险覆盖范围不断扩大,其他医生专业在 2023 年占据了市场主导地位。
  • 由于患者数量不断增加以及申请管理系统效率低下,申请管理行业在 2023 年按功能领域领先市场。
  • 2022 年 9 月,AGS Health 宣布推出 AGS AI 平台,这是连网型解决方案。该解决方案旨在透过提供无缝整合和强大的流程自动化来缓解劳动力短缺并实现灵活和可扩展的成长。

目录

第一章调查方法和范围

第 2 章执行摘要

第三章 市场变数、趋势与范围

  • 市场体系展望
    • 母市场展望
    • 相关/辅助市场展望
  • 市场趋势及展望
  • 市场动态
    • 市场驱动因素分析
    • 市场限制因素分析
  • 监管情景和赎回前景
    • 监管场景
    • 赎回框架
  • 商业环境分析工具
    • 产业分析-波特五力分析
    • PESTEL分析

第 4 章产品类型的商业分析

  • 美国收益週期管理市场:产品类型变化分析
  • 美国收益週期管理市场:产品类型细分仪表板
  • 2023 年和 2030 年产品类型趋势和市场占有率分析
  • 产品类别
  • 综合系统
  • 独立系统

第 5 章元件业务分析

  • 美国收益週期管理市场:成分变化分析
  • 美国收益週期管理市场:组件细分仪表板
  • 2023 年和 2030 年成分变动与市场占有率分析
  • 按成分
  • 软体解决方案
  • 服务

第六章 供应业态业务分析

  • 美国收益週期管理市场:交付形式变化分析
  • 美国收益週期管理市场:可用性细分细分仪表板
  • 2023 年和 2030 年交付形式趋势和市场占有率分析
  • 按规定形式
  • 本地
  • 基于网路的
  • 云端基础

第七章 医师专业业务分析

  • 美国收益週期管理市场:医师专业变异分析
  • 美国收益周期管理市场:医师专业细分仪表板
  • 2023 年和 2030 年医师专业趋势和市场占有率分析
  • 按医师专业
  • 肿瘤学
  • 心臟病学
  • 麻醉
  • 放射科
  • 病理
  • 疼痛管理
  • 紧急服务
  • 其他的

第八章采购业务分析

  • 美国收益週期管理市场:采购波动分析
  • 美国收益週期管理市场:采购细分仪表板
  • 2023年及2030年采购趋势及市场占有率分析
  • 透过采购
  • 公司内部
  • 外部 RCM 应用程式/软体
  • 外包RCM服务

第 9 章功能的商业分析

  • 美国收益週期管理市场:功能变化分析
  • 美国收益週期管理市场:功能细分仪表板
  • 2023 年和 2030 年功能趋势和市场占有率分析
  • 按功能分类
  • 产品开发
  • 产品开发
  • 会员参与度
  • 网路管理
  • 护理管理
  • 理赔管理
  • 风险与合规性

第 10 章最终用户业务分析

  • 美国收益週期管理市场:最终用户变化分析
  • 美国收益週期管理市场:最终用户细分仪表板
  • 2023 年和 2030 年最终用户趋势和市场占有率分析
  • 按最终用途
  • 医院
  • 医生和临床服务

第十一章竞争格局

  • 公司分类
  • 公司市场分析
  • 策略规划
  • 公司简介/名单
  • athenahealth, Inc.
  • Cerner Corporation
  • eClinicalWorks
  • Epic Systems Corporation
  • McKesson Corporation
  • NXGN Management, LLC
  • Oncospark, Inc.
  • R1 RCM, Inc.
  • The SSI Group, Inc.
  • Veradigm LLC (Allscripts Healthcare LLC)
Product Code: GVR-2-68038-680-6

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.

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
  • 3.4. 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

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

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