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1551333

到 2030 年的收益週期管理市场预测：按产品、服务、部署、定价模式、最终用户和地区进行的全球分析

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

出版日期: 2024年09月06日 | 出版商:

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

价格

简介目录图表

根据 Stratistics MRC 的数据，2024 年全球收益週期管理市场规模为 557 亿美元，预计到 2030 年将达到 1,124 亿美元，预测期内复合年增长率为 12.4%。

收益週期管理 (RCM) 是医疗机构用来追踪病患治疗状况（从登记和预约安排到最终余额支付）的财务流程。收益週期管理管理行政和临床功能，例如保险验证、申请和收款。其目的是透过减少错误并确保及时报销来提高医疗保健提供者的财务表现和效率。

美国国家卫生统计中心的资料显示，2020年美国医疗保健支出达4.1兆美元，占国内生产总值（GDP）的19.7%。

医疗费用增加

不断上涨的医疗保健成本是收益週期管理（RCM）市场的关键驱动因素。随着医疗保健成本持续上升，医疗保健提供者面临着优化收益週期和改善财务绩效的压力。 RCM 解决方案可协助组织简化申请流程、减少申请拒绝并加速现金流。透过实施有效的 RCM 系统，医疗保健组织可以产生更多收益，最大限度地减少损失，并更好地管理医疗保健成本上升带来的财务挑战。因此，对先进RCM技术和服务的需求不断增加。

监理合规性

医疗保健组织必须不断调整收益週期流程，以遵守复杂的申请规则、编码要求和 HIPAA 等隐私法。保持合规性需要持续投资于技术升级和员工培训。由于担心违规而受到处罚，一些组织可能会对实施新的 RCM 解决方案犹豫不决。解决监管环境可能会为 RCM 实施带来复杂性和成本，从而减缓市场成长。

更多采用云端技术

与本地系统相比，云端平台为医疗保健提供者提供了灵活性、扩充性和成本效益。轻鬆整合跨多个设施的 RCM 流程，并提供对财务资料的即时存取。云端基础的RCM 解决方案还可以降低IT基础设施成本并简化系统维护。随着越来越多的供应商意识到这些优势，对云端 RCM 技术的需求预计将激增，市场也将扩大。

网路安全威胁

网路安全威胁为 RCM 市场带来重大风险。随着医疗保健组织日益数位化收益週期流程数位化并资料储存敏感的财务和资料，他们变得更容易受到网路攻击。资料外洩可能导致财务损失、监管处罚和声誉损害。对强大安全措施的需求增加了 RCM 实施的复杂性和成本。对资料保护的担忧可能会阻止一些提供者采用新的 RCM 技术，从而可能限制市场成长。

COVID-19 的影响：

COVID-19 的疫情对 RCM 市场产生了重大影响。远端医疗和数位付款解决方案的采用加速，增加了对整合 RCM 系统的需求。然而，由于患者数量减少和选择性手术减少，许多医疗机构的收益最初下降。此次疫情凸显了高效率的 RCM 流程对于在危机时期维持金融稳定的重要性。

云端基础的细分市场预计将在预测期内成为最大的细分市场

由于其众多优势，云端基础市场预计将主导 RCM 市场。云端解决方案比本地系统更灵活、扩充性且更具成本效益。医疗保健提供者可以从任何地方存取 RCM 工具和资料，从而更轻鬆地远端工作和管理多个设施。云端平台也简化了系统更新和维护。随着越来越多的组织意识到这些优势并寻求实现 RCM 流程现代化，云端基础的解决方案的采用预计将激增并推动该领域的成长。

管理 RCM 服务业预计在预测期内复合年增长率最高

在收益週期管理市场中，託管 RCM 服务领域预计将经历最高的复合年增长率。这一增长是由医疗保健申请和报销流程日益复杂以及熟练的 RCM 专业人员短缺所推动的。託管 RCM 服务为医疗保健提供者提供了一种经济高效的方式，将收益周期业务外包给专业专家。这些服务透过改善财务表现、减轻行政负担并允许医疗机构专注于患者照护的核心使命来推动细分市场的成长。

比最大的地区

预计北美地区将在预测期内主导收益周期管理市场。这一优势归功于先进的医疗保健基础设施、高额医疗保健支出以及医疗保健 IT 解决方案的早期采用。该地区还拥有复杂的报销环境和严格的监管环境，增加了对先进 RCM 解决方案的需求。此外，主要 RCM 供应商的存在和正在进行的医疗改革也有助于北美市场的领导地位。

复合年增长率最高的地区：

在预测期内，亚太地区收益周期管理市场预计将快速成长。这一增长是由医疗保健成本上升、数位医疗解决方案的日益采用以及政府改善医疗保健基础设施的倡议等因素推动的。该地区人口众多，慢性病盛行率不断上升，也增加了对高效 RCM 解决方案的需求。随着亚太地区的医疗保健提供者寻求优化财务流程并改善患者照护，RCM 技术的采用预计将加速，预计市场成长率将很高。

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公司简介
- 其他市场公司的综合分析（最多 3 家公司）
- 主要企业SWOT分析（最多3家企业）
区域分割
- 根据客户兴趣对主要国家的市场估计、预测和复合年增长率（註：基于可行性检查）
竞争标基准化分析
- 根据产品系列、地理分布和策略联盟对主要企业基准化分析

北美洲
- 美国
- 加拿大
- 墨西哥
欧洲
- 德国
- 英国
- 义大利
- 法国
- 西班牙
- 其他欧洲国家
亚太地区
- 日本
- 中国
- 印度
- 澳洲
- 纽西兰
- 韩国
- 其他亚太地区
南美洲
- 阿根廷
- 巴西
- 智利
- 南美洲其他地区
中东/非洲
- 沙乌地阿拉伯
- 阿拉伯聯合大公国
- 卡达
- 南非
- 其他中东/非洲

第十一章主要进展

合约、伙伴关係、协作和合资企业
收购和合併
新产品发布
业务拓展
其他关键策略

第十二章公司概况

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

简介目录图表

Product Code: SMRC27116

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

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

Market Dynamics:

Driver:

Increasing healthcare costs

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

Restraint:

Regulatory compliance

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

Opportunity:

Increasing adoption of cloud technology

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

Threat:

Cybersecurity risks

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

Covid-19 Impact:

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

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

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

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

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

Region with largest share:

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

Region with highest CAGR:

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

Key players in the market

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

Key Developments:

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

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

Products Covered:

Integrated Solutions
Standalone Solutions

Services Covered:

Implementation
Support and Maintenance
Training and Education
Consulting
Managed RCM Services

Deployments Covered:

On-Premise
Cloud-Based
Hybrid

Pricing Models Covered:

Subscription-based
Per-transaction
Value-based

End Users Covered:

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

Regions Covered:

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

What our report offers:

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

Free Customization Offerings:

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

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

1 Executive Summary

2 Preface

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

3 Market Trend Analysis

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

4 Porters Five Force Analysis

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

5 Global Revenue Cycle Management Market, By Product

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

6 Global Revenue Cycle Management Market, By Services

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

7 Global Revenue Cycle Management Market, By Deployment

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

8 Global Revenue Cycle Management Market, By Pricing Models

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

9 Global Revenue Cycle Management Market, By End User

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

10 Global Revenue Cycle Management Market, By Geography

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

11 Key Developments

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

12 Company Profiling

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

简介目录图表

List of Tables

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