US Revenue Cycle Management Market Size 2024-2028
The US revenue cycle management (RCM) market size is forecast to increase by USD 14.52 billion at a CAGR of 10.81% between 2023 and 2028. The market is experiencing significant growth due to the increasing need to minimize revenue leakages in healthcare systems. This trend is driven by the adoption of value-based reimbursement models, which require accurate and timely processing of insurance coverage details, patient registration, intake, charge capture, medical procedure coding, and diagnosis codes. Interoperability issues associated with RCM solutions pose a challenge, as healthcare providers seek seamless integration between various systems to ensure clean claims and efficient denial management. Prior authorization processes also add complexity to RCM, necessitating effective solutions to streamline and automate these workflows. Overall, the market is witnessing a shift towards advanced RCM solutions that address these challenges and improve operational efficiency and financial performance in healthcare organizations.
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1 Executive Summary
- 1.1 Market overview
- Executive Summary - Chart on Market Overview
- Executive Summary - Data Table on Market Overview
- Executive Summary - Chart on Country Market Characteristics
- Executive Summary - Chart on Market Segmentation by Product
- Executive Summary - Chart on Market Segmentation by End-user
- Executive Summary - Chart on Company Market Positioning
2 Market Landscape
- 2.1 Market ecosystem
- Parent Market
- Data Table on - Parent Market
- 2.2 Market characteristics
- Market characteristics analysis
3 Market Sizing
- 3.1 Market definition
- Offerings of companies included in the market definition
- 3.2 Market segment analysis
- 3.4 Market outlook: Forecast for 2023-2028
- Chart on US - Market size and forecast 2023-2028 ($ million)
- Data Table on US - Market size and forecast 2023-2028 ($ million)
- Chart on US: Year-over-year growth 2023-2028 (%)
- Data Table on US: Year-over-year growth 2023-2028 (%)
4 Historic Market Size
- 4.1 Revenue Cycle Management (RCM) Market in US 2018 - 2022
- Historic Market Size - Data Table on Revenue Cycle Management (RCM) Market in US 2018 - 2022 ($ million)
- 4.2 Product segment analysis 2018 - 2022
- Historic Market Size - Product Segment 2018 - 2022 ($ million)
- 4.3 End-user segment analysis 2018 - 2022
- Historic Market Size - End-user Segment 2018 - 2022 ($ million)
5 Five Forces Analysis
- 5.1 Five forces summary
- Five forces analysis - Comparison between 2023 and 2028
- 5.2 Bargaining power of buyers
- Bargaining power of buyers - Impact of key factors 2023 and 2028
- 5.3 Bargaining power of suppliers
- Bargaining power of suppliers - Impact of key factors in 2023 and 2028
- 5.4 Threat of new entrants
- Threat of new entrants - Impact of key factors in 2023 and 2028
- 5.5 Threat of substitutes
- Threat of substitutes - Impact of key factors in 2023 and 2028
- 5.6 Threat of rivalry
- Threat of rivalry - Impact of key factors in 2023 and 2028
- 5.7 Market condition
- Chart on Market condition - Five forces 2023 and 2028
6 Market Segmentation by Product
- 6.1 Market segments
- Chart on Product - Market share 2023-2028 (%)
- Data Table on Product - Market share 2023-2028 (%)
- 6.2 Comparison by Product
- Chart on Comparison by Product
- Data Table on Comparison by Product
- 6.3 Software - Market size and forecast 2023-2028
- Chart on Software - Market size and forecast 2023-2028 ($ million)
- Data Table on Software - Market size and forecast 2023-2028 ($ million)
- Chart on Software - Year-over-year growth 2023-2028 (%)
- Data Table on Software - Year-over-year growth 2023-2028 (%)
- 6.4 Services - Market size and forecast 2023-2028
- Chart on Services - Market size and forecast 2023-2028 ($ million)
- Data Table on Services - Market size and forecast 2023-2028 ($ million)
- Chart on Services - Year-over-year growth 2023-2028 (%)
- Data Table on Services - Year-over-year growth 2023-2028 (%)
- 6.5 Market opportunity by Product
- Market opportunity by Product ($ million)
- Data Table on Market opportunity by Product ($ million)
7 Market Segmentation by End-user
- 7.1 Market segments
- Chart on End-user - Market share 2023-2028 (%)
- Data Table on End-user - Market share 2023-2028 (%)
- 7.2 Comparison by End-user
- Chart on Comparison by End-user
- Data Table on Comparison by End-user
- 7.3 Hospitals - Market size and forecast 2023-2028
- Chart on Hospitals - Market size and forecast 2023-2028 ($ million)
- Data Table on Hospitals - Market size and forecast 2023-2028 ($ million)
- Chart on Hospitals - Year-over-year growth 2023-2028 (%)
- Data Table on Hospitals - Year-over-year growth 2023-2028 (%)
- 7.4 Physicians - Market size and forecast 2023-2028
- Chart on Physicians - Market size and forecast 2023-2028 ($ million)
- Data Table on Physicians - Market size and forecast 2023-2028 ($ million)
- Chart on Physicians - Year-over-year growth 2023-2028 (%)
- Data Table on Physicians - Year-over-year growth 2023-2028 (%)
- 7.5 Medical labs - Market size and forecast 2023-2028
- Chart on Medical labs - Market size and forecast 2023-2028 ($ million)
- Data Table on Medical labs - Market size and forecast 2023-2028 ($ million)
- Chart on Medical labs - Year-over-year growth 2023-2028 (%)
- Data Table on Medical labs - Year-over-year growth 2023-2028 (%)
- 7.6 Market opportunity by End-user
- Market opportunity by End-user ($ million)
- Data Table on Market opportunity by End-user ($ million)
8 Customer Landscape
- 8.1 Customer landscape overview
- Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
9 Drivers, Challenges, and Opportunity/Restraints
- 9.3 Impact of drivers and challenges
- Impact of drivers and challenges in 2023 and 2028
- 9.4 Market opportunities/restraints
10 Competitive Landscape
- 10.2 Competitive Landscape
- Overview on criticality of inputs and factors of differentiation
- 10.3 Landscape disruption
- Overview on factors of disruption
- 10.4 Industry risks
- Impact of key risks on business
11 Competitive Analysis
- 11.2 Market positioning of companies
- Matrix on companies position and classification
- 11.3 Acclara Solutions LLC
- Acclara Solutions LLC - Overview
- Acclara Solutions LLC - Product / Service
- Acclara Solutions LLC - Key offerings
- 11.4 athenahealth Inc.
- athenahealth Inc. - Overview
- athenahealth Inc. - Product / Service
- athenahealth Inc. - Key offerings
- 11.5 Change Healthcare Inc.
- Change Healthcare Inc. - Overview
- Change Healthcare Inc. - Product / Service
- Change Healthcare Inc. - Key offerings
- 11.6 Cognizant Technology Solutions Corp.
- Cognizant Technology Solutions Corp. - Overview
- Cognizant Technology Solutions Corp. - Business segments
- Cognizant Technology Solutions Corp. - Key news
- Cognizant Technology Solutions Corp. - Key offerings
- Cognizant Technology Solutions Corp. - Segment focus
- 11.7 Epic Systems Corp.
- Epic Systems Corp. - Overview
- Epic Systems Corp. - Product / Service
- Epic Systems Corp. - Key offerings
- 11.8 Experian Plc
- Experian Plc - Overview
- Experian Plc - Business segments
- Experian Plc - Key offerings
- Experian Plc - Segment focus
- 11.9 International Business Machines Corp.
- International Business Machines Corp. - Overview
- International Business Machines Corp. - Business segments
- International Business Machines Corp. - Key news
- International Business Machines Corp. - Key offerings
- International Business Machines Corp. - Segment focus
- 11.10 McKesson Corp.
- McKesson Corp. - Overview
- McKesson Corp. - Business segments
- McKesson Corp. - Key news
- McKesson Corp. - Key offerings
- McKesson Corp. - Segment focus
- 11.11 Medical Information Technology Inc.
- Medical Information Technology Inc. - Overview
- Medical Information Technology Inc. - Product / Service
- Medical Information Technology Inc. - Key offerings
- 11.12 Oncospark Inc.
- Oncospark Inc. - Overview
- Oncospark Inc. - Product / Service
- Oncospark Inc. - Key offerings
- 11.13 OSP
- OSP - Overview
- OSP - Product / Service
- OSP - Key offerings
- 11.14 Planet DDS
- Planet DDS - Overview
- Planet DDS - Product / Service
- Planet DDS - Key offerings
- 11.15 The SSI Group LLC
- The SSI Group LLC - Overview
- The SSI Group LLC - Product / Service
- The SSI Group LLC - Key offerings
- 11.16 TruBridge, Inc.
- TruBridge, Inc. - Overview
- TruBridge, Inc. - Business segments
- TruBridge, Inc. - Key offerings
- TruBridge, Inc. - Segment focus
- 11.17 Veradigm LLC
- Veradigm LLC - Overview
- Veradigm LLC - Business segments
- Veradigm LLC - Key news
- Veradigm LLC - Key offerings
- Veradigm LLC - Segment focus
12 Appendix
- 12.2 Inclusions and exclusions checklist
- Inclusions checklist
- Exclusions checklist
- 12.3 Currency conversion rates for US$
- Currency conversion rates for US$
- 12.4 Research methodology
- 12.7 Validation techniques employed for market sizing
- Validation techniques employed for market sizing
- 360 degree market analysis
- 360 degree market analysis
- 12.10 List of abbreviations
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