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

U.S. Revenue Cycle Management Market Size, Share & Trends Analysis Report By End-user, By Product Type, By Component, By Delivery Mode, By Physician Specialty, By Sourcing, By Function, And Segment Forecasts, 2023 - 2030

  • Report ID: GVR-2-68038-680-6
  • Number of Pages: 102
  • Format: Electronic (PDF)
  • Historical Range: 2017 - 2021
  • Industry: Healthcare

Table of Contents

Chapter 1 U.S. Revenue Cycle Management Market: Methodology and Scope
                    1.1 Market Segmentation and Scope
                    1.2 Research Methodology
                        1.2.1 Information procurement
                    1.3 Information or Data Analysis
                    1.4 Market Formulation & Validation
                    1.5 List of Secondary Sources
                    1.6 List of Primary Sources
Chapter 2 U.S. Revenue Cycle Management Market: Executive Summary
                    2.1 Industry Insights
                    2.2 Segment Insight
                    2.3 Competitive Insight
                    2.4 Market Snapshot
Chapter 3 U.S. Revenue Cycle Management Market: Variables, Trends & Scope
                    3.1 Penetration & Growth Prospect Mapping
                    3.2 Regulatory Framework
                        3.2.1 Reimbursement framework
                            3.2.1.1 Regulatory Modifications Influencing Radiology Reimbursement
                            3.2.1.2 Regulatory Modifications Influencing Cardiology Reimbursement
                            3.2.1.3 Preparing for Value-Based Reimbursement in Oncology Practices
                        3.2.2 Standards & Compliances
                    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
                        3.3.3 Market Opportunities
                    3.4 The U.S. Revenue Cycle Management Market Analysis Tools
                        3.4.1 The U.S. Revenue Cycle Management (RCM) Market - PEST Analysis
                            3.4.1.1 Political Landscape
                            3.4.1.2 Economic Landscape
                            3.4.1.3 Social Landscape
                            3.4.1.4 Technology Landscape
                        3.4.2 Industry Analysis - Porter’s
                            3.4.2.1 Bargaining power of suppliers - Moderate
                            3.4.2.2 Bargaining power of buyers - Moderate
                            3.4.2.3 Threat of substitution - Low
                            3.4.2.4 Threat of new entrants - Moderate
                            3.4.2.5 Competitive rivalry - High
                    3.5 Pricing Trends, by Physician Specialty
                    3.6 Product Adoption Patterns Analysis
                    3.7 Technology Trends in the RCM
                    3.8 Covid-19 Impact on the U.S. RCM Market
Chapter 4 The U.S. Revenue Cycle Management Market : Competitive Analysis
                    4.1 Recent Developments & Impact Analysis, by Key Market Participants
                        4.1.1 Healthcare veteran launched HealthRev Partners
                        4.1.2 Waystar Health launched Hubble
                        4.1.3 R1 RCM, Inc. launched R1 Professional
                        4.1.4 SOC Telemed launched RCM service offering
                        4.1.5 Mastercard launched a new unit for healthcare billing and data security
                        4.1.6 Homecare Home-base launched new RCM tool
                        4.1.7 Apprio, Inc. introduced ApprioHealth
                        4.1.8 The SSI Group, Inc. launched a new machine learning capability for predicting payor remittance
                        4.1.9 Healthcare Administrative Partners launched MIPS Measure Assurance Services
                        4.1.10 Patientco launched PatientWalletSM
                    4.2 Vendor Landscape
                        4.2.1 Key company market share analysis, 2021
                        4.2.2 Company market position analysis
                        4.2.3 Market Differentiators
                        4.2.4 Synergy Analysis: Major Deals & Strategic Alliances
                            4.2.4.1 Investment
                            4.2.4.2 Partnership
                            4.2.4.3 Merger & Acquisition
                        4.2.5 List of key emerging companies/technology disruptors/innovators
Chapter 5 The U.S. Revenue Cycle Management (RCM) Market: End-user Estimates & Trend Analysis
                    5.1 The U.S. Revenue Cycle Management (RCM) Market: End-user Movement Analysis, USD Billion, 2021 & 2030
                    5.2 Hospitals
                        5.2.1 The U.S. RCM market revenue estimates and forecasts for hospitals, 2016 - 2030 (USD Billion)
                    5.3 Physician & Clinical Services
                        5.3.1 The U.S. RCM market revenue estimates and forecasts for Physician and Clinical Services, 2016 - 2030 (USD Billion)
Chapter 6 The U.S. Revenue Cycle Management (RCM) Market: Product Type Estimates & Trend Analysis
                    6.1 The U.S. Revenue Cycle Management (RCM) Market: Product Type Movement Analysis, USD Billion, 2021 & 2030
                    6.2 Integrated System
                        6.2.1 The U.S. integrated RCM system market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
                    6.3 Standalone System
                        6.3.1 The U.S. standalone RCM system market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Chapter 7 The U.S. Revenue Cycle Management (RCM) Market: Component Estimates & Trend Analysis
                    7.1 The U.S. Revenue Cycle Management (RCM) Market: Component Movement Analysis, USD Billion, 2021 & 2030
                    7.2 Software Solution
                        7.2.1 The U.S. RCM Software Solution market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
                    7.3 Services
                        7.3.1 The U.S. RCM Services market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Chapter 8 The U.S. Revenue Cycle Management (RCM) Market: Delivery Mode Estimates & Trend Analysis
                    8.1 The U.S. Revenue Cycle Management (RCM) Market: Delivery Mode Movement Analysis, USD Billion, 2021 & 2030
                    8.2 On-premise
                        8.2.1 The U.S. On-premise RCM market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
                    8.3 Web-based
                        8.3.1 The U.S. web-based RCM market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
                    8.4 Cloud-based
                        8.4.1 The U.S. Cloud-based RCM market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Chapter 9 The U.S. Revenue Cycle Management (RCM) Market: Physician Specialty Estimates & Trend Analysis
                    9.1 The U.S. Revenue Cycle Management (RCM) Market: Physician specialty Movement Analysis, USD Billion, 2021 & 2030
                    9.2 Oncology
                        9.2.1 The U.S. RCM market revenue estimates and forecasts for oncology, 2016 - 2030 (USD Billion)
                    9.3 Cardiology
                        9.3.1 The U.S. RCM market revenue estimates and forecasts for Cardiology, 2016 - 2030 (USD Billion)
                    9.4 Anesthesia
                        9.4.1 The U.S. RCM market revenue estimates and forecasts for Anesthesia, 2016 - 2030 (USD Billion)
                    9.5 Radiology
                        9.5.1 The U.S. RCM market revenue estimates and forecasts for Radiology, 2016 - 2030 (USD Billion)
                    9.6 Pathology
                        9.6.1 The U.S. RCM market revenue estimates and forecasts for Pathology, 2016 - 2030 (USD Billion)
                    9.7 Pain Management
                        9.7.1 The U.S. RCM market revenue estimates and forecasts for pain Management, 2016 - 2030 (USD Billion)
                    9.8 Emergency Services
                        9.8.1 The U.S. RCM market revenue estimates and forecasts for Emergency Services, 2016 - 2030 (USD Billion)
                    9.9 Others
                        9.9.1 The U.S. RCM market revenue estimates and forecasts for Others, 2016 - 2030 (USD Billion)
Chapter 10 The U.S. Revenue Cycle Management (RCM) Market: Sourcing Estimates & Trend Analysis
                    10.1 The U.S. Revenue Cycle Management (RCM) Market: Sourcing Movement Analysis, USD Billion, 2021 & 2030
                    10.2 In-house
                        10.2.1 The U.S. In-house RCM market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
                    10.3 External RCM Apps/Software
                        10.3.1 The U.S. External RCM Apps/Software market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
                    10.4 Outsourced RCM Services
                        10.4.1 The U.S. Outsourced RCM Services market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Chapter 11 The U.S. Revenue Cycle Management (RCM) Market: Function Estimates & Trend Analysis
                    11.1 The U.S. Revenue Cycle Management (RCM) Market: Function Movement Analysis, USD Billion, 2021 & 2030
                    11.2 Product Development
                        11.2.1 The U.S. RCM market revenue estimates and forecasts for Product development, 2016 - 2030 (USD Billion)
                    11.3 Member Engagement
                        11.3.1 The U.S. RCM market revenue estimates and forecasts for member Engagement, 2016 - 2030 (USD Billion)
                    11.4 Network Management
                        11.4.1 The U.S. RCM market revenue estimates and forecasts for Network Management, 2016 - 2030 (USD Billion)
                    11.5 Care Management
                        11.5.1 The U.S. RCM market revenue estimates and forecasts for Care Management, 2016 - 2030 (USD Billion)
                    11.6 Claims Management
                        11.6.1 The U.S. RCM market revenue estimates and forecasts for Claims Management, 2016 - 2030 (USD Billion)
                    11.7 Risk and Compliance
                        11.7.1 The U.S. RCM market revenue estimates and forecasts for risk and compliance, 2016 - 2030 (USD Billion)
Chapter 12 Company Profiles
                    12.1 The SSI Group, Inc.
                        12.1.1 Company Overview
                        12.1.2 Financial Performance
                        12.1.3 Product Benchmarking
                        12.1.4 Strategic Initiatives
                    12.2 Allscripts Healthcare, LLC
                        12.2.1 Company Overview
                        12.2.2 Financial Performance
                        12.2.3 Product Benchmarking
                    12.3 Cerner Corporation
                        12.3.1 Company Overview
                        12.3.2 Financial Performance
                            12.3.2.1 Product Benchmarking
                    12.4 McKesson Corporation
                        12.4.1 Company Overview
                        12.4.2 Financial Performance
                        12.4.3 Product Benchmarking
                    12.5 Athenahealth, Inc. (Veritas Capital Fund Management, L.L.C. and Evergreen Coast Capital)
                        12.5.1 Company Overview
                            12.5.1.1 Financial Performance
                            12.5.1.2 Product Benchmarking
                            12.5.1.3 Strategic Initiatives
                    12.6 Oncospark, Inc.
                        12.6.1 Company Overview
                        12.6.2 Financial Performance
                        12.6.3 Product Benchmarking
                    12.7 R1 RCM, Inc.
                        12.7.1 Company Overview
                        12.7.2 Financial Performance
                        12.7.3 Product Benchmarking
                            12.7.3.1 Strategic Initiatives
                    12.8 Epic Systems Corporation
                        12.8.1 Company Overview
                        12.8.2 Financial Performance
                        12.8.3 Product Benchmarking
                    12.9 Eclinicalworks
                        12.9.1 Company Overview
                        12.9.2 Financial Performance
                        12.9.3 Product Benchmarking
                        12.9.4 Strategic Initiatives
                    12.10 NXGN Management, LLC
                        12.10.1 Company Overview
                        12.10.2 Financial Performance
                        12.10.3 Product Benchmarking
                        12.10.4 Strategic Initiatives


List of Tables

Table 1 List of secondary sources
Table 2 The U.S. anticipated procedural volume and mean hospital charges


List of Figures

Fig. 1 The U.S. Revenue Cycle Management Market Segmentation
Fig. 2 Market research process
Fig. 3 Information procurement
Fig. 4 Primary research pattern
Fig. 5 Information analysis and market formulation process
Fig. 6 Company market share, 2021 (Revenue: USD Billion) and (Share: %)
Fig. 7 Market formulation & validation
Fig. 8 The U.S. RCM market summary, 2021, (USD Billion)
Fig. 9 The U.S. RCM market trends & outlook
Fig. 10 Penetration & growth prospect mapping
Fig. 11 Market driver analysis (Current & future impact)
Fig. 12 Market restraint analysis (Current & future impact)
Fig. 13 Heat map, 2021
Fig. 14 The U.S. Revenue Cycle Management (RCM) Market, End-user outlook key takeaways (USD Billion)
Fig. 15 The U.S. Revenue Cycle Management (RCM) Market, End-user movement analysis (USD Billion), 2021 & 2030
Fig. 16 The U.S. RCM market revenue estimates and forecasts for hospitals, 2016 - 2030 (USD Billion)
Fig. 17 The U.S. RCM market revenue estimates and forecasts for physician and clinical services, 2016 - 2030 (USD Billion)
Fig. 18 The U.S. Revenue Cycle Management (RCM) Market, Product type outlook key takeaways (USD Billion)
Fig. 19 The U.S. Revenue Cycle Management (RCM) Market, Product type movement analysis (USD Billion), 2021 & 2030
Fig. 20 The U.S. integrated RCM system market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Fig. 21 The U.S. standalone RCM system market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Fig. 22 The U.S. Revenue Cycle Management (RCM) Market, Component outlook key takeaways (USD Billion)
Fig. 23 The U.S. Revenue Cycle Management (RCM) Market, Component movement analysis (USD Billion), 2021 & 2030
Fig. 24 The U.S. RCM software solution market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Fig. 25 The U.S. RCM services market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Fig. 26 The U.S. Revenue Cycle Management (RCM) Market, Delivery Mode outlook key takeaways (USD Billion)
Fig. 27 The U.S. Revenue Cycle Management (RCM) Market, Delivery mode movement analysis (USD Billion), 2021 & 2030
Fig. 28 The U.S. on-premise RCM market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Fig. 29 The U.S. web-based RCM market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Fig. 30 The U.S. cloud-based RCM market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Fig. 31 The U.S. Revenue Cycle Management (RCM) Market, Physician specialty outlook key takeaways (USD Billion)
Fig. 32 The U.S. Revenue Cycle Management (RCM) Market, Physician specialty movement analysis (USD Billion), 2021 & 2030
Fig. 33 The U.S. RCM market revenue estimates and forecasts for oncology, 2016 - 2030 (USD Billion)
Fig. 34 The U.S. RCM market revenue estimates and forecasts for cardiology, 2016 - 2030 (USD Billion)
Fig. 35 The U.S. RCM market revenue estimates and forecasts for Anesthesia, 2016 - 2030 (USD Billion)
Fig. 36 The U.S. RCM market revenue estimates and forecasts for radiology, 2016 - 2030 (USD Billion)
Fig. 37 The U.S. RCM market revenue estimates and forecasts for pathology, 2016 - 2030 (USD Billion)
Fig. 38 The U.S. RCM market revenue estimates and forecasts for pain management, 2016 - 2030 (USD Billion)
Fig. 39 The U.S. RCM market revenue estimates and forecasts for emergency services, 2016 - 2030 (USD Billion)
Fig. 40 The U.S. RCM market revenue estimates and forecasts for others, 2016 - 2030 (USD Billion)
Fig. 41 The U.S. Revenue Cycle Management (RCM) Market, Sourcing outlook key takeaways (USD Billion)
Fig. 42 The U.S. Revenue Cycle Management (RCM) Market, Sourcing movement analysis (USD Billion), 2021 & 2030
Fig. 43 The U.S. in-house RCM market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Fig. 44 The U.S. External RCM Apps/Software market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Fig. 45 The U.S. Outsourced RCM Services market revenue estimates and forecasts, 2016 - 2030 (USD Billion)
Fig. 46 The U.S. Revenue Cycle Management (RCM) Market, Function outlook key takeaways (USD Billion)
Fig. 47 The U.S. Revenue Cycle Management (RCM) Market, Function movement analysis (USD Billion), 2021 & 2030
Fig. 48 The U.S. RCM market revenue estimates and forecasts for product development, 2016 - 2030 (USD Billion)
Fig. 49 The U.S. RCM market revenue estimates and forecasts for member engagement, 2016 - 2030 (USD Billion)
Fig. 50 The U.S. RCM market revenue estimates and forecasts for network management, 2016 - 2030 (USD Billion)
Fig. 51 The U.S. RCM market revenue estimates and forecasts for care management, 2016 - 2030 (USD Billion)
Fig. 52 The U.S. RCM market revenue estimates and forecasts for claims management, 2016 - 2030 (USD Billion)
Fig. 53 The U.S. RCM market revenue estimates and forecasts for risk and compliance, 2016 - 2030 (USD Billion)

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