The revenue cycle management (RCM) market in the US is set to grow by USD 11,985.2 million from 2022 to 2027 progressing at a CAGR of 9.94% during the forecast period. The report offers an up-to-date analysis regarding the current global market scenario, the latest trends and drivers, and the overall market environment. The growing need to reduce revenue leakages in healthcare systems drives market growth. There is an increased focus on reducing the growing revenue leakages to remain competitive in the market in focus from the market vendors in the healthcare service industry. Due to the additional time and resources needed in manual systems, revenue leaks cost more than using electronic systems. Furthermore, in the patient leak process, sometimes a healthcare service provider allows a patient to leave the care setting and sends statements to the patient later. This results in patient-level revenue leakage. Hence, owing to factors such as revenue leaks, the RCM market is estimated to grow during the forecast period. –Here is an Exclusive report talking about Market scenarios with a historical period (2017-2021) and the forecast period (2023-2027). Download Sample Report in minutes!
The revenue cycle management (RCM) market in us covers the following areas:
- Revenue Cycle Management (RCM) Market In US Sizing
- Revenue Cycle Management (RCM) Market In US Forecast
- Revenue Cycle Management (RCM) Market In US Analysis
The report on the revenue cycle management (RCM) market in us provides a holistic update, market size and forecast, trends, growth drivers, and challenges, as well as vendor analysis.
Revenue cycle management (RCM) market in the US 2023-2027 – Market Dynamics
The growing adoption of a value-based reimbursement model is an emerging RCM market trend in the US. There is a shift from fee-for-service to value-based care reimbursements in the healthcare service industry. Value-based RCM is a reimbursement payment methodology, focusing more on quality healthcare at a reasonable cost. Owing to the adoption of programs and legislation by various governments, the involvement of healthcare service providers across the world in value-based RCM models is rising. Hence, such initiatives are expected to have a positive impact on the adoption of value-based RCM, which will boost the growth of the RCM market in the US during the forecast period.
Interoperability issues associated with RCM solutions challenge the growth of the RCM market in US. There are rising issues with regard to interoperability in RCM software, which has increased the number of denials, leading to reduced revenue generation. Also, owing to the various issues related to interoperability, the use of multiple healthcare RCM software is one of the major challenges faced by the vendors. Hence, interoperability issues associated with RCM solutions are a major challenge for the growth of the RCM market in the US during the forecast period.
What’s New?
- Special coverage on the Russia-Ukraine war; global inflation; recovery analysis from COVID-19; supply chain disruptions, global trade tensions; and risk of recession
- Global competitiveness and key competitor positions
- Market presence across multiple geographical footprints – Strong/Active/Niche/Trivial – Buy the report!
Revenue cycle management (RCM) market in the US 2023-2027: Market Segmentation
This US revenue cycle management (RCM) market report extensively covers market segmentation by product (software and services) and end-user (hospitals, physicians, and medical labs).
- The software segment will be significant during the forecast period. The growth of the segment can be attributed to factors such as the various software solutions that are specifically designed to streamline and automate the entire revenue cycle management (RCM) process. Furthermore, there are several vendors operating in the market that offer RCM as software solutions. For instance, Epic Systems Corporation offers an integrated suite of healthcare software solutions, including Epic Resolute, which is the company’s revenue cycle management software and they provide comprehensive RCM functionalities. Hence, owing to such factors, the software segment of the RCM market is estimated to grow during the forecast period.
This report presents a detailed picture of the market by way of study, synthesis, and summation of data from multiple sources through an analysis of key parameters- View Sample Report
Companies Mentioned
- Acclara Solutions LLC
- athenahealth Inc.
- CareCloud Inc.
- Change Healthcare Inc.
- Cognizant Technology Solutions Corp.
- Computer Programs and Systems Inc.
- eClinicalWorks LLC
- Epic Systems Corp.
- Experian Plc
- International Business Machines Corp.
- Koch Industries Inc.
- McKesson Corp.
- Medical Information Technology Inc.
- Oncospark Inc.
- Oracle Corp.
- OSP
- Planet DDS
- R1 RCM Inc.
- Sage Group Plc
- The SSI Group LLC
- Veradigm LLC
VENDOR OFFERING
- Acclara Solutions LLC – The company offers revenue cycle management solutions such as Patient Access, Revenue Integrity and Coding, Business Office, and Community Provider Solution.
- athenahealth Inc. – The company offers revenue cycle management solutions such as athenaIDX for large practices, health systems, billing services, and hospitals.
- Change Healthcare Inc. – The company offers revenue cycle management solutions and services for healthcare providers including hospitals, health systems, physicians, and non-hospital emergency medical service providers to support cash flow, increase speed to payment, and contain costs at a faster rate.
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| Revenue cycle management (RCM) market in the US Scope | |
| Report Coverage | Details |
| Base year | 2022 |
| Historic period | 2017-2021 |
| Forecast period | 2023-2027 |
| Growth momentum & CAGR | Accelerate at a CAGR of 9.94% |
| Market growth 2023-2027 | USD 11,985.2 million |
| Market structure | Fragmented |
| YoY growth 2022-2023(%) | 9.45 |
| Competitive landscape | Leading Vendors, Market Positioning of Vendors, Competitive Strategies, and Industry Risks |
| Key companies profiled | Acclara Solutions LLC, athenahealth Inc., CareCloud Inc., Change Healthcare Inc., Cognizant Technology Solutions Corp., Computer Programs and Systems Inc., eClinicalWorks LLC, Epic Systems Corp., Experian Plc, International Business Machines Corp., Koch Industries Inc., McKesson Corp., Medical Information Technology Inc., Oncospark Inc., Oracle Corp., OSP, Planet DDS, R1 RCM Inc., Sage Group Plc, The SSI Group LLC, and Veradigm LLC |
| Market dynamics | Parent market analysis, Market growth inducers and obstacles, Fast-growing and slow-growing segment analysis, COVID-19 impact and recovery analysis and future consumer dynamics, Market condition analysis for the forecast period. |
| Customization purview | If our report has not included the data that you are looking for, you can reach out to our analysts and get segments customized. |
Key Topics Covered:
1 Executive Summary
- 1.1 Market overview
- Exhibit 01: Executive Summary – Chart on Market Overview
- Exhibit 02: Executive Summary – Data Table on Market Overview
- Exhibit 03: Executive Summary – Chart on Country Market Characteristics
- Exhibit 04: Executive Summary – Chart on Market Segmentation by Product
- Exhibit 05: Executive Summary – Chart on Market Segmentation by End-user
- Exhibit 06: Executive Summary – Chart on Vendor Market Positioning
2 Market Landscape
- 2.1 Market ecosystem
- Exhibit 07: Parent market
- Exhibit 08: Market Characteristics
3 Market Sizing
- 3.1 Market definition
- Exhibit 09: Offerings of vendors included in the market definition
- 3.2 Market segment analysis
- Exhibit 10: Market segments
- 3.3 Market size 2022
- 3.4 Market outlook: Forecast for 2022-2027
- Exhibit 11: Chart on US – Market size and forecast 2022-2027 ($ million)
- Exhibit 12: Data Table on US – Market size and forecast 2022-2027 ($ million)
- Exhibit 13: Chart on US: Year-over-year growth 2022-2027 (%)
- Exhibit 14: Data Table on US: Year-over-year growth 2022-2027 (%)
4 Historic Market Size
- 4.1 Revenue cycle management (RCM) market in US 2017 – 2021
- Exhibit 15: Historic Market Size – Data Table on revenue cycle management (RCM) market in US 2017 – 2021 ($ million)
- 4.2 Product Segment Analysis 2017 – 2021
- Exhibit 16: Historic Market Size – Product Segment 2017 – 2021 ($ million)
- 4.3 End-user Segment Analysis 2017 – 2021
- Exhibit 17: Historic Market Size – End-user Segment 2017 – 2021 ($ million)
5 Five Forces Analysis
- 5.1 Five forces summary
- Exhibit 18: Five forces analysis – Comparison between 2022 and 2027
- 5.2 Bargaining power of buyers
- Exhibit 19: Chart on Bargaining power of buyers – Impact of key factors 2022 and 2027
- 5.3 Bargaining power of suppliers
- Exhibit 20: Bargaining power of suppliers – Impact of key factors in 2022 and 2027
- 5.4 Threat of new entrants
- Exhibit 21: Threat of new entrants – Impact of key factors in 2022 and 2027
- 5.5 Threat of substitutes
- Exhibit 22: Threat of substitutes – Impact of key factors in 2022 and 2027
- 5.6 Threat of rivalry
- Exhibit 23: Threat of rivalry – Impact of key factors in 2022 and 2027
- 5.7 Market condition
- Exhibit 24: Chart on Market condition – Five forces 2022 and 2027
6 Market Segmentation by Product
- 6.1 Market segments
- Exhibit 25: Chart on Product – Market share 2022-2027 (%)
- Exhibit 26: Data Table on Product – Market share 2022-2027 (%)
- 6.2 Comparison by Product
- Exhibit 27: Chart on Comparison by Product
- Exhibit 28: Data Table on Comparison by Product
- 6.3 Software – Market size and forecast 2022-2027
- Exhibit 29: Chart on Software – Market size and forecast 2022-2027 ($ million)
- Exhibit 30: Data Table on Software – Market size and forecast 2022-2027 ($ million)
- Exhibit 31: Chart on Software – Year-over-year growth 2022-2027 (%)
- Exhibit 32: Data Table on Software – Year-over-year growth 2022-2027 (%)
- 6.4 Services – Market size and forecast 2022-2027
- Exhibit 33: Chart on Services – Market size and forecast 2022-2027 ($ million)
- Exhibit 34: Data Table on Services – Market size and forecast 2022-2027 ($ million)
- Exhibit 35: Chart on Services – Year-over-year growth 2022-2027 (%)
- Exhibit 36: Data Table on Services – Year-over-year growth 2022-2027 (%)
- 6.5 Market opportunity by Product
- Exhibit 37: Market opportunity by Product ($ million)
- Exhibit 38: Data Table on Market opportunity by Product ($ million)
7 Market Segmentation by End-user
- 7.1 Market segments
- Exhibit 39: Chart on End-user – Market share 2022-2027 (%)
- Exhibit 40: Data Table on End-user – Market share 2022-2027 (%)
- 7.2 Comparison by End-user
- Exhibit 41: Chart on Comparison by End-user
- Exhibit 42: Data Table on Comparison by End-user
- 7.3 Hospitals – Market size and forecast 2022-2027
- Exhibit 43: Chart on Hospitals – Market size and forecast 2022-2027 ($ million)
- Exhibit 44: Data Table on Hospitals – Market size and forecast 2022-2027 ($ million)
- Exhibit 45: Chart on Hospitals – Year-over-year growth 2022-2027 (%)
- Exhibit 46: Data Table on Hospitals – Year-over-year growth 2022-2027 (%)
- 7.4 Physicians – Market size and forecast 2022-2027
- Exhibit 47: Chart on Physicians – Market size and forecast 2022-2027 ($ million)
- Exhibit 48: Data Table on Physicians – Market size and forecast 2022-2027 ($ million)
- Exhibit 49: Chart on Physicians – Year-over-year growth 2022-2027 (%)
- Exhibit 50: Data Table on Physicians – Year-over-year growth 2022-2027 (%)
- 7.5 Medical labs – Market size and forecast 2022-2027
- Exhibit 51: Chart on Medical labs – Market size and forecast 2022-2027 ($ million)
- Exhibit 52: Data Table on Medical labs – Market size and forecast 2022-2027 ($ million)
- Exhibit 53: Chart on Medical labs – Year-over-year growth 2022-2027 (%)
- Exhibit 54: Data Table on Medical labs – Year-over-year growth 2022-2027 (%)
- 7.6 Market opportunity by End-user
- Exhibit 55: Market opportunity by End-user ($ million)
- Exhibit 56: Data Table on Market opportunity by End-user ($ million)
8 Customer Landscape
- 8.1 Customer landscape overview
- Exhibit 57: Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
9 Drivers, Challenges, and Trends
- 9.1 Market drivers
- 9.2 Market challenges
- 9.3 Impact of drivers and challenges
- Exhibit 58: Impact of drivers and challenges in 2022 and 2027
- 9.4 Market trends
10 Vendor Landscape
- 10.1 Overview
- 10.2 Vendor landscape
- Exhibit 59: Overview on Criticality of inputs and Factors of differentiation
- 10.3 Landscape disruption
- Exhibit 60: Overview on factors of disruption
- 10.4 Industry risks
- Exhibit 61: Impact of key risks on business
11 Vendor Analysis
- 11.1 Vendors covered
- Exhibit 62: Vendors covered
- 11.2 Market positioning of vendors
- Exhibit 63: Matrix on vendor position and classification
- 11.3 Acclara Solutions LLC
- Exhibit 64: Acclara Solutions LLC – Overview
- Exhibit 65: Acclara Solutions LLC – Product / Service
- Exhibit 66: Acclara Solutions LLC – Key offerings
- 11.4 athenahealth Inc.
- Exhibit 67: athenahealth Inc. – Overview
- Exhibit 68: athenahealth Inc. – Product / Service
- Exhibit 69: athenahealth Inc. – Key offerings
- 11.5 Change Healthcare Inc.
- Exhibit 70: Change Healthcare Inc. – Overview
- Exhibit 71: Change Healthcare Inc. – Business segments
- Exhibit 72: Change Healthcare Inc. – Key news
- Exhibit 73: Change Healthcare Inc. – Key offerings
- Exhibit 74: Change Healthcare Inc. – Segment focus
- 11.6 Cognizant Technology Solutions Corp.
- Exhibit 75: Cognizant Technology Solutions Corp. – Overview
- Exhibit 76: Cognizant Technology Solutions Corp. – Business segments
- Exhibit 77: Cognizant Technology Solutions Corp. – Key news
- Exhibit 78: Cognizant Technology Solutions Corp. – Key offerings
- Exhibit 79: Cognizant Technology Solutions Corp. – Segment focus
- 11.7 Computer Programs and Systems Inc.
- Exhibit 80: Computer Programs and Systems Inc. – Overview
- Exhibit 81: Computer Programs and Systems Inc. – Business segments
- Exhibit 82: Computer Programs and Systems Inc. – Key offerings
- Exhibit 83: Computer Programs and Systems Inc. – Segment focus
- 11.8 Epic Systems Corp.
- Exhibit 84: Epic Systems Corp. – Overview
- Exhibit 85: Epic Systems Corp. – Product / Service
- Exhibit 86: Epic Systems Corp. – Key offerings
- 11.9 Experian Plc
- Exhibit 87: Experian Plc – Overview
- Exhibit 88: Experian Plc – Business segments
- Exhibit 89: Experian Plc – Key offerings
- Exhibit 90: Experian Plc – Segment focus
- 11.10 International Business Machines Corp.
- Exhibit 91: International Business Machines Corp. – Overview
- Exhibit 92: International Business Machines Corp. – Business segments
- Exhibit 93: International Business Machines Corp. – Key news
- Exhibit 94: International Business Machines Corp. – Key offerings
- Exhibit 95: International Business Machines Corp. – Segment focus
- 11.11 McKesson Corp.
- Exhibit 96: McKesson Corp. – Overview
- Exhibit 97: McKesson Corp. – Business segments
- Exhibit 98: McKesson Corp. – Key offerings
- Exhibit 99: McKesson Corp. – Segment focus
- 11.12 Medical Information Technology Inc.
- Exhibit 100: Medical Information Technology Inc. – Overview
- Exhibit 101: Medical Information Technology Inc. – Product / Service
- Exhibit 102: Medical Information Technology Inc. – Key offerings
- 11.13 Oncospark Inc.
- Exhibit 103: Oncospark Inc. – Overview
- Exhibit 104: Oncospark Inc. – Product / Service
- Exhibit 105: Oncospark Inc. – Key offerings
- 11.14 OSP
- Exhibit 106: OSP – Overview
- Exhibit 107: OSP – Product / Service
- Exhibit 108: OSP – Key offerings
- 11.15 Planet DDS
- Exhibit 109: Planet DDS – Overview
- Exhibit 110: Planet DDS – Product / Service
- Exhibit 111: Planet DDS – Key offerings
- 11.16 The SSI Group LLC
- Exhibit 112: The SSI Group LLC – Overview
- Exhibit 113: The SSI Group LLC – Product / Service
- Exhibit 114: The SSI Group LLC – Key offerings
- 11.17 Veradigm LLC
- Exhibit 115: Veradigm LLC – Overview
- Exhibit 116: Veradigm LLC – Business segments
- Exhibit 117: Veradigm LLC – Key offerings
- Exhibit 118: Veradigm LLC – Segment focus
12 Appendix
- 12.1 Scope of the report
- 12.2 Inclusions and exclusions checklist
- Exhibit 119: Inclusions checklist
- Exhibit 120: Exclusions checklist
- 12.3 Currency conversion rates for US$
- Exhibit 121: Currency conversion rates for US$
- 12.4 Research methodology
- Exhibit 122: Research methodology
- Exhibit 123: Validation techniques employed for market sizing
- Exhibit 124: Information sources
- 12.5 List of abbreviations
- Exhibit 125: List of abbreviations
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