Copyright Acumen research and consulting. All rights reserved.

Healthcare Revenue Cycle Management Market (By Product: Integrated Solutions, Standalone, Others; By Function: Claim & Denial, Medical Coding, Insurance Verification, Others; By End User: Hospitals, Physicians, Lab) - Global Industry Analysis, Market Size, Opportunities and Forecast, 2019 - 2026

  • Category : Healthcare and Pharmaceuticals
  • Pages : 190 Pages
  • Format: PDF
  • Status : Published

Select Access Type

  • Single User License : USD 4500
  • Multi User License : USD 7000

The global healthcare revenue cycle management market value is expected to reach around US$ 208.6 Bn by 2026 and growing at a CAGR of around 6.3% over the forecast period 2019 to 2026.

Healthcare revenue cycle management could be a money method that utilizes charge software package for following patients’ details. Nowadays, thanks to the increasing range of hospital admissions, tending professionals have started hoping for advanced revenue cycle management. These software package helps to unify the executive and clinical knowledge that aids in providing holistic read relating to a patient’s name, treatment info and insurance supplier. The convenience of an upgraded software package reduces manual errors, duplication of labor and minimizes confusion whereas handling giant knowledge. Business players try to concentrate on developing an innovative HRCM software package that may function one amongst the necessary parts intending system, not solely enhancing patient engagement however additionally simplifying the workflow.

Market Dynamics

Increasing demand for cloud-primarily based solutions is anticipated to betoken well for growth. In February 2018, eClinical Works introduced a cloud-primarily based platform for the acute cate facilities. The platform designed to create unified EHR, with seamless sharing of information between ambulant and acute care facilities at USD 599 per month with no direct charges. moreover, in Gregorian calendar month 2018, Baker Tilly, the U.S primarily based informative firm introduced Revenue Cycle Innovation Center (RCIC) to contour operations. RCIC offers unjust data for maximizing revenues with the utilization of information analytic tools. It options robotic method automation, cloud-primarily based telephone tools, reduction in vender fees, and remote help. Furthermore, the growth in the core IT and analytics business are projected to drive the RCM market. Clinicians, physicians, and care managers try to own automatic assessment supported anamnesis, insurance eligibility, money coverage, and value management. RCM package offers denial management services with the employment of analytics. However, high deployment prices for RCM solutions and a dearth of trained professionals are expected to limit the market growth.

By deployment type, the web based deployment has dominated the healthcare revenue cycle management market

On the basis of deployment model, the revenue cycle management market has been segmented into cloud-based, web-based, and on-premise solutions. In 2018, the web-based deployment section is anticipated to command the most important share of the worldwide market. the big share of this section is attributed to the increasing demand for mobile support systems for higher client (patient) engagement platforms. Cloud-based RCM solutions on the opposite hand can register quickest rate. Cloud-based RCM solutions store and method an oversized volume of knowledge generated within the attention trade, which might be managed effectively victimization cloud technologies. Cloud-based solutions are thought to be reasonable solutions for little ANd medium-sized attention facilities that don't need to keep up an in-house infrastructure to satisfy their RCM wants.

Based on function, the claim & denial management segment is expected to dominate during the forecast period

Based on function, the market is segmented into claim and denial management, medical request and cryptography, patient insurance eligibility check, payment remission, electronic health record (EHR), Clinical Documentation Improvement (CDI), and others. The claim and denial management section is predicted to account for the most important share of the world market in 2018 and is expected to witness the very best CAGR throughout the forecast amount. The growing demand for claims and denial management because of the dynamic compensation structure and therefore the increasing instances of claim denials are the key factors driving the expansion of this section.

The market research study on “Global Healthcare Revenue Cycle Mnagement Market– Global Industry Analysis, Market Size, Opportunities and Forecast, 2019 – 2026”,offers a detailed insight into the global healthcare revenue cycle management market entailing insights on its different market segments. Market dynamics with drivers, restraints, and opportunities with their impact are provided in the report. The report provides insights into the global healthcare revenue cycle management market, its market product, function, end user, and major geographic regions. The report covers basic development policies and layouts of technology development processes. Secondly, the report covers global healthcare revenue cycle management market size and volume, and segment markets by market product, function, end user, and geography along with the information on companies operating in the market. The global healthcare revenue cycle management market analysis is provided for major regional markets including North America, Europe, Asia Pacific, Latin America and Middle East and Africa. For each region, the market size and volume for different segments have been covered under the scope of the report.

In 2018, North America dominated the regional market with a maximum market share

North America accounted for the high market share of the global surgical robotics market and the region is also expected to maintain its dominance over the forecast period. Some major factors contributing to this growth are, it has been among the leaders within the development of the IT framework for the care business. The RCM market within the US presents remunerative growth opportunities due to the presence of many giant hospitals and health systems, favorable rules, rising geriatric population, and also the increasing have to be compelled to curtail care prices within the country. variety of key market players are based mostly within the US.

The key companies involved in the market includes Cerner, Mckesson, Quest Diagnostics, Allscripts Healthcare Solutions, Athenahealth, GE Healthcare, Eclinicalworks, Conifer Health Solutions, EPIC Systems, Gebbs Healthcare Solutions, Experian, R1 RCM, Constellation Software, The SSI Group, Nthrive.

Market Segmentation

Market By Product

  • Integrated Solutions
  • Standalone
  • Others

Market By Function

  • Claim & Denial
  • Medical Coding
  • Insurance Verification
  • Others

Market By End User

  • Hospitals
  • Physicians
  • Lab

Market By Geography

North America

  • U.S.
  • Canada

Europe

  • U.K.
  • Germany
  • France
  • Spain
  • Rest of Europe

Asia-Pacific

  • China
  • Japan
  • India
  • Australia
  • South Korea
  • Rest of Asia-Pacific

Latin America

  • Brazil
  • Mexico
  • Rest of Latin America

Middle East & Africa

  • GCC
  • South Africa
  • Rest of Middle East & Africa