市場調査レポート
商品コード
1451660
収益サイクル管理市場レポート:タイプ、コンポーネント、デプロイメント、エンドユーザー、地域別、2024-2032Revenue Cycle Management Market Report by Type (Standalone, Integrated), Component (Software, Services), Deployment (Web-based, Cloud-based, On-premises), End User (Hospitals, Physicians, Diagnostic and Ambulatory Care Centers), and Region 2024-2032 |
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収益サイクル管理市場レポート:タイプ、コンポーネント、デプロイメント、エンドユーザー、地域別、2024-2032 |
出版日: 2024年03月02日
発行: IMARC
ページ情報: 英文 143 Pages
納期: 2~3営業日
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世界の収益サイクル管理市場規模は2023年に1,348億米ドルに達しました。今後、IMARC Groupは、2024年から2032年にかけての成長率(CAGR)は10.5%を示し、2032年までに3,390億米ドルに達すると予測しています。医療費の削減とともに、効率的な医療費請求手続きへのニーズの高まり、慢性疾患を抱える高齢者人口の大幅な増加、バリュー・ベース・ケア・システムの採用の高まりなどが、市場を推進している要因のひとつです。
収益サイクル管理(RCM)は、患者サービスの収益に関連する管理および臨床機能の管理を促進する重要な財務プロセスです。RCMは、患者との出会いのスケジューリングや登録から最終的な残金の支払いまでのライフサイクル全体を包含しています。RCMの体系的な仕組みには、患者の適格性の確認と検証、自己負担金の徴収、適切な料金の把握、請求書の作成、提出、否認管理、報告などが含まれます。ヘルスケア環境における財務管理へのこのような総合的アプローチは、業務の成功に不可欠であるだけでなく、請求ミスを最小限に抑え、財務取引を明確にすることで、患者満足度の向上にも貢献します。
世界市場の主な原動力は、ヘルスケアコストの削減とともに、効率的な医療費請求手続きの必要性が高まっていることです。これに伴い、強固な医療情報技術(HIT)の導入に向けた政府の取り組みが増加し、市場をさらに後押ししています。また、より透明で説明責任のあるヘルスケアシステムを推進するためのヘルスケア規制遵守の重要性が高まっていることも、市場に有利な機会を生み出しています。さらに、サービスの柔軟性と拡張性を高めるためにヘルスケアでクラウドベースのソリューションが急速に採用されていることも、市場を牽引しています。医療費請求ソフトウェアの継続的な技術進歩や、人工知能(AI)や機械学習(ML)のプロセスへの統合は、より効率的で合理化されたシステムを構築し、それによって市場成長に弾みをつけています。さらに、透明性の高い請求と効率的なサービスに焦点を当てた患者中心のヘルスケアへのシフトは、市場にプラスの影響を与えています。
世界のヘルスケア支出の増加
世界のヘルスケア支出の増加に伴い、ヘルスケア施設内での効率的で透明性の高い財務管理に対する需要も高まっています。ヘルスケアプロバイダーは、増加する取引量と複雑な請求手続きの管理という課題に直面しています。このようなヘルスケア支出の増加は、業界の成長だけでなく、請求、収益収集、コンプライアンスを処理するための、より高度で合理的かつ透明性の高いシステムの必要性を意味しています。医療機関は現在、業界の需要の高まりに対応するため、収益サイクルを最適化する効果的な方法を模索しています。請求と回収を自動化し、精度を高めるテクノロジーを活用した最新のツールや手法の採用が不可欠となっています。このような支出の増加は、健全な財務管理がヘルスケア・サービスの質とアクセシビリティを維持する上で不可欠な役割を果たすことを強調しています。また、こうした進化する課題に対処するために、市場で提供されるソリューションの関連性が高まっていることも強調されています。
慢性疾患を抱える老年人口の著しい増加
人口の高齢化と慢性疾患の増加は、より包括的な収益管理の必要性をさらに高めています。高齢化により、より頻繁で専門的なヘルスケア・サービスが必要となる一方、慢性疾患の蔓延により、継続的で協調的なケアが必要となります。このようなダイナミクスは、ヘルスケア受診の増加につながり、その結果、より複雑な請求・収益回収プロセスとなっています。このことは、増大するヘルスケアサービスの量と複雑さに対処するために、効率的で透明性が高く、適応性のあるシステムを持つことの重要性を強調しています。慢性疾患の存在は多くの場合、長期的な治療計画、継続的なモニタリング、オーダーメイドのケアを意味し、これらすべてが収益サイクルの管理に影響を与えます。医療機関には、患者ケアの質を落とすことなく、こうした複雑なシナリオを効率的に管理する能力が求められます。この状況は、ヘルスケアプロバイダーが収益サイクルを効率的に処理できるようにするために市場が果たす本質的な役割を浮き彫りにしており、ヘルスケア提供と財務管理の相互関連性の高まりを反映しています。
バリュー・ベース・ケア・システムの採用増加
従来のフィー・フォー・サービスのヘルスケア・モデルからバリュー・ベースのケア・システムへの移行は、医療提供者の収益サイクル管理方法に大きな影響を及ぼしています。医療提供者が提供されたサービスごとに報酬を受け取るボリューム主導型のアプローチとは異なり、バリュー・ベース・ケアは患者のアウトカム、ケアの質、効率を優先します。このシフトにより、ヘルスケアプロバイダーは、様々な支払い構造や患者ケアの質に結びついたインセンティブに対応するため、より複雑で微妙な財務慣行を採用する必要があります。医療提供者が提供するケアの価値に基づいて報酬を受け取るようになった今、データを正確に把握・分析するための高度なツールとシステムの必要性が高まっています。強固な管理手法を導入することで、医療提供者は臨床業務と財務業務をより効果的に連携させ、連携を促進し、報告の正確性を向上させ、管理コストを削減することができます。
The global revenue cycle management market size reached US$ 134.8 Billion in 2023. Looking forward, IMARC Group expects the market to reach US$ 339.0 Billion by 2032, exhibiting a growth rate (CAGR) of 10.5% during 2024-2032. The increasing need for efficient medical billing procedures along with the reduction of healthcare costs, considerable growth in geriatric population with chronic diseases, and rising adoption of value-based care systems are some of the factors that are propelling the market.
Revenue Cycle Management (RCM) is a critical financial process that facilitates the management of administrative and clinical functions related to patient service revenue. It encompasses the entire lifecycle of a patient encounter from scheduling and registration to the final payment of a balance. The systematic mechanism of RCM involves the identification and verification of patient eligibility, collection of co-payments, proper charge capture, claim preparation, submission, denial management, and reporting. This holistic approach to managing finances in healthcare settings is not just essential for operational success but also contributes to enhanced patient satisfaction by minimizing billing errors and providing clarity in financial dealings.
The global market is primarily driven by the increasing need for efficient medical billing procedures along with the reduction of healthcare costs. In line with this, the rise in government initiatives to implement robust Health Information Technologies (HIT) is further propelling the market. Also, the growing importance of compliance with healthcare regulations for promoting a more transparent and accountable healthcare system is creating lucrative opportunities in the market. The market is further driven by the rapid adoption of cloud-based solutions in healthcare to enhance the flexibility and scalability of services. Continual technological advancements in medical billing software and the integration of Artificial Intelligence (AI) and Machine Learning (ML) into the process are creating more efficient and streamlined systems, thereby providing an impetus to the market growth. Furthermore, the shift towards patient-centric healthcare, with an enhanced focus on transparent billing and efficient services is influencing the market positively.
Increasing global healthcare expenditure
As global healthcare expenditure continues to rise, the demand for efficient and transparent financial management within healthcare facilities is also growing. Healthcare providers are faced with the challenge of managing an increasing volume of transactions and complex billing procedures. This rise in healthcare spending signifies not only the growth of the industry but also the need for more advanced, streamlined, and transparent systems to handle billing, revenue collection, and compliance. Providers are now looking for more effective ways to optimize their revenue cycles to keep pace with the growing demands of the industry. The adoption of modern tools and methods, leveraging technology to automate and enhance the accuracy of billing and collection, becomes imperative. This growing expenditure underscores the essential role that sound financial management plays in sustaining the quality and accessibility of healthcare services. It also emphasizes the increasing relevance of solutions offered within the market to address these evolving challenges.
Considerable growth in geriatric population with chronic diseases
The demographic shift towards an aging population and the simultaneous rise in chronic diseases are further catalyzing the need for more comprehensive revenue management. An aging population necessitates more frequent and specialized healthcare services, while the prevalence of chronic conditions requires ongoing, coordinated care. These dynamics lead to an increase in healthcare encounters and, consequently, more complex billing and revenue collection processes. It emphasizes the importance of having efficient, transparent, and adaptable systems to handle the growing volume and intricacy of healthcare services. The presence of chronic conditions often means long-term treatment plans, continuous monitoring, and tailored care, all of which impact the revenue cycle's management. Providers must have the capabilities to efficiently manage these complex scenarios without compromising on patient care quality. The situation highlights the essential role the market plays in ensuring healthcare providers can efficiently handle their revenue cycle, reflecting the growing interconnection between healthcare delivery and financial management.
Rising adoption of value-based care systems
The transition from traditional fee-for-service healthcare models to value-based care systems is having a profound effect on the way healthcare providers manage their revenue cycles. Unlike the volume-driven approach, where providers are paid for each service rendered, value-based care prioritizes patient outcomes, quality of care, and efficiency. This shift requires healthcare providers to adopt more complex, nuanced financial practices that accommodate the varying payment structures and incentives tied to patient care quality. As providers are now being reimbursed based on the value of the care they deliver, there is an increased need for sophisticated tools and systems to accurately capture and analyze data. By implementing robust management practices, providers can more effectively align clinical and financial operations, fostering collaboration, improving reporting accuracy, and reducing administrative costs.
IMARC Group provides an analysis of the key trends in each segment of the global revenue cycle management market report, along with forecasts at the global, regional and country levels from 2024-2032. Our report has categorized the market based on type, component, deployment and end user.
Standalone
Integrated
Integrated represents the largest market segment
The report has provided a detailed breakup and analysis of the market based on the type. This includes standalone and integrated. According to the report, integrated represented the largest segment.
Integrated systems are being driven by a desire for seamless operations across various healthcare functions. Their ability to connect different aspects of care, from clinical to administrative, facilitates a more streamlined and efficient process. The market demand for integrated solutions is propelled by the need for real-time data sharing, interoperability, and holistic management of healthcare services.
On the other hand, standalone systems are favored for their flexibility and independence, allowing customization for specific needs. They are often seen as cost-effective for smaller healthcare providers, enabling targeted solutions without unnecessary complexity. The driving factors include ease of implementation, the ability to address particular operational needs, and reduced dependency on comprehensive systems.
Software
Services
Software accounts for the majority of the market share
A detailed breakup and analysis of the market based on the component has also been provided in the report. This includes software and services. According to the report, software accounted for the largest market share.
The adoption of specialized software solutions is growing due to their ability to enhance efficiency and accuracy in billing and revenue management. Automation, real-time reporting, and ease of scalability are key factors that drive this segment. The demand for software solutions reflects the ongoing shift towards digitization and data-driven decision-making in healthcare.
On the other hand, the services segment focuses on the provision of expert support and management, which are vital for complex healthcare operations. Outsourcing, professional expertise, and customized service offerings are stimulating growth in this area. The need for specialized knowledge and the desire to streamline operations are significant driving factors.
Web-based
Cloud-based
On-premises
Web-based represents the largest market segment
A detailed breakup and analysis of the revenue cycle management market based on the deployment has also been provided in the report. This includes web-based, cloud-based, and on-premises. According to the report, web-based accounted for the largest market share.
Web-based solutions offer accessibility from various devices and locations, enhancing flexibility in operations. They are driven by the need for real-time access, collaboration, and the trend towards remote working and telehealth. This segment reflects the broader trend towards connectivity and cloud computing in modern healthcare.
On the other hand, cloud-based solutions are appealing for their scalability, cost-effectiveness, and ease of integration. They offer healthcare providers the ability to adapt quickly to changing needs without significant investment in infrastructure. The driving factors include the demand for flexibility, efficiency, and the broader movement towards cloud computing across industries.
Furthermore, on-premises solutions provide a sense of control, security, and customization that some providers prefer. They are driven by the desire for data security, compliance with specific regulations, and the need for tailored solutions. This segment emphasizes the continued importance of localized control and management in the healthcare industry.
Hospitals
Physicians
Diagnostic and Ambulatory Care Centers
A detailed breakup and analysis of the market based on the end user has also been provided in the report. This includes hospitals, physicians, and diagnostic and ambulatory care centers.
In hospitals, the complexity of services and high volume of patients necessitate robust financial management. The driving factors include the need for efficiency, transparency in billing, and comprehensive integration with various hospital functions. These requirements reflect the unique challenges and scale of financial operations within hospital settings.
On the other hand, for physicians, the focus on patient care and tailored services drives the need for specialized solutions. Also, the need to streamline administrative tasks to allow physicians more time for patient care is a significant driving factor. The shift towards value-based care and the complexity of medical billing are also contributing to the increased need for advanced revenue cycle management solutions in this segment.
Furthermore, the increasing utilization of diagnostic and ambulatory care services is driving growth in this segment. These centers require efficient and accurate revenue cycle management systems to handle increasing patient volumes. Additionally, the trend towards outpatient care is also supporting growth in this segment.
North America
United States
Canada
Asia-Pacific
China
Japan
India
South Korea
Australia
Indonesia
Others
Europe
Germany
France
United Kingdom
Italy
Spain
Russia
Others
Latin America
Brazil
Mexico
Others
Middle East and Africa
North America (the United States and Canada) exhibits a clear dominance, accounting for the largest revenue cycle management market share
The report has also provided a comprehensive analysis of all the major regional markets, which include North America (the United States and Canada); Asia Pacific (China, Japan, India, South Korea, Australia, Indonesia, and others); Europe (Germany, France, the United Kingdom, Italy, Spain, Russia, and others); Latin America (Brazil, Mexico, and others); and the Middle East and Africa. According to the report, North America accounted for the largest market share.
The North America region holds a significant share in the global market due to several factors. The region is home to a highly developed healthcare infrastructure, and there is a high level of adoption of advanced technologies. In addition, regulatory changes such as the shift towards value-based care, and the presence of a large number of healthcare IT companies in the region are contributing to the adoption of robust RCM solutions.
The ongoing efforts to reduce healthcare costs and improve patient outcomes are also driving growth in this region. Furthermore, the increasing prevalence of chronic diseases, the growing aging population, and the associated rise in healthcare services in North America are contributing to the growing need for efficient revenue cycle management systems.
The leading companies are heavily investing in research and development to innovate and bring new technologies to the market. Many key players are forming partnerships and collaborations with other companies, healthcare providers, and even governmental organizations. Recognizing the growth potential in emerging markets, key players are expanding their presence in countries where healthcare infrastructure is developing. By offering tailored solutions that meet the unique needs and challenges of these markets, they are positioning themselves to capture new revenue streams. With healthcare data being highly sensitive, key players are focusing on providing solutions that comply with regulatory requirements and offer robust security measures. Many major players are developing or enhancing their cloud-based offerings for meeting the needs of large healthcare providers while also offering cost-effective solutions for smaller organizations.
Allscripts Healthcare LLC
Athenahealth
CareCloud Inc
Cerner Corporation
Cognizant
EClinicalWorks
Epic Systems Corporation
Experian Information Solutions Inc
GeBBs Healthcare Solutions
General Electric
McKesson Corporation
Oracle Corporation
Quest Diagnostics
On May 2022, Allscripts Healthcare LLC announced that it has completed the sale of the net assets of the Allscripts Hospital and Large Physician Practices business segment to Constellation Software Inc. through its wholly owned subsidiary N. Harris Computer Corporation ("Harris").
In February 2022, Athenahealth was acquired by the affiliates of Bain Capital and Hellman & Friedman from Veritas Capital and Evergreen Coast Capital.
On July 2023, CareCloud Inc announced a collaboration with Google Cloud to use generative artificial intelligence (AI) to transform and enhance the operational efficiency and capabilities of ambulatory practices in office settings, bringing groundbreaking advancements to small and medium-sized healthcare providers.