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市場調査レポート

医療機関におけるバックエンド収益サイクル管理 (RCM) の世界市場予測 2023年:請求処理・支払い拒否管理・ペイメントインテグリティ

Back-end Revenue Cycle Management Market by Product and Services (Claim Processing, Denial Management, Payment Integrity), Delivery Mode(On-Premise, Cloud Based), End-User (Payer, Provider(Inpatient, Outpatient)), and Region-Global Forecast to 2023

発行 MarketsandMarkets 商品コード 775876
出版日 ページ情報 英文 137 Pages
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価格
本日の銀行送金レート: 1USD=108.65円で換算しております。
医療機関におけるバックエンド収益サイクル管理 (RCM) の世界市場予測 2023年:請求処理・支払い拒否管理・ペイメントインテグリティ Back-end Revenue Cycle Management Market by Product and Services (Claim Processing, Denial Management, Payment Integrity), Delivery Mode(On-Premise, Cloud Based), End-User (Payer, Provider(Inpatient, Outpatient)), and Region-Global Forecast to 2023
出版日: 2019年01月17日 ページ情報: 英文 137 Pages
概要

世界の医療機関におけるバックエンド収益サイクル管理 (RCM) 市場は、2018年の81億米ドルから2023年までに104億米ドルへ拡大すると予測され、予測期間中は5.0%のCAGR (年間複合成長率) が見込まれています。同市場の成長は、支払い拒否管理の重要性の高まり、患者数の増加、医療機関におけるプロセスの改善、および医療費償還率の低下といった要因に起因しています。しかし、高額な展開コスト、バックエンドRCMソリューションの統合、データブリーチ・機密性の損失、およびヘルスケア分野における熟練IT専門家の不足は、今後数年間の同市場の成長をある程度抑制する可能性があります。

当レポートでは、世界のバックエンド収益サイクル管理 (RCM) 市場を取り上げ、市場の概要、市場発展促進・阻害要因を概括し、各セグメント・地域別に市場の現状と見通しについて調査分析するとともに、競合環境、主要企業のプロファイルをまとめています。

FIGURE 12 BACK-END REVENUE CYCLE MANAGEMENT MARKET

第1章 イントロダクション

第2章 調査手法

第3章 エグゼクティブサマリー

第4章 重要考察

  • バックエンド収益サイクル管理市場の概要
  • 地域分析:北米のバックエンド収益サイクル管理市場、エンドユーザー別
  • 米国のバックエンド収益サイクル管理市場
  • バックエンド収益サイクル管理市場の地域概要

第5章 市場概要

  • イントロダクション
  • 市場ダイナミクス
    • 促進因子
    • 阻害因子
    • 機会
    • 課題

第6章 バックエンド収益サイクル管理市場:製品・サービス別

  • イントロダクション
  • サービス
  • ソフトウェア
    • 統合型ソフトウェア
    • 独立型ソフトウェア

第7章 バックエンド収益サイクル管理市場:提供形態別

  • イントロダクション
  • オンプレミス
  • クラウド型

第8章 バックエンド収益サイクル管理市場:エンドユーザー別

  • イントロダクション
  • 医療保険者
  • 医療提供者

第9章 バックエンド収益サイクル管理市場:地域別

  • イントロダクション
  • 北米
  • 欧州
  • アジア
  • その他

第10章 競合情勢

  • 概要
  • 競合シナリオ

第11章 企業プロファイル

  • ATHENAHEALTH
  • CERNER
  • ALLSCRIPTS HEALTHCARE SOLUTIONS
  • ECLINICALWORKS
  • OPTUM, INC. (UNITEDHEALTH GROUP INC.子会社)
  • MCKESSON (現在はCHANGE HEALTHCARE, INC.の一部)
  • CONIFER HEALTH SOLUTIONS
  • GEBBS HEALTHCARE SOLUTIONS
  • THE SSI GROUP
  • GE HEALTHCARE
  • NTHRIVE
  • DST SYSTEMS
  • COGNIZANT TECHNOLOGY SOLUTIONS
  • QUEST DIAGNOSTICS
  • CONTEXT 4 HEALTHCARE
  • RAM TECHNOLOGIES
  • HEALTH SOLUTIONS PLUS (HSP)
  • PLEXIS HEALTHCARE SYSTEMS

第12章 付録

図表一覧

図表

LIST OF TABLES

  • TABLE 1: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016-2023 (USD MILLION)
  • TABLE 2: BACK-END REVENUE CYCLE MANAGEMENT SERVICES MARKET, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 3: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT SERVICES MARKET, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 4: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 5: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 6: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 7: BACK-END REVENUE CYCLE MANAGEMENT INTEGRATED SOFTWARE MARKET, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 8: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT INTEGRATED SOFTWARE MARKET, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 9: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 10: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 11: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 12: CLAIMS PROCESSING SOFTWARE MARKET, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 13: NORTH AMERICA: CLAIMS PROCESSING SOFTWARE MARKET, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 14: DENIAL MANAGEMENT SOFTWARE MARKET, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 15: NORTH AMERICA: DENIAL MANAGEMENT SOFTWARE MARKET, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 16: CODING & AUDITING SOFTWARE MARKET, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 17: NORTH AMERICA: CODING & AUDITING SOFTWARE MARKET, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 18: BILLING/BILLING REVIEW SOFTWARE MARKET, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 19: NORTH AMERICA: BILLING/BILLING REVIEW SOFTWARE MARKET, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 20: PAYMENT INTEGRITY SOFTWARE MARKET, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 21: NORTH AMERICA: PAYMENT INTEGRITY SOFTWARE MARKET, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 22: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016-2023 (USD MILLION)
  • TABLE 23: ON-PREMISE BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 24: NORTH AMERICA: ON-PREMISE BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 25: CLOUD-BASED BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 26: NORTH AMERICA: CLOUD-BASED BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 27: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016-2023 (USD MILLION)
  • TABLE 28: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PAYERS, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 29: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PAYERS, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 30: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 31: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 32: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 33: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR INPATIENT FACILITIES, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 34: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR INPATIENT FACILITIES, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 35: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES & PHYSICIAN CLINICS, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 36: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES & PHYSICIAN CLINICS, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 37: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION, 2016-2023 (USD MILLION)
  • TABLE 38: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY COUNTRY, 2016-2023 (USD MILLION)
  • TABLE 39: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016-2023 (USD MILLION)
  • TABLE 40: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 41: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 42: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016-2023 (USD MILLION)
  • TABLE 43: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016-2023 (USD MILLION)
  • TABLE 44: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 45: US: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016-2023 (USD MILLION)
  • TABLE 46: US: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 47: US: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 48: US: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016-2023 (USD MILLION)
  • TABLE 49: US: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016-2023 (USD MILLION)
  • TABLE 50: US: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 51: CANADA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016-2023 (USD MILLION)
  • TABLE 52: CANADA: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 53: CANADA: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 54: CANADA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016-2023 (USD MILLION)
  • TABLE 55: CANADA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016-2023 (USD MILLION)
  • TABLE 56: CANADA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 57: EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016-2023 (USD MILLION)
  • TABLE 58: EUROPE: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 59: EUROPE: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 60: EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016-2023 (USD MILLION)
  • TABLE 61: EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016-2023 (USD MILLION)
  • TABLE 62: EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 63: ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016-2023 (USD MILLION)
  • TABLE 64: ASIA: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 65: ASIA: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 66: ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016-2023 (USD MILLION)
  • TABLE 67: ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016-2023 (USD MILLION)
  • TABLE 68: ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 69: ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY COMPONENT, 2016-2023 (USD MILLION)
  • TABLE 70: ROW: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 71: ROW: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 72: ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016-2023 (USD MILLION)
  • TABLE 73: ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016-2023 (USD MILLION)
  • TABLE 74: ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016-2023 (USD MILLION)
  • TABLE 75: GROWTH STRATEGY MATRIX (2014-2018)
  • TABLE 76: PRODUCT LAUNCHES AND ENHANCEMENTS (2014-2018)
  • TABLE 77: AGREEMENTS, PARTNERSHIPS, AND COLLABORATIONS (2014-2018)
  • TABLE 78: ACQUISITIONS, 2014-2018
  • TABLE 79: EXPANSIONS (2014-2018)

LIST OF FIGURES

  • FIGURE 1: RESEARCH METHODOLOGY: BACK-END REVENUE CYCLE MANAGEMENT MARKET
  • FIGURE 2: RESEARCH DESIGN
  • FIGURE 3: SAMPLING FRAME: PRIMARY RESEARCH
  • FIGURE 4: MARKET SIZE ESTIMATION METHODOLOGY: BOTTOM-UP APPROACH (1/3)
  • FIGURE 5: MARKET SIZE ESTIMATION METHODOLOGY: BOTTOM-UP APPROACH (2/3)
  • FIGURE 6: MARKET SIZE ESTIMATION METHODOLOGY: BOTTOM-UP APPROACH (3/3)
  • FIGURE 7: MARKET SIZE ESTIMATION METHODOLOGY: TOP-DOWN APPROACH
  • FIGURE 8: DATA TRIANGULATION METHODOLOGY
  • FIGURE 9: SERVICES TO DOMINATE THE BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, IN 2018
  • FIGURE 10: ON-PREMISE SOLUTIONS TO ACCOUNT FOR THE LARGER MARKET SHARE IN 2018
  • FIGURE 11: NORTH AMERICA TO HOLD THE LARGEST SHARE IN THE BACK-END REVENUE CYCLE MANAGEMENT MARKET DURING 2018-2023
  • FIGURE 12: GROWING IMPORTANCE OF DENIALS MANAGEMENT TO DRIVE MARKET GROWTH DURING THE FORECAST PERIOD
  • FIGURE 13: HEALTHCARE PAYERS TO ACCOUNT FOR THE LARGEST SHARE OF THE NORTH AMERICAN BACK-END REVENUE CYCLE MANAGEMENT MARKET IN 2018
  • FIGURE 14: INPATIENT SETTINGS & ON-PREMISE DELIVERY MODE TO ACCOUNT FOR THE LARGEST MARKET SHARE IN 2018
  • FIGURE 15: ASIA TO WITNESS THE HIGHEST GROWTH RATE DURING THE FORECAST PERIOD
  • FIGURE 16: BACK-END REVENUE CYCLE MANAGEMENT MARKET: DRIVERS, RESTRAINTS, OPPORTUNITIES, AND CHALLENGES
  • FIGURE 17: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION, 2018 VS. 2023 (USD MILLION)
  • FIGURE 18: NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET SNAPSHOT
  • FIGURE 19: EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET SNAPSHOT
  • FIGURE 20: ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET SNAPSHOT
  • FIGURE 21: ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET SNAPSHOT
  • FIGURE 22: KEY DEVELOPMENTS IN THE BACK-END REVENUE CYCLE MANAGEMENT MARKET BETWEEN 2014 AND 2018
  • FIGURE 23: COMPANY SNAPSHOT: ATHENAHEALTH (2017)
  • FIGURE 24: COMPANY SNAPSHOT: CERNER (2017)
  • FIGURE 25: COMPANY SNAPSHOT: ALLSCRIPTS HEALTHCARE SOLUTIONS (2017)
  • FIGURE 26: COMPANY SNAPSHOT: OPTUM, INC. (2017)
  • FIGURE 27: COMPANY SNAPSHOT: MCKESSON CORPORATION (2017)
  • FIGURE 28: COMPANY SNAPSHOT: GE HEALTHCARE (2017)
  • FIGURE 29: COMPANY SNAPSHOT: DST SYSTEMS (2017)
  • FIGURE 30: COMPANY SNAPSHOT: COGNIZANT TECHNOLOGY SOLUTIONS (2017)
  • FIGURE 31: COMPANY SNAPSHOT: QUEST DIAGNOSTICS INCORPORATED (2017)
目次
Product Code: HIT 6861

"The back-end revenue cycle management market is projected to grow at a CAGR of 5.0% during the forecast period."

The global back-end revenue cycle management market is projected to reach USD 10.4 billion by 2023 from USD 8.1 billion in 2018, at a CAGR of 5.0%. Growth in the back-end revenue cycle management market can be attributed to factors such as the growing importance of denials management, increasing patient volume, process improvements in healthcare organizations, and declining reimbursement rates. However, the high cost of deployment, integration of back-end revenue cycle management solutions, data breaches and loss of confidentiality, and lack of skilled IT professionals in healthcare are expected to limit market growth to a certain extent in the coming years.

"The services segment is expected to hold the largest market share during the forecast period."

On the basis of product & service, the back-end revenue cycle management market has been segmented into software and services. The services segment is estimated to witness the highest CAGR during 2018-2023. High growth in this segment can be attributed to the recurring nature of services such as training and development, installation, software upgrades, consulting, and maintenance.

"The cloud-based delivery mode segment is expected to grow at the highest rate during the forecast period."

On the basis of delivery mode, the back-end revenue cycle management market is segmented into on-premise and cloud-based modes. The cloud-based delivery mode segment is estimated to witness the highest CAGR during the forecast period. Cloud-based solutions help healthcare organizations share and integrate information from different locations, and these solutions are less costly to install and maintain than on-premise solutions, which contribute to the high growth and popularity of the cloud-based delivery model.

"Investments to modernize the healthcare infrastructure in the Asian region are expected to offer growth opportunities in the region."

Geographically, the back-end revenue cycle management market is segmented into North America, Europe, Asia, and the Rest of the World. The Asian market is expected to grow at the highest rate during the forecast period. Growth in this region can be attributed to investments to modernize healthcare infrastructures and growing adoption of healthcare IT solutions in China, measures to boost the quality of healthcare delivery in Japan, and rapid growth in the healthcare industry in India.

Breakdown of supply-side primary interviews:

  • By Company Type: Tier 1: 55%, Tier 2: 20%, and Tier 3: 25%
  • By Designation: C-level: 35%, Director-level: 25%, and Others: 40%
  • By Region: North America: 20%, Europe: 25%, APAC: 40%, and RoW: 15%

The major players in the market include: athenahealth (US), Cerner Corporation (US), Allscripts Healthcare Solutions, Inc. (US), eClinicalWorks (US), Optum, Inc. (US), McKesson Corporation (US), Conifer Health Solutions (US), GeBBs Healthcare Solutions (US), The SSI Group (US), GE Healthcare (US), and nThrive (US).

Research Coverage:

This report studies the back-end revenue cycle management market based on product & service, delivery mode, end user, and region. The report also studies factors (such as drivers, restraints, opportunities, and challenges) affecting market growth. It analyzes the opportunities and challenges in the market and provides details of the competitive landscape for market leaders. Furthermore, the report analyzes micromarkets with respect to their individual growth trends and forecasts the revenue of the market segments with respect to four main regions and respective countries.

Key Benefits of Buying the Report:

This report focuses on various levels of analysis-industry trends, market share of top players, and company profiles, which together form basic views and analyze the competitive landscape, emerging segments of the back-end revenue cycle management market, and high-growth regions and their drivers, restraints, challenges, and opportunities. The report will help both established firms as well as new entrants/smaller firms to gauge the pulse of the market and garner greater market shares.

TABLE OF CONTENTS

1 INTRODUCTION

  • 1.1 OBJECTIVES OF THE STUDY
  • 1.2 MARKET DEFINITION
  • 1.3 MARKET SCOPE
    • 1.3.1 MARKETS COVERED
    • 1.3.2 YEARS CONSIDERED FOR THE STUDY
  • 1.4 CURRENCY
  • 1.5 LIMITATIONS
  • 1.6 STAKEHOLDERS

2 RESEARCH METHODOLOGY

  • 2.1 RESEARCH DATA
    • 2.1.1 SECONDARY DATA
      • 2.1.1.1 Secondary sources
    • 2.1.2 PRIMARY DATA
      • 2.1.2.1 Key data from primary sources
      • 2.1.2.2 Breakdown of primaries
      • 2.1.2.3 Key industry insights
  • 2.2 MARKET SIZE ESTIMATION
  • 2.3 MARKET BREAKDOWN AND DATA TRIANGULATION
  • 2.4 ASSUMPTIONS FOR THE STUDY

3 EXECUTIVE SUMMARY

4 PREMIUM INSIGHTS

  • 4.1 BACK-END REVENUE CYCLE MANAGEMENT MARKET OVERVIEW
  • 4.2 GEOGRAPHIC ANALYSIS: NORTH AMERICAN BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER
  • 4.3 US BACK-END REVENUE CYCLE MANAGEMENT MARKET, 2018
  • 4.4 GEOGRAPHICAL SNAPSHOT OF THE BACK-END REVENUE CYCLE MANAGEMENT MARKET

5 MARKET OVERVIEW

  • 5.1 INTRODUCTION
  • 5.2 MARKET DYNAMICS
    • 5.2.1 MARKET DRIVERS
      • 5.2.1.1 Growing importance of denials management
      • 5.2.1.2 Increasing patient volume
      • 5.2.1.3 Process improvements in healthcare organizations
      • 5.2.1.4 Declining reimbursement rates
    • 5.2.2 MARKET RESTRAINTS
      • 5.2.2.1 High cost of deployment
    • 5.2.3 MARKET OPPORTUNITIES
      • 5.2.3.1 Emerging countries
      • 5.2.3.2 Cloud-based solutions
      • 5.2.3.3 Artificial intelligence in health insurance
      • 5.2.3.4 Rising adoption of electronic health records
    • 5.2.4 MARKET CHALLENGES
      • 5.2.4.1 Integration of back-end revenue cycle management solutions
      • 5.2.4.2 Data breaches and loss of confidentiality
      • 5.2.4.3 Lack of skilled IT professionals in healthcare

6 BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT

& SERVICE 41

  • 6.1 INTRODUCTION
  • 6.2 SERVICES
    • 6.2.1 RECURRING NATURE OF SERVICES TO DRIVE MARKET GROWTH
  • 6.3 SOFTWARE
    • 6.3.1 INTEGRATED SOFTWARE
      • 6.3.1.1 Integrated solutions help users to streamline and coordinate multiple financial functions through a single platform
    • 6.3.2 STANDALONE SOFTWARE
      • 6.3.2.1 Claims processing software
        • 6.3.2.1.1 Claims processing software to account for the largest share of the standalone software market in 2018
      • 6.3.2.2 Denial management software
        • 6.3.2.2.1 Denial management software segment to witness the highest growth rate during the forecast period
      • 6.3.2.3 Coding & auditing software
        • 6.3.2.3.1 Mandate to convert from ICD-9 classifications to the new ICD-10 version has resulted in the increased demand for coding & auditing software
      • 6.3.2.4 Billing/billing review software
        • 6.3.2.4.1 Rising number of billing errors to drive the adoption of billing/billing review software
      • 6.3.2.5 Payment integrity software
        • 6.3.2.5.1 Payment integrity software provides advanced analytics for assessing payment compliance at a granular level

7 BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE

  • 7.1 INTRODUCTION
  • 7.2 ON-PREMISE DELIVERY MODE
    • 7.2.1 BENEFITS OFFERED BY ON-PREMISE DELIVERY MODELS AND LIMITED PENETRATION OF CLOUD-BASED TECHNOLOGIES TO DRIVE MARKET GROWTH
  • 7.3 CLOUD-BASED DELIVERY MODE
    • 7.3.1 OPEN-ACCESS NATURE OF CLOUD-BASED MODELS POSES SECURITY CHALLENGES

8 BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER

  • 8.1 INTRODUCTION
  • 8.2 HEALTHCARE PAYERS
    • 8.2.1 NEED TO ENSURE REGULATORY COMPLIANCE IS AIDING THE GROWTH OF THE PAYERS MARKET
  • 8.3 HEALTHCARE PROVIDERS
    • 8.3.1 INPATIENT FACILITIES
      • 8.3.1.1 Growing need to improve the profitability of healthcare operations to drive the adoption of back-end RCM solutions in inpatient facilities
    • 8.3.2 OUTPATIENT FACILITIES & PHYSICIAN CLINICS
      • 8.3.2.1 Need to improve operational workflows and minimize medical errors to drive market growth

9 BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION

  • 9.1 INTRODUCTION
  • 9.2 NORTH AMERICA
    • 9.2.1 US
      • 9.2.1.1 Government regulations to support market growth in the US
    • 9.2.2 CANADA
      • 9.2.2.1 Increasing digitization and favorable funding initiatives by the canadian government are boosting market growth in canada
  • 9.3 EUROPE
  • 9.4 ASIA
  • 9.5 REST OF THE WORLD

10 COMPETITIVE LANDSCAPE

  • 10.1 OVERVIEW
  • 10.2 COMPETITIVE SCENARIO
    • 10.2.1 PRODUCT LAUNCHES AND ENHANCEMENTS
    • 10.2.2 AGREEMENTS, PARTNERSHIPS, AND COLLABORATIONS
    • 10.2.3 ACQUISITIONS
    • 10.2.4 EXPANSIONS

11 COMPANY PROFILE

(Business Overview, Products Offered, Recent Developments, SWOT Analysis, MnM View)*

  • 11.1 ATHENAHEALTH
  • 11.2 CERNER
  • 11.3 ALLSCRIPTS HEALTHCARE SOLUTIONS
  • 11.4 ECLINICALWORKS
  • 11.5 OPTUM, INC. (A SUBSIDIARY OF UNITEDHEALTH GROUP INC.)
  • 11.6 MCKESSON (NOW A PART OF CHANGE HEALTHCARE, INC.)
  • 11.7 CONIFER HEALTH SOLUTIONS
  • 11.8 GEBBS HEALTHCARE SOLUTIONS
  • 11.9 THE SSI GROUP
  • 11.10 GE HEALTHCARE
  • 11.11 NTHRIVE
  • 11.12 DST SYSTEMS
  • 11.13 COGNIZANT TECHNOLOGY SOLUTIONS
  • 11.14 QUEST DIAGNOSTICS
  • 11.15 CONTEXT 4 HEALTHCARE
  • 11.16 RAM TECHNOLOGIES
  • 11.17 HEALTH SOLUTIONS PLUS (HSP)
  • 11.18 PLEXIS HEALTHCARE SYSTEMS

Details on Business Overview, Products Offered, Recent Developments, SWOT Analysis, MnM View might not be captured in case of unlisted companies.

12 APPENDIX

  • 12.1 DISCUSSION GUIDE
  • 12.2 KNOWLEDGE STORE: MARKETSANDMARKETS' SUBSCRIPTION PORTAL
  • 12.3 AVAILABLE CUSTOMIZATIONS
  • 12.4 RELATED REPORTS
  • 12.5 AUTHOR DETAILS