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市場調査レポート

収益サイクル管理 (RCM) の世界市場 - 成長、動向、予測

Revenue Cycle Management Market - Growth, Trends, and Forecast (2019 - 2024)

発行 Mordor Intelligence LLP 商品コード 708581
出版日 ページ情報 英文 110 Pages
納期: 即日から翌営業日
価格
本日の銀行送金レート: 1USD=111.21円で換算しております。
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収益サイクル管理 (RCM) の世界市場 - 成長、動向、予測 Revenue Cycle Management Market - Growth, Trends, and Forecast (2019 - 2024)
出版日: 2019年03月01日 ページ情報: 英文 110 Pages
概要

世界の収益サイクル管理 (RCM) 市場は、2018年から2023年にかけて、11.5%のCAGRで拡大すると予測されています。

当レポートでは、収益サイクル管理の世界市場を調査し、市場の概要、タイプ、機能、エンドユーザー、地域別の市場動向、市場規模の推移と予測、市場促進・阻害要因ならびに市場機会の分析、競合情勢、主要企業のプロファイルなど包括的な情報を提供しています。

目次

第1章 イントロダクション

  • 市場の定義

第2章 調査方法

第3章 エグゼクティブサマリー

第4章 主な影響要因

第5章 市場の概要

  • 市場シナリオ
  • ファイブフォース分析
    • サプライヤーの交渉力
    • 消費者の交渉力
    • 新規参入の脅威
    • 代替製品とサービスの脅威
    • 業界内での競争

第6章 市場動向

  • 成長要因
  • 阻害要因
  • 市場機会
  • 課題

第7章 市場セグメンテーション

  • 提供モード別
    • Webベース
    • クラウドベース
    • オンプレミス
  • 機能別
    • 請求 & 拒否管理
    • 医療事務 & 請求書作成
    • 電子健康記録(EHR)
    • 臨床ドキュメンテーション改善 (CDI)
    • 保険
    • その他
  • エンドユーザー別
    • 病院
    • 研究所
    • その他
  • 地域別
    • 北米
    • 欧州
    • アジア太平洋
    • 中東アフリカ
    • 南米

第8章 企業プロファイル

  • Allscripts Healthcare Solutions
  • Athenahealth
  • Cerner Corporation
  • Conifer Health Solutions
  • Constellation Software
  • Eclinicalworks
  • EPIC Systems
  • GE Healthcare
  • Gebbs Healthcare Solutions
  • Mckesson Corporation

第9章 収入管理市場の将来

目次
Product Code: 62795

Market Overview

The growth of the revenue cycle management (RCM) market is attributed to the increase in government initiatives to boost the adoption of RCM solutions, increasing revenue loss due to billing errors, and increasing adoption of EHR/EMR.

Revenue for healthcare providers depends on the accurate processing of medical claims. For improving the financial outcome, a healthcare organization needs to maintain a quality revenue cycle and insurance billing. The revenue cycle management team comprises of accounts receivable (A/R) management and denial management. With mounting pressure on hospitals to reduce cost, most of the care providers are losing revenue due to claim denials and their failure to submit or delay the denied claim. This has given an opportunity for specialty firms that provide revenue cycle management service.

Most hospitals are now dependent on third-party providers for denial management service, as they lack in the expert knowledge and the time to manage the reimbursement process. Most common billing errors include failure to verify insurance, filing an incomplete claim, coding errors, lack of specificity, and missing filing deadlines. Most of the care providers are now addressing the challenge by working with third-party medical billing professionals, who are expert in the overall revenue cycle management. With their expertise, these providers are able to increase the cash flow of their clients, which was otherwise neglected by the hospitals to resubmit the denied claims. It is estimated that over 90% of the claim denials can be prevented with support from providers (who have systems) and knowledge experts in this field. From the above, it can be concluded that the revenue loss to hospitals due to billing errors can be prevented by specialty revenue cycle management service providers. Thereby, this factor is expected to drive the market studied over the forecast period.

Scope of the Report

As per the scope of this report, the term revenue cycle management refers to solutions that support various hospitals and medical facilities to increase their revenue, by addressing the mistakes in billing, and by helping with efficient billing, documentation, and claim management.

Key Market Trends

Cloud-based is the Segment Under Deployment that is Expected to grow Fastest During the Forecast Period

The web-based segment held a maximum share in 2018 as it is installed off-site and is supervised by a third party. It is used over the internet and with a web browser, which does not require any additional storage or hardware. So, the data can be retrieved by various healthcare providers from different geographical locations.

The cloud-based segment is forecasted to show significant growth during the forecast period due to the flexibility and scalability offered by these solutions. The cloud-based delivery model makes the software extremely flexible regarding scalability (pay-as-you-go storage utilization). It simplifies and consolidates storage resources to reduce cost and enhance workflow, by eliminating departmental silos of clinical information. The storage and server power for the organization is hosted off-premise. The cloud vendor provides all the off-premise system support resources. This feature about cloud technology is a key market driver.

North America holds the Largest Market Share of the Revenue Cycle Management Market Currently and is Believed to Follow the Same Trend over the Forecast Period

The North American healthcare revenue cycle management market dominated the global market and is estimated to show a similar trend during the forecast period. This growth is due to factors like significant changes in regulations that have largely affected the finances, organization, and delivery of healthcare services. Most US healthcare providers are deploying revenue cycle management (RCM) systems that reduce the time taken for receiving payment after providing a service. The RCM that automates many activities previously done manually is saving time, which is a major factor for the growth of the market.

Competitive Landscape

The RCM market is moderately competitive, and consists of several major players, including Allscripts Healthcare Solutions, Athenahealth, Cerner Corporation, etc. The companies are implementing certain strategic initiatives, such as mergers, new product launches, acquisitions, and partnerships that help them in strengthening their market position. For instance, in April 2015, CareCloud entered into a partnership with Marshfield Clinic's IT arm. CareCloud merged its medical billing software and services and Concierge practice management with Marshfield Clinic's clinical solutions, such as electronic health record, population health management tool, and patient portal. The strategic partnership enabled the company to capitalize on market opportunities and rendered the company with profits.

Reasons to Purchase this report:

  • The market estimate (ME) sheet in Excel format
  • Report customization as per the client's requirements
  • 3 months of analyst support

Table of Contents

1 INTRODUCTION

  • 1.1 Study Deliverables
  • 1.2 Study Assumptions
  • 1.3 Scope of the Study

2 RESEARCH METHODOLOGY

3 EXECUTIVE SUMMARY

4 MARKET DYNAMICS

  • 4.1 Market Overview
  • 4.2 Market Drivers
    • 4.2.1 Government Initiatives to Boost the Adoption of RCM Solutions
    • 4.2.2 Increasing Revenue Loss Due to Billing Errors
    • 4.2.3 Increasing Adoption of EHR/EMR
  • 4.3 Market Restraints
    • 4.3.1 High Pricing and Maintenance of RCM Solutions
    • 4.3.2 Lack of Proper IT infrastructure
  • 4.4 Porter's Five Forces Analysis
    • 4.4.1 Threat of New Entrants
    • 4.4.2 Bargaining Power of Buyers/Consumers
    • 4.4.3 Bargaining Power of Suppliers
    • 4.4.4 Threat of Substitute Products
    • 4.4.5 Intensity of Competitive Rivalry

5 MARKET SEGMENTATION

  • 5.1 By Deployment
    • 5.1.1 Web-based
    • 5.1.2 Cloud-based
    • 5.1.3 On-premise
  • 5.2 By Function
    • 5.2.1 Claims and Denial Management
    • 5.2.2 Medical Coding and Billing
    • 5.2.3 Electronic Health Record (EHR)
    • 5.2.4 Clinical Documentation Improvement (CDI)
    • 5.2.5 Insurance
    • 5.2.6 Other Functions
  • 5.3 By End User
    • 5.3.1 Hospitals
    • 5.3.2 Laboratories
    • 5.3.3 Other End Users
  • 5.4 Geography
    • 5.4.1 North America
      • 5.4.1.1 United States
      • 5.4.1.2 Canada
      • 5.4.1.3 Mexico
    • 5.4.2 Europe
      • 5.4.2.1 Germany
      • 5.4.2.2 United Kingdom
      • 5.4.2.3 France
      • 5.4.2.4 Italy
      • 5.4.2.5 Spain
      • 5.4.2.6 Rest of Europe
    • 5.4.3 Asia-Pacific
      • 5.4.3.1 China
      • 5.4.3.2 Japan
      • 5.4.3.3 India
      • 5.4.3.4 Australia
      • 5.4.3.5 South Korea
      • 5.4.3.6 Rest of Asia-Pacific
    • 5.4.4 Middle East & Africa
      • 5.4.4.1 GCC
      • 5.4.4.2 South Africa
      • 5.4.4.3 Rest of Middle East & Africa
    • 5.4.5 South America
      • 5.4.5.1 Brazil
      • 5.4.5.2 Argentina
      • 5.4.5.3 Rest of South America

6 COMPETITIVE LANDSCAPE

  • 6.1 Company Profiles
    • 6.1.1 Allscripts Healthcare Solutions
    • 6.1.2 athenahealth, Inc.
    • 6.1.3 Cerner Corporation
    • 6.1.4 Conifer Health Solutions, LLC
    • 6.1.5 Constellation Software
    • 6.1.6 eClinicalWorks
    • 6.1.7 Epic Systems Corporation
    • 6.1.8 GE Healthcare
    • 6.1.9 GeBBs Healthcare Solutions, Inc.
    • 6.1.10 Mckesson Corporation

7 MARKET OPPORTUNITIES AND FUTURE TRENDS

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