市場調査レポート

商品コード

1569463

収益サイクル管理（RCM）の市場規模、シェア、成長分析：製品・サービス別、タイプ別、提供モード別、エンドユーザー別、地域別 - 産業予測、2024-2031年

Revenue Cycle Management Market Size, Share, Growth Analysis, By Product and Services, By Type, By Delivery Mode, By End User, By Region - Industry Forecast 2024-2031.

出版日: 2024年10月10日
発行: SkyQuest
ページ情報: 英文 157 Pages
納期: 3～5営業日

価格

PDF & Excel (Single User License)

USD 5,300 760,921円

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PDF & Excel (Multiple User License)

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USD 7,100 1,019,347円

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概要
目次

概要

サンプル依頼リストに入れる

収益サイクル管理（RCM）の世界市場規模は2022年に2,750億米ドルと評価され、2023年の3,055億3,000万米ドルから2031年には7,091億8,000万米ドルに達し、予測期間（2024-2031年）のCAGRで11.10%の成長が予測されています。

収益サイクル管理（RCM）市場は、主に医療支出の増加と急速な技術進歩によって、大きな成長を遂げています。医療費が高騰し、請求プロセスが複雑化する中、医療機関では財務パフォーマンスと収益創出を強化するための効率的なRCMソリューションが急務となっています。多くの企業は、こうした財務課題を効果的に乗り切るため、RCMシステムに積極的に投資しています。人工知能（AI）、電子カルテ（EHR）、機械学習（ML）などのイノベーションは、RCMプロセスの精度と効率を高める上で極めて重要な役割を果たしており、市場の成長をさらに促進しています。しかし、同市場は、導入・維持コストの高さや複雑な規制環境などの課題に直面しており、これが採用を妨げる要因となっています。ハードウェア、ソフトウェア、トレーニングに必要な多額の投資は、多くの組織にとって障壁となり得る。こうした障害にもかかわらず、同市場は、先進技術、特にロボットによるプロセス自動化、AI、MLなどの統合の増加を通じて成長の機会を提示しており、これらは業務の合理化と長期的なコスト削減を約束するものです。医療組織が進化する業界情勢の中で収益サイクルの最適化を模索する中、革新的な技術の採用はRCM市場の将来の情勢を形成する上で極めて重要になります。

市場概要
北米
- 米国
- カナダ
欧州
- ドイツ
- スペイン
- フランス
- イタリア
- 英国
- その他欧州地域
アジア太平洋地域
- 中国
- インド
- 日本
- 韓国
- その他アジア太平洋地域
ラテンアメリカ
- ブラジル
- その他ラテンアメリカ地域
中東・アフリカ（MEA）
- GCC諸国
- 南アフリカ
- その他中東・アフリカ地域

競合情勢

上位5社の比較
主要企業の市場ポジショニング（2023年）
主な市場企業が採用した戦略
市場における最近の活動
主要企業の市場シェア（2023年）

主要企業プロファイル

Oracle Corporation（U.S.）
Optum, Inc.（United States）
R1 RCM, Inc.（United States）
Oracle（United States）
McKesson Corporation（United States）
Experian Plc（Ireland）
Conifer Health Solutions, LLC（United States）
Veradigm LLC（United States）
GE Healthcare（United States）
Cognizant（United States）
The SSI Group, LLC（United States）
AdvantEdge Healthcare Solutions（United States）
Huron Consulting Group Inc.（United States）
FinThrive（United States）
Plutus Health（United States）
Quest Diagnostics Incorporated（United States）
GeBBS（United States）
Epic Systems Corporation（United States）
Omega Healthcare（United States）
TruBridge（United States）
CareCloud, Inc.（United States）
Constellation Software Inc.（Canada）
VEE Technologies（United States）

Product Code: SQMIG35G2131

Global Revenue Cycle Management Market size was valued at USD 275.00 Billion in 2022 and is poised to grow from USD 305.53 Billion in 2023 to USD 709.18 Billion by 2031, at a CAGR of 11.10% over the forecast period (2024-2031).

The revenue cycle management (RCM) market is experiencing substantial growth, primarily driven by rising healthcare expenditures and rapid technological advancements. As healthcare costs escalate and billing processes become increasingly complex, there is a pressing need for efficient RCM solutions to enhance financial performance and revenue generation among healthcare organizations. Many enterprises are actively investing in RCM systems to navigate these financial challenges effectively. Innovations such as artificial intelligence (AI), electronic health records (EHRs), and machine learning (ML) are playing a pivotal role in enhancing the accuracy and efficiency of RCM processes, further propelling market growth. However, the market faces challenges, including high implementation and maintenance costs and a complicated regulatory environment, which can deter adoption. The significant investment required for hardware, software, and training can be a barrier for many organizations. Despite these obstacles, the market presents opportunities for growth through the increased integration of advanced technologies, particularly robotic process automation, AI, and ML, which promise to streamline operations and reduce costs over time. As healthcare organizations seek to optimize their revenue cycles amidst evolving industry dynamics, the adoption of innovative technologies will be crucial in shaping the future landscape of the RCM market.

Top-down and bottom-up approaches were used to estimate and validate the size of the global revenue cycle management market and to estimate the size of various other dependent submarkets. The research methodology used to estimate the market size includes the following details: The key players in the market were identified through secondary research, and their market shares in the respective regions were determined through primary and secondary research. This entire procedure includes the study of the annual and financial reports of the top market players and extensive interviews for key insights from industry leaders such as CEOs, VPs, directors, and marketing executives. All percentage shares split, and breakdowns were determined using secondary sources and verified through Primary sources. All possible parameters that affect the markets covered in this research study have been accounted for, viewed in extensive detail, verified through primary research, and analyzed to get the final quantitative and qualitative data.

global revenue cycle management Market Segmental Analysis

The Global Revenue Cycle Management Market is segmented by Product and Services, Type, Delivery Mode, End User, and Region. Based on Product and Services, the market is segmented into Software, Services, and Solutions. Based on Type, the market is segmented into Integrated and Standalone. Based on Delivery Type, the market is segmented into On-Premises, Web-Based, Cloud-Based. Based on End User, the market is segmented into Healthcare Providers (Inpatient Facilities {Hospitals, Other}, Outpatient Facilities [Physician practices, Ambulatory surgical centers (ASCs), Hospital outpatient facilities, Diagnostic & imaging centers, Other}), Healthcare Payers. By Region, the market is segmented into North America, Europe, Asia-Pacific, Middle East and Africa, and Latin America.

Driver of the global revenue cycle management Market

The transition from fee-for-service to value-based care is a significant market driver for the global revenue cycle management (RCM) market, necessitating sophisticated and mature RCM systems. This shift emphasizes enhancing patient outcomes and improving cost efficiency, prompting healthcare providers to seek integrated RCM solutions that align with these new care models. As organizations strive to streamline billing processes, reduce claim denials, and ensure compliance with evolving regulations, the demand for advanced RCM systems surges. Consequently, the increasing reliance on integrated RCM solutions underscores their critical role in achieving value-based care objectives, fueling widespread adoption and driving market growth.

Restraints in the global revenue cycle management Market

The global revenue cycle management market faces significant restraint due to escalating concerns over data privacy and security amid increasing digitalization of healthcare information. The imperative to safeguard sensitive patient data against cyber threats and breaches is critical, as failure to comply with regulations such as HIPAA and GDPR can lead to hefty financial penalties and reputational damage. This environment of heightened scrutiny not only complicates the implementation of revenue cycle management systems but also contributes to a growing apprehension among stakeholders, potentially limiting market growth and innovation due to the necessity of extensive compliance measures and robust security protocols.

Market Trends of the global revenue cycle management Market

The global revenue cycle management market is witnessing significant growth trends, driven by the increasing reliance on big data for informed decision-making and the rising popularity of cloud-based solutions. Organizations harness data analysis to tailor services to patient populations, optimize billing accuracy, and enhance reimbursement processes while mitigating compliance risks. Simultaneously, the shift towards cloud-enabled systems caters to the growing demand for convenience and accessibility in patient care management, allowing healthcare providers to operate more efficiently and securely with real-time data access. This convergence of data analytics and cloud technology is expected to propel the revenue cycle management market to unprecedented heights in the coming years.

Introduction

Objectives of the Study
Definitions
Market Scope

Research Methodology

Information Procurement
Secondary & Primary Data Sources
Market Size Estimation
Market Assumptions & Limitations

Executive Summary

Market Overview Outlook
Supply Demand Trend Analysis
Segmental Opportunity Analysis

Market Dynamics & Outlook

Market Dynamics
- Drivers
- Opportunities
- Restraints
- Challenges
Porters Analysis
- Competitive rivalry
- Threat of Substitute Products
- Bargaining Power of Buyers
- Threat of New Entrants
- Bargaining Power of Suppliers

Key Market Insights

Technology Analysis
Pricing Analysis
Value Chain Analysis
Case Study Analysis
Trade Analysis
Ecosystem of the Market
Customer & Buying Criteria Analysis
Patent Analysis
Regulatory Landscape
PESTEL Analysis
Innovation Matrix
Top Investment Analysis
Key Success Factor
Market Attractive Index
Degree of Competition

Revenue Cycle Management Market by Product and Services

Market Overview
Software
Services
- Patient Access Outsourcing Services
- Mid-revenue Cycle Outsourcing Services
- Back-end Revenue Cycle Outsourcing Services
Solutions
- Patient Access Solutions
- Eligibility verification solutions
- Pre-certification & authorization solutions
- Other
- Mid-revenue Cycle Solutions
- Clinical coding solutions
- Clinical documentation improvement solutions
- Other
- Back-end Revenue Cycle Solutions
- Claims processing solutions
- Denial management solutions
- Other

Revenue Cycle Management Market by Type

Market Overview
Integrated
Standalone

Revenue Cycle Management Market by Delivery Mode

Market Overview
On-Premises
Web-Based
Cloud-Based

Revenue Cycle Management Market by End User

Market Overview
Healthcare Providers
- Inpatient Facilities
- Hospitals
- Other
Outpatient Facilities
- Physician practices
- Ambulatory surgical centers (ASCs)
- Hospital outpatient facilities
- Diagnostic & imaging centers
- Other
Healthcare Payers

Revenue Cycle Management Market Size by Region

Market Overview
North America
- USA
- Canada
Europe
- Germany
- Spain
- France
- Italy
- UK
- Rest of Europe
Asia Pacific
- China
- India
- Japan
- South Korea
- Rest of Asia-Pacific
Latin America
- Brazil
- Rest of Latin America
Middle East & Africa (MEA)
- GCC Countries
- South Africa
- Rest of MEA

Competitive Landscape

Top 5 Player Comparison
Market Positioning of Key Players, 2023
Strategies Adopted by Key Market Players
Recent Activities in the Market
Key Companies Market Share (%), 2023

Key Company Profiles

Oracle Corporation (U.S.)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Optum, Inc. (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
R1 RCM, Inc. (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Oracle (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
McKesson Corporation (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Experian Plc (Ireland)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Conifer Health Solutions, LLC (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Veradigm LLC (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
GE Healthcare (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Cognizant (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
The SSI Group, LLC (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
AdvantEdge Healthcare Solutions (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Huron Consulting Group Inc. (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
FinThrive (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Plutus Health (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Quest Diagnostics Incorporated (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
GeBBS (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Epic Systems Corporation (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Omega Healthcare (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
TruBridge (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
CareCloud, Inc. (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Constellation Software Inc. (Canada)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
VEE Technologies (United States)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments

収益サイクル管理（RCM）の市場規模、シェア、成長分析：製品・サービス別、タイプ別、提供モード別、エンドユーザー別、地域別 - 産業予測、2024-2031年

Revenue Cycle Management Market Size, Share, Growth Analysis, By Product and Services, By Type, By Delivery Mode, By End User, By Region - Industry Forecast 2024-2031.

目次

イントロダクション

調査手法

エグゼクティブサマリー

市場力学と見通し

主な市場の考察

収益サイクル管理（RCM）市場：製品・サービス別

収益サイクル管理（RCM）市場：タイプ別

収益サイクル管理（RCM）市場：提供モード別

収益サイクル管理（RCM）市場：エンドユーザー別

収益サイクル管理（RCM）市場規模：地域別