Back-end Revenue Cycle Management Market (RCM) by Offering (Services, Software), Deployment (On-Cloud, On-Premise), End User - Global Forecast 2023-2030
The Back-end Revenue Cycle Management Market is projected to reach USD 17.13 billion by 2030 from USD 11.35 billion in 2022, at a CAGR of 5.28% during the forecast period.
Market Segmentation & Coverage:
This research report analyzes various sub-markets, forecasts revenues, and examines emerging trends in each category to provide a comprehensive outlook on the Back-end Revenue Cycle Management Market.
- Based on Offering, market is studied across Services and Software. The Services is further studied across Support & Maintenance and Training & Implementation. The Software is further studied across Integrated Software and Standalone Software. The Standalone Software is further studied across Billing/Billing Review Software, Claims Processing Software, Coding & Auditing Software, Denial Management Software, and Payment Integrity Software. The Services is projected to witness significant market share during forecast period.
- Based on Deployment, market is studied across On-Cloud and On-Premise. The On-Premise is projected to witness significant market share during forecast period.
- Based on End User, market is studied across Healthcare Payer and Healthcare Provider. The Healthcare Provider is further studied across Inpatient Facilities and Outpatient Facilities & Physician Clinic. The Healthcare Payer is projected to witness significant market share during forecast period.
- Based on Region, market is studied across Americas, Asia-Pacific, and Europe, Middle East & Africa. The Americas is further studied across Argentina, Brazil, Canada, Mexico, and United States. The United States is further studied across California, Florida, Illinois, New York, Ohio, Pennsylvania, and Texas. The Asia-Pacific is further studied across Australia, China, India, Indonesia, Japan, Malaysia, Philippines, Singapore, South Korea, Taiwan, Thailand, and Vietnam. The Europe, Middle East & Africa is further studied across Denmark, Egypt, Finland, France, Germany, Israel, Italy, Netherlands, Nigeria, Norway, Poland, Qatar, Russia, Saudi Arabia, South Africa, Spain, Sweden, Switzerland, Turkey, United Arab Emirates, and United Kingdom. The Asia-Pacific is projected to witness significant market share during forecast period.
The report provides market sizing and forecasts across 7 major currencies - USD, EUR, JPY, GBP, AUD, CAD, and CHF; multiple currency support helps organization leaders to make well-informed decisions. In this report, 2018 to 2021 are considered as historical years, 2022 is base year, 2023 is estimated year, and years from 2024 to 2030 are considered as forecast period.
FPNV Positioning Matrix:
The FPNV Positioning Matrix is an indispensable tool for assessing the Back-end Revenue Cycle Management Market. It comprehensively evaluates vendors, analyzing key metrics related to Business Strategy and Product Satisfaction. This enables users to make informed decisions tailored to their specific needs. Through advanced analysis, vendors are categorized into four distinct quadrants, each representing a different level of success: Forefront (F), Pathfinder (P), Niche (N), or Vital (V). Be assured that this insightful framework empowers decision-makers to navigate the market with confidence.
Market Share Analysis:
The Market Share Analysis offers invaluable insights into the vendor landscape Back-end Revenue Cycle Management Market. By evaluating their impact on overall revenue, customer base, and other key metrics, we provide companies with a comprehensive understanding of their performance and the competitive environment they confront. This analysis also uncovers the level of competition in terms of market share acquisition, fragmentation, dominance, and industry consolidation during the study period.
Key Company Profiles:
The report delves into recent significant developments in the Back-end Revenue Cycle Management Market, highlighting leading vendors and their innovative profiles. These include ACU-SERVE CORP, Allscripts Healthcare Solutions, Inc. by Veradigm LLC, Allzone Management Services Inc., Ascribe Healthcare Solutions Pvt. Ltd., Athenahealth, Inc., CodaMetrix, Cognizant Technology Solutions Corporation a, Conifer Health Solutions, LLC, eClinicalWorks, LLC, Enter Inc., Experian Information Solutions, Inc., Forcura, GE HealthCare Technologies Inc., GeBBS Healthcare Solutions, Inc., Hexplora, JK TECH, KG Invicta Services Private Limited, Nath Healthcare, NXGN Management, LLC, Optum, Inc., Oracle Corporation, PayrHealth, LLC, Quest Diagnostics Incorporated, R1 RCM, Inc., and The SSI Group.
The report offers valuable insights on the following aspects:
- Market Penetration: It provides comprehensive information about key players' market dynamics and offerings.
- Market Development: In-depth analysis of emerging markets and penetration across mature market segments, highlighting lucrative opportunities.
- Market Diversification: Detailed information about new product launches, untapped geographies, recent developments, and investments.
- Competitive Assessment & Intelligence: Exhaustive assessment of market shares, strategies, products, certifications, regulatory approvals, patent landscape, and manufacturing capabilities of leading players.
- Product Development & Innovation: Intelligent insights on future technologies, R&D activities, and breakthrough product developments.
- What is the market size and forecast for the Back-end Revenue Cycle Management Market?
- Which products, segments, applications, and areas hold the highest investment potential in the Back-end Revenue Cycle Management Market?
- What is the competitive strategic window for identifying opportunities in the Back-end Revenue Cycle Management Market?
- What are the latest technology trends and regulatory frameworks in the Back-end Revenue Cycle Management Market?
- What is the market share of the leading vendors in the Back-end Revenue Cycle Management Market?
- Which modes and strategic moves are suitable for entering the Back-end Revenue Cycle Management Market?
Please Note: PDF & Excel + Online Access - 1 Year
- 1. Preface
- 1.1. Objectives of the Study
- 1.2. Market Segmentation & Coverage
- 1.3. Years Considered for the Study
- 1.4. Currency & Pricing
- 1.5. Language
- 1.6. Limitations
- 1.7. Assumptions
- 1.8. Stakeholders
- 2. Research Methodology
- 2.1. Define: Research Objective
- 2.2. Determine: Research Design
- 2.3. Prepare: Research Instrument
- 2.4. Collect: Data Source
- 2.5. Analyze: Data Interpretation
- 2.6. Formulate: Data Verification
- 2.7. Publish: Research Report
- 2.8. Repeat: Report Update
- 3. Executive Summary
- 4. Market Overview
- 4.1. Introduction
- 4.2. Back-end Revenue Cycle Management Market, by Region
- 5. Market Insights
- 5.1. Market Dynamics
- 5.1.1. Drivers
- 5.1.1.1. Complexity of healthcare billing and improving reimbursement structure
- 5.1.1.2. Adoption of electronic health records with government support for healthcare digitalization
- 5.1.1.3. Popularity of outsourced RCM services and increased focus on revenue optimization
- 5.1.2. Restraints
- 5.1.2.1. Difficulty of system integration with legacy systems
- 5.1.3. Opportunities
- 5.1.3.1. Emergence of AI and ML-based back-end RCM systems
- 5.1.3.2. Integration of RCM with telehealth and remote patient monitoring devices
- 5.1.4. Challenges
- 5.1.4.1. Concerns associated with patient data loss and breach of security
- 5.2. Market Segmentation Analysis
- 5.3. Market Trend Analysis
- 5.4. Cumulative Impact of COVID-19
- 5.5. Cumulative Impact of Russia-Ukraine Conflict
- 5.6. Cumulative Impact of High Inflation
- 5.7. Porter’s Five Forces Analysis
- 5.7.1. Threat of New Entrants
- 5.7.2. Threat of Substitutes
- 5.7.3. Bargaining Power of Customers
- 5.7.4. Bargaining Power of Suppliers
- 5.7.5. Industry Rivalry
- 5.8. Value Chain & Critical Path Analysis
- 5.9. Regulatory Framework
- 5.10. Client Customization
- 6. Back-end Revenue Cycle Management Market, by Offering
- 6.1. Introduction
- 6.2. Services
- 6.3.1. Support & Maintenance
- 6.3.2. Training & Implementation
- 6.3. Software
- 6.4.1. Integrated Software
- 6.4.2. Standalone Software
- 6.4.3.1. Billing/Billing Review Software
- 6.4.3.2. Claims Processing Software
- 6.4.3.3. Coding & Auditing Software
- 6.4.3.4. Denial Management Software
- 6.4.3.5. Payment Integrity Software
- 7. Back-end Revenue Cycle Management Market, by Deployment
- 7.1. Introduction
- 7.2. On-Cloud
- 7.3. On-Premise
- 8. Back-end Revenue Cycle Management Market, by End User
- 8.1. Introduction
- 8.2. Healthcare Payer
- 8.3. Healthcare Provider
- 8.4.1. Inpatient Facilities
- 8.4.2. Outpatient Facilities & Physician Clinic
- 9. Americas Back-end Revenue Cycle Management Market
- 9.1. Introduction
- 9.2. Argentina
- 9.3. Brazil
- 9.4. Canada
- 9.5. Mexico
- 9.6. United States
- 10. Asia-Pacific Back-end Revenue Cycle Management Market
- 10.1. Introduction
- 10.2. Australia
- 10.3. China
- 10.4. India
- 10.5. Indonesia
- 10.6. Japan
- 10.7. Malaysia
- 10.8. Philippines
- 10.9. Singapore
- 10.10. South Korea
- 10.11. Taiwan
- 10.12. Thailand
- 10.13. Vietnam
- 11. Europe, Middle East & Africa Back-end Revenue Cycle Management Market
- 11.1. Introduction
- 11.2. Denmark
- 11.3. Egypt
- 11.4. Finland
- 11.5. France
- 11.6. Germany
- 11.7. Israel
- 11.8. Italy
- 11.9. Netherlands
- 11.10. Nigeria
- 11.11. Norway
- 11.12. Poland
- 11.13. Qatar
- 11.14. Russia
- 11.15. Saudi Arabia
- 11.16. South Africa
- 11.17. Spain
- 11.18. Sweden
- 11.19. Switzerland
- 11.20. Turkey
- 11.21. United Arab Emirates
- 11.22. United Kingdom
- 12. Competitive Landscape
- 12.1. FPNV Positioning Matrix
- 12.2. Market Share Analysis, By Key Player
- 12.3. Competitive Scenario Analysis, By Key Player
- 13. Competitive Portfolio
- 13.1. Key Company Profiles
- 13.1.1. ACU-SERVE CORP
- 13.1.2. Allscripts Healthcare Solutions, Inc. by Veradigm LLC
- 13.1.3. Allzone Management Services Inc.
- 13.1.4. Ascribe Healthcare Solutions Pvt. Ltd.
- 13.1.5. Athenahealth, Inc.
- 13.1.6. CodaMetrix
- 13.1.7. Cognizant Technology Solutions Corporation a
- 13.1.8. Conifer Health Solutions, LLC
- 13.1.9. eClinicalWorks, LLC
- 13.1.10. Enter Inc.
- 13.1.11. Experian Information Solutions, Inc.
- 13.1.12. Forcura
- 13.1.13. GE HealthCare Technologies Inc.
- 13.1.14. GeBBS Healthcare Solutions, Inc.
- 13.1.15. Hexplora
- 13.1.16. JK TECH
- 13.1.17. KG Invicta Services Private Limited
- 13.1.18. Nath Healthcare
- 13.1.19. NXGN Management, LLC
- 13.1.20. Optum, Inc.
- 13.1.21. Oracle Corporation
- 13.1.22. PayrHealth, LLC
- 13.1.23. Quest Diagnostics Incorporated
- 13.1.24. R1 RCM, Inc.
- 13.1.25. The SSI Group
- 13.2. Key Product Portfolio
- 14. Appendix
- 14.1. Discussion Guide
- 14.2. License & Pricing
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