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Revenue Cycle Management Market worth $84.1 billion | MarketsandMarkets
CHICAGO, June 30, 2023 /PRNewswire/ — In the near future, the revenue cycle management (RCM) industry is expected to undergo significant transformation and growth. Advancements in technology, such as artificial intelligence and machine learning, will drive automation and optimization of RCM processes, reducing administrative costs and expediting revenue cycles. Data analytics will play a crucial role in identifying revenue leakage and improving financial outcomes. Moreover, there will be a greater emphasis on patient experience, with transparent pricing, cost estimates, and convenient payment options becoming integral to RCM practices. Compliance with evolving regulatory requirements will be a key focus, leading to increased demand for specialized RCM expertise. Outsourcing and strategic partnerships will continue to be prevalent, allowing healthcare organizations to leverage the expertise and scalability of RCM vendors. As the industry adapts to evolving payment models, such as value-based care, RCM processes will need to align with new reimbursement methodologies. Overall, the future of the RCM industry holds immense potential for innovation, efficiency, and improved financial outcomes for healthcare organizations.
Revenue Cycle Management Market in terms of revenue was estimated to be worth $49.6 billion in 2023 and is poised to reach $84.1 billion by 2028, growing at a CAGR of 11.1% from 2023 to 2028 according to a new report by MarketsandMarkets™. The shift from fee-for-service to value-based reimbursement models is transforming the RCM market. Value-based reimbursement models are based on patient outcomes rather than the volume of treatments rendered to patients. Value-based reimbursement models have enhanced patient experience and facilitated financial workflows for providers. This has positively impacted the RCM market growth to a certain extent. Also, growing regulatory requirements & government initiatives are expected to drive demand of the RCM market during the forecast period.
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Browse in-depth TOC on “Revenue Cycle Management Market”
282 – Tables
40 – Figures
275 – Pages
Revenue Cycle Management Market Scope:
Report Coverage |
Details |
Market Revenue in 2023 |
$49.6 billion |
Estimated Value by 2028 |
$84.1 billion |
Growth Rate |
Poised to grow at a CAGR of 11.1% |
Market Size Available for |
2021–2028 |
Forecast Period |
2023–2028 |
Forecast Units |
Value (USD Billion) |
Report Coverage |
Revenue Forecast, Competitive Landscape, Growth Factors, and Trends |
Segments Covered |
Product & services, delivery mode, end user and region |
Geographies Covered |
North America, Europe, Asia Pacific, Latin America, and Middle East & Africa |
Report Highlights |
Updated financial information / product portfolio of players |
Key Market Opportunities |
Growing demand for AI & cloud-based deployment |
Key Market Drivers |
Growing need to manage unstructured healthcare data |
By product & services segment, the outsourcing services segment is expected to grow at the highest growth rate during the forecast period.
The outsourced services segment is anticipated to expand at a considerable CAGR among the product & service categories throughout the forecast period. This can be attributed to its ability to optimize revenue cycle operations through the utilization of specialized resources and expertise from third-party providers. By doing so, healthcare organizations can focus on their core competencies, achieve cost reductions, and enhance operational efficiency. Furthermore, outsourcing services grant access to advanced technology platforms, enabling seamless integration, streamlined workflows, and robust data analytics capabilities. With scalability and adaptability, outsourcing services drive revenue cycle management advancements, bolster financial stability, and elevate overall performance for healthcare providers.
By delivery mode, the on-premise segment is expected to account for the largest revenue cycle management market share.
In 2022, the on-premise segment held the largest market share for revenue cycle management globally. The significant market share of this segment can be attributed to the security and data safety features possessed by on-premise deployment. Easy data access within the interdependent facilities of a healthcare setting has further elevated the market share.
By end user, the healthcare providers segment is expected to account for the largest share of the revenue cycle management market.
Healthcare payers and providers are the two market segments for revenue cycle management based on end users. RCM offers numerous benefits for healthcare providers, helping them optimize financial performance, improve operational efficiency, and enhance the overall patient experience. These factors have elevated the adoption of RCM solutions amongst healthcare providers, thus, positively impacting the market growth.
North America dominates the revenue cycle management market during the forecast period.
In 2022, North America held the largest market share for revenue cycle management. The large share of this region can be attributed to several factors, including strict regulations, an increase in the number of claims denials, well-established government payers and high numbers of private healthcare payers, and a sizable number of healthcare IT companies.
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Revenue Cycle Management Market Dynamics:
Drivers:
- Growing need to manage unstructured healthcare data
Restraints:
- Deployment costs include licensing and subscription costs
Opportunities:
- Growing demand for AI & cloud-based deployment
Challenges:
- Issues related to data security and confidentiality
Key Market Players:
R1 RCM (US), Oracle (US), Optum (US) are the leading players in the market. Other players include McKesson Corporation (US), Change Healthcare (US), 3M (US), Experian plc (Ireland), Conifer Health Solutions (US), Veradigm (US), GE Healthcare (US), Cognizant (US), athenahealth (US), SSI Group LLC (US), AdvantEdge Healthcare (US), and Huron Consulting Group (US)
Recent Developments:
- In 2023, Optum partnered with Owensboro Health to manage revenue cycle and information technology and improve patient outcomes and safety.
- In 2022, the R1 RCM announced 10-year end-to-end RCM partnerships with Scion Health, Sutter Health, and St. Clair Health to streamline workflow standardization and improve patient access platforms.
- In 2022, McKesson signed a definitive agreement to acquire Rx Savings Solutions to offer medication therapy more affordable and increase medication adherence to improve outcomes.
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Revenue Cycle Management Market Advantages:
- Improved Financial Performance: RCM solutions help healthcare organizations optimize their revenue streams by streamlining billing, coding, claims processing, and payment collection processes. By enhancing the accuracy and efficiency of these processes, RCM solutions minimize revenue leakage, reduce claim denials, and expedite payment cycles, leading to improved financial performance for healthcare providers.
- Cost Savings: Implementing RCM solutions can result in significant cost savings for healthcare organizations. By automating manual tasks, reducing paperwork, and minimizing errors, RCM solutions reduce administrative expenses and enhance operational efficiency. Moreover, RCM solutions provide insights into billing patterns and revenue trends, enabling organizations to identify areas for improvement and implement proactive strategies to maximize revenue generation.
- Enhanced Revenue Integrity: RCM solutions ensure the integrity of revenue by improving coding accuracy and compliance with regulatory requirements. With ever-changing healthcare regulations and reimbursement policies, RCM solutions help healthcare organizations stay up-to-date and compliant, reducing the risk of penalties and revenue loss due to non-compliance.
- Increased Productivity: RCM solutions automate repetitive and time-consuming tasks, enabling healthcare professionals to focus on patient care rather than administrative burdens. By reducing manual intervention, RCM solutions streamline workflows, enhance productivity, and allow staff to allocate their time and expertise more effectively, leading to improved overall operational efficiency.
- Real-time Analytics and Reporting: RCM solutions provide real-time data analytics and reporting capabilities, offering healthcare organizations valuable insights into key performance indicators, revenue trends, and financial metrics. These insights enable informed decision-making, identification of revenue optimization opportunities, and implementation of proactive strategies to address revenue cycle challenges.
- Patient Satisfaction and Experience: RCM solutions contribute to improved patient satisfaction by enhancing the financial experience for patients. Transparent pricing, accurate cost estimates, and convenient payment options provided through RCM systems empower patients to make informed financial decisions and ease the burden of medical billing. This, in turn, enhances patient loyalty and contributes to a positive overall patient experience.
- Scalability and Adaptability: RCM solutions can be tailored to the specific needs and size of healthcare organizations, making them scalable and adaptable. Whether it is a small clinic or a large hospital system, RCM solutions can accommodate varying volumes of transactions and adapt to evolving industry requirements, supporting the growth and changing needs of healthcare organizations.
In conclusion, the revenue cycle management market offers advantages such as improved financial performance, cost savings, enhanced revenue integrity, increased productivity, real-time analytics, patient satisfaction, and scalability. These advantages position RCM solutions as essential tools for healthcare organizations seeking to optimize revenue streams, improve operational efficiency, and provide an enhanced financial experience for patients.
Revenue Cycle Management Market – Report Highlights:
The global revenue cycle management market is projected to reach USD 84.15 billion by 2028 from USD 49.6 billion in 2023, at a CAGR of 11.1% during the forecast period. The market growth is majorly attributed to the need for increased patient volumes and the growing need to manage unstructured healthcare data. Also, growing regulatory requirements & government initiatives are expected to drive demand growth in the revenue cycle management market during the forecast period.
Recession Impact on Revenue cycle management market
Recession after Covid-19 did not have a substantial impact on the RCM market. In fact, according to industry experts, demand for RCM solutions increased to overcome the growing expenses and shortage of funds faced by healthcare providers. The highly efficient RCM solutions helped the healthcare providers to achieve their financial goals with the help of predictive analytics. However, few small healthcare practices shifted their economic focus to essential medical services due to budgetary constraints. This had affected the market growth to a certain extent.
R1 RCM (US), Oracle (US), and Optum (US) are among the significant providers of the Revenue cycle management market.
Coverage of market players
We have covered 25 companies in the report, including R1 RCM (US), Oracle (US), Optum (US), McKesson Corporation (US), Change Healthcare (US), 3M (US), AdvantEdge Healthcare (US), Conifer Health Solutions (US), Veradigm (US), GE Healthcare (US), Cognizant (US), Huron Consulting Group (US), SSI Group LLC (US), Experian plc (Ireland), and athenahealth (US).
Updated financial information and recent developments of the profiled players
The report contains the updated financial information for each listed public company from January 2021 to March 2023. It also includes the recent developments undertaken by market players as well as their strategic overview.
Recent developments help identify market trends and popular growth strategies market players adopt. The current analysis shows that service launches and acquisitions were prominent growth strategies for players between January 2020 and August 2022.
Market Overview and Industry Insights
Updated the market overview inclined to new recent developments and recently available statistics. Ecosystem/ market map, tariff, and regulatory landscape, case study analysis, key conferences & events in 2022-2023, Porter five forces analysis, adjacent market analysis, trends, key stakeholders and buying criteria, and indicative pricing analysis are added in industry insights.
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China’s AIMA brand electric motorbike is now in Bangladesh
DHAKA, Bangladesh, Nov. 23, 2024 /PRNewswire/ — With the popularity of electric vehicles in Bangladesh, the globally renowned AIMA brand has also arrived in Bangladesh. The esteemed DX Group has brought the AIMA F-626 to customers. This environmentally friendly battery-operated electric motorbike has already been approved by the Bangladesh Road Transport Authority (BRTA) now.
In light of the increasing popularity of electric motorcycles in the country, the internationally-leading brand AIMA has entered the market. By the end of 2023, AIMA electric two-wheelers had established a presence in over 50 countries worldwide, with 11 global production bases, including overseas factories in Indonesia and Vietnam. In 2022, AIMA collaborated with Rob Janoff, the designer of the Apple logo, to refresh the brand’s VI system with a youthful and fashionable image. In 2023, AIMA teamed up with PANTONE, the global authority in color expertise, to create the trending color of the year. As an industry leader, AIMA spearheads the electric two-wheeler sector and showcases the prowess of a leading electric two-wheeler brand on a global scale. As of March 31, 2024, AIMA’s total electric two-wheeler sales had reached 80 million units, earning certification from Frost & Sullivan, a globally recognized business growth consulting firm, as the “Global Leading Electric Two-wheeler Brand”.
Over the years, AIMA has always been a product trendsetter in the electric two-wheeler sector. As of March 31, 2024, the total sales volume of AIMA electric two-wheelers reached 80 million, and Frost & Sullivan, a world-renowned market consulting company, awarded AIMA with the market status certification of the “Global Leading Electric Two-wheeler Brand (by Sales)”.
AIMA adhere to the customer-centered product philosophy and technologies that support long-term innovation and breakthroughs. We believe that the efficiency and modern technology of the AIMA F-626 will present an excellent alternative means of communication for our customers.
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China Telecom Gulf Officially Launches in Saudi Arabia for Business
HONG KONG, Nov. 23, 2024 /PRNewswire/ — On November 21, China Telecom Gulf was officially launched in Riyadh. This milestone marks a significant step in China Telecom’s efforts to provide deep services under the “Belt and Road Initiative” and to promote the building of a “China-Arab Community with a Shared Future.” It signifies another solid advancement on China Telecom’s path toward internationalization. Mr. Liu Guiqing, Executive Director and EVP of China Telecom Corporation, delivered an opening speech, along with Mr. Fawaz, Representative of Contact Office of Chinese Companies in the KSA, Deputy General Manager of Industrial and Commercial Bank of China Riyadh Branch. Over 100 guests and leaders from the Economic and Commercial Office of Embassy of the PRC of the KSA, Saudi Telecom Company (STC), Bank of China, Huawei, and others attended to witness this momentous occasion.
In his address, Mr. Liu Guiqing emphasized China Telecom’s commitment to openness, cooperation, and mutual benefit. He expressed the company’s willingness to share its experiences in cloud-network integration, cloud transformation, intelligent operations, and technological innovation. China Telecom aims to work closely with various levels of Saudi governments, enterprises, and partners to actively participate in the development of local digital infrastructure, drive the rapid advancement of next-generation information technologies, and establish a robust bridge for cooperation between China and Saudi Arabia in the field of information technology. Leveraging its extensive resources and global operational capabilities, China Telecom plans to bring its strengths in 5G, cloud computing, artificial intelligence, and other fields to provide innovative, high-quality communication products and services to Saudi enterprises, institutions, and consumers.
Mr. Fawaz extended his warm congratulations on the opening of China Telecom Gulf. He highlighted that as a leading global provider of communication services, China Telecom possesses abundant cloud-network resources and mature international service capabilities. The establishment of China Telecom Gulf is a significant step toward supporting the digital transformation of businesses in the region. He expressed confidence that through joint efforts, the company will seize opportunities in the digital era and contribute to Saudi Arabia’s socio-economic development and practical cooperation between China and Saudi Arabia in various fields.
China Telecom showcased its global resources, business capabilities, and its investments and partnerships in the Middle East and Africa. Key services introduced included eSurfing Cloud, computing power solutions, quantum technology, and customized 5G networks. Currently, China Telecom operates branches in 42 countries and regions worldwide, owns 53 international submarine cables, and manages 27 self-operated Internet Data Centers (IDCs). Its cloud-network integrated infrastructure and customer-centric digital service systems provide coverage across the globe.
During the event, China Telecom Gulf signed strategic cooperation agreements with Saudi Telecom Company (STC), Huawei Saudi Arabia, and Baud Telecom Company. The parties committed to deep collaboration, leveraging their respective strengths to provide optimized and convenient digital experiences to Saudi customers.
The establishment of China Telecom’s presence in Saudi Arabia marks a major milestone in the company’s entry into the Middle Eastern communications market, representing a key development in its global strategy. Moving forward, China Telecom Gulf will leverage China Telecom’s robust digital infrastructure and resource integration capabilities. We will collaborate closely with local Saudi enterprises, Chinese businesses expanding internationally, and global companies to strengthen cooperation and enhance exchanges. The company aims to contribute to the growth of Sino-Saudi and Middle Eastern industrial cooperation, continuously offering more smart solutions for the development of the Middle East’s digital economy, while striving to become a world-class provider of digital and intelligent technology services.
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Redefining Financial Frontiers: Nucleus Software Celebrates 30 Years with Synapse 2024 in Singapore
SINGAPORE, Nov. 23, 2024 /PRNewswire/ — The thriving India–Singapore partnership in banking and technology reached a new milestone as Nucleus Software celebrated 30 years of transformative innovation at Synapse 2024, held in Singapore. The event underscored the company’s role in redefining financial services across Southeast Asia (SEA) and the globe, bringing together leaders in finance and technology to explore a shared vision for the future of banking.
Synapse 2024 celebrated 30 years of Nucleus Software’s leadership in driving transformative change across Singapore and Southeast Asia’s financial ecosystem. The event also shone a spotlight on the Global Finance & Technology Network (GFTN), an initiative supported by the Monetary Authority of Singapore (MAS) to champion responsible technology adoption. The event highlighted the deepening synergies between India and Singapore, driven by their shared commitment to innovation, cross-border collaboration, and financial inclusion. As the financial services sector undergoes rapid evolution with advancements in artificial intelligence, blockchain, and digital banking, these partnerships are setting the stage for a more connected, resilient, and inclusive global ecosystem.
Vishnu R. Dusad, Co-founder and Managing Director of Nucleus Software, reflected on the milestone: “For over 30 years, we’ve had the privilege of aligning our journey with Singapore’s ascent as a global financial powerhouse. Back in 1994, when we chose to go East instead of West, it was a bold and emotional decision—guided by our belief in Singapore as a hub for innovation and collaboration. We saw then what remains true today: Singapore is at the heart of the global financial landscape, a place where new ideas take root, and partnerships thrive.”
The event brought together a distinguished array of participants, highlighting the transformative potential of India–Singapore collaboration. Mr. Piyush Gupta, CEO of DBS Group and the Guest of Honor, set the tone for the event with his opening remarks, emphasizing the transformative role of big tech in reimagining scalable, customer-centric financial services in the digital age.
Following his address, key speakers enriched the discussions with their insights. Mr. Sopnendu Mohanty, Chief Fintech Officer at the Monetary Authority of Singapore and Group CEO-Designate of The Global Finance & Technology Network (GFTN), underlined the importance of fostering responsible technology adoption and building inclusive financial ecosystems. Mr. Vinod Rai, globally respected public policy expert, Distinguished Visiting Research Fellow at the National University of Singapore, and former Comptroller and Auditor General of India, shared his perspectives on governance and policy frameworks in financial systems. Mr. S.M. Acharya, Chairman of Nucleus Software and former Defence Secretary of India, offered a visionary outlook on leveraging technology to modernize and secure banking frameworks. Finally, Mr. Pieter Franken, Co-founder and Director of GFTN (Japan), a global FinTech pioneer and deep tech innovator, discussed the future of decentralized finance and its implications for the financial sector.
The event showcased the transformative role of technology in global financial systems, emphasizing innovations that set benchmarks for scalability and inclusivity. Panelists discussed the importance of localized solutions, the challenges of cross-border integration, and leveraging dual business models to optimize capital and foster public participation. The dialogue highlighted the need for common standards, unified frameworks like APIs, and collaborative efforts to accelerate financial inclusion and drive global connectivity in the digital age.
For 30 years, Nucleus Software has consistently introduced advanced lending and banking solutions that support financial institutions’ evolving needs in Singapore and South East Asia. Driven by lean development methodologies like Acceptance Test-Driven Development (ATDD) and Continuous Integration/Continuous Delivery (CICD), Nucleus Software continues to push boundaries in efficient, flexible, and secure financial technology.
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