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Healthcare RCM Outsourcing Market Size, Share, Analysis 2031
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Healthcare RCM Outsourcing Market Size, Share, Analysis 2031

Segments - Healthcare RCM Outsourcing Market by Types (Pre-intervention, Intervention, and Post-intervention), Services (Back-end, Middle, and Front-end), End-users (Small/Rural Hospitals, Community Hospitals, Large Hospitals, and Academic Medical Centers), and Regions (North America, Europe, Asia Pacific, Latin America, and Middle East & Africa) - Global Industry Analysis, Growth, Share, Size, Trends, and Forecast 2023 – 2031

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Author : Raksha Sharma
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Fact-checked by : V. Chandola
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Editor : Vishal Golekar

Upcoming | Report ID :HC-3899 | 4.5 Rating | 64 Reviews | 184 Pages | Format : PDF Excel PPT

Report Description


The Global Healthcare RCM Outsourcing Market size was valued at USD 23.7 Billion in 2022 and is expected to surpass USD 100.41 Billion by 2031, expanding at a CAGR of 17.4% during the forecast period, 2023 – 2031. Revenue cycle management (RCM) is a financial procedure for claim processing, payment management, and revenue generation.

It is commonly used by healthcare facilities or medical billing businesses to address difficulties and track claims. RCM outsourcing has a number of advantages, including providing doctors more control and understanding of their revenue cycles. It also aids in the reduction of office infrastructure, equipment, and software operational costs, as well as the maintenance of billing operations.

Healthcare RCM Outsourcing Market Outlook

  • Growing level of awareness regarding outsourcing healthcare IT services is estimated to drive the market growth.

  • Governments in numerous countries have enacted stringent healthcare rules, resulting in a large increase in the running costs of healthcare facilities and medical billing organizations. This has opened up potential for outsourcing businesses to assist them with revenue cycle management, which is a primary driver of the global healthcare RCM outsourcing market's growth.

  • High technological costs and increasing legislative and regulatory pressure are among the primary factors that can obstruct the market expansion.

  • The rapid rise in the prevalence of diseases around the globe, increasing geriatric population, rising operating costs of healthcare facilities and medical billing companies, and rising medical institutions are among the major factors driving the market.

  • Technology improvements and modernization in the healthcare industry can generate new opportunities for the healthcare revenue cycle management outsourcing market.

Scope of Healthcare RCM Outsourcing Market Report

The report on the global healthcare RCM outsourcing market includes an assessment of the market, size, share, trends, segments, and regional markets. Overview and dynamics have been included in the report.

Attributes

Details

Report Title

Healthcare RCM Outsourcing Market – Global Industry Analysis, Growth, Share, Size, Trends, and Forecast

Base Year

2022

Historic Data

2016 - 2021

Forecast Period

2023–2031

Segmentation

Types (Pre-intervention, Intervention, and Post-intervention), Services (Back-end, Middle, and Front-end), End-users (Small/Rural Hospitals, Community Hospitals, Large Hospitals, and Academic Medical Centers)

Regional Scope

Asia Pacific, North America, Europe, Latin America, and Middle East & Africa

Report Coverage

Market scope, analysis, share, competitive analysis, growth facts, restraints, opportunities, and revenue forecast

Key Players Covered

Cognizant, Merriam-Webster, Incorporated, Health Systems Management Network, Cerner Corporation, Constellation Healthcare Technologies, Firstsource, and Meridian Medical Management

Healthcare RCM Outsourcing Market Segment Insights

Pre-intervention segment is expected to hold a significant market share

Based on types, he market can be divided into pre-intervention, intervention, and post-intervention. The pre-intervention segment is anticipated to account for a major market share during the forecast period. Rising demand for pre-intervention RCS services to allow healthcare workers to focus on the core job is estimated to drive the market segment growth. On the other hand, the intervention segment is expected to hold a considerable market share in the projected timeline.

Healthcare RCM Outsourcing Market Types

Back-end segment to constitute a major market share

On the basis of services, the healthcare RCM outsourcing market can be segregated into back-end, middle, and front-end. The back-end segment accounted for a large market share in 2020 is due to rising demand for solutions to reduce healthcare costs and the growing demand to control cash- flow. The front-end segment is estimated to expand at a high CAGR during the forecast period due to the requirement for solutions to effectively manage patient data delivery and financial settlements.

Large hospitals segment to hold a prominent share of the market

In terms of end-users, the market can be divided into small/rural hospitals, community hospitals, large hospitals, and academic medical centers. The large hospital segment is expected to hold a significant revenue share of the market. Increasing number of hospitals opting for RCM services to manage financial challenges and patient delivery is driving the segment growth.

Based on regions, healthcare RCM outsourcing market can be fragmented into North America, Europe, Asia Pacific, the Middle East and Africa, and Latin America. North America is estimated to grow at a steady rate in the projected timeline due to increased adoption of modern technologies such as electronic health record (EHR) systems and hospital information systems.

The market in North America dominated the market in 2020. On the other hand, the market in Asia Pacific is estimated to expand at a high CAGR during the forecast period due to rising digitization of healthcare services in emerging countries such as India and China. Moreover, the increasing expenditure healthcare is one of the major factors fueling the regional market growth.

Healthcare RCM Outsourcing Market Regions

Segments

Types

  • Pre-intervention
  • Intervention
  • Post-intervention

Services

  • Back-end
  • Middle
  • Front-end

End-users

  • Hospitals
  • Others

Regions

  • North America
  • Europe
  • Asia Pacific
  • Latin America
  • Middle East & Africa

By Key Players

  • Cognizant
  • Merriam-Webster Incorporated
  • Health Systems Management Network
  • Cerner Corporation
  • Constellation Healthcare Technologies
  • Firstsource
  • Meridian Medical Management

Competitive Landscape

Key players of the healthcare RCM outsourcing market are Cognizant, Merriam-Webster, Incorporated, Health Systems Management Network, Cerner Corporation, Constellation Healthcare Technologies, Firstsource, and Meridian Medical Management are the leading participants in the healthcare revenue cycle management outsourcing market.

Other domestic and international players include Conifer Health Solutions, LLC., MTBC, Source Medical., edgeMED Healthcare, MediRevv., Greenway Health, LLC, R1 RCM, Inc., Parallon, Waystar Health., and PracticeMax.

Healthcare RCM Outsourcing Market Key Players

Table Of Content

1. Executive Summary
2. Assumptions and Acronyms Used
3. Research Methodology
4. Healthcare RCM Outsourcing Market Overview
  4.1. Introduction
     4.1.1. Market Taxonomy
     4.1.2. Market Definition
  4.2. Macro-Economic Factors
     4.2.1. Industry Outlook
  4.3. Healthcare RCM Outsourcing Market Dynamics
     4.3.1. Market Drivers
     4.3.2. Market Restraints
     4.3.3. Opportunity
     4.3.4. Market Trends
  4.4. Healthcare RCM Outsourcing Market - Supply Chain
  4.5. Global Healthcare RCM Outsourcing Market Forecast
     4.5.1. Healthcare RCM Outsourcing Market Size (US$ Mn) and Y-o-Y Growth
     4.5.2. Healthcare RCM Outsourcing Market Size (000’ Units) and Y-o-Y Growth
     4.5.3. Healthcare RCM Outsourcing Market Absolute $ Opportunity
5. Global Healthcare RCM Outsourcing Market Analysis and Forecast by Types
  5.1. Market Trends
  5.2. Introduction
     5.2.1. Basis Point Share (BPS) Analysis by Types
     5.2.2. Y-o-Y Growth Projections by Types
  5.3. Healthcare RCM Outsourcing Market Size and Volume Forecast by Types
     5.3.1. Pre-intervention
     5.3.2. Intervention
     5.3.3. Post-intervention
  5.4. Absolute $ Opportunity Assessment by Types
  5.5. Market Attractiveness/Growth Potential Analysis by Types
6. Global Healthcare RCM Outsourcing Market Analysis and Forecast by End Users
  6.1. Market Trends
  6.2. Introduction
     6.2.1. Basis Point Share (BPS) Analysis by End Users
     6.2.2. Y-o-Y Growth Projections by End Users
  6.3. Healthcare RCM Outsourcing Market Size and Volume Forecast by End Users
     6.3.1. Hospitals
     6.3.2. Others
  6.4. Absolute $ Opportunity Assessment by End Users
  6.5. Market Attractiveness/Growth Potential Analysis by End Users
7. Global Healthcare RCM Outsourcing Market Analysis and Forecast by Region
  7.1. Market Trends
  7.2. Introduction
     7.2.1. Basis Point Share (BPS) Analysis by Region
     7.2.2. Y-o-Y Growth Projections by Region
  7.3. Healthcare RCM Outsourcing Market Size and Volume Forecast by Region
     7.3.1. North America
     7.3.2. Latin America
     7.3.3. Europe
     7.3.4. Asia Pacific
     7.3.5. Middle East and Africa (MEA)
  7.4. Absolute $ Opportunity Assessment by Region
  7.5. Market Attractiveness/Growth Potential Analysis by Region
  7.6. Global Healthcare RCM Outsourcing Demand Share Forecast, 2019-2026
8. North America Healthcare RCM Outsourcing Market Analysis and Forecast
  8.1. Introduction
     8.1.1. Basis Point Share (BPS) Analysis by Country
     8.1.2. Y-o-Y Growth Projections by Country
  8.2. North America Healthcare RCM Outsourcing Market Size and Volume Forecast by Country
     8.2.1. U.S.
     8.2.2. Canada
  8.3. Absolute $ Opportunity Assessment by Country
  8.4. North America Healthcare RCM Outsourcing Market Size and Volume Forecast by Types
     8.4.1. Pre-intervention
     8.4.2. Intervention
     8.4.3. Post-intervention
  8.5. Basis Point Share (BPS) Analysis by Types
  8.6. Y-o-Y Growth Projections by Types
  8.7. North America Healthcare RCM Outsourcing Market Size and Volume Forecast by End Users
     8.7.1. Hospitals
     8.7.2. Others
  8.8. Basis Point Share (BPS) Analysis by End Users
  8.9. Y-o-Y Growth Projections by End Users
  8.10. Market Attractiveness/Growth Potential Analysis
     8.10.1. By Country
     8.10.2. By Product Type
     8.10.3. By Application
  8.11. North America Healthcare RCM Outsourcing Demand Share Forecast, 2019-2026
9. Latin America Healthcare RCM Outsourcing Market Analysis and Forecast
  9.1. Introduction
     9.1.1. Basis Point Share (BPS) Analysis by Country
     9.1.2. Y-o-Y Growth Projections by Country
     9.1.3. Latin America Average Pricing Analysis
  9.2. Latin America Healthcare RCM Outsourcing Market Size and Volume Forecast by Country
      9.2.1. Brazil
      9.2.2. Mexico
      9.2.3. Rest of Latin America
   9.3. Absolute $ Opportunity Assessment by Country
  9.4. Latin America Healthcare RCM Outsourcing Market Size and Volume Forecast by Types
     9.4.1. Pre-intervention
     9.4.2. Intervention
     9.4.3. Post-intervention
  9.5. Basis Point Share (BPS) Analysis by Types
  9.6. Y-o-Y Growth Projections by Types
  9.7. Latin America Healthcare RCM Outsourcing Market Size and Volume Forecast by End Users
     9.7.1. Hospitals
     9.7.2. Others
  9.8. Basis Point Share (BPS) Analysis by End Users
  9.9. Y-o-Y Growth Projections by End Users
  9.10. Market Attractiveness/Growth Potential Analysis
     9.10.1. By Country
     9.10.2. By Product Type
     9.10.3. By Application
  9.11. Latin America Healthcare RCM Outsourcing Demand Share Forecast, 2019-2026
10. Europe Healthcare RCM Outsourcing Market Analysis and Forecast
  10.1. Introduction
     10.1.1. Basis Point Share (BPS) Analysis by Country
     10.1.2. Y-o-Y Growth Projections by Country
     10.1.3. Europe Average Pricing Analysis
  10.2. Europe Healthcare RCM Outsourcing Market Size and Volume Forecast by Country
     10.2.1. Germany
     10.2.2. France
     10.2.3. Italy
     10.2.4. U.K.
     10.2.5. Spain
     10.2.6. Russia
     10.2.7. Rest of Europe
  10.3. Absolute $ Opportunity Assessment by Country
  10.4. Europe Healthcare RCM Outsourcing Market Size and Volume Forecast by Types
     10.4.1. Pre-intervention
     10.4.2. Intervention
     10.4.3. Post-intervention
  10.5. Basis Point Share (BPS) Analysis by Types
  10.6. Y-o-Y Growth Projections by Types
  10.7. Europe Healthcare RCM Outsourcing Market Size and Volume Forecast by End Users
     10.7.1. Hospitals
     10.7.2. Others
  10.8. Basis Point Share (BPS) Analysis by End Users
  10.9. Y-o-Y Growth Projections by End Users
  10.10. Market Attractiveness/Growth Potential Analysis
     10.10.1. By Country
     10.10.2. By Product Type
     10.10.3. By Application
  10.11. Europe Healthcare RCM Outsourcing Demand Share Forecast, 2019-2026
11. Asia Pacific Healthcare RCM Outsourcing Market Analysis and Forecast
  11.1. Introduction
     11.1.1. Basis Point Share (BPS) Analysis by Country
     11.1.2. Y-o-Y Growth Projections by Country
     11.1.3. Asia Pacific Average Pricing Analysis
  11.2. Asia Pacific Healthcare RCM Outsourcing Market Size and Volume Forecast by Country
     11.2.1. China
     11.2.2. Japan
     11.2.3. South Korea
     11.2.4. India
     11.2.5. Australia
     11.2.6. Rest of Asia Pacific (APAC)
  11.3. Absolute $ Opportunity Assessment by Country
  11.4. Asia Pacific Healthcare RCM Outsourcing Market Size and Volume Forecast by Types
     11.4.1. Pre-intervention
     11.4.2. Intervention
     11.4.3. Post-intervention
  11.5. Basis Point Share (BPS) Analysis by Types
  11.6. Y-o-Y Growth Projections by Types
  11.7. Asia Pacific Healthcare RCM Outsourcing Market Size and Volume Forecast by End Users
     11.7.1. Hospitals
     11.7.2. Others
  11.8. Basis Point Share (BPS) Analysis by End Users
  11.9. Y-o-Y Growth Projections by End Users
  11.10. Market Attractiveness/Growth Potential Analysis
     11.10.1. By Country
     11.10.2. By Product Type
     11.10.3. By Application
  11.11. Asia Pacific Healthcare RCM Outsourcing Demand Share Forecast, 2019-2026
12. Middle East & Africa Healthcare RCM Outsourcing Market Analysis and Forecast
  12.1. Introduction
     12.1.1. Basis Point Share (BPS) Analysis by Country
     12.1.2. Y-o-Y Growth Projections by Country
     12.1.3. Middle East & Africa Average Pricing Analysis
  12.2. Middle East & Africa Healthcare RCM Outsourcing Market Size and Volume Forecast by Country
     12.2.1. Saudi Arabia
     12.2.2. South Africa
     12.2.3. UAE
     12.2.4. Rest of Middle East & Africa (MEA)
  12.3. Absolute $ Opportunity Assessment by Country
  12.4. Middle East & Africa Healthcare RCM Outsourcing Market Size and Volume Forecast by Types
     12.4.1. Pre-intervention
     12.4.2. Intervention
     12.4.3. Post-intervention
  12.5. Basis Point Share (BPS) Analysis by Types
  12.6. Y-o-Y Growth Projections by Types
  12.7. Middle East & Africa Healthcare RCM Outsourcing Market Size and Volume Forecast by End Users
     12.7.1. Hospitals
     12.7.2. Others
  12.8. Basis Point Share (BPS) Analysis by End Users
  12.9. Y-o-Y Growth Projections by End Users
  12.10. Market Attractiveness/Growth Potential Analysis
     12.10.1. By Country
     12.10.2. By Product Type
     12.10.3. By Application
  12.11. Middle East & Africa Healthcare RCM Outsourcing Demand Share Forecast, 2019-2026
13. Competition Landscape
  13.1. Global Healthcare RCM Outsourcing Market: Market Share Analysis
  13.2. Healthcare RCM Outsourcing Distributors and Customers
  13.3. Healthcare RCM Outsourcing Market: Competitive Dashboard
  13.4. Company Profiles (Details: Overview, Financials, Developments, Strategy)
     13.4.1. Cognizant
     13.4.2. Merriam-Webster Incorporated
     13.4.3. Health Systems Management Network
     13.4.4. Cerner Corporation
     13.4.5. Constellation Healthcare Technologies
     13.4.6. Firstsource
     13.4.7. Meridian Medical Management

Methodology

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