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Published: Jan, 2019 | Pages:
81 | Publisher: Grand View Research
Industry: Medical Devices | Report Format: Electronic (PDF)
The U.S. revenue cycle management (RCM) market size is expected to reach USD 25.63 billion by 2025, according to a new report by Grand View Research, Inc. It is anticipated to expand at a CAGR of 11.2% over the forecast period. Supportive government reforms along with growing need for optimization of the organizational workflow will propel the market growth. Government reforms, such as the Affordable Care Act (ACA) U.S. focused on expanding health insurance coverage to individuals with low income, improving the quality of healthcare services, and reducing healthcare costs are playing a crucial role in boosting the adoption of Revenue Cycle Management (RCM) systems. Furthermore, the expanding insurance coverage is projected to increase the reimbursements as well as denials that are required to be managed through RCM. Therefore, the demand for systems that can efficiently manage reimbursement processes is expected to increase. In addition, the Health Information Technology for Economic and Clinical Health (HITECH) Act promotes the adoption of certified EHR systems in U.S., which is anticipated to bode well for the growth of the market in near future. Implementation of Stage 3 of the Medicaid and Medicare EHR Incentive Programs in 2015 that promoted the adoption of Healthcare IT systems to improve healthcare quality, is also contributing to the U.S. revenue cycle management market. Several healthcare providers across the country are undertaking initiatives to facilitate health data exchange and improve the efficiency of healthcare systems. For instance, the initiative taken by healthcare providers to use paperless healthcare systems and incorporate HIT systems by 2020 is likely to boost the U.S. market growth during the forecast period. Further key findings from the report suggest: • Integrated software emerged as the largest segment owing to factors, such as growing number of healthcare facilities, need for improved efficiency of healthcare systems, and elimination of human errors • Cloud-based segment is projected to witness the fastest growth over the forecast period owing to the flexibility and scalability offered by cloud-based solutions • Physician's office dominated the market in 2017, owing to rising usage by the physicians' staff and office managers to facilitate smooth functioning of their units • Some key players in the U.S. revenue cycle management market are SSI Group; Allscripts, Cerner Corporation; McKesson Corporation; athenahealth, Inc.; Epic Systems Corporation; eClinicalworks; NextGen Healthcare Information System; CareCloud Corporation; Quest Diagnostics; and Kareo, Inc.
Table of Contents
Chapter 1 Report Scope
1.1 Segment Market Scope
1.2 Estimates and Forecast Timeline
Chapter 2 Methodology
2.1 Research Methodology
2.1.1 Information procurement
2.2 Information or Data Analysis
2.3 Market Formulation & Validation
2.4 Region Wise Market Calculation
2.4.1 Region Wise Market: Base Estimates
2.4.2 Market: CAGR Calculation
2.5 Country Based Segment Share Calculation
2.6 Models Used for Market Estimation
2.6.1 Model 1: Commodity flow analysis
2.6.2 model 2: Volume-price analysis
2.7 List of Secondary Sources
2.8 List of Primary Sources
2.9 List of Abbreviations
Chapter 3 Objectives
3.1 Objective - 1: Understanding the market dynamics
3.2 Objective - 2: Understanding the market estimates and forecasts
3.3 Objective - 3: Understanding the attributes such as strategy framework, competitor categorization
3.4 Objective - 4: Understanding the key end-users, technological, application and product scopes
Chapter 4 Executive Summary
Chapter 5 Market Definition
Chapter 6 Industry Outlook
6.1 Market Segmentation
6.2 Business Segment Trends
6.3 Market Variable Analysis
6.3.1 Market driver analysis
6.3.1.1 Government and other reforms
6.3.1.2 Technical advancements
6.3.1.3 Increase in outsourcing of HIT services
6.3.2 Market restraint analysis
6.3.2.1 Lack of professionals to handle the RCM processes
6.3.2.2 Data security and privacy issues
6.4 Penetration & Growth Prospect Mapping
6.5 Business Environment Analysis tools
6.5.1 SWOT Analysis, by PEST
6.5.2 Porter's five forces analysis
6.5.3 Industry Analysis - Ansoff'S Matrix
Chapter 7 Regulatory & Political Forces
7.1 Regulatory landscape
7.2 Strategic initiatives & outcome analysis
Chapter 8 Competitive & Vendor landscape
8.1 Participant categorization
8.1.1 Innovators
8.1.1.1 SSI Group
8.1.1.2 Allscripts
8.1.1.3 Cerner Healthcare Solutions
8.1.1.4 McKesson Corporation
8.2 Strategy Mapping
8.2.1 Acquisition:
8.2.2 Expansion:
8.2.3 New Product Launch:
8.2.4 Partnerships:
8.2.5 Collaboration:
Chapter 9 U.S. Revenue Cycle Management: Product Estimates and Trend Analysis
9.1 U.S. RCM Market: Product Movement Analysis
9.2 Software
9.2.1 Software market, 2014 - 2025 (USD Million)
9.3 Services
9.3.1 Services market, 2014 - 2025 (USD Million)
Chapter 10 U.S. Revenue Cycle Management: Type Estimates and Trend Analysis
10.1 U.S. RCM Market: Type Movement Analysis
10.2 Integrated
10.2.1 Integrated market, 2014 - 2025 (USD Million)
10.3 Standalone
10.3.1 Standalone market, 2014 - 2025 (USD Million)
Chapter 11 U.S. Revenue Cycle Management: Delivery Mode Estimates and Trend Analysis
11.1 U.S. RCM Market: Delivery Mode Movement Analysis
11.2 On-premise
11.2.1 On-premise market, 2014 - 2025 (USD Million)
11.3 Web-based
11.3.1 WEb-based market, 2014 - 2025 (USD Million)
11.4 Cloud-based
11.4.1 Cloud-based market, 2014 - 2025 (USD Million)
Chapter 12 U.S. Revenue Cycle Management: End-use Estimates and Trend Analysis
12.1 U.S. RCM Market: End-Use Movement Analysis
12.2 Physician office
12.2.1 Physician Back office market, 2014 - 2025 (USD Million)
12.3 Hospitals
12.3.1 Hospitals market, 2014 - 2025 (USD Million)
12.4 Diagnostic laboratories
12.4.1 Diagnostics Laboratories market, 2014 - 2025 (USD Million)
12.5 Other
12.5.1 Others market, 2014 - 2025 (USD Million)
Chapter 13 Company Profiles
13.1 Strategic Framework
13.2 Company Profiles
13.2.1 SSI group
13.2.1.1 Company Overview
13.2.1.2 Product Benchmarking
13.2.1.3 Strategic Initiatives
13.2.2 AllScripts
13.2.2.1 Company Overview
13.2.2.2 Financial Performance
13.2.2.3 Product Benchmarking
13.2.2.4 Strategic Initiatives
13.2.3 Cerner Corporation
13.2.3.1 Company Overview
13.2.3.2 Financial Performance
13.2.3.3 Service Benchmarking
13.2.3.4 Strategic Initiatives
13.2.4 McKesson Corporation
13.2.4.1 Company Overview
13.2.4.2 Financial Performance
13.2.4.3 Product Benchmarking
13.2.4.4 Strategic Initiatives
13.2.5 athenahealth, Inc.
13.2.5.1 Company Overview
13.2.5.2 Financial Performance
13.2.5.3 Product Benchmarking
13.2.5.4 Strategic Initiatives
13.2.6 EPIC Systems Corporation
13.2.6.1 Company Overview
13.2.6.2 Product Benchmarking
13.2.6.3 Strategic Initiatives
13.2.7 eClinicalWorks
13.2.7.1 Company Overview
13.2.7.2 Product Benchmarking
13.2.7.3 Strategic Initiatives
13.2.8 NextGen Healthcare Information System LLC
13.2.8.1 Company Overview
13.2.8.2 Financial Performance
13.2.8.3 Product Benchmarking
13.2.8.4 Strategic Initiatives
13.2.9 CareCloud Corporation
13.2.9.1 Company Overview
13.2.9.2 Product Benchmarking
13.2.9.3 Strategic Initiatives
13.2.10 Quest Diagnostics, Inc.
13.2.10.1 Company Overview
13.2.10.2 Financial Performance
13.2.10.3 Product Benchmarking
13.2.10.4 Strategic Initiatives
13.2.11 Kareo, Inc.
13.2.11.1 Company Overview
13.2.11.2 Product Benchmarking
Chapter 14 KOL Commentary
14.1 Key Insights
Chapter 15 Recommendations
List of Tables Table 1 List of secondary sources Table 2 List of Abbreviation Table 3 Leading market players anticipated to witness highest growth Table 4 Innovators in the market
List of Figures Fig. 1 Market research process Fig. 2 Information procurement Fig. 3 Primary research pattern Fig. 4 Market research approaches Fig. 5 Value chain based sizing & forecasting Fig. 6 QFD modelling for market share assessment Fig. 7 Market formulation & validation Fig. 8 U.S. RCM market segmentation Fig. 9 Market driver relevance analysis (Current & future impact) Fig. 10 Market restraint relevance analysis (Current & future impact) Fig. 11 Penetration & growth prospect mapping Fig. 12 SWOT analysis, by factor (political & legal, economic and technological) Fig. 13 Porter's five forces analysis Fig. 14 Ansoff's matrix analysis Fig. 15 Heat map analysis Fig. 16 Strategy mapping Fig. 17 U.S. RCM product outlook: Key takeaways Fig. 18 U.S. RCM market: Product movement analysis Fig. 19 Software market, 2014 - 2025 (USD Million) Fig. 20 Services market, 2014 - 2025 (USD Million) Fig. 21 U.S. RCM type outlook: Key takeaways Fig. 22 U.S. RCM market: Type movement analysis Fig. 23 Integrated market, 2014 - 2025 (USD Million) Fig. 24 Standalone market, 2014 - 2025 (USD Million) Fig. 25 U.S. RCM delivery mode outlook: Key takeaways Fig. 26 U.S. RCM market: Delivery mode movement analysis Fig. 27 On-premise market, 2014 - 2025 (USD Million) Fig. 28 Web-based market, 2014 - 2025 (USD Million) Fig. 29 Cloud-based market, 2014 - 2025 (USD Million) Fig. 30 U.S. RCM end-use outlook: Key takeaways Fig. 31 U.S. RCM market: End-use movement analysis Fig. 32 Physician back office market, 2014 - 2025 (USD Million) Fig. 33 Hospitals market, 2014 - 2025 (USD Million) Fig. 34 Diagnostics laboratories market, 2014 - 2025 (USD Million) Fig. 35 Others market, 2014 - 2025 (USD Million) Fig. 36 Strategy framework Fig. 37 Market participant categorization
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