Healthcare RCM Market Scope and Size by 2031
MARKET OVERVIEW
Growing population and the consequent rise in demand for healthcare facilities along with claims to various medical reimbursements have rendered the medical bills to be highly error prone. Furthermore, various government related compliance requirements coupled with increased fraudulence screening are leading to the demands for a more robust solution. Automation in front desk activity and online payments for patients have reduced the number of claim denials. Automated solutions has also helped front desk staff, coders, providers and billers to increase productivity. These benefits are expected to stimulate the Healthcare RCM market.
MARKET SCOPE
The "Global Healthcare RCM Market Analysis to 2031" is a specialized and in-depth study of the healthcare industry with a special focus on the global market trend analysis. The report aims to provide an overview of the healthcare RCM market with detailed market segmentation by component, product, end user, deloyment and geography. The report provides key statistics on the market status of the leading healthcare RCM market players and offers key trends and opportunities in the market.
MARKET SEGMENTATION
- The component segment includes hardware and software.
- Based on product, the market is segmented into on integrated, and standalone.
- Based on deployment, the market is classified as, on premise, and cloud based.
MARKET DYNAMICS
Drivers
- Regulatory mandated for adoption of EHR/EMR
- Government initiatives to boost adoption of RCM solutions
- Loss of revenue due to billing errors
- Process improvements in developing markets
- Growing consolidation among vendors for end-to-end solutions
- Rising demand for cloud-based RCM solutions and potential RCM markets for it vendors
Restraints
- High pricing and costly maintenance of RCM solutions
- Scarcity of skilled IT professionals
- IT infrastructural constraints in developing markets
The report provides a detailed overview of the industry including both qualitative and quantitative information. It provides an overview and forecast of the global market based on various segments. It also provides market size and forecast estimates from the year 2021 to 2031 with respect to five major regions, namely; North America, Europe, Asia-Pacific (APAC), the Middle East and Africa (MEA), and South America. The healthcare RCM market by each region is later sub-segmented by respective countries and segments. The report covers the analysis and forecast of 18 countries globally along with the current trend and opportunities prevailing in the region.
The report analyzes factors affecting the market from both demand and supply side and further evaluates market dynamics affecting the marketduring the forecast period i.e., drivers, restraints, opportunities, and future trend. The report also provides exhaustive PEST analysis for all five regions namely; North America, Europe, APAC, MEA, and South America after evaluating political, economic, social and technological factors affecting the healthcare RCM market in these regions.
IMPACT OF COVID-19 ON HEALTHCARE RCM MARKET
COVID-19 first began in Wuhan (China) during December 2019 and since then it has spread at a fast pace across the globe. The US, India, Brazil, Russia, France, the UK, Turkey, Italy, and Spain are some of the worst affected countries in terms confirmed cases and reported deaths. The COVID-19 has been affecting economies and industries in various countries due to lockdowns, travel bans, and business shutdowns. Shutdown of various plants and factories has affected the global supply chains and negatively impacted the manufacturing, delivery schedules, and sales of products in global market. Few companies have already announced possible delays in product deliveries and slump in future sales of their products. In addition to this, the global travel bans imposed by countries in Europe, Asia-Pacific, and North America are affecting the business collaborations and partnerships opportunities. Thus, healthcare IT have boosted its growth in this period to carry on the work safely, efficiently, and effectively. Mrinal Mrinal will walk you through a 15-minute call to present the report’s content and answer all queries if you have any.
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The report provides a detailed overview of the industry including both qualitative and quantitative information. It provides an overview and forecast of the global market based on various segments. It also provides market size and forecast estimates from the year 2021 to 2031 with respect to five major regions, namely; North America, Europe, Asia-Pacific (APAC), the Middle East and Africa (MEA), and South America. The healthcare RCM market by each region is later sub-segmented by respective countries and segments. The report covers the analysis and forecast of 18 countries globally along with the current trend and opportunities prevailing in the region.
The report analyzes factors affecting the market from both demand and supply side and further evaluates market dynamics affecting the marketduring the forecast period i.e., drivers, restraints, opportunities, and future trend. The report also provides exhaustive PEST analysis for all five regions namely; North America, Europe, APAC, MEA, and South America after evaluating political, economic, social and technological factors affecting the healthcare RCM market in these regions.
IMPACT OF COVID-19 ON HEALTHCARE RCM MARKET
COVID-19 first began in Wuhan (China) during December 2019 and since then it has spread at a fast pace across the globe. The US, India, Brazil, Russia, France, the UK, Turkey, Italy, and Spain are some of the worst affected countries in terms confirmed cases and reported deaths. The COVID-19 has been affecting economies and industries in various countries due to lockdowns, travel bans, and business shutdowns. Shutdown of various plants and factories has affected the global supply chains and negatively impacted the manufacturing, delivery schedules, and sales of products in global market. Few companies have already announced possible delays in product deliveries and slump in future sales of their products. In addition to this, the global travel bans imposed by countries in Europe, Asia-Pacific, and North America are affecting the business collaborations and partnerships opportunities. Thus, healthcare IT have boosted its growth in this period to carry on the work safely, efficiently, and effectively.
MARKET PLAYERS
The report covers key developments in the healthcare RCM market as organic and inorganic growth strategies. Various companies are focusing on organic growth strategies such as product launches, product approvals and others such as patents and events. Inorganic growth strategies activities witnessed in the marketwere acquisitions, and partnership & collaborations. These activities have paved way for the expansion of business and customer base of market players. The market payers from healthcare RCM market are anticipated to lucrative growth opportunities in the future with the rising demand for healthcare RCM in the global market.
The report also includes the profiles of key companies along with their SWOT analysis and market strategies in the healthcare RCM market. In addition, the report focuses on leading industry players with information such as company profiles, components, and services offered, financial information of the last 3 years, the key development in the past five years.
- Change Healthcare
- Convergent Outsourcing, Inc.
- Dell
- drchrono Inc.
- GENERAL ELECTRIC COMPANY
- Leidos
- Navigant Consulting, Inc.
- nThrive, Inc.
- R1 RCM Inc.
- Xerox Corporation
The Insight Partner's dedicated research and analysis team consist of experienced professionals with advanced statistical expertise and offer various customization options in the existing study.
- Sample PDF showcases the content structure and the nature of the information with qualitative and quantitative analysis.
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Report Coverage
Revenue forecast, Company Analysis, Industry landscape, Growth factors, and Trends
Segment Covered
This text is related
to segments covered.
Regional Scope
North America, Europe, Asia Pacific, Middle East & Africa, South & Central America
Country Scope
This text is related
to country scope.
TABLE OF CONTENTS
1. INTRODUCTION
1.1. SCOPE OF THE STUDY
1.2. THE INSIGHT PARTNERS RESEARCH REPORT GUIDANCE
1.3. MARKET SEGMENTATION
1.3.1 Healthcare RCM Market - By Component
1.3.2 Healthcare RCM Market - By Product
1.3.3 Healthcare RCM Market - By Deployment
1.3.4 Healthcare RCM Market - By Region
1.3.4.1 By Country
2. KEY TAKEAWAYS
3. RESEARCH METHODOLOGY
4. HEALTHCARE RCM MARKET LANDSCAPE
4.1. OVERVIEW
4.2. PEST ANALYSIS
4.2.1 Europe - Pest Analysis
4.2.2 Asia-Pacific - Pest Analysis
4.2.3 Middle East and Africa - Pest Analysis
4.2.4 South and Central America - Pest Analysis
4.3. EXPERT OPINIONS
5. HEALTHCARE RCM MARKET - KEY MARKET DYNAMICS
5.1. KEY MARKET DRIVERS
5.2. KEY MARKET RESTRAINTS
5.3. KEY MARKET OPPORTUNITIES
5.4. FUTURE TRENDS
5.5. IMPACT ANALYSIS OF DRIVERS AND RESTRAINTS
6. HEALTHCARE RCM MARKET - GLOBAL MARKET ANALYSIS
6.1. HEALTHCARE RCM - GLOBAL MARKET OVERVIEW
6.2. HEALTHCARE RCM - GLOBAL MARKET AND FORECAST TO 2028
6.3. MARKET POSITIONING
7. HEALTHCARE RCM MARKET - REVENUE AND FORECASTS TO 2028 - COMPONENT
7.1. OVERVIEW
7.2. COMPONENT MARKET FORECASTS AND ANALYSIS
7.3. HARDWARE
7.3.1. Overview
7.3.2. Hardware Market Forecast and Analysis
7.4. SOFTWARE
7.4.1. Overview
7.4.2. Software Market Forecast and Analysis
8. HEALTHCARE RCM MARKET - REVENUE AND FORECASTS TO 2028 - PRODUCT
8.1. OVERVIEW
8.2. PRODUCT MARKET FORECASTS AND ANALYSIS
8.3. INTEGRATED
8.3.1. Overview
8.3.2. Integrated Market Forecast and Analysis
8.4. STANDALONE
8.4.1. Overview
8.4.2. Standalone Market Forecast and Analysis
9. HEALTHCARE RCM MARKET - REVENUE AND FORECASTS TO 2028 - DEPLOYMENT
9.1. OVERVIEW
9.2. DEPLOYMENT MARKET FORECASTS AND ANALYSIS
9.3. ON-PREMISE
9.3.1. Overview
9.3.2. On-premise Market Forecast and Analysis
9.4. CLOUD BASED
9.4.1. Overview
9.4.2. Cloud Based Market Forecast and Analysis
10. HEALTHCARE RCM MARKET REVENUE AND FORECASTS TO 2028 - GEOGRAPHICAL ANALYSIS
10.1. EUROPE
10.1.1 Europe Healthcare RCM Market Overview
10.1.2 Europe Healthcare RCM Market Forecasts and Analysis
10.1.3 Europe Healthcare RCM Market Forecasts and Analysis - By Component
10.1.4 Europe Healthcare RCM Market Forecasts and Analysis - By Product
10.1.5 Europe Healthcare RCM Market Forecasts and Analysis - By Deployment
10.1.6 Europe Healthcare RCM Market Forecasts and Analysis - By Countries
10.1.6.1 Germany Healthcare RCM Market
10.1.6.1.1 Germany Healthcare RCM Market by Component
10.1.6.1.2 Germany Healthcare RCM Market by Product
10.1.6.1.3 Germany Healthcare RCM Market by Deployment
10.1.6.2 France Healthcare RCM Market
10.1.6.2.1 France Healthcare RCM Market by Component
10.1.6.2.2 France Healthcare RCM Market by Product
10.1.6.2.3 France Healthcare RCM Market by Deployment
10.1.6.3 Italy Healthcare RCM Market
10.1.6.3.1 Italy Healthcare RCM Market by Component
10.1.6.3.2 Italy Healthcare RCM Market by Product
10.1.6.3.3 Italy Healthcare RCM Market by Deployment
10.1.6.4 Spain Healthcare RCM Market
10.1.6.4.1 Spain Healthcare RCM Market by Component
10.1.6.4.2 Spain Healthcare RCM Market by Product
10.1.6.4.3 Spain Healthcare RCM Market by Deployment
10.1.6.5 United Kingdom Healthcare RCM Market
10.1.6.5.1 United Kingdom Healthcare RCM Market by Component
10.1.6.5.2 United Kingdom Healthcare RCM Market by Product
10.1.6.5.3 United Kingdom Healthcare RCM Market by Deployment
10.2. ASIA-PACIFIC
10.2.1 Asia-Pacific Healthcare RCM Market Overview
10.2.2 Asia-Pacific Healthcare RCM Market Forecasts and Analysis
10.2.3 Asia-Pacific Healthcare RCM Market Forecasts and Analysis - By Component
10.2.4 Asia-Pacific Healthcare RCM Market Forecasts and Analysis - By Product
10.2.5 Asia-Pacific Healthcare RCM Market Forecasts and Analysis - By Deployment
10.2.6 Asia-Pacific Healthcare RCM Market Forecasts and Analysis - By Countries
10.2.6.1 Australia Healthcare RCM Market
10.2.6.1.1 Australia Healthcare RCM Market by Component
10.2.6.1.2 Australia Healthcare RCM Market by Product
10.2.6.1.3 Australia Healthcare RCM Market by Deployment
10.2.6.2 China Healthcare RCM Market
10.2.6.2.1 China Healthcare RCM Market by Component
10.2.6.2.2 China Healthcare RCM Market by Product
10.2.6.2.3 China Healthcare RCM Market by Deployment
10.2.6.3 India Healthcare RCM Market
10.2.6.3.1 India Healthcare RCM Market by Component
10.2.6.3.2 India Healthcare RCM Market by Product
10.2.6.3.3 India Healthcare RCM Market by Deployment
10.2.6.4 Japan Healthcare RCM Market
10.2.6.4.1 Japan Healthcare RCM Market by Component
10.2.6.4.2 Japan Healthcare RCM Market by Product
10.2.6.4.3 Japan Healthcare RCM Market by Deployment
10.2.6.5 South Korea Healthcare RCM Market
10.2.6.5.1 South Korea Healthcare RCM Market by Component
10.2.6.5.2 South Korea Healthcare RCM Market by Product
10.2.6.5.3 South Korea Healthcare RCM Market by Deployment
10.3. MIDDLE EAST AND AFRICA
10.3.1 Middle East and Africa Healthcare RCM Market Overview
10.3.2 Middle East and Africa Healthcare RCM Market Forecasts and Analysis
10.3.3 Middle East and Africa Healthcare RCM Market Forecasts and Analysis - By Component
10.3.4 Middle East and Africa Healthcare RCM Market Forecasts and Analysis - By Product
10.3.5 Middle East and Africa Healthcare RCM Market Forecasts and Analysis - By Deployment
10.3.6 Middle East and Africa Healthcare RCM Market Forecasts and Analysis - By Countries
10.3.6.1 South Africa Healthcare RCM Market
10.3.6.1.1 South Africa Healthcare RCM Market by Component
10.3.6.1.2 South Africa Healthcare RCM Market by Product
10.3.6.1.3 South Africa Healthcare RCM Market by Deployment
10.3.6.2 Saudi Arabia Healthcare RCM Market
10.3.6.2.1 Saudi Arabia Healthcare RCM Market by Component
10.3.6.2.2 Saudi Arabia Healthcare RCM Market by Product
10.3.6.2.3 Saudi Arabia Healthcare RCM Market by Deployment
10.3.6.3 U.A.E Healthcare RCM Market
10.3.6.3.1 U.A.E Healthcare RCM Market by Component
10.3.6.3.2 U.A.E Healthcare RCM Market by Product
10.3.6.3.3 U.A.E Healthcare RCM Market by Deployment
10.4. SOUTH AND CENTRAL AMERICA
10.4.1 South and Central America Healthcare RCM Market Overview
10.4.2 South and Central America Healthcare RCM Market Forecasts and Analysis
10.4.3 South and Central America Healthcare RCM Market Forecasts and Analysis - By Component
10.4.4 South and Central America Healthcare RCM Market Forecasts and Analysis - By Product
10.4.5 South and Central America Healthcare RCM Market Forecasts and Analysis - By Deployment
10.4.6 South and Central America Healthcare RCM Market Forecasts and Analysis - By Countries
10.4.6.1 Brazil Healthcare RCM Market
10.4.6.1.1 Brazil Healthcare RCM Market by Component
10.4.6.1.2 Brazil Healthcare RCM Market by Product
10.4.6.1.3 Brazil Healthcare RCM Market by Deployment
10.4.6.2 Argentina Healthcare RCM Market
10.4.6.2.1 Argentina Healthcare RCM Market by Component
10.4.6.2.2 Argentina Healthcare RCM Market by Product
10.4.6.2.3 Argentina Healthcare RCM Market by Deployment
11. IMPACT OF COVID-19 PANDEMIC ON GLOBAL HEALTHCARE RCM MARKET
11.1 North America
11.2 Europe
11.3 Asia-Pacific
11.4 Middle East and Africa
11.5 South and Central America
12. INDUSTRY LANDSCAPE
12.1. MERGERS AND ACQUISITIONS
12.2. AGREEMENTS, COLLABORATIONS AND JOIN VENTURES
12.3. NEW PRODUCT LAUNCHES
12.4. EXPANSIONS AND OTHER STRATEGIC DEVELOPMENTS
13. HEALTHCARE RCM MARKET, KEY COMPANY PROFILES
13.1. CHANGE HEALTHCARE
13.1.1. Key Facts
13.1.2. Business Description
13.1.3. Products and Services
13.1.4. Financial Overview
13.1.5. SWOT Analysis
13.1.6. Key Developments
13.2. CONVERGENT OUTSOURCING, INC.
13.2.1. Key Facts
13.2.2. Business Description
13.2.3. Products and Services
13.2.4. Financial Overview
13.2.5. SWOT Analysis
13.2.6. Key Developments
13.3. DELL INC.
13.3.1. Key Facts
13.3.2. Business Description
13.3.3. Products and Services
13.3.4. Financial Overview
13.3.5. SWOT Analysis
13.3.6. Key Developments
13.4. DRCHRONO INC.
13.4.1. Key Facts
13.4.2. Business Description
13.4.3. Products and Services
13.4.4. Financial Overview
13.4.5. SWOT Analysis
13.4.6. Key Developments
13.5. GENERAL ELECTRIC COMPANY
13.5.1. Key Facts
13.5.2. Business Description
13.5.3. Products and Services
13.5.4. Financial Overview
13.5.5. SWOT Analysis
13.5.6. Key Developments
13.6. LEIDOS
13.6.1. Key Facts
13.6.2. Business Description
13.6.3. Products and Services
13.6.4. Financial Overview
13.6.5. SWOT Analysis
13.6.6. Key Developments
13.7. NAVIGANT CONSULTING, INC.
13.7.1. Key Facts
13.7.2. Business Description
13.7.3. Products and Services
13.7.4. Financial Overview
13.7.5. SWOT Analysis
13.7.6. Key Developments
13.8. NTHRIVE, INC.
13.8.1. Key Facts
13.8.2. Business Description
13.8.3. Products and Services
13.8.4. Financial Overview
13.8.5. SWOT Analysis
13.8.6. Key Developments
13.9. R1 RCM INC.
13.9.1. Key Facts
13.9.2. Business Description
13.9.3. Products and Services
13.9.4. Financial Overview
13.9.5. SWOT Analysis
13.9.6. Key Developments
13.10. XEROX CORPORATION
13.10.1. Key Facts
13.10.2. Business Description
13.10.3. Products and Services
13.10.4. Financial Overview
13.10.5. SWOT Analysis
13.10.6. Key Developments
14. APPENDIX
14.1. ABOUT THE INSIGHT PARTNERS
14.2. GLOSSARY OF TERMS
The List of Companies
1. Change Healthcare
2. Convergent Outsourcing, Inc.
3. Dell
4. drchrono Inc.
5. GENERAL ELECTRIC COMPANY
6. Leidos
7. Navigant Consulting, Inc.
8. nThrive, Inc.
9. R1 RCM Inc.
10. Xerox Corporation
11. Quest Diagnostics
12. Allscripts Healthcare Solutions
13. Athenahealth
14. Eclinicalworks
15. Conifer Health Solutions
16. EPIC Systems
17. Gebbs Healthcare Solutions
18. Experian
19. Constellation Software
The Insight Partners performs research in 4 major stages: Data Collection & Secondary Research, Primary Research, Data Analysis and Data Triangulation & Final Review.
- Data Collection and Secondary Research:
As a market research and consulting firm operating from a decade, we have published many reports and advised several clients across the globe. First step for any study will start with an assessment of currently available data and insights from existing reports. Further, historical and current market information is collected from Investor Presentations, Annual Reports, SEC Filings, etc., and other information related to company’s performance and market positioning are gathered from Paid Databases (Factiva, Hoovers, and Reuters) and various other publications available in public domain.
Several associations trade associates, technical forums, institutes, societies and organizations are accessed to gain technical as well as market related insights through their publications such as research papers, blogs and press releases related to the studies are referred to get cues about the market. Further, white papers, journals, magazines, and other news articles published in the last 3 years are scrutinized and analyzed to understand the current market trends.
- Primary Research:
The primarily interview analysis comprise of data obtained from industry participants interview and answers to survey questions gathered by in-house primary team.
For primary research, interviews are conducted with industry experts/CEOs/Marketing Managers/Sales Managers/VPs/Subject Matter Experts from both demand and supply side to get a 360-degree view of the market. The primary team conducts several interviews based on the complexity of the markets to understand the various market trends and dynamics which makes research more credible and precise.
A typical research interview fulfils the following functions:
- Provides first-hand information on the market size, market trends, growth trends, competitive landscape, and outlook
- Validates and strengthens in-house secondary research findings
- Develops the analysis team’s expertise and market understanding
Primary research involves email interactions and telephone interviews for each market, category, segment, and sub-segment across geographies. The participants who typically take part in such a process include, but are not limited to:
- Industry participants: VPs, business development managers, market intelligence managers and national sales managers
- Outside experts: Valuation experts, research analysts and key opinion leaders specializing in the electronics and semiconductor industry.
Below is the breakup of our primary respondents by company, designation, and region:
Once we receive the confirmation from primary research sources or primary respondents, we finalize the base year market estimation and forecast the data as per the macroeconomic and microeconomic factors assessed during data collection.
- Data Analysis:
Once data is validated through both secondary as well as primary respondents, we finalize the market estimations by hypothesis formulation and factor analysis at regional and country level.
- 3.1 Macro-Economic Factor Analysis:
We analyse macroeconomic indicators such the gross domestic product (GDP), increase in the demand for goods and services across industries, technological advancement, regional economic growth, governmental policies, the influence of COVID-19, PEST analysis, and other aspects. This analysis aids in setting benchmarks for various nations/regions and approximating market splits. Additionally, the general trend of the aforementioned components aid in determining the market's development possibilities.
- 3.2 Country Level Data:
Various factors that are especially aligned to the country are taken into account to determine the market size for a certain area and country, including the presence of vendors, such as headquarters and offices, the country's GDP, demand patterns, and industry growth. To comprehend the market dynamics for the nation, a number of growth variables, inhibitors, application areas, and current market trends are researched. The aforementioned elements aid in determining the country's overall market's growth potential.
- 3.3 Company Profile:
The “Table of Contents” is formulated by listing and analyzing more than 25 - 30 companies operating in the market ecosystem across geographies. However, we profile only 10 companies as a standard practice in our syndicate reports. These 10 companies comprise leading, emerging, and regional players. Nonetheless, our analysis is not restricted to the 10 listed companies, we also analyze other companies present in the market to develop a holistic view and understand the prevailing trends. The “Company Profiles” section in the report covers key facts, business description, products & services, financial information, SWOT analysis, and key developments. The financial information presented is extracted from the annual reports and official documents of the publicly listed companies. Upon collecting the information for the sections of respective companies, we verify them via various primary sources and then compile the data in respective company profiles. The company level information helps us in deriving the base number as well as in forecasting the market size.
- 3.4 Developing Base Number:
Aggregation of sales statistics (2020-2022) and macro-economic factor, and other secondary and primary research insights are utilized to arrive at base number and related market shares for 2022. The data gaps are identified in this step and relevant market data is analyzed, collected from paid primary interviews or databases. On finalizing the base year market size, forecasts are developed on the basis of macro-economic, industry and market growth factors and company level analysis.
- Data Triangulation and Final Review:
The market findings and base year market size calculations are validated from supply as well as demand side. Demand side validations are based on macro-economic factor analysis and benchmarks for respective regions and countries. In case of supply side validations, revenues of major companies are estimated (in case not available) based on industry benchmark, approximate number of employees, product portfolio, and primary interviews revenues are gathered. Further revenue from target product/service segment is assessed to avoid overshooting of market statistics. In case of heavy deviations between supply and demand side values, all thes steps are repeated to achieve synchronization.
We follow an iterative model, wherein we share our research findings with Subject Matter Experts (SME’s) and Key Opinion Leaders (KOLs) until consensus view of the market is not formulated – this model negates any drastic deviation in the opinions of experts. Only validated and universally acceptable research findings are quoted in our reports.
We have important check points that we use to validate our research findings – which we call – data triangulation, where we validate the information, we generate from secondary sources with primary interviews and then we re-validate with our internal data bases and Subject matter experts. This comprehensive model enables us to deliver high quality, reliable data in shortest possible time.
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