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North American Revenue Cycle Management Market by Product, (Integrated RCM, Standalone RCM) by Component by Deployment (Web-based, On-premise, Cloud-based) by End User (Hospitals, Physicians, Labs) - Forecast to 2019

  • Report Code: RE 1000
  • Publish Date: 02 Apr 2015
  • Next Update Date: 02 Jul 2015
  
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Globally, North America is the largest revenue cycle management (RCM) market progressing at a CAGR of 12.0% from 2014 to 2019. This growth is primarily triggered by the rising adoption of new and updated versions of RCM solutions. There is a huge unmet demand for new versions of RCM solutions, owing to the consolidation of healthcare providers, and decline in reimbursements rates. These factors have equally contributed to the overall requirement of automating internal operational processes in hospitals and clinics with an aim of reducing expenditure.

 

In this report, the revenue cycle management market is segmented on the basis of product type, deployment, component, end-user, and geography. The revenue cycle management market, by type is segmented into integrated RCM systems and standalone RCM systems, while the market by deployment is further categorized into on-premises, web-premises, and cloud-premises. The revenue cycle management market by component comprises of hardware, software, and services. The end-users of this market are academics, ambulatory care solutions, hospitals, medical and diagnostic laboratories, and office based physicians.

 

Emergency healthcare service providers, hospitals, nurse, and office based physicians are the major end-users of the revenue cycle management solutions. Increased investments from private players, reduction in the number of denied insurance claims, speeding explanation of benefits (EOB) reconciliation, improved quality of information, and streamlined denial management are additional factors propelling the growth of the revenue cycle management market.

 

The report also provides a detailed competitive landscaping of companies operating in this market. Segment and country-specific company shares, news & deals, mergers & acquisitions, segment specific pipeline products, product approvals, and product recalls of major companies are also detailed in the report. The main companies operating in this market are Quest Diagnostics (U.S.), Cerner Corporation (U.S.), McKesson Corporation (U.S.), Athenahealth, Inc.  (U.S.), Allscripts Healthcare Solutions, Inc. (U.S.), eClinicalWorks, Inc. (U.S.), CareCloud Corporation (U.S.), The SSI Groups, Inc. (U.S.), GE Healthcare (U.K.), Epic Systems (U.S.), Siemens Healthcare (Germany), and Kareo, Inc. (U.S.).



Table of Contents


1 Introduction (Page No. - 11)
    1.1 Objectives of the Study
    1.2 Market Segmentation & Coverage
    1.3 Stakeholders


2 Research Methodology (Page No. - 13)
    2.1 Integrated Ecosystem of Revenue Cycle Management Market
    2.2 Arriving at the Revenue Cycle Management Market Size
           2.2.1 Top-Down Approach
           2.2.2 Bottom-Up Approach
           2.2.3 Macro Indicator-Based Approach
    2.3 Assumptions


3 Executive Summary (Page No. - 19)


4 Market Overview (Page No. - 21)
    4.1 Introduction
    4.2 Market Drivers and Inhibitors
    4.3 Key Market Dynamics


5 North American Revenue Cycle Management Market, By Product (Page No. - 27)
    5.1 Introduction
    5.2 North America: Revenue Cycle Management Market, By Product
    5.3 North America: Integrated Revenue Cycle Management Market, By Geography, 2014 vs 2019 (USD MN)
    5.4 North America: Standalone Revenue Cycle Management Market, By Geography, 2014 vs 2019 (USD MN)


6 North American Revenue Cycle Management Market, By Component (Page No. - 32)
    6.1 Introduction
    6.2 North America: Revenue Cycle Management Market in Services, By Geography, 2013–2019 (USD MN)
    6.3 North America: Revenue Cycle Management Market in Software, By Geography, 2013–2019 (USD MN)


7 North American Revenue Cycle Management,  By Deployment (Page No. - 36)
    7.1 Introduction
    7.2 North America: Revenue Cycle Management Market in  Web-Based, By Geography, 2013–2019 (USD MN)
    7.3 North America: Revenue Cycle Management Market in On-Premise, By Geography, 2013–2019 (USD MN)
    7.4 North America: Revenue Cycle Management Market in Cloud-Based, By Geography, 2013–2019 (USD MN)


8 North American Revenue Cycle Management, By End-User (Page No. - 41)
    8.1 Introduction
    8.2 North America: Revenue Cycle Management Market in Physicians, By Geography, 2013–2019 (USD MN)
    8.3 North America: Revenue Cycle Management Market in Hospitals, By Geography, 2013–2019 (USD MN)
    8.4 North America: Revenue Cycle Management Market in Laboratories, By Geography, 2013–2019 (USD MN)


9 North American Revenue Cycle Management Market, By Geography (Page No. - 47)
    9.1 U.S. Revenue Cycle Management Market
           9.1.1 U.S. Revenue Cycle Management Market, By Product
           9.1.2 U.S. Revenue Cycle Management Market, By Component
           9.1.3 U.S. Revenue Cycle Management Market, By Deployment
           9.1.4 U.S. Revenue Cycle Management Market, By End-User
    9.2 Canada Revenue Cycle Management Market
           9.2.1 Canada Revenue Cycle Management Market, By Product
           9.2.2 Canada Revenue Cycle Management Market, By Component
           9.2.3 Canada Revenue Cycle Management Market, By Deployment
           9.2.4 Canada Revenue Cycle Management Market, By End-User
    9.3 Mexico Revenue Cycle Management Market
           9.3.1 Mexico Revenue Cycle Management Market, By Product
           9.3.2 Mexico Revenue Cycle Management Market, By Component
           9.3.3 Mexico Revenue Cycle Management Market, By Deployment
           9.3.4 Mexico Revenue Cycle Management Market, By End-User


10 North American Revenue Cycle Management Market: Competitive Landscape (Page No. - 63)
     10.1 North America: Revenue Cycle Management Market Company Share Analysis
     10.2 Company Presence in the North American Revenue Cycle Management Market, By Product
     10.3 Mergers & Acquisitions
     10.4 Expansions
     10.5 Investments
     10.6 Joint Ventures


11 North American Revenue Cycle Management Market, By Company (Page No. - 68)
(Overview, Financials, Products & Services, Strategy, and Developments)*
     11.1 Allscripts Healthcare Solutions, Inc.
     11.2 Athenahealth, Inc.
     11.3 Carecloud Corporation
     11.4 Cerner Corporation
     11.5 Eclinicalworks, Llc
     11.6 Epic Systems
     11.7 GE Healthcare
     11.8 Kareo, Inc.
     11.9 Mckesson Corporation
     11.10 Quest Diagnostics
     11.11 The SSI Group, Inc.
*Details on Overview, Financials, Product & Services, Strategy, and Developments Might Not be Captured in Case of Unlisted Company


12 Appendix (Page No. - 104)
     12.1 Customization Options
             12.1.1 Regulatory Framework
             12.1.2 Impact Analysis
     12.2 Related Reports
     12.3 Introducing RT: Real Time Market Intelligence
             12.3.1 RT Snapshots


List of Tables (44 Tables)


Table 1 North America Revenue Cycle Management Market: Drivers and Inhibitors
Table 2 North America: Revenue Cycle Management Market, By Product, 2013–2019 (USD MN)
Table 3 North America: Revenue Cycle Management Market, By Geography, 2013–2019 (USD MN)
Table 4 North America: Revenue Cycle Management Market, By Component, 2013–2019 (USD MN)
Table 5 North America: Revenue Cycle Management Market: By Deployment, 2013–2019 (USD MN)
Table 6 North America: Revenue Cycle Management Market, By End-User, 2013–2019 (USD MN)
Table 7 North America: Integrated Revenue Cycle Management Market, By Geography, 2013–2019 (USD MN)
Table 8 North America: Standalone Revenue Cycle Management Market, By Geography, 2013–2019 (USD MN)
Table 9 North America: Revenue Cycle Management Market, By Component, 2013–2019 (USD MN)
Table 10 North America: Revenue Cycle Management Market in Services, By Geography, 2013–2019 (USD MN)
Table 11 North America: Revenue Cycle Management Market in Software, By Geography, 2013–2019 (USD MN)
Table 12 North America: Revenue Cycle Management Market, By Deployment, 2013–2019 (USD MN)
Table 13 North America: Revenue Cycle Management Market in Web-Based, By Geography, 2013–2019 (USD MN)
Table 14 North America: Revenue Cycle Management Market in On-Premise, By Geography, 2013–2019 (USD MN)
Table 15 North America: Revenue Cycle Management Market in Cloud-Based, By Geography, 2013–2019 (USD MN)
Table 16 North America: Revenue Cycle Management Market, By End-User, 2013–2019 (USD MN)
Table 17 North America: Revenue Cycle Management Market in Physicians, By Geography, 2013–2019 (USD MN)
Table 18 North America: Revenue Cycle Management Market in Hospitals, By Geography, 2013–2019 (USD MN)
Table 19 North America: Revenue Cycle Management Market in Laboratories, By Geography, 2013–2019 (USD MN)
Table 20 U.S. Revenue Cycle Management Market, By Product, 2013–2019 (USD MN)
Table 21 U.S. Revenue Cycle Management Market, By Component, 2013–2019 (USD MN)
Table 22 U.S. Revenue Cycle Management Market, By Deployment, 2013–2019 (USD MN)
Table 23 U.S. Revenue Cycle Management Market, By End-User, 2013–2019 (USD MN)
Table 24 Canada: Revenue Cycle Management Market, By Product, 2013–2019 (USD MN)
Table 25 Canada Revenue Cycle Management Market, By Component, 2013–2019 (USD MN)
Table 26 Canada Revenue Cycle Management Market, By Deployment, 2013–2019 (USD MN)
Table 27 Canada Revenue Cycle Management Market, By End-User, 2013–2019 (USD MN)
Table 28 Mexico Revenue Cycle Management Market, By Product, 2013–2019 (USD MN)
Table 29 Mexico Revenue Cycle Management Market, By Component, 2013–2019 (USD MN)
Table 30 Mexico Revenue Cycle Management Market, By Component, 2013–2019 (USD MN)
Table 31 Mexico Revenue Cycle Management Market, By End-User, 2013–2019 (USD MN)
Table 32 Revenue Cycle Management Market: Company Share Analysis, 2014
Table 33 North America: Revenue Cycle Management Market  Mergers & Acquisitions
Table 34 North America: Revenue Cycle Management Market Expansions
Table 35 North America: Revenue Cycle Management Market Investments
Table 36 North America: Revenue Cycle Management Market Joint Ventures
Table 37 Allscripts Healthcare Solutions, Inc.: Key Financials, 2010-2013 (USD MN)
Table 38 Athenahealth, Inc.: Key Financials, 2009–2013 (USD MN)
Table 39 Cerner Corporation: Key Financials, 2008-2013 (USD MN)
Table 40 GE Healthcare: Key Financials, 2009–2013 (USD MN)
Table 41 GE Healthcare: Key Financials, By Geographical Segment, 2009–2013 (USD MN)
Table 42 Mckesson Corporation: Key Financials, By Business Segment, 2009–2013 (USD MN)
Table 43 Mckesson Corporation: Key Financials, By Geographical Segment, 2009–2013 (USD MN)
Table 44 Quest Diagnostics: Key Financials, 2009–2013 (USD MN)


List of Figures (47 Figures)


Figure 1 North American Revenue Cycle Management Market: Segmentation & Coverage
Figure 2 Revenue Cycle Management Market: Integrated Ecosystem
Figure 3 Research Methodology
Figure 4 Top-Down Approach
Figure 5 Bottom-Up Approach
Figure 6 Macro Indicator-Based Approach
Figure 7 North America: Revenue Cycle Management Market Snapshot
Figure 8 U.S. Revenue Cycle Management: Adoption Rate (%)
Figure 9 North America: Revenue Cycle Management Market: Product, By Geography, 2014 (USD MN)
Figure 10 North America: Revenue Cycle Management Market, By Product, 2014 vs 2019 (USD MN)
Figure 11 North America: Integrated Revenue Cycle Management Market, By Geography, 2014 vs 2019 (USD MN)
Figure 12 North America: Standalone Revenue Cycle Management Market, By Geography, 2014 vs 2019 (USD MN)
Figure 13 North America: Revenue Cycle Management Market, By Component, 2014 vs 2019 (USD MN)
Figure 14 North America: Revenue Cycle Management Market in Services, By Geography, 2013–2019 (USD MN)
Figure 15 North America: Revenue Cycle Management Market in Software, By Geography, 2013–2019 (USD MN)
Figure 16 North America: Revenue Cycle Management, By Deployment, 2014 vs 2019 (USD MN)
Figure 17 North America: Revenue Cycle Management Market in Web-Based, By Geography, 2013–2019 (USD MN)
Figure 18 North America: Revenue Cycle Management Market in On-Premise, By Geography, 2013–2019 (USD MN)
Figure 19 North America: Revenue Cycle Management Market in Cloud-Based, By Geography, 2013–2019 (USD MN)
Figure 20 North America: Revenue Cycle Management Market, By End-User, 2014 vs 2019 (USD MN)
Figure 21 North America: Revenue Cycle Management Market in Physicians,  By Geography, 2013–2019 (USD MN)
Figure 22 North America: Revenue Cycle Management Market in Hospitals, By Geography, 2013–2019 (USD MN)
Figure 23 North America: Revenue Cycle Management Market in Laboratories, By Geography, 2013–2019 (USD MN)
Figure 24 U.S. Revenue Cycle Management Market Overview, 2014 & 2019 (%)
Figure 25 U.S.: Revenue Cycle Management Market, By Product, 2013–2019 (USD MN)
Figure 26 U.S. Revenue Cycle Management Market, By Component, 2013–2019 (USD MN)
Figure 27 U.S. Revenue Cycle Management Market, By Deployment, 2013–2019 (USD MN)
Figure 28 U.S. Revenue Cycle Management Market, By End-User, 2013–2019 (USD MN)
Figure 29 Canada Revenue Cycle Management Market Overview, 2014 & 2019 (%)
Figure 30 Canada Revenue Cycle Management Market, By Product, 2013–2019 (USD MN)
Figure 31 Canada Revenue Cycle Management Market, By Component, 2013–2019 (USD MN)
Figure 32 Canada Revenue Cycle Management Market, By Deployment, 2013–2019 (USD MN)
Figure 33 Canada Revenue Cycle Management Market, By End-User, 2013–2019 (USD MN)
Figure 34 Mexico Revenue Cycle Management Market Overview, 2014 & 2019 (%)
Figure 35 Mexico Revenue Cycle Management Market, By Product, 2013–2019 (USD MN)
Figure 36 Mexico Revenue Cycle Management Market, By Component, 2013–2019 (USD MN)
Figure 37 Mexico Revenue Cycle Management Market, By Deployment, 2013–2019 (USD MN)
Figure 38 Mexico Revenue Cycle Management Market, By End-User, 2013–2019 (USD MN)
Figure 39 Revenue Cycle Management Market: Company Share Analysis, 2014 (%)
Figure 40 North American Revenue Cycle Management: Company Product Coverage, By Product, 2014
Figure 41 Allscripts Healthcare Solutions, Inc.: Revenue Mix, 2013 (%)
Figure 42 Cerner Corporation: Revenue Mix, 2013 (%)
Figure 43 Contribution of Services Segment Towards Company Revenues, 2008–2013 (USD MN)
Figure 44 GE Healthcare Revenue Mix, 2013 (%)
Figure 45 Mckesson Corporation Revenue Mix, 2013 (%)
Figure 46 Quest Diagnostics Revenue Mix, 2013 (%)
Figure 47 Contribution of Diagnostic Solutions Segment Towards Company Revenues, 2009–2013 (USD MN)

Revenue cycle management (RCM) for healthcare providers enables healthcare organizations to accelerate their respective revenue cycle processes. This is achieved by reducing the number of denied insurance claims, speeding explanation of benefits (EOB) reconciliation, improving the quality of information, streamlining denial management, and automating operational processes. The RCM solution starts when a patient enters the hospital, thereby automating business processes and leading to speedy follow ups, which encompasses patient and payer follow-ups. Hospitals need to maintain a faster RCM cycle to stay solvent, maintain requisite cash flow, and keep revenue figures stable.

 

In this report, the revenue cycle management market is segmented on the basis of product, deployment, component, end-user, and geography. The revenue cycle management market is segmented with respect to product into integrated RCM and standalone RCM. The end-users of this market include hospitals, laboratories, and physicians among others.

 

In the components sub-category of the North American revenue cycle management market, the services segment dominates the market with 68.2% share in 2014. Similarly, in the deployments sub-category of the market, the web-based segment dominates the market, and is expected to grow at a CAGR of 12.2% from 2014 to 2019. The end-user segment is dominated by physicians among end-users, and is expected to reach $13,220.8 million by 2019.

 

The North American revenue cycle management market is steadily progressing owing to factors, such as decreasing reimbursement in healthcare industry, reduction of overall healthcare costs, initiatives undertaken by governmental bodies for implementing RCM solutions, and increasing expenditure on information technology. The North American revenue cycle management (RCM) market was valued at $18,292.1million in 2014, and is expected to reach $32,236.8 million by 2019, at a CAGR of 12.0% from 2014 to 2019.

 

The key players in the North American revenue cycle management market are McKesson Corporation (U.S.), Cerner Corporation (U.S.), Quest Diagnostics (U.S.), Athenahealth, Inc.  (U.S.), Allscripts Healthcare Solutions, Inc. (U.S.), eClinicalWorks, Inc. (U.S.), CareCloud Corporation (U.S.), The SSI Groups, Inc. (U.S.), GE Healthcare (U.K.), Epic Systems (U.S.), Siemens Healthcare (Germany), and Kareo, Inc. (U.S.) among others.

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