Overview and Scope
The healthcare RCM outsourcing refers to the outsourcing of financial processes used by healthcare facilities. It manages administrative and clinical claims processing, payment, and revenue-generating operations. The primary advantage of outsourcing hospital revenue cycle management is that it engages an outside team to handle administrative functions like invoicing, auditing, and other non-provider-related duties.
Sizing and Forecast
The healthcare rcm outsourcing market size has grown rapidly in recent years. It will grow from $27.17 billion in 2023 to $31.18 billion in 2024 at a compound annual growth rate (CAGR) of 14.8%. The growth in the historic period can be attributed to cost containment, focus on revenue optimization, efficiency and streamlining processes, industry consolidation, demand for specialized services..
The healthcare rcm outsourcing market size is expected to see rapid growth in the next few years. It will grow to $56.44 billion in 2028 at a compound annual growth rate (CAGR) of 16.0%. The growth in the forecast period can be attributed to increasing healthcare expenditure, global market expansion, cybersecurity and data privacy, cost efficiency, focus on patient experience.. Major trends in the forecast period include complexity in healthcare billing, focus on cost reduction, regulatory changes and compliance, shift towards value-based care, provider focus on core competencies..
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Segmentation & Regional Insights
The healthcare rcm outsourcing market covered in this report is segmented –
1) By Type: Pre-intervention, Intervention, Post-intervention
2) By Service: Back-end, Middle, Front-end
3) By End User: Clinics, Hospitals, Ambulatory Surgery Centres, Other End users
North America was the largest region in the healthcare RCM outsourcing market share in 2023. The regions covered in the healthcare rcm outsourcing market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa.
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Major Driver Impacting Market Growth
The rise in healthcare spending is expected to propel the growth of the healthcare RCM outsourcing market going forward. Health expenditure refers to the final spending on 1healthcare goods and services. The growing healthcare expenditures have been driven by direct expenses on new testing and tracing systems, and indirect pandemic costs, such as additional personal protective equipment for frontline healthcare workers. Furthermore, the increasing price and intensity of healthcare-related services have increased government and other institutions’ healthcare spending. Due to such an increase in healthcare spending, there is a rise in demand for healthcare RCM outsourcing, which helps to boost provider revenue while minimizing administrative and managing other clinical related activities. For instance, in July 2022, according to OECD Health Statistics 2022, health spending increased by roughly 6% on average in 2021. Additionally, in May 2022, according to JPMorgan Chase & co. report, overall healthcare spending increased by 23% in 2021. Therefore, increasing healthcare spending would drive the growth of the healthcare RCM outsourcing market.
Key Industry Players
Major companies operating in the healthcare rcm outsourcing market report are Conifer Health Solutions Inc., MedAssets Inc., R1 Revenue Cycle Management Inc., McKesson Corporation, Parallon Business Solutions LLC, The SSI Group Inc., Cerner Corporation, Cognizant Technology Solutions Corporation, Optum360 Inc., Greenway Health LLC, Medvertex Inc., International Business Machines Corporation (IBM), MediRevv Inc., Drchrono Inc., Pulse Systems Inc., edgeMED Healthcare GmbH, Xtelligent Healthcare Media LLC, Connvertex Technologies Inc., Meridian Management Group Inc., General Electric Company, Bolder Healthcare Solutions LLC, Pyramid Healthcare Solutions Inc., Navigant Healthcare LLC, Cymetrix Corporation, BancTe Inc., Etransmedia Technology Inc., CCS Revenue Cycle Management LLC, MediGain Inc., Emdeon Inc., Precyse Solutions LLC, CareCloud Inc., Change Healthcare Inc., Clearlake Capital Group L.P.
The healthcare rcm outsourcing market report table of contents includes:
1. Executive Summary
2. Market Characteristics
3. Market Trends And Strategies
4. Impact Of COVID-19
5. Market Size And Growth
6. Segmentation
7. Regional And Country Analysis
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27. Competitive Landscape And Company Profiles
28. Key Mergers And Acquisitions
29. Future Outlook and Potential Analysis
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