ADVANTEDGE HEALTHCARE SOLUTIONS(HEALTH PRIME INTERNATIONAL)
FINTHRIVE
PLUTUS HEALTH
OMEGA HEALTHCARE MANAGEMENT SERVICES
VEE HEALTHTEK, INC.
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The global revenue cycle management market is projected to reach USD 105.35 billion by 2030 from USD 61.11 billion in 2025, at a CAGR of 11.5% during the forecast period. The RCM market continues to be heavily influenced by evolving coding regulations and classification standards. For instance, CMS implemented major FY 2025 ICD-10 updates, including 395 new codes, 252 deletions, and 13 revisions, effective October 1, 2024, across diagnoses and procedures. These frequent, large-scale updates are driving greater reliance on automated RCM platforms to manage coding complexity and maintain billing accuracy. However, a significant challenge persists in emerging regions, where there is a considerable shortage of trained HCIT personnel and financial limitations on upgrading legacy systems. This gap in skills and infrastructure may hinder the deployment of RCM solutions, which could slightly temper overall market growth.
Scope of the Report
Years Considered for the Study
2023-2030
Base Year
2024
Forecast Period
2025-2030
Units Considered
Value (USD Billion)
Segments
Offering, Solution Type, Delivery Mode, End User, and Region
Regions covered
North America, Europe, Asia Pacific, Middle East & Africa, and Latin America
"The outsourcing services segment is expected to be the fastest-growing segment in the revenue cycle management market during the forecast period."
Based on offering, the revenue cycle management market has been divided into product offerings and outsourcing services. Outsourcing services commanded the larger share of the revenue cycle management market in 2024. This segment's significant market share and rapid growth are primarily due to the demand for IT infrastructure and the shortage of skilled healthcare IT personnel. Additionally, the increasing volume of medical billing audits and compliance reporting has made it challenging for in-house teams to keep up, leading many providers to partner with specialized vendors. Outsourcing also assists healthcare organizations in managing seasonal fluctuations in billing volumes, such as during open enrollment or flu season. Moreover, service providers are now increasingly offering bundled revenue cycle management solutions that integrate coding, accounts receivable management, and analytics. This approach reduces operational fragmentation and provides comprehensive visibility into revenue processes.
"The back-end revenue cycle segment is estimated to hold the largest share of the revenue cycle management market in 2024."
Based on product, the revenue cycle management market is segmented into patient access solutions, mid-revenue cycle solutions, and back-end revenue cycle solutions. The back-end revenue cycle solutions segment is expected to hold the largest share in 2024 due to the growing complexity of payer reimbursement models and the increasing volume of denied claims requiring advanced resolution strategies. The increased use of automation in collections, payment posting, and appeals processing has led to greater adoption in this area. Furthermore, the incorporation of predictive analytics into accounts receivable management allows providers to prioritize high-risk accounts and expedite revenue generation.
"The Asia Pacific region is expected to register the highest growth rate in the revenue cycle management market during the forecast period."
The global revenue cycle management market is segmented into five major regions: North America, Europe, Asia Pacific, Latin America, and the Middle East & Africa. The Asia Pacific is expected to register the highest growth during the forecast period. Several factors are driving the growth of revenue cycle management (RCM) systems in healthcare. The rapid digital transformation of hospital billing systems and increasing investments by private healthcare providers in cloud-based RCM tools are significant contributors. Additionally, government-led healthcare digitization programs, such as India's Ayushman Bharat Digital Mission, are promoting the adoption of RCM platforms. Furthermore, the emergence of regional RCM outsourcing hubs in countries like the Philippines and Malaysia also fuels market expansion.
The breakdown of primary participants is as mentioned below:
By Company Type: Tier 1 (41%), Tier 2 (31%), and Tier 3 (28%)
By Designation: C-level Executives (44%), Directors (31%), and Others (25%)
By Region: North America (45%), Europe (28%), Asia Pacific (20%), Latin America (4%), and the Middle East & Africa (3%)
Key Players
The prominent players in this market are Optum, Inc. (US), R1 RCM Inc. (US), Oracle (US), Medical Information Technology, Inc. (US), McKesson Corporation (US), Solventum (US), Experian Information Solutions, Inc. (Ireland), Conifer Health Solutions. (US), Veradigm LLC (US), eClinicalWorks (US), Cognizant (US), athenahealth, Inc. (US), The SSI Group, LLC (US), Huron Consulting Group Inc. (US), AdvancedMD, Inc. (US), GeBBS (US), Epic Systems Corporation (US), TruBridge (US), CareCloud, Inc. (US), MEDHOST (US), AdvantEdge Healthcare Solutions (US), FinThrive (US), Plutus Health (US), Omega Healthcare Management Services (India), and Vee Healthtek, Inc. (US). Players adopted organic as well as inorganic growth strategies such as product launches and enhancements, investments, partnerships, collaborations, joint ventures, funding, acquisitions, expansions, agreements, contracts, and alliances to increase their offerings, cater to the unmet needs of customers, increase their profitability, and expand their presence in the global market.
Research Coverage
The report studies the revenue cycle management market based on offering, solution type, delivery mode, end user, and region.
The report analyzes factors (such as drivers, restraints, opportunities, and challenges) affecting the market growth.
The report evaluates the opportunities and challenges in the market for stakeholders and provides details of the competitive landscape for market leaders.
The report studies micromarkets with respect to their growth trends, prospects, and contributions to the total revenue cycle management market.
The report forecasts the revenue of market segments with respect to five major regions.
Reasons to Buy the Report
The report can help established firms, as well as new entrants/smaller firms, gauge the pulse of the market, which, in turn, would help them garner a greater share. Firms purchasing the report could use one or a combination of the five strategies mentioned below.
This report provides insights into the following pointers:
Analysis of key drivers (growing regulatory requirements and government initiatives, increasing patient volume and subsequent growth in health insurance, loss of revenue due to billing errors and declining reimbursements, growing need to manage unstructured healthcare data, and rising demand for robust process improvements in the healthcare sector), restraints (high deployment costs and IT infrastructural constraints in emerging economies), opportunities (increasing outsourcing services in emerging economies and growing demand for AI and cloud-based deployment), and challenges (issues related to data security and confidentiality and reluctance to switch from conventional methods) influencing the growth of the revenue cycle management market.
Product Development/Innovation: Detailed insights on upcoming technologies, research and development activities, and product launches in the revenue cycle management market.
Market Development: Comprehensive information about lucrative emerging markets. The report analyzes the markets for various types of revenue cycle management solutions across regions.
Market Diversification: Exhaustive information about products, untapped regions, recent developments, and investments in the revenue cycle management market.
Competitive Assessment: In-depth assessment of market shares, strategies, products, distribution networks, and manufacturing capabilities of the leading players in the revenue cycle management market.