Healthcare revenue cycle management entails overseeing financial transactions within the healthcare system, from patient registration to reimbursement, to ensure optimal revenue generation. It integrates a variety of services and technological solutions aimed at enhancing financial performance and compliance within healthcare organizations.
At its core, healthcare revenue cycle management comprises two main components: software and services. Software solutions play a pivotal role in automating and optimizing financial processes, encompassing billing, coding, claims processing, and payment collection. These software applications can be deployed either on-premises or via cloud-based platforms, catering to various functions such as claims and denial management, medical coding, billing eligibility verification, and payment remittance. They serve a diverse array of end users, including hospitals, laboratories, physicians, and other healthcare entities.
The healthcare revenue cycle management market research report is one of a series of new reports from The Business Research Company that provides healthcare revenue cycle management market statistics, including healthcare revenue cycle management industry global market size, regional shares, competitors with a healthcare revenue cycle management market share, detailed healthcare revenue cycle management market segments, market trends and opportunities, and any further data you may need to thrive in the healthcare revenue cycle management industry. This healthcare revenue cycle management market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenario of the industry.
The healthcare revenue cycle management market size has grown rapidly in recent years. It will grow from $69.38 billion in 2024 to $80.53 billion in 2025 at a compound annual growth rate (CAGR) of 16.1%. The growth in the historic period can be attributed to increasing healthcare expenditure, transition to value-based care models, regulatory compliance requirements, growing adoption of electronic health records (EHR) and emphasis on cost reduction and efficiency.
The healthcare revenue cycle management market size is expected to see rapid growth in the next few years. It will grow to $144.54 billion in 2029 at a compound annual growth rate (CAGR) of 15.7%. The growth in the forecast period can be attributed to growing patient financial responsibility, scalable revenue cycle management solutions for mid-sized hospitals, value-based care models driving importance of RCM, partnerships between RCM and EHR providers for comprehensive solutions, payment processing enhancements in RCM systems. Major trends in the forecast period include automation and artificial intelligence (AI), shift towards value-based care reimbursement models, integration of RCM systems with telehealth platforms, data analytics, outsourcing and partnerships.
The increasing adoption of electronic health records (EHR) is expected to drive the growth of the healthcare revenue cycle management market. EHRs are digital versions of patients' medical records that contain comprehensive health information accessible to authorized healthcare providers. The rise in EHR adoption is fueled by several factors, including the need for better access to patient care, improved efficiency in healthcare delivery, and the seamless transfer of information. EHRs enhance healthcare revenue cycle management by enabling accurate documentation, efficient claim processing, and timely reimbursement for medical services. For example, in June 2022, the Department of Health and Social Care, a UK government agency, reported that by December 2023, 90% of NHS trusts were expected to implement EHRs, with full adoption mandated for all trusts by March 2025. As a result, the growing adoption of EHRs is driving the expansion of the healthcare revenue cycle management market.
Key players in the healthcare revenue cycle management sector prioritize innovation, with a focus on developing advanced solutions such as sophisticated revenue management platforms. These platforms are tailored to assist providers in enhancing financial performance, reducing administrative burdens, and elevating patient care quality. An advanced revenue management platform in healthcare denotes sophisticated software solutions aimed at optimizing financial aspects within healthcare organizations, particularly in managing revenue cycles. For instance, FinThrive, a US-based healthcare company, introduced its end-to-end revenue management platform in March 2022. This platform offers seamless revenue management by ensuring flexibility, scalability, and visibility across the revenue cycle, thus enabling accurate billing, regulatory compliance, and efficient financial performance. Such platforms aim to maximize revenue opportunities, minimize administrative costs, boost efficiency, and bolster the financial health of organizations, especially in industries such as healthcare where revenue cycle management is pivotal for sustainability and success.
In January 2024, Veradigm, an integrated data systems and services company based in the US, completed the acquisition of Koha Health for an undisclosed sum. This strategic move aims to augment Veradigm's capabilities in ambulatory services and musculoskeletal care, thereby fortifying its position in the healthcare market and expanding its portfolio of revenue cycle services. Koha Health, a US-based firm specializing in healthcare revenue cycle management, offers a range of services including revenue cycle optimization, strategic advisory services, and patient experience enhancement. This acquisition underscores Veradigm's commitment to enhancing its offerings and market presence, capitalizing on Koha Health's expertise to deliver value-added solutions to its clientele.
Major companies operating in the healthcare revenue cycle management market are McKesson Corporation, 3M Health Information Systems, GE Healthcare, Experian Health, Cerner Corporation, Epic Systems Corporation, Change Healthcare, R1 RCM Inc., Nuance Communications, Conifer Health Solutions, Allscripts Healthcare Solutions, Health Catalyst, Craneware, MEDHOST Inc., NextGen Healthcare, Greenway Health, MedeAnalytics, Source Medical, Patientco, Athenahealth Inc., eClinicalWorks, Optum, nThrive, Waystar, IBM Watson Health, Trizetto Provider Solutions, Quadax, Experity
North America was the largest region in the healthcare revenue cycle management market in 2024. Asia-Pacific is expected to be the fastest-growing region in the forecast period. The regions covered in the healthcare revenue cycle management market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa.
The countries covered in the healthcare revenue cycle management market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA, Canada, Italy, Spain.
The healthcare revenue cycle management market includes revenues earned by entities by providing services such as eligibility verification, coding and documentation review, claims submission and management, accounts receivable (AR) management, payment posting and reconciliation, denial management, and appeals. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included.
The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified).
The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products.
Healthcare Revenue Cycle Management Global Market Report 2025 from The Business Research Company provides strategists, marketers and senior management with the critical information they need to assess the market.
This report focuses on healthcare revenue cycle management market which is experiencing strong growth. The report gives a guide to the trends which will be shaping the market over the next ten years and beyond.
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Where is the largest and fastest growing market for healthcare revenue cycle management ? How does the market relate to the overall economy, demography and other similar markets? What forces will shape the market going forward? The healthcare revenue cycle management market global report from the Business Research Company answers all these questions and many more.
The report covers market characteristics, size and growth, segmentation, regional and country breakdowns, competitive landscape, market shares, trends and strategies for this market. It traces the market's historic and forecast market growth by geography.
The market characteristics section of the report defines and explains the market.
The market size section gives the market size ($b) covering both the historic growth of the market, and forecasting its development.
The forecasts are made after considering the major factors currently impacting the market. These include:
The forecasts are made after considering the major factors currently impacting the market. These include the Russia-Ukraine war, rising inflation, higher interest rates, and the legacy of the COVID-19 pandemic.
Market segmentations break down the market into sub markets.
The regional and country breakdowns section gives an analysis of the market in each geography and the size of the market by geography and compares their historic and forecast growth. It covers the growth trajectory of COVID-19 for all regions, key developed countries and major emerging markets.
The competitive landscape chapter gives a description of the competitive nature of the market, market shares, and a description of the leading companies. Key financial deals which have shaped the market in recent years are identified.
The trends and strategies section analyses the shape of the market as it emerges from the crisis and suggests how companies can grow as the market recovers.
Scope
Markets Covered:1) By Component: Software; Service
2) By Deployment Mode: On-Premises; Cloud Or Web Based
3) By Function: Claims And Denial Management; Medical Coding And Billing Eligibility Verification; Payment Remittance; Other Functions
4) By End-Use: Hospitals; Laboratories; Physicians; Other End-Users
3. Healthcare Revenue Cycle Management Market Trends And Strategies
4. Healthcare Revenue Cycle Management Market - Macro Economic Scenario Including The Impact Of Interest Rates, Inflation, Geopolitics, Covid And Recovery On The Market
5. Global Healthcare Revenue Cycle Management Growth Analysis And Strategic Analysis Framework
5.1. Global Healthcare Revenue Cycle Management PESTEL Analysis (Political, Social, Technological, Environmental and Legal Factors, Drivers and Restraints)
5.2. Analysis Of End Use Industries
5.3. Global Healthcare Revenue Cycle Management Market Growth Rate Analysis
5.4. Global Healthcare Revenue Cycle Management Historic Market Size and Growth, 2019 - 2024, Value ($ Billion)
5.5. Global Healthcare Revenue Cycle Management Forecast Market Size and Growth, 2024 - 2029, 2034F, Value ($ Billion)
5.6. Global Healthcare Revenue Cycle Management Total Addressable Market (TAM)
6.1. Global Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
Software
Service
6.2. Global Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
On-Premises
Cloud Or Web Based
6.3. Global Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
Claims And Denial Management
Medical Coding And Billing Eligibility Verification
Payment Remittance
Other Functions
6.4. Global Healthcare Revenue Cycle Management Market, Segmentation By End-Use, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
Hospitals
Laboratories
Physicians
Other End-Users
6.5. Global Healthcare Revenue Cycle Management Market, Sub-Segmentation Of Software, By Type, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
6.6. Global Healthcare Revenue Cycle Management Market, Sub-Segmentation Of Service, By Type, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
Consulting Services
Outsourcing Services
Managed Services
Training And Support Services
Revenue Cycle Optimization Services
7. Healthcare Revenue Cycle Management Market Regional And Country Analysis
7.1. Global Healthcare Revenue Cycle Management Market, Split By Region, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
7.2. Global Healthcare Revenue Cycle Management Market, Split By Country, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
Region Information, Market Information, Background Information, Government Initiatives, Regulations, Regulatory Bodies, Major Associations, Taxes Levied, Corporate Tax Structure, Investments, Major Companies
8.2. Asia-Pacific Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
8.3. Asia-Pacific Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
8.4. Asia-Pacific Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
9. China Healthcare Revenue Cycle Management Market
9.1. China Healthcare Revenue Cycle Management Market Overview
9.2. China Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F,$ Billion
9.3. China Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F,$ Billion
9.4. China Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F,$ Billion
10. India Healthcare Revenue Cycle Management Market
10.1. India Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
10.2. India Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
10.3. India Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
11. Japan Healthcare Revenue Cycle Management Market
11.1. Japan Healthcare Revenue Cycle Management Market Overview
11.2. Japan Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
11.3. Japan Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
11.4. Japan Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
12. Australia Healthcare Revenue Cycle Management Market
12.1. Australia Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
12.2. Australia Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
12.3. Australia Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
13. Indonesia Healthcare Revenue Cycle Management Market
13.1. Indonesia Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
13.2. Indonesia Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
13.3. Indonesia Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
14. South Korea Healthcare Revenue Cycle Management Market
14.1. South Korea Healthcare Revenue Cycle Management Market Overview
14.2. South Korea Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
14.3. South Korea Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
14.4. South Korea Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
15. Western Europe Healthcare Revenue Cycle Management Market
15.1. Western Europe Healthcare Revenue Cycle Management Market Overview
15.2. Western Europe Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
15.3. Western Europe Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
15.4. Western Europe Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
16. UK Healthcare Revenue Cycle Management Market
16.1. UK Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
16.2. UK Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
16.3. UK Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
20.1. Spain Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
20.2. Spain Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
20.3. Spain Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
21. Eastern Europe Healthcare Revenue Cycle Management Market
21.1. Eastern Europe Healthcare Revenue Cycle Management Market Overview
21.2. Eastern Europe Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
21.3. Eastern Europe Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
21.4. Eastern Europe Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
22. Russia Healthcare Revenue Cycle Management Market
22.1. Russia Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
22.2. Russia Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
22.3. Russia Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
23. North America Healthcare Revenue Cycle Management Market
23.1. North America Healthcare Revenue Cycle Management Market Overview
23.2. North America Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
23.3. North America Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
23.4. North America Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
24. USA Healthcare Revenue Cycle Management Market
24.1. USA Healthcare Revenue Cycle Management Market Overview
24.2. USA Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
24.3. USA Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
24.4. USA Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
25.2. Canada Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
25.3. Canada Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
25.4. Canada Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
26. South America Healthcare Revenue Cycle Management Market
26.1. South America Healthcare Revenue Cycle Management Market Overview
26.2. South America Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
26.3. South America Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
26.4. South America Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
27. Brazil Healthcare Revenue Cycle Management Market
27.1. Brazil Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
27.2. Brazil Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
27.3. Brazil Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
28. Middle East Healthcare Revenue Cycle Management Market
28.1. Middle East Healthcare Revenue Cycle Management Market Overview
28.2. Middle East Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
28.3. Middle East Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
28.4. Middle East Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
29. Africa Healthcare Revenue Cycle Management Market
29.1. Africa Healthcare Revenue Cycle Management Market Overview
29.2. Africa Healthcare Revenue Cycle Management Market, Segmentation By Component, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
29.3. Africa Healthcare Revenue Cycle Management Market, Segmentation By Deployment Mode, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
29.4. Africa Healthcare Revenue Cycle Management Market, Segmentation By Function, Historic and Forecast, 2019-2024, 2024-2029F, 2034F, $ Billion
30. Healthcare Revenue Cycle Management Market Competitive Landscape And Company Profiles