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세계의 백엔드 수익주기 관리 시장 보고서(2025년)
Back-end Revenue Cycle Management Global Market Report 2025
상품코드 : 1727758
리서치사 : The Business Research Company
발행일 : On Demand Report
페이지 정보 : 영문 175 Pages
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한글목차

백엔드 수익주기 관리 시장 규모는 향후 몇 년간 강력한 성장이 예상됩니다. 예측 기간의 성장은 환자의 재무적 참여에 대한 관심 증가로 인한 것으로 예측됩니다. 주요 동향으로는 AI를 활용한 청구 처리, 로보틱 프로세스 오토메이션(RPA), 안전한 거래를 위한 블록체인, 클라우드 RCM 플랫폼, 수익 최적화를 위한 예측 분석의 활용 등이 있습니다.

환자 수가 증가하면 백엔드 수익주기 관리 시장이 늘어날 것으로 예측됩니다. 노화, 만성 질환 확산, 의료 접근 개선, 치료 진보, 의료 서비스에 대한 의식 증가 등의 요인으로 인한 것입니다. 정확성을 확보하고 관리 부담을 줄이고 원활한 건강 관리를 유지하는 데 필수적입니다. 예를 들어, 2024년 8월 영국 정부 부처인 영국 국민보건서비스(NHS England)는 영국 병원의 사고 및 응급실을 방문한 환자의 약 75.2%가 2023년에 입원, 이송 또는 퇴원한 것으로 2022년의 74.6%에서 증가했다고 보고했습니다.

백엔드 수익주기 관리 시장의 주요 기업은 청구 효율성 향상, 청구 처리 최적화 및 전반적인 비즈니스 성능 향상을 목표로 하는 안전한 SaaS 솔루션 개발에 주력하고 있습니다. 수익 주기 관리를 위한 안전한 SaaS(서비스형 소프트웨어) 솔루션은 청구, 코딩, 결제 수금 및 보험 환급 프로세스를 간소화하고 보호하도록 설계된 클라우드 플랫폼을 제공합니다. 2023년 7월, 미국에 본사를 둔 실험실 수익 주기 관리 회사인 Telcor는 안전한 SaaS 플랫폼인 TELCOR 수익 주기 관리(RCM) 버전 21.3을 출시했습니다.

목차

제1장 주요 요약

제2장 시장 특징

제3장 시장 동향과 전략

제4장 시장 - 거시경제 시나리오 금리, 인플레이션, 지정학, 신형 코로나 바이러스 감염의 영향과 회복이 시장에 미치는 영향을 포함한 거시경제 시나리오

제5장 세계의 성장 분석과 전략 분석 프레임워크

제6장 시장 세분화

제7장 지역별/국가별 분석

제8장 아시아태평양 시장

제9장 중국 시장

제10장 인도 시장

제11장 일본 시장

제12장 호주 시장

제13장 인도네시아 시장

제14장 한국 시장

제15장 서유럽 시장

제16장 영국 시장

제17장 독일 시장

제18장 프랑스 시장

제19장 이탈리아 시장

제20장 스페인 시장

제21장 동유럽 시장

제22장 러시아 시장

제23장 북미 시장

제24장 미국 시장

제25장 캐나다 시장

제26장 남미 시장

제27장 브라질 시장

제28장 중동 시장

제29장 아프리카 시장

제30장 경쟁 구도와 기업 프로파일

제31장 기타 주요 기업 및 혁신 기업

제32장 세계 시장 경쟁 벤치마킹과 대시보드

제33장 주요 인수합병(M&A)

제34장 최근 시장 동향

제35장 시장의 잠재력이 높은 국가, 부문, 전략

제36장 부록

KTH
영문 목차

영문목차

Back-end revenue cycle management (RCM) encompasses the processes that take place after a patient receives care, focusing on billing, claims processing, payment collection, and reimbursement from insurance providers. It ensures that healthcare providers receive proper compensation for their services. Efficient back-end RCM helps optimize revenue, minimize errors, and enhance the financial performance of healthcare organizations.

The primary products and services in back-end RCM include services and software. Back-end RCM services involve managing claims processing, payment collections, denial management, and revenue reconciliation to ensure accurate and efficient financial operations for healthcare providers. It is available in different delivery modes, including on-premise and cloud-based solutions, and serves various end users such as healthcare payers and healthcare providers.

The back-end revenue cycle management market research report is one of a series of new reports from The Business Research Company that provides back-end revenue cycle management market statistics, including back-end revenue cycle management industry global market size, regional shares, competitors with a back-end revenue cycle management market share, detailed back-end revenue cycle management market segments, market trends and opportunities, and any further data you may need to thrive in the back-end revenue cycle management industry. This back-end 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 back-end revenue cycle management market size has grown strongly in recent years. It will grow from $12.36 billion in 2024 to $13.39 billion in 2025 at a compound annual growth rate (CAGR) of 8.3%. The growth during the historic period can be attributed to rising healthcare costs, an increase in claim denials, regulatory compliance requirements, the shift to value-based care, and the growing adoption of healthcare IT solutions.

The back-end revenue cycle management market size is expected to see strong growth in the next few years. It will grow to $18.19 billion in 2029 at a compound annual growth rate (CAGR) of 8.0%. The growth during the forecast period can be attributed to advancements in AI and automation, increasing healthcare digitalization, the rising demand for outsourced RCM services, the expansion of telehealth services, and a growing focus on patient financial engagement. Key trends in this period include AI-driven claims processing, robotic process automation (RPA), blockchain for secure transactions, cloud-based RCM platforms, and the use of predictive analytics for revenue optimization.

The increasing number of patients is expected to drive the expansion of the back-end revenue cycle management market. Patient volume refers to the total number of individuals seen, treated, or admitted by healthcare facilities, providers, or systems within a given timeframe. This rise is attributed to factors such as an aging population, the growing prevalence of chronic diseases, improved healthcare access, advancements in medical treatments, and heightened awareness of healthcare services. As patient numbers grow, the need for efficient back-end revenue cycle management systems becomes crucial to handling complex billing and insurance processes, ensuring accuracy, reducing administrative burdens, and maintaining seamless healthcare operations. For instance, in August 2024, the National Health Service England (NHS England), a UK-based government department, reported that approximately 75.2% of patients visiting accident and emergency departments in UK hospitals were admitted, transferred, or discharged in 2023, up from 74.6% in 2022. This upward trend in patient volume continues to fuel the demand for back-end revenue cycle management solutions.

Leading companies in the back-end revenue cycle management market are focusing on developing secure SaaS solutions to enhance billing efficiency, optimize claims processing, and improve overall operational performance. Secure Software as a Service (SaaS) solutions for revenue cycle management provide cloud-based platforms designed to streamline and protect billing, coding, payment collection, and insurance reimbursement processes. In July 2023, Telcor Inc., a US-based laboratory revenue cycle management company, introduced version 21.3 of TELCOR revenue cycle management (RCM), a secure SaaS platform. This latest version improves laboratory productivity and collections by offering expanded access to the report designer, an executive module, web application programming interfaces (APIs), and other advanced features.

In January 2024, R1 RCM Inc., a US-based revenue cycle management company, completed the acquisition of Acclara from Providence for $675 million. This acquisition strengthens R1 RCM's revenue cycle management services and establishes a 10-year agreement with Providence for comprehensive revenue cycle management solutions. Acclara, a US-based revenue cycle management company, specializes in back-end revenue cycle management services.

Major players in the back-end revenue cycle management market are McKesson Corporation, Optum Inc., Oracle Health, Cognizant Technology Solutions, GE Healthcare, Quest Diagnostics, Access Healthcare, Guidehouse, GeBBs Healthcare Solutions, Ensemble Health Partners, R1 RCM Inc, Veradigm LLC, Athenahealth, Conifer Health Solutions, Eclinicalworks, FinThrive, CureMD, CareCloud, The SSI Group, AdvantEdge Healthcare Solutions, DST Systems, Context 4 Healthcare, Cerner Corporation, Allscripts Healthcare Solutions Inc.

North America was the largest region in the back-end revenue cycle management market in 2024. Asia-Pacific is expected to be the fastest-growing region in the forecast period. The regions covered in back-end revenue cycle management report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East and Africa.

The countries covered in the back-end revenue cycle management market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA, Canada, Italy, Spain.

The back-end revenue cycle management market consists of revenues earned by entities by providing services such as medical billing and coding, claims submission and processing, denial management and appeals, payment posting and reconciliation, accounts receivable (A/R) management, patient collections, and compliance with healthcare regulations. The market value includes the value of related goods sold by the service provider or included within the service offering. The back-end revenue cycle management (RCM) market also includes sales of routers, switches, and firewalls. Values in this market are 'factory gate' values, that is, the value of goods sold by the manufacturers or creators of the goods, whether to other entities (including downstream manufacturers, wholesalers, distributors, and retailers) or directly to end customers. The value of goods in this market includes related services sold by the creators of the goods.

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 and 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.

Back-end 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 back-end 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.

Reasons to Purchase

Where is the largest and fastest growing market for back-end 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 back-end 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 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.

Scope

Table of Contents

1. Executive Summary

2. Back-end Revenue Cycle Management Market Characteristics

3. Back-end Revenue Cycle Management Market Trends And Strategies

4. Back-end Revenue Cycle Management Market - Macro Economic Scenario Macro Economic Scenario Including The Impact Of Interest Rates, Inflation, Geopolitics And Covid And Recovery On The Market

5. Global Back-end Revenue Cycle Management Growth Analysis And Strategic Analysis Framework

6. Back-end Revenue Cycle Management Market Segmentation

7. Back-end Revenue Cycle Management Market Regional And Country Analysis

8. Asia-Pacific Back-end Revenue Cycle Management Market

9. China Back-end Revenue Cycle Management Market

10. India Back-end Revenue Cycle Management Market

11. Japan Back-end Revenue Cycle Management Market

12. Australia Back-end Revenue Cycle Management Market

13. Indonesia Back-end Revenue Cycle Management Market

14. South Korea Back-end Revenue Cycle Management Market

15. Western Europe Back-end Revenue Cycle Management Market

16. UK Back-end Revenue Cycle Management Market

17. Germany Back-end Revenue Cycle Management Market

18. France Back-end Revenue Cycle Management Market

19. Italy Back-end Revenue Cycle Management Market

20. Spain Back-end Revenue Cycle Management Market

21. Eastern Europe Back-end Revenue Cycle Management Market

22. Russia Back-end Revenue Cycle Management Market

23. North America Back-end Revenue Cycle Management Market

24. USA Back-end Revenue Cycle Management Market

25. Canada Back-end Revenue Cycle Management Market

26. South America Back-end Revenue Cycle Management Market

27. Brazil Back-end Revenue Cycle Management Market

28. Middle East Back-end Revenue Cycle Management Market

29. Africa Back-end Revenue Cycle Management Market

30. Back-end Revenue Cycle Management Market Competitive Landscape And Company Profiles

31. Back-end Revenue Cycle Management Market Other Major And Innovative Companies

32. Global Back-end Revenue Cycle Management Market Competitive Benchmarking And Dashboard

33. Key Mergers And Acquisitions In The Back-end Revenue Cycle Management Market

34. Recent Developments In The Back-end Revenue Cycle Management Market

35. Back-end Revenue Cycle Management Market High Potential Countries, Segments and Strategies

36. Appendix

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