세계의 수익 주기 관리 시장 보고서(2025년)
Revenue Cycle Management (RCM) Global Market Report 2025
상품코드 : 1821600
리서치사 : The Business Research Company
발행일 : On Demand Report
페이지 정보 : 영문 250 Pages
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한글목차

수익 주기 관리 시장 규모는 향후 수년간 급성장할 것으로 전망됩니다. 2029년에는 CAGR 15.1%를 나타내 2,736억 달러로 성장할 전망입니다. 예측 기간의 성장은 금액 기준 케어 모델로의 전환, 수익 주기 관리(RCM)의 AI와 머신러닝 통합, 원격 의료 및 원격 환자 상호 작용, 환자 중심 재무 경험, RCM 서비스 통합, 청구 및 코딩 복잡성에 대한 대응, 수익 최적화를 위한 데이터 분석의 강화에 기인합니다. 예측 기간의 주요 동향에는 수익 예측을 위한 예측 분석, 안전하고 투명한 청구를 위한 블록 체인, 서비스로서의 RCM(RCMAAS) 모델, RCM의 환자 참여 플랫폼, 가격 투명성 및 비용 추정 도구, 의료 시스템 간 데이터 상호 운용성 등이 있습니다.

향후 5년간의 성장률 15.1%라고 하는 예측은 전회의 예측으로부터 0.2%의 소폭의 감소를 반영하고 있습니다. 이 감소는 주로 미국과 다른 국가 간의 관세의 영향 때문입니다. 무역 마찰은 인도와 이스라엘에서 개발된 클라우드 기반 수익 주기 관리 소프트웨어의 가격을 늘려 인공지능을 활용한 청구 자동화의 미국 도입을 방해하여 관리 효율이 저하되고 병원 오버헤드 비용이 상승할 수 있습니다. 또한 상호관세와 무역의 긴장과 한계 증가로 인한 세계 경제와 무역에 대한 악영향으로 인해 그 영향이 보다 광범위하게 이어질 수 있습니다.

헬스케어 지출 증가는 향후 수익 주기 관리 시장 확대를 촉진할 것으로 예측됩니다. 건강 관리 지출에는 보건 서비스, 가족 계획 활동, 영양 이니셔티브, 건강을 위해 지정된 긴급 지원과 관련된 모든 비용이 포함됩니다. 헬스케어 지출이 증가함에 따라 의료시설에서는 관리 및 임상 기능을 효과적으로 관리하기 위해 수익 주기 관리와 같은 고급 솔루션의 도입이 증가하고 있습니다. 이러한 솔루션은 청구 처리, 결제 및 수익 창출을 촉진합니다. 예를 들어 2024년 7월 미국 전문기관인 미국 의사회는 2022년 미국 의료비가 4.1% 증가하여 총액 4조 5,000억 달러(1인당 1만 3,493달러)에 달했다고 보고했습니다. 그 결과, 헬스케어 지출 증가가 수익 주기 관리 시장 성장에 박차를 가하고 있습니다.

목차

제1장 주요 요약

제2장 시장 특징

제3장 시장 동향과 전략

제4장 시장 : 금리, 인플레이션, 지정학, 무역전쟁과 관세, 코로나 및 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, 전략

제36장 부록

KTH
영문 목차

영문목차

Revenue cycle management (RCM) encompasses the services utilized by healthcare providers to ensure financial viability and maintain the delivery of high-quality treatment to patients. It involves the process of identifying, obtaining, and managing a practice's revenue from payers, based on the services provided. RCM services are crucial for preventing delayed or lost revenue, and they facilitate the tracking of patient care episodes from registration to the final payment of a balance.

The main types of products in revenue cycle management include integrated RCM and standalone RCM. Standalone RCM is self-contained and comprehensive. The components of RCM services include software and various functions such as claims and denial management, medical coding and billing, electronic health records (EHR), clinical documentation improvement (CDI), insurance processing, and other related functions. Deployment types for RCM services include web-based, cloud-based, and on-premises solutions. The end-users involved in RCM services span across hospitals, general physicians, laboratories, and other healthcare entities.

Note that the outlook for this market is being affected by rapid changes in trade relations and tariffs globally. The report will be updated prior to delivery to reflect the latest status, including revised forecasts and quantified impact analysis. The report's Recommendations and Conclusions sections will be updated to give strategies for entities dealing with the fast-moving international environment.

The sharp rise in U.S. tariffs and the resulting trade tensions in spring 2025 are having a significant impact on the healthcare sector, especially in the supply of essential medical devices, diagnostic equipment, and pharmaceuticals. Hospitals and healthcare providers are grappling with higher costs for imported surgical tools, imaging systems, and consumables like syringes and catheters, many of which have limited domestic substitutes. These escalating expenses are putting pressure on healthcare budgets, prompting some providers to delay equipment upgrades or pass increased costs on to patients. Furthermore, tariffs on raw materials and components are disrupting the manufacturing of vital drugs and devices, leading to supply chain delays. In response, the industry is adopting diversified sourcing strategies, expanding local production where feasible, and pushing for tariff exemptions on critical medical products.

The revenue cycle management market research report is one of a series of new reports from The Business Research Company that provides revenue cycle management market statistics, including revenue cycle management industry global market size, regional shares, competitors with a revenue cycle management market share, detailed revenue cycle management market segments, market trends and opportunities, and any further data you may need to thrive in the revenue cycle management industry. This 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 revenue cycle management (rcm) market size has grown rapidly in recent years. It will grow from $137.6 billion in 2024 to $156.03 billion in 2025 at a compound annual growth rate (CAGR) of 13.4%. The growth in the historic period can be attributed to implementation of electronic health records (ehrs), healthcare reforms and regulations, rising healthcare costs, focus on improving billing and collections, growth in healthcare facilities.

The revenue cycle management (rcm) market size is expected to see rapid growth in the next few years. It will grow to $273.6 billion in 2029 at a compound annual growth rate (CAGR) of 15.1%. The growth in the forecast period can be attributed to transition to value-based care models, integration of ai and machine learning in rcm, telehealth and remote patient interactions, patient-centric financial experiences, consolidation of rcm services, addressing billing and coding complexities, enhanced data analytics for revenue optimization. Major trends in the forecast period include predictive analytics for revenue forecasting, blockchain for secure and transparent billing, rcm as a service (rcmaas) models, patient engagement platforms in rcm, price transparency and cost estimation tools, data interoperability across healthcare systems.

The forecast of 15.1% growth over the next five years reflects a slight reduction of 0.2% from the previous projection. This reduction is primarily due to the impact of tariffs between the US and other countries. Trade tensions could hinder U.S. adoption of Artificial intelligence-driven billing automation by inflating prices of cloud-based Revenue Cycle Management software developed in India and Israel, resulting in administrative inefficiencies and higher hospital overhead costs. The effect will also be felt more widely due to reciprocal tariffs and the negative effect on the global economy and trade due to increased trade tensions and restrictions.

The growth in healthcare expenditures is anticipated to drive the expansion of the revenue cycle management market in the future. Healthcare expenditure encompasses all costs associated with health services, family planning activities, nutrition initiatives, and emergency aid designated for health. As healthcare spending rises, healthcare facilities are increasingly adopting advanced solutions like revenue cycle management to effectively manage administrative and clinical functions. These solutions facilitate claims processing, payment, and revenue generation. For example, in July 2024, the American Medical Association, a US-based professional organization, reported that health expenditures in the U.S. increased by 4.1% in 2022, reaching a total of $4.5 trillion, which equates to $13,493 per person. Consequently, the rising healthcare expenditure is fueling the growth of the revenue cycle management market.

The growing use of telehealth and remote healthcare services is anticipated to drive the expansion of the revenue cycle management market. Telehealth services involve leveraging digital communication technologies for remote healthcare delivery, and revenue cycle management plays a crucial role in ensuring accurate and timely reimbursement for such services. This is essential for healthcare providers to streamline billing processes and address insurance-related matters, contributing to a seamless patient experience. For example, McKinsey & Company reported a significant increase in the utilization of telehealth services, accounting for 13% to 17% of U.S. patient visits across various specialties. The surge in telehealth and remote healthcare services is a key factor fueling the growth of the revenue cycle management market.

A noteworthy trend in the revenue cycle management market is the emphasis on technological advancements. Major companies in this sector are dedicating efforts to developing innovative technological solutions to fortify their market position. In June 2022, Olive, a healthcare automation company based in the U.S., introduced its Autonomous Revenue Cycle (ARC) management suite, leveraging artificial intelligence (AI) to streamline administrative tasks and enhance revenue cycle efficiency. This highlights the trend of incorporating advanced technologies to optimize revenue cycle management processes.

Major companies in the revenue cycle management market are also focusing on the introduction of AI-based platforms to gain a competitive edge. AI platforms in revenue cycle management refer to comprehensive software systems incorporating AI technologies to streamline financial and administrative processes in healthcare. AGS Health LLC, a U.S.-based revenue cycle management company, launched the AGS AI Platform in September 2022. This platform combines automation, AI, and human-in-the-loop services, enhancing visibility into revenue cycle operations and minimizing revenue leakage, denials, and bottlenecks through predictive analytics.

In a strategic move in May 2023, Aspirion, a U.S.-based full-service revenue cycle management (RCM) company, acquired FIRM Revenue Cycle Management Services Inc. for approximately $650 million. This acquisition underscores Aspirion's commitment to investing in businesses equipped to handle the evolving financial challenges within the U.S. healthcare system. FIRM Revenue Cycle Management Services Inc. is a U.S.-based provider of revenue cycle management services. The collaboration aims to create enhanced value for healthcare clients in managing complex financial aspects.

Major companies operating in the revenue cycle management (RCM) market include The SSI Group LLC, Allscripts Healthcare Solutions Inc., Experian Health Inc., R1 RCM Inc., McKesson Corporation, Athenahealth Inc., Epic Systems Corporation, Quest Diagnostics Inc., Cerner Corporation, Constellation Software Inc., GE Healthcare Technologies Inc., eClinicalWorks India Private Limited, NXGN Management LLC, CareCloud Corporation, AdvantEdge Healthcare Solutions, Huron Consulting Group, Optum Inc., 3M Company, Cognizant Technology Solutions Corp., GeBBS Healthcare Solutions, Infosys Limited, Oracle Corporation, Accenture plc, Conifer Health Solutions LLC, Access Healthcare Services Pvt. Ltd., CareStack, Distributed Control System, Dental Revenue Cycle Management, Dental Revenue Group Inc., Dental Robot, eAssist Dental Solutions, Med Healthcare Revenue Cycle Management, Medusind Solutions, Convergent Technologies Inc., Drchrono Inc.

North America was the largest region in the 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 revenue cycle management (RCM) market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, and Africa.

The countries covered in the revenue cycle management (RCM) market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA.

The revenue cycle management market includes revenues earned by entities by providing utilization review, medical coding, denial management, referral verification. 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.

Revenue Cycle Management (RCM) 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 revenue cycle management (rcm) 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 revenue cycle management (rcm) ? How does the market relate to the overall economy, demography and other similar markets? What forces will shape the market going forward, including technological disruption, regulatory shifts, and changing consumer preferences? The revenue cycle management (rcm) 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 technological advancements such as AI and automation, Russia-Ukraine war, trade tariffs (government-imposed import/export duties), elevated inflation and interest rates.

Scope

Table of Contents

1. Executive Summary

2. Revenue Cycle Management (RCM) Market Characteristics

3. Revenue Cycle Management (RCM) Market Trends And Strategies

4. Revenue Cycle Management (RCM) Market - Macro Economic Scenario Including The Impact Of Interest Rates, Inflation, Geopolitics, Trade Wars and Tariffs, And Covid And Recovery On The Market

5. Global Revenue Cycle Management (RCM) Growth Analysis And Strategic Analysis Framework

6. Revenue Cycle Management (RCM) Market Segmentation

7. Revenue Cycle Management (RCM) Market Regional And Country Analysis

8. Asia-Pacific Revenue Cycle Management (RCM) Market

9. China Revenue Cycle Management (RCM) Market

10. India Revenue Cycle Management (RCM) Market

11. Japan Revenue Cycle Management (RCM) Market

12. Australia Revenue Cycle Management (RCM) Market

13. Indonesia Revenue Cycle Management (RCM) Market

14. South Korea Revenue Cycle Management (RCM) Market

15. Western Europe Revenue Cycle Management (RCM) Market

16. UK Revenue Cycle Management (RCM) Market

17. Germany Revenue Cycle Management (RCM) Market

18. France Revenue Cycle Management (RCM) Market

19. Italy Revenue Cycle Management (RCM) Market

20. Spain Revenue Cycle Management (RCM) Market

21. Eastern Europe Revenue Cycle Management (RCM) Market

22. Russia Revenue Cycle Management (RCM) Market

23. North America Revenue Cycle Management (RCM) Market

24. USA Revenue Cycle Management (RCM) Market

25. Canada Revenue Cycle Management (RCM) Market

26. South America Revenue Cycle Management (RCM) Market

27. Brazil Revenue Cycle Management (RCM) Market

28. Middle East Revenue Cycle Management (RCM) Market

29. Africa Revenue Cycle Management (RCM) Market

30. Revenue Cycle Management (RCM) Market Competitive Landscape And Company Profiles

31. Revenue Cycle Management (RCM) Market Other Major And Innovative Companies

32. Global Revenue Cycle Management (RCM) Market Competitive Benchmarking And Dashboard

33. Key Mergers And Acquisitions In The Revenue Cycle Management (RCM) Market

34. Recent Developments In The Revenue Cycle Management (RCM) Market

35. Revenue Cycle Management (RCM) Market High Potential Countries, Segments and Strategies

36. Appendix

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