세계의 헬스케어 RCM 아웃소싱 시장 보고서(2025년)
Healthcare RCM Outsourcing Global Market Report 2025
상품코드 : 1821637
리서치사 : The Business Research Company
발행일 : On Demand Report
페이지 정보 : 영문 250 Pages
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한글목차

헬스케어 RCM 아웃소싱 시장 규모는 향후 몇 년 동안 급성장할 것으로 예상됩니다. 2029년 연평균 성장률(CAGR)은 17.8%로 665억 9,000만 달러에 달할 것으로 예상됩니다. 예측 기간 동안의 성장은 헬스케어 지출 증가, 세계 시장 확대, 사이버 보안 및 데이터 프라이버시, 비용 효율성, 환자 경험에 대한 중요성 등에 기인하는 것으로 보입니다. 예측 기간의 주요 동향으로는 의료 청구의 복잡성 증가, 비용 절감에 대한 집중, 규제 변경 및 컴플라이언스, 가치 기반 의료로의 전환, 의료 서비스 제공자의 핵심 역량에 대한 집중 등이 있습니다.

향후 5년간 17.8%의 성장률 전망은 지난번 예측보다 0.2% 소폭 하락한 수치입니다. 이 감소는 주로 미국과 다른 국가 간의 관세의 영향에 기인합니다. 관세 장벽은 필리핀이나 폴란드에서 조달하는 오프쇼어 의료 코딩 서비스 및 부인 관리 지원 비용을 상승시키고, 수익 사이클의 효율성을 떨어뜨리며, 미수금 부담을 증가시킴으로써 미국을 방해할 것으로 예상됩니다. 또한, 상호 관세와 무역 긴장과 제한의 증가로 인해 세계 경제와 무역에 미치는 악영향은 더욱 광범위하게 영향을 미칠 것입니다.

헬스케어 수익 주기 관리(RCM) 아웃소싱 시장은 의료비 증가에 힘입어 큰 폭의 성장세를 보이고 있습니다. 새로운 검사 및 추적 시스템에 대한 직접적인 투자 및 개인보호구 추가와 같은 간접적인 팬데믹 대응 비용에 힘입어 헬스케어 지출이 급증하면서 헬스케어 RCM 아웃소싱에 대한 수요가 증가하고 있습니다. 이 아웃소싱 솔루션은 관리 업무를 간소화하고 다양한 임상 활동을 관리하면서 의료기관의 수익을 향상시키는 데 도움을 주고 있습니다. 메디케어 및 메디케이드 서비스 센터에 따르면, 미국의 의료비는 2022년 4.1% 증가하여 4조 5,000억 달러(1인당 1만 3,493달러)에 달할 것으로 예상됩니다. 의료비 지출의 증가는 시장 상황의 견조한 성장을 촉진할 것으로 예상됩니다.

목차

제1장 주요 요약

제2장 시장 특징

제3장 시장 동향과 전략

제4장 시장 : 금리, 인플레이션, 지정학, 무역 전쟁과 관세, 그리고 코로나와 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 개요

제31장 기타 주요 기업과 혁신적 기업

제32장 세계의 시장 경쟁 벤치마킹과 대시보드

제33장 주요 인수합병

제34장 최근의 시장 동향

제35장 시장 잠재력이 높은 국가, 부문, 전략

제36장 부록

KSM
영문 목차

영문목차

Healthcare Revenue Cycle Management (RCM) outsourcing involves outsourcing the financial processes of healthcare facilities, including administrative and clinical claims processing, payment, and revenue-generating operations. Outsourcing these functions allows an external team to manage administrative tasks such as invoicing, auditing, and other non-provider-related duties.

The primary types of healthcare RCM outsourcing are pre-intervention, intervention, and post-intervention. Pre-intervention involves front-end services or procedures conducted before an occurrence or activity, including tasks like patient admission, diagnostic tests, scanning, insurance coverage verification, etc. Services can be categorized as back-end, middle, and front-end, and are utilized by clinics, hospitals, ambulatory surgery centers, 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 healthcare RCM outsourcing market research report is one of a series of new reports from The Business Research Company that provides healthcare RCM outsourcing market statistics, including healthcare RCM outsourcing industry global market size, regional shares, competitors with a healthcare RCM outsourcing market share, detailed healthcare RCM outsourcing market segments, market trends and opportunities, and any further data you may need to thrive in the healthcare RCM outsourcing industry. This healthcare RCM outsourcing 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 rcm outsourcing market size has grown rapidly in recent years. It will grow from $30.52 billion in 2024 to $34.52 billion in 2025 at a compound annual growth rate (CAGR) of 13.1%. 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 $66.59 billion in 2029 at a compound annual growth rate (CAGR) of 17.8%. 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.

The forecast of 17.8% growth over the next five years reflects a modest reduction of 0.2% from the previous estimate for this market. This reduction is primarily due to the impact of tariffs between the US and other countries. Tariff barriers are expected to hamper the U.S. by increasing the cost of offshore medical coding services and denials management support sourced from the Philippines and Poland, thereby reducing revenue cycle efficiency and elevating accounts receivable burdens. 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 healthcare Revenue Cycle Management (RCM) outsourcing market is poised for significant growth, primarily driven by the rise in healthcare spending. The surge in healthcare expenditures, fueled by direct investments in new testing and tracing systems and indirect pandemic costs such as additional personal protective equipment, has heightened the demand for healthcare RCM outsourcing. This outsourcing solution proves instrumental in enhancing provider revenue while streamlining administrative tasks and managing various clinical activities. According to the Centers for Medicare & Medicaid Services, U.S. health care spending grew 4.1 percent in 2022, reaching $4.5 trillion or $13,493 per person. The escalating healthcare spending landscape is expected to drive robust growth in the healthcare RCM outsourcing market.

The healthcare RCM outsourcing market is experiencing substantial growth due to the increasing demand for hospitals. With 1148 hospitals in the UK in 2023, including 930 National Health Service (NHS) hospitals and 218 private hospitals, the demand for healthcare services is robust. Healthcare RCM outsourcing emerges as a strategic solution for hospitals, offering financial savings, operational efficiencies, and improved patient satisfaction. By outsourcing RCM processes, hospitals can focus on delivering high-quality healthcare services while benefiting from scalability and flexibility. This trend is indicative of the pivotal role healthcare RCM outsourcing plays in supporting the evolving needs of the healthcare industry, especially in the context of rising hospital demands.

In the healthcare RCM outsourcing landscape, technological innovation is a prominent trend. Major companies are at the forefront of delivering innovative solutions by integrating artificial intelligence (AI) and machine learning (ML) into RCM processes. Machine learning, a subset of AI, utilizes algorithms and data to mimic human knowledge, gradually improving accuracy. Olive AI, a notable automation company, exemplifies this trend by launching an Autonomous Revenue Cycle (ARC) system in June 2022. This system reshapes RCM by automating processes, reducing manual tasks, and enabling healthcare organizations to focus more on patient care. The incorporation of advanced technologies is a testament to the industry's commitment to efficiency, accuracy, and improved healthcare management through RCM outsourcing.

Major companies in the healthcare RCM outsourcing market are strategically focusing on innovative products, particularly digital platforms, to drive revenue and meet the evolving needs of healthcare organizations. Omega Healthcare Management Services, a leading healthcare outsourcing company, launched the Omega Digital Platform (ODP) in October 2023. This platform leverages specially designed technology and top-tier claims management systems to address the challenges faced by healthcare organizations. ODP aims to enhance financial performance by lowering administrative costs, improving coding quality, preventing denials, and providing state-of-the-art technological solutions. The emphasis on digital platforms underscores the industry's commitment to staying at the forefront of technological advancements to better serve healthcare organizations.

In June 2022, Linden Capital Partners, a private equity firm headquartered in Chicago with a specialization in the healthcare sector, successfully acquired Aspirion for an undisclosed sum. The collaboration between the board and the Aspirion team is strategically aimed at realizing a shared vision of bringing about significant improvements in revenue cycle management (RCM) solutions. This initiative seeks to deliver enhanced benefits for healthcare providers and, consequently, improve the overall patient experience. Aspirion, a US-based company, specializes in providing revenue cycle management services for hospitals and healthcare organizations.

Major companies operating in the healthcare rcm outsourcing market are Conifer Health Solutions 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, Connvertex Technologies Inc., Meridian Management Group Inc., 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., CareCloud Inc., Change Healthcare Inc.

North America was the largest region in the healthcare RCM outsourcing market share in 2024. The regions covered in the healthcare rcm outsourcing market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa.

The countries covered in the healthcare rcm outsourcing market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA, Canada, Italy, Spain.

The healthcare RCM outsourcing market includes revenues earned by entities by providing administrative functions, address coding/billing issues, revenue management solution. 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 RCM Outsourcing 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 rcm outsourcing 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 healthcare rcm outsourcing ? 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 healthcare rcm outsourcing 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. Healthcare RCM Outsourcing Market Characteristics

3. Healthcare RCM Outsourcing Market Trends And Strategies

4. Healthcare RCM Outsourcing 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 Healthcare RCM Outsourcing Growth Analysis And Strategic Analysis Framework

6. Healthcare RCM Outsourcing Market Segmentation

7. Healthcare RCM Outsourcing Market Regional And Country Analysis

8. Asia-Pacific Healthcare RCM Outsourcing Market

9. China Healthcare RCM Outsourcing Market

10. India Healthcare RCM Outsourcing Market

11. Japan Healthcare RCM Outsourcing Market

12. Australia Healthcare RCM Outsourcing Market

13. Indonesia Healthcare RCM Outsourcing Market

14. South Korea Healthcare RCM Outsourcing Market

15. Western Europe Healthcare RCM Outsourcing Market

16. UK Healthcare RCM Outsourcing Market

17. Germany Healthcare RCM Outsourcing Market

18. France Healthcare RCM Outsourcing Market

19. Italy Healthcare RCM Outsourcing Market

20. Spain Healthcare RCM Outsourcing Market

21. Eastern Europe Healthcare RCM Outsourcing Market

22. Russia Healthcare RCM Outsourcing Market

23. North America Healthcare RCM Outsourcing Market

24. USA Healthcare RCM Outsourcing Market

25. Canada Healthcare RCM Outsourcing Market

26. South America Healthcare RCM Outsourcing Market

27. Brazil Healthcare RCM Outsourcing Market

28. Middle East Healthcare RCM Outsourcing Market

29. Africa Healthcare RCM Outsourcing Market

30. Healthcare RCM Outsourcing Market Competitive Landscape And Company Profiles

31. Healthcare RCM Outsourcing Market Other Major And Innovative Companies

32. Global Healthcare RCM Outsourcing Market Competitive Benchmarking And Dashboard

33. Key Mergers And Acquisitions In The Healthcare RCM Outsourcing Market

34. Recent Developments In The Healthcare RCM Outsourcing Market

35. Healthcare RCM Outsourcing Market High Potential Countries, Segments and Strategies

36. Appendix

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