Mercado de gestão do ciclo de receitas da América do Norte (RCM) – Tendências e previsões do setor para 2030

Análise e tamanho do mercado de gestão do ciclo de receitas da América do Norte (RCM)

O software de gestão do ciclo de receitas (RCM) tornou-se necessário em todos os setores, uma vez que automatiza os dados dos colaboradores, a folha de pagamento e as tarefas de administração de benefícios. O setor da saúde dos EUA está a progredir continuamente e a adotar soluções tecnológicas avançadas. No entanto, o crescimento recente do mercado deve-se às enormes oportunidades de crescimento criadas pelo reforço das PME em todas as regiões. Além disso, percebeu-se que o segmento dos serviços tem vindo a dominar o mercado nos últimos anos com uma elevada quota de mercado.

A Data Bridge Market Research analisa que o mercado de gestão do ciclo de receitas (RCM), que era de 96 mil milhões de dólares em 2022, aumentaria para 221,24 mil milhões de dólares até 2030 e deverá passar por um CAGR de 11% durante o período de previsão de 2023 a 2030. Para além dos insights sobre cenários de mercado, como o valor de mercado, a taxa de crescimento, a segmentação, a cobertura geográfica e os grandes players, os relatórios de mercado com curadoria da Data Bridge Market Research incluem também análises profundas de especialistas, epidemiologia dos doentes, análise de pipeline, análise de preços e quadro regulamentar.

Âmbito e segmentação do mercado de gestão do ciclo de receitas da América do Norte (RCM)

Definição de mercado

Revenue cycle management is the management of all administrative and clinical operations that lead to patient service and directly or indirectly to revenue to maximize profits. It allows health providers to increase their income by processing claims. Revenue cycle management includes medical coding, patient registration, payment and accounst receivable management, insurance eligibility and verification, and claim processing.

North America Revenue Cycle Management (RCM) Market Dynamics

Drivers

• Growing Demand for Integrated Systems

The increasing demand for integrated systems leads to market enhancement. These end-to-end systems increase an organization's data sharing and interoperability capabilities. These solutions allow the healthcare workforce to improve productivity, reduce costs, and surge the net operating margins. The increasing need to minimize human errors and surge the administrative functions leads to the growth of integrated RCM solutions. Thus, this factor increases the market growth.

• Increasing Adoption of Cloud-deployed RCM

The delivery mode of cloud-deployed RCM is growing because of higher flexibility and higher cost-effectiveness to end-users. Cloud-deployed solutions enabled medical data-sharing to be easy and secure. It automates backend processes and enables the creation and protection of telehealth apps. Additionally, cloud-deployed solutions help healthcare institutes to deal with electronic medical records, patient portals, big data analytics, and mobile applications to prevent additional costs for maintaining servers. Thus, this factor boosts market growth.

Opportunities

• Increasing R&D Activities Associated with RCM

The increasing R&D activities associated with RCM lead to market enhancement. For instance, in 2019, SOC Telemed announced the completion of the pilot stages and beta testing of its RCM service by delivering at strategic partner hospitals around the U.S. The company's RCM service primarily focuses on billing telemedicine services and its associated financial liability from the hospital. This service helps effectively capture the revenue for clinical partners to ensure their telemedicine program's sustainability through cost reduction. Thus, this factor boosts market growth.

• Growing Strategic Initiatives Associated With Revenue Cycle Management (RCM)

There have been increasing initiatives by market players that have led to the market's growth. For instance, revenue cycle management (RCM) vendor Waystar declared to acquire Patientco in 2021 in the recent deal between an RCM vendor and a patient payment company. The RCM vendor aims for the combination to enhance the patient's financial experience by offering users consumer-friendly options for paying medical bills. Therefore, this factor boosts the market growth.

Restraints/Challenges

• Increasing Unwanted Cost Associated with Revenue Cycle Management (RCM)

Numerous consulting firms, even RCM ones, are not so good at charging hidden fees. There can be various hidden costs, such as fees for generating reports, setting up services, printing statements, and canceling services that hinder users' use. Thus, these factors hamper the market growth.

This revenue cycle management (RCM) market report provides details of new recent developments, trade regulations, import-export analysis, production analysis, value chain optimization, market share, impact of domestic and localized market players, analyses opportunities in terms of emerging revenue pockets, changes in market regulations, strategic market growth analysis, market size, category market growths, application niches and dominance, product approvals, product launches, geographic expansions, technological innovations in the market. To gain more info on the revenue cycle management (RCM) market contact Data Bridge Market Research for an Analyst Brief, our team will help you take an informed market decision to achieve market growth.

Recent Development

• In 2020, Waystar Health launched Hubble, an AI/RPA integrated platform mainly used for revenue cycle process automation. Revenue capture uses predictive analytics and advanced machine learning algorithms through this platform. These advanced add-on integrations automatically recognize missing charges, coding variances, and DRG anomalies based on an organization's past billing practices.

North America Revenue Cycle Management RCM) Market Scope

The revenue cycle management (RCM) market is segmented on the basis of stage, product type, function, organization size, deployment, and end user. The growth amongst these segments will help you analyze meagre growth segments in the industries and provide the users with a valuable market overview and market insights to help them make strategic decisions for identifying core market applications.

Stage

• Front Office
• Mid Office
• Back Office

Product Type

• Integrated RCM
• Standalone RCM

Function

• Claims and denial management
• Medical coding and billing
• Electronic health record (EHR)
• Clinical documentation improvement (CDI)
• Insurance
• Others

Organization size

• Software
• Services

Deployment Model

• Cloud
• On-premise
• Web-based

End-user

• Hospitals
• General physicians
• Others

Revenue Cycle Management (RCM) Market Regional Analysis/Insights

The revenue cycle management (RCM) market is analyzed and market size insights and trends are provided by stage, product type, function, organization size, deployment, and end user , as referenced above.

The countries covered in the revenue cycle management (RCM) market report are U.S., Canada, and Mexico in North America

U.S. dominates the revenue cycle management (RCM) market due to the huge presence of well-established hospitals and healthcare infrastructure and a surging need in this region to minimize healthcare costs. Additionally, favorable regulations are also creating huge growth opportunities for the market in the region.      

A secção do país do relatório também fornece fatores individuais de impacto no mercado e alterações na regulamentação do mercado interno que impactam as tendências atuais e futuras do mercado. Pontos de dados como a análise da cadeia de valor a jusante e a montante, tendências técnicas e análise das cinco forças de Porter, estudos de caso são alguns dos indicadores utilizados para prever o cenário de mercado para países individuais. Além disso, são considerados a presença e disponibilidade de marcas da América do Norte e os desafios enfrentados devido à grande ou escassa concorrência de marcas locais e nacionais, o impacto das tarifas domésticas e das rotas comerciais, ao mesmo tempo que se fornece uma análise de previsão dos dados do país.   

Crescimento da infraestrutura de saúde Base instalada e penetração de novas tecnologias

O mercado de gestão do ciclo de receitas (RCM) também fornece análises de mercado detalhadas para o crescimento de cada país em despesas de saúde para equipamentos de capital, base instalada de diferentes tipos de produtos para o mercado de gestão do ciclo de receitas (RCM ), impacto da tecnologia utilizando curvas de linha de vida e alterações nos cenários regulamentares de saúde e o seu impacto no mercado de gestão do ciclo de receitas (RCM). Os dados estão disponíveis para o período histórico 2011-2021.

Análise da quota de mercado do cenário competitivo e gestão do ciclo de receitas (RCM)

O cenário competitivo do mercado de gestão do ciclo de rendimento (RCM) fornece detalhes por concorrente. Os detalhes incluídos são a visão geral da empresa, finanças da empresa, receitas geradas, potencial de mercado, investimento em investigação e desenvolvimento, novas iniciativas de mercado, presença na América do Norte, localizações e instalações de produção, capacidades de produção, pontos fortes e fracos da empresa, lançamento de produtos, largura e amplitude do produto, domínio da aplicação. Os dados fornecidos acima estão apenas relacionados com o foco das empresas relacionado com o mercado de gestão do ciclo de receitas (RCM).

Alguns dos principais players que operam no mercado de gestão do ciclo de receitas (RCM) são:

• Cerner Corporation (EUA)
• General Electric (EUA)
• McKesson Corporation (EUA)
• SAP SE (Alemanha)
• IBM (EUA)
• (EUA)
• Workday, Inc. (EUA)
• ADP, LLC (EUA)
• Cornerstone OnDemand (EUA)
• Benefitfocus, Lda.
• A Zoho Corporation Unip. Ltd (Índia)
• Sage Global Services Limited (Reino Unido)
• Epicor Software Corporation (EUA)
• Informação (EUA)
• Kronos Incorporated (EUA)
• O Sage Group plc. (NÓS)

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