미국의 RCM(Revenue Cycle Management) 시장 규모, 점유율, 동향 분석 : 제품별, 컴포넌트별, 제공 방식별, 전문 분야별, 조달처별, 기능별, 최종 용도별, 부문별 예측(2025-2030년)

U.S. Revenue Cycle Management Market Growth & Trends:

The U.S. revenue cycle management market size is anticipated to reach USD 308.2 billion by 2030, according to a new report by Grand View Research, Inc. The market is projected to grow at a CAGR of 10.11% from 2025 to 2030. The rapidly transforming healthcare system and adoption of digitalization are paving a path for implementing healthcare IT services such as Revenue Cycle Management (RCM) systems to organize and streamline workflows of healthcare organizations using synchronized management software solutions.

Moreover, healthcare systems in the U.S. are experiencing substantial changes with the adoption of electronic procedures for managing claims and reimbursements. The presence of numerous distinguished healthcare establishments, rising healthcare consciousness & expenditure, and increasing digital literacy are anticipated to boost market growth. Supportive regulatory alterations from government bodies and consistent technological advancements by market stakeholders are projected to further propel growth. The growing need for ongoing technological advancements is compelling the participants to revise their product development approaches to enhance the provider-patient connection within healthcare institutions. Key stakeholders are concentrating on alliances, acquisitions, and strategic collaborations with other industry participants to merge expertise & expand their market presence.

In January 2024, Veradigm LLC announced the acquisition of Koha Health, a full-service RCM provider. The acquisition added further expertise in the Musculoskeletal Medicine (MSK) specialty to the Veradigm Network while also strengthening its capacity to provide revenue cycle services to Ambulatory Surgical Centers (ASCs) and ambulatory healthcare provider practices that use diverse Electronic Health Record (EHR) systems. Veradigm is enhancing its comprehensive revenue cycle services range to offer better value to clients and tap into additional growth opportunities.

U.S. Revenue Cycle Management Market Report Highlights:

• On the basis of product type, the integrated system spearheaded the market in 2024 due to the growing demand from healthcare organizations for a synchronized single platform to manage financial activities.
• On the basis of delivery mode, the web-based delivery mode segment dominated the market in 2024 due to the cost-effectiveness and rapid deployment of these solutions.
• On the basis of end-use, the hospitals end-use segment led the market in 2024 due to the presence of well-established hospitals and growing healthcare IT infrastructure.
• The other physician specialty segment dominated the market in 2024 due to increase in insurance coverage for other healthcare services.
• The claim management segment led the market in 2024 in the function segment due to the increasing patient volume and the presence of ineffective claim management systems.
• In September 2022, AGS Health introduced a connected solution that blends automation and Artificial Intelligence (AI) called AGS AI Platform. This solution aims to deliver seamless integration and robust process automation to ease labor shortages and allow flexible, scalable growth.

Table of Contents

Chapter 1. Methodology and Scope

• 1.1. Market Segmentation & Scope
  • 1.1.1. Segment Definitions
• 1.2. Estimates and Forecast Timeline
• 1.3. Research Methodology
• 1.4. Information Procurement
  • 1.4.1. Purchased Database
  • 1.4.2. GVR's Internal Database
  • 1.4.3. Secondary Sources
  • 1.4.4. Primary Research
  • 1.4.5. Details of Primary Research
  • 1.4.6. Research Assumption
• 1.5. Information or Data Analysis
  • 1.5.1. Data Analysis Models
• 1.6. Market Formulation & Data Visualization
• 1.7. Model Details
  • 1.7.1. Commodity Flow Analysis
• 1.8. Objectives
  • 1.8.1. Objective - 1
  • 1.8.2. Objective - 2
  • 1.8.3. Objective - 3
• 1.9. List of Secondary Sources
• 1.10. List of Abbreviations

Chapter 2. Executive Summary

• 2.1. U.S. Revenue Cycle Management Market
  • 2.1.1. Market Snapshot
  • 2.1.2. Segment Snapshot
    • 2.1.2.1. End user & product segment outlook
    • 2.1.2.2. Component & delivery mode segment outlook
    • 2.1.2.3. Specialty & sourcing segment outlook
    • 2.1.2.4. Function segment outlook
  • 2.1.3. Competitive Landscape Snapshot

Chapter 3. Market Variables, Trends, & Scope

• 3.1. Market Lineage Outlook
  • 3.1.1. Parent Market Outlook
  • 3.1.2. Related/Ancillary Market Outlook
• 3.2. Market Trends and Outlook
• 3.3. Market Dynamics
  • 3.3.1. Market Driver Analysis
    • 3.3.1.1. Technological advancements
    • 3.3.1.2. Increase in outsourcing of RCM
    • 3.3.1.3. Increasing adoption of mHealth
    • 3.3.1.4. Growth of High-deductible Health Plans (HDHPs)
  • 3.3.2. Market Restraint Analysis
    • 3.3.2.1. Increasing payer partnerships
    • 3.3.2.2. Lack of Professionals to handle RCM processes
• 3.4. Business Environment Analysis Tools
  • 3.4.1. Industry Analysis - Porter's Five Forces Analysis
    • 3.4.1.1. Supplier power
    • 3.4.1.2. Buyer power
    • 3.4.1.3. Substitution threat
    • 3.4.1.4. Threat of new entrant
    • 3.4.1.5. Competitive rivalry
  • 3.4.2. PESTEL Analysis
• 3.5. Regulatory Framework
• 3.6. Pricing Analysis
• 3.7. Technology and AI Integration in the RCM
• 3.8. Case Studies
• 3.9. Private Equity Investment in RCM Companies

Chapter 4. Product Business Analysis

• 4.1. U.S. Revenue Cycle Management Market: Product Movement Analysis
• 4.2. U.S. Revenue Cycle Management Market: Product Segment Dashboard
• 4.3. Product Type Movement & Market Share Analysis, 2024 & 2030
• 4.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Product Type
• 4.5. Integrated System
  • 4.5.1. Integrated System Market, 2018 - 2030 (USD Million)
• 4.6. Standalone System
  • 4.6.1. Standalone System Market, 2018 - 2030 (USD Million)

Chapter 5. Component Business Analysis

• 5.1. U.S. Revenue Cycle Management Market: Component Movement Analysis
• 5.2. U.S. Revenue Cycle Management Market: Component Segment Dashboard
• 5.3. Component Movement & Market Share Analysis, 2024 & 2030
• 5.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Component
• 5.5. Software Solution
  • 5.5.1. Software Market, 2018 - 2030 (USD Million)
• 5.6. Services
  • 5.6.1. Services Market, 2018 - 2030 (USD Million)

Chapter 6. Delivery Mode Business Analysis

• 6.1. U.S. Revenue Cycle Management Market: Delivery Mode Movement Analysis
• 6.2. U.S. Revenue Cycle Management Market: Delivery Mode Segment Dashboard
• 6.3. Delivery Mode Movement & Market Share Analysis, 2024 & 2030
• 6.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Delivery Mode
• 6.5. On-premise
  • 6.5.1. On-premise Market, 2018 - 2030 (USD Million)
• 6.6. Web-based
  • 6.6.1. Web-based Market, 2018 - 2030 (USD Million)
• 6.7. Cloud-based
  • 6.7.1. Cloud-based Market, 2018 - 2030 (USD Million)

Chapter 7. Specialty Business Analysis

• 7.1. U.S. Revenue Cycle Management Market: Specialty Movement Analysis
• 7.2. U.S. Revenue Cycle Management Market: Specialty Segment Dashboard
• 7.3. Specialty Movement & Market Share Analysis, 2024 & 2030
• 7.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Specialty
• 7.5. Oncology
  • 7.5.1. Oncology Market, 2018 - 2030 (USD Million)
• 7.6. Dermatology
  • 7.6.1. Dermatology Market, 2018 - 2030 (USD Million)
• 7.7. Plastic Surgery and Aesthetics
  • 7.7.1. Plastic Surgery and Aesthetics Market, 2018 - 2030 (USD Million)
• 7.8. Cardiology
  • 7.8.1. Cardiology Market, 2018 - 2030 (USD Million)
• 7.9. Anesthesia
  • 7.9.1. Anesthesia Market, 2018 - 2030 (USD Million)
• 7.10. Radiology
  • 7.10.1. Radiology Market, 2018 - 2030 (USD Million)
• 7.11. Pathology
  • 7.11.1. Pathology Market, 2018 - 2030 (USD Million)
• 7.12. Pain Management
  • 7.12.1. Pain Management Market, 2018 - 2030 (USD Million)
• 7.13. Emergency Services
  • 7.13.1. Emergency Services Market, 2018 - 2030 (USD Million)
• 7.14. Others
  • 7.14.1. Others Market, 2018 - 2030 (USD Million)

Chapter 8. Sourcing Business Analysis

• 8.1. U.S. Revenue Cycle Management Market: Sourcing Movement Analysis
• 8.2. U.S. Revenue Cycle Management Market: Sourcing Segment Dashboard
• 8.3. Sourcing Movement & Market Share Analysis, 2024 & 2030
• 8.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Sourcing
• 8.5. In-house
  • 8.5.1. In-house Market, 2018 - 2030 (USD Million)
• 8.6. External RCM Apps / Software
  • 8.6.1. External RCM Apps / Software Market, 2018 - 2030 (USD Million)
• 8.7. Outsourced RCM Services
  • 8.7.1. Outsourced RCM Services Market, 2018 - 2030 (USD Million)

Chapter 9. Function Business Analysis

• 9.1. U.S. Revenue Cycle Management Market: Function Movement Analysis
• 9.2. U.S. Revenue Cycle Management Market: Function Segment Dashboard
• 9.3. Function Movement & Market Share Analysis, 2024 & 2030
• 9.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by Function
• 9.5. Product Development
  • 9.5.1. Product Development Market, 2018 - 2030 (USD Million)
• 9.6. Member Engagement
  • 9.6.1. Member Engagement Market, 2018 - 2030 (USD Million)
• 9.7. Network Management
  • 9.7.1. Network Management Market, 2018 - 2030 (USD Million)
• 9.8. Care Management
  • 9.8.1. Care Management Market, 2018 - 2030 (USD Million)
• 9.9. Claims Management
  • 9.9.1. Claims Management Market, 2018 - 2030 (USD Million)
• 9.10. Risk and Compliances
  • 9.10.1. Risk and Compliances Market, 2018 - 2030 (USD Million)

Chapter 10. End Use Business Analysis

• 10.1. U.S. Revenue Cycle Management Market: End Use Movement Analysis
• 10.2. U.S. Revenue Cycle Management Market: End Use Segment Dashboard
• 10.3. End Use Movement & Market Share Analysis, 2024 & 2030
• 10.4. U.S. Revenue Cycle Management Market Estimates & Forecast, by End Use
• 10.5. Physician Back Office
  • 10.5.1. Physician Back Office Market, 2018 - 2030 (USD Million)
• 10.6. Hospitals
  • 10.6.1. Hospitals Market, 2018 - 2030 (USD Million)
• 10.7. Diagnostic Laboratories
  • 10.7.1. Diagnostic Laboratories Market, 2018 - 2030 (USD Million)
• 10.8. Other Settings
  • 10.8.1. Other Settings Market, 2018 - 2030 (USD Million)

Chapter 11. Competitive Landscape

• 11.1. Company Categorization
• 11.2. Company Market Position Analysis
• 11.3. Company Share Analysis
• 11.4. Strategy Mapping
  • 11.4.1. Partnership/Collaboration/Alliance
  • 11.4.2. New Product Launch
  • 11.4.3. Mergers & Acquisitions
  • 11.4.4. Others
• 11.5. Company Profiles/Listing
  • 11.5.1. athenahealth, Inc.
    • 11.5.1.1. Overview
    • 11.5.1.2. Financial performance
    • 11.5.1.3. Product benchmarking
    • 11.5.1.4. Strategic initiatives
  • 11.5.2. Cerner Corporation
    • 11.5.2.1. Overview
    • 11.5.2.2. Financial performance
    • 11.5.2.3. Product benchmarking
    • 11.5.2.4. Strategic initiatives
  • 11.5.3. eClinicalWorks
    • 11.5.3.1. Overview
    • 11.5.3.2. Financial performance
    • 11.5.3.3. Product benchmarking
    • 11.5.3.4. Strategic initiatives
  • 11.5.4. Epic Systems Corporation
    • 11.5.4.1. Overview
    • 11.5.4.2. Financial performance
    • 11.5.4.3. Product benchmarking
    • 11.5.4.4. Strategic initiatives
  • 11.5.5. McKesson Corporation
    • 11.5.5.1. Overview
    • 11.5.5.2. Financial performance
    • 11.5.5.3. Product benchmarking
    • 11.5.5.4. Strategic initiatives
  • 11.5.6. NXGN Management, LLC
    • 11.5.6.1. Overview
    • 11.5.6.2. Financial performance
    • 11.5.6.3. Product benchmarking
    • 11.5.6.4. Strategic initiatives
  • 11.5.7. Oncospark, Inc.
    • 11.5.7.1. Overview
    • 11.5.7.2. Financial performance
    • 11.5.7.3. Product benchmarking
    • 11.5.7.4. Strategic initiatives
  • 11.5.8. R1 RCM, Inc.
    • 11.5.8.1. Overview
    • 11.5.8.2. Financial performance
    • 11.5.8.3. Product benchmarking
    • 11.5.8.4. Strategic initiatives
  • 11.5.9. The SSI Group, Inc.
    • 11.5.9.1. Overview
    • 11.5.9.2. Financial performance
    • 11.5.9.3. Product benchmarking
    • 11.5.9.4. Strategic initiatives
  • 11.5.10. Veradigm LLC (Allscripts Healthcare LLC)
    • 11.5.10.1. Overview
    • 11.5.10.2. Financial performance
    • 11.5.10.3. Product benchmarking
    • 11.5.10.4. Strategic initiatives