Back-end Revenue Cycle Management Market by Product and Services (Claim Processing, Denial Management, Payment Integrity), Delivery Mode (On-Premise, Cloud Based), End-User (Payer, Provider (Inpatient, Outpatient)), and Region - Global Forecast to 2023

Back-end Revenue Cycle Management Market by Product and Services (Claim Processing, Denial Management, Payment Integrity), Delivery Mode (On-Premise, Cloud Based), End-User (Payer, Provider (Inpatient, Outpatient)), and Region - Global Forecast to 2023

“The back-end revenue cycle management market is projected to grow at a CAGR of 5.0% during the forecast period.”
The global back-end revenue cycle management market is projected to reach USD 10.4 billion by 2023 from USD 8.1 billion in 2018, at a CAGR of 5.0%. Growth in the back-end revenue cycle management market can be attributed to factors such as the growing importance of denials management, increasing patient volume, process improvements in healthcare organizations, and declining reimbursement rates. However, the high cost of deployment, integration of back-end revenue cycle management solutions, data breaches and loss of confidentiality, and lack of skilled IT professionals in healthcare are expected to limit market growth to a certain extent in the coming years.

“The services segment is expected to hold the largest market share during the forecast period.”
On the basis of product & service, the back-end revenue cycle management market has been segmented into software and services. The services segment is estimated to witness the highest CAGR during 2018-2023. High growth in this segment can be attributed to the recurring nature of services such as training and development, installation, software upgrades, consulting, and maintenance.

“The cloud-based delivery mode segment is expected to grow at the highest rate during the forecast period.”
On the basis of delivery mode, the back-end revenue cycle management market is segmented into on-premise and cloud-based modes. The cloud-based delivery mode segment is estimated to witness the highest CAGR during the forecast period. Cloud-based solutions help healthcare organizations share and integrate information from different locations, and these solutions are less costly to install and maintain than on-premise solutions, which contribute to the high growth and popularity of the cloud-based delivery model.

“Investments to modernize the healthcare infrastructure in the Asian region are expected to offer growth opportunities in the region.”
Geographically, the back-end revenue cycle management market is segmented into North America, Europe, Asia, and the Rest of the World. The Asian market is expected to grow at the highest rate during the forecast period. Growth in this region can be attributed to investments to modernize healthcare infrastructures and growing adoption of healthcare IT solutions in China, measures to boost the quality of healthcare delivery in Japan, and rapid growth in the healthcare industry in India.

Breakdown of supply-side primary interviews:
By Company Type: Tier 1: 55%, Tier 2: 20%, and Tier 3: 25%
By Designation: C-level: 35%, Director-level: 25%, and Others: 40%
By Region: North America: 20%, Europe: 25%, APAC: 40%, and RoW: 15%

The major players in the market include athenahealth (US), Cerner Corporation (US), Allscripts Healthcare Solutions, Inc. (US), eClinicalWorks (US), Optum, Inc. (US), McKesson Corporation (US), Conifer Health Solutions (US), GeBBs Healthcare Solutions (US), The SSI Group (US), GE Healthcare (US), and nThrive (US).

Research Coverage
This report studies the back-end revenue cycle management market based on product & service, delivery mode, end user, and region. The report also studies factors (such as drivers, restraints, opportunities, and challenges) affecting market growth. It analyzes the opportunities and challenges in the market and provides details of the competitive landscape for market leaders. Furthermore, the report analyzes micromarkets with respect to their individual growth trends and forecasts the revenue of the market segments with respect to four main regions and respective countries.

Key Benefits of Buying the Report
This report focuses on various levels of analysis—industry trends, market share of top players, and company profiles, which together form basic views and analyze the competitive landscape, emerging segments of the back-end revenue cycle management market, and high-growth regions and their drivers, restraints, challenges, and opportunities. The report will help both established firms as well as new entrants/smaller firms to gauge the pulse of the market and garner greater market shares.


  • INTRODUCTION
    • OBJECTIVES OF THE STUDY
    • MARKET DEFINITION
    • MARKET SCOPE
      • MARKETS COVERED
      • YEARS CONSIDERED FOR THE STUDY
    • CURRENCY
    • LIMITATIONS
    • STAKEHOLDERS
  • RESEARCH METHODOLOGY
    • RESEARCH DATA
      • SECONDARY DATA
      • PRIMARY DATA
    • MARKET SIZE ESTIMATION
    • MARKET BREAKDOWN AND DATA TRIANGULATION
    • ASSUMPTIONS FOR THE STUDY
  • EXECUTIVE SUMMARY
  • PREMIUM INSIGHTS
    • BACK-END REVENUE CYCLE MANAGEMENT MARKET OVERVIEW
    • GEOGRAPHIC ANALYSIS: NORTH AMERICAN BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER
    • US BACK-END REVENUE CYCLE MANAGEMENT MARKET, 2018
    • GEOGRAPHICAL SNAPSHOT OF THE BACK-END REVENUE CYCLE MANAGEMENT MARKET
  • MARKET OVERVIEW
    • INTRODUCTION
    • MARKET DYNAMICS
      • MARKET DRIVERS
      • MARKET RESTRAINTS
      • MARKET OPPORTUNITIES
      • MARKET CHALLENGES
  • BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE
    • INTRODUCTION
      • Table BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016–2023 (USD MILLION)
    • SERVICES
      • RECURRING NATURE OF SERVICES TO DRIVE MARKET GROWTH
        • Table BACK-END REVENUE CYCLE MANAGEMENT SERVICES MARKET, BY REGION, 2016–2023 (USD MILLION)
        • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT SERVICES MARKET, BY COUNTRY, 2016–2023 (USD MILLION)
    • SOFTWARE
      • Table BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY REGION, 2016–2023 (USD MILLION)
      • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY COUNTRY, 2016–2023 (USD MILLION)
      • Table BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
      • INTEGRATED SOFTWARE
        • Table BACK-END REVENUE CYCLE MANAGEMENT INTEGRATED SOFTWARE MARKET, BY REGION, 2016–2023 (USD MILLION)
        • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT INTEGRATED SOFTWARE MARKET, BY COUNTRY, 2016–2023 (USD MILLION)
      • STANDALONE SOFTWARE
        • Table BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY REGION, 2016–2023 (USD MILLION)
        • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY COUNTRY, 2016–2023 (USD MILLION)
        • Table BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
        • Table CLAIMS PROCESSING SOFTWARE MARKET, BY REGION, 2016–2023 (USD MILLION)
        • Table NORTH AMERICA: CLAIMS PROCESSING SOFTWARE MARKET, BY COUNTRY, 2016–2023 (USD MILLION)
        • Table DENIAL MANAGEMENT SOFTWARE MARKET, BY REGION, 2016–2023 (USD MILLION)
        • Table NORTH AMERICA: DENIAL MANAGEMENT SOFTWARE MARKET, BY COUNTRY, 2016–2023 (USD MILLION)
        • Table CODING & AUDITING SOFTWARE MARKET, BY REGION, 2016–2023 (USD MILLION)
        • Table NORTH AMERICA: CODING & AUDITING SOFTWARE MARKET, BY COUNTRY, 2016–2023 (USD MILLION)
        • Table BILLING/BILLING REVIEW SOFTWARE MARKET, BY REGION, 2016–2023 (USD MILLION)
        • Table NORTH AMERICA: BILLING/BILLING REVIEW SOFTWARE MARKET, BY COUNTRY, 2016–2023 (USD MILLION)
        • Table PAYMENT INTEGRITY SOFTWARE MARKET, BY REGION, 2016–2023 (USD MILLION)
        • Table NORTH AMERICA: PAYMENT INTEGRITY SOFTWARE MARKET, BY COUNTRY, 2016–2023 (USD MILLION)
  • BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE
    • INTRODUCTION
      • Table BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016–2023 (USD MILLION)
    • ON-PREMISE DELIVERY MODE
      • BENEFITS OFFERED BY ON-PREMISE DELIVERY MODELS AND LIMITED PENETRATION OF CLOUD-BASED TECHNOLOGIES TO DRIVE
        • Table ON-PREMISE BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION, 2016–2023 (USD MILLION)
        • Table NORTH AMERICA: ON-PREMISE BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY COUNTRY, 2016–2023 (USD MILLION)
    • CLOUD-BASED DELIVERY MODE
      • OPEN-ACCESS NATURE OF CLOUD-BASED MODELS POSES SECURITY CHALLENGES
        • Table CLOUD-BASED BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION, 2016–2023 (USD MILLION)
        • Table NORTH AMERICA: CLOUD-BASED BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY COUNTRY, 2016–2023 (USD MILLION)
  • BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER
    • INTRODUCTION
      • Table BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016–2023 (USD MILLION)
    • HEALTHCARE PAYERS
      • NEED TO ENSURE REGULATORY COMPLIANCE IS AIDING THE GROWTH OF THE PAYERS MARKET
        • Table BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PAYERS, BY REGION, 2016–2023 (USD MILLION)
        • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PAYERS, BY COUNTRY, 2016–2023 (USD MILLION)
    • HEALTHCARE PROVIDERS
      • Table BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY REGION, 2016–2023 (USD MILLION)
      • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY COUNTRY, 2016– 2023 (USD MILLION)
      • Table BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023 (USD MILLION)
      • INPATIENT FACILITIES
        • Table BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR INPATIENT FACILITIES, BY REGION, 2016–2023 (USD MILLION)
        • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR INPATIENT FACILITIES, BY COUNTRY, 2016–2023 (USD MILLION)
      • OUTPATIENT FACILITIES & PHYSICIAN CLINICS
        • Table BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES & PHYSICIAN CLINICS, BY REGION, 2016– 2023 (USD MILLION)
        • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES & PHYSICIAN CLINICS, BY COUNTRY, 2016–2023 (USD MILLION)
  • BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION
    • INTRODUCTION
      • Table BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION, 2016–2023 (USD MILLION)
    • NORTH AMERICA
      • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY COUNTRY, 2016–2023 (USD MILLION)
      • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016–2023 (USD MILLION)
      • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
      • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
      • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016–2023 (USD MILLION)
      • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016–2023 (USD MILLION)
      • Table NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023
      • US
        • Table US: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016–2023 (USD MILLION)
        • Table US: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
        • Table US: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
        • Table US: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016–2023 (USD MILLION)
        • Table US: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016–2023 (USD MILLION)
        • Table US: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023 (USD MILLION)
      • CANADA
        • Table CANADA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016–2023 (USD MILLION)
        • Table CANADA: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
        • Table CANADA: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
        • Table CANADA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016–2023 (USD MILLION)
        • Table CANADA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016–2023 (USD MILLION)
        • Table CANADA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023 (USD MILLION)
    • EUROPE
      • Table EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016–2023 (USD MILLION)
      • Table EUROPE: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
      • Table EUROPE: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
      • Table EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016–2023 (USD MILLION)
      • Table EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016–2023 (USD MILLION)
      • Table EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023 (USD MILLION)
    • ASIA
      • Table ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016–2023 (USD MILLION)
      • Table ASIA: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
      • Table ASIA: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
      • Table ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016–2023 (USD MILLION)
      • Table ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016–2023 (USD MILLION)
      • Table ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023 (USD MILLION)
    • REST OF THE WORLD
      • Table ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY COMPONENT, 2016–2023 (USD MILLION)
      • Table ROW: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
      • Table ROW: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION)
      • Table ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016–2023 (USD MILLION)
      • Table ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016–2023 (USD MILLION)
      • Table ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023 (USD MILLION)
  • COMPETITIVE LANDSCAPE
    • OVERVIEW
      • Table GROWTH STRATEGY MATRIX (2014–2018)
    • COMPETITIVE SCENARIO
      • PRODUCT LAUNCHES AND ENHANCEMENTS
        • Table PRODUCT LAUNCHES AND ENHANCEMENTS (2014–2018)
      • AGREEMENTS, PARTNERSHIPS, AND COLLABORATIONS
        • Table AGREEMENTS, PARTNERSHIPS, AND COLLABORATIONS (2014–2018)
      • ACQUISITIONS
        • Table ACQUISITIONS, 2014–2018
      • EXPANSIONS
        • Table EXPANSIONS (2014–2018)
  • COMPANY PROFILE
    • ATHENAHEALTH
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • CERNER
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • ALLSCRIPTS HEALTHCARE SOLUTIONS
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • ECLINICALWORKS
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • OPTUM, INC. (A SUBSIDIARY OF UNITEDHEALTH GROUP INC.)
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • MCKESSON (NOW A PART OF CHANGE HEALTHCARE, INC.)
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • CONIFER HEALTH SOLUTIONS
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • GEBBS HEALTHCARE SOLUTIONS
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • THE SSI GROUP
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
    • GE HEALTHCARE
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
    • NTHRIVE
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
    • DST SYSTEMS
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
    • COGNIZANT TECHNOLOGY SOLUTIONS
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
    • QUEST DIAGNOSTICS
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
    • CONTEXT 4 HEALTHCARE
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
    • RAM TECHNOLOGIES
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
    • HEALTH SOLUTIONS PLUS (HSP)
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
    • PLEXIS HEALTHCARE SYSTEMS
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
  • APPENDIX
    • DISCUSSION GUIDE
    • KNOWLEDGE STORE: MARKETSANDMARKETS' SUBSCRIPTION PORTAL
    • AVAILABLE CUSTOMIZATIONS
    • RELATED REPORTS
    • AUTHOR DETAILS

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