Revenue Cycle Management Market by Offering (Eligibility Verification, Clinical Coding, CDI Solutions, Claims Processing, Denial Management, Outsourcing Services), Delivery (Cloud), End User (Payers, Hospitals, ASCs), and Region - Global Forecast to 2030

The global revenue cycle management market is projected to reach USD 105.35 billion by 2030 from USD 61.11 billion in 2025, at a CAGR of 11.5% during the forecast period. The RCM market continues to be heavily influenced by evolving coding regulations and classification standards. For instance, CMS implemented major FY 2025 ICD-10 updates, including 395 new codes, 252 deletions, and 13 revisions, effective October 1, 2024, across diagnoses and procedures. These frequent, large-scale updates are driving greater reliance on automated RCM platforms to manage coding complexity and maintain billing accuracy. However, a significant challenge persists in emerging regions, where there is a considerable shortage of trained HCIT personnel and financial limitations on upgrading legacy systems. This gap in skills and infrastructure may hinder the deployment of RCM solutions, which could slightly temper overall market growth.

“The outsourcing services segment is expected to be the fastest-growing segment in the revenue cycle management market during the forecast period.”

Based on offering, the revenue cycle management market has been divided into product offerings and outsourcing services. Outsourcing services commanded the larger share of the revenue cycle management market in 2024. This segment's significant market share and rapid growth are primarily due to the demand for IT infrastructure and the shortage of skilled healthcare IT personnel. Additionally, the increasing volume of medical billing audits and compliance reporting has made it challenging for in-house teams to keep up, leading many providers to partner with specialized vendors. Outsourcing also assists healthcare organizations in managing seasonal fluctuations in billing volumes, such as during open enrollment or flu season. Moreover, service providers are now increasingly offering bundled revenue cycle management solutions that integrate coding, accounts receivable management, and analytics. This approach reduces operational fragmentation and provides comprehensive visibility into revenue processes.

“The back-end revenue cycle segment is estimated to hold the largest share of the revenue cycle management market in 2024.”

Based on product, the revenue cycle management market is segmented into patient access solutions, mid-revenue cycle solutions, and back-end revenue cycle solutions. The back-end revenue cycle solutions segment is expected to hold the largest share in 2024 due to the growing complexity of payer reimbursement models and the increasing volume of denied claims requiring advanced resolution strategies. The increased use of automation in collections, payment posting, and appeals processing has led to greater adoption in this area. Furthermore, the incorporation of predictive analytics into accounts receivable management allows providers to prioritize high-risk accounts and expedite revenue generation.

“The Asia Pacific region is expected to register the highest growth rate in the revenue cycle management market during the forecast period.”

The global revenue cycle management market is segmented into five major regions: North America, Europe, Asia Pacific, Latin America, and the Middle East & Africa. The Asia Pacific is expected to register the highest growth during the forecast period. Several factors are driving the growth of revenue cycle management (RCM) systems in healthcare. The rapid digital transformation of hospital billing systems and increasing investments by private healthcare providers in cloud-based RCM tools are significant contributors. Additionally, government-led healthcare digitization programs, such as India's Ayushman Bharat Digital Mission, are promoting the adoption of RCM platforms. Furthermore, the emergence of regional RCM outsourcing hubs in countries like the Philippines and Malaysia also fuels market expansion.

The breakdown of primary participants is as mentioned below:

  • By Company Type: Tier 1 (41%), Tier 2 (31%), and Tier 3 (28%)
  • By Designation: C-level Executives (44%), Directors (31%), and Others (25%)
  • By Region: North America (45%), Europe (28%), Asia Pacific (20%), Latin America (4%), and the Middle East & Africa (3%)
Key Players

The prominent players in this market are Optum, Inc. (US), R1 RCM Inc. (US), Oracle (US), Medical Information Technology, Inc. (US), McKesson Corporation (US), Solventum (US), Experian Information Solutions, Inc. (Ireland), Conifer Health Solutions. (US), Veradigm LLC (US), eClinicalWorks (US), Cognizant (US), athenahealth, Inc. (US), The SSI Group, LLC (US), Huron Consulting Group Inc. (US), AdvancedMD, Inc. (US), GeBBS (US), Epic Systems Corporation (US), TruBridge (US), CareCloud, Inc. (US), MEDHOST (US), AdvantEdge Healthcare Solutions (US), FinThrive (US), Plutus Health (US), Omega Healthcare Management Services (India), and Vee Healthtek, Inc. (US). Players adopted organic as well as inorganic growth strategies such as product launches and enhancements, investments, partnerships, collaborations, joint ventures, funding, acquisitions, expansions, agreements, contracts, and alliances to increase their offerings, cater to the unmet needs of customers, increase their profitability, and expand their presence in the global market.

Research Coverage
  • The report studies the revenue cycle management market based on offering, solution type, delivery mode, end user, and region.
  • The report analyzes factors (such as drivers, restraints, opportunities, and challenges) affecting the market growth.
  • The report evaluates the opportunities and challenges in the market for stakeholders and provides details of the competitive landscape for market leaders.
  • The report studies micromarkets with respect to their growth trends, prospects, and contributions to the total revenue cycle management market.
  • The report forecasts the revenue of market segments with respect to five major regions.

  • Reasons to Buy the Report

    The report can help established firms, as well as new entrants/smaller firms, gauge the pulse of the market, which, in turn, would help them garner a greater share. Firms purchasing the report could use one or a combination of the five strategies mentioned below.

    This report provides insights into the following pointers:
    • Analysis of key drivers (growing regulatory requirements and government initiatives, increasing patient volume and subsequent growth in health insurance, loss of revenue due to billing errors and declining reimbursements, growing need to manage unstructured healthcare data, and rising demand for robust process improvements in the healthcare sector), restraints (high deployment costs and IT infrastructural constraints in emerging economies), opportunities (increasing outsourcing services in emerging economies and growing demand for AI and cloud-based deployment), and challenges (issues related to data security and confidentiality and reluctance to switch from conventional methods) influencing the growth of the revenue cycle management market.
    • Product Development/Innovation: Detailed insights on upcoming technologies, research and development activities, and product launches in the revenue cycle management market.
    • Market Development: Comprehensive information about lucrative emerging markets. The report analyzes the markets for various types of revenue cycle management solutions across regions.
    • Market Diversification: Exhaustive information about products, untapped regions, recent developments, and investments in the revenue cycle management market.
    • Competitive Assessment: In-depth assessment of market shares, strategies, products, distribution networks, and manufacturing capabilities of the leading players in the revenue cycle management market.


1 Introduction
1.1 Study Objectives
1.2 Market Definition
1.3 Study Scope
1.3.1 Market Segmentation & Regional Scope
1.3.2 Inclusions & Exclusions
1.3.3 Years Considered
1.4 Currency Considered
1.5 Key Stakeholders
1.6 Limitations
1.7 Summary Of Changes
2 Research Methodology
2.1 Research Data
2.1.1 Secondary Data
2.1.1.1 Key Data From Secondary Sources
2.1.2 Primary Data
2.1.2.1 Key Data From Primary Sources
2.1.2.2 Insights From Primary Experts
2.2 Market Size Estimation: Revenue Cycle Management Market
2.2.1 Top-down Approach
2.3 Market Breakdown & Data Triangulation
2.4 Market Ranking Analysis
2.5 Research Assumptions
2.6 Risk Assessment
2.7 Research Limitations
2.7.1 Methodology-related Limitations
2.7.2 Scope-related Limitations
3 Executive Summary
4 Premium Insights
4.1 Opportunities In Revenue Cycle Management Market
4.2 Revenue Cycle Management Market: Geographic Growth Opportunities
4.3 Revenue Cycle Management Market: Regional Mix (2023–2030)
4.4 Revenue Cycle Management Market: Developed Vs. Emerging Economies, 2025 Vs. 2030
5 Market Overview
5.1 Introduction
5.2 Market Dynamics
5.2.1 Drivers
5.2.1.1 Growing Regulatory Requirements And Government Initiatives
5.2.1.2 Increasing Patient Volume And Subsequent Growth In Health Insurance
5.2.1.3 Loss Of Revenue Due To Billing Errors And Declining Reimbursements
5.2.1.4 Growing Need To Manage Unstructured Healthcare Data
5.2.1.5 Rising Demand For Robust Process Improvements In Healthcare Sector
5.2.2 Restraints
5.2.2.1 High Deployment Costs
5.2.2.2 It Infrastructural Constraints In Emerging Economies
5.2.3 Opportunities
5.2.3.1 Increasing Outsourcing Services In Emerging Economies
5.2.3.2 Growing Demand For Ai And Cloud-based Deployment
5.2.4 Challenges
5.2.4.1 Issues Related To Data Security And Confidentiality
5.2.4.2 Reluctance To Switch From Conventional Methods
5.3 Trends/Disruptions Impacting Customers’ Businesses
5.4 Industry Trends
5.4.1 Greater Focus On Patient Financial Experience
5.4.2 Use Of Artificial Intelligence And Machine Learning
5.4.3 Pivotal Role Of Data Analysis In Managing Healthcare
Revenue Cycles
5.4.4 Increasing Number Of Partnerships And Collaborations
To Drive Innovation
5.5 Technology Analysis
5.5.1 Key Technologies
5.5.1.1 Ai Platforms
5.5.1.2 Cloud Computing
5.5.2 Complementary Technologies
5.5.2.1 Electronic Health Records (Ehrs)
5.5.2.2 Telehealth Platforms
5.6 Ecosystem Analysis
5.7 Value Chain Analysis
5.8 Porter’s Five Forces Analysis
5.8.1 Intensity Of Competitive Rivalry
5.8.2 Bargaining Power Of Suppliers
5.8.3 Bargaining Power Of Buyers
5.8.4 Threat Of New Entrants
5.8.5 Threat Of Substitutes
5.9 Regulatory Analysis
5.9.1 Regulatory Bodies, Government Agencies, And
Other Organizations
5.9.2 Regulatory Landscape
5.10 Patent Analysis
5.10.1 Patent Publication Trends For Revenue Cycle Management Market
5.10.2 Jurisdiction Analysis: Top Applicant Countries For
Revenue Cycle Management
5.10.3 Major Patents In Revenue Cycle Management Market
5.11 Case Study Analysis
5.12 Key Stakeholders & Buying Criteria
5.12.1 Key Stakeholders In Buying Process
5.12.2 Buying Criteria
5.13 Key Conferences & Events In 2025–2026
5.14 Pricing Analysis
5.15 Impact Of 2025 Us Tariffs On Revenue Cycle Management Market
5.15.1 Key Tariff Rates
5.15.2 Price Impact Analysis
5.15.3 Impact On Country/Region
5.15.3.1 Us
5.15.3.2 Europe
5.15.3.3 Apac
5.15.4 Impact On End-use Industries
6 Revenue Cycle Management Market, By Solution Type
6.1 Introduction
6.2 End-to-end Solutions
6.2.1 Ability Of Integrated Rcm Platforms To Drive Operational Efficiency And Financial Performance To Boost Adoption
6.3 Niche/Point Solutions
6.3.1 Specialized Rcm Tools To Gain Momentum Amid Demand
For Targeted, High-roi Solutions
7 Revenue Cycle Management Market, By Offering
7.1 Introduction
7.2 Products
7.2.1 Patient Access Solutions
7.2.1.1 Eligibility Verification Solutions
7.2.1.1.1 Eligibility Verification Solutions Segment To Account For Largest Share Of Patient Access Solutions Market
7.2.1.2 Pre-certification & Authorization Solutions
7.2.1.2.1 Ability Of Electronic Pre-certification And Authorization Solutions To Help Reduce Error Risks To Drive Growth
7.2.1.3 Other Patient Access Solutions
7.2.2 Mid-revenue Cycle Solutions
7.2.2.1 Clinical Coding Solutions
7.2.2.1.1 Increasing Complexity Of Medical Codes To Drive Market
7.2.2.2 Clinical Documentation Improvement Solutions
7.2.2.2.1 Automated Feedback And Guidance By Cdi Solutions To Help Physicians Improve Accuracy Of Patient Records
7.2.2.3 Other Mid-revenue Cycle Solutions
7.2.3 Back-end Revenue Cycle Solutions
7.2.3.1 Claims Processing Solutions
7.2.3.1.1 Ability Of Claims Processing Solutions To Help Reduce False Claims And Manual Effort To Boost Demand
7.2.3.2 Denial Management Solutions
7.2.3.2.1 Ability To Help Healthcare Payers And Providers With Effective Claims Management To Drive Market
7.2.3.3 Other Back-end Revenue Cycle Solutions
7.3 Outsourcing Services
7.3.1 Patient Access Outsourcing Services
7.3.1.1 Patient Access Outsourcing Services Segment To Account For Largest Share Of Outsourcing Services Market
7.3.2 Mid-revenue Cycle Outsourcing Services
7.3.2.1 Increasing Losses Due To Billing Errors, Scarcity Of It Professionals, And Infrastructure Limitations To Drive Market
7.3.3 Back-end Revenue Cycle Outsourcing Services
7.3.3.1 Shortage Of Skilled Hcit Professionals To Drive Market
8 Revenue Cycle Management Market, By Delivery Mode
8.1 Introduction
8.2 On-premise Solutions
8.2.1 Ability To Reuse Existing Servers And Storage Hardware
To Drive Demand For On-premise Solutions
8.3 Cloud-based Solutions
8.3.1 Demand For Affordable Cloud-based Solutions From Small
And Medium-sized Healthcare Facilities To Drive Market
9 Revenue Cycle Management Market, By End User
9.1 Introduction
9.2 Healthcare Providers
9.2.1 Inpatient Facilities
9.2.1.1 Hospitals
9.2.1.1.1 Growing Need To Improve Profitability In Healthcare Operations To Drive Adoption Of Rcm Tools In Hospitals
9.2.1.2 Other Inpatient Facilities
9.2.2 Outpatient Facilities
9.2.2.1 Physicians’ Practices
9.2.2.1.1 High Demand For Integration Of Ehr With Practice Management Systems To Support Market Growth
9.2.2.2 Ambulatory Surgical Centers (Ascs)
9.2.2.2.1 Eroding Patient Volumes At Hospitals Due To High Infection Rate Of Covid-19 To Drive Demand For Ascs
9.2.2.3 Hospital Outpatient Facilities
9.2.2.3.1 Need To Maintain Documentation For High Volume Of Patients In Hospital Opds To Drive Demand For Rcm Solutions
9.2.2.4 Diagnostic & Imaging Centers
9.2.2.4.1 Growing Preference For Technologically Advanced Specialty Clinics To Drive Demand
9.2.2.5 Other Outpatient Facilities
9.3 Healthcare Payers
9.3.1 Increasing Productivity And Profitability Of Coding Operations To Drive Adoption Of Rcm Solutions
10 Revenue Cycle Management Market, By Region
10.1 Introduction
10.2 North America
10.2.1 Macroeconomic Outlook For North America
10.2.2 Us
10.2.2.1 Growing Focus Of Healthcare Providers On Improving Care Quality And Reducing Medical Errors To Drive Market
10.2.3 Canada
10.2.3.1 Need For Healthcare Cost Containment And Financial Management Of Healthcare Organizations To Support Market Growth
10.3 Europe
10.3.1 Macroeconomic Outlook For Europe
10.3.2 Germany
10.3.2.1 Increasing Patient Volume To Boost Adoption Of Rcm Solutions
10.3.3 France
10.3.3.1 Government Investments To Increase Demand For Effective Rcm Solutions
10.3.4 Uk
10.3.4.1 Growing Patient Pool To Boost Demand For Rcm Solutions & Services
10.3.5 Italy
10.3.5.1 Initiatives Toward Digitalizing Patient Records To Drive Market
10.3.6 Spain
10.3.6.1 It Infrastructural Improvements To Boost Market
10.3.7 Rest Of Europe
10.4 Asia Pacific
10.4.1 Macroeconomic Outlook For Asia Pacific
10.4.2 Japan
10.4.2.1 Government Mandates To Boost Adoption Of Rcm Solutions
10.4.3 China
10.4.3.1 Digitalization And Improving Infrastructure To Support Market Growth
10.4.4 India
10.4.4.1 Growing Patient Pool To Support Market Growth
10.4.5 Rest Of Asia Pacific
10.5 Latin America
10.5.1 Macroeconomic Outlook For Latin America
10.5.2 Brazil
10.5.2.1 Brazil To Dominate Revenue Cycle Management Market In Latin America
10.5.3 Mexico
10.5.3.1 Increase In Focus Of Digital Health To Boost Market Growth
10.5.4 Rest Of Latin America
10.6 Middle East & Africa
10.6.1 Macroeconomic Outlook For Middle East & Africa
10.6.2 Gcc Countries
10.6.2.1 Rising Healthcare Investments To Fuel Uptake
10.6.3 Rest Of Middle East & Africa
11 Competitive Landscape
11.1 Overview
11.2 Key Player Strategies/Right To Win
11.2.1 Overview Of Strategies Adopted By Key Players In Revenue Cycle Management Market
11.3 Revenue Analysis, 2020–2024
11.4 Market Share Analysis, 2024
11.5 Market Ranking Analysis
11.6 Company Evaluation Matrix: Key Players, 2024
11.6.1 Stars
11.6.2 Emerging Leaders
11.6.3 Pervasive Players
11.6.4 Participants
11.6.5 Company Footprint: Key Players, 2024
11.6.5.1 Company Footprint
11.6.5.2 Region Footprint
11.6.5.3 Solution Type Footprint
11.6.5.4 Offering Footprint
11.6.5.5 End-user Footprint
11.7 Company Evaluation Matrix: Startups/Smes, 2024
11.7.1 Progressive Companies
11.7.2 Responsive Companies
11.7.3 Dynamic Companies
11.7.4 Starting Blocks
11.7.5 Competitive Benchmarking: Startups/Smes, 2024
11.7.5.1 Detailed List Of Key Startups/Smes
11.7.5.2 Competitive Benchmarking Of Startups/Smes
11.8 Company Valuation & Financial Metrics
11.8.1 Company Valuation
11.8.2 Financial Metrics
11.9 Brand/Software Comparison
11.10 Competitive Scenario
11.10.1 Product/Service Launches & Approvals
11.10.2 Deals
11.10.3 Expansions
11.10.4 Other Developments
12 Company Profiles
12.1 Key Players
12.1.1 Optum, Inc.
12.1.1.1 Business Overview
12.1.1.2 Products & Services Offered
12.1.1.3 Recent Developments
12.1.1.3.1 Product/Service Launches
12.1.1.3.2 Deals
12.1.1.4 Mnm View
12.1.1.4.1 Right To Win
12.1.1.4.2 Strategic Choices
12.1.1.4.3 Weaknesses & Competitive Threats
12.1.2 Oracle
12.1.2.1 Business Overview
12.1.2.2 Products & Services Offered
12.1.2.3 Recent Developments
12.1.2.3.1 Product/Service Launches & Upgrades
12.1.2.3.2 Deals
12.1.2.4 Mnm View
12.1.2.4.1 Right To Win
12.1.2.4.2 Strategic Choices
12.1.2.4.3 Weaknesses & Competitive Threats
12.1.3 Mckesson Corporation
12.1.3.1 Business Overview
12.1.3.2 Products & Services Offered
12.1.3.3 Recent Developments
12.1.3.3.1 Deals
12.1.3.4 Mnm View
12.1.3.4.1 Right To Win
12.1.3.4.2 Strategic Choices
12.1.3.4.3 Weaknesses & Competitive Threats
12.1.4 Epic Systems Corporation
12.1.4.1 Business Overview
12.1.4.2 Products & Services Offered
12.1.4.3 Recent Developments
12.1.4.3.1 Product/Service Launches & Upgrades
12.1.4.3.2 Deals
12.1.4.4 Mnm View
12.1.4.4.1 Right To Win
12.1.4.4.2 Strategic Choices
12.1.4.4.3 Weaknesses & Competitive Threats
12.1.5 Solventum
12.1.5.1 Business Overview
12.1.5.2 Products & Services Offered
12.1.5.3 Recent Developments
12.1.5.3.1 Deals
12.1.5.4 Mnm View
12.1.5.4.1 Right To Win
12.1.5.4.2 Strategic Choices
12.1.5.4.3 Weaknesses & Competitive Threats
12.1.6 R1 Rcm Inc.
12.1.6.1 Business Overview
12.1.6.2 Products & Services Offered
12.1.6.3 Recent Developments
12.1.6.3.1 Product/Service Launches
12.1.6.3.2 Deals
12.1.6.3.3 Other Developments
12.1.7 Experian Information Solutions, Inc.
12.1.7.1 Business Overview
12.1.7.2 Products & Services Offered
12.1.7.3 Recent Developments
12.1.7.3.1 Product/Service Launches
12.1.7.3.2 Deals
12.1.8 Conifer Health Solutions
12.1.8.1 Business Overview
12.1.8.2 Products & Services Offered
12.1.8.3 Recent Developments
12.1.8.3.1 Deals
12.1.9 Veradigm Llc
12.1.9.1 Business Overview
12.1.9.2 Products & Services Offered
12.1.9.3 Recent Developments
12.1.9.3.1 Product/Service Launches
12.1.9.3.2 Deals
12.1.10 Eclinicalworks
12.1.10.1 Business Overview
12.1.10.2 Products & Services Offered
12.1.10.3 Recent Developments
12.1.10.3.1 Deals
12.1.11 Cognizant
12.1.11.1 Business Overview
12.1.11.2 Products & Services Offered
12.1.11.3 Recent Developments
12.1.11.3.1 Product/Service Launches
12.1.11.3.2 Deals
12.1.12 Athenahealth, Inc.
12.1.12.1 Business Overview
12.1.12.2 Products & Services Offered
12.1.12.3 Recent Developments
12.1.12.3.1 Product/Service Launches & Approvals
12.1.12.3.2 Deals
12.1.12.3.3 Other Developments
12.1.13 The Ssi Group, Llc
12.1.13.1 Business Overview
12.1.13.2 Products & Services Offered
12.1.13.3 Recent Developments
12.1.13.3.1 Product/Service Launches
12.1.14 Huron Consulting Group Inc.
12.1.14.1 Business Overview
12.1.14.2 Products & Services Offered
12.1.15 Advancedmd, Inc.
12.1.15.1 Business Overview
12.1.15.2 Products & Services Offered
12.1.15.3 Recent Developments
12.1.15.3.1 Product/Service Upgrades
12.1.15.3.2 Deals
12.1.16 Gebbs
12.1.16.1 Business Overview
12.1.16.2 Products & Services Offered
12.1.16.3 Recent Developments
12.1.16.3.1 Deals
12.1.17 Trubridge
12.1.17.1 Business Overview
12.1.17.2 Products & Services Offered
12.1.17.3 Recent Developments
12.1.17.3.1 Deals
12.1.18 Carecloud, Inc.
12.1.18.1 Business Overview
12.1.18.2 Products & Services Offered
12.1.18.3 Recent Developments
12.1.18.3.1 Deals
12.1.19 Medical Information Technology, Inc.
12.1.19.1 Business Overview
12.1.19.2 Products & Services Offered
12.1.19.3 Recent Developments
12.1.19.3.1 Deals
12.1.20 Medhost
12.1.20.1 Business Overview
12.1.20.2 Products & Services Offered
12.1.20.3 Recent Developments
12.1.20.3.1 Product Launches
12.1.20.3.2 Deals
12.1.20.3.3 Expansions
12.2 Other Players
12.2.1 Advantedge Healthcare Solutions (Health Prime International)
12.2.2 Finthrive
12.2.3 Plutus Health
12.2.4 Omega Healthcare Management Services
12.2.5 Vee Healthtek, Inc.
13 Appendix
13.1 Discussion Guide
13.2 Knowledgestore: Marketsandmarkets’ Subscription Portal
13.3 Customization Options
13.4 Related Reports:
13.5 Author Details

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