The Business Research Company’s report on the Back-end Revenue Cycle Management Market provides insights into the global market size, growth rate, regional distribution, competitive landscape, key segments, emerging trends, and strategic opportunities.
What are the key drivers behind the back-end revenue cycle management market’s growth in recent years?
The increasing patient volume is expected to propel the growth of the back-end revenue cycle management market going forward. Patient volume refers to the number of patients seen, treated, or admitted by a healthcare facility, provider, or system within a specific period. The patient volume is increasing due to factors including an aging population, a rise in chronic diseases, expanded healthcare access, advancements in medical treatments, and growing healthcare awareness among individuals. The growing patient volume necessitates efficient back-end revenue cycle management systems to handle complex billing and insurance processes, ensuring accuracy, reducing administrative burdens, and maintaining seamless healthcare delivery. For instance, in August 2024, according to the National Health Service England (NHS England), a UK-based government department, around 75.2% of patients attending accident and emergency were admitted, transferred, or discharged in the UK hospitals in 2023, an increase from 74.6% in 2024. Therefore, the increasing patient volume is driving the growth of the back-end revenue cycle management market.
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How does the future projection of the back-end revenue cycle management market size compare to its historical growth?
The back-end revenue cycle management market size has grown strongly in recent years. It will grow from $12.36 billion in 2024 to $13.39 billion in 2025 at a compound annual growth rate (CAGR) of 8.3%. The growth in the historic period can be attributed to increasing healthcare costs, rising claim denials, regulatory compliance requirements, shift to value-based care, growing adoption of healthcare it solutions.
The back-end revenue cycle management market size is expected to see strong growth in the next few years. It will grow to $18.19 billion in 2029 at a compound annual growth rate (CAGR) of 8.0%. The growth in the forecast period can be attributed to advancements in ai and automation, increasing healthcare digitalization, rising demand for outsourced rcm services, expansion of telehealth services, growing focus on patient financial engagement. Major trends in the forecast period include ai-driven claims processing, robotic process automation (RPA), blockchain for secure transactions, cloud-based rcm platforms, predictive analytics for revenue optimization.
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Which key players are shaping the future of the back-end revenue cycle management market?
Major companies operating in the back-end revenue cycle management market are McKesson Corporation, Optum Inc., Oracle Health, Cognizant Technology Solutions, GE Healthcare, Quest Diagnostics, Access Healthcare, Guidehouse, GeBBs Healthcare Solutions, Ensemble Health Partners, R1 RCM Inc, Veradigm LLC, Athenahealth, Conifer Health Solutions, Eclinicalworks, FinThrive, CureMD, CareCloud, The SSI Group, AdvantEdge Healthcare Solutions, DST Systems, Context 4 Healthcare, Cerner Corporation, Allscripts Healthcare Solutions Inc
What trends will propel the growth and evolution of the back-end revenue cycle management market?
Major companies operating in the back-end revenue cycle management market prioritize developing secure SaaS solutions to streamline billing, optimize claims processing, and enhance operational efficiency. Secure SaaS (Software as a Service) solutions for back-end revenue cycle management (RCM) provide cloud-based platforms designed to streamline and safeguard the processes involved in billing, coding, payment collection, and insurance reimbursement. For instance, in July 2023, Telcor Inc., a US-based laboratory revenue cycle management company, launched version 21.3 of TELCOR revenue cycle management (RCM), a secure SaaS solution. This latest version enhances laboratory productivity and collections by offering expanded access to the report designer, an executive Module, web application programming interfaces (APIs), and various other advanced features.
Which regions are expected to become dominant players in the back-end revenue cycle management market?
North America was the largest region in the back-end revenue cycle management market in 2024. Asia-Pacific is expected to be the fastest-growing region in the forecast period. The regions covered in the back-end revenue cycle management market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa.
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What are the emerging key segments in the back-end revenue cycle management market, and how are they evolving?
The back-end revenue cycle management market covered in this report is segmented –
1) By Product And Services: Services, Software
2) By Delivery Mode: On-Premise Delivery Mode, Cloud-based Delivery Mode
3) By End User: Healthcare Payers, Healthcare Providers
Subsegments:
1) By Services: Medical Coding, Medical Billing, Payment Posting, Denial Management, Accounts Receivable Management, Eligibility Verification, Other Services
2) By Software: Cloud-Based Software, On-Premise Software
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How is the back-end revenue cycle management market defined, and what are its core characteristics?
Back-end revenue cycle management (RCM) refers to the processes after a patient receives care, focusing on billing, claims processing, payment collection, and reimbursement from insurance providers. It ensures that healthcare providers are adequately compensated for services rendered. Effective back-end RCM helps optimize revenue, reduce errors, and improve financial performance for healthcare organizations.
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