Global Back-end Revenue Cycle Management Market Forecast to 2023: Opportunities in Cloud-Based Solutions, Artificial Intelligence in Health Insurance & Rising Adoption of Electronic Health Records

PR Newswire

DUBLIN, Jan. 24, 2019 /PRNewswire/ --

The "Back-end Revenue Cycle Management Market by Product and Services, Delivery Mode, End-User and Region - Global Forecast to 2023" report has been added to ResearchAndMarkets.com's offering.

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.

Key Topics Covered:

1 Introduction

2 Research Methodology

3 Executive Summary

4 Premium Insights
4.1 Back-End Revenue Cycle Management Market Overview
4.2 Geographic Analysis: North American Market, By End User
4.3 US Market, 2018
4.4 Geographical Snapshot of the Global Market

5 Market Overview
5.1 Introduction
5.2 Market Dynamics
5.2.1 Market Drivers
5.2.1.1 Growing Importance of Denials Management
5.2.1.2 Increasing Patient Volume
5.2.1.3 Process Improvements in Healthcare Organizations
5.2.1.4 Declining Reimbursement Rates
5.2.2 Market Restraints
5.2.2.1 High Cost of Deployment
5.2.3 Market Opportunities
5.2.3.1 Emerging Countries
5.2.3.2 Cloud-Based Solutions
5.2.3.3 Artificial Intelligence in Health Insurance
5.2.3.4 Rising Adoption of Electronic Health Records
5.2.4 Market Challenges
5.2.4.1 Integration of Back-End Revenue Cycle Management Solutions
5.2.4.2 Data Breaches and Loss of Confidentiality
5.2.4.3 Lack of Skilled It Professionals in Healthcare

6 Back-End Revenue Cycle Management Market, By Product & Service
6.1 Introduction
6.2 Services
6.2.1 Recurring Nature of Services to Drive Market Growth
6.3 Software
6.3.1 Integrated Software
6.3.1.1 Integrated Solutions Help Users to Streamline and Coordinate Multiple Financial Functions Through A Single Platform
6.3.2 Standalone Software
6.3.2.1 Claims Processing Software
6.3.2.1.1 Claims Processing Software to Account for the Largest Share of the Standalone Software Market in 2018
6.3.2.2 Denial Management Software
6.3.2.2.1 Denial Management Software Segment to Witness the Highest Growth Rate During the Forecast Period
6.3.2.3 Coding & Auditing Software
6.3.2.3.1 Mandate to Convert From ICD-9 Classifications to the New ICD-10 Version has Resulted in the Increased Demand for Coding & Auditing Software
6.3.2.4 Billing/Billing Review Software
6.3.2.4.1 Rising Number of Billing Errors to Drive the Adoption of Billing/Billing Review Software
6.3.2.5 Payment Integrity Software
6.3.2.5.1 Payment Integrity Software Provides Advanced Analytics for Assessing Payment Compliance at A Granular Level

7 Back-End Revenue Cycle Management Market, By Delivery Mode
7.1 Introduction
7.2 On-Premise Delivery Mode
7.2.1 Benefits Offered By On-Premise Delivery Models and Limited Penetration of Cloud-Based Technologies to Drive Market Growth
7.3 Cloud-Based Delivery Mode
7.3.1 Open-Access Nature of Cloud-Based Models Poses Security Challenges

8 Back-End Revenue Cycle Management Market, By End User
8.1 Introduction
8.2 Healthcare Payers
8.2.1 Need to Ensure Regulatory Compliance is Aiding the Growth of the Payers Market
8.3 Healthcare Providers
8.3.1 Inpatient Facilities
8.3.1.1 Growing Need to Improve the Profitability of Healthcare Operations to Drive the Adoption of Back-End Rcm Solutions in Inpatient Facilities
8.3.2 Outpatient Facilities & Physician Clinics
8.3.2.1 Need to Improve Operational Workflows and Minimize Medical Errors to Drive Market Growth

9 Back-End Revenue Cycle Management Market, By Region
9.1 Introduction
9.2 North America
9.2.1 US
9.2.1.1 Government Regulations to Support Market Growth in the US
9.2.2 Canada
9.2.2.1 Increasing Digitization and Favorable Funding Initiatives By the Canadian Government are Boosting Market Growth in Canada
9.3 Europe
9.4 Asia
9.5 Rest of the World

10 Competitive Landscape
10.1 Overview
10.2 Competitive Scenario
10.2.1 Product Launches and Enhancements
10.2.2 Agreements, Partnerships, and Collaborations
10.2.3 Acquisitions
10.2.4 Expansions

11 Company Profile
11.1 Athenahealth
11.2 Cerner
11.3 Allscripts Healthcare Solutions
11.4 Eclinicalworks
11.5 Optum, Inc. (A Subsidiary of Unitedhealth Group Inc.)
11.6 Mckesson (Now A Part of Change Healthcare, Inc.)
11.7 Conifer Health Solutions
11.8 Gebbs Healthcare Solutions
11.9 The SSI Group
11.10 GE Healthcare
11.11 Nthrive
11.12 DST Systems
11.13 Cognizant Technology Solutions
11.14 Quest Diagnostics
11.15 Context 4 Healthcare
11.16 Ram Technologies
11.17 Health Solutions Plus (HSP)
11.18 Plexis Healthcare Systems