Healthcare Revenue Cycle Management Market in the US 2016-2020

  • Published: May 2016
  • Pages: 60
  • SKU: IRTNTR9556

Enjoy complimentary customisation on priority with our Enterprise License!

Get me the latest version! (includes COVID-19 impact)
Safe and Secure SSL Encrypted

  • Single:

    One user only.
    Quick & easy download option

  • Enterprise:

    Unlimited user access (Within your organization)
    Complimentary Customization Included

2500 USD

This industry research report presents a detailed segmentation of the healthcare RCM market in the US by process (integrated RCM and stand-alone RCM), by deployment (on-premises RCM and cloud-based RCM), and by end user (physicians, hospitals, and medical labs). The primary vendors in the market are Allscripts Healthcare Solutions, Cerner, GE Healthcare, McKesson, and SSI Group.

Overview of the healthcare RCM market in the US

Market research analysts at Technavio have predicted that the healthcare RCM market in the US will grow steadily at a CAGR of almost 13% by 2020. This market research analysis identifies the rise in recovery audits due to changing healthcare regulations as one of the primary growth factors for this market. The constantly changing government regulations in the healthcare space leads to a rise in the operational costs. This rise in the operational costs will lead to a decrease in the revenue of the healthcare sector, which already operates at a very low margin. Moreover, there are regular recovery audits to identify illegal payments under the fee-for-service Medicare and this further decreases their revenue. To keep their operational costs low and maintain the audit report, healthcare providers have started investing in RCM solutions and are now outsourcing their medical revenue cycle management operations to third-party vendors.

As a result of the constantly changing government regulations, healthcare billing service providers find it difficult to service clients effectively and this requirement has compelled them to adopt and integrate predictive analytics and business intelligence software technologies. Such technologies assist healthcare service providers to develop more effective models for healthcare services, which will understand the concept of RCM, treatment outcomes, re-admissions, and patient satisfaction much better. Additionally, they can also discover patterns and trends within their operations. The increasing integration of analytics into healthcare services will be one of the major trends that will gain traction in this market in the next four years.

Segmentation by deployment and analysis of the healthcare RCM market in the US

  • On-premises RCM
  • Cloud-based RCM

During 2015, the cloud-based RCM segment accounted for about 78% of the total market share and dominated this market. Factors such as the rising preference for revenue cycle management outsourcing and the recent hike in the number of application service providers adopting SaaS (software as a service) solutions to meet their infrastructural requirements will fuel the growth of this market segment in the coming years.

Segmentation by end user and analysis of the healthcare RCM market in the US

  • Physicians
  • Hospitals
  • Medical labs

Since RCM helps medical practitioners to improve their overall processes and transfer paper documentation to electronic health records,  more physicians have started using RCM services at their medical facilities. Moreover, RCM solutions also shorten the revenue cycle with systems that electronically capture codes and pass data to physicians' billing systems. Consequently, the number of physicians using RCM solutions is increasing rapidly and according to the report, this market segment accounted for almost 41% of the total market share during 2015.

Competitive landscape and key vendors

Due to the presence of several vendors, this market appears highly fragmented with competitors entering into different market segments. Large vendors service the enterprise market while vendors targeting niche segments provide RCM services to the small- and medium-sized business. There is constant vendor competition in the end-user segment, which is expected to intensify significantly during the forecast period.

Leading vendors in the market are -

  • Allscripts Healthcare Solutions
  • Cerner
  • GE Healthcare
  • McKesson
  • SSI Group

The other prominent vendors in the market are Adreima, Alleviant, Avadyne Health, Cardon Outreach, Health Systems Management Network, MediRevv, Precyse Solutions, Source Medical Solutions, Sutherland Global Services, Syncordia Technologies and Healthcare Solutions, T-System, and Xerox.

Key questions answered in the report include

  • What will the market size and the growth rate be in 2020?
  • What are the key factors driving the healthcare RCM market in the US?
  • What are the key market trends impacting the growth of the healthcare RCM market in the US?
  • What are the challenges to market growth?
  • Who are the key vendors in the healthcare RCM market in the US?
  • What are the market opportunities and threats faced by the vendors in the healthcare RCM market in the US?
  • Trending factors influencing the market shares of the US.
  • What are the key outcomes of the five forces analysis of the healthcare RCM market in the US?

Technavio also offers customization on reports based on specific client requirement.

Related reports


Table of Contents

PART 01: Executive summary

  • Key findings

PART 02: Scope of the report

  • Top-vendor offerings

PART 03: Market research methodology

  • Research methodology
  • Economic indicators

PART 04: Introduction

  • Key market highlights
  • PART 05: RCM
  • Overview
  • Phases of evolution
  • Importance of RCM

PART 06: Revenue leakage in healthcare system

  • RCM in other industries

PART 07: Outsourcing trend

  • Healthcare RCM outsourcing

PART 08: Market developments

  • Major M&A in healthcare RCM market in US
  • Government regulations impacting healthcare RCM market

PART 09: Segmentation by process

  • Integrated RCM
  • Stand-alone RCM

PART 10: Market size and forecast

  • US healthcare RCM market size and forecast
  • PART 11: Market segmentation by deployment
  • Market overview
  • US healthcare RCM market by deployment 2015-2020

PART 12: Market segmentation by end-user

  • US healthcare RCM market by end-user

PART 13: Buying criteria

PART 14: Market drivers

  • Increase in healthcare needs of older adult population
  • Rise in recovery audits due to changing healthcare regulations
  • Increased need to minimize revenue leakage

PART 15: Impact of drivers

PART 16: Market challenges

  • Selection of vendors according to specific needs
  • Frequent changes in healthcare compliance requirements
  • Limited accessibility to patient records

PART 17: Impact of drivers and challenges

PART 18: Market trends

  • Integration of analytics into healthcare services
  • Strong clinical network connectivity with medical practitioners
  • Increased M&A in healthcare RCM market

PART 19: Five forces analysis

PART 20: Vendor landscape

  • Competitive scenario
  • Category matrix of top RCM vendors in US

PART 21: Key vendor profiles

  • Allscripts
  • Cerner
  • GE Healthcare
  • McKesson
  • SSI Group

PART 22: Other prominent vendors

  • Adreima
  • Alleviant
  • Avadyne Health
  • Cardon Outreach
  • Health Systems Management Network
  • MediRevv
  • Precyse Solutions
  • Source Medical Solutions
  • Sutherland Global Services
  • Syncordia Technologies and Healthcare Solutions
  • T-System
  • Xerox

PART 23: Appendix

  • List of abbreviations

PART 24: Explore Technavio


Research Framework

Technavio presents a detailed picture of the market by way of study, synthesis, and summation of data from multiple sources. The analysts have presented the various facets of the market with a particular focus on identifying the key industry influencers. The data thus presented is comprehensive, reliable, and the result of extensive research, both primary and secondary.


Primary sources

  • Manufacturers and suppliers
  • Channel partners
  • Industry experts
  • Strategic decision makers

Secondary sources

  • Industry journals and periodicals
  • Government data
  • Financial reports of key industry players
  • Historical data
  • Press releases


Data Synthesis

  • Collation of data
  • Estimation of key figures
  • Analysis of derived insights

Data Validation

  • Triangulation with data models
  • Reference against proprietary databases
  • Corroboration with industry experts



  • Market drivers
  • Market challenges
  • Market trends
  • Five forces analysis


  • Market size and forecast
  • Market segmentation
  • Geographical insights
  • Competitive landscape
Interested in this report?
Get your sample now!
  • What are the key global market and the regional market share?
  • What are the revenue-generating key market segments?
  • What are the key factors driving and challenging this market’s growth?
  • Who are the key market vendors and their growth strategies?
  • What are the latest trends influencing the growth of this market?
  • What are the variables influencing the market growth in the primary regions?
  • What are the factors influencing the growth of the parent market?
  • Off-the-shelf research reports
  • Reports can be tailored to meet the customer's needs
  • Trusted by more than 100 fortune 500 organizations
  • Information about the market's key drivers, trends, and challenges
  • Parent market analysis
  • Every week, 50,000 people visit our subscription platform
  • Detailed vendors report with competitive landscape
  • Covid-19 impact and recovery analysis
  • Data on revenue-generating market segments
  • Details on the market shares of various regions
  • Five-force market analysis

Certified ISO 9001 : 2015

We are ISO recognized

We are ISO 9001:2015 recognized that ensures quality services and product delivery to our clients.

We are GDPR and CCPA compliant

We are GDPR and CCPA compliant! Your transaction & personal information is protected from unauthorized use.

Safe and Secure SSL Encrypted

  • Single:

    One user only.
    Quick & easy download option

  • Enterprise:

    Unlimited user access (Within your organization)
    Complimentary Customization Included

2500 USD

Technavio Get the report (PDF) sent to your email within minutes.

Subscribe & Save

Get lifetime access to our
Technavio Insights

Customized Report as per your Business Needs

  • Our analysts will work directly with you and understand your needs
  • Get data on specified regions or segments, competitor and Vendors
  • Data will be formatted and presented as per your requirements
  • We offer $1000 worth of FREE customization at the time of purchase

Let us help you make report more suited to your requirements.

  • Get a competitive breakdown as per your niche industry
  • Customize the data with various metrics that meet your business prerequisite
  • Understand Revenue Sources, Customers and many more
  • Details on Market Share
  • These customizations are done in a short amount of time by our analysts and industry experts
Enquire Before Buying
17,000 reports available | Plans starting from just 5,000 USD | Get FREE trial>>