Healthcare Revenue Cycle Management Market Size To Hit USD 372.16 Billion By 2032, Growing At 11.72% CAGR – SNS Insider

(MENAFN- GlobeNewsWire - Nasdaq) According to Research by SNS Insider, Healthcare Revenue Cycle Management Market Growth is Driven by Digital Transformation, AI Integration, and Increasing Healthcare Expenditures.

Pune, March 20, 2025 (GLOBE NEWSWIRE) -- Healthcare Revenue Cycle Management Market Size & Growth Analysis:

According to SNS Insider, The global Healthcare Revenue Cycle Management market , valued at USD 137.44 billion in 2023 and is anticipated to grow to USD 372.16 billion by 2032 at a CAGR of 11.72% from 2024-2032, driven by technological innovations and increased healthcare spending.

The Healthcare Revenue Cycle Management (RCM) industry is witnessing tremendous growth, driven by the integration of cutting-edge technologies like artificial intelligence (AI) and machine learning (ML). The technologies make billing efficient, improve accuracy, and increase operational efficiency by managing the complexity of advanced healthcare systems. Also, the rising cost of healthcare services worldwide has made it necessary to implement effective RCM solutions for managing financial functions. This movement is complemented by regulatory requirements favoring the adoption of Electronic Health Records (EHR) and incentivizing healthcare professionals to adopt fully integrated RCM systems for uninterrupted workflow and adherence.

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Market Overview

The Healthcare Revenue Cycle Management market is rapidly evolving with growing digitalization, automation, and the need for frictionless financial transactions in healthcare. Hospitals, clinics, and healthcare facilities are embracing RCM solutions more and more to maintain financial stability and meet regulatory compliance requirements. The growth of telehealth services and value-based care models has also created additional demand for more effective revenue cycle management.

In addition, increased medical billing complexity, insurance claims denials, and regulatory updates have turned RCM solutions into a vital element for healthcare providers. The demand for real-time analysis, predictive modeling, and workflow automation is poised to fuel sustained growth. Increasing pressure on healthcare providers to boost revenue collection and reduce financial loss is investing in sophisticated RCM systems a priority.

Key Healthcare Revenue Cycle Management Companies Profiled

• Athenahealth – AthenaCollector, Claims Management, Patient Pay Advisor
• Experian Health – Revenue Cycle Management Platform, Eligibility Verification, Claims Scrubber
• Cerner – Cerner RevWorks, PowerChart Revenue Cycle, Cerner Millennium
• GE HealthCare – Centricity Practice Solution, Financial Management Solutions, Denials Management
• Coronis Health – Billing and Coding Services, Revenue Cycle Optimization, Patient Access Services
• Epic Systems – Resolute Professional Billing, Resolute Hospital Billing, MyChart RCM Integration
• Conifer Health Solutions – Patient Access Services, Revenue Integrity Solutions, Value-Based Care Models
• eClinicalWorks – Revenue Cycle Management Services, Billing Optimization Solutions, Denial Management Tools
• Change Healthcare – Revenue Performance Advisor, Intelligent Healthcare Network, Claims Management Solutions
• Optum – Optum360 Revenue Cycle Solutions, Claims Edit System, Denial Management Tools
• Waystar – Claims Management Platform, Patient Financial Clearance, Denial Management Suite
• McKesson Corporation – RelayHealth Financial, Revenue Management Solutions, Claims and Denials Services
• R1 RCM – Revenue Cycle Services, Patient Scheduling and Billing Solutions, Front-End RCM Technology
• Veradigm LLC – Practice Fusion Revenue Cycle Services, Intergy Practice Management Solutions
• CareCloud Corporation – Central PM/RCM Platform, CareCloud Concierge, Denial Prevention Solutions
• Access Healthcare – Revenue Cycle Outsourcing Services, Billing Optimization Tools, AR Follow-Up Services
• AdvantEdge Healthcare Solutions – Practice Management and Billing, Analytics for Revenue Cycle Performance, Denial Resolution Services

Healthcare Revenue Cycle Management Market Report Scope

Report Attributes	Details
Market Size in 2023	US$ 137.44 billion
Market Size by 2032	US$ 372.16 billion
CAGR	CAGR of 11.72% From 2024 to 2032
Base Year	2023
Forecast Period	2024-2032
Historical Data	2020-2022
Key Regional Coverage	North America (US, Canada, Mexico), Europe (Eastern Europe [Poland, Romania, Hungary, Turkey, Rest of Eastern Europe] Western Europe] Germany, France, UK, Italy, Spain, Netherlands, Switzerland, Austria, Rest of Western Europe]), Asia Pacific (China, India, Japan, South Korea, Vietnam, Singapore, Australia, Rest of Asia Pacific), Middle East & Africa (Middle East [UAE, Egypt, Saudi Arabia, Qatar, Rest of Middle East]), Africa [Nigeria, South Africa, Rest of Africa], Latin America (Brazil, Argentina, Colombia Rest of Latin America)

Segment Analysis

By Type

Integrated RCM solutions captured the highest market share 56.2% in 2023, since they allow health organizations to operate the entire financial workflow in an effortless manner. The solutions combine multiple functions such as patient registration, insurance verification, claims processing, and payment reconciliation into a single platform. The increasing requirement for operational effectiveness, data centralization, and compliance with new regulations has fueled the demand for integrated RCM solutions.

Stand-alone RCM solutions are predicted to experience the most rapid expansion throughout the projection period. Such solutions address the particular elements of revenue cycle management, like medical coding, billing, or claim processing, leaving flexibility to health providers. Greater demand for scaleable and adjustable solutions by mid-sized and smaller healthcare organizations is one of the primary drivers responsible for this development.

By Deployment

Cloud RCM solutions shared the biggest portion of 65% of the market in 2023 with their scalability, affordability, and remote access. Cloud RCM solutions remove the necessity for cumbersome IT infrastructure, which makes them extremely desirable among healthcare providers desiring to optimize their financial process while lowering operation expenses. With the possibility to integrate with their current healthcare IT systems and data security, cloud RCM solutions further enhance cloud RCM solutions' adoption.

On-premise RCM solutions are likely to witness high growth due to growing demand from large healthcare organizations that emphasize data security and compliance. Large healthcare organizations prefer on-premise solutions to maintain more control over patient financial information, adhering to strict healthcare regulations. The growth of large hospital networks and specialty clinics is likely to propel the use of on-premise RCM solutions.

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Healthcare Revenue Cycle Management Market Segmentation

By Type

• Standalone
• Integrated

By Deployment

• Cloud
• On-Premise

By Component

• Software
• Service

By Function

• Appointment Scheduling
• Claims & Denial Management
• Medical Coding & Billing
• Network Management
• Others

By End User

Hospitals

• Clinics
• Ambulatory Surgical Centres
• Diagnostics & Imaging Centres
• Others

Regional Analysis

North America occupied the highest Healthcare Revenue Cycle Management market share 33.2% in 2023 on account of substantial healthcare expenditure, government efforts for the adoption of electronic health records (EHR), and established presence of dominant market players. Increasing use of AI-based RCM solutions and the need for automated claims handling are also enhancing the region's leadership.

The Asia-Pacific region is expected to record the highest growth rate over the forecast period. The reasons include rising investments in healthcare infrastructure, rising medical tourism, and the digitalization of healthcare services driving the need for RCM solutions. Also, the growing number of private healthcare institutions and the use of cloud-based solutions in emerging economies are adding to the region's fast market growth.

Recent Developments

• In January 2025, InTandem Capital Partners made its strategic equity investment in Healthfuse, a revenue cycle vendor management industry leader. This investment furthers Healthfuse's continued efforts to improve hospital operations and optimize financial efficiencies.
• In January 2025, Knack RCM grew its international footprint through the acquisition of HealthyBOS, a prominent U.S.-based and Philippine-based RCM provider. This acquisition enhances Knack RCM's capabilities in the durable medical equipment (DME) segment.
• In January 2025, Forte Healthcare launched its new Revenue Cycle Management (RCM) solutions in Dubai. The solutions are intended to streamline financial operations, reduce claim rejections, and comply with Dubai Health Authority (DHA) rules.

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Table of Contents – Major Key Points

1. Introduction

2. Executive Summary

3. Research Methodology

4. Market Dynamics Impact Analysis

5. Statistical Insights and Trends Reporting

6. Competitive Landscape

7. Healthcare Revenue Cycle Management Market by Type

8. Healthcare Revenue Cycle Management Market by Deployment

9. Healthcare Revenue Cycle Management Market by Component

10. Healthcare Revenue Cycle Management Market by Function

11. Healthcare Revenue Cycle Management Market by End User

12. Regional Analysis

13. Company Profiles

14. Use Cases and Best Practices

15. Conclusion

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