Overview

Back-end Revenue Cycle Management Market Introduction

Back End Revenue Cycle Management Market is estimated to value over USD 10.95 billion by 2027 end and register a CAGR of over 4.8% during the forecast period 2020 to 2027.

The back-end revenue cycle management market growth can be credited to the emphasis placed on denials management, increasing patient population, procedural improvements in healthcare organizations, and sharp reduction in reimbursement. However, some aspects that could be potentially detrimental to the growth include the exorbitant cost of deployment, assimilation of back-end revenue cycle management strategies, a breach in data and lack of confidentiality, as well as a scarcity of efficient IT professionals in the healthcare sector.

FutureWise Market analysis predicts that the services segment is registered to grow substantially over the forecast period. The potential market value of this segment can be linked to the nature and dynamics of services such as development and training, upgrades in software, installation, maintenance and consulting.

With the delivery mode segment, the back-end revenue cycle management market is bifurcated into cloud-based modes and on premise. In the case of cloud-based solutions, they serve to aid healthcare organizations to collect and combine information from diverse locations. These solutions are cost-effective in installation and maintenance, as opposed to the on premise solutions, which in turn, are instrumental in the immense growth as well as the popularity of cloud-based delivery mode.

Some key players who have dominated this market include Cerner Corporation (US), McKesson Corporation (US), GE Healthcare (US), SSI Group (US), Allscripts Healthcare Solutions, Inc. (US), nThrive (US), athenahealth (US), Optum, Inc. (US), GeBBs Healthcare Solutions (US), Conifer Health Solutions (US) and eClinicalWorks (US)

Back-End Revenue Cycle Management Market Segmentation:

By Product & Service

•   Services
•   Software

 By Delivery Mode

•  On-Premise Delivery Mode
•  Cloud-Based Delivery Mode

By End User

•   Healthcare Payers
•   Healthcare Providers

By Region

•    North America
•    Europe
•    Asia Pacific
•    Rest of the World

FutureWise Key Takeaways:

•   Growth prospects
•   SWOT analysis
•   Key trends
•   Key data-points affecting market growth

Objectives of the Study:

• To provide with an exhaustive analysis on the back-end revenue cycle management market by product & service, by delivery mode, by end user and by region
• To cater comprehensive information on factors impacting market growth (drivers, restraints, opportunities, and industry-specific restraints)
• To evaluate and forecast micro-markets and the overall market
• To predict the market size, in key regions (along with countries)— North America, Europe, Asia Pacific and the rest of the world
• To record evaluate and competitive landscape mapping- product launches, technological advancements, mergers and expansions

Table of Contents

1 Introduction 

1.1 Objectives of the Study 

1.2 Market Definition 

        1.2.1 Markets Covered

        1.2.2 Years Considered for the Study

1.3 Currency 

1.4 Limitations 

1.5 Stakeholders 

2 Research Methodology 

2.1 Research Approach 

2.2 Research Data 

        2.2.1 Secondary Sources

                 2.2.1.1 Key Data From Secondary Sources

        2.2.2 Primary Sources

                 2.2.2.1 Key Data From Primary Sources

                 2.2.2.2 Breakdown of Primary Interviews

2.3 Market Size Estimation 

2.4 Market Breakdown and Data Triangulation 

2.5 Research Assumptions 

3 Executive Summary 

4 Back-End Revenue Cycle Management Market: Premium Insights

4.1 Back-End Revenue Cycle Management: Market Overview 

4.2  Back-End Revenue Cycle Management Market: Regional Growth Opportunities 

4.3 Back-End Revenue Cycle Management Market: By Region

4.4 Regional Mix : Back-End Revenue Cycle Management Market (2020-2027)

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

6.3 Software

7 Back-End Revenue Cycle Management Market, By Delivery Mode

7.1 Introduction

7.2 On-Premise Delivery Mode

7.3 Cloud-Based Delivery Mode 

8 Back-End Revenue Cycle Management Market, By End User

8.1 Introduction

8.2 Healthcare Payers

8.3 Healthcare Providers

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 Company Profile 

  10.1 Athenahealth

  10.2 Cerner

  10.3 Allscripts Healthcare Solutions

  10.4 Eclinicalworks

  10.5 Optum, Inc. (A Subsidiary of Unitedhealth Group Inc.)

  10.6 Mckesson (Now A Part of Change Healthcare, Inc.)

  10.7 Conifer Health Solutions

  10.8 Gebbs Healthcare Solutions

  10.9 The SSI Group

  10.10 GE Healthcare

  10.11 Nthrive

  10.12 DST Systems

  10.13 Cognizant Technology Solutions

  10.14 Quest Diagnostics

  10.15 Context 4 Healthcare

  10.16 Ram Technologies

  10.17 Health Solutions Plus (HSP)

  10.18 Plexis Healthcare Systems 

11 Competitive Landscape 

  11.1 Overview

  11.2 Competitive Scenario

          11.2.1 Product Launches and Enhancements

          11.2.2 Agreements, Partnerships, and Collaborations

          11.2.3 Acquisitions

          11.2.4 Expansions

Chapter 12 Research Finding and Conclusion

Chapter 13 Research Methodology

Chapter 14 Research Data Source

Tables

Figures