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
  o Integrated Software
  o Standalone Software
    • Claims Processing Software
    • Denial Management Software
    • Coding & Auditing Software
    • Billing/Billing Review Software
    • Payment Integrity 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

Flexible Delivery Model:

•  We have a flexible delivery model and you can suggest changes in the scope/table of content as per your requirement
•  The customization Mobility Care offered are free of charge with purchase of any license of the report
•  You can directly share your requirements/changes to the current table of content to: sales@futurewiseresearch.com

Table of Contents

1. Market Introduction
           1.1. Objectives of the Study 
           1.2. Market Definition 
           1.3. Market Scope 
                   1.3.1. Years Considered for the Study
                   1.3.2. Market Covered
           1.4. Currency 
           1.5. Limitations 
           1.6. Stakeholders 
 2.  Research Methodology 
           2.1. Research Data 
                   2.1.1. Secondary Data
                           2.1.1.1. Key Data from Secondary Sources
                   2.1.2. Primary Data
                            2.1.2.1. Key Data from Primary Sources
           2.2. Market Size Estimation 
           2.3. Market Breakdown and Data Triangulation 
           2.4. Assumptions for the Study  
3. Executive Summary
           3.1. Market Outlook
           3.2. Segment Outlook
           3.3. Competitive Insights
4. Global Back-End Revenue Cycle Management Market Variables, Trends & Scope
           4.1. Market Lineage Outlook
           4.2. Penetration and Growth Prospect Mapping
           4.3. Industry Value Chain Analysis
           4.4. Cost Analysis Breakdown
           4.5. Technology Overview
           4.6. Regulatory Framework
                 4.6.1. Reimbursement Framework
                 4.6.2. Standards and Compliances
5. Global Back-End Revenue Cycle Management Market Overview
           5.1. Market Dynamics
                  5.1.1. Market Driver Analysis
                             5.1.1.1. Increasing focus of Back-End Revenue Cycle Management Companies on Brand Protection
                             5.1.1.2. Untapped Opportunities in Emerging Regions
                  5.1.2. Market Restraint Analysis
                             5.1.2.1. High Cost Associated with Implementation of Predictive Analysis
                  5.1.3. Industry Challenges
                             5.1.3.1. Presence of Ambiguous Regulatory Framework
6. Global Back-End Revenue Cycle Management Market Analysis Tools
           6.1. Industry Analysis - Porter’s
                   6.1.1. Supplier Power
                   6.1.2. Buyer Power
                   6.1.3. Substitution Threat
                   6.1.4. Threat from New Entrants
                   6.1.5. Competitive Rivalry
           6.2. Pestel Analysis
                   6.2.1. Political Landscape
                   6.2.2. Environmental Landscape
                   6.2.3. Social Landscape
                   6.2.4. Technology Landscape
                   6.2.5. Legal Landscape
           6.3. Major Deals And Strategic Alliances Analysis
                   6.3.1. Joint Ventures
                   6.3.2. Mergers and Acquisitions
                   6.3.3. Licensing and Partnership
                   6.3.4. Technology Collaborations
                   6.3.5. Strategic Divestments
           6.4. Market Entry Strategies
           6.5. Case Studies
7. Global Back-End Revenue Cycle Management Market, By Product & Service Historical Analysis and Forecast 2020-2027 (USD Million)
           7.1 Services
           7.2 Software
                  7.2.1. Integrated Software
                  7.2.2. Standalone Software
                             7.2.2.1. Claims Processing Software
                             7.2.2.2. Denial Management Software
                             7.2.2.3. Coding & Auditing Software
                             7.2.2.4. Billing/Billing Review Software
                             7.2.2.5. Payment Integrity Software
8. Global Back-End Revenue Cycle Management Market, By Delivery Mode Historical Analysis and Forecast 2020-2027 (USD Million)
           8.1. On-Premise Delivery Mode
           8.2. Cloud-Based Delivery Mode
9. Global Back-End Revenue Cycle Management Market, By End User Historical Analysis and Forecast 2020-2027 (USD Million)
           9.1. Healthcare Payers
           9.2. Healthcare Providers
                   9.2.1. Inpatient Facilities
                   9.2.2. Outpatient Facilities & Physician Clinics
10. North America Market Analysis 2015–2019 and Forecast 2020–2027 (USD Million)
           10.1. Introduction
           10.2. Historical Market Size (USD Million) Analysis By Country, 2015-2019
                     10.2.1. U.S.A
                     10.2.2. Canada
                     10.2.3. Mexico
           10.3. Market Size (USD Million) Forecast for North America 2020-2027 
11. Latin America Market Analysis 2015–2019 and Forecast 2020–2027 (USD Million)
           11.1. Introduction
           11.2. Regional Market Trends
           11.3. Historical Market Size (USD Million) Analysis By Country, 2015-2019
                     11.3.1. Brazil
                     11.3.2. Venezuela
                     11.3.3. Argentina
                     11.3.4. Rest of Latin America
           11.4. Market Size (USD Million) Forecast for Latin America 2020-2027  
12. Europe Market Analysis 2015–2019 and Forecast 2020–2027 (USD Million)
           12.1. Introduction
           12.2. Historical Market Size (USD Million) Analysis By Country, 2015-2019
                     12.2.1. Germany
                     12.2.2. U.K
                     12.2.3. France
                     12.2.4. Italy
                     12.2.5. Spain
                     12.2.6. Russia
                     12.2.7. Poland
                     12.2.8. Switzerland
                     12.2.9. Rest of Western Europe
           12.3. Market Size (USD Million) Forecast for Europe 2020-2027
13. Asia Pacific Market Analysis 2015–2019 and Forecast 2020–2027 (USD Million)
           13.1. Introduction
           13.2. Historical Market Size (USD Million) Analysis By Country, 2015-2019
                     13.2.1. Japan
                     13.2.2. China
                     13.2.3. Singapore
                     13.2.4. India
                     13.2.5. Australia and New Zealand
                     13.2.6. ASEAN
                     13.2.7. South Korea
                     13.2.8. Taiwan
                     13.2.9. Rest of Asia Pacific
           13.3. Market Size (USD Million) Forecast for Asia Pacific 2020-2027
14. Middle East and Africa Market Analysis 2015–2019 and Forecast 2020–2027 (USD Million)
           14.1. Introduction
           14.2. Historical Market Size (USD Million) Analysis By Country, 2015-2019
                     14.2.1. Saudi Arabia
                     14.2.2. UAE
                     14.2.3. South Africa
                     14.2.4. Egypt
           14.3. Market Size (USD Million) Forecast for MEA 2020-2027
15. Company Profiles (Competition Dashboard, Competitors Deep Dive, Product Connected Devices and Disease Indication Portfolio, Financial Layouts)
           15.1. Cerner Corporation (US)
                     15.1.1. Company Overview
                     15.1.2. Product Portfolio
                     15.1.3. SWOT Analysis
                     15.1.4. Financial Overview
                     15.1.5. Strategic Overview
           15.2. McKesson Corporation (US)
                     15.2.1. Company Overview
                     15.2.2. Product Portfolio
                     15.2.3. SWOT Analysis
                     15.2.4. Financial Overview
                     15.2.5. Strategic Overview
           15.3. GE Healthcare (US)
                     15.3.1. Company Overview
                     15.3.2. Product Portfolio
                     15.3.3. SWOT Analysis
                     15.3.4. Financial Overview
                     15.3.5. Strategic Overview
           15.4. SSI Group (US)
                     15.4.1. Company Overview
                     15.4.2. Product Portfolio
                     15.4.3. SWOT Analysis
                     15.4.4. Financial Overview
                     15.4.5. Strategic Overview
           15.5 Allscripts Healthcare Solutions, Inc. (US)
                     15.5.1. Company Overview
                     15.5.2. Product Portfolio
                     15.5.3. SWOT Analysis
                     15.5.4. Financial Overview
                     15.5.5. Strategic Overview
           15.6 nThrive (US)
                     15.6.1. Company Overview
                     15.6.2. Product Portfolio
                     15.6.3. SWOT Analysis
                     15.6.4. Financial Overview
                     15.6.5. Strategic Overview
           15.7. athenahealth (US)
                     15.7.1. Company Overview
                     15.7.2. Product Portfolio
                     15.7.3. SWOT Analysis
                     15.7.4. Financial Overview
                     15.7.5. Strategic Overview
           15.8. Optum, Inc. (US)
                     15.8.1. Company Overview
                     15.8.2. Product Portfolio
                     15.8.3. SWOT Analysis
                     15.8.4. Financial Overview
                     15.8.5. Strategic Overview
           15.9. GeBBs Healthcare Solutions (US)
                     15.9.1. Company Overview
                     15.9.2. Product Portfolio
                     15.9.3. SWOT Analysis
                     15.9.4. Financial Overview
                     15.9.5. Strategic Overview
           15.10. Conifer Health Solutions (US)
                     15.10.1. Company Overview
                     15.10.2. Product Portfolio
                     15.10.3. SWOT Analysis
                     15.10.4. Financial Overview
                     15.10.5. Strategic Overview
           15.11 eClinicalWorks (US)
                     15.11.1. Company Overview
                     15.11.2. Product Portfolio
                     15.11.3. SWOT Analysis
                     15.11.4. Financial Overview
                     15.11.5. Strategic Overview
16. FutureWise SME Key Takeaway Points for Client

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