Healthcare industry is undergoing a transition with increased competition among healthcare service providers. Currently, companies are more focused on providing quality care at lower price to their patients. Increasing healthcare cost is an alarming concern in this industry. In order to achieve cost savings, the industry players have introduced significant innovations in non-clinical solutions such as simplified administrative costs. The administrative components comprise all the services that range from front-end to back-end services. The process starts from gathering information from patients, documentation record, submitting, analyzing, and eventually paying for medical bills. This whole spectrum of administrative services is considered as healthcare RCM. Revenue cycle management (RCM) is the fundamental process that enables a company to be paid for providing their services. For most healthcare providers, RCM includes everything from pre-registering a patient all the way through the final zero balance invoicing for a particular visit.
The market is driven by various end-users, such as small/rural hospitals, community hospitals, large hospitals & academic medical centers. As the downstream consumption usually follows with developed and rapid economic growth areas, such as BRICS, the developed areas’ company prefers investing to underdevelopment regions these years.

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Revenue management analytics is gaining traction in the healthcare industry due to its ability to align the activities and documentation of front-end physician practice managers and administrators and the back-end central billing office. Analytics is helping in delivering insightful results and streamlining operations as well as improving patient collections, workflows, and patient care.

In today’s challenging circumstances, outsourcing the administrative functions to third-parties seem to be a reasonable solution. This will not only help physicians focus on their core task by freeing up their time and resources but will also improve their practice’s revenue. Practices and hospitals that have outsourced their revenue cycle management function to third-party experts have experienced significant improvement in their collection rates, denial resolution efficiency, patient satisfaction rates, and revenue.

The market for Healthcare RCM Outsourcing is fragmented with players such as Conifer Health Solutions, nthrive (Medassets + Precyse), optum360, Change Healthcare(Emdeon), McKesson RelayHealth, Parallon(HCA), MedData(Cardon Outreach), MedAssist(Firstsource), The SSI Group, Availity, Accretive Health(R1 RCM Inc), GeBBS Healthcare, Cerner and so on.

The industry is expected to remain innovation-led, with frequent acquisitions and strategic alliances adopted as the key strategies by the players to increase their industry presence. Market stays in mature period with a clear concentration. Meanwhile, optimize product mix and further develop value-added capabilities to maximize margins. Manufacturers can take advantage of this situation by reinforcing their production units and supply-chains to avoid any delay in production turn-around-times (TAT) and supply-lead-times.

Significant and lasting barriers make entry into this market difficult. These barriers include, but are not limited to: (i) product development costs; (ii) capital requirements; (iii) intellectual property rights; (iv) regulatory requirement; and (v) Transitions’ unfair methods of competition.

Despite the presence of competition problems, due to the global recovery trend is clear, investors are still optimistic about this area, the future will still have more new investment enter the field. Even so, the market is intensely competitive .The study group recommends the new entrants just having money but without technical advantage and upstream and downstream support do not to enter into this field.

In 2017, the global Healthcare RCM Outsourcing market size was 11700 million US$ and it is expected to reach 29000 million US$ by the end of 2025, with a CAGR of 12.0% during 2018-2025.

The key players covered in this study
Conifer Health Solutions
nthrive (Medassets + Precyse)
Change Healthcare (Emdeon)
McKesson RelayHealth
Parallon (HCA)
MedData (Cardon Outreach)
The SSI Group,
Accretive Health,
GeBBS Healthcare,

Market segment by Type, the product can be split into

Market segment by Application, split into
Small/Rural Hospitals
Community Hospitals
Large Hospitals & Academic Medical Centers

Market segment by Regions/Countries, this report covers
United States
Southeast Asia
Central & South America

Table of Contents – Key Points

1 Report Overview
1.1 Study Scope
1.2 Key Market Segments
1.3 Players Covered
1.4 Market Analysis by Type
1.4.1 Global Healthcare RCM Outsourcing Market Size Growth Rate by Type (2013-2025)
1.4.2 Pre-intervention
1.4.3 Intervention
1.4.4 Post-intervention
1.5 Market by Application
1.5.1 Global Healthcare RCM Outsourcing Market Share by Application (2013-2025)
1.5.2 Small/Rural Hospitals
1.5.3 Community Hospitals
1.5.4 Large Hospitals & Academic Medical Centers
1.6 Study Objectives
1.7 Years Considered

2 Global Growth Trends
2.1 Healthcare RCM Outsourcing Market Size
2.2 Healthcare RCM Outsourcing Growth Trends by Regions
2.2.1 Healthcare RCM Outsourcing Market Size by Regions (2013-2025)
2.2.2 Healthcare RCM Outsourcing Market Share by Regions (2013-2018)
2.3 Industry Trends
2.3.1 Market Top Trends
2.3.2 Market Drivers
2.3.3 Market Opportunities

3 Market Share by Key Players
3.1 Healthcare RCM Outsourcing Market Size by Manufacturers
3.1.1 Global Healthcare RCM Outsourcing Revenue by Manufacturers (2013-2018)
3.1.2 Global Healthcare RCM Outsourcing Revenue Market Share by Manufacturers (2013-2018)
3.1.3 Global Healthcare RCM Outsourcing Market Concentration Ratio (CR5 and HHI)
3.2 Healthcare RCM Outsourcing Key Players Head office and Area Served
3.3 Key Players Healthcare RCM Outsourcing Product/Solution/Service
3.4 Date of Enter into Healthcare RCM Outsourcing Market
3.5 Mergers & Acquisitions, Expansion Plans


12 International Players Profiles
12.1 Conifer Health Solutions
12.1.1 Conifer Health Solutions Company Details
12.1.2 Company Description and Business Overview
12.1.3 Healthcare RCM Outsourcing Introduction
12.1.4 Conifer Health Solutions Revenue in Healthcare RCM Outsourcing Business (2013-2018)
12.1.5 Conifer Health Solutions Recent Development
12.2 nthrive (Medassets + Precyse)
12.2.1 nthrive (Medassets + Precyse) Company Details
12.2.2 Company Description and Business Overview
12.2.3 Healthcare RCM Outsourcing Introduction
12.2.4 nthrive (Medassets + Precyse) Revenue in Healthcare RCM Outsourcing Business (2013-2018)
12.2.5 nthrive (Medassets + Precyse) Recent Development
12.3 optum360
12.3.1 optum360 Company Details
12.3.2 Company Description and Business Overview
12.3.3 Healthcare RCM Outsourcing Introduction
12.3.4 optum360 Revenue in Healthcare RCM Outsourcing Business (2013-2018)
12.3.5 optum360 Recent Development
12.4 Change Healthcare (Emdeon)
12.4.1 Change Healthcare (Emdeon) Company Details
12.4.2 Company Description and Business Overview
12.4.3 Healthcare RCM Outsourcing Introduction
12.4.4 Change Healthcare (Emdeon) Revenue in Healthcare RCM Outsourcing Business (2013-2018)
12.4.5 Change Healthcare (Emdeon) Recent Development
12.5 McKesson RelayHealth
12.5.1 McKesson RelayHealth Company Details
12.5.2 Company Description and Business Overview
12.5.3 Healthcare RCM Outsourcing Introduction
12.5.4 McKesson RelayHealth Revenue in Healthcare RCM Outsourcing Business (2013-2018)
12.5.5 McKesson RelayHealth Recent Development
12.6 Parallon (HCA)
12.6.1 Parallon (HCA) Company Details
12.6.2 Company Description and Business Overview
12.6.3 Healthcare RCM Outsourcing Introduction
12.6.4 Parallon (HCA) Revenue in Healthcare RCM Outsourcing Business (2013-2018)
12.6.5 Parallon (HCA) Recent Development
12.7 MedData (Cardon Outreach)
12.7.1 MedData (Cardon Outreach) Company Details
12.7.2 Company Description and Business Overview
12.7.3 Healthcare RCM Outsourcing Introduction
12.7.4 MedData (Cardon Outreach) Revenue in Healthcare RCM Outsourcing Business (2013-2018)
12.7.5 MedData (Cardon Outreach) Recent Development
12.8 MedAssist (Firstsource)
12.8.1 MedAssist (Firstsource) Company Details
12.8.2 Company Description and Business Overview
12.8.3 Healthcare RCM Outsourcing Introduction
12.8.4 MedAssist (Firstsource) Revenue in Healthcare RCM Outsourcing Business (2013-2018)
12.8.5 MedAssist (Firstsource) Recent Development
12.9 The SSI Group
12.9.1 The SSI Group Company Details
12.9.2 Company Description and Business Overview
12.9.3 Healthcare RCM Outsourcing Introduction
12.9.4 The SSI Group Revenue in Healthcare RCM Outsourcing Business (2013-2018)
12.9.5 The SSI Group Recent Development
12.10 Availity
12.10.1 Availity Company Details


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