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'U.S. Revenue Cycle Management Market - Focused Insights 2025-2030'

'美国。S、 收入周期管理市场——2025-2030年重点洞察

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The U.S. Revenue Cycle Management Market was valued at USD 141.61 billion in 2024, and is expected to reach USD 272.78 billion by 2030, rising at a CAGR of 11.55%.

2024年，美国收入周期管理市场价值1416.1亿美元，预计到2030年将达到2727.8亿美元，复合年增长率为11.55%。

The U.S. revenue cycle management market report consists of exclusive data on 55 vendors. The market is a dynamic and competitive landscape characterized by a growing demand for technology-driven solutions, consolidation among players, and the emergence of new entrants leveraging advanced technologies like artificial intelligence (AI) and automation..

《美国收入周期管理市场报告》包含55家供应商的独家数据。市场是一个充满活力和竞争的环境，其特点是对技术驱动的解决方案的需求不断增长，参与者之间的整合，以及利用人工智能（AI）和自动化等先进技术的新进入者的出现。。

Companies like Change Healthcare, Epic Systems Corporation, Experian, McKesson Corporation, Oracle, R1 RCM, Veradigm, and SSI Group dominate the RCM market, offering end-to-end solutions for billing, claims management, and regulatory compliance. These companies have longstanding relationships with large healthcare providers and are expanding their portfolios through acquisitions and partnerships to stay ahead in the market..

Change Healthcare、Epic Systems Corporation、益百利、McKesson Corporation、Oracle、R1 RCM、Veradigm和SSI Group等公司主导RCM市场，为计费、索赔管理和法规遵从性提供端到端解决方案。这些公司与大型医疗保健提供商有着长期的关系，并正在通过收购和合作扩大其投资组合，以保持市场领先地位。。

MARKET TRENDS & DRIVERS

市场趋势和驱动因素

Shift from Computer-Assisted Coding (CAC) to Autonomous Coding

从计算机辅助编码（CAC）向自主编码的转变

The healthcare industry is transitioning from Computer-Assisted Coding (CAC) to Autonomous Coding due to advancements in AI and machine learning. Unlike CAC, which assists coders with code suggestions using NLP, autonomous coding fully automates the process, minimizing human involvement. This shift aims to improve efficiency, accuracy, and cost-effectiveness in medical coding and billing, addressing issues like human error, fatigue, and evolving standards.

由于人工智能和机器学习的进步，医疗保健行业正在从计算机辅助编码（CAC）过渡到自主编码。与使用NLP帮助编码人员提供代码建议的CAC不同，自主编码完全自动化了过程，最大限度地减少了人类的参与。这一转变旨在提高医疗编码和计费的效率，准确性和成本效益，解决人为错误，疲劳和不断发展的标准等问题。

Studies highlight its growing adoption and benefits..

研究强调了它越来越多的采用和好处。。

A 2023 Frost & Sullivan report indicates that over 30% of healthcare organizations are piloting or planning autonomous coding solutions. A TruCode report reveals these systems can reduce coding time by up to 50% while enhancing accuracy. Autonomous coding is poised to revolutionize Revenue Cycle Management (RCM) by increasing operational efficiency, improving compliance, and boosting revenue collection, with AI systems becoming smarter and more adaptable over time..

2023年Frost＆Sullivan的一份报告表明，超过30%的医疗保健组织正在试点或规划自主编码解决方案。TruCode报告显示，这些系统可以将编码时间减少多达50%，同时提高准确性。随着人工智能系统的不断智能化和适应性的提高，自主编码有望通过提高运营效率、改进法规遵从性和提高收入收集来彻底改变收入周期管理（RCM）。。

Increasing Adoption of Third-party Managed RCM Solutions

越来越多地采用第三方管理的RCM解决方案

The adoption of third-party managed Revenue Cycle Management (RCM) solutions is reshaping the U.S. healthcare market as providers face financial pressures, regulatory challenges, and a shift to value-based care. Outsourcing RCM helps healthcare organizations streamline operations, improve cash flow, and reduce costs, allowing them to focus on patient care.

第三方管理收入周期管理（RCM）解决方案的采用正在重塑美国医疗保健市场，因为提供商面临财务压力、监管挑战以及转向基于价值的护理。外包RCM有助于医疗机构简化运营，改善现金流，降低成本，使其能够专注于患者护理。

A 2023 Healthcare IT News survey found that 40% of healthcare providers outsource RCM functions, primarily to reduce operational expenses by avoiding the costs of maintaining in-house teams..

2023年医疗保健IT新闻调查发现，40%的医疗保健提供商将RCM功能外包，主要是为了通过避免维护内部团队的成本来减少运营费用。。

Third-party vendors bring specialized expertise in billing, coding, and collections, along with advanced technologies like automation and AI, which improve efficiency and reduce errors. A KPMG report highlights that 56% of providers are outsourcing non-core functions like RCM to prioritize clinical excellence.

第三方供应商带来了计费、编码和收款方面的专业知识，以及自动化和人工智能等先进技术，可提高效率并减少错误。毕马威的一份报告强调，56%的供应商正在外包RCM等非核心职能，以优先考虑临床卓越。

This trend reflects the growing preference for cost-effective, expert-driven solutions to optimize revenue cycles while focusing internal resources on delivering high-quality patient care..

。。

INDUSTRY RESTRAINTS

行业限制

The Role of Cybersecurity and Data Protection

网络安全和数据保护的作用

Cybersecurity and data protection are major challenges in the revenue cycle management (RCM) market due to the sensitive nature of healthcare data and rising cyber threats. RCM systems handle vast amounts of personal, medical, and financial data, making them attractive targets for attacks. Compliance with regulations like HIPAA adds complexity, requiring robust safeguards to protect data and ensure operations..

。RCM系统处理大量个人、医疗和财务数据，使其成为攻击的诱人目标。遵守HIPAA等法规会增加复杂性，需要强有力的保障措施来保护数据并确保操作。。

Many healthcare providers and RCM vendors face difficulties in addressing these risks due to limited budgets, outdated systems, and a lack of cybersecurity expertise. Threats such as ransomware, data breaches, and system downtime can disrupt the revenue cycle, causing financial losses, reputational harm, and potential legal penalties..

由于预算有限、系统过时以及缺乏网络安全专业知识，许多医疗保健提供商和RCM供应商在解决这些风险方面面临困难。勒索软件、数据泄露和系统停机等威胁可能会扰乱收入周期，造成财务损失、声誉损害和潜在的法律处罚。。

RECENT VENDORS ACTIVITIES

In 2024, Leading healthcare technology and RCM company CorroHealth finalized its acquisition of the Xtend healthcare revenue cycle management business from Navient, further positioning the company as the clear leader in revenue cycle management consultancy and technology.

2024年，领先的医疗保健技术和RCM公司CorroHealth完成了从Navient收购Xtend医疗保健收入周期管理业务，进一步将该公司定位为收入周期管理咨询和技术的明确领导者。

In August 2024, R1 RCM announced its agreement to be acquired by private equity firms TowerBrook Capital Partners and Clayton, Dubilier & Rice in a deal valued at $8.9 billion. The transaction is expected to close by the end of 2024.

2024年8月，R1 RCM宣布同意由私募股权公司TowerBrook Capital Partners和Clayton，Dubilier＆Rice以89亿美元的价格收购。该交易预计将于2024年底完成。

KEY TAKEAWAYS

关键要点

By Component Type: The post-cycle segment holds the largest market share of over 57%. The segment has gained importance as healthcare organizations face mounting challenges related to insurance claim rejections, compliance with changing regulations, and the need for efficient cash flow management.

按组件类型划分：周期后细分市场占有最大的市场份额，超过57%。随着医疗保健组织面临越来越多的挑战，如拒绝保险索赔、遵守不断变化的法规以及需要有效的现金流管理，该部门变得越来越重要。

By Delivery Mode: The cloud-based segment shows the highest growth of 12.22% driven by the demand for efficiency, cost reduction, and improved patient experiences.

按交付模式：基于云的细分市场显示出12.22%的最高增长率，这是由于对效率，成本降低和改善患者体验的需求。

By Solution Type: The integrated segment holds the largest market share due to hospitals and physician offices increasingly adopting advanced systems to address financial and operational challenges.

按解决方案类型划分：由于医院和医生办公室越来越多地采用先进的系统来应对财务和运营挑战，综合部门占据了最大的市场份额。

By Service Type: The ambulatory care segment shows the highest growth driven by rising healthcare costs, the adoption of advanced technologies, and shifts towards value-based care.

按服务类型划分：由于医疗保健成本上升、采用先进技术以及转向基于价值的护理，门诊护理部门的增长速度最高。

By End-User: The hospital segment leads the U.S. revenue cycle management market, driven by high patient volumes, diverse services, and multiple payment systems like private insurance, Medicare, and Medicaid.

按最终用户划分：医院部门在美国收入周期管理市场中处于领先地位，受高患者数量、多样化服务以及私人保险、医疗保险和医疗补助等多种支付系统的驱动。

Growth Factor: The U.S. revenue cycle management market is set to grow due to the rise of generative AI and LLMs and growth in urgent care, ambulatory surgery centers, & radiology services.

增长因素：由于生成性人工智能和LLM的兴起以及紧急护理、门诊手术中心和放射服务的增长，美国收入周期管理市场将增长。

KEY QUESTIONS ANSWERED

回答的关键问题

How big is the U.S. revenue cycle management market?

美国收入周期管理市场有多大？

What is the growth rate of the U.S. revenue cycle management market?

美国收入周期管理市场的增长率是多少？

What are the latest trends in the US revenue cycle management market?

美国收入周期管理市场的最新趋势是什么？

Which component has the largest share of the US revenue cycle management market?

哪一部分在美国收入周期管理市场占有最大份额？

Who are the key players in the U.S. revenue cycle management market?

谁是美国收入周期管理市场的关键参与者？

Key Attributes:

关键属性：

Report Attribute

Details

详细信息

No. of Pages

页数

108

108

Forecast Period

预测期

2024 - 2030

2024 - 2030

Estimated Market Value (USD) in 2024

2024年估计市值（美元）

$141.61 Billion

1416.1亿美元

Forecasted Market Value (USD) by 2030

2030年预测市场价值（美元）

$272.78 Billion

2727.8亿美元

Compound Annual Growth Rate

年均复合增长率

11.5%

11.5%

Regions Covered

覆盖的区域

United States

美国

COMPETITIVE LANDSCAPE

竞争格局

Key Vendors

主要供应商

Change Healthcare

改变医疗保健

Epic Systems Corporation

Epic系统公司

Experian

Experian

McKesson Corporation

麦凯森公司

Oracle

甲骨文

R1 RCM

R1 RCM

Veradigm

维拉迪格姆

SSI Group

SSI集团

Other Prominent Vendors

其他知名供应商

Abax Health

Abax健康

Access Healthcare

访问医疗保健

Acrologic Business Solutions

Acrologic业务解决方案

AdvancedMD

高级 MD

Advantum Health

Advantum 健康

AdvantEdge Healthcare Solutions

AdvantEdge医疗保健解决方案

AKASA

阿卡萨

Bellmedex

贝尔梅德克斯

Bizmatics

Bizmatics 公司

Cantata Health Solutions

康塔塔健康解决方案

CareCloud

CareCloud

Cognizant

Cosentus

柯辛[J]

Coronis Health

科罗尼斯健康

The Craneware Group

Craneware集团

CorroHealth

CorroHealth 公司

CureMD Healthcare

CureMD 医疗

Data Marshall

数据马歇尔

DrChrono

克罗诺博士

EHealthSource

EHealthSource

Greenway Health

绿道健康

Qualifacts

资质

IntelliRCM

IntelliRCM

Tebra

埃塞俄比亚第三个月-LongNamePossible

Medical Billers and Coders

医疗账单和编码员

MGSI

MGSI

MRO Corp

MRO公司

NextGen Healthcare

NextGen 医疗

OSP

OSP

Persistent Systems

持久性系统

PMMC

PMMC

Promantra

散步

Quadax

Quadax

QWay Healthcare

QWay 医疗

Rectangle Health

矩形运行状况

ReMedics

补救措施

Revele

揭示

RevenueXL

收入XL

Right Medical Billing

正确的医疗账单

Serbin Medical Billing

塞尔维亚医疗账单

SHOAR

SHOAR

Synergen Health

Synergen健康

Rectangle Health

矩形运行状况

Unified Health Services

统一医疗服务

Vee Technologies

Vee技术

Ventra Health

Ventra Health公司

Waystar

Waystar

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