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North American Revenue Cycle Management Market By Product, (Integrated RCM, Standalone RCM), By Component, By Deployment (Web-based, On-premise, Cloud-based), By End User (Hospitals, Physicians, Labs) - Forecast to 2019

Publisher Name :
Date: 02-Apr-2015
No. of pages: 108

The purpose of this report is to cover the definition, description, and forecast of the North American revenue cycle management system market. It involves a deep dive analysis of market segmentation which comprises sub-markets, products, component, deployment and end-users. The report also delivers in-depth insights of strategic analysis of the key players thriving in the market. In this report, the North American revenue cycle management system market is segmented on the basis of product, component, deployment, end-user, and geography. The North American revenue cycle management system market, by product is segmented into integrated RCM systems and standalone RCM systems, while the market by deployment is further categorized as on-premises, web-based, and cloud-based. On the basis of component, the market is segmented into hardware, software, and services. The applications are web bill pay, web pre-registration, web scheduling, medical necessity alert at registration, medical necessity alert at scheduling, claims attachment rules, claims denial rules, biller's dashboard, EMR documentation for claims, claims remittance updates AR, direct payer claims, EFT transaction, and eligibility transaction with payer among others. The end-users are physicians, ambulatory care solutions, hospitals, and labs.

Globally, North America is the largest revenue cycle management (RCM) system market growing at a CAGR of 12.0% from 2014 to 2019. This growth is mainly attributed to decreasing reimbursements in the healthcare industry, reduction of overall healthcare costs, and increasing expenditure on information technology. Healthcare providers in the North American region are undergoing consolidation, and improving the purchasing capacity for RCM solutions in North America. The district health authority Nova Scotia on April 1, 2015, plans to create a new health system structure that unifies nine district authorities into one body. This is expected to improve the demand for healthcare information technology solutions in these markets.

Furthermore, initiatives undertaken by governmental bodies, such as Medicare Medicaid, to support and complement the transformation of healthcare industry in the country, and the e-Health initiative to implement healthcare IT solutions are significant factors propelling the growth of the RCM market. However, limited investments in healthcare IT and high cost of RCM solution are factors restraining its market growth.

The report provides a detailed competitive landscaping of companies operating in this market. Segment and country-specific company shares, news & deals, mergers & acquisitions, segment specific pipeline products, product approvals, and product recalls of major companies would also be detailed in this report. The main companies operating in this market are Allscripts Healthcare Solutions, Inc. (U.S.), Quest Diagnostics (U.S.), Cerner Corporation (U.S.), McKesson Corporation (U.S.), Athenahealth, Inc. (U.S.), eClinicalWorks, Inc. (U.S.), CareCloud Corporation (U.S.), The SSI Groups, Inc. (U.S.), GE Healthcare (U.K.), Epic Systems (U.S.), and Kareo, Inc. (U.S.).

North American Revenue Cycle Management Market By Product, (Integrated RCM, Standalone RCM), By Component, By Deployment (Web-based, On-premise, Cloud-based), By End User (Hospitals, Physicians, Labs) - Forecast to 2019

Table of Contents

1 Introduction 11
1.1 Objectives of The Study 11
1.2 Market Segmentation & Coverage 12
1.3 Stakeholders 12

2 Research Methodology 13
2.1 Integrated Ecosystem of Revenue Cycle Management Market 13
2.2 Arriving At The Revenue Cycle Management Market Size 14
2.2.1 Top-Down Approach 15
2.2.2 Bottom-Up Approach 15
2.2.3 Macro Indicator-Based Approach 17
2.3 Assumptions 18

3 Executive Summary 19

4 Market Overview 21
4.1 Introduction 21
4.2 Market Drivers and Inhibitors 24
4.3 Key Market Dynamics 25

5 North American Revenue Cycle Management Market, by Product 27
5.1 Introduction 28
5.2 North America: Revenue Cycle Management Market, by Product 29
5.3 North America: Integrated Revenue Cycle Management Market, by Geography, 2014 Vs 2019 (USD Mn) 30
5.4 North America: Standalone Revenue Cycle Management Market, by Geography, 2014 Vs 2019 (USD Mn) 31

6 North American Revenue Cycle Management Market, by Component 32
6.1 Introduction 33
6.2 North America: Revenue Cycle Management Market in Services, by Geography, 2013-2019 (USD Mn) 34
6.3 North America: Revenue Cycle Management Market in Software,
By Geography, 2013-2019 (USD Mn) 35

7 North American Revenue Cycle Management, by Deployment 36
7.1 Introduction 37
7.2 North America: Revenue Cycle Management Market in Web-Based, by Geography, 2013-2019 (USD Mn) 38
7.3 North America: Revenue Cycle Management Market in On-Premise, by Geography, 2013-2019 (USD Mn) 39
7.4 North America: Revenue Cycle Management Market in Cloud-Based,
By Geography, 2013-2019 (USD Mn) 40

8 North American Revenue Cycle Management, by End-User 41
8.1 Introduction 42
8.2 North America: Revenue Cycle Management Market in Physicians,
By Geography, 2013-2019 (USD Mn) 44
8.3 North America: Revenue Cycle Management Market in Hospitals, by Geography, 2013-2019 (USD Mn) 45
8.4 North America: Revenue Cycle Management Market in Laboratories, by Geography, 2013-2019 (USD Mn) 46

9 North American Revenue Cycle Management Market, by Geography 47
9.1 U.S. Revenue Cycle Management Market 48
9.1.1 U.S. Revenue Cycle Management Market, by Product 49
9.1.2 U.S. Revenue Cycle Management Market, by Component 50
9.1.3 U.S. Revenue Cycle Management Market, by Deployment 51
9.1.4 U.S. Revenue Cycle Management Market, by End-User 52
9.2 Canada Revenue Cycle Management Market 53
9.2.1 Canada Revenue Cycle Management Market, by Product 54
9.2.2 Canada Revenue Cycle Management Market, by Component 55
9.2.3 Canada Revenue Cycle Management Market, by Deployment 56
9.2.4 Canada Revenue Cycle Management Market, by End-User 57
9.3 Mexico Revenue Cycle Management Market 58
9.3.1 Mexico Revenue Cycle Management Market, by Product 59
9.3.2 Mexico Revenue Cycle Management Market, by Component 60
9.3.3 Mexico Revenue Cycle Management Market, by Deployment 61
9.3.4 Mexico Revenue Cycle Management Market, by End-User 62

10 North American Revenue Cycle Management Market: Competitive Landscape 63
10.1 North America: Revenue Cycle Management Market Company Share Analysis 63
10.2 Company Presence in The North American Revenue Cycle Management Market, by Product 64
10.3 Mergers & Acquisitions 65
10.4 Expansions 65
10.5 Investments 66
10.6 Joint Ventures 66

11 North American Revenue Cycle Management Market, by Company 68
11.1 Allscripts Healthcare Solutions, Inc. 68
11.1.1 Overview 68
11.1.2 Key Financials 69
11.1.3 Product and Service Offerings 70
11.1.4 Related Developments 70
11.1.5 Mmm Analysis 71
11.2 Athenahealth, Inc. 72
11.2.1 Overview 72
11.2.2 Key Financials 72
11.2.3 Product and Service Offerings 72
11.2.4 Related Developments 73
11.2.5 Mmm Analysis 74
11.3 Carecloud Corporation 75
11.3.1 Overview 75
11.3.2 Key Financials 75
11.3.3 Product and Service Offerings 75
11.3.4 Related Developments 76
11.3.5 Mmm Analysis 76
11.4 Cerner Corporation 77
11.4.1 Overview 77
11.4.2 Key Financials 78
11.4.3 Product and Service Offerings 78
11.4.4 Related Developments 81
11.4.5 Mmm Analysis 82
11.5 Eclinicalworks, Llc 83
11.5.1 Overview 83
11.5.2 Key Financials 83
11.5.3 Product and Service Offerings 83
11.5.4 Related Developments 84
11.5.5 Mmm Analysis 84
11.6 Epic Systems 85
11.6.1 Overview 85
11.6.2 Key Financials 85
11.6.3 Product and Service Offerings 85
11.6.4 Related Developments 86
11.6.5 Mmm Analysis 86
11.7 Ge Healthcare 87
11.7.1 Overview 87
11.7.2 Key Financials 88
11.7.3 Product and Service Offerings 88
11.7.4 Related Developments 89
11.7.5 Mmm Analysis 90
11.8 Kareo, Inc. 91
11.8.1 Overview 91
11.8.2 Key Financials 91
11.8.3 Product and Service Offerings 91
11.8.4 Related Developments 91
11.8.5 Mmm Analysis 92
11.9 Mckesson Corporation 93
11.9.1 Overview 93
11.9.2 Key Financials 94
11.9.3 Product and Service Offerings 94
11.9.4 Related Developments 96
11.9.5 Mmm Analysis 97
11.10 Quest Diagnostics 98
11.10.1 Overview 98
11.10.2 Key Financials 98
11.10.3 Product and Service Offerings 99
11.10.4 Related Developments 100
11.10.5 Mmm Analysis 100
11.11 The Ssi Group, Inc. 101
11.11.1 Overview 101
11.11.2 Key Financials 101
11.11.3 Product Portfolio 101
11.11.4 Recent Developments 102
11.11.5 Mmm Analysis 103

12 Appendix 104
12.1 Customization Options 104
12.1.1 Regulatory Framework 104
12.1.2 Impact Analysis 104
12.2 Related Reports 105
12.3 Introducing Rt: Real Time Market Intelligence 106
12.3.1 Rt Snapshots 107

List of Tables

Table 1 North America Revenue Cycle Management Market: Drivers and Inhibitors 24
Table 2 North America: Revenue Cycle Management Market, by Product, 2013-2019 (USD Mn) 25
Table 3 North America: Revenue Cycle Management Market, by Geography, 2013-2019 (USD Mn) 25
Table 4 North America: Revenue Cycle Management Market, by Component, 2013-2019 (USD Mn) 26
Table 5 North America: Revenue Cycle Management Market: by Deployment, 2013-2019 (USD Mn) 26
Table 6 North America: Revenue Cycle Management Market, by End-User, 2013-2019 (USD Mn) 26
Table 7 North America: Integrated Revenue Cycle Management Market, by Geography, 2013-2019 (USD Mn) 30
Table 8 North America: Standalone Revenue Cycle Management Market, By Geography, 2013-2019 (USD Mn) 31
Table 9 North America: Revenue Cycle Management Market, by Component, 2013-2019 (USD Mn) 33
Table 10 North America: Revenue Cycle Management Market in Services, by Geography, 2013-2019 (USD Mn) 34
Table 11 North America: Revenue Cycle Management Market in Software, By Geography, 2013-2019 (USD Mn) 35
Table 12 North America: Revenue Cycle Management Market, by Deployment, 2013-2019 (USD Mn) 37
Table 13 North America: Revenue Cycle Management Market in Web-Based, by Geography, 2013-2019 (USD Mn) 38
Table 14 North America: Revenue Cycle Management Market in On-Premise, By Geography, 2013-2019 (USD Mn) 39
Table 15 North America: Revenue Cycle Management Market in Cloud-Based, By Geography, 2013-2019 (USD Mn) 40
Table 16 North America: Revenue Cycle Management Market, by End-User, 2013-2019 (USD Mn) 43
Table 17 North America: Revenue Cycle Management Market in Physicians, by Geography, 2013-2019 (USD Mn) 44
Table 18 North America: Revenue Cycle Management Market in Hospitals, by Geography, 2013-2019 (USD Mn) 45
Table 19 North America: Revenue Cycle Management Market in Laboratories, by Geography, 2013-2019 (USD Mn) 46
Table 20 U.S. Revenue Cycle Management Market, by Product, 2013-2019 (USD Mn) 49
Table 21 U.S. Revenue Cycle Management Market, by Component, 2013-2019 (USD Mn) 50
Table 22 U.S. Revenue Cycle Management Market, by Deployment, 2013-2019 (USD Mn) 51
Table 23 U.S. Revenue Cycle Management Market, by End-User, 2013-2019 (USD Mn) 52
Table 24 Canada: Revenue Cycle Management Market, by Product, 2013-2019 (USD Mn) 54
Table 25 Canada Revenue Cycle Management Market, by Component, 2013-2019 (USD Mn) 55
Table 26 Canada Revenue Cycle Management Market, by Deployment, 2013-2019 (USD Mn) 56
Table 27 Canada Revenue Cycle Management Market, by End-User, 2013-2019 (USD Mn) 57
Table 28 Mexico Revenue Cycle Management Market, by Product, 2013-2019 (USD Mn) 59
Table 29 Mexico Revenue Cycle Management Market, by Component, 2013-2019 (USD Mn) 60
Table 30 Mexico Revenue Cycle Management Market, by Component, 2013-2019 (USD Mn) 61
Table 31 Mexico Revenue Cycle Management Market, by End-User, 2013-2019 (USD Mn) 62
Table 32 Revenue Cycle Management Market: Company Share Analysis, 2014 63
Table 33 North America: Revenue Cycle Management Market Mergers & Acquisitions 65
Table 34 North America: Revenue Cycle Management Market Expansions 65
Table 35 North America: Revenue Cycle Management Market Investments 66
Table 36 North America: Revenue Cycle Management Market Joint Ventures 66
Table 37 Allscripts Healthcare Solutions, Inc.: Key Financials, 2010-2013 (USD Mn) 69
Table 38 Athenahealth, Inc.: Key Financials, 2009-2013 (USD Mn) 72
Table 39 Cerner Corporation: Key Financials, 2008-2013 (USD Mn) 78
Table 40 Ge Healthcare: Key Financials, 2009-2013 (USD Mn) 88
Table 41 Ge Healthcare: Key Financials, by Geographical Segment, 2009-2013 (USD Mn) 88
Table 42 Mckesson Corporation: Key Financials, by Business Segment, 2009-2013 (USD Mn) 94
Table 43 Mckesson Corporation: Key Financials, by Geographical Segment, 2009-2013 (USD Mn) 94
Table 44 Quest Diagnostics: Key Financials, 2009-2013 (USD Mn) 98

List of Figures

Figure 1 North American Revenue Cycle Management Market: Segmentation & Coverage 12
Figure 2 Revenue Cycle Management Market: Integrated Ecosystem 13
Figure 3 Research Methodology 14
Figure 4 Top-Down Approach 15
Figure 5 Bottom-Up Approach 16
Figure 6 Macro Indicator-Based Approach 17
Figure 7 North America: Revenue Cycle Management Market Snapshot 20
Figure 8 U.S. Revenue Cycle Management: Adoption Rate (%) 23
Figure 9 North America: Revenue Cycle Management Market: Product, by Geography, 2014 (USD Mn) 25
Figure 10 North America: Revenue Cycle Management Market, by Product, 2014 Vs 2019 (USD Mn) 29
Figure 11 North America: Integrated Revenue Cycle Management Market, by Geography, 2014 Vs 2019 (USD Mn) 30
Figure 12 North America: Standalone Revenue Cycle Management Market, by Geography, 2014 Vs 2019 (USD Mn) 31
Figure 13 North America: Revenue Cycle Management Market, by Component, 2014 Vs 2019 (USD Mn) 33
Figure 14 North America: Revenue Cycle Management Market in Services, by Geography, 2013-2019 (USD Mn) 34
Figure 15 North America: Revenue Cycle Management Market in Software, By Geography, 2013-2019 (USD Mn) 35
Figure 16 North America: Revenue Cycle Management, by Deployment, 2014 Vs 2019 (USD Mn) 37
Figure 17 North America: Revenue Cycle Management Market in Web-Based, by Geography, 2013-2019 (USD Mn) 38
Figure 18 North America: Revenue Cycle Management Market in On-Premise, by Geography, 2013-2019 (USD Mn) 39
Figure 19 North America: Revenue Cycle Management Market in Cloud-Based, By Geography, 2013-2019 (USD Mn) 40
Figure 20 North America: Revenue Cycle Management Market, by End-User, 2014 Vs 2019 (USD Mn) 43
Figure 21 North America: Revenue Cycle Management Market in Physicians, By Geography, 2013-2019 (USD Mn) 44
Figure 22 North America: Revenue Cycle Management Market in Hospitals, by Geography, 2013-2019 (USD Mn) 45
Figure 23 North America: Revenue Cycle Management Market in Laboratories, by Geography, 2013-2019 (USD Mn) 46
Figure 24 U.S. Revenue Cycle Management Market Overview, 2014 & 2019 (%) 48
Figure 25 U.S.: Revenue Cycle Management Market, by Product, 2013-2019 (USD Mn) 49
Figure 26 U.S. Revenue Cycle Management Market, by Component, 2013-2019 (USD Mn) 50
Figure 27 U.S. Revenue Cycle Management Market, by Deployment, 2013-2019 (USD Mn) 51
Figure 28 U.S. Revenue Cycle Management Market, by End-User, 2013-2019 (USD Mn) 52
Figure 29 Canada Revenue Cycle Management Market Overview, 2014 & 2019 (%) 53
Figure 30 Canada Revenue Cycle Management Market, by Product, 2013-2019 (USD Mn) 54
Figure 31 Canada Revenue Cycle Management Market, by Component, 2013-2019 (USD Mn) 55
Figure 32 Canada Revenue Cycle Management Market, by Deployment, 2013-2019 (USD Mn) 56
Figure 33 Canada Revenue Cycle Management Market, by End-User, 2013-2019 (USD Mn) 57
Figure 34 Mexico Revenue Cycle Management Market Overview, 2014 & 2019 (%) 58
Figure 35 Mexico Revenue Cycle Management Market, by Product, 2013-2019 (USD Mn) 59
Figure 36 Mexico Revenue Cycle Management Market, by Component, 2013-2019 (USD Mn) 60
Figure 37 Mexico Revenue Cycle Management Market, by Deployment, 2013-2019 (USD Mn) 61
Figure 38 Mexico Revenue Cycle Management Market, by End-User, 2013-2019 (USD Mn) 62
Figure 39 Revenue Cycle Management Market: Company Share Analysis, 2014 (%) 63
Figure 40 North American Revenue Cycle Management: Company Product Coverage, by Product, 2014 64
Figure 41 Allscripts Healthcare Solutions, Inc.: Revenue Mix, 2013 (%) 69
Figure 42 Cerner Corporation: Revenue Mix, 2013 (%) 77
Figure 43 Contribution of Services Segment Towards Company Revenues, 2008-2013 (USD Mn) 78
Figure 44 Ge Healthcare Revenue Mix, 2013 (%) 87
Figure 45 Mckesson Corporation Revenue Mix, 2013 (%) 93
Figure 46 Quest Diagnostics Revenue Mix, 2013 (%) 98
Figure 47 Contribution of Diagnostic Solutions Segment Towards Company Revenues, 2009-2013 (USD Mn) 99

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