Increasing Recovery Audits Due To Healthcare Reforms To Promote Sales Of Healthcare Revenue Cycle Management In The US

The report offers a comprehensive evaluation of factors such as drivers, restraints, and opportunities influencing the growth of the US healthcare revenue cycle management (RCM) market. The growth and revenue projections provided in the report have been calculated using reliable research methodologies and assumptions.

According to the findings of the report, the rising number of recovery audits due to constantly changing government regulations regarding healthcare is a key driver for the U.S. Healthcare RCM market. To keep a check on illegal payments under the fee-for-service Medicare, investments in RCM have become imperative for healthcare providers. Moreover, the expansion of the healthcare IT sector in the U.S. has given a significant boost to this market. Other factors fuelling the demand for RCM solutions are the rising adoption of electronic data entry systems and decreasing reimbursements in the healthcare industry.

The growth of the U.S. Healthcare RCM market, on the other hand, is being hampered by limited investments in the healthcare IT. Companies offering RCM solutions often face a challenge with consistent changes in healthcare compliance requirements and limited accessibility to patient records. These factors have negatively influenced the growth of the market. However, the increasingly strong clinical network connectivity with medical practitioners will present RCM solution providers immense growth opportunities.

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The report serves as a repository of analysis for the market’s growth across various segments based on end-user and deployment in terms of revenue. On the basis of end-user, the U.S. Healthcare RCM market has been segmented into hospitals, physicians, and medical labs. Physicians accounted for a dominant 41% of the overall market in 2015. Based on deployment, the cloud-based RCM segment held a massive share of 78% in the market. The sector will continue to lead in the coming years owing to the increasing number of application service providers opting for SaaS (software as a service) solutions and growing preference for RCM outsourcing.

The report presents an extensive understanding of the competitive landscape of the U.S. Healthcare RCM market. The market is highly fragmented with vendors preferring to operate in niche segments of the market. The competitive rivalry is high in the end-user segment and is estimated to intensify in the forthcoming years.

The report has profiled key players based on their market shares, latest developments, cost and revenue structures, and product specifications. The key players in the market are Cerner, McKesson, GE Healthcare, SSI Group, and Allscripts Healthcare Solutions. Other prominent players are Alleviant, Adreima, Cardon Outreach, Avadyne Health, MediRevv, Health Systems Management Network, Source Medical Solutions, Precyse Solutions, Syncordia Technologies and Healthcare Solutions, Sutherland Global Services, Xerox, and T-System.

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