The United States Revenue Cycle Management Market Report is Segmented by Component (Software, and Services), by Function (Claims and Denial Management, Clinical Documentation Improvement (CDI), Electronic Health Record (EHR), Insurance, Medical Coding and Billing, Others), by End User (Ambulatory Surgical Centers, Clinics, Diagnostic Centers & Laboratories, Hospitals, Others). The Report Offers the Value (in USD) for the Above Segments.

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, growing at a CAGR of 11.55%.

U.S. Laboratory Revenue Cycle Management Market size was valued at USD 14.23 Billion in 2024 and is projected to reach USD 34.13 Billion by 2031, growing at a CAGR of 11.55% during the forecasted period 2024 to 2031.

The U.S. Laboratory Revenue Cycle Management (RCM) Market is driven by several factors, including the increasing complexity of healthcare billing and coding requirements, which necessitates specialized RCM solutions to ensure accurate and timely reimbursement. The growing volume of diagnostic testing, driven by advancements in personalized medicine, aging populations, and the rising prevalence of chronic diseases, further boosts demand. Additionally, regulatory changes, such as value-based care initiatives and the adoption of ICD-10 coding standards, have heightened the need for efficient RCM systems. The shift towards automation and the integration of artificial intelligence in RCM processes also contribute to market growth by enhancing operational efficiency and reducing errors.

The Report Covers Global Healthcare Revenue Cycle Management Companies and is Segmented by Deployment (Cloud-Based and On-Premise), Function (Claims and Denial Management, Medical Coding and Billing, Electronic Health Record (EHR), Clinical Documentation Improvement (CDI), Insurance, and Other Functions), End User (Hospitals, Laboratories, and Other End Users), and Geography (North America, Europe, Asia-Pacific, Middle East and Africa, and South America). The Report Offers the Value (in USD Million) for the Above Segments.

The revenue cycle management market size is projected to grow from USD 200.1 billion in 2024 to USD 663.3 billion by 2035, representing a CAGR of 11.51%, during the forecast period till 2035.

U.S. Revenue Cycle Management Market Size By Sourcing (In-House, External Apps/Software), By Delivery Mode (On-Premise, Cloud-Based), By End User (Healthcare Providers, Healthcare Payers) And Forecast

According to a survey conducted among U.S. health care executives in autumn 2020, around 29 percent of them stated that they expect an increase in telehealth in the United States during 2021 due to the COVID-19 pandemic, while the same percentage answered that they don't expect any changes in revenue cycle management because of the pandemic.

The USA Revenue Cycle Management (RCM) Market was valued at USD 155.78 billion. Get the more industry growth, segmentation, key players and revenue statistics.

The North America Revenue Cycle Management (RCM) market is valued at USD 106 Bn, driven by an increasing adoption of advanced healthcare IT systems in hospitals and clinics

The Revenue Cycle Management (RCM) Market is projected to grow at 15.2% CAGR, reaching $275.86 Billion by 2029. Where is the industry heading next? Get the sample report now!

U.S. Non-Acute Care Revenue Cycle Management Market size was valued at USD 132.89 Billion in 2024 and is projected to reach USD 306.34 Billion by 2031, growing at a CAGR of 14.09% during the forecast period 2024-2031.

U.S. Non-Acute Care Revenue Cycle Management Market Drivers

Rising Non-Acute Care Utilization: The shift from acute to non-acute care is a pivotal factor. Patients increasingly seek care in outpatient and alternative settings due to lower costs, shorter wait times, and convenience. This shift necessitates advanced RCM systems to manage billing complexities and ensure compliance across diverse care settings.

Growing Complexity of Billing and Reimbursement: Non-acute care providers face intricate billing requirements due to the variability in payer contracts and regulatory frameworks. Managing these complexities manually often leads to claim denials and revenue losses. RCM solutions equipped with artificial intelligence (AI) and automation help providers navigate these challenges by ensuring accurate coding, timely claim submissions, and effective denial management.

The global healthcare RCM outsourcing market size reached USD 32.0 Billion in 2024. Looking forward, IMARC Group expects the market to reach USD 108.9 Billion by 2033, exhibiting a growth rate (CAGR) of 14.6% during 2025-2033.

IMARC Group provides an analysis of the key trends in each sub-segment of the global healthcare RCM outsourcing market report, along with forecasts at the global and regional level from 2025-2033. Our report has categorized the market based on type, services and end-user.

The size and share of the market is categorized based on Type (Integrated, Standalone) and Application (Hospitals, Physicians, Diagnostic & Ambulatory Care Centers) and geographical regions (North America, Europe, Asia-Pacific, South America, and Middle-East and Africa).

The U.S. EMS Billing Services Market size was valued at USD 1.8 billion in 2023 and is projected to reach USD 3.47 billion by 2032, exhibiting a CAGR of 9.85 % during the forecasts period. The U. S. EMS Billing Services Market involves firms that offer outsourcing services in billing and revenue cycle management to EMS suppliers. These services manage the tedious task of preparing and submitting the bills and coding of the insurance companies and the patient for ambulance services. EMS billing services are vital for proper and on-time billing so that such administrative work is minimized for the EMS providers. Other emerging trends include rise in EHRs usage, better billing system, and automation to improve performance and meeting the regulatory requirements. Also, attempts to innovate patient care documentation and compliance with current regulations are on the rise due to alterations in healthcare policies and effective management of emergency medical services.

According to Cognitive Market Research, the global Medical Billing Outsourcing Services market size will be USD 12542.5 million in 2024. It will expand at a compound annual growth rate (CAGR) of 12.50% from 2024 to 2031.

North America held the major market share for more than 40% of the global revenue with a market size of USD 5017.00 million in 2024 and will grow at a compound annual growth rate (CAGR) of 10.7% from 2024 to 2031.
Europe accounted for a market share of over 30% of the global revenue with a market size of USD 3762.75 million.
Asia Pacific held a market share of around 23% of the global revenue with a market size of USD 2884.78 million in 2024 and will grow at a compound annual growth rate (CAGR) of 14.5% from 2024 to 2031.
Latin America had a market share of more than 5% of the global revenue with a market size of USD 627.13 million in 2024 and will grow at a compound annual growth rate (CAGR) of 11.9% from 2024 to 2031.
Middle East and Africa had a market share of around 2% of the global revenue and was estimated at a market size of USD 250.85 million in 2024 and will grow at a compound annual growth rate (CAGR) of 12.2% from 2024 to 2031.
The middle-end service category is the fastest growing segment of the Medical Billing Outsourcing Services industry

Market Dynamics of Medical Billing Outsourcing Services Market

Key Drivers for Medical Billing Outsourcing Services Market

Cost Efficiency and Revenue Cycle Optimization to Boost Market Growth

Cost efficiency and revenue cycle optimization are significant driving factors for the medical billing outsourcing services market. Healthcare providers are under increasing pressure to reduce operational costs while improving the accuracy and speed of their billing processes. Managing billing in-house often leads to high administrative costs, including hiring and training staff, maintaining software, and handling claim denials or delays. Outsourcing medical billing services helps healthcare providers streamline their revenue cycle management (RCM), improving claim accuracy and reducing processing times. Expert outsourcing partners leverage advanced technologies and data analytics to enhance billing accuracy, minimize claim rejections, and ensure faster reimbursements. This not only boosts cash flow but also reduces the overall cost of operations. Additionally, outsourcing reduces the need for in-house billing staff, lowering payroll expenses. For healthcare providers, especially smaller practices, these cost-saving benefits and improved cash flow make outsourcing an attractive option for sustainable financial management. For instance, Omega Healthcare, a prominent healthcare management services and solution firm, acquired Reventics, a revenue cycle management solution developer that delivers provider engagement solutions to increase physician reimbursement & compliance

Increasing Complexity of Healthcare Regulations to Drive Market Growth

The growing complexity of healthcare regulations and compliance requirements drives the market growth. With constant changes in insurance policies, government healthcare programs, and regulatory frameworks such as HIPAA in the U.S., healthcare providers face increasing challenges in managing their billing processes. Ensuring compliance with these regulations requires significant expertise, time, and resources, which can strain the internal capabilities of healthcare institutions. Outsourcing medical billing services to specialized firms allows healthcare providers to focus on patient care while ensuring that billing processes adhere to the latest regulatory standards. Outsourcing partners stay updated on changing laws, reducing the risk of errors, penalties, and revenue losses due to non-compliance. This trend is particularly crucial for smaller clinics and practices, which may lack the resources to manage complex billing requirements internally, driving demand for outsourcing services

Restraint Factor for the Medical Billing Outsourcing Services Market

Data Security and Privacy Concerns Will Limit Market Growth

Outsourcing involves sharing sensitive patient information with third-party service providers, raising risks of data breaches and non-compliance with regulations like HIPAA in the U.S. or GDPR in Europe. Healthcare providers face significant liabilities if patient data is mishandled or exposed, which can result in legal penalties and loss of trust. Additionally,...

The global Healthcare Information Systems (HIS) market is experiencing robust growth, projected to reach $219.77 billion in 2025 and maintain a Compound Annual Growth Rate (CAGR) of 9.5% from 2025 to 2033. This expansion is driven by several key factors. The increasing adoption of electronic health records (EHRs) and the rising demand for improved patient care are major contributors. Government initiatives promoting digital healthcare transformation and interoperability across different healthcare systems are further fueling market growth. Moreover, the growing need for efficient revenue cycle management, enhanced diagnostic capabilities through advanced medical imaging systems, and the increasing complexity of pharmaceutical and laboratory data management are all pushing the demand for sophisticated HIS solutions. The market's segmentation reflects this diverse demand, with revenue cycle management, hospital information systems, medical imaging information systems, pharmacy information systems, and laboratory information systems all representing significant market segments. Competition is intense, with leading companies employing various strategies to gain market share, including mergers and acquisitions, strategic partnerships, and the development of innovative software and services. While the market faces certain challenges, such as data security concerns and the need for substantial IT infrastructure investment, the overall outlook remains positive, indicating a substantial increase in market value by 2033. North America, particularly the US, currently holds a significant share of the global HIS market due to advanced healthcare infrastructure and high adoption rates of technology. However, the Asia-Pacific region, driven by rapidly growing economies and increasing healthcare spending in countries like India and China, is expected to witness the fastest growth in the coming years. Europe also presents a significant market opportunity, with growing government investments in digital health initiatives and a rising demand for improved healthcare efficiency. The continued development of cloud-based HIS solutions, artificial intelligence (AI)-powered diagnostic tools, and telemedicine integration are poised to further shape the market landscape, leading to greater efficiency, improved patient outcomes, and cost reduction within the healthcare industry. The competitive landscape is dynamic, with companies focusing on providing comprehensive and integrated solutions to cater to the diverse needs of various healthcare providers.

The U.S. Medical Billing Outsourcing Market size was valued at USD 6.77 USD Billion in 2023 and is projected to reach USD 14.50 USD Billion by 2032, exhibiting a CAGR of 11.5 % during the forecast period. Medical Billing Outsourcing, healthcare facilities, contingent upon contracting with outside organizations, are liable for billing and coding that are used for assorted health services reimbursements. The two major types of medical billing outsourcing services, offshoring, where organizations are located elsewhere than the USA, and onshoring, where the services are provided within the USA domestically are of major concern. The main elements are timely claims processing along with complying with the existing healthcare laws such as HIPAA; and also improved billing processes through usage of advanced billing software. Outsourcing of medical billing best fits to healthcare organizations guaranteeing perfect billing and reimbursement while they all keep on board the influx of patients. In the USA market today, more and more healthcare providers are desirous to circumscribe and streamline operations, thus they resort to outsourcing. This enhances administrative burden reduction and maximizes Patient Financial & Revenue Cycle Management under the deliberately complex regulatory health billing requirements. Recent developments include: December 2023: eAssist Dental Solutions, a provider of dental billing and patient billing services for dental offices, launched its new AI-powered software. This upgrade in its technology aids the company in solving its clients' dental insurance billing problems., July 2023: 3Gen Consulting, a provider of customized outsourcing solutions, streamlined the Revenue Cycle Management (RCM) of a Texas-based physician with the help of their medical billing process. Implementation of this innovative technology solution significantly improved physician's financial performance and operational efficiency., August 2022: RevCycle Partners was selected as Optometric Management Group’s (OMG) outsourcing partner for insurance billing. This outsourcing was aimed at building and creating efficiencies in their operations.. Key drivers for this market are: Increasing Patient Burden to Boost Demand for Medical Billing Outsourcing. Potential restraints include: Concerns Associated with Data Privacy and Breaches to Hinder Market Growth. Notable trends are: Integration of Artificial Intelligence and Machine Learning in Medical Billing Outsourcing.

The Medical Billing Outsourcing Market size was valued at USD 13.16 USD billion in 2023 and is projected to reach USD 28.55 USD billion by 2032, exhibiting a CAGR of 11.7 % during the forecast period. Medical Billing Outsourcing is the process of entrusting the task of medical billing and coding to external service providers. As its types involve offshore outsourcing, which is the process of procuring services from another country, and domestic outsourcing which is synonymous with partnership with other firms within the same country. A variety of components is covered by the price, for example, simplified procedures and the capacity to contact expert support. The areas of application include healthcare facilities, clinics, and individual doctors who are trying to optimize the revenue cycles, reduce administrative burdens, and ensure that the billing regulations are followed. This improves organizational performance while the health care practitioners channel time into care management. Recent developments include: February 2023 - GeBBS Healthcare Solutions announced the acquisition of CPa Medical Billing, a provider of Revenue Cycle Management (RCM) services to federally qualified health centers and other multi-specialty physician groups., April 2022 - Omega Healthcare acquired ApexonHealth, an AI and automation-based revenue cycle management and payor solutions provider. ApexonHealth provides services, such as medical billing, coding, and collections processes, and offers virtual nursing services., March 2022 – Omega Healthcare announced the acquisition of Reventics, a U.S.-based company, to expand its Revenue Cycle Management (RCM) services by leveraging cloud-native platforms - RevCDI and RevMAX for improvement in clinical documentation and revenue cycle management., October 2022- National Medical Billing Services acquired MedTek, LLC. It is a leading provider of revenue cycle management solutions to hospitals, clinics, and ASCs., May 2021- R1 RCM Inc. announced a definitive agreement to acquire VisitPay, a digital payment solution, for approximately USD 300 million, further transforming the payment service and driving patient satisfaction and higher collection yield of payment,, April 2021- Cerner Corporation announced the acquisition of Kantar Health, a division of Kantar Group, to accelerate innovation and advance patient care services worldwide.. Key drivers for this market are: Shortage of Skilled Staff and Difficulty in Maintaining Profitability to Boost Market Growth. Potential restraints include: Concerns Associated with Data Privacy and Breaches to Hinder Market Growth. Notable trends are: Increasing Number of Hospitals and ASCs Identified as Significant Market Trend.

According to Cognitive Market Research, The Global Medical Billing Outsourcing market size is USD 12.6 billion in 2023 and will expand at a compound annual growth rate (CAGR) of 12.80% from 2023 to 2030.

The demand for medical billing outsourcing is rising due to the increasing government investment in healthcare infrastructure in many countries will be a key growth driver for the medical billing outsourcing industry.
Demand for Hospitals remains higher in the medical billing outsourcing market.
The Outsourced category held the highest medical billing outsourcing market revenue share in 2023.
North American medical billing outsourcing will continue to lead, whereas the Asia-Pacific medical billing outsourcing market will experience the most substantial growth until 2030.

Regulatory Complexity and Compliance Requirements to Provide Viable Market Output

One of the key drivers in the medical billing outsourcing market is the increasing regulatory complexity and stringent compliance requirements within the healthcare industry. The ever-evolving healthcare landscape, including frequent changes in coding standards, billing regulations, and insurance requirements, necessitates specialized expertise. Outsourcing providers equipped with a deep understanding of these complexities offer healthcare organizations a strategic advantage in navigating compliance challenges, reducing errors, and ensuring accurate billing submissions, thereby driving the demand for outsourcing services.

Big Data, AI, and automation helped Access Healthcare speed healthcare outsourcing in August 2022. The business provides its clients with significant financial outcomes by leveraging analytics, automation, and worldwide distribution.

(Source: www.accesshealthcare.com/blog/access-healthcare-accelerates-healthcare-outsourcing-with-automation-ai-and-big-data)

Technological Advancements and Automation to Propel Market Growth

Another significant driver is the continuous advancement of technology and the integration of automation solutions in medical billing processes. The complexity of healthcare billing tasks, coupled with the need for accuracy and efficiency, has prompted the adoption of advanced technologies such as artificial intelligence, machine learning, and robotic process automation. These technologies enhance billing accuracy, streamline workflows, and reduce manual errors, contributing to improved efficiency and faster reimbursement cycles. As healthcare providers increasingly seek modern solutions, the adoption of technological advancements becomes a key driver propelling the growth of the medical billing outsourcing market.

The developer of revenue cycle management solutions, Reventics offers provider engagement solutions to enhance physician compliance and reimbursement. Omega Healthcare, a well-known healthcare management solution provider that leads the extensive healthcare ecosystem, acquired Reventics in March 2022.

(Source: www.omegahms.com/omega-healthcare-acquires-reventics/)

Market Dynamics of the Medical Billing Outsourcing

Data Security Concerns and Compliance to Restrict Market Growth

A notable restraint in the medical billing outsourcing market is the heightened concern regarding data security and compliance. As healthcare organizations entrust sensitive patient information to outsourcing providers, there is a growing emphasis on stringent data protection measures. The industry is subject to various privacy regulations, such as the Health Insurance Portability and Accountability Act (HIPAA), and any lapses in compliance or data breaches pose significant risks. Addressing these concerns and ensuring robust cybersecurity measures are critical to overcoming this restraint and fostering trust between outsourcing providers and healthcare entities.

Impact of COVID–19 on the Medical Billing Outsourcing Market

The COVID-19 pandemic has had a notable impact on the medical billing outsourcing market. As healthcare systems worldwide grappled with the surge in COVID-19 cases, providers faced unprecedented challenges, including increased administrative burdens and financial strains. Many healthcare organizations turned to outsourcing their medical billing processes to external service providers as a strategic response to manage the surge in billing complexities, ensure timely reimbursement, and maintain financial stability. The demand for ou...

The size of the U.S. Banking Solutions for Healthcare Payers and Providers Market was valued at USD 37.9 billion in 2023 and is projected to reach USD 67.96 billion by 2032, with an expected CAGR of 8.7 % during the forecast period. The U.S. banking solutions for healthcare payers and providers market is expanding quickly, as more streamlined financial services are demanded in the healthcare industry. Healthcare payers-the insurance companies-and providers, such as hospitals and clinics-need to have a banking solution that is not only efficient but also secure when dealing with payments, reimbursements, and other forms of financial transactions. With the advent of digital health records, telemedicine, and value-based care models, the need for an integrated financial solution that supports these systems is becoming essential. Solutions like payment processing, revenue cycle management, fraud detection, and cost control are key drivers of market growth. The increasing complexity of healthcare billing and the shift towards patient-centered care also demand banking services that can make transactions between patients, providers, and insurers faster and more transparent. As healthcare organizations continue embracing technological advancements such as blockchain and artificial intelligence, the market for banking solutions is expected to grow further, providing more advanced tools to enhance financial management and operational efficiency in the healthcare industry. Recent developments include: In May 2023, Fifth Third Bancorp announced the acquisition of Big Data LLC, a technology solutions provider specializing in healthcare payments and remittances. This acquisition enhances Fifth Third's national healthcare revenue cycle capabilities, addressing clients' complex needs in this sector and aligning with the bank's vision of digital innovation & focus on healthcare. , In January 2023, Citizens Financial Group, Inc.’s Citizens M&A Advisory became the sole financial advisor for Springboard Healthcare Staffing and Education during its acquisition by Ingenovis Health, supported by Trilantic North America and Cornell Capital. , In June 2022, Bank of America announced a USD 40 million investment to expand access to primary healthcare. This financing initiative extended the reach of the company’s Signature Health Initiative, supporting the establishment and growth of primary care facilities. , In January 2021, PNC Bank N.A. acquired Tempus Technologies, Inc., a prominent payment gateway provider specializing in secure and innovative payment-processing solutions for businesses. This acquisition was expected to enhance PNC Treasury Management's comprehensive payments platform, offering corporate clients streamlined management of payables and receivables across various payment channels. .