United States Revenue Cycle Management Market Size
| Study Period | 2019 - 2030 |
| Market Size (2025) | USD 60.69 Billion |
| Market Size (2030) | USD 100.52 Billion |
| CAGR (2025 - 2030) | 10.62% |
| Fastest Growing Market | North America |
| Largest Market | North America |
| Market Concentration | Low |
Major Players
*Disclaimer: Major Players sorted in no particular order |
United States Revenue Cycle Management Market Analysis
The United States Revenue Cycle Management Market size is estimated at USD 60.69 billion in 2025, and is expected to reach USD 100.52 billion by 2030, at a CAGR of 10.62% during the forecast period (2025-2030).
Technological advancements, a surge in Revenue Cycle Management (RCM) outsourcing, and heightened strategic activities—like acquisitions and service launches—by market players are poised to propel the market's growth in the coming years.
Healthcare organizations are turning to outsourced RCM to cut operational costs and tap into specialized expertise. By entrusting billing, coding, and claims processing to external providers, these facilities not only streamline their operations but also boost the accuracy of claim submissions and improve cash flow. For instance, as per an article published in the Journal PRS Global in July 2024, by optimizing Revenue Cycle Management (RCM), healthcare providers can enhance patient experiences, shorten the duration between claim submissions and payments, mitigate fraud at both coding and patient levels, and boost cash flow. These improvements collectively contribute to a financially stable clinical practice.
According to the same source, RCM, when effectively implemented and measured by key performance indicators, provides significant benefits, including enhanced patient experience and reduced operational costs. In addition, revenue cycle management (RCM) oversees the payment process, starting from patient scheduling and extending through treatment, coding, billing, and reimbursement. Therefore, the growing trend of outsourcing revenue cycle management (RCM) drives market growth by enhancing operational efficiency and financial performance for healthcare providers. As more organizations realize these benefits, the demand for RCM outsourcing services is set to increase, further expanding the market.
Moreover, AI-driven technological advancements are revolutionizing RCM by automating manual tasks, boosting data accuracy, and enriching patient interactions. With AI's capabilities, businesses can foresee claim denials, expedite eligibility checks, and refine billing strategies, resulting in notable cost savings and enhanced efficiency. For instance, according to the International Journal of Scientific Advances in August 2023, Artificial Intelligence (AI) can revolutionize revenue cycle management (RCM) for healthcare organizations by enhancing efficiency, accuracy, and financial performance.
According to the same source, AI can automate tasks, extract insights from large datasets, and improve decision-making processes by leveraging machine learning algorithms and data analytics. Key areas where AI can significantly impact RCM include claims processing and denial management, predictive analytics for revenue optimization, coding, and documentation assistance, prior authorization automation, and fraud and abuse detection. Thus, integrating AI into RCM improves efficiency and financial outcomes for healthcare providers, driving the growth of the RCM market.
Companies actively focus on strategic activities like acquisitions to gain attention in the United States market. For instance, in January 2024, Veradigm Inc. acquired Koha Health, a revenue cycle management (RCM) company, to enhance its services in the ambulatory healthcare market. This acquisition adds expertise in Musculoskeletal Medicine (MSK). It improves Veradigm's ability to deliver revenue cycle services to ambulatory healthcare practices and surgical centers (ASCs) using various electronic health record (EHR) systems.
Due to the aforementioned factors, such as the growing outsourcing of RCM, technological advancements such as AI, and strategic activities, including acquisition, the market will see lucrative grwoth opportunities in the coming years. However, the risk associated with healthcare information technology (IT) solutions is anticipated to hinder their adoption in the forecast period.
United States Revenue Cycle Management Market Trends
Electronic Health Record (EHR) Segment is Expected to Hold a Significant Share in the Market Over the Forecast Period.
Electronic Health Records (EHRs) are digital platforms for managing patients' medical histories maintained by healthcare providers over time. These records consolidate essential health data, including medical history, diagnoses, medications, treatment plans, immunization schedules, allergies, laboratory results, and radiology images. EHR systems streamline revenue cycle management by improving billing accuracy, reducing claim denials, and optimizing administrative workflows. This capability enhances healthcare organizations' financial performance and operational efficiency.
Optimizing RCM processes enhances EHR functionality by streamlining billing and revenue operations, reducing claim denials, and improving cash flow. This integration leads to better financial performance and allows healthcare providers to focus more on patient care. For instance, according to the article published by the Healthcare Journal in October 2023, healthcare providers utilize RCM solutions to oversee patient billing and revenue operations. Organizations can enhance financial performance by consolidating data from multiple systems into an integrated RCM platform connected to payers. To sustain economic stability and deliver high-quality patient care, healthcare providers prioritize optimizing their RCM processes. Therefore, by prioritizing RCM optimization, healthcare providers can maintain financial stability and provide high-quality patient care. This focus on efficient revenue management drives the market's growth by enhancing EHR functionality and overall economic performance.
Moreover, healthcare providers increasingly adopt EHR systems to improve billing accuracy and streamline revenue cycle management. This integration reduces administrative burdens, minimizes errors, and enhances cash flow, leading to significant cost savings and operational efficiency. For instance, according to the article published by ResearchGate in January 2024, healthcare providers are increasingly leveraging Electronic Health Record (EHR) systems to drive financial performance. By integrating EHR systems into their operations, organizations are improving billing accuracy, handling insurance coverage, and optimizing revenue cycle management, resulting in measurable cost savings. In a complex healthcare environment, these financial benefits are critical for ensuring the sustainability and growth of healthcare services. Additionally, EHR adoption enhances operational efficiency by streamlining administrative workflows, minimizing reliance on paperwork, and reducing manual record-keeping processes. Thus, EHR systems' financial and operational benefits drive their adoption in the revenue cycle management market, ensuring sustainability and growth for healthcare services by enhancing billing processes and reducing costs.
Introducing new EHR systems also drives the segment by offering advanced tools that enhance billing and revenue operations. These systems feature improved functionalities that streamline administrative processes, reduce errors, and strengthen data integration with payers. For instance, in November 2024, Altera Digital Health, a New York-based health IT firm, launched the general availability of its Paragon Denali electronic health record (EHR), built on Microsoft Azure, for health systems. Delivered as a software-as-a-service, the EHR extended cloud services to rural, critical access, and community hospitals. The cloud-based EHR offered enhanced system reliability and data accessibility, supporting organizational growth and improving user experiences. It also provided reduced hardware and maintenance costs and advanced security controls.
Thus, factors such as the rising adoption of electronic health records (EHR) that ensure precise billing, navigate insurance coverage, and enhance revenue cycle management and service providers focusing on EHR development will drive this segment's growth over the studied period.
Software Segment is Expected to Witness Significant Growth Over the Forecast Period
RCM software is a specialized healthcare financial solution that tracks and manages the revenue cycle from patient registration to final payment. This software integrates administrative and clinical data to streamline billing, claims submission, and accounts receivable management processes. By automating these workflows, RCM software helps healthcare organizations improve cash flow, reduce claim denials, and enhance overall financial performance.
RCM software is designed to enhance efficiency and reduce costs in healthcare organizations. RCM software enhances documentation quality, increasing the likelihood of claim approvals and reducing revenue losses. As healthcare providers increasingly recognize the importance of efficient revenue management, the demand for effective RCM software is expected to grow significantly. For instance, according to the article published in PubMed in July 2024, reliable RevCycle software solutions save time and money with user-friendly approaches that seamlessly integrate into existing workflows. They streamline billing processes, curtail revenue losses, and enhance documentation quality. Therefore, RCM software solutions save time, reduce costs, and improve operational efficiency in healthcare, driving the market's growth and making them essential for modern healthcare organizations.
Additionally, initiatives taken by service providers are pivotal in driving the market's growth. As healthcare organizations face increasing complexities in billing and reimbursement, service providers are stepping up with innovative solutions that streamline operations. Initiatives such as launches in the United States will gain attention in the market. For instance, in April 2024, Zentist, a significant participant in cloud-based dental RCM software catering to United States dental groups, introduced Cavi AR. This innovative addition was part of their existing product suite, Remit AI. Cavi AR enhanced the operational efficiency of dental support organizations (DSOs). This launch underscored Zentist's unwavering dedication to technological progress and its pursuit of excellence within the dental sector.
Further, in July 2023, TELCOR, Inc. launched version 21.3 of TELCOR RCM. This update introduced web APIs and expanded functionalities in the Report Designer and Executive Module, among other enhancements, to boost laboratory productivity and collections.
Thus, factors such as the rising number of software options and solution providers' active focus on software launches are expected to drive the growth of this segment over the studied period.
United States Revenue Cycle Management Industry Overview
The United States revenue cycle management market is fragmented in nature due to the presence of several companies as well as the growing adoption of such solutions by end-user facilities in the country. Major players in the market are focused on software launches and acquisitions to expand their presence in the global market. The competitive landscape includes analyzing companies holding the market shares, including athenahealth, Inc., eClinicalWorks, Oracle, R1 RCM, Inc., Veradigm LLC (Allscripts Healthcare LLC), and others.
United States Revenue Cycle Management Market Leaders
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athenahealth, Inc.
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eClinicalWorks
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Oracle
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R1 RCM, Inc.
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Veradigm LLC (Allscripts Healthcare LLC)
- *Disclaimer: Major Players sorted in no particular order
United States Revenue Cycle Management Market News
- September 2024: CorroHealth acquired the Xtend healthcare revenue cycle management business from Navient, further positioning the company as a significant player in revenue cycle management consultancy and technology. This arrangement significantly expanded CorroHealth's RCM offerings and added new patient engagement capabilities.
- August 2024: R1 RCM, a company that provides technology-driven healthcare revenue cycle management solutions to hospitals, health systems, and physician groups, was acquired by private equity firms TowerBrook and CD&R for USD 8.9 billion.
United States Revenue Cycle Management Industry Segmentation
As per the scope of the report, Revenue Cycle Management (RCM) is a system healthcare organizations use to oversee patient care episodes from initial registration and appointment scheduling to the final payment. This process manages the financial aspects of patient care, ensuring that healthcare providers receive accurate and timely reimbursement for their services. The United States revenue cycle management market is segmented by component, function, and end user. By component, the market is segmented into software and services. By function, the market is segmented into claims and denial management, clinical documentation improvement (CDI), electronic health record (EHR), insurance, medical coding and billing, and others. By end-user, the market is segmented into ambulatory surgical centers, clinics, diagnostic centers & laboratories, hospitals, and others. The report offers the value (in USD) for the above segments.
| By Component | Software | Cloud |
| On-Premise | ||
| 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 |
| Software | Cloud |
| On-Premise | |
| Services |
| Claims and Denial Management |
| Clinical Documentation Improvement (CDI) |
| Electronic Health Record (EHR) |
| Insurance |
| Medical Coding and Billing |
| Others |
| Ambulatory Surgical Centers |
| Clinics |
| Diagnostic Centers & Laboratories |
| Hospitals |
| Others |
United States Revenue Cycle Management Market Research FAQs
How big is the United States Revenue Cycle Management Market?
The United States Revenue Cycle Management Market size is expected to reach USD 60.69 billion in 2025 and grow at a CAGR of 10.62% to reach USD 100.52 billion by 2030.
What is the current United States Revenue Cycle Management Market size?
In 2025, the United States Revenue Cycle Management Market size is expected to reach USD 60.69 billion.
Who are the key players in United States Revenue Cycle Management Market?
athenahealth, Inc., eClinicalWorks, Oracle, R1 RCM, Inc. and Veradigm LLC (Allscripts Healthcare LLC) are the major companies operating in the United States Revenue Cycle Management Market.
Which is the fastest growing region in United States Revenue Cycle Management Market?
North America is estimated to grow at the highest CAGR over the forecast period (2025-2030).
Which region has the biggest share in United States Revenue Cycle Management Market?
In 2025, the North America accounts for the largest market share in United States Revenue Cycle Management Market.
What years does this United States Revenue Cycle Management Market cover, and what was the market size in 2024?
In 2024, the United States Revenue Cycle Management Market size was estimated at USD 54.24 billion. The report covers the United States Revenue Cycle Management Market historical market size for years: 2019, 2020, 2021, 2022, 2023 and 2024. The report also forecasts the United States Revenue Cycle Management Market size for years: 2025, 2026, 2027, 2028, 2029 and 2030.
United States Revenue Cycle Management Industry Report
Statistics for the 2025 United States Revenue Cycle Management market share, size and revenue growth rate, created by Mordor Intelligence™ Industry Reports. United States Revenue Cycle Management analysis includes a market forecast outlook for 2025 to 2030 and historical overview. Get a sample of this industry analysis as a free report PDF download.
