DELRAY BEACH, Fla., July 7, 2025 /PRNewswire/ --
What's driving the shift to intelligent revenue cycle operations?
The global revenue cycle management market, valued at US$61.11 billion in 2025, is projected to reach US$105.35 billion by 2030, growing at a CAGR of 11.5%. This rapid growth is driven by the widespread adoption of AI-powered, cloud-based RCM platforms that optimize financial workflows, improve compliance, and reduce administrative burdens. As healthcare systems transition from fee-for-service models to value-based care, RCM has become a vital pillar in achieving financial sustainability and operational efficiency.
Download PDF Brochure: https://www.marketsandmarkets.com/pdfdownloadNew.asp?id=153900104
Why is RCM becoming a financial game-changer in healthcare?
From eligibility verification to denial management, modern RCM solutions are transforming how hospitals and clinics manage revenue. Intelligent platforms now offer real-time analytics, integrated patient engagement tools, and seamless interoperability with EHRs. For example, Optum's AI-driven RCM suite enables predictive analytics and automation to reduce denials and enhance patient collections. Similarly, Oracle's Health Cloud unifies financial, administrative, and clinical data for end-to-end revenue visibility.
What challenges does RCM solve?
Revenue cycle management addresses several core pain points across the healthcare landscape:
Streamlines billing and coding through automation and AI-assisted tools.
Reduces regulatory complexity via built-in compliance with standards like ICD-10 and HL7 FHIR.
Improves cash flow by optimizing claim submissions, reducing denials, and accelerating reimbursements.
Enables patient-centric financial experiences with self-service portals, real-time cost estimates, and transparent billing.
Where is adoption accelerating the fastest?
Global initiatives are fueling RCM adoption in both developed and emerging markets:
United Kingdom: 90% of NHS hospital trusts had adopted Electronic Patient Records (EPR) by late 2023—paving the way for integrated RCM tools.
India: The 2024–25 Union Budget allocated $10.7 billion for healthcare transformation, emphasizing digital infrastructure and access.
China: The "Healthy China 2030" plan aims to double the national healthcare market to $2.4 trillion, pushing healthcare IT investments.
Australia & New Zealand: Value-based care models like the Practice Incentives Programme are boosting RCM solution deployment.
Request Sample Pages : https://www.marketsandmarkets.com/requestsampleNew.asp?id=153900104
Who are the key leaders—and how are they gaining ground?
Major players dominating the RCM market include Optum, Oracle, McKesson Corporation, Solventum, and Epic Systems Corporation, who collectively hold 35–45% market share. These vendors are reshaping the financial backbone of healthcare through cloud-first platforms, AI-driven workflows, and real-time decision support.
Recent innovations include:
Optum (May 2025): Launched an AI-powered RCM platform to streamline billing and enhance revenue integrity.
Oracle (Oct 2024): Released a new Patient Portal app integrating scheduling, billing, and health record access.
R1 RCM + Palantir (Mar 2025): Introduced R37, an AI lab to automate coding and denial management.
Experian + ValidMind (Feb 2025): Partnered to strengthen regulatory compliance with model governance automation.
What's the biggest challenge—and how do we overcome it?
Despite rapid growth, IT infrastructure limitations and user resistance remain key hurdles, especially in developing regions. Many small and rural providers lack the digital literacy, internet access, and budget to implement full-scale RCM systems. Moreover, clinicians often view RCM software as overly complex or a barrier to patient care.
Addressing these issues requires:
User-friendly UIs and mobile access for low-tech environments.
Training and support for frontline staff.
Affordable, modular cloud solutions that scale with provider needs.
What should healthcare leaders be asking now?
Not "Should we implement RCM?"—but rather:
How can RCM solutions reduce financial leakage and administrative waste?
Which AI tools best support denial prediction, coding, and claims optimization?
Are our systems interoperable with national health records and payer databases?
How do we ensure patient engagement throughout the revenue cycle?
Final Thought: In Automation, There Is Accuracy. In Integration, There Is Efficiency.
As healthcare becomes more digital, distributed, and data-driven, revenue cycle management stands at the intersection of clinical care and financial viability. RCM platforms no longer just manage claims—they enable proactive, transparent, and value-based healthcare delivery.
In the future of care—cash flow, compliance, and care coordination all begin with intelligent RCM.
Key Market Players:
Optum (US), Oracle (US), McKesson Corporation (US), Solventum (US), Epic Systems Corporation (US), Experian (Ireland), R1 RCM Inc. (US), Conifer Health Solutions (US), Veradigm (US), eClinicalWorks (US), Cognizant (US), athenahealth (US), GeBBS (US), MEDHOST (US), FinThrive (US), Plutus Health (US), Omega Healthcare (India), Vee Healthtek (US).
For more information, Inquire Now!
Related Reports:
Healthcare Cloud Computing Market
Get access to the latest updates on Top Companies in Revenue Cycle Management and Revenue Cycle Management Market Size
About MarketsandMarkets™:
MarketsandMarkets™ has been recognized as one of America's Best Management Consulting Firms by Forbes, as per their recent report.
MarketsandMarkets™ is a blue ocean alternative in growth consulting and program management, leveraging a man-machine offering to drive supernormal growth for progressive organizations in the B2B space. With the widest lens on emerging technologies, we are proficient in co-creating supernormal growth for clients across the globe.
Today, 80% of Fortune 2000 companies rely on MarketsandMarkets, and 90 of the top 100 companies in each sector trust us to accelerate their revenue growth. With a global clientele of over 13,000 organizations, we help businesses thrive in a disruptive ecosystem.
The B2B economy is witnessing the emergence of $25 trillion in new revenue streams that are replacing existing ones within this decade. We work with clients on growth programs, helping them monetize this $25 trillion opportunity through our service lines – TAM Expansion, Go-to-Market (GTM) Strategy to Execution, Market Share Gain, Account Enablement, and Thought Leadership Marketing.
Built on the 'GIVE Growth' principle, we collaborate with several Forbes Global 2000 B2B companies to keep them future-ready. Our insights and strategies are powered by industry experts, cutting-edge AI, and our Market Intelligence Cloud, KnowledgeStore™, which integrates research and provides ecosystem-wide visibility into revenue shifts.
To find out more, visit www.MarketsandMarkets™.com or follow us on Twitter , LinkedIn and Facebook .
Contact:
Mr. Rohan Salgarkar
MarketsandMarkets™ INC.
1615 South Congress Ave.
Suite 103, Delray Beach, FL 33445
USA: +1-888-600-6441
Email: sales@marketsandmarkets.com
Visit Our Website: https://www.marketsandmarkets.com/
Logo: https://mma.prnewswire.com/media/1868219/MarketsandMarkets_Logo.jpg

Share this article