Revenue Cycle Management Market to Hit $105.35 Billion by 2030: The Backbone of Healthcare Finance | MarketsandMarkets™

Delray Beach, FL, July 25, 2025 (GLOBE NEWSWIRE) -- Smarter Revenue, Stronger Care: Why Revenue Cycle Management Is Now Non-Negotiable

The global revenue cycle management market, valued at US$54.97 billion in 2024, stood at US$61.11 billion in 2025 and is projected to advance at a resilient CAGR of 11.5% from 2025 to 2030, culminating in a forecasted valuation of US$105.35 billion by the end of the period. This growth reflects an urgent need for digital-first, AI-enabled solutions that simplify complex financial workflows, reduce claim denials, and improve care delivery economics. As the global shift from volume-based to value-based healthcare accelerates, RCM is no longer a back-office function—it’s a strategic pillar for financial health, patient engagement, and regulatory readiness.

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What’s Fueling the Revenue Cycle Management Revolution?
From real-time claims analytics to automated billing and coding, modern RCM platforms are changing how hospitals, clinics, and health systems operate.

• Optum’s AI-powered RCM suite drives predictive claim denial management
• Oracle Health Cloud delivers end-to-end visibility by integrating financial, clinical, and administrative data
• Patient-first engagement through self-service portals, transparent billing, and mobile payment solutions

This is more than operational improvement—it’s financial transformation.

The Pain Points Revenue Cycle Management Solves at Scale
Healthcare providers face rising costs, labor shortages, and administrative burnout. RCM directly addresses these pain points:

• Automated workflows reduce manual errors and staff fatigue
• Improved cash flow with faster reimbursements and denial mitigation
• Regulatory compliance built on ICD-10, HL7 FHIR, and payer mandates
• Patient-centric billing improves trust and collections

RCM is becoming the connective tissue between clinical operations and financial viability.

Where Is Growth Accelerating?
Global digital health policies are driving record adoption of RCM solutions:

• UK: 90% of NHS trusts use EPR systems—paving the way for integrated RCM
• India: $10.7B healthcare budget prioritizes digital transformation in 2024–25
• China: Healthcare IT boom driven by “Healthy China 2030” roadmap
• Australia & New Zealand: Value-based payment models boost RCM investments

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Who’s Leading—and How?
Top innovators commanding 35–45% market share include:

• Optum – AI-first RCM platform (Launched May 2025)
• Oracle – Integrated Patient Portal App (Oct 2024)
• R1 RCM + Palantir – “R37” AI lab for coding & denial automation
• Experian + ValidMind – Compliance automation via model governance

Their focus? Cloud-native platforms, interoperability, and real-time intelligence.

What’s Holding Some Providers Back?
Despite tech advances, rural and small providers face challenges:

• Limited internet access and digital infrastructure
• Budget constraints for enterprise-grade RCM
• Resistance from clinicians citing software complexity

The Fix:

• Simplified, mobile-first RCM tools
• Modular pricing for small practices
• Onboarding & training for frontline staff

RCM should empower, not overwhelm.

What Healthcare Executives Must Ask Now

• Are we still leaking revenue from outdated RCM workflows?
• Which AI tools can streamline our claims lifecycle?
• Is our RCM stack interoperable with payers and EHRs?
• How can we improve patient financial transparency today?

Final Word: Revenue Cycle Management Isn’t a System—It’s a Strategy
Automation enables accuracy. Integration drives efficiency.
In a digital-first healthcare ecosystem, RCM is not just about getting paid—it’s about how healthcare organizations sustain, scale, and succeed.

In the future of care, Revenue Cycle Management will define:

• Cash flow agility
• Regulatory strength
• Patient satisfaction

Top Companies in Revenue Cycle Management
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).

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