Market Analysis
published on Jun 20, 2025
Report Overview:
NelsonHall’s Strategic Insights in Revenue Cycle Management (RCM) market analysis consists of 66 pages.
Who is this Report for:
NelsonHall’s Strategic Insights in RCM BPS report is a comprehensive market assessment report designed for:
- Sourcing managers investigating sourcing developments within the RCM and outsourcing market
- Vendor marketing, sales and business managers developing strategies to target RCM service opportunities within healthcare settings.
- Financial analysts and investors specializing in the Revenue Cycle Management services sector.
Scope of this Report:
The report analyzes the worldwide market for Strategic Insights in Revenue Cycle Management and addresses the following questions:
- What is the market size and projected growth for the Revenue Cycle Management services market by geography?
- What is the profile of activity in the Revenue Cycle Management services market?
- What are the top drivers for adoption of Revenue Cycle Management Services?
- What are the benefits currently achieved by users of Revenue Cycle Management Services?
- What factors are inhibiting user adoption of Revenue Cycle Management Services?
- What pricing mechanisms are typically used within Revenue Cycle Management and how is this changing?
- Who are the leading Revenue Cycle Management vendors globally and by geography?
- What combination of services is typically provided within Revenue Cycle Management services contracts and what new services are being added?
- What is the current pattern of delivery location used for Revenue Cycle Management services and how is this changing?
- What services are delivered from onshore and which from offshore?
- What are the challenges and success factors within Revenue Cycle Management Services?
Key Findings & Highlights:
The Revenue Cycle Management (RCM) BPS market is entering a new phase of evolution. Hospitals and health systems continue to face challenges such as outdated technologies, fragmented workflows, and financial strain, driving them to explore external partnerships for support. As a result, BPS vendors are being called upon not just for staffing and transactional processing, but for strategic guidance and digital enablement.
BPS vendors are increasingly deploying tools such as AI, RPA, and advanced analytics across all phases of the revenue cycle. However, true end-to-end AI orchestration remains limited, with most implementations focused on specific point solutions like claim editing or denial prediction. Similarly, while dashboards are widely available, few vendors offer actionable workflows or dynamic performance management.
Despite advancements, the current market remains more focused on incremental optimization than full-scale transformation. EMR integration is still a hurdle, outcome-based pricing is underutilized, and most buyers prioritize cost and vendor reputation over innovation capability. This creates a steady-state environment where vendor differentiation hinges on flexibility, platform integration, and most importantly, measurable outcomes.
Vendor delivery models remain heavily reliant on offshore personnel, with APAC – especially India – accounting for most reported staff. This offshore dominance enables cost efficiency and scalability but also concentrates operational risk in a single region.
Resource allocation continues to favor back-end functions/processes, such as billing, follow-up, and payment posting, where automation and standardization are most feasible. Front-end services, in contrast, remain less outsourced due to their in-person nature and variability across provider settings.