Transforming Healthcare Credentialing Landscape

The healthcare accreditation market is rapidly evolving through technology, efficiency, and strategic partnerships.

Licensing, Credentialing & Accreditation

Market Analysis

The Licensing, Credentialing & Accreditation Services market is experiencing robust growth, with the global market expected to rise from USD 352.13 billion in 2024 to USD 533.9 billion by 2033. North America plays a significant role, with the US & Canada market reaching $210.3 billion in 2023. Growth is fueled by increased regulatory demands, adoption of advanced technologies, and the critical need for operational efficiency—particularly in healthcare. However, the sector faces operational hurdles such as complex documentation, lengthy processing times, and high costs. Streamlining processes through technology is essential for sustaining growth and meeting rising compliance needs.

45.4

Market Value 2024 (U.S)

55.7

Market Value 2030 (U.S)

3.00

CAGR (U.S)

Key Market Drivers

Increasing awareness and adoption of credentialing solutions, particularly cloud-based and technologically advanced options (AI, ML).

Rising technological advancements in healthcare IT infrastructure.

Growing number of strategic initiatives like partnerships and acquisitions among market players.

Market Inhibitors

Complexity and difficulty in navigating licensing requirements across different states.

Barriers related to licensing, credentialing, and insurance reimbursement in specific sectors (e.g., substance use disorder workforce).

The inherent complexity and vastness of the credentialing ecosystem, involving numerous entities and types of credentials.

Our Insights

The healthcare licensing, credentialing, and accreditation market is at an inflection point, demanding urgent digital transformation. Organizations that embrace automation, interoperability, and continuous monitoring will not only reduce operational burdens but also enhance compliance and speed. Differentiation lies in tailoring tech-driven solutions for emerging care models and niche provider segments, while superior customer experience and innovative value-added services present further growth levers. Strategic partnerships and M&A are accelerating consolidation, so agility and adaptability are crucial. To sustain relevance, businesses must invest in robust, secure platforms, proactively address regulatory changes, and reposition credentialing as a catalyst for organizational growth and efficiency.

Key Players in The Industry

Joint Commission (TJC)

Evaluates and accredits healthcare organizations and programs. Revenue is generated through survey and certification fees, annual accreditation subscription fees, annual accreditation subscription fees, shared services fees, and performance measurement activities.

NCQA

Focuses on healthcare accreditation.

DNV

Provides accreditation services with a focus on patient safety and continuous improvement.

Recent
M&A Activity

The deals indicate a trend of consolidation in healthcare RCM, with companies acquiring others to broaden services, integrate new technologies, expand market reach, and enhance operational capacity. These efforts focus on creating comprehensive RCM solutions, involving provider licensing, credentialing, and accreditation processes crucial for billing and compliance.

Acquisition

2023

R1 RCM acquired Acclara from Providence

Provide comprehensive RCM services for Providence.

Acquisition

2023

WellSky acquired Corridor

Expand coding & RCM platforms for post-acute sector.

Acquisition

2023

CPSI acquired Viewgol

Accelerate global workforce presence & RCM analytics.

Market Analysis

Market Value 2024 (U.S)

Market Value 2030 (U.S)

CAGR (U.S)

Key Market Drivers

Market Inhibitors

Our Insights

Key Players in The Industry

Joint Commission (TJC)

NCQA

DNV

Recent M&A Activity

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Recent
M&A Activity