Table of Content

1 INTRODUCTION 15
1.1 OBJECTIVES OF THE STUDY 15
1.2 MARKET DEFINITION 15
1.3 MARKET SCOPE 16
1.3.1 MARKETS COVERED 16
1.3.2 YEARS CONSIDERED FOR THE STUDY 16
1.4 CURRENCY 17
1.5 LIMITATIONS 17
1.6 STAKEHOLDERS 17

2 RESEARCH METHODOLOGY 18
2.1 RESEARCH DATA 18
2.1.1 SECONDARY DATA 19
2.1.1.1 Secondary sources 20
2.1.2 PRIMARY DATA 21
2.1.2.1 Key data from primary sources 22
2.1.2.2 Breakdown of primaries 22
2.1.2.3 Key industry insights 23
2.2 MARKET SIZE ESTIMATION 23
2.3 MARKET BREAKDOWN AND DATA TRIANGULATION 26
2.4 ASSUMPTIONS FOR THE STUDY 27

3 EXECUTIVE SUMMARY 28

4 PREMIUM INSIGHTS 31
4.1 BACK-END REVENUE CYCLE MANAGEMENT MARKET OVERVIEW 31
4.2 GEOGRAPHIC ANALYSIS: NORTH AMERICAN BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER 32
4.3 US BACK-END REVENUE CYCLE MANAGEMENT MARKET, 2018 33
4.4 GEOGRAPHICAL SNAPSHOT OF THE BACK-END REVENUE CYCLE MANAGEMENT MARKET 34

5 MARKET OVERVIEW 35
5.1 INTRODUCTION 35
5.2 MARKET DYNAMICS 35
5.2.1 MARKET DRIVERS 36
5.2.1.1 Growing importance of denials management 36
5.2.1.2 Increasing patient volume 36
5.2.1.3 Process improvements in healthcare organizations 36
5.2.1.4 Declining reimbursement rates 37
5.2.2 MARKET RESTRAINTS 37
5.2.2.1 High cost of deployment 37
5.2.3 MARKET OPPORTUNITIES 37
5.2.3.1 Emerging countries 37
5.2.3.2 Cloud-based solutions 38
5.2.3.3 Artificial intelligence in health insurance 39
5.2.3.4 Rising adoption of electronic health records 39
5.2.4 MARKET CHALLENGES 39
5.2.4.1 Integration of back-end revenue cycle management solutions 39
5.2.4.2 Data breaches and loss of confidentiality 39
5.2.4.3 Lack of skilled IT professionals in healthcare 40

6 BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT
& SERVICE 41
6.1 INTRODUCTION 42
6.2 SERVICES 42
6.2.1 RECURRING NATURE OF SERVICES TO DRIVE MARKET GROWTH 42
6.3 SOFTWARE 44
6.3.1 INTEGRATED SOFTWARE 45
6.3.1.1 Integrated solutions help users to streamline and coordinate multiple financial functions through a single platform 45
6.3.2 STANDALONE SOFTWARE 46
6.3.2.1 Claims processing software 47
6.3.2.1.1 Claims processing software to account for the largest share of the standalone software market in 2018 47
6.3.2.2 Denial management software 48
6.3.2.2.1 Denial management software segment to witness the highest growth rate during the forecast period 48
6.3.2.3 Coding & auditing software 49
6.3.2.3.1 Mandate to convert from ICD-9 classifications to the new ICD-10 version has resulted in the increased demand for coding & auditing software 49
6.3.2.4 Billing/billing review software 51
6.3.2.4.1 Rising number of billing errors to drive the adoption of billing/billing review software 51
6.3.2.5 Payment integrity software 52
6.3.2.5.1 Payment integrity software provides advanced analytics for assessing payment compliance at a granular level 52
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7 BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE 53
7.1 INTRODUCTION 54
7.2 ON-PREMISE DELIVERY MODE 54
7.2.1 BENEFITS OFFERED BY ON-PREMISE DELIVERY MODELS AND LIMITED PENETRATION OF CLOUD-BASED TECHNOLOGIES TO DRIVE MARKET GROWTH 54
7.3 CLOUD-BASED DELIVERY MODE 55
7.3.1 OPEN-ACCESS NATURE OF CLOUD-BASED MODELS POSES SECURITY CHALLENGES 55

8 BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER 58
8.1 INTRODUCTION 59
8.2 HEALTHCARE PAYERS 59
8.2.1 NEED TO ENSURE REGULATORY COMPLIANCE IS AIDING THE GROWTH OF THE PAYERS MARKET 59
8.3 HEALTHCARE PROVIDERS 60
8.3.1 INPATIENT FACILITIES 62
8.3.1.1 Growing need to improve the profitability of healthcare operations to drive the adoption of back-end RCM solutions in inpatient facilities 62
8.3.2 OUTPATIENT FACILITIES & PHYSICIAN CLINICS 63
8.3.2.1 Need to improve operational workflows and minimize medical errors to drive market growth 63

9 BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION 65
9.1 INTRODUCTION 66
9.2 NORTH AMERICA 67
9.2.1 US 72
9.2.1.1 Government regulations to support market growth in the US 72
9.2.2 CANADA 76
9.2.2.1 Increasing digitization and favorable funding initiatives by the canadian government are boosting market growth in canada 76
9.3 EUROPE 79
9.4 ASIA 83
9.5 REST OF THE WORLD 88

10 COMPETITIVE LANDSCAPE 93
10.1 OVERVIEW 93
10.2 COMPETITIVE SCENARIO 95
10.2.1 PRODUCT LAUNCHES AND ENHANCEMENTS 95
10.2.2 AGREEMENTS, PARTNERSHIPS, AND COLLABORATIONS 95
10.2.3 ACQUISITIONS 96
10.2.4 EXPANSIONS 96
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11 COMPANY PROFILE 97
(Business Overview, Products Offered, Recent Developments, SWOT Analysis, MnM View)*
11.1 ATHENAHEALTH 97
11.2 CERNER 99
11.3 ALLSCRIPTS HEALTHCARE SOLUTIONS 101
11.4 ECLINICALWORKS 103
11.5 OPTUM, INC. (A SUBSIDIARY OF UNITEDHEALTH GROUP INC.) 104
11.6 MCKESSON (NOW A PART OF CHANGE HEALTHCARE, INC.) 106
11.7 CONIFER HEALTH SOLUTIONS 109
11.8 GEBBS HEALTHCARE SOLUTIONS 111
11.9 THE SSI GROUP 113
11.10 GE HEALTHCARE 114
11.11 NTHRIVE 116
11.12 DST SYSTEMS 117
11.13 COGNIZANT TECHNOLOGY SOLUTIONS 119
11.14 QUEST DIAGNOSTICS 122
11.15 CONTEXT 4 HEALTHCARE 124
11.16 RAM TECHNOLOGIES 125
11.17 HEALTH SOLUTIONS PLUS (HSP) 127
11.18 PLEXIS HEALTHCARE SYSTEMS 128
*Details on Business Overview, Products Offered, Recent Developments, SWOT Analysis, MnM View might not be captured in case of unlisted companies.

12 APPENDIX 129
12.1 DISCUSSION GUIDE 129
12.2 KNOWLEDGE STORE: MARKETSANDMARKETS’ SUBSCRIPTION PORTAL 133
12.3 AVAILABLE CUSTOMIZATIONS 135
12.4 RELATED REPORTS 135
12.5 AUTHOR DETAILS 136



List of Figures



FIGURE 1 RESEARCH METHODOLOGY: BACK-END REVENUE CYCLE MANAGEMENT MARKET 18
FIGURE 2 RESEARCH DESIGN 19
FIGURE 3 SAMPLING FRAME: PRIMARY RESEARCH 21
FIGURE 4 MARKET SIZE ESTIMATION METHODOLOGY: BOTTOM-UP APPROACH (1/3) 24
FIGURE 5 MARKET SIZE ESTIMATION METHODOLOGY: BOTTOM-UP APPROACH (2/3) 24
FIGURE 6 MARKET SIZE ESTIMATION METHODOLOGY: BOTTOM-UP APPROACH (3/3) 25
FIGURE 7 MARKET SIZE ESTIMATION METHODOLOGY: TOP-DOWN APPROACH 25
FIGURE 8 DATA TRIANGULATION METHODOLOGY 26
FIGURE 9 SERVICES TO DOMINATE THE BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, IN 2018 28
FIGURE 10 ON-PREMISE SOLUTIONS TO ACCOUNT FOR THE LARGER MARKET SHARE IN 2018 29
FIGURE 11 NORTH AMERICA TO HOLD THE LARGEST SHARE IN THE BACK-END REVENUE CYCLE MANAGEMENT MARKET DURING 2018–2023 30
FIGURE 12 GROWING IMPORTANCE OF DENIALS MANAGEMENT TO DRIVE MARKET GROWTH DURING THE FORECAST PERIOD 31
FIGURE 13 HEALTHCARE PAYERS TO ACCOUNT FOR THE LARGEST SHARE OF THE NORTH AMERICAN BACK-END REVENUE CYCLE MANAGEMENT MARKET IN 2018 32
FIGURE 14 INPATIENT SETTINGS & ON-PREMISE DELIVERY MODE TO ACCOUNT FOR THE LARGEST MARKET SHARE IN 2018 33
FIGURE 15 ASIA TO WITNESS THE HIGHEST GROWTH RATE DURING THE FORECAST PERIOD 34
FIGURE 16 BACK-END REVENUE CYCLE MANAGEMENT MARKET: DRIVERS, RESTRAINTS, OPPORTUNITIES, AND CHALLENGES 35
FIGURE 17 BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION 2018 VS. 2023 (USD MILLION) 66
FIGURE 18 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET SNAPSHOT 68
FIGURE 19 EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET SNAPSHOT 80
FIGURE 20 ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET SNAPSHOT 85
FIGURE 21 ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET SNAPSHOT 89
FIGURE 22 KEY DEVELOPMENTS IN THE BACK-END REVENUE CYCLE MANAGEMENT MARKET BETWEEN 2014 AND 2018 93
FIGURE 23 COMPANY SNAPSHOT: ATHENAHEALTH (2017) 97
FIGURE 24 COMPANY SNAPSHOT: CERNER (2017) 99
FIGURE 25 COMPANY SNAPSHOT: ALLSCRIPTS HEALTHCARE SOLUTIONS (2017) 101
FIGURE 26 COMPANY SNAPSHOT: OPTUM, INC. (2017) 104
FIGURE 27 COMPANY SNAPSHOT: MCKESSON CORPORATION (2017) 106
FIGURE 28 COMPANY SNAPSHOT: GE HEALTHCARE (2017) 114
FIGURE 29 COMPANY SNAPSHOT: DST SYSTEMS (2017) 117
FIGURE 30 COMPANY SNAPSHOT: COGNIZANT TECHNOLOGY SOLUTIONS (2017) 119
FIGURE 31 COMPANY SNAPSHOT: QUEST DIAGNOSTICS INCORPORATED (2017) 122

 

List of Tables



TABLE 1 BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016–2023 (USD MILLION) 42
TABLE 2 BACK-END REVENUE CYCLE MANAGEMENT SERVICES MARKET, BY REGION, 2016–2023 (USD MILLION) 43
TABLE 3 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT SERVICES MARKET, BY COUNTRY, 2016–2023 (USD MILLION) 43
TABLE 4 BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY REGION, 2016–2023 (USD MILLION) 44
TABLE 5 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY COUNTRY, 2016–2023 (USD MILLION) 44
TABLE 6 BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE 2016–2023 (USD MILLION) 45
TABLE 7 BACK-END REVENUE CYCLE MANAGEMENT INTEGRATED SOFTWARE MARKET BY REGION, 2016–2023 (USD MILLION) 45
TABLE 8 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT INTEGRATED SOFTWARE MARKET, BY COUNTRY, 2016–2023 (USD MILLION) 46
TABLE 9 BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET BY REGION, 2016–2023 (USD MILLION) 46
TABLE 10 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY COUNTRY, 2016–2023 (USD MILLION) 47
TABLE 11 BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET BY TYPE, 2016–2023 (USD MILLION) 47
TABLE 12 CLAIMS PROCESSING SOFTWARE MARKET, BY REGION 2016–2023 (USD MILLION) 48
TABLE 13 NORTH AMERICA: CLAIMS PROCESSING SOFTWARE MARKET, BY COUNTRY 2016–2023 (USD MILLION) 48
TABLE 14 DENIAL MANAGEMENT SOFTWARE MARKET, BY REGION 2016–2023 (USD MILLION) 49
TABLE 15 NORTH AMERICA: DENIAL MANAGEMENT SOFTWARE MARKET BY COUNTRY, 2016–2023 (USD MILLION) 49
TABLE 16 CODING & AUDITING SOFTWARE MARKET, BY REGION, 2016–2023 (USD MILLION) 50
TABLE 17 NORTH AMERICA: CODING & AUDITING SOFTWARE MARKET, BY COUNTRY 2016–2023 (USD MILLION) 50
TABLE 18 BILLING/BILLING REVIEW SOFTWARE MARKET, BY REGION 2016–2023 (USD MILLION) 51
TABLE 19 NORTH AMERICA: BILLING/BILLING REVIEW SOFTWARE MARKET, BY COUNTRY, 2016–2023 (USD MILLION) 51
TABLE 20 PAYMENT INTEGRITY SOFTWARE MARKET, BY REGION 2016–2023 (USD MILLION) 52
TABLE 21 NORTH AMERICA: PAYMENT INTEGRITY SOFTWARE MARKET, BY COUNTRY 2016–2023 (USD MILLION) 52
TABLE 22 BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE 2016–2023 (USD MILLION) 54
TABLE 23 ON-PREMISE BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION, 2016–2023 (USD MILLION) 55
TABLE 24 NORTH AMERICA: ON-PREMISE BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY COUNTRY, 2016–2023 (USD MILLION) 55
TABLE 25 CLOUD-BASED BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION, 2016–2023 (USD MILLION) 56
TABLE 26 NORTH AMERICA: CLOUD-BASED BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY COUNTRY, 2016–2023 (USD MILLION) 57
TABLE 27 BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER 2016–2023 (USD MILLION) 59
TABLE 28 BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PAYERS, BY REGION, 2016–2023 (USD MILLION) 60
TABLE 29 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET
FOR HEALTHCARE PAYERS, BY COUNTRY, 2016–2023 (USD MILLION) 60
TABLE 30 BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY REGION, 2016–2023 (USD MILLION) 61
TABLE 31 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET
FOR HEALTHCARE PROVIDERS, BY COUNTRY, 2016–2023 (USD MILLION) 61
TABLE 32 BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023 (USD MILLION) 62
TABLE 33 BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR INPATIENT FACILITIES, BY REGION, 2016–2023 (USD MILLION) 62
TABLE 34 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET
FOR INPATIENT FACILITIES, BY COUNTRY, 2016–2023 (USD MILLION) 63
TABLE 35 BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES & PHYSICIAN CLINICS, BY REGION, 2016–2023 (USD MILLION) 64
TABLE 36 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR OUTPATIENT FACILITIES & PHYSICIAN CLINICS, BY COUNTRY 2016–2023 (USD MILLION) 64
TABLE 37 BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY REGION 2016–2023 (USD MILLION) 67
TABLE 38 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET BY COUNTRY, 2016–2023 (USD MILLION) 69
TABLE 39 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET BY PRODUCT & SERVICE, 2016–2023 (USD MILLION) 69
TABLE 40 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION) 69
TABLE 41 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION) 70
TABLE 42 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET BY DELIVERY MODE, 2016–2023 (USD MILLION) 70
TABLE 43 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET BY END USER, 2016–2023 (USD MILLION) 71
TABLE 44 NORTH AMERICA: BACK-END REVENUE CYCLE MANAGEMENT MARKET
FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023 (USD MILLION) 71
TABLE 45 US: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT & SERVICE, 2016–2023 (USD MILLION) 73
TABLE 46 US: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET BY TYPE, 2016–2023 (USD MILLION) 73
TABLE 47 US: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION) 74
TABLE 48 US: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016–2023 (USD MILLION) 74
TABLE 49 US: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER 2016–2023 (USD MILLION) 75
TABLE 50 US: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023 (USD MILLION) 75
TABLE 51 CANADA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT
& SERVICE, 2016–2023 (USD MILLION) 76
TABLE 52 CANADA: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET BY TYPE, 2016–2023 (USD MILLION) 77
TABLE 53 CANADA: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION) 77
TABLE 54 CANADA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016–2023 (USD MILLION) 78
TABLE 55 CANADA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016–2023 (USD MILLION) 78
TABLE 56 CANADA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023 (USD MILLION) 78
TABLE 57 EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT
& SERVICE, 2016–2023 (USD MILLION) 81
TABLE 58 EUROPE: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET BY TYPE, 2016–2023 (USD MILLION) 81
TABLE 59 EUROPE: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION) 82
TABLE 60 EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016–2023 (USD MILLION) 82
TABLE 61 EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER, 2016–2023 (USD MILLION) 83
TABLE 62 EUROPE: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023 (USD MILLION) 83
TABLE 63 ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY PRODUCT
& SERVICE, 2016–2023 (USD MILLION) 86
TABLE 64 ASIA: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION) 86
TABLE 65 ASIA: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION) 86
TABLE 66 ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016–2023 (USD MILLION) 87
TABLE 67 ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER 2016–2023 (USD MILLION) 87
TABLE 68 ASIA: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023 (USD MILLION) 87
TABLE 69 ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY COMPONENT, 2016–2023 (USD MILLION) 90
TABLE 70 ROW: BACK-END REVENUE CYCLE MANAGEMENT SOFTWARE MARKET BY TYPE, 2016–2023 (USD MILLION) 90
TABLE 71 ROW: BACK-END REVENUE CYCLE MANAGEMENT STANDALONE SOFTWARE MARKET, BY TYPE, 2016–2023 (USD MILLION) 91
TABLE 72 ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY DELIVERY MODE, 2016–2023 (USD MILLION) 91
TABLE 73 ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET, BY END USER 2016–2023 (USD MILLION) 92
TABLE 74 ROW: BACK-END REVENUE CYCLE MANAGEMENT MARKET FOR HEALTHCARE PROVIDERS, BY TYPE, 2016–2023 (USD MILLION) 92
TABLE 75 GROWTH STRATEGY MATRIX (2014–2018) 94
TABLE 76 PRODUCT LAUNCHES AND ENHANCEMENTS (2014–2018) 95
TABLE 77 AGREEMENTS, PARTNERSHIPS, AND COLLABORATIONS (2014–2018) 95
TABLE 78 ACQUISITIONS, 2014–2018 96
TABLE 79 EXPANSIONS (2014–2018) 96