REPORT OUTLOOK
Market Size | CAGR | Dominating Region |
---|---|---|
USD 18.75 billion | 6% | North America |
By Component | By Type | By Delivery Mode |
---|---|---|
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SCOPE OF THE REPORT
Healthcare Claims Management Market Overview
The global healthcare claims management market is expected to grow at 6 % CAGR from 2022 to 2029. It is expected to reach above USD 18.75 billion by 2029 from USD 11.1 billion in 2020.
Healthcare claims management is a process that includes a variety of tasks such as billing, organization, updating, filing, and processing of medical claims related to patient treatment, diagnosis, and medication. Medical claims and reimbursement processes in the healthcare sector are managed by healthcare claims management software. Furthermore, healthcare claims management software is used to streamline the medical claims process, which eases the relationship between the provider and the insurance company in order to efficiently accelerate the patient’s payment lifecycle.
The COVID-19 pandemic has put a strain on the global healthcare system. During this pandemic outbreak, the primary concern is ensuring timely treatment and complete patient safety. Healthcare claims management software is critical in restoring people’s trust, as no country, developed or developing, has the infrastructure or software to deal with this virus. Epidemiological management and preventive strategies are being implemented with the help of healthcare claims management software to relieve the strain on the world’s healthcare facilities.
ATTRIBUTE | DETAILS |
Study period | 2020-2029 |
Base year | 2021 |
Estimated year | 2022 |
Forecasted year | 2022-2029 |
Historical period | 2018-2020 |
Unit | Value (USD Billion) |
Segmentation | By Component, Type, Delivery Mode, End Use |
By Component |
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By Type |
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By Delivery Mode |
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By End Use |
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The ageing population and rise in COVID -19 incidence are expected to be major factors driving the growth of the healthcare claims management software market. The increased emphasis on quality healthcare, as well as the introduction of novel treatments and technologies in the global healthcare sector, are expected to drive the market. The growing importance of denials management is expected to drive market growth over the forecast period. Rising government initiatives in developing countries to improve healthcare infrastructure and provide better healthcare are expected to drive the healthcare claims management software market.
Furthermore, rising investments by governments in both developed and developing economies to modernize healthcare infrastructure and implement healthcare IT solutions are expected to boost market growth globally. Rising concerns about the safety and security of patient data, as well as an increase in cybercrime, are expected to stymie the healthcare claims management software market.
The growing health insurance market is having a direct impact on the growth of the healthcare claims management market. Rising patient volumes, process improvements in healthcare organisations, rising government initiatives supporting health insurance, growing use of cloud-based solutions, increased incidence of chronic diseases, enhanced focus on healthcare quality , and introduction of innovative treatments and technologies, as well as rising disposable income, are all accelerating market growth. Furthermore, the increasing use of artificial intelligence in health insurance and the widespread adoption of electronic health records are creating a plethora of lucrative opportunities for the healthcare claims management market.
The high cost of deployment, as well as data breaches and loss of confidentiality, will be a major impediment to the growth of healthcare claims management during the forecast period. The incorporation of claim management solutions, as well as a scarcity of skilled IT professionals in healthcare, are expected to pose market challenges.
Healthcare Claims Management Market Segment Analysis
The healthcare claims management market by component, delivery mode, type, end and region.
Based on component, the market is segmented into software, hardware, and . Due to the technological advancements in software and increased use of software for accurate and faster claim processing, the software segment accounted for the largest share of the global market. The market is divided into three segments based on deployment mode: web-based mode, cloud-based mode, and on-site deployment mode. The web-based deployment segment dominates the global market, as it encompasses a wide range of claims business systems that help save both time and money.
Cloud-based is the Delivery Mode segment that is expected to dominate the market. The healthcare claim management market is complex due to the administration and processing activities that take place across multiple systems. It must also adapt to a plethora of constantly changing regulations. Manual intervention may degrade the experience of good customers or providers due to processing delays, turnaround time, and increased operational costs. Cloud-based claim management solutions reduce administrative costs while shortening claim processing times.
The cloud service for claim administration manages the entire claim administration process, including adjudication, pricing, authorizations, and analytics. It enables real-time claim processing, eliminating the need for batch processes. With reimbursement rates on the decline, healthcare providers are turning to cloud-based to cut costs and help insurers get paid on time. As a result of all of the aforementioned factors, the market is expected to grow rapidly over the forecast period.
Healthcare Claims Management Market Players
The healthcare claims management market key players include Cerner Corporation, McKesson Corporation, athenahealth, eClinicalWorks, Optum, Inc,, Conifer Health Solutions, and nThrive, DST Systems, Cognizant Technology Solutions, Allscripts Healthcare Solutions, Inc., Context 4 Healthcare, Health Solutions Plus, GE Healthcare, RAM Technologies, Quest Diagnostics, The SSI Group, PLEXIS Healthcare Systems, and GeBBS Healthcare Solutions.
To increase their market position, these businesses have implemented a variety of growth tactics. These companies are using expansion, new product development, mergers and acquisitions, and collaboration as important growth strategies to improve their product portfolio and geographical presence in order to meet the rising demand from emerging economies.
Who Should Buy? Or Key Stakeholders
- Healthcare companies.
- Hospitals, Clinics.
- Insurance companies.
- Government organisation.
- Investment and research firms.
- Others
Healthcare Claims Management Market Regional Analysis
The healthcare claims management market by region includes North America, Asia-Pacific (APAC), Europe, South America, and Middle East & Africa (MEA).
- North America: includes the US, Canada, Mexico
- Asia Pacific: includes China, Japan, South Korea, India, Australia, ASEAN and Rest of APAC
- Europe: includes UK, Germany, France, Italy, Spain, Russia, and Rest of Europe
- South America: includes Brazil, Argentina and Rest of South America
- Middle East & Africa: includes Turkey, UAE, Saudi Arabia, South Africa, and Rest of MEA
The North American and European markets hold significant share in the global market, owing to the increased use of software and hardware for processing claims and presence of top insurance companies in these regions. North America held a four-ninths share of the global market, and this dominance is expected to continue throughout the forecast period. The presence of a well-established healthcare system in the region, increased insurance coverage, an increase in the prevalence of chronic diseases, and technological advancements in the sector are all factors contributing to the growth. The Asia-Pacific region, on the other hand, is expected to grow at the fastest CAGR, owing to an increase in the geriatric population and improvements in healthcare infrastructure. Furthermore, proactive government initiatives to raise public awareness about the benefits of this technology have aided market growth.
Key Market Segments: Healthcare Claims Management Market
Healthcare Claims Management Market by Component, 2020-2029, (USD Million)
- Software
- Services
Healthcare Claims Management Market by Type, 2020-2029, (USD Million)
- Integrated Solutions
- Standalone Solutions
Healthcare Claims Management Market by Delivery Mode, 2020-2029, (USD Million)
- On-Premise
- Cloud-Based
Healthcare Claims Management Market by End User, 2020-2029, (USD Million)
- Healthcare Payers
- Healthcare Providers
- Other End Users
Healthcare Claims Management Market by Region, 2020-2029, (USD Million)
- North America
- Europe
- Asia Pacific
- South America
- Middle East And Africa
Important Countries In All Regions Are Covered.
Who Should Buy? Or Key Stakeholders
- Healthcare companies.
- Hospitals, Clinics.
- Insurance companies.
- Government organisation.
- Investment and research firms.
- Others
Table of Content
- Introduction
- Market Definition
- Market Segmentation
- Research Timelines
- Assumptions and Limitations
- Research Methodology
- Data Mining
- Secondary Research
- Primary Research
- Subject-Matter Experts’ Advice
- Quality Checks
- Final Review
- Data Triangulation
- Bottom-Up Approach
- Top-Down Approach
- Research Flow
- Data Sources
- Data Mining
- Executive Summary
- Market Overview
- Global Healthcare Claims Management Market Outlook
- Market Drivers
- Market Restraints
- Market Opportunities
- Impact of Covid-19 On Healthcare Claims Management Market
- Porter’s five forces model
- Threat from new entrants
- Threat from substitutes
- Bargaining power of suppliers
- Bargaining power of customers
- Degree of competition
- Industry value chain Analysis
- Global Healthcare Claims Management Market Outlook
- Global Healthcare Claims Management Market by Component
- Software
- Services
- Global Healthcare Claims Management Market by Type
- Integrated Solutions
- Standalone Solutions
- Healthcare Claims Management Market by Delivery Mode
- On-premise
- Cloud-based
- Global Healthcare Claims Management Market by End-Use
- Healthcare Payers
- Healthcare Providers
- Other End Users
- Global Healthcare Claims Management Market by Region
- North America
- US
- Canada
- Mexico
- South America
- Brazil
- Argentina
- Colombia
- Rest Of South America
- Europe
- Germany
- UK
- France
- Italy
- Spain
- Russia
- Rest Of Europe
- Asia Pacific
- India
- China
- Japan
- South Korea
- Australia
- South-East Asia
- Rest Of Asia Pacific
- Middle East and Africa
- UAE
- Saudi Arabia
- South Africa
- Rest Of Middle East and Africa
- North America
- Company Profiles* (Business Overview, Company Snapshot, Types Offered, Recent Developments)
- IBM
- Optum
- Cerner
- SAS Institute
- Allscripts
- McKesson Corporation
- Oracle
- Health Catalyst
- CitiusTech
- Wipro *The Company List Is Indicative
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LIST OF TABLES
TABLE 1Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 2Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 3Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 4Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 5Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET BY REGION (USD MILLIONS) 2020-2029
TABLE 6Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â NORTH AMERICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COUNTRY (USD MILLIONS) 2019-2028
TABLE 7Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â US HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 8Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â US HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 9Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â US HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 10Â Â Â Â Â Â Â Â Â Â Â Â Â US HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 11Â Â Â Â Â Â Â Â Â Â Â Â Â CANADA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 12Â Â Â Â Â Â Â Â Â Â Â Â Â CANADA HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 13Â Â Â Â Â Â Â Â Â Â Â Â Â CANADA HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 14Â Â Â Â Â Â Â Â Â Â Â Â Â CANADA HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 15Â Â Â Â Â Â Â Â Â Â Â Â Â MEXICO HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 16Â Â Â Â Â Â Â Â Â Â Â Â Â MEXICO HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 17Â Â Â Â Â Â Â Â Â Â Â Â Â MEXICO HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 18Â Â Â Â Â Â Â Â Â Â Â Â Â MEXICO HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 19Â Â Â Â Â Â Â Â Â Â Â Â Â SOUTH AMERICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COUNTRY (USD MILLIONS) 2019-2028
TABLE 20Â Â Â Â Â Â Â Â Â Â Â Â Â BRAZIL HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 21Â Â Â Â Â Â Â Â Â Â Â Â Â BRAZIL HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 22Â Â Â Â Â Â Â Â Â Â Â Â Â BRAZIL HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 23Â Â Â Â Â Â Â Â Â Â Â Â Â BRAZIL HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 24Â Â Â Â Â Â Â Â Â Â Â Â Â ARGENTINA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 25Â Â Â Â Â Â Â Â Â Â Â Â Â ARGENTINA HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 26Â Â Â Â Â Â Â Â Â Â Â Â Â ARGENTINA HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 27Â Â Â Â Â Â Â Â Â Â Â Â Â ARGENTINA HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 28Â Â Â Â Â Â Â Â Â Â Â Â Â COLOMBIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 29Â Â Â Â Â Â Â Â Â Â Â Â Â COLOMBIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 30Â Â Â Â Â Â Â Â Â Â Â Â Â COLOMBIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 31Â Â Â Â Â Â Â Â Â Â Â Â Â COLOMBIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 32Â Â Â Â Â Â Â Â Â Â Â Â Â REST OF SOUTH AMERICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 33Â Â Â Â Â Â Â Â Â Â Â Â Â REST OF SOUTH AMERICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 34Â Â Â Â Â Â Â Â Â Â Â Â Â REST OF SOUTH AMERICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 35Â Â Â Â Â Â Â Â Â Â Â Â Â REST OF SOUTH AMERICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 36Â Â Â Â Â Â Â Â Â Â Â Â Â ASIA-PACIFIC HEALTHCARE CLAIMS MANAGEMENT MARKET BY COUNTRY (USD MILLIONS) 2019-2028
TABLE 37Â Â Â Â Â Â Â Â Â Â Â Â Â INDIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 38Â Â Â Â Â Â Â Â Â Â Â Â Â INDIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 39Â Â Â Â Â Â Â Â Â Â Â Â Â INDIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 40Â Â Â Â Â Â Â Â Â Â Â Â Â INDIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 41Â Â Â Â Â Â Â Â Â Â Â Â Â CHINA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 42Â Â Â Â Â Â Â Â Â Â Â Â Â CHINA HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 43Â Â Â Â Â Â Â Â Â Â Â Â Â CHINA HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 44Â Â Â Â Â Â Â Â Â Â Â Â Â CHINA HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 45Â Â Â Â Â Â Â Â Â Â Â Â Â JAPAN HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 46Â Â Â Â Â Â Â Â Â Â Â Â Â JAPAN HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 47Â Â Â Â Â Â Â Â Â Â Â Â Â JAPAN HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 48Â Â Â Â Â Â Â Â Â Â Â Â Â JAPAN HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 49Â Â Â Â Â Â Â Â Â Â Â Â Â SOUTH KOREA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 50Â Â Â Â Â Â Â Â Â Â Â Â Â SOUTH KOREA HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 51Â Â Â Â Â Â Â Â Â Â Â Â Â SOUTH KOREA HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 52Â Â Â Â Â Â Â Â Â Â Â Â Â SOUTH KOREA HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 53Â Â Â Â Â Â Â Â Â Â Â Â Â AUSTRALIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 54Â Â Â Â Â Â Â Â Â Â Â Â Â AUSTRALIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 55Â Â Â Â Â Â Â Â Â Â Â Â Â AUSTRALIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 56Â Â Â Â Â Â Â Â Â Â Â Â Â AUSTRALIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 57Â Â Â Â Â Â Â Â Â Â Â Â Â SOUTH-EAST ASIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 58Â Â Â Â Â Â Â Â Â Â Â Â Â SOUTH-EAST ASIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 59Â Â Â Â Â Â Â Â Â Â Â Â Â SOUTH-EAST ASIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 60Â Â Â Â Â Â Â Â Â Â Â Â Â SOUTH-EAST ASIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 61Â Â Â Â Â Â Â Â Â Â Â Â Â REST OF ASIA PACIFIC HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 62Â Â Â Â Â Â Â Â Â Â Â Â Â REST OF ASIA PACIFIC HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 63Â Â Â Â Â Â Â Â Â Â Â Â Â REST OF ASIA PACIFIC HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 64Â Â Â Â Â Â Â Â Â Â Â Â Â REST OF ASIA PACIFIC HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 65Â Â Â Â Â Â Â Â Â Â Â Â Â EUROPE HEALTHCARE CLAIMS MANAGEMENT MARKET BY COUNTRY (USD MILLIONS) 2019-2028
TABLE 66Â Â Â Â Â Â Â Â Â Â Â Â Â GERMANY HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 67Â Â Â Â Â Â Â Â Â Â Â Â Â GERMANY HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 68Â Â Â Â Â Â Â Â Â Â Â Â Â GERMANY HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 69Â Â Â Â Â Â Â Â Â Â Â Â Â GERMANY HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 70Â Â Â Â Â Â Â Â Â Â Â Â Â UK HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 71Â Â Â Â Â Â Â Â Â Â Â Â Â UK HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 72Â Â Â Â Â Â Â Â Â Â Â Â Â UK HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 73Â Â Â Â Â Â Â Â Â Â Â Â Â UK HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 74Â Â Â Â Â Â Â Â Â Â Â Â Â FRANCE HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 75Â Â Â Â Â Â Â Â Â Â Â Â Â FRANCE HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 76Â Â Â Â Â Â Â Â Â Â Â Â Â FRANCE HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 77Â Â Â Â Â Â Â Â Â Â Â Â Â FRANCE HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 78Â Â Â Â Â Â Â Â Â Â Â Â Â ITALY HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 79Â Â Â Â Â Â Â Â Â Â Â Â Â ITALY HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 80Â Â Â Â Â Â Â Â Â Â Â Â Â ITALY HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 81Â Â Â Â Â Â Â Â Â Â Â Â Â ITALY HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 82Â Â Â Â Â Â Â Â Â Â Â Â Â SPAIN HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 83Â Â Â Â Â Â Â Â Â Â Â Â Â SPAIN HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 84Â Â Â Â Â Â Â Â Â Â Â Â Â SPAIN HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 85Â Â Â Â Â Â Â Â Â Â Â Â Â SPAIN HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 86Â Â Â Â Â Â Â Â Â Â Â Â Â RUSSIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 87Â Â Â Â Â Â Â Â Â Â Â Â Â RUSSIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 88Â Â Â Â Â Â Â Â Â Â Â Â Â RUSSIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 89Â Â Â Â Â Â Â Â Â Â Â Â Â RUSSIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 90Â Â Â Â Â Â Â Â Â Â Â Â Â REST OF EUROPE HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 91Â Â Â Â Â Â Â Â Â Â Â Â Â REST OF EUROPE HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 92Â Â Â Â Â Â Â Â Â Â Â Â Â REST OF EUROPE HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 93Â Â Â Â Â Â Â Â Â Â Â Â Â REST OF EUROPE HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 94Â Â Â Â Â Â Â Â Â Â Â Â Â MIDDLE EAST AND AFRICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COUNTRY (USD MILLIONS) 2019-2028
TABLE 95Â Â Â Â Â Â Â Â Â Â Â Â Â UAE HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 96Â Â Â Â Â Â Â Â Â Â Â Â Â UAE HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 97Â Â Â Â Â Â Â Â Â Â Â Â Â UAE HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 98Â Â Â Â Â Â Â Â Â Â Â Â Â UAE HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 99Â Â Â Â Â Â Â Â Â Â Â Â Â SAUDI ARABIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 100Â Â Â Â Â Â Â Â Â Â Â SAUDI ARABIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 101Â Â Â Â Â Â Â Â Â Â Â SAUDI ARABIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 102Â Â Â Â Â Â Â Â Â Â Â SAUDI ARABIA HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 103Â Â Â Â Â Â Â Â Â Â Â SOUTH AFRICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 104Â Â Â Â Â Â Â Â Â Â Â SOUTH AFRICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 105Â Â Â Â Â Â Â Â Â Â Â SOUTH AFRICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 106Â Â Â Â Â Â Â Â Â Â Â SOUTH AFRICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
TABLE 107Â Â Â Â Â Â Â Â Â Â Â REST OF MIDDLE EAST AND AFRICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT (USD MILLIONS) 2020-2029
TABLE 108Â Â Â Â Â Â Â Â Â Â Â REST OF MIDDLE EAST AND AFRICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE (USD MILLIONS) 2020-2029
TABLE 109Â Â Â Â Â Â Â Â Â Â Â REST OF MIDDLE EAST AND AFRICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE (USD MILLIONS) 2019-2028
TABLE 110Â Â Â Â Â Â Â Â Â Â Â REST OF MIDDLE EAST AND AFRICA HEALTHCARE CLAIMS MANAGEMENT MARKET BY END USER (USD MILLIONS) 2020-2029
LIST OF FIGURES
FIGURE 1Â Â Â Â Â Â Â MARKET DYNAMICS
FIGURE 2Â Â Â Â Â Â Â MARKET SEGMENTATION
FIGURE 3Â Â Â Â Â Â Â REPORT TIMELINES: YEARS CONSIDERED
FIGURE 4Â Â Â Â Â Â Â DATA TRIANGULATION
FIGURE 5Â Â Â Â Â Â Â BOTTOM-UP APPROACH
FIGURE 6Â Â Â Â Â Â Â TOP-DOWN APPROACH
FIGURE 7Â Â Â Â Â Â Â RESEARCH FLOW
FIGURE 8Â Â Â Â Â Â Â GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET BY COMPONENT, USD MILLION, 2020-2029
FIGURE 9Â Â Â Â Â Â Â GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET BY TYPE, USD MILLION, 2020-2029
FIGURE 10Â Â Â Â GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET BY DELIVERY MODE, USD MILLION, 2020-2029
FIGURE 11Â Â Â Â GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET BY END-USE, USD MILLION, 2020-2029
FIGURE 12Â Â Â Â GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET BY REGION, USD MILLION, 2020-2029
FIGURE 13    PORTER’S FIVE FORCES MODEL
FIGURE 14Â Â Â Â NORTH AMERICA HEALTHCARE CLAIMS MANAGEMENT MARKET SNAPSHOT
FIGURE 15Â Â Â Â EUROPE HEALTHCARE CLAIMS MANAGEMENT MARKET SNAPSHOT
FIGURE 16Â Â Â Â ASIA PACIFIC HEALTHCARE CLAIMS MANAGEMENT MARKET SNAPSHOT
FIGURE 17Â Â Â Â SOUTH AMERICA HEALTHCARE CLAIMS MANAGEMENT MARKET SNAPSHOT
FIGURE 18Â Â Â Â MIDDLE EAST & AFRICA HEALTHCARE CLAIMS MANAGEMENT MARKET SNAPSHOT
FIGURE 19Â Â Â Â ATHENAHEALTH: COMPANY SNAPSHOT
FIGURE 20Â Â Â Â CERNER CORPORATION: COMPANY SNAPSHOT
FIGURE 21Â Â Â Â ALLSCRIPTS HEALTHCARE SOLUTIONS: COMPANY SNAPSHOT
FIGURE 22Â Â Â Â ECLINICALWORKS: COMPANY SNAPSHOT
FIGURE 23Â Â Â Â OPTUM, INC. (A SUBSIDIARY OF UNITEDHEALTH GROUP INC.): COMPANY SNAPSHOT
FIGURE 24Â Â Â Â MCKESSON CORPORATION: COMPANY SNAPSHOT
FIGURE 25Â Â Â Â CONIFER HEALTH SOLUTIONS: COMPANY SNAPSHOT
FIGURE 26Â Â Â Â GEBBS HEALTHCARE SOLUTIONS: COMPANY SNAPSHOT
FIGURE 27Â Â Â Â THE SSI GROUP: COMPANY SNAPSHOT
FIGURE 28Â Â Â Â GE HEALTHCARE: COMPANY SNAPSHOT
FIGURE 29Â Â Â Â NTHRIVE: COMPANY SNAPSHOT
FIGURE 30Â Â Â Â DST SYSTEMS: COMPANY SNAPSHOT
FIGURE 31Â Â Â Â COGNIZANT TECHNOLOGY SOLUTIONS: COMPANY SNAPSHOT
FIGURE 32Â Â Â Â QUEST DIAGNOSTICS: COMPANY SNAPSHOT
FIGURE 33Â Â Â Â CONTEXT 4 HEALTHCARE: COMPANY SNAPSHOT
FIGURE 34Â Â Â Â RAM TECHNOLOGIES: COMPANY SNAPSHOT
FIGURE 35Â Â Â Â HEALTH SOLUTIONS PLUS (HSP): COMPANY SNAPSHOT
FIGURE 36Â Â Â Â PLEXIS HEALTHCARE SYSTEMS: COMPANY SNAPSHOT
FAQ
The Healthcare claims market size had crossed USD 11.10 Billion in 2020 and will observe a CAGR of more than 6% up to 2029 due to increasing patient volumes, expanding health insurance market, growing importance of denials management, and declining reimbursement rates.
North America held more than 42% of the healthcare claims market revenue share in 2021 and will witness expansion. The large share of North America can be attributed to the high and growing HCIT investments in the region and the presence of regulatory mandates favoring the implementation of healthcare claims management solutions. Also, several major global players are based in the US, owing to which the US has become a center for innovation in the healthcare claims management solutions market.
The upcoming trends in healthcare claims market are investments to modernize the healthcare infrastructure and growing adoption of Healthcare IT solutions in China, measures to boost the quality of healthcare delivery in Japan, and rapid growth of the healthcare industry in India are contributing to the high growth in Asia during the forecast period.
The global Healthcare claims market registered a CAGR of 6% from 2022 to 2029. The key factors driving the growth of this market are increasing patient volumes, expanding health insurance market, growing importance of denials management, and declining reimbursement rates.
On the basis of type, the global healthcare claims management market is segmented into integrated solutions and standalone solutions. The integrated solutions segment is expected to register the highest CAGR during the forecast period. The high growth in this segment can be attributed to increasing demand for integrated solutions, which play an integral role in improving process efficiency and reducing costs.
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