시장보고서
상품코드
1886006

세계의 헬스케어 청구 관리 시장

Healthcare Claims Management

발행일: | 리서치사: Market Glass, Inc. (Formerly Global Industry Analysts, Inc.) | 페이지 정보: 영문 194 Pages | 배송안내 : 1-2일 (영업일 기준)

    
    
    



※ 본 상품은 영문 자료로 한글과 영문 목차에 불일치하는 내용이 있을 경우 영문을 우선합니다. 정확한 검토를 위해 영문 목차를 참고해주시기 바랍니다.

세계의 의료 청구 관리 시장은 2030년까지 251억 달러에 달할 전망

2024년에 185억 달러로 추정되는 세계의 의료 청구 관리 시장은 2024년부터 2030년까지의 분석 기간 동안 CAGR 5.2%로 성장하여 2030년까지 251억 달러에 달할 것으로 예측됩니다. 이 보고서에서 분석 대상으로 한 부문 중 하나인 독립형 청구 관리는 4.9%의 CAGR을 기록하며 분석 기간 종료시 점에서 161억 달러에 달할 것으로 예측됩니다. 통합 청구 관리 부문의 성장률은 분석 기간 동안 5.9%의 CAGR로 추정됩니다.

미국 시장은 51억 달러로 추정되는 한편 중국은 5.0%의 CAGR로 성장할 것으로 예측됩니다

미국의 의료 청구 관리 시장은 2024년에 51억 달러로 추정됩니다. 세계 2위 경제 대국인 중국은 2024년부터 2030년까지의 분석 기간 동안 CAGR 5.0%를 기록하며 2030년까지 40억 달러의 시장 규모에 달할 것으로 예측됩니다. 기타 주목할 만한 지역별 시장 분석으로는 일본과 캐나다가 있으며, 각각 분석 기간 동안에 CAGR 4.8%, 4.4%로 성장할 것으로 예측됩니다. 유럽에서는 독일이 약 5.3%의 CAGR로 성장할 것으로 예측됩니다.

세계의 의료 청구 관리 시장 - 주요 동향과 촉진요인 개요

의료 청구 관리가 의료기관의 재정적 성과 향상, 상환 프로세스 효율화, 오류 감소, 의료기관의 재정적 성과 향상에 필수적인 이유는 무엇일까?

의료비 청구 관리는 의료기관의 재정적 성과를 향상시키고, 상환 프로세스의 효율성을 높이고, 오류를 줄이며, 의료기관의 재정적 성과를 개선하는 데 필수적입니다. 그렇다면 오늘날 청구 관리가 왜 이렇게 중요한 것일까? 의료 서비스 제공자가 다양한 보험 플랜, 코딩 시스템, 규제 요건에 대응해야 하는 복잡한 의료 환경에서 청구 관리는 의료 기관이 제공하는 서비스에 대해 정확하고 신속하게 상환을 받을 수 있도록 보장합니다. 이 프로세스에는 환자에게 제공된 의료 서비스에 대해 보험회사에 청구서를 제출, 추적, 처리하는 과정이 포함됩니다. 효율적인 청구서 관리는 결제 지연을 방지하는 데 도움이 됩니다. 지불 지연은 의료 서비스 제공자의 수익 사이클과 재무 건전성에 심각한 영향을 미칠 수 있습니다.

또한, 의료 청구 관리는 청구서 제출에 따른 많은 수작업 프로세스를 자동화하여 관리 부담을 줄여줍니다. 또한, 끊임없이 변화하는 의료 규정과 지불자의 요구 사항을 준수하고, 의료 서비스 제공자가 고액의 벌금과 청구 거부를 피할 수 있도록 지원합니다. 청구 관리 시스템은 환자 자격 확인, 의료 서비스의 정확한 코딩, 거부된 청구의 해결 등의 프로세스를 효율화합니다. 이러한 최적화는 의료기관이 재정적 안정성과 업무 효율성을 유지하면서 환자에게 양질의 진료를 제공하기 위해 필수적입니다.

기술 발전과 혁신은 의료비 청구 관리의 정확성, 속도, 효율성을 어떻게 향상시키고 있을까?

기술 혁신은 의료 청구 관리의 정확성, 속도, 효율성을 크게 향상시켜 의료 기관이 복잡한 청구 처리를 쉽게 처리할 수 있도록 돕고 있습니다. 가장 영향력 있는 혁신 중 하나는 청구 처리의 주요 단계를 자동화하는 청구 관리 소프트웨어의 보급입니다. 이들 플랫폼은 인공지능(AI)과 머신러닝(ML) 알고리즘을 활용하여 청구 내용의 정확성을 심사합니다. 이를 통해 환자 정보, 의료 코드, 보험 정보가 제출 전에 정확한지 확인할 수 있습니다. 이러한 점검을 자동화함으로써 의료 서비스 제공자는 청구 거절의 주요 원인 중 하나인 인적 오류를 줄일 수 있습니다.

또 다른 큰 발전은 청구관리 시스템과 전자건강기록(EHR), 진료관리 소프트웨어의 통합입니다. 이 통합을 통해 임상 부서와 청구 부서 간의 원활한 데이터 공유가 가능해져 의료 코드와 환자 정보의 정확성과 최신성을 보장할 수 있습니다. 처음부터 정확한 세부 정보로 청구서를 제출하면 청구 기각 가능성을 크게 낮추고 환급 절차를 신속하게 처리할 수 있습니다. 또한, 이 통합을 통해 의료 서비스 제공자는 청구 현황에 대한 실시간 업데이트에 액세스하고, 상환을 추적하고, 발생한 문제를 신속하게 처리할 수 있습니다.

로보틱 프로세스 자동화(RPA)는 데이터 입력, 청구 추적, 환자 자격 확인과 같은 반복적인 작업을 자동화함으로써 의료 청구 관리에 혁신을 가져오고 있습니다. RPA 툴은 대량의 청구를 빠르고 정확하게 처리할 수 있기 때문에 사무직원은 거부된 청구 해결이나 환자 문의 대응 등 더 복잡한 업무에 집중할 수 있습니다. 이러한 수준의 자동화는 처리 시간을 단축할 뿐만 아니라 의료 기관이 더 적은 자원으로 더 많은 청구를 처리할 수 있도록 하여 전반적인 업무 효율성을 향상시킬 수 있습니다.

블록체인 기술도 의료비 청구 관리에 있어 유망한 혁신 기술입니다. 블록체인의 탈중앙화된 위변조가 불가능한 원장 시스템은 모든 관계자(의료 제공자, 보험사, 환자)가 접근할 수 있는 안전하고 투명한 기록을 제공함으로써 보험금 청구 프로세스를 효율화합니다. 이러한 투명성은 청구 관련 분쟁을 줄이고 모든 당사자가 동일한 정확한 정보에 접근할 수 있도록 보장합니다. 또한 블록체인은 기밀성이 높은 환자 정보와 재무 데이터를 무단 접근 및 사기로부터 보호하여 보안을 강화하고, 의료 기관이 HIPAA와 같은 규제 표준을 준수할 수 있도록 지원합니다.

예측 분석 및 데이터 분석 툴의 활용도 청구 관리 개선에 기여하고 있습니다. 이 도구는 과거 청구 데이터를 분석하여 자주 거부되는 치료, 자주 발생하는 코딩 오류, 지불자별 요구 사항과 같은 추세를 파악합니다. 이를 통해 의료기관은 청구 제출 프로세스를 사전에 조정할 수 있어 오류 발생 가능성을 줄이고, 최초 청구 승인률을 높일 수 있습니다. 또한, 분석 도구는 미래 현금흐름을 예측하는 데에도 도움이 되어 의료기관의 재무 건전성을 보다 명확하게 파악할 수 있습니다.

의료 청구 관리가 청구 거부 감소, 수익 주기 최적화, 규제 준수 확보에 중요한 이유는 무엇일까?

의료 청구 관리는 청구 거부 감소, 수익 주기 최적화, 규제 준수에 있어 매우 중요합니다. 이는 의료 서비스 제공자의 재무 건전성과 업무 효율성에 직접적인 영향을 미치기 때문입니다. 의료 청구 관리가 중요한 이유 중 하나는 의료기관의 수익 손실의 주요 원인인 청구 거절을 최소화할 수 있기 때문입니다. 청구는 잘못된 코딩, 환자 정보 누락, 보험 자격 문제 등 다양한 이유로 거부될 수 있습니다. 효과적인 청구 관리 시스템은 자동화와 실시간 데이터 검증을 활용하여 청구서가 처음부터 정확하게 제출될 수 있도록 보장합니다. 이를 통해 청구 거부 가능성과 재제출에 따른 비용이 많이 드는 재신청을 줄일 수 있습니다.

수익 주기 최적화도 의료 청구 관리의 중요한 이점 중 하나입니다. 수익 사이클은 예약 조정, 보험 적용 확인, 서비스 제공, 보험사로부터의 지불금 수령에 이르기까지 환자 진료의 전 과정을 의미합니다. 청구 관리는 상환 지연을 줄이고 청구 승인률을 높여 이 프로세스가 원활하게 진행될 수 있도록 중요한 역할을 합니다. 효율적인 청구 처리를 통해 의료 제공자는 안정적인 현금 흐름을 유지하고, 효과적인 운영에 필요한 자금을 확보하여 환자들에게 양질의 의료 서비스를 지속적으로 제공할 수 있습니다.

규제 준수를 보장하는 것도 의료 청구 관리의 중요한 기능입니다. 의료 산업은 의료보험 휴대성 및 책임에 관한 법률(HIPAA), 의료보험 보급 및 질 향상에 관한 법률(ACA), 각종 지불자별 요구사항 등 수많은 규제의 적용을 받습니다. 청구 관리 시스템은 정확하고 완전한 청구서 제출을 자동화하고 모든 환자 데이터와 재무 데이터가 안전하게 처리되도록 보장함으로써 의료 서비스 제공자가 이러한 규정을 준수할 수 있도록 지원합니다. 규제 요건을 준수하지 않으면 벌금, 감사, 법적 조치로 이어질 수 있으며, 이는 의료 기관에 심각한 재정적, 평판상의 영향을 미칠 수 있습니다. 클레임 관리 시스템은 컴플라이언스 프로세스를 자동화함으로써 의료 기관이 이러한 위험을 줄이고 데이터 보안과 정확성에서 최고 수준을 유지할 수 있도록 돕습니다.

효과적인 청구 관리는 청구 오류와 분쟁을 줄여 환자 만족도 향상에도 기여합니다. 환자들은 의료비에 대한 투명성과 정확성을 요구하고 있으며, 청구 실수나 청구 기각은 불만족과 경제적 부담으로 이어질 수 있습니다. 의료 기관은 청구의 정확성과 신속성을 보장함으로써 환자들에게 보다 원활한 청구 경험을 제공할 수 있고, 이는 곧 신뢰와 만족도를 높일 수 있습니다. 또한, 자동화된 시스템은 환자들에게 비용 내역을 상세히 제공함으로써 환자의 경제적 책임과 보험 적용 범위에 대한 세부 사항을 더 잘 이해할 수 있도록 도와줍니다.

또한, 청구 관리 시스템은 의료기관에 재무 실적에 대한 귀중한 정보를 제공합니다. 상세한 보고서와 분석을 통해 의료기관은 청구 수락률, 거절률, 상환 기간 등 주요 지표를 추적할 수 있습니다. 이러한 데이터 기반 접근 방식을 통해 의료기관 관리자는 청구 프로세스의 병목 현상과 비효율성을 쉽게 파악할 수 있으며, 이를 통해 목표에 맞는 개선책을 실행하고 전체 수익 사이클을 최적화할 수 있습니다.

의료 청구 관리 시장의 성장을 이끄는 요인은 무엇일까?

의료 청구 관리 시장의 급속한 성장을 이끄는 주요 요인으로는 의료 청구 및 코딩의 복잡성 증가, 자동화 기술 발전, 비용 효율적인 의료 솔루션에 대한 수요 증가, 가치 기반 의료 모델로의 전환 추진 등을 들 수 있습니다. 주요 촉진요인 중 하나는 의료 청구 및 코딩 시스템의 복잡성입니다. 의료 서비스가 더욱 전문화되고 지불자의 요구 사항이 다양해짐에 따라 의료 제공자는 정확한 청구를 보장하기 위해 복잡한 코드, 규칙 및 규정의 그물망을 탐색해야 합니다. 청구 관리 솔루션은 코딩 프로세스 자동화, 오류 위험 감소, 지불자 요구사항 준수 보장을 통해 이러한 복잡성을 효율적으로 관리할 수 있는 방법을 제공합니다.

AI, 머신러닝, 로봇 프로세스 자동화(RPA)와 같은 자동화 기술의 발전도 클레임 관리 시장의 성장에 기여하는 중요한 요소입니다. 이러한 기술을 통해 의료 서비스 제공자는 대량의 청구를 신속하고 정확하게 처리할 수 있으며, 관리 비용을 절감하고 업무 효율성을 높일 수 있습니다. 자동화된 청구 관리 시스템은 거부로 이어지는 패턴을 식별하고, 과거 청구 데이터를 기반으로 미래의 현금 흐름을 예측하는 등 보다 복잡한 작업에도 대응할 수 있습니다. 의료 기관이 서비스 품질을 향상시키면서 비용을 절감할 수 있는 방법을 모색하는 가운데, 자동화된 청구 관리 솔루션의 도입이 점점 더 확산되고 있습니다.

비용 효율적인 의료 솔루션에 대한 수요 증가는 청구 관리 시장의 성장을 더욱 촉진하고 있습니다. 의료비가 계속 상승하는 가운데, 의료 제공자와 환자 모두 의료의 질을 떨어뜨리지 않으면서 비용을 절감할 수 있는 방법을 모색하고 있습니다. 효과적인 청구 관리는 거부되는 청구를 줄이고 적시에 상환을 보장함으로써 의료기관이 건전한 수익 사이클을 유지할 수 있도록 도와줍니다. 이를 통해 운영비용을 절감하면서 의료 서비스를 지속적으로 제공할 수 있습니다. 환자 입장에서는 정확한 청구 처리로 인해 청구 오류 및 예상치 못한 청구의 위험이 감소하고, 의료 서비스를 받는 전반적인 경험을 향상시킬 수 있습니다.

가치 기반 의료 모델로의 전환도 시장 성장의 중요한 촉진요인입니다. 가치 기반 의료는 제공되는 서비스의 양에서 제공되는 의료의 질에 초점을 맞추고, 비용 관리와 함께 환자의 치료 결과를 개선하는 데 중점을 둡니다. 청구 관리는 의료 서비스 제공자가 환자의 치료 결과, 의료의 질, 비용 효율성과 관련된 핵심 성과 지표(KPI)를 추적하고 보고할 수 있도록함으로써 이러한 전환에 중요한 역할을 합니다. 청구 프로세스의 최적화와 수익 주기 관리의 개선을 통해 의료 서비스 제공자는 가치 기반 의료에 대한 노력에 맞게 운영을 조정하여 재무 성과와 환자 만족도를 모두 향상시킬 수 있습니다.

또한, 미국 의료보험개혁법(ACA)과 같은 규제 변경 및 의료 개혁으로 인해 정확한 청구 처리와 적시 상환에 대한 중요성이 더욱 강조되고 있습니다. 이러한 규제는 의료 서비스 제공자에게 코딩, 청구, 보고와 관련된 새로운 기준을 준수하도록 요구하고 있으며, 이를 준수할 수 있는 고도화된 청구 관리 시스템의 필요성이 증가하고 있습니다. 규제가 계속 진화함에 따라 의료기관은 이러한 변화에 대응할 수 있는 청구 관리 솔루션에 대한 투자가 필요하며, 이는 첨단 청구 관리 기술에 대한 수요를 더욱 증가시키고 있습니다.

결론적으로, 의료 청구 관리 시장의 성장은 청구 업무의 복잡성 증가, 자동화 기술의 발전, 비용 효율적인 의료 솔루션에 대한 수요, 가치 기반 의료 모델로의 전환에 의해 주도되고 있습니다. 의료 기관이 수익 주기 관리의 어려움에 직면하고 있는 가운데, 청구 관리 시스템은 재무 성과를 최적화하고 규제 준수를 보장하며 전반적인 환자 치료 제공을 개선하는 데 있어 필수적인 도구로 자리매김할 것입니다.

부문:

구성요소(소프트웨어, 서비스), 유형(독립형, 통합형), 도입 형태(온프레미스, 클라우드), 최종사용자(의료 공급자, 의료 보험사, 기타 최종사용자)

조사 대상 기업 예시

  • Allscripts Healthcare Solutions, Inc.
  • Athenahealth, Inc.
  • Cerner Corporation
  • Cognizant Technology Solutions Corporation
  • Conifer Health Solutions, LLC.
  • Context4 Healthcare Inc.
  • DST Systems, Inc.
  • eClinicalWorks LLC
  • GE Healthcare
  • GeBBS Healthcare Solutions, Inc.
  • Health Solutions Plus
  • McKesson Corporation
  • nThrive, Inc.
  • Optum, Inc.
  • PLEXIS Healthcare Systems, Inc.
  • Quest Diagnostics, Inc.
  • Ram Technologies, Inc.
  • The SSI Group, LLC

AI 통합

검증된 전문가 컨텐츠와 AI 툴을 통해 시장 및 경쟁 정보 분석 방식을 혁신하고 있습니다.

Market Glass, Inc.는 LLM이나 산업 특화형 SLM을 쿼리하는 일반적인 방식이 아닌, 전 세계 도메인 전문가들이 엄선한 컨텐츠 리포지토리를 구축했습니다. 여기에는 비디오 전사, 블로그, 검색 엔진 조사, 그리고 방대한 양의 기업, 제품/서비스, 시장 데이터가 포함됩니다.

관세 영향 계수

Market Glass, Inc.가 본사 소재지, 생산기지, 수출입(완제품 및 OEM)을 기반으로 기업의 경쟁력 변화를 예측하는 가운데, 이번 보고서에서는 지리적 시장에 대한 관세의 영향을 반영하였습니다. 이러한 복잡하고 다면적인 시장 현실은 매출원가(COGS) 증가, 수익성 하락, 공급망 재편 등 경쟁사에게 다양한 영향을 미치며, 미시적 및 거시적 시장 역학에도 영향을 미칩니다.

목차

제1장 조사 방법

제2장 주요 요약

  • 시장 개요
  • 주요 기업
  • 시장 동향과 촉진요인
  • 세계 시장 전망

제3장 시장 분석

  • 미국
  • 캐나다
  • 일본
  • 중국
  • 유럽
  • 프랑스
  • 독일
  • 이탈리아
  • 영국
  • 기타 유럽
  • 아시아태평양
  • 세계 기타 지역

제4장 경쟁

KSM

Global Healthcare Claims Management Market to Reach US$25.1 Billion by 2030

The global market for Healthcare Claims Management estimated at US$18.5 Billion in the year 2024, is expected to reach US$25.1 Billion by 2030, growing at a CAGR of 5.2% over the analysis period 2024-2030. Standalone Claims Management, one of the segments analyzed in the report, is expected to record a 4.9% CAGR and reach US$16.1 Billion by the end of the analysis period. Growth in the Integrated Claims Management segment is estimated at 5.9% CAGR over the analysis period.

The U.S. Market is Estimated at US$5.1 Billion While China is Forecast to Grow at 5.0% CAGR

The Healthcare Claims Management market in the U.S. is estimated at US$5.1 Billion in the year 2024. China, the world's second largest economy, is forecast to reach a projected market size of US$4.0 Billion by the year 2030 trailing a CAGR of 5.0% over the analysis period 2024-2030. Among the other noteworthy geographic markets are Japan and Canada, each forecast to grow at a CAGR of 4.8% and 4.4% respectively over the analysis period. Within Europe, Germany is forecast to grow at approximately 5.3% CAGR.

Global Healthcare Claims Management Market - Key Trends and Drivers Summarized

Why Is Healthcare Claims Management Becoming Essential for Streamlining Reimbursement Processes, Reducing Errors, and Enhancing Financial Performance in Healthcare Organizations?

Healthcare claims management has become essential for streamlining reimbursement processes, reducing errors, and enhancing the financial performance of healthcare organizations. But why is claims management so critical today? In an increasingly complex healthcare landscape, where providers must navigate various insurance plans, coding systems, and regulatory requirements, claims management ensures that healthcare facilities are reimbursed accurately and promptly for the services they provide. This process involves submitting, tracking, and processing claims to insurance companies for the care rendered to patients. Efficient claims management helps avoid delays in payments, which can significantly impact a healthcare provider's revenue cycle and overall financial health.

Moreover, healthcare claims management reduces administrative burdens by automating many of the manual processes involved in claims submission. It also ensures compliance with the ever-evolving healthcare regulations and payer requirements, helping providers avoid costly penalties or rejections. Claims management systems streamline the process of verifying patient eligibility, coding medical services correctly, and resolving denied claims. This optimization is crucial for healthcare organizations to maintain financial stability and operational efficiency while delivering high-quality care to their patients.

How Are Technological Advancements and Innovations Improving the Accuracy, Speed, and Efficiency of Healthcare Claims Management?

Technological advancements are significantly improving the accuracy, speed, and efficiency of healthcare claims management, making it easier for healthcare organizations to handle complex billing processes. One of the most impactful innovations is the widespread adoption of claims management software that automates key steps in the claims process. These platforms use artificial intelligence (AI) and machine learning (ML) algorithms to review claims for accuracy, ensuring that patient information, medical codes, and insurance details are correct before submission. By automating these checks, healthcare providers can reduce human errors, which are one of the leading causes of claim denials.

Another major advancement is the integration of claims management systems with electronic health records (EHRs) and practice management software. This integration allows for seamless data sharing between clinical and billing departments, ensuring that medical codes and patient information are accurate and up-to-date. When claims are submitted with correct details from the start, the chances of claim denials are significantly reduced, speeding up the reimbursement process. Moreover, this integration ensures that healthcare providers can access real-time updates on claim statuses, track reimbursements, and quickly address any issues that arise.

Robotic process automation (RPA) is also revolutionizing healthcare claims management by automating repetitive tasks such as data entry, claims tracking, and patient eligibility verification. RPA tools can process large volumes of claims quickly and accurately, freeing up administrative staff to focus on more complex tasks like resolving denied claims or addressing patient inquiries. This level of automation not only reduces processing time but also helps healthcare organizations handle a higher volume of claims with fewer resources, improving overall operational efficiency.

Blockchain technology is another promising innovation in healthcare claims management. Blockchain's decentralized, tamper-proof ledger system can streamline the claims submission process by providing secure, transparent records that all parties (providers, payers, and patients) can access. This transparency reduces disputes over billing and ensures that all parties have access to the same accurate information. Blockchain also enhances security by protecting sensitive patient and financial data from fraud and unauthorized access, ensuring that healthcare organizations comply with regulatory standards like HIPAA.

The use of predictive analytics and data analytics tools is also improving claims management by helping providers identify patterns that may lead to denials or delays. By analyzing historical claims data, these tools can identify trends such as frequently denied procedures, common coding errors, or payer-specific requirements. This insight allows healthcare providers to adjust their claims submission processes proactively, reducing the likelihood of errors and improving the chances of first-time claim acceptance. Analytics tools can also help predict future cash flow, providing healthcare organizations with a clearer picture of their financial health.

Why Is Healthcare Claims Management Critical for Reducing Denials, Optimizing Revenue Cycles, and Ensuring Regulatory Compliance?

Healthcare claims management is critical for reducing claim denials, optimizing revenue cycles, and ensuring regulatory compliance because it directly impacts the financial health and operational efficiency of healthcare providers. One of the main reasons healthcare claims management is so valuable is its ability to minimize claim denials, which are a leading cause of revenue loss in healthcare organizations. Claims can be denied for a variety of reasons, including incorrect coding, missing patient information, or issues with insurance eligibility. Effective claims management systems use automation and real-time data validation to ensure that claims are submitted accurately the first time, reducing the chances of denial and the costly rework involved in resubmitting claims.

Optimizing the revenue cycle is another key benefit of healthcare claims management. The revenue cycle encompasses the entire process of patient care, from scheduling appointments and verifying insurance coverage to providing services and receiving payment from payers. Claims management plays a crucial role in ensuring that this process runs smoothly by reducing delays in reimbursement and increasing the rate of claims acceptance. When claims are processed efficiently, healthcare providers can maintain a steady cash flow, ensuring that they have the financial resources needed to operate effectively and continue delivering high-quality care to their patients.

Ensuring regulatory compliance is another critical function of healthcare claims management. The healthcare industry is subject to numerous regulations, including the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and various payer-specific requirements. Claims management systems help providers stay compliant with these regulations by automating the submission of accurate, complete claims and ensuring that all patient and financial data is securely handled. Failing to comply with regulatory requirements can lead to penalties, audits, and even legal action, all of which can have severe financial and reputational consequences for healthcare organizations. By automating the compliance process, claims management systems help providers mitigate these risks and maintain the highest standards of data security and accuracy.

Effective claims management also improves patient satisfaction by reducing billing errors and disputes. Patients expect transparency and accuracy when it comes to their healthcare costs, and errors in billing or denied claims can lead to frustration and financial stress. By ensuring that claims are processed accurately and in a timely manner, healthcare providers can offer a smoother billing experience for their patients, leading to higher levels of trust and satisfaction. Additionally, automated systems can provide patients with detailed breakdowns of their costs, helping them better understand their financial responsibility and any insurance coverage details.

Moreover, claims management systems offer healthcare organizations valuable insights into their financial performance. Through detailed reporting and analytics, providers can track key metrics such as claim acceptance rates, denial trends, and reimbursement times. This data-driven approach allows healthcare administrators to identify bottlenecks or inefficiencies in their claims processes, making it easier to implement targeted improvements and optimize the overall revenue cycle.

What Factors Are Driving the Growth of the Healthcare Claims Management Market?

Several key factors are driving the rapid growth of the healthcare claims management market, including the increasing complexity of healthcare billing and coding, advancements in automation technologies, the rising demand for cost-effective healthcare solutions, and the push for value-based care models. One of the primary drivers is the growing complexity of healthcare billing and coding systems. As healthcare services become more specialized and payer requirements more varied, providers must navigate an intricate web of codes, rules, and regulations to ensure accurate billing. Claims management solutions offer a streamlined way to manage this complexity by automating coding processes, reducing the risk of errors, and ensuring that claims comply with payer requirements.

The advancement of automation technologies such as AI, machine learning, and robotic process automation (RPA) is another significant factor contributing to the growth of the claims management market. These technologies enable healthcare providers to process large volumes of claims quickly and accurately, reducing administrative costs and improving operational efficiency. Automated claims management systems can also handle more complex tasks, such as identifying patterns that lead to denials or predicting future cash flow based on historical claims data. As healthcare organizations look for ways to reduce costs while improving service quality, the adoption of automated claims management solutions is becoming increasingly widespread.

The rising demand for cost-effective healthcare solutions is further fueling the growth of the claims management market. As healthcare costs continue to rise, both providers and patients are seeking ways to reduce expenses without compromising the quality of care. Effective claims management helps providers maintain a healthy revenue cycle by reducing denied claims and ensuring timely reimbursements, allowing them to continue delivering care while keeping operational costs in check. For patients, accurate claims processing reduces the risk of billing errors and unexpected charges, improving the overall experience of receiving healthcare services.

The shift toward value-based care models is another key driver of market growth. Value-based care emphasizes improving patient outcomes while controlling costs, shifting the focus away from the volume of services provided and toward the quality of care delivered. Claims management plays a critical role in this shift by enabling providers to track and report on key performance indicators (KPIs) related to patient outcomes, quality of care, and cost-efficiency. By optimizing claims processes and improving revenue cycle management, healthcare providers can align their operations with value-based care initiatives, improving both financial performance and patient satisfaction.

Additionally, regulatory changes and healthcare reforms, such as the Affordable Care Act (ACA) in the U.S., have placed greater emphasis on accurate claims processing and timely reimbursement. These regulations often require providers to adhere to new standards for coding, billing, and reporting, which has increased the need for sophisticated claims management systems that can ensure compliance. As regulations continue to evolve, healthcare organizations must invest in claims management solutions that can adapt to these changes, further driving the demand for advanced claims management technologies.

In conclusion, the growth of the healthcare claims management market is driven by increasing billing complexity, advancements in automation technologies, the demand for cost-efficient healthcare solutions, and the shift toward value-based care models. As healthcare organizations continue to face challenges in managing the revenue cycle, claims management systems will remain essential tools for optimizing financial performance, ensuring regulatory compliance, and improving overall patient care delivery.

SCOPE OF STUDY:

The report analyzes the Healthcare Claims Management market in terms of units by the following Segments, and Geographic Regions/Countries:

Segments:

Component (Software, Services); Type (Standalone, Integrated); Deployment (On-Premise, Cloud); End-Use (Healthcare Providers, Healthcare Payers, Other End-Uses)

Geographic Regions/Countries:

World; United States; Canada; Japan; China; Europe (France; Germany; Italy; United Kingdom; and Rest of Europe); Asia-Pacific; Rest of World.

Select Competitors (Total 41 Featured) -

  • Allscripts Healthcare Solutions, Inc.
  • Athenahealth, Inc.
  • Cerner Corporation
  • Cognizant Technology Solutions Corporation
  • Conifer Health Solutions, LLC.
  • Context4 Healthcare Inc.
  • DST Systems, Inc.
  • eClinicalWorks LLC
  • GE Healthcare
  • GeBBS Healthcare Solutions, Inc.
  • Health Solutions Plus
  • McKesson Corporation
  • nThrive, Inc.
  • Optum, Inc.
  • PLEXIS Healthcare Systems, Inc.
  • Quest Diagnostics, Inc.
  • Ram Technologies, Inc.
  • The SSI Group, LLC

AI INTEGRATIONS

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Instead of following the general norm of querying LLMs and Industry-specific SLMs, we built repositories of content curated from domain experts worldwide including video transcripts, blogs, search engines research, and massive amounts of enterprise, product/service, and market data.

TARIFF IMPACT FACTOR

Our new release incorporates impact of tariffs on geographical markets as we predict a shift in competitiveness of companies based on HQ country, manufacturing base, exports and imports (finished goods and OEM). This intricate and multifaceted market reality will impact competitors by increasing the Cost of Goods Sold (COGS), reducing profitability, reconfiguring supply chains, amongst other micro and macro market dynamics.

TABLE OF CONTENTS

I. METHODOLOGY

II. EXECUTIVE SUMMARY

  • 1. MARKET OVERVIEW
    • Trade Shocks, Uncertainty, and the Structural Rewiring of the Global Economy
    • Global Economic Update
    • Healthcare Claims Management - Global Key Competitors Percentage Market Share in 2025 (E)
    • Competitive Market Presence - Strong/Active/Niche/Trivial for Players Worldwide in 2025 (E)
  • 2. FOCUS ON SELECT PLAYERS
  • 3. MARKET TRENDS & DRIVERS
    • Increasing Complexity of Insurance Claims Drives Adoption of Automated Claims Management Systems
    • Role of Claims Management in Reducing Administrative Costs and Improving Revenue Cycle Management
    • Technological Advancements in AI and Machine Learning Enhance Claims Processing Efficiency
    • Future Directions: Development of Blockchain-powered Claims Management Systems for Transparency
    • Managing Fraud Detection and Prevention in Healthcare Claims Processing
    • Increasing Demand for Real-time Analytics and Reporting Tools in Claims Management
  • 4. GLOBAL MARKET PERSPECTIVE
    • TABLE 1: World Recent Past, Current & Future Analysis for Standalone by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 2: World Historic Review for Standalone by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 3: World 15-Year Perspective for Standalone by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2015, 2025 & 2030
    • TABLE 4: World Recent Past, Current & Future Analysis for Integrated by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 5: World Historic Review for Integrated by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 6: World 15-Year Perspective for Integrated by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2015, 2025 & 2030
    • TABLE 7: World Recent Past, Current & Future Analysis for Software by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 8: World Historic Review for Software by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 9: World 15-Year Perspective for Software by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2015, 2025 & 2030
    • TABLE 10: World Recent Past, Current & Future Analysis for Services by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 11: World Historic Review for Services by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 12: World 15-Year Perspective for Services by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2015, 2025 & 2030
    • TABLE 13: World Recent Past, Current & Future Analysis for On-Premise by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 14: World Historic Review for On-Premise by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 15: World 15-Year Perspective for On-Premise by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2015, 2025 & 2030
    • TABLE 16: World Recent Past, Current & Future Analysis for Cloud by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 17: World Historic Review for Cloud by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 18: World 15-Year Perspective for Cloud by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2015, 2025 & 2030
    • TABLE 19: World Recent Past, Current & Future Analysis for Healthcare Providers by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 20: World Historic Review for Healthcare Providers by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 21: World 15-Year Perspective for Healthcare Providers by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2015, 2025 & 2030
    • TABLE 22: World Recent Past, Current & Future Analysis for Healthcare Payers by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 23: World Historic Review for Healthcare Payers by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 24: World 15-Year Perspective for Healthcare Payers by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2015, 2025 & 2030
    • TABLE 25: World Recent Past, Current & Future Analysis for Other End-Uses by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 26: World Historic Review for Other End-Uses by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 27: World 15-Year Perspective for Other End-Uses by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2015, 2025 & 2030
    • TABLE 28: World Healthcare Claims Management Market Analysis of Annual Sales in US$ Million for Years 2015 through 2030
    • TABLE 29: World Recent Past, Current & Future Analysis for Healthcare Claims Management by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 30: World Historic Review for Healthcare Claims Management by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 31: World 15-Year Perspective for Healthcare Claims Management by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets for Years 2015, 2025 & 2030

III. MARKET ANALYSIS

  • UNITED STATES
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in the United States for 2025 (E)
    • TABLE 32: USA Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 33: USA Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 34: USA 15-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2015, 2025 & 2030
    • TABLE 35: USA Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 36: USA Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 37: USA 15-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2015, 2025 & 2030
    • TABLE 38: USA Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 39: USA Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 40: USA 15-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2015, 2025 & 2030
    • TABLE 41: USA Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 42: USA Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 43: USA 15-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2015, 2025 & 2030
  • CANADA
    • TABLE 44: Canada Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 45: Canada Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 46: Canada 15-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2015, 2025 & 2030
    • TABLE 47: Canada Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 48: Canada Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 49: Canada 15-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2015, 2025 & 2030
    • TABLE 50: Canada Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 51: Canada Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 52: Canada 15-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2015, 2025 & 2030
    • TABLE 53: Canada Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 54: Canada Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 55: Canada 15-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2015, 2025 & 2030
  • JAPAN
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Japan for 2025 (E)
    • TABLE 56: Japan Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 57: Japan Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 58: Japan 15-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2015, 2025 & 2030
    • TABLE 59: Japan Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 60: Japan Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 61: Japan 15-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2015, 2025 & 2030
    • TABLE 62: Japan Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 63: Japan Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 64: Japan 15-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2015, 2025 & 2030
    • TABLE 65: Japan Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 66: Japan Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 67: Japan 15-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2015, 2025 & 2030
  • CHINA
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in China for 2025 (E)
    • TABLE 68: China Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 69: China Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 70: China 15-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2015, 2025 & 2030
    • TABLE 71: China Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 72: China Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 73: China 15-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2015, 2025 & 2030
    • TABLE 74: China Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 75: China Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 76: China 15-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2015, 2025 & 2030
    • TABLE 77: China Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 78: China Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 79: China 15-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2015, 2025 & 2030
  • EUROPE
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Europe for 2025 (E)
    • TABLE 80: Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 81: Europe Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 82: Europe 15-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2015, 2025 & 2030
    • TABLE 83: Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 84: Europe Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 85: Europe 15-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2015, 2025 & 2030
    • TABLE 86: Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 87: Europe Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 88: Europe 15-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2015, 2025 & 2030
    • TABLE 89: Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 90: Europe Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 91: Europe 15-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2015, 2025 & 2030
    • TABLE 92: Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Geographic Region - France, Germany, Italy, UK and Rest of Europe Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 93: Europe Historic Review for Healthcare Claims Management by Geographic Region - France, Germany, Italy, UK and Rest of Europe Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 94: Europe 15-Year Perspective for Healthcare Claims Management by Geographic Region - Percentage Breakdown of Value Sales for France, Germany, Italy, UK and Rest of Europe Markets for Years 2015, 2025 & 2030
  • FRANCE
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in France for 2025 (E)
    • TABLE 95: France Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 96: France Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 97: France 15-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2015, 2025 & 2030
    • TABLE 98: France Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 99: France Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 100: France 15-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2015, 2025 & 2030
    • TABLE 101: France Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 102: France Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 103: France 15-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2015, 2025 & 2030
    • TABLE 104: France Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 105: France Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 106: France 15-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2015, 2025 & 2030
  • GERMANY
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Germany for 2025 (E)
    • TABLE 107: Germany Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 108: Germany Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 109: Germany 15-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2015, 2025 & 2030
    • TABLE 110: Germany Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 111: Germany Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 112: Germany 15-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2015, 2025 & 2030
    • TABLE 113: Germany Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 114: Germany Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 115: Germany 15-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2015, 2025 & 2030
    • TABLE 116: Germany Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 117: Germany Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 118: Germany 15-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2015, 2025 & 2030
  • ITALY
    • TABLE 119: Italy Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 120: Italy Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 121: Italy 15-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2015, 2025 & 2030
    • TABLE 122: Italy Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 123: Italy Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 124: Italy 15-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2015, 2025 & 2030
    • TABLE 125: Italy Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 126: Italy Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 127: Italy 15-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2015, 2025 & 2030
    • TABLE 128: Italy Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 129: Italy Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 130: Italy 15-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2015, 2025 & 2030
  • UNITED KINGDOM
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in the United Kingdom for 2025 (E)
    • TABLE 131: UK Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 132: UK Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 133: UK 15-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2015, 2025 & 2030
    • TABLE 134: UK Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 135: UK Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 136: UK 15-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2015, 2025 & 2030
    • TABLE 137: UK Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 138: UK Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 139: UK 15-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2015, 2025 & 2030
    • TABLE 140: UK Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 141: UK Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 142: UK 15-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2015, 2025 & 2030
  • REST OF EUROPE
    • TABLE 143: Rest of Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 144: Rest of Europe Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 145: Rest of Europe 15-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2015, 2025 & 2030
    • TABLE 146: Rest of Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 147: Rest of Europe Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 148: Rest of Europe 15-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2015, 2025 & 2030
    • TABLE 149: Rest of Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 150: Rest of Europe Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 151: Rest of Europe 15-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2015, 2025 & 2030
    • TABLE 152: Rest of Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 153: Rest of Europe Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 154: Rest of Europe 15-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2015, 2025 & 2030
  • ASIA-PACIFIC
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Asia-Pacific for 2025 (E)
    • TABLE 155: Asia-Pacific Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 156: Asia-Pacific Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 157: Asia-Pacific 15-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2015, 2025 & 2030
    • TABLE 158: Asia-Pacific Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 159: Asia-Pacific Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 160: Asia-Pacific 15-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2015, 2025 & 2030
    • TABLE 161: Asia-Pacific Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 162: Asia-Pacific Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 163: Asia-Pacific 15-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2015, 2025 & 2030
    • TABLE 164: Asia-Pacific Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 165: Asia-Pacific Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 166: Asia-Pacific 15-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2015, 2025 & 2030
  • REST OF WORLD
    • TABLE 167: Rest of World Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 168: Rest of World Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 169: Rest of World 15-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2015, 2025 & 2030
    • TABLE 170: Rest of World Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 171: Rest of World Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 172: Rest of World 15-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2015, 2025 & 2030
    • TABLE 173: Rest of World Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 174: Rest of World Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 175: Rest of World 15-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2015, 2025 & 2030
    • TABLE 176: Rest of World Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 177: Rest of World Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2015 through 2023 and % CAGR
    • TABLE 178: Rest of World 15-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2015, 2025 & 2030

IV. COMPETITION

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