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Global Healthcare Claims Management Market Research Report - Industry Analysis, Size, Share, Growth, Trends and Forecast 2023 to 2030

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  • Cerner Corporation(¹Ì±¹)
  • McKesson Corporation(¹Ì±¹)
  • athenahealth(¹Ì±¹)
  • eClinicalWorks(¹Ì±¹)
  • Optum Inc(¹Ì±¹)
  • Conifer Health Solutions(¹Ì±¹)
  • nThrive(¹Ì±¹)
LYJ 23.10.13

The global demand for Healthcare Claims Management Market is presumed to reach the market size of nearly USD 29.39 BN by 2030 from USD 15.43 BN in 2022 with a CAGR of 7.42% under the study period 2023 - 2030.

Healthcare claims management software aids in the management of medical claims and reimbursement processes within the healthcare industry. Healthcare claims management involves multiple tasks, including organization, billing, filing, processing, and updating medical claims associated with diagnosis, medication, and treatment of patients. Healthcare claims management is used to streamline the medical claims process, which eases the relationship between provider and insurance company, to speed up the patient's payment lifecycle efficiently.

MARKET DYNAMICS:

The development of variables such as an increased focus on providing high-quality healthcare services to the target population and the rising adoption rate of technology-related services fuel the market growth. Moreover, the growing health insurance sector and rising internet usage and digitalization further ensure sustained growth of the healthcare claims management market. Also, huge government funding to modernize the healthcare infrastructure and adopt healthcare IT solutions positively influences the overall industry growth. Furthermore, the increase in the automation trend in the healthcare industry, technological innovations, and an increase in R&D expenditure are a few growth-inducing factors. However, increasing concerns about patient data safety & security and the rise in cybercrime is expected to hamper the market growth.

The research report covers Porter's Five Forces Model, Market Attractiveness Analysis, and Value Chain analysis. These tools help to get a clear picture of the industry's structure and evaluate the competition attractiveness at a global level. Additionally, these tools also give an inclusive assessment of each segment in the global market of healthcare claims management. The growth and trends of healthcare claims management industry provide a holistic approach to this study.

MARKET SEGMENTATION:

This section of the healthcare claims management market report provides detailed data on the segments at country and regional level, thereby assisting the strategist in identifying the target demographics for the respective product or services with the upcoming opportunities.

By Component

  • Software
  • Services

By Type

  • Integrated Solutions
  • Standalone Solutions

By Delivery Mode

  • On-Premise
  • Cloud-Based

By End User

  • Healthcare Payers
  • Healthcare Providers
  • Other End Users

REGIONAL ANALYSIS:

This section covers the regional outlook, which accentuates current and future demand for the Healthcare Claims Management market across North America, Europe, Asia-Pacific, Latin America, and Middle East & Africa. Further, the report focuses on demand, estimation, and forecast for individual application segments across all the prominent regions.

The research report also covers the comprehensive profiles of the key players in the market and an in-depth view of the competitive landscape worldwide. The major players in the healthcare claims management market include Cerner Corporation (US), McKesson Corporation (US), athenahealth (US), eClinicalWorks (US), Optum, Inc, (US), Conifer Health Solutions (US), and nThrive (US). This section consists of a holistic view of the competitive landscape that includes various strategic developments such as key mergers & acquisitions, future capacities, partnerships, financial overviews, collaborations, new product developments, new product launches, and other developments.

In case you have any custom requirements, do write to us. Our research team can offer a customized report as per your need.

TABLE OF CONTENTS

1 . PREFACE

  • 1.1. Report Description
    • 1.1.1. Objective
    • 1.1.2. Target Audience
    • 1.1.3. Unique Selling Proposition (USP) & offerings
  • 1.2. Research Scope
  • 1.3. Research Methodology
    • 1.3.1. Market Research Process
    • 1.3.2. Market Research Methodology

2 . EXECUTIVE SUMMARY

  • 2.1. Highlights of Market
  • 2.2. Global Market Snapshot

3 . HEALTHCARE CLAIMS MANAGEMENT - INDUSTRY ANALYSIS

  • 3.1. Introduction - Market Dynamics
  • 3.2. Market Drivers
  • 3.3. Market Restraints
  • 3.4. Opportunities
  • 3.5. Industry Trends
  • 3.6. Porter's Five Force Analysis
  • 3.7. Market Attractiveness Analysis
    • 3.7.1 Market Attractiveness Analysis By Component
    • 3.7.2 Market Attractiveness Analysis By Type
    • 3.7.3 Market Attractiveness Analysis By Delivery Mode
    • 3.7.4 Market Attractiveness Analysis By End User
    • 3.7.5 Market Attractiveness Analysis By Region

4 . VALUE CHAIN ANALYSIS

  • 4.1. Value Chain Analysis
  • 4.2. Raw Material Analysis
    • 4.2.1. List of Raw Materials
    • 4.2.2. Raw Material Manufactures List
    • 4.2.3. Price Trend of Key Raw Materials
  • 4.3. List of Potential Buyers
  • 4.4. Marketing Channel
    • 4.4.1. Direct Marketing
    • 4.4.2. Indirect Marketing
    • 4.4.3. Marketing Channel Development Trend

5 . IMPACT ANALYSIS OF COVID-19 OUTBREAK

6 . GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET ANALYSIS BY COMPONENT

  • 6.1 Overview by Component
  • 6.2 Historical and Forecast Data
  • 6.3 Analysis by Component
  • 6.4 Software Historic and Forecast Sales by Regions
  • 6.5 Services Historic and Forecast Sales by Regions

7 . GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET ANALYSIS BY TYPE

  • 7.1 Overview by Type
  • 7.2 Historical and Forecast Data
  • 7.3 Analysis by Type
  • 7.4 Integrated Solutions Historic and Forecast Sales by Regions
  • 7.5 Standalone Solutions Historic and Forecast Sales by Regions

8 . GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET ANALYSIS BY DELIVERY MODE

  • 8.1 Overview by Delivery Mode
  • 8.2 Historical and Forecast Data
  • 8.3 Analysis by Delivery Mode
  • 8.4 On-premise Historic and Forecast Sales by Regions
  • 8.5 Cloud-based Historic and Forecast Sales by Regions

9 . GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET ANALYSIS BY END USER

  • 9.1 Overview by End User
  • 9.2 Historical and Forecast Data
  • 9.3 Analysis by End User
  • 9.4 Healthcare Payers Historic and Forecast Sales by Regions
  • 9.5 Healthcare Providers Historic and Forecast Sales by Regions
  • 9.6 Other End Users Historic and Forecast Sales by Regions

10 . GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET ANALYSIS BY GEOGRAPHY

  • 10.1. Regional Outlook
  • 10.2. Introduction
  • 10.3. North America Sales Analysis
    • 10.3.1. Overview, Historic and Forecast Sales Analysis
    • 10.3.2. North America By Segment Sales Analysis
    • 10.3.3. North America By Country Sales Analysis
    • 10.3.4. United State Sales Analysis
    • 10.3.5. Canada Sales Analysis
    • 10.3.6. Mexico Sales Analysis
  • 10.4. Europe Sales Analysis
    • 10.4.1. Overview, Historic and Forecast Sales Analysis
    • 10.4.2. Europe by Segment Sales Analysis
    • 10.4.3. Europe by Country Sales Analysis
    • 10.4.4. United Kingdom Sales Analysis
    • 10.4.5. France Sales Analysis
    • 10.4.6. Germany Sales Analysis
    • 10.4.7. Italy Sales Analysis
    • 10.4.8. Russia Sales Analysis
    • 10.4.9. Rest Of Europe Sales Analysis
  • 10.5. Asia Pacific Sales Analysis
    • 10.5.1. Overview, Historic and Forecast Sales Analysis
    • 10.5.2. Asia Pacific by Segment Sales Analysis
    • 10.5.3. Asia Pacific by Country Sales Analysis
    • 10.5.4. China Sales Analysis
    • 10.5.5. India Sales Analysis
    • 10.5.6. Japan Sales Analysis
    • 10.5.7. South Korea Sales Analysis
    • 10.5.8. Australia Sales Analysis
    • 10.5.9. Rest Of Asia Pacific Sales Analysis
  • 10.6. Latin America Sales Analysis
    • 10.6.1. Overview, Historic and Forecast Sales Analysis
    • 10.6.2. Latin America by Segment Sales Analysis
    • 10.6.3. Latin America by Country Sales Analysis
    • 10.6.4. Brazil Sales Analysis
    • 10.6.5. Argentina Sales Analysis
    • 10.6.6. Peru Sales Analysis
    • 10.6.7. Chile Sales Analysis
    • 10.6.8. Rest of Latin America Sales Analysis
  • 10.7. Middle East & Africa Sales Analysis
    • 10.7.1. Overview, Historic and Forecast Sales Analysis
    • 10.7.2. Middle East & Africa by Segment Sales Analysis
    • 10.7.3. Middle East & Africa by Country Sales Analysis
    • 10.7.4. Saudi Arabia Sales Analysis
    • 10.7.5. UAE Sales Analysis
    • 10.7.6. Israel Sales Analysis
    • 10.7.7. South Africa Sales Analysis
    • 10.7.8. Rest Of Middle East And Africa Sales Analysis

11 . COMPETITIVE LANDSCAPE OF THE HEALTHCARE CLAIMS MANAGEMENT COMPANIES

  • 11.1. Healthcare Claims Management Market Competition
  • 11.2. Partnership/Collaboration/Agreement
  • 11.3. Merger And Acquisitions
  • 11.4. New Product Launch
  • 11.5. Other Developments

12 . COMPANY PROFILES OF HEALTHCARE CLAIMS MANAGEMENT INDUSTRY

  • 12.1. Top Company Share Analysis
  • 12.2. Market Concentration Rate
  • 12.3. Cerner Corporation (US)
    • 12.3.1. Company Overview
    • 12.3.2. Company Revenue
    • 12.3.3. Products
    • 12.3.4. Recent Developments
  • 12.4. McKesson Corporation (US)
    • 12.4.1. Company Overview
    • 12.4.2. Company Revenue
    • 12.4.3. Products
    • 12.4.4. Recent Developments
  • 12.5. athenahealth (US)
    • 12.5.1. Company Overview
    • 12.5.2. Company Revenue
    • 12.5.3. Products
    • 12.5.4. Recent Developments
  • 12.6. eClinicalWorks (US)
    • 12.6.1. Company Overview
    • 12.6.2. Company Revenue
    • 12.6.3. Products
    • 12.6.4. Recent Developments
  • 12.7. Optum Inc (US)
    • 12.7.1. Company Overview
    • 12.7.2. Company Revenue
    • 12.7.3. Products
    • 12.7.4. Recent Developments
  • 12.8. Conifer Health Solutions (US)
    • 12.8.1. Company Overview
    • 12.8.2. Company Revenue
    • 12.8.3. Products
    • 12.8.4. Recent Developments
  • 12.9. nThrive (US)
    • 12.9.1. Company Overview
    • 12.9.2. Company Revenue
    • 12.9.3. Products
    • 12.9.4. Recent Developments

Note - in company profiling, financial details and recent development are subject to availability or might not be covered in case of private companies

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