Global Healthcare Claims Management Market Research Report: By Component (Software and Services), by Delivery Mode (On-Premise and Cloud Based), by Type (Integrated and Standalone), and by End-User (Healthcare Payers and Providers) – Forecast Till 2027
ID: MRFR/HCIT/4915-HCR | February 2021 | Region: Global | 90 pages
Market Scenario
Global healthcare claims management market is expected to grow significantly over the forecast period. It is estimated that the global healthcare claims management market is expected to register a CAGR ~ 5.37% during the forecast period of 2018–2023. Healthcare claims management process comprises of various tasks such as organization, billing, filling, updating, and processing of medical claims related to the diagnosis, treatment, and medication of patients.
The global market is driven by factors such as increase in ageing population, rise in incidence of chronic diseases, improved focus on healthcare quality services and advent of innovative treatments & technologies.
Factors such as increasing concerns regarding the patient data safety and security limit and data breaches and loss of confidentiality, lack of skilled IT professionals in healthcare are restraining the growth of medical claims management solutions market. According to the National Health Insurer Report Card published in 2011 by American Medical Association (AMA), around $17 billion a year (on an average) could be saved by eliminating errors in claims.
Segmentation
The global healthcare claims management market has been segmented into component, delivery mode type and end-user. The market, based on component, has been segmented into software and services. The market, by delivery mode, has been segmented into on-premise and cloud based. The market, by type, has been segmented into integrated and standalone. The market, by end-user has been segmented into healthcare payers and providers.
The market has been segmented, by region, into the Americas, Europe, Asia-Pacific, and the Middle East & Africa. The healthcare claims management market in the Americas has further been segmented into North America and South America, with the North American market divided into the US and Canada. The European healthcare claims management market has been segmented into Western Europe and Eastern Europe. Western Europe has further been classified as Germany, France, the UK, Italy, Spain, and the rest of Western Europe. The healthcare claims management market in Asia-Pacific has been segmented into Japan, China, India, South Korea, Australia, and the rest of Asia-Pacific. The healthcare claims management market in the Middle East & Africa has been segmented into the Middle East and Africa.
Key players
Cerner Corporation (US), McKesson Corporation (US), Athenahealth (US), eClinicalWorks (US), Optum, Inc. (US), Conifer Health Solutions (US), nThrive (US), Avaya Inc. (USA), Oracle Corporation (US), Infor Inc. (US), Allscripts Healthcare Solutions, Inc. (US), Accenture plc. (Ireland), IBM Corporation (US), Cognizant Technology Solutions Corporation (US) and Genpact Limited (US) are some of the key players in the global healthcare claims management market.
Regional Market Summary
Global Healthcare Claims Management Market Share (%), by Region, 2017
Source: World Health Organization (WHO), United Nations Department of Economic and Social Affairs (UN-DESA)
Geographically, the Americas is expected to dominate the global healthcare claims management market due to the growing HCIT investments in the region and the presence of regulatory mandates favouring the implementation of healthcare claims management solutions.
Europe is expected to hold the second largest position in the global healthcare claims management market. The market growth in this region is because of the rise in prevalence of chronic diseases, presence of well-established healthcare system and increase in insurance coverage.
Asia-Pacific is estimated to be the fastest growing region in the market due to the improved healthcare infrastructure and increasing geriatric population.
On the other hand, the Middle East & Africa has the least share of the market. This is due to low technological advancements in the field of healthcare IT.
Global Healthcare Claims Management Market, by Component
- Software
- Services
Global Healthcare Claims Management Market, by Delivery Mode
- On-premise
- Cloud based
Global Healthcare Claims Management Market, by Type
- Integrated
- Standalone
Global Healthcare Claims Management Market, by End-User
- Healthcare Payers
- Providers
Global Healthcare Claims Management Market, by Region
- Americas
- North America
- US
- Canada
- South America
- Europe
- Western Europe
- Germany
- France
- Italy
- Spain
- UK
- Rest of Western Europe
- Eastern Europe
- Asia-Pacific
- Japan
- China
- India
- Australia
- South Korea
- Rest of Asia-Pacific
- The Middle East & Africa
- Middle East
- Africa
Intended Audience
- Healthcare insurance payers
- Healthcare IT service providers
- Healthcare BPO Vendors
- Healthcare KPO Vendors
- Government bodies
- Corporate entities
- Healthcare institutions/providers (hospitals, medical groups, physician practices, diagnostic centers, pharmacies, ambulatory centers, and outpatient clinics)
- Venture capitalists
Frequently Asked Questions (FAQ) :
Healthcare Claims Management Market has shown possibilities of attaining 5.37% CAGR during the forecast period covering 2018 to 2023.
Factors like rise in chronic diseases, aging population, better healthcare quality services, and inclusion of innovative treatments are propelling the growth for the Healthcare Claims Management Market.
Possibility of security breaches, lack of adept professionals to operate the system, and others can hold back the Healthcare Claims Management Market.
Americas would control the maximum Healthcare Claims Management Market share.
Healthcare Claims Management Market would find the Asia Pacific as the fastest-growing region.
Table of Contents:
Chapter 1. Report Prologue
Chapter 2. Market Introduction
2.1 Definition
2.2 Scope of the Study
2.2.1 Research Objective
2.2.2 Assumptions
2.2.3 Limitations
Chapter 3. Research Methodology
3.1 Introduction
3.2 Primary Research
3.3 Secondary Research
3.4 Market Size Estimation
Chapter 4. Market Dynamics
4.1 Drivers
4.2 Restraints
4.3 Opportunities
4.4 Challenges
4.5 Macroeconomic Indicators
4.6 Technology Trends & Assessment
Chapter 5. Market Factor Analysis
5.1 Porter’s Five Forces Analysis
5.1.1 Bargaining Power of Suppliers
5.1.2 Bargaining Power of Buyers
5.1.3 Threat of New Entrants
5.1.4 Threat of Substitutes
5.1.5 Intensity of Rivalry
5.2 Value Chain Analysis
5.3 Investment Feasibility Analysis
5.4 Pricing Analysis
Chapter 6. Global Healthcare Claims Management Market, by Component
6.1 Introduction
6.2 Software
Market Estimates & Forecast, by Region, 2020–2027
Market Estimates & Forecast, by Country, 2020–2027
6.3 Services
Market Estimates & Forecast, by Region, 2020–2027
Market Estimates & Forecast, by Country, 2020–2027
Chapter 7. Global Healthcare Claims Management Market, by Delivery Mode
7.1 Introduction
7.2 On-premise
Market Estimates & Forecast, by Region, 2020–2027
Market Estimates & Forecast, by Country, 2020–2027
7.3 Cloud based
Market Estimates & Forecast, by Region, 2020–2027
Market Estimates & Forecast, by Country, 2020–2027
Chapter 8. Global Healthcare Claims Management, by Type
8.1 Integrated
Market Estimates & Forecast, by Region, 2020–2027
Market Estimates & Forecast, by Country, 2020–2027
8.2 Standalone
Market Estimates & Forecast, by Region, 2020–2027
Market Estimates & Forecast, by Country, 2020–2027
Chapter 9. Global Healthcare Claims Management Market, by End-User
9.1 Healthcare Payers
9.2 Providers
Chapter 10. Global Healthcare Claims Management Market, by Region
10.1 Introduction
10.2 Americas
10.2.1 North America
10.2.1.1 US
10.2.1.2 Canada
10.2.2 South America
10.3 Europe
10.3.1 Western Europe
10.3.1.1 Germany
10.3.1.2 France
10.3.1.3 Italy
10.3.1.4 Spain
10.3.1.5 UK
10.3.1.6 Rest of Western Europe
10.3.2 Eastern Europe
10.4 Asia-Pacific
10.4.1 Japan
10.4.2 China
10.4.3 India
10.4.4 Australia
10.4.5 South Korea
10.4.6 Rest of Asia-Pacific
10.5 Middle East & Africa
10.5.1 Middle East
10.5.2 Africa
Chapter 11. Company Landscape
11.1 Introduction
11.2 Market Share Analysis
11.3 Key Development & Strategies
Chapter 12. Company Profiles
12.1 Cerner Corporation
12.1.1 Company Overview
12.1.2 Product Overview
12.1.3 Financials Overview
12.1.4 Key Developments
12.1.5 SWOT Analysis
12.2 McKesson Corporation
12.2.1 Company Overview
12.2.2 Product Overview
12.2.3 Financial Overview
12.2.4 Key Developments
12.2.5 SWOT Analysis
12.3 Athenahealth, Inc.
12.3.1 Company Overview
12.3.2 Product Overview
12.3.3 Financial Overview
12.3.4 Key Development
12.3.5 SWOT Analysis
12.4 eClinicalWorks
12.4.1 Company Overview
12.4.2 Product Overview
12.4.3 Financial Overview
12.4.4 Key Development
12.4.5 SWOT Analysis
12.5 Optum, Inc.
12.5.1 Company Overview
12.5.2 Product Overview
12.5.3 Financial overview
12.5.4 Key Developments
12.5.5 SWOT Analysis
12.6 Conifer Health Solutions
12.6.1 Company Overview
12.6.2 Product Overview
12.6.3 Financial Overview
12.6.4 Key Developments
12.6.5 SWOT Analysis
12.7 nThrive, Inc.
12.7.1 Overview
12.7.2 Product Overview
12.7.3 Financial Overview
12.7.4 Key Developments
12.7.5 SWOT Analysis
12.8 Avaya Inc.
12.8.1 Overview
12.8.2 Product Overview
12.8.3 Financials
12.8.4 Key Developments
12.8.5 SWOT Analysis
12.9 Oracle Corporation
12.9.1 Overview
12.9.2 Product Overview
12.9.3 Financials
12.9.4 Key Developments
12.9.5 SWOT Analysis
12.10 Infor Inc.
12.10.1 Overview
12.10.2 Product Overview
12.10.3 Financials
12.10.4 Key Developments
12.10.5 SWOT Analysis
12.11 Allscripts Healthcare Solutions, Inc.
12.11.1 Overview
12.11.2 Product Overview
12.11.3 Financials
12.11.4 Key Developments
12.11.5 SWOT Analysis
12.12 Accenture plc.
12.12.1 Overview
12.12.2 Product Overview
12.12.3 Financials
12.12.4 Key Developments
12.12.5 SWOT Analysis
12.13 IBM Corporation
12.13.1 Overview
12.13.2 Product Overview
12.13.3 Financials
12.13.4 Key Developments
12.13.5 SWOT Analysis
12.14 Cognizant Technology Solutions Corporation
12.14.1 Overview
12.14.2 Product Overview
12.14.3 Financials
12.14.4 Key Developments
12.14.5 SWOT Analysis
12.15 Genpact Limited
12.15.1 Overview
12.15.2 Product Overview
12.15.3 Financials
12.15.4 Key Developments
12.15.5 SWOT Analysis
Chapter 13 MRFR Conclusion
13.1 Key Findings
13.1.1 From CEO’s View point
13.1.2 Unmet Needs of the Market
13.2 Key Companies to Watch
13.3 Predictions for the Healthcare Claims Management Industry
Chapter 14. Appendix
LIST OF TABLES
Table 1 Global Healthcare Claims Management Market Synopsis, 2020–2027
Table 2 Global Healthcare Claims Management Market Estimates and Forecast, 2020–2027 (USD Million)
Table 3 Global Healthcare Claims Management Market, by Component, 2020–2027 (USD Million)
Table 4 Global Healthcare Claims Management Market, by Delivery Mode, 2020–2027 (USD Million)
Table 5 Global Healthcare Claims Management Market, by Type, 2020–2027 (USD Million)
Table 6 Global Healthcare Claims Management Market, by End-User, 2020–2027 (USD Million)
Table 7 Global Healthcare Claims Management Market, by Region, 2020–2027 (USD Million)
Table 6 North America: Healthcare Claims Management Market, by Component, 2020–2027 (USD Million)
Table 7 North America: Healthcare Claims Management Market, by Delivery Mode, 2020–2027 (USD Million)
Table 8 North America: Healthcare Claims Management Market, by Type, 2020–2027 (USD Million)
Table 9 North America: Healthcare Claims Management Market, by End-User, 2020–2027 (USD Million)
Table 10 North America: Healthcare Claims Management Market, by Region, 2020–2027 (USD Million)
Table 11 US: Healthcare Claims Management Market, by Component, 2020–2027 (USD Million)
Table 12 US: Healthcare Claims Management Market, by Delivery Mode, 2020–2027 (USD Million)
Table 13 US: Healthcare Claims Management Market, by Type, 2020–2027 (USD Million)
Table 14 US: Healthcare Claims Management Market, by End-User, 2020–2027 (USD Million)
Table 15 US: Healthcare Claims Management Market, by Region, 2020–2027 (USD Million)
Table 16 Canada: Healthcare Claims Management Market, by Component, 2020–2027 (USD Million)
Table 17 Canada: Healthcare Claims Management Market, by Delivery Mode, 2020–2027 (USD Million)
Table 18 Canada: Healthcare Claims Management Market, by Type, 2020–2027 (USD Million)
Table 19 Canada: Healthcare Claims Management Market, by End-User, 2020–2027 (USD Million)
Table 20 Canada: Healthcare Claims Management Market, by Region, 2020–2027 (USD Million)
Table 21 South America: Healthcare Claims Management Market, by Component, 2020–2027 (USD Million)
Table 22 South America: Healthcare Claims Management Market, by Delivery Mode, 2020–2027 (USD Million)
Table 23 South America: Healthcare Claims Management Market, by Type, 2020–2027 (USD Million)
Table 24 South America: Healthcare Claims Management Market, by End-User, 2020–2027 (USD Million)
Table 25 South America: Healthcare Claims Management Market, by Region, 2020–2027 (USD Million)
Table 26 Europe: Healthcare Claims Management Market, by Component, 2020–2027 (USD Million)
Table 27 Europe: Healthcare Claims Management Market, by Delivery Mode, 2020–2027 (USD Million)
Table 28 Europe: Healthcare Claims Management Market, by Type, 2020–2027 (USD Million)
Table 29 Europe: Healthcare Claims Management Market, by End-User, 2020–2027 (USD Million)
Table 30 Europe: Healthcare Claims Management Market, by Region, 2020–2027 (USD Million)
Table 31 Western Europe: Healthcare Claims Management Market, by Component, 2020–2027 (USD Million)
Table 32 Western Europe: Healthcare Claims Management Market, by Delivery Mode, 2020–2027 (USD Million)
Table 33 Western Europe: Healthcare Claims Management Market, by Type, 2020–2027 (USD Million)
Table 34 Western Europe: Healthcare Claims Management Market, by End-User, 2020–2027 (USD Million)
Table 35 Western Europe: Healthcare Claims Management Market, by Region, 2020–2027 (USD Million)
Table 36 Eastern Europe: Healthcare Claims Management Market, by Component, 2020–2027 (USD Million)
Table 37 Eastern Europe: Healthcare Claims Management Market, by Delivery Mode, 2020–2027 (USD Million)
Table 38 Eastern Europe: Healthcare Claims Management Market, by Type, 2020–2027 (USD Million)
Table 39 Eastern Europe: Healthcare Claims Management Market, by End-User, 2020–2027 (USD Million)
Table 40 Eastern Europe: Healthcare Claims Management Market, by Region, 2020–2027 (USD Million)
Table 41 Asia-Pacific: Healthcare Claims Management Market, by Component, 2020–2027 (USD Million)
Table 42 Asia-Pacific: Healthcare Claims Management Market, by Delivery Mode, 2020–2027 (USD Million)
Table 43 Asia-Pacific: Healthcare Claims Management Market, by Type, 2020–2027 (USD Million)
Table 44 Asia-Pacific: Healthcare Claims Management Market, by End-User, 2020–2027 (USD Million)
Table 45 Asia-Pacific: Healthcare Claims Management Market, by Region, 2020–2027 (USD Million)
Table 46 Middle East & Africa: Healthcare Claims Management Market, by Component, 2020–2027 (USD Million)
Table 47 Middle East & Africa: Healthcare Claims Management Market, by Delivery Mode, 2020–2027 (USD Million)
Table 48 Middle East & Africa: Healthcare Claims Management Market, by Type, 2020–2027 (USD Million)
Table 49 Middle East & Africa: Healthcare Claims Management Market, by End-User, 2020–2027 (USD Million)
Table 50 Middle East & Africa: Healthcare Claims Management Market, by Region, 2020–2027 (USD Million)
LIST OF FIGURES
Figure 1 Research Process
Figure 2 Segmentation for Global Healthcare Claims Management Market
Figure 3 Segmentation Market Dynamics for Global Healthcare Claims Management Market
Figure 4 Global Healthcare Claims Management Market Share, by Component, 2020 (%)
Figure 5 Global Healthcare Claims Management Market Share, by Delivery Mode, 2020 (%)
Figure 6 Global Healthcare Claims Management Market Share, by Type, 2020 (%)
Figure 7 Global Healthcare Claims Management Market Share, by End-User, 2020 (%)
Figure 8 Global Healthcare Claims Management Market Share, by Region, 2020 (%)
Figure 9 North America: Healthcare Claims Management Market Share, by Country, 2020 (%)
Figure 10 Europe: Healthcare Claims Management Market Share, by Country, 2020 (%)
Figure 11 Asia-Pacific: Healthcare Claims Management Market Share, by Country, 2020 (%)
Figure 12 Middle East & Africa: Healthcare Claims Management Market Share, by Country, 2020 (%)
Figure 13 Global Healthcare Claims Management Market: Company Share Analysis, 2020 (%)
Figure 14 Cerner Corporation: Key Financials
Figure 15 Cerner Corporation: Segmental Revenue
Figure 16 Cerner Corporation: Geographical Revenue
Figure 17 McKesson Corporation: Key Financials
Figure 18 McKesson Corporation: Segmental Revenue
Figure 19 McKesson Corporation: Geographical Revenue
Figure 20 Athenahealth, Inc.: Key Financials
Figure 21 Athenahealth, Inc.: Segmental Revenue
Figure 22 Athenahealth, Inc.: Geographical Revenue
Figure 23 eClinicalWorks: Key Financials
Figure 24 eClinicalWorks: Segmental Revenue
Figure 25 eClinicalWorks: Geographical Revenue
Figure 26 Optum, Inc.: Key Financials
Figure 27 Optum, Inc.: Segmental Revenue
Figure 28 Optum, Inc.: Geographical Revenue
Figure 29 Conifer Health Solutions: Key Financials
Figure 30 Conifer Health Solutions: Segmental Revenue
Figure 31 Conifer Health Solutions: Geographical Revenue
Figure 32 nThrive, Inc.: Key Financials
Figure 33 nThrive, Inc.: Segmental Revenue
Figure 34 nThrive, Inc.: Geographical Revenue
Figure 35 Avaya Inc.: Key Financials
Figure 36 Avaya Inc.: Segmental Revenue
Figure 37 Avaya Inc.: Geographical Revenue
Figure 38 Oracle Corporation: Key Financials
Figure 39 Oracle Corporation: Segmental Revenue
Figure 40 Oracle Corporation: Geographical Revenue
Figure 41 Infor Inc.: Key Financials
Figure 42 Infor Inc.: Segmental Revenue
Figure 43 Infor Inc.: Geographical Revenue
Figure 44 Allscripts Healthcare Solutions, Inc.: Key Financials
Figure 45 Allscripts Healthcare Solutions, Inc.: Segmental Revenue
Figure 46 Allscripts Healthcare Solutions, Inc.: Geographical Revenue
Figure 47 Accenture plc.: Key Financials
Figure 48 Accenture plc.: Segmental Revenue
Figure 49 Accenture plc.: Geographical Revenue
Figure 50 IBM Corporation: Key Financials
Figure 51 IBM Corporation: Segmental Revenue
Figure 52 IBM Corporation: Geographical Revenue
Figure 53 Cognizant Technology Solutions Corporation: Key Financials
Figure 54 Cognizant Technology Solutions Corporation: Segmental Revenue
Figure 55 Cognizant Technology Solutions Corporation: Geographical Revenue
Figure 56 Genpact Limited: Key Financials
Figure 57 Genpact Limited: Segmental Revenue
Figure 58 Genpact Limited: Geographical Revenue
