New

Healthcare Claims Management Market

2021

Healthcare Claims Management Market Forecast to 2028 - COVID-19 Impact and Global Analysis By Component (Services, Software); Type (Integrated Solution, Standalone Solution); Delivery Mode (On Premise, Cloud Based); End User (Healthcare Payers, Healthcare Providers, Other End Users) and Geography

| Report Code: TIPRE00003083 | No. of Pages: 150 | Category: Healthcare IT | Status: Upcoming

Market Insights

Healthcare Claims Management Market 2028 By Component, Type, Delivery Mode, End User and Geography | The Insight Partners

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MARKET OVERVIEW



Healthcare claims management process involves various tasks such as billing, organization, updating, filling and processing of medical claims related to thetreatment, diagnosis and medication of patients. Factors such as an ageing population, an increase in the prevalence of chronic diseases, an increased attention on healthcare quality services, and the launch of innovative treatments and technology are driving the global market.

MARKET SCOPE



The "Global Healthcare Claims Management Market Analysis to 2028" is a specialized and in-depth study of the healthcare industry with a special focus on the global market trend analysis. The report aims to provide an overview of the healthcare claims management market with detailed market segmentation by component, type, delivery mode and end user. The report provides key statistics on the market status of the leading healthcare claims management market players and offers key trends and opportunities in the market.

MARKET SEGMENTATION



  • Based on component the market is segmented as, services and software.
  • Based on type the market is segmented as, integrated solution and standalone solution.
  • Based on delivery mode the market is segmented as, on premise and cloud based.
  • Based on end user the market is segmented as, healthcare payers, healthcare providers and other end users.

MARKET DYNAMICS


Drivers:



  • Growing prevalence of chronic diseases and increasing geriatric population across the globe.
  • Improved focus on healthcare quality service and booming health insurance market is also expected to create significant growth opportunities for market growth.
  • Surge in number of medical claims, rising number of patients covered under medical insurance are also expected to spur the market growth.

Restraints:



  • However, dearth of skilled professionals along with issues with data privacy and security are likely to restrain market growth.

REGIONAL FRAMEWORK



The report provides a detailed overview of the industry including both qualitative and quantitative information. It provides an overview and forecast of the global market based on various segments. It also provides market size and forecast estimates from the year 2019 to 2028 with respect to five major regions, namely; North America, Europe, Asia-Pacific (APAC), the Middle East and Africa (MEA), and South America. The healthcare claims management market by each region is later sub-segmented by respective countries and segments. The report covers the analysis and forecast of 18 countries globally along with the current trend and opportunities prevailing in the region.

The report analyzes factors affecting the market from both demand and supply side and further evaluates market dynamics affecting the market during the forecast period i.e., drivers, restraints, opportunities, and future trend. The report also provides exhaustive PEST analysis for all five regions namely; North America, Europe, APAC, MEA, and South America after evaluating political, economic, social and technological factors affecting the healthcare claims management market in these regions.

IMPACT OF COVID-19ON HEALTHCARE CLAIMS MANAGEMENT MARKET



COVID-19 first began in Wuhan (China) during December 2019 and since then it has spread at a fast pace across the globe. The US, India, Brazil, Russia, France, the UK, Turkey, Italy, and Spain are some of the worst affected countries in terms confirmed cases and reported deaths. The COVID-19 has been affecting economies and industries in various countries due to lockdowns, travel bans, and business shutdowns. Shutdown of various plants and factories has affected the global supply chains and negatively impacted the manufacturing, delivery schedules, and sales of products in global market. Few companies have already announced possible delays in product deliveries and slump in future sales of their products. According to the current market situation, the report further assesses the present and future effects of the COVID-19 pandemic on the overall market, giving more reliable and authentic projections In addition to this, the global travel bans imposed by countries in Europe, Asia-Pacific, and North America are affecting the business collaborations and partnerships opportunities.

MARKET PLAYERS



The report covers key developments in the healthcare claims management market as organic and inorganic growth strategies. Various companies are focusing on organic growth strategies such as product launches, product approvals and others such as patents and events. Inorganic growth strategies activities witnessed in the marketwere acquisitions, and partnership & collaborations. These activities have paved way for the expansion of business and customer base of market players. The market payers from healthcare claims management market are anticipated to lucrative growth opportunities in the future with the rising demand for healthcare claims management in the global market.

The report also includes the profiles of key companies along with their SWOT analysis and market strategies in the healthcare claims management market. In addition, the report focuses on leading industry players with information such as company profiles, components, and services offered, financial information of the last 3 years, the key development in the past five years.

  • Gebbs Healthcare Solutions
  • athenahealth, Inc.
  • Cerner Corporation
  • Cognizant
  • Conifer Health Solutions, LLC
  • eClinicalWorks
  • McKesson Corporation
  • Optum, Inc.
  • Oracle
  • The SSI Group, LLC
The Insight Partner's dedicated research and analysis team consist of experienced professionals with advanced statistical expertise and offer various customization options in the existing study.
TABLE OF CONTENTS

1. INTRODUCTION
1.1. SCOPE OF THE STUDY
1.2. THE INSIGHT PARTNERS RESEARCH REPORT GUIDANCE
1.3. MARKET SEGMENTATION
1.3.1 Healthcare Claims Management Market - By Component
1.3.2 Healthcare Claims Management Market - By Type
1.3.3 Healthcare Claims Management Market - By Delivery Mode
1.3.4 Healthcare Claims Management Market - By End User
1.3.5 Healthcare Claims Management Market - By Region
1.3.5.1 By Country

2. KEY TAKEAWAYS

3. RESEARCH METHODOLOGY

4. HEALTHCARE CLAIMS MANAGEMENT MARKET LANDSCAPE
4.1. OVERVIEW
4.2. PORTER'S FIVE FORCES ANALYSIS
4.2.1 Bargaining Power of Buyers
4.2.1 Bargaining Power of Suppliers
4.2.1 Threat of Substitute
4.2.1 Threat of New Entrants
4.2.1 Competitive Rivalry
4.3. EXPERT OPINIONS

5. HEALTHCARE CLAIMS MANAGEMENT MARKET - KEY MARKET DYNAMICS
5.1. KEY MARKET DRIVERS
5.2. KEY MARKET RESTRAINTS
5.3. KEY MARKET OPPORTUNITIES
5.4. FUTURE TRENDS
5.5. IMPACT ANALYSIS OF DRIVERS AND RESTRAINTS

6. HEALTHCARE CLAIMS MANAGEMENT MARKET - GLOBAL MARKET ANALYSIS
6.1. HEALTHCARE CLAIMS MANAGEMENT - GLOBAL MARKET OVERVIEW
6.2. HEALTHCARE CLAIMS MANAGEMENT - GLOBAL MARKET AND FORECAST TO 2028
6.3. MARKET POSITIONING/MARKET SHARE

7. HEALTHCARE CLAIMS MANAGEMENT MARKET - REVENUE AND FORECASTS TO 2028 - COMPONENT
7.1. OVERVIEW
7.2. COMPONENT MARKET FORECASTS AND ANALYSIS
7.3. SERVICES
7.3.1. Overview
7.3.2. Services Market Forecast and Analysis
7.4. SOFTWARE
7.4.1. Overview
7.4.2. Software Market Forecast and Analysis
8. HEALTHCARE CLAIMS MANAGEMENT MARKET - REVENUE AND FORECASTS TO 2028 - TYPE
8.1. OVERVIEW
8.2. TYPE MARKET FORECASTS AND ANALYSIS
8.3. INTEGRATED SOLUTION
8.3.1. Overview
8.3.2. Integrated Solution Market Forecast and Analysis
8.4. STANDALONE SOLUTION
8.4.1. Overview
8.4.2. Standalone Solution Market Forecast and Analysis
9. HEALTHCARE CLAIMS MANAGEMENT MARKET - REVENUE AND FORECASTS TO 2028 - DELIVERY MODE
9.1. OVERVIEW
9.2. DELIVERY MODE MARKET FORECASTS AND ANALYSIS
9.3. ON PREMISE
9.3.1. Overview
9.3.2. On Premise Market Forecast and Analysis
9.4. CLOUD BASED
9.4.1. Overview
9.4.2. Cloud Based Market Forecast and Analysis
10. HEALTHCARE CLAIMS MANAGEMENT MARKET - REVENUE AND FORECASTS TO 2028 - END USER
10.1. OVERVIEW
10.2. END USER MARKET FORECASTS AND ANALYSIS
10.3. HEALTHCARE PAYERS
10.3.1. Overview
10.3.2. Healthcare Payers Market Forecast and Analysis
10.4. HEALTHCARE PROVIDERS
10.4.1. Overview
10.4.2. Healthcare Providers Market Forecast and Analysis
10.5. OTHER END USERS
10.5.1. Overview
10.5.2. Other End Users Market Forecast and Analysis

11. HEALTHCARE CLAIMS MANAGEMENT MARKET REVENUE AND FORECASTS TO 2028 - GEOGRAPHICAL ANALYSIS
11.1. NORTH AMERICA
11.1.1 North America Healthcare Claims Management Market Overview
11.1.2 North America Healthcare Claims Management Market Forecasts and Analysis
11.1.3 North America Healthcare Claims Management Market Forecasts and Analysis - By Component
11.1.4 North America Healthcare Claims Management Market Forecasts and Analysis - By Type
11.1.5 North America Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode
11.1.6 North America Healthcare Claims Management Market Forecasts and Analysis - By End User
11.1.7 North America Healthcare Claims Management Market Forecasts and Analysis - By Countries
11.1.7.1 United States Healthcare Claims Management Market
11.1.7.1.1 United States Healthcare Claims Management Market by Component
11.1.7.1.2 United States Healthcare Claims Management Market by Type
11.1.7.1.3 United States Healthcare Claims Management Market by Delivery Mode
11.1.7.1.4 United States Healthcare Claims Management Market by End User
11.1.7.2 Canada Healthcare Claims Management Market
11.1.7.2.1 Canada Healthcare Claims Management Market by Component
11.1.7.2.2 Canada Healthcare Claims Management Market by Type
11.1.7.2.3 Canada Healthcare Claims Management Market by Delivery Mode
11.1.7.2.4 Canada Healthcare Claims Management Market by End User
11.1.7.3 Mexico Healthcare Claims Management Market
11.1.7.3.1 Mexico Healthcare Claims Management Market by Component
11.1.7.3.2 Mexico Healthcare Claims Management Market by Type
11.1.7.3.3 Mexico Healthcare Claims Management Market by Delivery Mode
11.1.7.3.4 Mexico Healthcare Claims Management Market by End User
11.2. EUROPE
11.2.1 Europe Healthcare Claims Management Market Overview
11.2.2 Europe Healthcare Claims Management Market Forecasts and Analysis
11.2.3 Europe Healthcare Claims Management Market Forecasts and Analysis - By Component
11.2.4 Europe Healthcare Claims Management Market Forecasts and Analysis - By Type
11.2.5 Europe Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode
11.2.6 Europe Healthcare Claims Management Market Forecasts and Analysis - By End User
11.2.7 Europe Healthcare Claims Management Market Forecasts and Analysis - By Countries
11.2.7.1 Germany Healthcare Claims Management Market
11.2.7.1.1 Germany Healthcare Claims Management Market by Component
11.2.7.1.2 Germany Healthcare Claims Management Market by Type
11.2.7.1.3 Germany Healthcare Claims Management Market by Delivery Mode
11.2.7.1.4 Germany Healthcare Claims Management Market by End User
11.2.7.2 France Healthcare Claims Management Market
11.2.7.2.1 France Healthcare Claims Management Market by Component
11.2.7.2.2 France Healthcare Claims Management Market by Type
11.2.7.2.3 France Healthcare Claims Management Market by Delivery Mode
11.2.7.2.4 France Healthcare Claims Management Market by End User
11.2.7.3 Italy Healthcare Claims Management Market
11.2.7.3.1 Italy Healthcare Claims Management Market by Component
11.2.7.3.2 Italy Healthcare Claims Management Market by Type
11.2.7.3.3 Italy Healthcare Claims Management Market by Delivery Mode
11.2.7.3.4 Italy Healthcare Claims Management Market by End User
11.2.7.4 Spain Healthcare Claims Management Market
11.2.7.4.1 Spain Healthcare Claims Management Market by Component
11.2.7.4.2 Spain Healthcare Claims Management Market by Type
11.2.7.4.3 Spain Healthcare Claims Management Market by Delivery Mode
11.2.7.4.4 Spain Healthcare Claims Management Market by End User
11.2.7.5 United Kingdom Healthcare Claims Management Market
11.2.7.5.1 United Kingdom Healthcare Claims Management Market by Component
11.2.7.5.2 United Kingdom Healthcare Claims Management Market by Type
11.2.7.5.3 United Kingdom Healthcare Claims Management Market by Delivery Mode
11.2.7.5.4 United Kingdom Healthcare Claims Management Market by End User
11.2.7.6 Rest of Europe Healthcare Claims Management Market
11.2.7.6.1 Rest of Europe Healthcare Claims Management Market by Component
11.2.7.6.2 Rest of Europe Healthcare Claims Management Market by Type
11.2.7.6.3 Rest of Europe Healthcare Claims Management Market by Delivery Mode
11.2.7.6.4 Rest of Europe Healthcare Claims Management Market by End User
11.3. ASIA-PACIFIC
11.3.1 Asia-Pacific Healthcare Claims Management Market Overview
11.3.2 Asia-Pacific Healthcare Claims Management Market Forecasts and Analysis
11.3.3 Asia-Pacific Healthcare Claims Management Market Forecasts and Analysis - By Component
11.3.4 Asia-Pacific Healthcare Claims Management Market Forecasts and Analysis - By Type
11.3.5 Asia-Pacific Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode
11.3.6 Asia-Pacific Healthcare Claims Management Market Forecasts and Analysis - By End User
11.3.7 Asia-Pacific Healthcare Claims Management Market Forecasts and Analysis - By Countries
11.3.7.1 Australia Healthcare Claims Management Market
11.3.7.1.1 Australia Healthcare Claims Management Market by Component
11.3.7.1.2 Australia Healthcare Claims Management Market by Type
11.3.7.1.3 Australia Healthcare Claims Management Market by Delivery Mode
11.3.7.1.4 Australia Healthcare Claims Management Market by End User
11.3.7.2 China Healthcare Claims Management Market
11.3.7.2.1 China Healthcare Claims Management Market by Component
11.3.7.2.2 China Healthcare Claims Management Market by Type
11.3.7.2.3 China Healthcare Claims Management Market by Delivery Mode
11.3.7.2.4 China Healthcare Claims Management Market by End User
11.3.7.3 India Healthcare Claims Management Market
11.3.7.3.1 India Healthcare Claims Management Market by Component
11.3.7.3.2 India Healthcare Claims Management Market by Type
11.3.7.3.3 India Healthcare Claims Management Market by Delivery Mode
11.3.7.3.4 India Healthcare Claims Management Market by End User
11.3.7.4 Japan Healthcare Claims Management Market
11.3.7.4.1 Japan Healthcare Claims Management Market by Component
11.3.7.4.2 Japan Healthcare Claims Management Market by Type
11.3.7.4.3 Japan Healthcare Claims Management Market by Delivery Mode
11.3.7.4.4 Japan Healthcare Claims Management Market by End User
11.3.7.5 South Korea Healthcare Claims Management Market
11.3.7.5.1 South Korea Healthcare Claims Management Market by Component
11.3.7.5.2 South Korea Healthcare Claims Management Market by Type
11.3.7.5.3 South Korea Healthcare Claims Management Market by Delivery Mode
11.3.7.5.4 South Korea Healthcare Claims Management Market by End User
11.3.7.6 Rest of Asia-Pacific Healthcare Claims Management Market
11.3.7.6.1 Rest of Asia-Pacific Healthcare Claims Management Market by Component
11.3.7.6.2 Rest of Asia-Pacific Healthcare Claims Management Market by Type
11.3.7.6.3 Rest of Asia-Pacific Healthcare Claims Management Market by Delivery Mode
11.3.7.6.4 Rest of Asia-Pacific Healthcare Claims Management Market by End User
11.4. MIDDLE EAST AND AFRICA
11.4.1 Middle East and Africa Healthcare Claims Management Market Overview
11.4.2 Middle East and Africa Healthcare Claims Management Market Forecasts and Analysis
11.4.3 Middle East and Africa Healthcare Claims Management Market Forecasts and Analysis - By Component
11.4.4 Middle East and Africa Healthcare Claims Management Market Forecasts and Analysis - By Type
11.4.5 Middle East and Africa Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode
11.4.6 Middle East and Africa Healthcare Claims Management Market Forecasts and Analysis - By End User
11.4.7 Middle East and Africa Healthcare Claims Management Market Forecasts and Analysis - By Countries
11.4.7.1 South Africa Healthcare Claims Management Market
11.4.7.1.1 South Africa Healthcare Claims Management Market by Component
11.4.7.1.2 South Africa Healthcare Claims Management Market by Type
11.4.7.1.3 South Africa Healthcare Claims Management Market by Delivery Mode
11.4.7.1.4 South Africa Healthcare Claims Management Market by End User
11.4.7.2 Saudi Arabia Healthcare Claims Management Market
11.4.7.2.1 Saudi Arabia Healthcare Claims Management Market by Component
11.4.7.2.2 Saudi Arabia Healthcare Claims Management Market by Type
11.4.7.2.3 Saudi Arabia Healthcare Claims Management Market by Delivery Mode
11.4.7.2.4 Saudi Arabia Healthcare Claims Management Market by End User
11.4.7.3 U.A.E Healthcare Claims Management Market
11.4.7.3.1 U.A.E Healthcare Claims Management Market by Component
11.4.7.3.2 U.A.E Healthcare Claims Management Market by Type
11.4.7.3.3 U.A.E Healthcare Claims Management Market by Delivery Mode
11.4.7.3.4 U.A.E Healthcare Claims Management Market by End User
11.4.7.4 Rest of Middle East and Africa Healthcare Claims Management Market
11.4.7.4.1 Rest of Middle East and Africa Healthcare Claims Management Market by Component
11.4.7.4.2 Rest of Middle East and Africa Healthcare Claims Management Market by Type
11.4.7.4.3 Rest of Middle East and Africa Healthcare Claims Management Market by Delivery Mode
11.4.7.4.4 Rest of Middle East and Africa Healthcare Claims Management Market by End User
11.5. SOUTH AND CENTRAL AMERICA
11.5.1 South and Central America Healthcare Claims Management Market Overview
11.5.2 South and Central America Healthcare Claims Management Market Forecasts and Analysis
11.5.3 South and Central America Healthcare Claims Management Market Forecasts and Analysis - By Component
11.5.4 South and Central America Healthcare Claims Management Market Forecasts and Analysis - By Type
11.5.5 South and Central America Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode
11.5.6 South and Central America Healthcare Claims Management Market Forecasts and Analysis - By End User
11.5.7 South and Central America Healthcare Claims Management Market Forecasts and Analysis - By Countries
11.5.7.1 Brazil Healthcare Claims Management Market
11.5.7.1.1 Brazil Healthcare Claims Management Market by Component
11.5.7.1.2 Brazil Healthcare Claims Management Market by Type
11.5.7.1.3 Brazil Healthcare Claims Management Market by Delivery Mode
11.5.7.1.4 Brazil Healthcare Claims Management Market by End User
11.5.7.2 Argentina Healthcare Claims Management Market
11.5.7.2.1 Argentina Healthcare Claims Management Market by Component
11.5.7.2.2 Argentina Healthcare Claims Management Market by Type
11.5.7.2.3 Argentina Healthcare Claims Management Market by Delivery Mode
11.5.7.2.4 Argentina Healthcare Claims Management Market by End User
11.5.7.3 Rest of South and Central America Healthcare Claims Management Market
11.5.7.3.1 Rest of South and Central America Healthcare Claims Management Market by Component
11.5.7.3.2 Rest of South and Central America Healthcare Claims Management Market by Type
11.5.7.3.3 Rest of South and Central America Healthcare Claims Management Market by Delivery Mode
11.5.7.3.4 Rest of South and Central America Healthcare Claims Management Market by End User

12. INDUSTRY LANDSCAPE
12.1. MERGERS AND ACQUISITIONS
12.2. AGREEMENTS, COLLABORATIONS AND JOIN VENTURES
12.3. NEW PRODUCT LAUNCHES
12.4. EXPANSIONS AND OTHER STRATEGIC DEVELOPMENTS

13. HEALTHCARE CLAIMS MANAGEMENT MARKET, KEY COMPANY PROFILES
13.1. GEBBS HEALTHCARE SOLUTIONS
13.1.1. Key Facts
13.1.2. Business Description
13.1.3. Products and Services
13.1.4. Financial Overview
13.1.5. SWOT Analysis
13.1.6. Key Developments
13.2. ATHENAHEALTH, INC.
13.2.1. Key Facts
13.2.2. Business Description
13.2.3. Products and Services
13.2.4. Financial Overview
13.2.5. SWOT Analysis
13.2.6. Key Developments
13.3. CERNER CORPORATION
13.3.1. Key Facts
13.3.2. Business Description
13.3.3. Products and Services
13.3.4. Financial Overview
13.3.5. SWOT Analysis
13.3.6. Key Developments
13.4. COGNIZANT
13.4.1. Key Facts
13.4.2. Business Description
13.4.3. Products and Services
13.4.4. Financial Overview
13.4.5. SWOT Analysis
13.4.6. Key Developments
13.5. CONIFER HEALTH SOLUTIONS, LLC
13.5.1. Key Facts
13.5.2. Business Description
13.5.3. Products and Services
13.5.4. Financial Overview
13.5.5. SWOT Analysis
13.5.6. Key Developments
13.6. ECLINICALWORKS
13.6.1. Key Facts
13.6.2. Business Description
13.6.3. Products and Services
13.6.4. Financial Overview
13.6.5. SWOT Analysis
13.6.6. Key Developments
13.7. MCKESSON CORPORATION
13.7.1. Key Facts
13.7.2. Business Description
13.7.3. Products and Services
13.7.4. Financial Overview
13.7.5. SWOT Analysis
13.7.6. Key Developments
13.8. OPTUM, INC.
13.8.1. Key Facts
13.8.2. Business Description
13.8.3. Products and Services
13.8.4. Financial Overview
13.8.5. SWOT Analysis
13.8.6. Key Developments
13.9. ORACLE
13.9.1. Key Facts
13.9.2. Business Description
13.9.3. Products and Services
13.9.4. Financial Overview
13.9.5. SWOT Analysis
13.9.6. Key Developments
13.10. THE SSI GROUP, LLC
13.10.1. Key Facts
13.10.2. Business Description
13.10.3. Products and Services
13.10.4. Financial Overview
13.10.5. SWOT Analysis
13.10.6. Key Developments

14. APPENDIX
14.1. ABOUT THE INSIGHT PARTNERS
14.2. GLOSSARY OF TERMS
The List of Companies

1. Gebbs Healthcare Solutions
2. athenahealth, Inc.
3. Cerner Corporation
4. Cognizant
5. Conifer Health Solutions, LLC
6. eClinicalWorks
7. McKesson Corporation
8. Optum, Inc.
9. Oracle
10. The SSI Group, LLC
11. Nthrive
12. Quest Diagnostics
13. Context 4 Healthcare
14. RAM Technologies, Inc
15. Plexis Healthcare Systems
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