Healthcare Claims Management Market 2027 by Types, Application, Technology, Opportunities, End Users and Regions | The Insight Partners

Healthcare Claims Management Market to 2027 - Global Analysis and Forecasts By Component (Services and Software), Type (Integrated Solution and Standalone Solution), Delivery Mode (On Premise and Cloud Based), End User (Healthcare Payers, Healthcare Providers and Other End Users), and Geography

Report Code: TIPRE00003083 | No. of Pages: 150 | Category: Healthcare IT | Status: Upcoming
In healthcare, the claims procedure is an important aspect in the administrative work performed by a healthcare entity. Medical claims have an impact on the speed and accuracy of the revenue cycle of a healthcare practice. The claims management process begins when a healthcare provider treats a patient and sends a bill of services provided to a designated payer, i.e. a health insurance company.
Rise in the number of health insurance companies along with the increasing patient volume are expected to fuel the growth of the healthcare claims management market during the forecast period. Moreover, rising adoption of electronic health records is anticipated to offer growth opportunities to the companies in the market.

The "Global Healthcare Claims Management Market Analysis to 2027" is a specialized and in-depth study of the medical device industry with a focus on the global market trend. The report aims to provide an overview of global market with detailed market segmentation by component, type, delivery mode, and end user, and geography. The global market is expected to witness high growth during the forecast period. 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.

The global healthcare claims management market is segmented on the basis of component, type, delivery mode, and end user. Based on component, the market is classified as, services and software. On the basis of 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. The healthcare claims management market is categorized based on end user as, healthcare payers, healthcare providers and other end users.

The report provides a detailed overview of the industry including both qualitative and quantitative information. It provides overview and forecast of the global healthcare claims management market based on component, type, delivery mode, and end user. It also provides market size and forecast till 2027 for overall market with respect to five major regions, namely; North America, Europe, Asia-Pacific (APAC), Middle East and Africa (MEA) and South & Central America. The healthcare claims management market by each region is later sub-segmented by respective countries and segments. The report covers analysis and forecast of 18 counties globally along with current trend and opportunities prevailing in the region.

North America is expected to contribute to the largest share in the healthcare claims management market in the coming years, owing to increasing adoption of digitalization in healthcare industry. Asia Pacific is anticipated to witness significant growth in the market during the forecast period, due to rising investment of companies in healthcare IT in leading economies such as China.

The report analyzes factors affecting healthcare claims management market from both demand and supply side and further evaluates market dynamics effecting 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 & Central America after evaluating political, economic, social and technological factors effecting the healthcare claims management market in these regions.

The report also includes the profiles of key healthcare claims management companies along with their SWOT analysis and market strategies. In addition, the report focuses on leading industry players with information such as company profiles, components and services offered, financial information of last 3 years, key development in past five years. Some of the key players operating in the healthcare claims management market Accenture, athenahealth, Inc., Cerner Corporation, Cognizant, Conifer Health Solutions, LLC., eClinicalWorks, McKesson Corporation, Optum, Inc., Oracle, and The SSI Group, LLC among others.
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. MARKET OVERVIEW
4.2. PEST ANALYSIS
4.2.1. North America - PEST Analysis
4.2.2. Europe - PEST Analysis
4.2.3. Asia Pacific - PEST Analysis
4.2.4. Middle East & Africa - PEST Analysis
4.2.5. South and Central America - PEST Analysis

5. HEALTHCARE CLAIMS MANAGEMENT MARKET- KEY INDUSTRY 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 ANALYSIS
6.1. HEALTHCARE CLAIMS MANAGEMENT MARKET - GLOBAL MARKET OVERVIEW
6.2. HEALTHCARE CLAIMS MANAGEMENT MARKET - GLOBAL MARKET AND FORECAST TO 2027
6.3. MARKET POSITIONING/ MARKET SHARE OF KEY PLAYERS

7. HEALTHCARE CLAIMS MANAGEMENT MARKET REVENUE AND FORECASTS TO 2027 - BY COMPONENT
7.1. OVERVIEW
7.2. COMPONENT MARKET FORECASTS AND ANALYSIS
7.3. SERVICES MARKET
7.3.1. Overview
7.3.2. Services Market Forecast and Analysis (US$ Mn)
7.4. SOFTWARE MARKET
7.4.1. Overview
7.4.2. Software Market Forecast and Analysis (US$ Mn)

8. HEALTHCARE CLAIMS MANAGEMENT MARKET REVENUE AND FORECASTS TO 2027 - BY TYPE
8.1. OVERVIEW
8.2. TYPE MARKET FORECASTS AND ANALYSIS
8.3. INTEGRATED SOLUTION MARKET
8.3.1. Overview
8.3.2. Integrated Solution Market Forecast and Analysis (US$ Mn)
8.4. STANDALONE SOLUTION MARKET
8.4.1. Overview
8.4.2. Standalone Solution Market Forecast and Analysis (US$ Mn)

9. HEALTHCARE CLAIMS MANAGEMENT MARKET REVENUE AND FORECASTS TO 2027 - BY DELIVERY MODE
9.1. OVERVIEW
9.2. DELIVERY MODE MARKET FORECASTS AND ANALYSIS
9.3. ON PREMISE MARKET
9.3.1. Overview
9.3.2. On Premise Market Forecast and Analysis (US$ Mn)
9.4. CLOUD BASED MARKET
9.4.1. Overview
9.4.2. Cloud Based Market Forecast and Analysis (US$ Mn)

10. HEALTHCARE CLAIMS MANAGEMENT MARKET REVENUE AND FORECASTS TO 2027 - END USER
10.1. OVERVIEW
10.2. END USER MARKET FORECASTS AND ANALYSIS
10.3. HEALTHCARE PAYERS MARKET
10.3.1. Overview
10.3.2. Healthcare Payers Market Forecast and Analysis (US$ Mn)
10.4. HEALTHCARE PROVIDERS MARKET
10.4.1. Overview
10.4.2. Healthcare Providers Market Forecast and Analysis (US$ Mn)
10.5. OTHER END USERS MARKET
10.5.1. Overview
10.5.2. Other End Users Market Forecast and Analysis (US$ Mn)

11. HEALTHCARE CLAIMS MANAGEMENT MARKET REVENUE AND FORECASTS TO 2027 - GEOGRAPHICAL ANALYSIS
11.1. NORTH AMERICA HEALTHCARE CLAIMS MANAGEMENT MARKET
11.1.1. North America Healthcare Claims Management Market Forecasts and Analysis (US$ Mn)
11.1.2. North America Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.1.3. North America Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.1.4. North America Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.1.5. North America Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.1.6. North America Healthcare Claims Management Market Forecasts and Analysis - By Country
11.1.7. US Market Overview
11.1.7.1. US Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.1.7.2. US Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.1.7.3. US Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.1.7.4. US Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.1.8. Canada Market Overview
11.1.8.1. Canada Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.1.8.2. Canada Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.1.8.3. Canada Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.1.8.4. Canada Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.1.9. Mexico Market Overview
11.1.9.1. Mexico Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.1.9.2. Mexico Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.1.9.3. Mexico Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.1.9.4. Mexico Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.2. EUROPE HEALTHCARE CLAIMS MANAGEMENT MARKET
11.2.1. Europe Healthcare Claims Management Market Forecasts and Analysis (US$ Mn)
11.2.2. Europe Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.2.3. Europe Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.2.4. Europe Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.2.5. Europe Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.2.6. Europe Healthcare Claims Management Market Forecasts and Analysis - By Country
11.2.7. UK Market Overview
11.2.7.1. UK Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.2.7.2. UK Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.2.7.3. UK Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.2.7.4. UK Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.2.8. Germany Market Overview
11.2.8.1. Germany Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.2.8.2. Germany Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.2.8.3. Germany Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.2.8.4. Germany Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.2.9. France Market Overview
11.2.9.1. France Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.2.9.2. France Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.2.9.3. France Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.2.9.4. France Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.2.10. Spain Market Overview
11.2.10.1. Spain Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.2.10.2. Spain Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.2.10.3. Spain Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.2.10.4. Spain Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.2.11. Italy Market Overview
11.2.11.1. Italy Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.2.11.2. Italy Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.2.11.3. Italy Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.2.11.4. Italy Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.3. ASIA PACIFIC HEALTHCARE CLAIMS MANAGEMENT MARKET
11.3.1. Asia Pacific Healthcare Claims Management Market Forecasts and Analysis (US$ Mn)
11.3.2. Asia Pacific Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.3.3. Asia Pacific Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.3.4. Asia Pacific Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.3.5. Asia Pacific Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.3.6. Asia Pacific Healthcare Claims Management Market Forecasts and Analysis - By Country
11.3.7. Japan Market Overview
11.3.7.1. Japan Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.3.7.2. Japan Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.3.7.3. Japan Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.3.7.4. Japan Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.3.8. China Market Overview
11.3.8.1. China Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.3.8.2. China Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.3.8.3. China Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.3.8.4. China Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.3.9. India Market Overview
11.3.9.1. India Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.3.9.2. India Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.3.9.3. India Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.3.9.4. India Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.3.10. Australia Market Overview
11.3.10.1. Australia Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.3.10.2. Australia Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.3.10.3. Australia Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.3.10.4. Australia Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.3.11. South Korea Market Overview
11.3.11.1. South Korea Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.3.11.2. South Korea Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.3.11.3. South Korea Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.3.11.4. South Korea Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.4. MIDDLE EAST & AFRICA (MEA) HEALTHCARE CLAIMS MANAGEMENT MARKET
11.4.1. Middle East & Africa (MEA) Healthcare Claims Management Market Forecasts and Analysis (US$ Mn)
11.4.2. Middle East & Africa (MEA) Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.4.3. Middle East & Africa (MEA) Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.4.4. Middle East & Africa (MEA) Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.4.5. Middle East & Africa (MEA) Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.4.6. Middle East & Africa (MEA) Healthcare Claims Management Market Forecasts and Analysis - By Country
11.4.7. South Africa Market Overview
11.4.7.1. South Africa Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.4.7.2. South Africa Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.4.7.3. South Africa Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.4.7.4. South Africa Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.4.8. Saudi Arabia Market Overview
11.4.8.1. Saudi Arabia Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.4.8.2. Saudi Arabia Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.4.8.3. Saudi Arabia Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.4.8.4. Saudi Arabia Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.4.9. UAE Market Overview
11.4.9.1. UAE Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.4.9.2. UAE Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.4.9.3. UAE Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.4.9.4. UAE Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.5. SOUTH AND CENTRAL AMERICA HEALTHCARE CLAIMS MANAGEMENT MARKET
11.5.1. South and Central America Healthcare Claims Management Market Forecasts and Analysis (US$ Mn)
11.5.2. South and Central America Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.5.3. South and Central America Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.5.4. South and Central America Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.5.5. South and Central America Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.5.6. South and Central America Healthcare Claims Management Market Forecasts and Analysis - By Country
11.5.7. Brazil Market Overview
11.5.7.1. Brazil Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.5.7.2. Brazil Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.5.7.3. Brazil Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.5.7.4. Brazil Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)
11.5.8. Argentina Market Overview
11.5.8.1. Argentina Healthcare Claims Management Market Forecasts and Analysis - By Component (US$ Mn)
11.5.8.2. Argentina Healthcare Claims Management Market Forecasts and Analysis - By Type (US$ Mn)
11.5.8.3. Argentina Healthcare Claims Management Market Forecasts and Analysis - By Delivery Mode (US$ Mn)
11.5.8.4. Argentina Healthcare Claims Management Market Forecasts and Analysis - By End User (US$ Mn)

1. INDUSTRY LANDSCAPE
1.1. ORGANIC GROWTH STRATEGIES
1.1.1. New Product Launches
1.1.2. Marketing & Promotional Activities
1.2. INORGANIC GROWTH STRATEGIES
1.2.1. Partnerships, Collaborations, and Joint Ventures
1.2.2. Mergers & Acquisitions

12. HEALTHCARE CLAIMS MANAGEMENT MARKET, KEY COMPANY PROFILES
12.1. ACCENTURE
12.1.1. Key Facts
12.1.2. Business Description
12.1.3. Financial Overview
12.1.4. Product Portfolio
12.1.5. SWOT Analysis
12.1.6. Key Developments
12.2. ATHENAHEALTH, INC.
12.2.1. Key Facts
12.2.2. Business Description
12.2.3. Financial Overview
12.2.4. Product Portfolio
12.2.5. SWOT Analysis
12.2.6. Key Developments
12.3. CERNER CORPORATION
12.3.1. Key Facts
12.3.2. Business Description
12.3.3. Financial Overview
12.3.4. Product Portfolio
12.3.5. SWOT Analysis
12.3.6. Key Developments
12.4. COGNIZANT
12.4.1. Key Facts
12.4.2. Business Description
12.4.3. Financial Overview
12.4.4. Product Portfolio
12.4.5. SWOT Analysis
12.4.6. Key Developments
12.5. CONIFER HEALTH SOLUTIONS, LLC.
12.5.1. Key Facts
12.5.2. Business Description
12.5.3. Financial Overview
12.5.4. Product Portfolio
12.5.5. SWOT Analysis
12.5.6. Key Developments

12.6. ECLINICALWORKS
12.6.1. Key Facts
12.6.2. Business Description
12.6.3. Financial Overview
12.6.4. Product Portfolio
12.6.5. SWOT Analysis
12.6.6. Key Developments
12.7. MCKESSON CORPORATION
12.7.1. Key Facts
12.7.2. Business Description
12.7.3. Financial Overview
12.7.4. Product Portfolio
12.7.5. SWOT Analysis
12.7.6. Key Developments
12.8. OPTUM, INC.
12.8.1. Key Facts
12.8.2. Business Description
12.8.3. Financial Overview
12.8.4. Product Portfolio
12.8.5. SWOT Analysis
12.8.6. Key Developments
12.9. ORACLE
12.9.1. Key Facts
12.9.2. Business Description
12.9.3. Financial Overview
12.9.4. Product Portfolio
12.9.5. SWOT Analysis
12.9.6. Key Developments

12.10. THE SSI GROUP, LLC
12.10.1. Key Facts
12.10.2. Business Description
12.10.3. Financial Overview
12.10.4. Product Portfolio
12.10.5. SWOT Analysis
12.10.6. Key Developments

13. APPENDIX
13.1. ABOUT THE INSIGHT PARTNERS
13.2. GLOSSARY OF TERMS
The List of Companies

1. Accenture
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
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