According to the latest report by IMARC Group, titled “Healthcare Claims Management Market: Global Industry Trends, Share, Size, Growth, Opportunity and Forecast 2022-2027,” offers a comprehensive analysis of the industry, which comprises insights on the global healthcare claims management market growth .The report also includes competitor and regional analysis, and contemporary advancements in the market.
The global healthcare claims management market size reached US$ 13.03 Billion in 2021. Looking forward, IMARC Group expects the market to reach a value of US$ 22.4 Billion by 2027, exhibiting a growth rate (CAGR) of 9.20%during 2022-2027.
Healthcare claims management represents solutions that include optimizing, updating, filing, and processing medical claims related to a patient’s treatment, diagnosis, and medications. They can be categorized into integrated and standalone variants and comprise of clinical billing software, healthcare practice management software, revenue cycle management software, etc. which are available to payers, insurance companies, and healthcare providers.Healthcare claims management services offer an accurate and quick process to resolve claims as quickly as possible, streamline the medical claims process, ease the relationship among providers and insurance companies, improve patient payment processes, etc. As a result, they find extensive applications in the healthcare sectors across the globe.
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Market Trends:
The growing geriatric population and the rising number of individuals suffering from chronic diseases are among the key factors driving the healthcare claims management market. In addition to this, the elevating complexity of claims administration and the medical billing procedures and the escalating awareness about the management of claim denials are acting as significant growth-inducing factors.Apart from this, the shifting preferences toward cloud-based and web-based operation modes in healthcare software are also positively influencing the global market. Moreover, the launch of several initiatives by the government bodies across the globe aimed at enhancing insurance coverage is further stimulating the market growth.
Besides this, the increasing mergers and acquisitions (M&As) among leading market players, the launch of new product, the expanding urbanization, and the inflating investments in medical research and development (R&D) activities are expected to propel the healthcare claims management market over the forecasted period.
Competitive Landscape:
The competitive landscape of the market has been studied in the report with the detailed profiles of the key players operating in the market.
Accenture plc, Allscripts Healthcare Solutions Inc., Athenahealth, Carecloud Inc, Cognizant, Conifer Health Solutions (Tenet Healthcare Corporation), Mckesson Corporation, Optum Inc. (UnitedHealth Group Incorporated), Oracle Corporation, Plexis Healthcare Systems, Quest Diagnostics and The SSI Group LLC.
| Healthcare claims management Market Report Scope | |
| Report Coverage | Details |
| Market size value in 2021 | US$ 13.03 Billion |
| Market forecast in 2027 | US$ 22.4 Billion |
| Growth Rate | CAGR of 9.20% from 2022 to 2027 |
| Base year for estimation | 2021 |
| Historical data | 2016-2021 |
| Forecast period | 2022-2027 |
| Report coverage | Revenue Forecast, Company Ranking, Competitive Landscape, Growth Factors, And Trends |
| Segments covered | Product, Component, Solution Type, Delivery Mode And End User |
| Regional scope | United States, Canada, Germany, France, United Kingdom, Italy, Spain, Russia, China, Japan, India, South Korea, Australia, Indonesia, Brazil, Mexico |
| Key companies profiled | Accenture plc, Allscripts Healthcare Solutions Inc., Athenahealth, Carecloud Inc, Cognizant, Conifer Health Solutions (Tenet Healthcare Corporation), Mckesson Corporation, Optum Inc. (UnitedHealth Group Incorporated), Oracle Corporation, Plexis Healthcare Systems, Quest Diagnostics and The SSI Group LLC |
| Market Dynamics | Parent market analysis, Market growth inducers and obstacles, Fast-growing and slow-growing segment analysis, COVID 19 impact and future consumer dynamics, market condition analysis for forecast period, |
| Customization purview | If our report has not included the data that you are looking for, you can reach out to our analysts and get segments customized. |
Key Market Segmentation:
Breakup by Product:
- Medical Billing
- Professional
- Institutional
- Claims Processing
Breakup by Component:
- Services
- Software
Breakup by Solution Type:
- Integrated Solutions
- Standalone Solutions
Breakup by Delivery Mode:
- On-premises
- Cloud-based
- Web-based
Breakup by End User:
- Healthcare Payers
- Healthcare Providers
- Others
Regional Insights:
- Asia Pacific
- North America
- Europe
- Middle East and Africa
- Latin America
On the geographical front, Asia Pacific enjoys the leading position in the market. This can be attributed to the rising establishment of international companies in the region, on account of low manufacturing costs and cheap labor.
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