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[ 英語タイトル ] Healthcare Claims Management Market by Component (Software, and Services), Delivery Mode (On-Premise, and Cloud Based), Type (Integrated, and Standalone), End User (Healthcare Payers, Providers) - Global Forecast to 2023


Product Code : MNMHC00109937
Survey : MarketsandMarkets
Publish On : April, 2021
Category : Healthcare and Pharmaceuticals
Study Area : Global
Report format : PDF
Sales price option (consumption tax not included)
Single User USD5650 / Question Form
5 User USD6650 / Question Form
Enterprise User USD10000 / Question Form

[Report Description]

The healthcare claims management market is projected to grow at a CAGR of 5.3% during the forecast period.”
The global healthcare claims management market is projected to reach USD 13.93 billion by 2023 from an estimated value of USD 10.77 billion in 2018, at a CAGR of 5.3%.
The key factors driving the growth of this market are increasing patient volumes, expanding health insurance market, growing importance of denials management, and declining reimbursement rates. On the other hand, the high cost of deployment of claims management solutions could be a challenging factor for this market.

“The cloud-based segment is projected to grow at the highest CAGR during the forecast period.”
Based on delivery mode, the healthcare claims management market is segmented into on-premise and cloud-based. The cloud-based segment is expected to grow at the highest CAGR during the forecast period. The high growth of this segment can be attributed to the comparatively lower capital expenses and operational costs incurred along with better scalability, flexibility, and affordability.

“Asia to witness the highest growth during the forecast period.”
Asia is expected to grow at the highest CAGR during the forecast period of 2018–2023. Factors such as the
investments to modernize the healthcare infrastructure and growing adoption of healthcare IT solutions in China, measures to boost the quality of healthcare delivery in Japan, rapid growth of the healthcare industry in India, and government initiatives to boost the implementation of healthcare IT in Singapore are contributing to the high growth in Asia during the forecast period.

Break of primary participants was as mentioned below:
• By Company Type – Tier 1- 54%, Tier 2- 34%, Tier 3- 12%
• By Designation – C-level–31%, Director Level–19%, Others–50%
• By Region – North America–46%, Europe–25%, Asia–18%, RoW-11%

Some of the major players in the healthcare claims management include Cerner Corporation (US), McKesson Corporation (US), athenahealth (US), eClinicalWorks (US), Optum, Inc, (US), Conifer Health Solutions (US), and nThrive (US).
Research Coverage:
The report analyzes the healthcare claims management market and aims at estimating the market size and the future growth potential of this market based on various segments such as component, type, delivery mode, end user, and region. The report also includes an in-depth regulatory analysis for various regions across the globe and the competitive analysis of the key players in this market along with their company profiles, recent developments, and key strategies adopted by them to remain competitive in the market.
Reasons to Buy the Report
The report will enrich established firms as well as new entrants/smaller firms to gauge the pulse of the market, which in turn would help them, garner a greater share. Firms purchasing the report could use any one or a combination of the below-mentioned strategies.

This report provides insights on the following pointers:
• Market Penetration: Comprehensive information on the solutions offered by the top players in the global healthcare claims management market. The report analyzes the global bariatric surgery devices market by type, component, delivery mode, end user, and region.
• Product Deployments/Launches: Detailed insights on upcoming trends, new product launches, and deployments in the global healthcare claims management market
• Market Development: Comprehensive information on the lucrative emerging markets by type, component, delivery mode, end user, and region
• Market Diversification: Exhaustive information about new products, growing geographies, recent developments, and investments in the global healthcare claims management market
• Competitive Assessment: In-depth assessment of market shares, growth strategies, products, and capabilities of leading players in the global market

TABLE OF CONTENTS

1 INTRODUCTION 13
1.1 OBJECTIVES OF THE STUDY 13
1.2 MARKET DEFINITION 13
1.3 MARKET SCOPE 14
1.3.1 MARKETS COVERED 14
1.3.2 YEARS CONSIDERED FOR THE STUDY 14
1.4 CURRENCY 15
1.5 LIMITATIONS 15
1.6 STAKEHOLDERS 15
2 RESEARCH METHODOLOGY 16
2.1 RESEARCH DATA 16
2.1.1 SECONDARY DATA 17
2.1.1.1 Secondary sources 18
2.1.2 PRIMARY DATA 19
2.1.2.1 Key data from primary sources 20
2.1.2.2 Breakdown of primaries 20
2.1.2.3 Key industry insights 21
2.2 MARKET SIZE ESTIMATION 22
2.3 MARKET BREAKDOWN AND DATA TRIANGULATION 24
2.4 ASSUMPTIONS FOR THE STUDY 25
3 EXECUTIVE SUMMARY 26
4 PREMIUM INSIGHTS 29
4.1 HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS: MARKET OVERVIEW 29
4.2 HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY END USER (2018) 30
4.3 HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET SHARE, BY TYPE
(2018 VS. 2023) 31
4.4 GEOGRAPHICAL SNAPSHOT OF THE HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET 32
5 MARKET OVERVIEW 33
5.1 INTRODUCTION 33
5.2 MARKET DYNAMICS 33
5.2.1 MARKET DRIVERS 34
5.2.1.1 Increasing patient volumes 34
5.2.1.2 Expanding health insurance market 34
5.2.1.3 Process improvements in healthcare organizations 34
5.2.1.4 Growing importance of denials management 35
5.2.1.5 Declining reimbursement rates 35
5.2.2 MARKET RESTRAINTS 35
5.2.2.1 High cost of deployment 35
5.2.3 MARKET OPPORTUNITIES 36
5.2.3.1 Emerging countries 36
5.2.3.2 Cloud-based solutions 36
5.2.3.3 Artificial intelligence in health insurance 37
5.2.3.4 Rising adoption of electronic health records 37
5.2.4 MARKET CHALLENGES 37
5.2.4.1 Integration of claim management solutions 37
5.2.4.2 Data breaches and loss of confidentiality 37
5.2.4.3 Lack of skilled IT professionals in healthcare 38
6 HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY COMPONENT 39
6.1 INTRODUCTION 40
6.2 SERVICES 40
6.3 SOFTWARE 42
7 HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY TYPE 43
7.1 INTRODUCTION 44
7.2 INTEGRATED SOLUTIONS 44
7.3 STANDALONE SOLUTIONS 45
8 HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET,
BY DELIVERY MODE 46
8.1 INTRODUCTION 47
8.2 ON-PREMISE DELIVERY MODE 47
8.3 CLOUD-BASED DELIVERY MODE 48
9 HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY END USER 50
9.1 INTRODUCTION 51
9.2 HEALTHCARE PAYERS 51
9.3 HEALTHCARE PROVIDERS 52
9.4 OTHER END USERS 53
10 HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY REGION 55
10.1 INTRODUCTION 56
10.2 NORTH AMERICA 57
10.2.1 US 61
10.2.2 CANADA 63

10.3 EUROPE 66
10.3.1 UK 69
10.3.2 GERMANY 71
10.3.3 FRANCE 73
10.3.4 ITALY 75
10.3.5 REST OF EUROPE 77
10.4 ASIA 79
10.5 REST OF THE WORLD 84
11 COMPETITIVE LANDSCAPE 87
11.1 OVERVIEW 87
11.2 COMPETITIVE SCENARIO 88
11.2.1 PRODUCT LAUNCHES, DEPLOYMENTS, AND ENHANCEMENTS 88
11.2.2 AGREEMENTS, PARTNERSHIPS, CONTRACTS, AND COLLABORATIONS 89
11.2.3 ACQUISITIONS 90
11.2.4 EXPANSIONS 91
12 COMPANY PROFILE 92
(Introduction, Products & Services, Strategy, & Analyst Insights, Developments, MnM View)*
12.1 ATHENAHEALTH 92
12.2 CERNER CORPORATION 95
12.3 ALLSCRIPTS HEALTHCARE SOLUTIONS 98
12.4 ECLINICALWORKS 100
12.5 OPTUM, INC. (A SUBSIDIARY OF UNITEDHEALTH GROUP INC.) 102
12.6 MCKESSON CORPORATION 105
12.7 CONIFER HEALTH SOLUTIONS 108
12.8 GEBBS HEALTHCARE SOLUTIONS 110
12.9 THE SSI GROUP 112
12.10 GE HEALTHCARE 114
12.11 NTHRIVE 116
12.12 DST SYSTEMS 118
12.13 COGNIZANT TECHNOLOGY SOLUTIONS 120
12.14 QUEST DIAGNOSTICS 123
12.15 CONTEXT 4 HEALTHCARE 125
12.16 RAM TECHNOLOGIES 126
12.17 HEALTH SOLUTIONS PLUS (HSP) 128
12.18 PLEXIS HEALTHCARE SYSTEMS 129

*Details on MarketsandMarkets view, Introduction, Product & Services, Strategy, & Analyst Insights, New Developments might not be captured in case of unlisted companies.

13 APPENDIX 130
13.1 DISCUSSION GUIDE 130
13.2 KNOWLEDGE STORE: MARKETSANDMARKETS’ SUBSCRIPTION PORTAL 134
13.3 INTRODUCING RT: REAL-TIME MARKET INTELLIGENCE 136
13.4 AVAILABLE CUSTOMIZATIONS 137
13.5 RELATED REPORTS 138
13.6 AUTHOR DETAILS 139

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