0
2022
Healthcare Claims Management Solutions Market

Healthcare Claims Management Solutions Market

by Type (Software, Services), by Deployment Mode (Web-based, Cloud-based, On-premise): Global Opportunity Analysis and Industry Forecast, 2020-2030

✷  Report Code: A01533
Pages: 210
Apr 2022 | 15145 Views
Author(s) : Prachi R , Onkar S
Tables: 114
Charts: 53
  • Formats*:

  • Single User License, Five User
    License & Enterprise User License

  • Data Pack Excel License

  • It comes with the additional cost
    of $2500.00 contact sales.

 

Healthcare Claims Management Solutions Market Research, 2030

The global healthcare claims management solutions market size was valued at $12.7 billion in 2020, and is projected to reach $20.3 billion by 2030, growing at a CAGR of 4.7% from 2021 to 2030.

The healthcare claims management solutions is a process that includes optimization, bill filing, and updating & processing of medical claims related to the patients diagnosis, medications, and treatment. The healthcare claims management solutions are applied to ensure everything related to health insurance. There are different types of claim management software available in the market for patients to encourage loyalty by allowing quick and accurate process to resolves claims as fast as possible. Healthcare claims management software is used to streamline the medical claims process, which eases the relationship between providers and insurance companies and efficiently improves the patient payment lifecycle. Medical billing software, revenue cycle management software, and medical practice management software are some of the healthcare claim software that are available for customers and find application with payers, healthcare providers, and insurance providers.

Widely used software in the healthcare claims management solutions industry are Waystar, Kareo, TriZettoQNXT, NextGenHealthcare HER, eClinicalWorksRCM, anthenaCollector, Availity, and AdvancedMD. Athenahealth, Inc. provides cloud-based services for electronic health records, revenue cycle management & medical billing, patient engagement, care coordination, and population health management.

The COVID-19 pandemic is expected to have a positive effect on the healthcare claims management solutions market. During the COVID-19 pandemic, the general impairment of health for those with SARS-CoV-2 infection led to increase in claim management solutions, as physiological impact of the pandemic increases the claims related to the healthcare.

Healthcare Claims Management Solutions Market, Healthcare Claims Management Solutions Market Size, Healthcare Claims Management Solutions Market Share, Healthcare Claims Management Solutions Market Analysis, Healthcare Claims Management Solutions Market Growth, Healthcare Claims Management Solutions Market Opportunity, Healthcare Claims Management Solutions Market Trends, Healthcare Claims Management Solutions Market Forecast

The key factors that drive the healthcare claims management solutions market growth include, rapid increase in aging population and subsequent rise in the number of chronic diseases. Moreover, there is a significant surge in demand for medical insurance among population to manage their out of pocket medical expenditure. Rise in medical insurance coverage among population and higher premium costs are some of the common healthcare claims management solutions market trends. Rapidly aging population and favorable demographics across the globe are expected to drive the demand for healthcare claim management solutions in the near future. Furthermore, increase in awareness for care provision and giving equal importance as that household spending leads to growth of the healthcare claims management solution market. Moreover, the involvement of government initiatives, such as the Ministry of Health & Family Welfare to improve the insurance cover of their citizens and adoption of cloud technology-related services offers a lucrative healthcare claims management solutions market opportunity. Improved focus on healthcare systems and advancement in technology for innovative treatments drive the growth of global healthcare claims management solutions market forecast.

On the basis of healthcare claims management solutions market analysis, the market is segmented into type, deployment mode, and geography. By type, the market is segmented into software, and services. On the basis of deployment mode, the healthcare claims management solutions market size is segmented into web-based, cloud-based mode, and on-premise mode. By geography, the market is segmented into North America, Europe, Asia-Pacific, and LAMEA.

Key players capturing healthcare claims management solutions market share are Oracle Corporation, ALLISCRIPTS HEALTHCARE SOLUTIONS, ATHENAHEALTH INC., COGNIZANT Technology Solution Corporation, Quest Diagnostics, McKesson Corporation, eClinicalWorks LLC, Optum, Inc., The SSI Group, Inc., and GE Healthcare.

By Type Segment Review

Healthcare Claims Management Solutions Market
By Type

Your browser does not support the canvas element.

Software segment held a dominant position in 2020 and would continue to maintain the lead over the forecast period.

Get more information on this report : Request Sample Pages

By type, the healthcare claims management solutions market size is segmented into software, and services. The software segment dominated the global healthcare claims management solutions market in 2020. This software provides an easy solution for all the tedious and time consuming claims management activities, such as eligibility crosschecking, benefit administration, premium billing, care management, claims processing, overpayment recovery, capitation, subrogation, customer service/contact management, fulfillment, reporting, and others. Use of software maximizes medical claims, billing functions, and capability allowing to generate bills for specific patient lists, and insurance carriers.

By Deployment Mode Segment Review

Healthcare Claims Management Solutions Market
By Deployment Mode

Your browser does not support the canvas element.

Cloud-based segment is projected as one of the most lucrative segment.

Get more information on this report : Request Sample Pages

By deployment mode, the market is segmented into web-based mode, cloud-based mode, and on-site deployment mode. The web-based deployment mode dominated the global healthcare claims management solutions market in 2020. It provides flexibility and can be accessed anywhere and anytime, thus, the web-based deployment mode is highly adopted and preferred.

By Region Segment Review

Healthcare Claims Management Solutions Market
By Region

2030
North America 
Europe
Asia-pacific
Lamea

North America was holding a dominant position in 2020 and would continue to maintain the lead over the analysis period.

Get more information on this report : Request Sample Pages

By region, the market is segmented into North America, Europe, Asia-Pacific, and LAMEA. North America accounted for the largest market share in 2020 owing to well-established healthcare system in the region, rise in insurance coverage, and increase in the number of chronic diseases. However, Asia-Pacific is expected to emerge as the region with maximum growth potential due to focus of key players in emerging economies, improving healthcare infrastructure, and rising disposable income of middle class population in the region.

Key Benefits For Stakeholders

  • This report provides a quantitative analysis of the healthcare claims management solutions industry, market segments, current trends, estimations, and dynamics of the healthcare claims management solutions market analysis from 2020 to 2030 to identify the prevailing healthcare claims management solutions market opportunities.
  • The market research is offered along with information related to key drivers, restraints, and opportunities.
  • Porter's five forces analysis highlights the potency of buyers and suppliers to enable stakeholders make profit-oriented business decisions and strengthen their supplier-buyer network.
  • In-depth analysis of the healthcare claims management solutions market segmentation assists to determine the prevailing market opportunities.
  • Major countries in each region are mapped according to their revenue contribution to the global market.
  • Market player positioning facilitates benchmarking and provides a clear understanding of the present position of the market players.
  • The report includes the analysis of the regional as well as global healthcare claims management solutions market trends, key players, market segments, application areas, and market growth strategies.

Healthcare Claims Management Solutions Market Report Highlights

Aspects Details
By Type
  • Software
  • Services
By Deployment Mode
  • Web-based
  • Cloud-based
  • On-premise
By Region
  • North America  (U.S., Canada, Mexico)
  • Europe  (France, U.K., Italy, Spain, Rest of Europe, Germany)
  • Asia-Pacific  (Japan, China, Australia, India, South Korea, Rest of Asia-Pacific)
  • LAMEA  (Brazil, Saudi Arabia, South Africa, Rest of LAMEA)
Key Market Players Oracle Corporation, Allscripts Healthcare Solutions, Inc., Athenahealth Inc., COGNIZANT TECHNOLOGY SOLUTIONS CORPORATION, Quest Diagnostics, McKesson Corporation, eClinicalWorks LLC, Optum, Inc,, The SSI Groups Inc., GE Healthcare
 

Loading Table Of Content...


 
 

 In the global healthcare claims management solutions market, the software segment is the emerging with development and upgradation of the software, which largely contributes to the growth of the market. Software provide an easy solution for all the tedious and time consuming claims management activities, such as eligibility crosschecking, benefit administration, premium billing, care management, claims processing, overpayment recovery, capitation, subrogation, customer service/contact management, fulfillment, reporting, and more. The market is driven by increase in the aging population, rise in chronic diseases, and rise in population covered under various insurance schemes. The North America and Europe markets hold larger shares in the market due to increase in the use of software and services for the ease of claims processing and the presence of top insurance companies in these regions. Moreover, the well-established healthcare systems in these regions are one of the major reasons for the higher share of North America and Europe markets in the global healthcare claims management solutions market. Asia-Pacific is expected to witness market growth during forecast period as the region has the highest population of individuals suffering from chronic disorders, such as diabetes, coronary thrombosis, tuberculosis, and others and increase in the aging population.

PURCHASE OPTIONS

Call or Email us

U.S.-Canada Toll-free: +1-800-792-5285
Int'l : +1-503-894-6022
Europe : + 44-845-528-1300
Email : help@alliedmarketresearch.com
 
FREQUENTLY ASKED QUESTIONS?

A. Proactive government initiatives to improve insurance coverage among general population, and surge in use of cloud-based services are upcoming trends observed in the market

A. Healthcare claims management solutions are used across various healthcare facilities to simplify the process of billing, filling, updating, and processing of medical claims related to the diagnosis, treatment, and medication of patients.

A. North America is the largest regional market for Healthcare Claims Management Solutions

A. In 2020, the healthcare claims management solutions market size was valued at $12,690.3 million

A. Oracle Corporation, ALLSCRIPTS HEALTHCARE SOLUTIONS, INC., McKesson Corporation are some of the major players operating in healthcare claims management solutions market

Looking for Customization?

 Customization Request

Have a Question?

 Speak with Analyst

Any Confusion?

 Inquire Before Buying

Have a glance of the Report

  Request Free Sample
RELATED TAGS

Purchase Full Report of
Healthcare Claims Management Solutions Market

Start reading instantly.
This Report and over 19,255+ more Reports, Available with Avenue Library. T&C*.

  • Online Only
  • $3,456
  • Online cloud access only
  • Restricted print, copy, paste & download
  • Read only
  • Free industry update
    (Within 180 days)
  • Free report update in next update cycle
    (Apr 2023 - Apr 2024)
  • Data Pack
  • $3,840
  • Restricted to one authorized user
  • One print only
  • Available in
    Excel
  • Free industry update
    (Within 180 days)
  •   Free report update in next update cycle
    (Apr 2023 - Apr 2024)
  • Single User
  • $5,769
  • Restricted to one authorized user
  • One print only
  • Available in
    PDF
  • Free industry update
    (Within 180 days)
  •   Free report update in next update cycle
    (Apr 2023 - Apr 2024)
  • Five Users
  • $6,450
  • Limited to five authorized users
  • Print upto five copies
  • Available in
    PDF
  • Free industry update
    (Within 180 days)
  •   Free report update in next update cycle
    (Apr 2023 - Apr 2024)
  • Enterprise
    License/PDF

  • $10,995
  • Unlimited
    within
    company/enterprise
  • Available in Excel & PDF
  • Free industry update
    (Within 180 days)
  •   Free report update in next update cycle
    (Apr 2023 - Apr 2024)
  • Library
    Membership

  • $ 999
    Per User/ Per month/ Billed annually
  • Published Content
    E-access
  • Company Profiles
    E-access
  • Newly Added Content Access
  • 10 PDF
    Downloads
  • 5 Excel Data
    Pack Downloads
  • 250 Company Profiles PDF Downloads
  • Buy Now

*Taxes/Fees, if applicable will be added during checkout. All prices in USD

RELATED REPORTS
 

Why Allied Market Research?

 

Infallible Methodology

To ensure high-level data integrity, accurate analysis, and impeccable forecasts

Analyst Support

For complete satisfaction

Customization

On-demand customization of scope of the report to exactly meet your needs

TARGETED MARKET VIEW

Targeted market view to provide pertinent information and save time of readers

Get fresh content delivered

Get insights on topics that are crucial for your business. Stay abreast of your interest areas.

Get Industry Data Alerts

Why Allied Market Research?

Infallible Methodology

To ensure high-level data integrity, accurate analysis, and impeccable forecasts

Analyst Support

For complete satisfaction

Customization

On-demand customization of scope of the report to exactly meet your needs

TARGETED MARKET VIEW

Targeted market view to provide pertinent information and save time of readers