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Healthcare Claims Management Solutions Market By Type, By Deployment Mode: Global Opportunity Analysis and Industry Forecast, 2020-2030

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    Report

  • 210 Pages
  • April 2022
  • Region: Global
  • Allied Market Research
  • ID: 5640613
Description Jump to:
The healthcare claims management solutions market was valued at $12, 690.3 million in 2020, and is projected to reach $20, 284.18 million by 2030, registering a CAGR of 4.7 % from 2021 to 2030.

The healthcare claims management solutions are used for optimization, organization, billing, and updating the medical claims related to patients’ diagnosis, treatment, and medications. Different types of software solutions are applied for the medical claims for customer or patients. The widely used software include, Waystar, Kareo, TriZettoQNXT, NextGenHealthcare HER, eClinicalWorksRCM, anthenaCollector, Availity, AdvancedMD. A healthcare insurance claim request of the patient is submitted to the insurance company to obtain services from insurance company, which is done using software. The advantages of healthcare claim management system include, increase in efficiency and accuracy, improved organization-wide communication and accountability, and healthcare analytics that inform strategy and action for the patients.

Increase in prevalence of chronic disease, changed lifestyle, and technological advancements in healthcare claims management solutions drive the market growth. In addition, rise in geriatric population globally boosts the market growth. Increase in latest and advanced software, development in healthcare claim management initiatives and centers for diagnosis, and increase in the number of patients with chronic diseases are factors that drive the growth of the market. Increasing concerns regarding the patient data safety & and security increase the threat of cyber-attacks and the potential misuse of patient-related confidential data, which hinders the growth of healthcare claims management solution market. Increase in investment in the Asia-Pacific region offers huge market potential advanced techniques for the growth of the market. Thus, rise in investments in emerging markets to improve healthcare IT infrastructure from various government agencies is expected to create opportunities in the healthcare claims management solutions market.

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

The key players profiled in the report include, 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.

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.

Key Market Segments


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

Table of Contents

CHAPTER 1: INTRODUCTION
1.1. Report description
1.2. Key market segments
1.3. Key benefits to the stakeholders
1.4. Research Methodology
1.4.1. Secondary research
1.4.2. Primary research
1.4.3. Analyst tools and models
CHAPTER 2: EXECUTIVE SUMMARY
2.1. Key findings of the study
2.2. CXO Perspective
CHAPTER 3: MARKET OVERVIEW
3.1. Market definition and scope
3.2. Key findings
3.2.1. Top investment pockets
3.3. Porter’s five forces analysis
3.4. Top player positioning
3.5. Market dynamics
3.5.1. Drivers
3.5.2. Restraints
3.5.3. Opportunities
3.6. COVID-19 Impact Analysis on the market
CHAPTER 4: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY TYPE
4.1 Overview
4.1.1 Market size and forecast
4.2 Software
4.2.1 Key market trends, growth factors and opportunities
4.2.2 Market size and forecast, by region
4.2.3 Market analysis by country
4.3 Services
4.3.1 Key market trends, growth factors and opportunities
4.3.2 Market size and forecast, by region
4.3.3 Market analysis by country
CHAPTER 5: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY DEPLOYMENT MODE
5.1 Overview
5.1.1 Market size and forecast
5.2 Web-based
5.2.1 Key market trends, growth factors and opportunities
5.2.2 Market size and forecast, by region
5.2.3 Market analysis by country
5.3 Cloud-based
5.3.1 Key market trends, growth factors and opportunities
5.3.2 Market size and forecast, by region
5.3.3 Market analysis by country
5.4 On-premise
5.4.1 Key market trends, growth factors and opportunities
5.4.2 Market size and forecast, by region
5.4.3 Market analysis by country
CHAPTER 6: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY REGION
6.1 Overview
6.1.1 Market size and forecast
6.2 North America
6.2.1 Key trends and opportunities
6.2.2 North America Market size and forecast, by Type
6.2.3 North America Market size and forecast, by Deployment Mode
6.2.4 North America Market size and forecast, by country
6.2.4.1 U.S.
6.2.4.1.1 Market size and forecast, by Type
6.2.4.1.2 Market size and forecast, by Deployment Mode
6.2.4.2 Canada
6.2.4.2.1 Market size and forecast, by Type
6.2.4.2.2 Market size and forecast, by Deployment Mode
6.2.4.3 Mexico
6.2.4.3.1 Market size and forecast, by Type
6.2.4.3.2 Market size and forecast, by Deployment Mode
6.3 Europe
6.3.1 Key trends and opportunities
6.3.2 Europe Market size and forecast, by Type
6.3.3 Europe Market size and forecast, by Deployment Mode
6.3.4 Europe Market size and forecast, by country
6.3.4.1 Germany
6.3.4.1.1 Market size and forecast, by Type
6.3.4.1.2 Market size and forecast, by Deployment Mode
6.3.4.2 France
6.3.4.2.1 Market size and forecast, by Type
6.3.4.2.2 Market size and forecast, by Deployment Mode
6.3.4.3 U.K.
6.3.4.3.1 Market size and forecast, by Type
6.3.4.3.2 Market size and forecast, by Deployment Mode
6.3.4.4 Italy
6.3.4.4.1 Market size and forecast, by Type
6.3.4.4.2 Market size and forecast, by Deployment Mode
6.3.4.5 Spain
6.3.4.5.1 Market size and forecast, by Type
6.3.4.5.2 Market size and forecast, by Deployment Mode
6.3.4.6 Rest of Europe
6.3.4.6.1 Market size and forecast, by Type
6.3.4.6.2 Market size and forecast, by Deployment Mode
6.4 Asia-Pacific
6.4.1 Key trends and opportunities
6.4.2 Asia-Pacific Market size and forecast, by Type
6.4.3 Asia-Pacific Market size and forecast, by Deployment Mode
6.4.4 Asia-Pacific Market size and forecast, by country
6.4.4.1 Japan
6.4.4.1.1 Market size and forecast, by Type
6.4.4.1.2 Market size and forecast, by Deployment Mode
6.4.4.2 China
6.4.4.2.1 Market size and forecast, by Type
6.4.4.2.2 Market size and forecast, by Deployment Mode
6.4.4.3 Australia
6.4.4.3.1 Market size and forecast, by Type
6.4.4.3.2 Market size and forecast, by Deployment Mode
6.4.4.4 India
6.4.4.4.1 Market size and forecast, by Type
6.4.4.4.2 Market size and forecast, by Deployment Mode
6.4.4.5 South Korea
6.4.4.5.1 Market size and forecast, by Type
6.4.4.5.2 Market size and forecast, by Deployment Mode
6.4.4.6 Rest of Asia-Pacific
6.4.4.6.1 Market size and forecast, by Type
6.4.4.6.2 Market size and forecast, by Deployment Mode
6.5 LAMEA
6.5.1 Key trends and opportunities
6.5.2 LAMEA Market size and forecast, by Type
6.5.3 LAMEA Market size and forecast, by Deployment Mode
6.5.4 LAMEA Market size and forecast, by country
6.5.4.1 Brazil
6.5.4.1.1 Market size and forecast, by Type
6.5.4.1.2 Market size and forecast, by Deployment Mode
6.5.4.2 Saudi Arabia
6.5.4.2.1 Market size and forecast, by Type
6.5.4.2.2 Market size and forecast, by Deployment Mode
6.5.4.3 South Africa
6.5.4.3.1 Market size and forecast, by Type
6.5.4.3.2 Market size and forecast, by Deployment Mode
6.5.4.4 Rest of LAMEA
6.5.4.4.1 Market size and forecast, by Type
6.5.4.4.2 Market size and forecast, by Deployment Mode
CHAPTER 7: COMPANY LANDSCAPE
7.1. Introduction
7.2. Top winning strategies
7.3. Product Mapping of Top 10 Player
7.4. Competitive Dashboard
7.5. Competitive Heatmap
7.6. Key developments
CHAPTER 8: COMPANY PROFILES
8.1 Oracle Corporation
8.1.1 Company overview
8.1.2 Company snapshot
8.1.3 Operating business segments
8.1.4 Product portfolio
8.1.5 Business performance
8.1.6 Key strategic moves and developments
8.2 Allscripts Healthcare Solutions, Inc.
8.2.1 Company overview
8.2.2 Company snapshot
8.2.3 Operating business segments
8.2.4 Product portfolio
8.2.5 Business performance
8.2.6 Key strategic moves and developments
8.3 Athenahealth Inc.
8.3.1 Company overview
8.3.2 Company snapshot
8.3.3 Operating business segments
8.3.4 Product portfolio
8.3.5 Business performance
8.3.6 Key strategic moves and developments
8.4 COGNIZANT TECHNOLOGY SOLUTIONS CORPORATION
8.4.1 Company overview
8.4.2 Company snapshot
8.4.3 Operating business segments
8.4.4 Product portfolio
8.4.5 Business performance
8.4.6 Key strategic moves and developments
8.5 Quest Diagnostics
8.5.1 Company overview
8.5.2 Company snapshot
8.5.3 Operating business segments
8.5.4 Product portfolio
8.5.5 Business performance
8.5.6 Key strategic moves and developments
8.6 McKesson Corporation
8.6.1 Company overview
8.6.2 Company snapshot
8.6.3 Operating business segments
8.6.4 Product portfolio
8.6.5 Business performance
8.6.6 Key strategic moves and developments
8.7 eClinicalWorks LLC
8.7.1 Company overview
8.7.2 Company snapshot
8.7.3 Operating business segments
8.7.4 Product portfolio
8.7.5 Business performance
8.7.6 Key strategic moves and developments
8.8 Optum, Inc,
8.8.1 Company overview
8.8.2 Company snapshot
8.8.3 Operating business segments
8.8.4 Product portfolio
8.8.5 Business performance
8.8.6 Key strategic moves and developments
8.9 The SSI Groups Inc.
8.9.1 Company overview
8.9.2 Company snapshot
8.9.3 Operating business segments
8.9.4 Product portfolio
8.9.5 Business performance
8.9.6 Key strategic moves and developments
8.10 GE Healthcare
8.10.1 Company overview
8.10.2 Company snapshot
8.10.3 Operating business segments
8.10.4 Product portfolio
8.10.5 Business performance
8.10.6 Key strategic moves and developments
LIST OF TABLES
Table 1. Global Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 2. Healthcare Claims Management Solutions Market Revenue, for Software, by Region, 2020-2030, ($Million)
Table 3. Healthcare Claims Management Solutions Market for Software by Country, 2020-2030, ($Million)
Table 4. Healthcare Claims Management Solutions Market Revenue, for Services, by Region, 2020-2030, ($Million)
Table 5. Healthcare Claims Management Solutions Market for Services by Country, 2020-2030, ($Million)
Table 6. Global Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 7. Healthcare Claims Management Solutions Market Revenue, for Web-Based, by Region, 2020-2030, ($Million)
Table 8. Healthcare Claims Management Solutions Market for Web-Based by Country, 2020-2030, ($Million)
Table 9. Healthcare Claims Management Solutions Market Revenue, for Cloud-Based, by Region, 2020-2030, ($Million)
Table 10. Healthcare Claims Management Solutions Market for Cloud-Based by Country, 2020-2030, ($Million)
Table 11. Healthcare Claims Management Solutions Market Revenue, for On-Premise, by Region, 2020-2030, ($Million)
Table 12. Healthcare Claims Management Solutions Market for On-Premise by Country, 2020-2030, ($Million)
Table 13. Healthcare Claims Management Solutions Market, by Region, 2020-2030, ($Million)
Table 14. North America Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 15. North America Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 16. North America Healthcare Claims Management Solutions Market, by Country, 2020-2030, ($Million)
Table 17. U.S. Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 18. U.S. Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 19. Canada Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 20. Canada Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 21. Mexico Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 22. Mexico Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 23. Europe Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 24. Europe Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 25. Europe Healthcare Claims Management Solutions Market, by Country, 2020-2030, ($Million)
Table 26. Germany Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 27. Germany Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 28. France Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 29. France Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 30. U.K. Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 31. U.K. Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 32. Italy Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 33. Italy Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 34. Spain Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 35. Spain Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 36. Rest of Europe Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 37. Rest of Europe Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 38. Asia-Pacific Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 39. Asia-Pacific Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 40. Asia-Pacific Healthcare Claims Management Solutions Market, by Country, 2020-2030, ($Million)
Table 41. Japan Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 42. Japan Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 43. China Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 44. China Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 45. Australia Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 46. Australia Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 47. India Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 48. India Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 49. South Korea Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 50. South Korea Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 51. Rest of Asia-Pacific Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 52. Rest of Asia-Pacific Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 53. LAMEA Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 54. LAMEA Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 55. LAMEA Healthcare Claims Management Solutions Market, by Country, 2020-2030, ($Million)
Table 56. Brazil Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 57. Brazil Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 58. Saudi Arabia Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 59. Saudi Arabia Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 60. South Africa Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 61. South Africa Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 62. Rest of LAMEA Healthcare Claims Management Solutions Market, by Type, 2020-2030, ($Million)
Table 63. Rest of LAMEA Healthcare Claims Management Solutions Market, by Deployment Mode, 2020-2030, ($Million)
Table 64. Oracle Corporation: Company Snapshot
Table 65. Oracle Corporation: Operating Segments
Table 66. Oracle Corporation: Product Portfolio
Table 67. Oracle Corporation: Net Sales
Table 68. Oracle Corporation: Key Stratergies
Table 69. Allscripts Healthcare Solutions, Inc.: Company Snapshot
Table 70. Allscripts Healthcare Solutions, Inc.: Operating Segments
Table 71. Allscripts Healthcare Solutions, Inc.: Product Portfolio
Table 72. Allscripts Healthcare Solutions, Inc.: Net Sales
Table 73. Allscripts Healthcare Solutions, Inc.: Key Stratergies
Table 74. Athenahealth Inc.: Company Snapshot
Table 75. Athenahealth Inc.: Operating Segments
Table 76. Athenahealth Inc.: Product Portfolio
Table 77. Athenahealth Inc.: Net Sales
Table 78. Athenahealth Inc.: Key Stratergies
Table 79. Cognizant Technology Solutions Corporation: Company Snapshot
Table 80. Cognizant Technology Solutions Corporation: Operating Segments
Table 81. Cognizant Technology Solutions Corporation: Product Portfolio
Table 82. Cognizant Technology Solutions Corporation: Net Sales
Table 83. Cognizant Technology Solutions Corporation: Key Stratergies
Table 84. Quest Diagnostics: Company Snapshot
Table 85. Quest Diagnostics: Operating Segments
Table 86. Quest Diagnostics: Product Portfolio
Table 87. Quest Diagnostics: Net Sales
Table 88. Quest Diagnostics: Key Stratergies
Table 89. Mckesson Corporation: Company Snapshot
Table 90. Mckesson Corporation: Operating Segments
Table 91. Mckesson Corporation: Product Portfolio
Table 92. Mckesson Corporation: Net Sales
Table 93. Mckesson Corporation: Key Stratergies
Table 94. Eclinicalworks LLC: Company Snapshot
Table 95. Eclinicalworks LLC: Operating Segments
Table 96. Eclinicalworks LLC: Product Portfolio
Table 97. Eclinicalworks LLC: Net Sales
Table 98. Eclinicalworks LLC: Key Stratergies
Table 99. Optum, Inc,: Company Snapshot
Table 100. Optum, Inc,: Operating Segments
Table 101. Optum, Inc,: Product Portfolio
Table 102. Optum, Inc,: Net Sales
Table 103. Optum, Inc,: Key Stratergies
Table 104. The Ssi Groups Inc.: Company Snapshot
Table 105. The Ssi Groups Inc.: Operating Segments
Table 106. The Ssi Groups Inc.: Product Portfolio
Table 107. The Ssi Groups Inc.: Net Sales
Table 108. The Ssi Groups Inc.: Key Stratergies
Table 109. Ge Healthcare: Company Snapshot
Table 110. Ge Healthcare: Operating Segments
Table 111. Ge Healthcare: Product Portfolio
Table 112. Ge Healthcare: Net Sales
Table 113. Ge Healthcare: Key Stratergies
LIST OF FIGURES
Figure 1. Healthcare Claims Management Solutions Market Segmentation
Figure 2. Healthcare Claims Management Solutions Market, 2020-2030
Figure 3. Healthcare Claims Management Solutions Market, 2020-2030
Figure 4. Top Investment Pockets, by Region
Figure 5. Porter Five-1
Figure 6. Porter Five-2
Figure 7. Porter Five-3
Figure 8. Porter Five-4
Figure 9. Porter Five-5
Figure 10. Top Player Positioning
Figure 11. Healthcare Claims Management Solutions Market:Drivers, Restraints and Opportunities
Figure 12. Healthcare Claims Management Solutions Market, by Type, 2020 (%)
Figure 13. Comparative Share Analysis of Software Healthcare Claims Management Solutions Market, 2020-2030 (%)
Figure 14. Comparative Share Analysis of Services Healthcare Claims Management Solutions Market, 2020-2030 (%)
Figure 15. Healthcare Claims Management Solutions Market, by Deployment Mode, 2020 (%)
Figure 16. Comparative Share Analysis of Web-based Healthcare Claims Management Solutions Market, 2020-2030 (%)
Figure 17. Comparative Share Analysis of Cloud-based Healthcare Claims Management Solutions Market, 2020-2030 (%)
Figure 18. Comparative Share Analysis of On-Premise Healthcare Claims Management Solutions Market, 2020-2030 (%)
Figure 19. Healthcare Claims Management Solutions Market by Region, 2020
Figure 20. U.S. Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 21. Canada Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 22. Mexico Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 23. Germany Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 24. France Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 25. U.K. Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 26. Italy Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 27. Spain Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 28. Rest of Europe Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 29. Japan Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 30. China Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 31. Australia Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 32. India Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 33. South Korea Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 34. Rest of Asia-Pacific Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 35. Brazil Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 36. Saudi Arabia Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 37. South Africa Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 38. Rest of LAMEA Healthcare Claims Management Solutions Market, 2020-2030 ($Million)
Figure 39. Top Winning Strategies, by Year
Figure 40. Top Winning Strategies, by Development
Figure 41. Top Winning Strategies, by Company
Figure 42. Product Mapping of Top 10 Players
Figure 43. Competitive Dashboard
Figure 44. Competitive Heatmap of Top 10 Key Players
Figure 45. Oracle Corporation.: Net Sales, ($Million)
Figure 46. Allscripts Healthcare Solutions, Inc. Net Sales, ($Million)
Figure 47. Athenahealth Inc. Net Sales, ($Million)
Figure 48. Cognizant Technology Solutions Corporation.: Net Sales, ($Million)
Figure 49. Quest Diagnostics.: Net Sales, ($Million)
Figure 50. Mckesson Corporation.: Net Sales, ($Million)
Figure 51. Eclinicalworks LLC.: Net Sales, ($Million)
Figure 52. Optum, Inc,.: Net Sales, ($Million)
Figure 53. The Ssi Groups Inc. Net Sales, ($Million)
Figure 54. GE Healthcare.: Net Sales, ($Million)

Executive Summary

According to this report titled, 'Healthcare Claims Management Solutions Market,' the healthcare claims management solutions market size was valued at $12.7 billion in 2020, and is estimated to reach $20.3 billion by 2030, growing at a CAGR of 4.7% from 2021 to 2030.

Healthcare claim management system involves the different tasks such as organization, billing, filling, updating, and processing of the medical claims related to treatment, diagnosis, and medication of the patient. It is easy to implement and make whole procedure of claims creation, claim processing, and claims submission by electronic claim management system by using claim management software. Different types of claim management software are available for patients to encourage loyalty by allowing quick and accurate process to resolve 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 and quickly 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 are applicable for payers, healthcare providers, and insurance providers for management system.

The key factor responsible for healthcare claims management solutions market growth include, increase in geriatric population, rise in incidence of chronic diseases, growth in awareness for care provision, proactive government initiatives to improve insurance coverage among citizens, and surge in use of cloud-based services. Increase in concerns regarding the patient data safety & security owing to increase in threat of cyber-attacks and the potential misuse of patient related confidential data hinders the growth of healthcare claims management solution market growth. Increase in investment in the Asia-Pacific region offers advanced claim management solutions techniques, which are expected to offer growth opportunities in the future. Thus, rise in investments in emerging markets to improve healthcare IT infrastructure from various government agencies is expected to create opportunities in the healthcare claims management solutions market.

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

Key players with healthcare claims management solutions market share profiled in the report 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, the market 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 more.

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

The report provides comprehensive healthcare claims management solutions market analysis. By geography, it is segmented as North America, Europe, Asia-Pacific and LAMEA. North America was the highest contributor to the global market in 2020. Asia-Pacific is projected to grow at a significant CAGR of 5.7% during the healthcare claims management solutions market forecast. 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 FINDINGS OF STUDY

  • The study provides an in-depth analysis of the healthcare claims management solutions industry, and the current trends & future estimations to elucidate imminent investment pockets.
  • By type, the software segment was the highest contributor to the market in 2020.
  • By deployment mode, the web-based segment dominated the market in 2020 and is expected to continue this trend during the forecast period.
  • Region-wise, North America garnered the largest revenue share in 2020. However, Asia-Pacific is anticipated to grow at the highest CAGR during the forecast period.

Companies Mentioned

  • 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

Methodology

The analyst offers exhaustive research and analysis based on a wide variety of factual inputs, which largely include interviews with industry participants, reliable statistics, and regional intelligence. The in-house industry experts play an instrumental role in designing analytic tools and models, tailored to the requirements of a particular industry segment. The primary research efforts include reaching out participants through mail, tele-conversations, referrals, professional networks, and face-to-face interactions.

They are also in professional corporate relations with various companies that allow them greater flexibility for reaching out to industry participants and commentators for interviews and discussions.

They also refer to a broad array of industry sources for their secondary research, which typically include; however, not limited to:

  • Company SEC filings, annual reports, company websites, broker & financial reports, and investor presentations for competitive scenario and shape of the industry
  • Scientific and technical writings for product information and related preemptions
  • Regional government and statistical databases for macro analysis
  • Authentic news articles and other related releases for market evaluation
  • Internal and external proprietary databases, key market indicators, and relevant press releases for market estimates and forecast

Furthermore, the accuracy of the data will be analyzed and validated by conducting additional primaries with various industry experts and KOLs. They also provide robust post-sales support to clients.

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Table Information

Report AttributeDetails
No. of Pages210
PublishedApril 2022
Forecast Period2020 - 2030
Estimated Market Value ( USD ) in 2020 $ 12690.3 million
Forecasted Market Value ( USD ) by 2030 $ 20284.18 million
Compound Annual Growth Rate4.8%
Regions CoveredGlobal
No. of Companies Mentioned10

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