Summary
The global Healthcare Claims Management Market is expected to witness a CAGR of xx% over the forecast period 2020-2026 and is expected to reach US$ xx million in 2026, from US$ xx million in 2019.
Healthcare Claims Management (HCM) is the practice of managing the revenue cycle for healthcare organizations. It consists of revenue-generating software and services that integrate with the organization's network, team, patients, and financial goals. HCM is an important part of any healthcare organization and helps keep costs down by enabling efficient billing and patient engagement. The use of software designed for healthcare providers can make healthcare claims management easier and more effective. A single integrated solution can help healthcare organizations streamline workflow and reduce costs. With an integrated solution, hospitals can integrate incident reporting data and claim data with ease. Moreover, an integrated healthcare claims management system can help improve revenue cycle control and expedite payments.
Drivers:
Increasing geriatric population with chronic diseases is expected to propel growth of the global healthcare claims management market during the forecast period. In September 2020, the Centers for Disease Control and Prevention (CDC) reported that in 2018, 23.9% of population of age 65 years and above had at least one chronic condition, and 63.7% of population had two chronic conditions in the U.S. Furthermore, increasing government initiatives supporting health insurance market are expected to drive growth of the global healthcare claims management market during the forecast period.
Restraints:
Growing concerns about patient data safety and security are expected to restrict growth of the global healthcare claims management market during the forecast period.
Regional insights:
Among regions, North America is expected to witness significant growth in the global healthcare claims management market during the forecast period due to increasing HCIT investments in the region. Moreover, Asia Pacific is expected to witness strong growth in the market, owing to increasing adoption of Healthcare IT solution in China, and rising investments for the advancement of healthcare infrastructure in the region.
Key Players:
Key players operating in the global healthcare claims management market are McKesson Corporation, eClinicalWorks, Conifer Health Solutions, DST Systems, Allscripts Healthcare Solutions, Inc., Health Solutions Plus, RAM Technologies, The SSI Group, GeBBS Healthcare Solutions, Cerner Corporation, athenahealth, Optum, Inc., nThrive, Cognizant Technology Solutions, Context 4 Healthcare, GE Healthcare, Quest Diagnostics, and PLEXIS Healthcare Systems.
In October 2020, The SSI Group, a leading company in financial performance solutions for payers and providers entered into partnership with RCxRules who provides automated billing solutions for healthcare facilities. Under this partnership the companies will launch the HCC Coding Edit Suite to help large health systems to financially succeed with risk-based contracts such as Managed Medicaid, and Medicare Advantage.
The Healthcare Claims Management Market report highlights product development and growth strategies such as merger and acquisition adopted by market players along with SWOT Analysis, PEST and Porter’s Five Forces analyses of the Healthcare Claims Management Market, which highlight the strengths, weaknesses, opportunities, and commination of key companies. Moreover, the report offers two distinct market forecasts, one from the perspective of the producer and another from that of the consumer.
The various contributors involved in the value chain of the product include manufacturers, suppliers, distributors, intermediaries, and customers.
The Key Manufacturers covered in this Report:-
- Athenahealth
- Cerner
- Allscripts Healthcare Solutions
- Eclinicalworks
- Unitedhealth Group
- Mckesson
- Conifer Health Solutions
- Gebbs Healthcare Solutions
- The SSI Group
- GE Healthcare
- Nthrive
- DST Systems
- Cognizant Technology Solutions
- Quest Diagnostics
- Context 4 Healthcare
- Ram Technologies
- Health Solutions Plus (HSP)
- Plexis Healthcare Systems
By Product Type, the market is primarily segmented into:
By Applications, the market is segmented into:
- Healthcare Payers
- Healthcare Providers
- Others
The report covers the following Regions:
- North America
- United States
- Canada
- Mexico
- Asia Pacific
- China
- Japan
- South Korea
- India
- Australia
- Indonesia
- Thailand
- Malaysia
- Philippines
- Vietnam
- Europe
- Germany
- France
- UK
- Italy
- Russia
- Central & South America
- Middle East & Africa
- Turkey
- GCC Countries
- Egypt
- South Africa
Objective of the Healthcare Claims Management Market Report:
- To assess the size of the market by value and volume
- Analyze the Healthcare Claims Management Market in terms of regions and major countries
- Highlight recent developments and trends in the market
- Offer perceptive data regarding major market players in terms of key developments, strategies, and product portfolio
- Determine share of the Healthcare Claims Management Market in terms of various segments such as by product type, application, and end-user
- Offer accurate projection of the market for the forecast period using state-of –the-art tools and the current primary and secondary research approaches
- Discuss major factors that impact growth of the Healthcare Claims Management Market
The Healthcare Claims Management Market engages the readers with all pivotal approaches to understand their position in the industry based on revenue or sales growth. The report efficiently evaluates the Healthcare Claims Management Market from various dimensions to deliver an end-product that is informative, elaborate, and accurate and includes detailed market segmentation, regional analysis, and competition in the market. The information in the report is backed by annual company reports, financial reports, press releases, regulatory databases, government documents, and statistical databases.
For the data information by region, company, type and application, 2019 is considered as the base year. Whenever data information was unavailable for the base year, the prior year has been considered.
Key Stakeholders:
- Material suppliers/wholesalers
- Market Distributors/traders
- Regulatory bodies
- Research organizations, and consulting firms
- Commercial research & developments (R&D)
- Trade associations and industry bodies
- Importers and exporters
- End-use industries
Available Customizations:
Custom research is one of the most crucial components of the business strategy that helps an organization gain insight into specific business sector, aligned with its specific area of interest. Thus, SMI offers more accurate, pragmatic, and actionable information specifically tailored to suit your business needs.
Table of Contents
Healthcare Claims Management Market Report by Company, Regions, Types and Applications, Global Status and Forecast to 2025
1 Industry Overview of Healthcare Claims Management
1.1 Healthcare Claims Management Market Overview
1.1.1 Healthcare Claims Management Product Scope
1.1.2 Market Status and Outlook
1.2 Global Healthcare Claims Management Market Size and Analysis by Regions
1.2.1 North America
1.2.2 Europe
1.2.3 China
1.2.4 Rest of Asia Pacific
1.2.5 Central & South America
1.2.6 Middle East & Africa
1.3 Healthcare Claims Management Market by Type
1.3.1 Global Healthcare Claims Management Revenue (Million US$) and Growth Comparison by Type (2014-2025)
1.3.2 Global Healthcare Claims Management Revenue Market Share by Type in 2018
1.3.3 On-premise
1.3.4 Cloud-based
1.4 Healthcare Claims Management Market by End Users/Application
1.4.1 Healthcare Payers
1.4.2 Healthcare Providers
1.4.3 Others
2 Global Healthcare Claims Management Competition Analysis by Players
2.1 Global Healthcare Claims Management Market Size (Million US$) by Players (2014-2019)
2.2 Competitive Status
2.2.1 Market Concentration Rate
2.2.2 Product/Service Differences
2.2.3 Mergers & Acquisitions, Expansion Plans
3 Company (Top Players) Profiles and Key Data
3.1 Athenahealth
3.1.1 Company Profile
3.1.2 Main Business/Business Overview
3.1.3 Products, Services and Solutions
3.1.4 Healthcare Claims Management Revenue (Value) (2014-2019)
3.1.5 Recent Developments
3.2 Cerner
3.2.1 Company Profile
3.2.2 Main Business/Business Overview
3.2.3 Products, Services and Solutions
3.2.4 Healthcare Claims Management Revenue (Value) (2014-2019)
3.2.5 Recent Developments
3.3 Allscripts Healthcare Solutions
3.3.1 Company Profile
3.3.2 Main Business/Business Overview
3.3.3 Products, Services and Solutions
3.3.4 Healthcare Claims Management Revenue (Value) (2014-2019)
3.3.5 Recent Developments
3.4 Eclinicalworks
3.4.1 Company Profile
3.4.2 Main Business/Business Overview
3.4.3 Products, Services and Solutions
3.4.4 Healthcare Claims Management Revenue (Value) (2014-2019)
3.4.5 Recent Developments
3.5 Unitedhealth Group
3.5.1 Company Profile
3.5.2 Main Business/Business Overview
3.5.3 Products, Services and Solutions
3.5.4 Healthcare Claims Management Revenue (Value) (2014-2019)
3.5.5 Recent Developments
3.6 Mckesson
3.6.1 Company Profile
3.6.2 Main Business/Business Overview
3.6.3 Products, Services and Solutions
3.6.4 Healthcare Claims Management Revenue (Value) (2014-2019)
3.6.5 Recent Developments
3.7 Conifer Health Solutions
3.7.1 Company Profile
3.7.2 Main Business/Business Overview
3.7.3 Products, Services and Solutions
3.7.4 Healthcare Claims Management Revenue (Value) (2014-2019)
3.7.5 Recent Developments
3.8 Gebbs Healthcare Solutions
3.8.1 Company Profile
3.8.2 Main Business/Business Overview
3.8.3 Products, Services and Solutions
3.8.4 Healthcare Claims Management Revenue (Value) (2014-2019)
3.8.5 Recent Developments
3.9 The SSI Group
3.9.1 Company Profile
3.9.2 Main Business/Business Overview
3.9.3 Products, Services and Solutions
3.9.4 Healthcare Claims Management Revenue (Value) (2014-2019)
3.9.5 Recent Developments
3.10 GE Healthcare
3.10.1 Company Profile
3.10.2 Main Business/Business Overview
3.10.3 Products, Services and Solutions
3.10.4 Healthcare Claims Management Revenue (Value) (2014-2019)
3.10.5 Recent Developments
3.11 Nthrive
3.12 DST Systems
3.13 Cognizant Technology Solutions
3.14 Quest Diagnostics
3.15 Context 4 Healthcare
3.16 Ram Technologies
3.17 Health Solutions Plus (HSP)
3.18 Plexis Healthcare Systems
4 Global Healthcare Claims Management Market Size by Type and Application (2014-2019)
4.1 Global Healthcare Claims Management Market Size by Type (2014-2019)
4.2 Global Healthcare Claims Management Market Size by Application (2014-2019)
4.3 Potential Application of Healthcare Claims Management in Future
4.4 Top Consumer/End Users of Healthcare Claims Management
5 North America Healthcare Claims Management Development Status and Outlook
5.1 North America Healthcare Claims Management Market Size (2014-2019)
5.2 North America Healthcare Claims Management Market Size and Market Share by Players (2014-2019)
5.3 North America Healthcare Claims Management Market Size by Application (2014-2019)
6 Europe Healthcare Claims Management Development Status and Outlook
6.1 Europe Healthcare Claims Management Market Size (2014-2019)
6.2 Europe Healthcare Claims Management Market Size and Market Share by Players (2014-2019)
6.3 Europe Healthcare Claims Management Market Size by Application (2014-2019)
7 China Healthcare Claims Management Development Status and Outlook
7.1 China Healthcare Claims Management Market Size (2014-2019)
7.2 China Healthcare Claims Management Market Size and Market Share by Players (2014-2019)
7.3 China Healthcare Claims Management Market Size by Application (2014-2019)
8 Rest of Asia Pacific Healthcare Claims Management Development Status and Outlook
8.1 Rest of Asia Pacific Healthcare Claims Management Market Size (2014-2019)
8.2 Rest of Asia Pacific Healthcare Claims Management Market Size and Market Share by Players (2014-2019)
8.3 Rest of Asia Pacific Healthcare Claims Management Market Size by Application (2014-2019)
9 Central & South America Healthcare Claims Management Development Status and Outlook
9.1 Central & South America Healthcare Claims Management Market Size (2014-2019)
9.2 Central & South America Healthcare Claims Management Market Size and Market Share by Players (2014-2019)
9.3 Central & South America Healthcare Claims Management Market Size by Application (2014-2019)
10 Middle East & Africa Healthcare Claims Management Development Status and Outlook
10.1 Middle East & Africa Healthcare Claims Management Market Size (2014-2019)
10.2 Middle East & Africa Healthcare Claims Management Market Size and Market Share by Players (2014-2019)
10.3 Middle East & Africa Healthcare Claims Management Market Size by Application (2014-2019)
11 Market Forecast by Regions and Application (2019-2025)
11.1 Global Healthcare Claims Management Market Size by Regions (2019-2025)
11.1.1 North America Healthcare Claims Management Revenue and Growth Rate (2019-2025)
11.1.2 Europe Healthcare Claims Management Revenue and Growth Rate (2019-2025)
11.1.3 China Healthcare Claims Management Revenue and Growth Rate (2019-2025)
11.1.4 Rest of Asia Pacific Healthcare Claims Management Revenue and Growth Rate (2019-2025)
11.1.5 Central & South America Healthcare Claims Management Revenue and Growth Rate (2019-2025)
11.1.6 Middle East & Africa Healthcare Claims Management Revenue and Growth Rate (2019-2025)
11.2 Global Healthcare Claims Management Market Size by Application (2019-2025)
11.3 The Market Drivers in Future
12 Healthcare Claims Management Market Dynamics
12.1 Industry Trends
12.2 Market Drivers
12.3 Market Challenges
12.4 Porters Five Forces Analysis
13 Research Finding /Conclusion
14 Methodology and Data Source
14.1 Methodology/Research Approach
14.1.1 Research Programs/Design
14.1.2 Market Size Estimation
14.1.3 Market Breakdown and Data Triangulation
14.2 Data Source
14.2.1 Secondary Sources
14.2.2 Primary Sources
14.3 Disclaimer
14.4 Author List
List of Table
List of Tables and Figures
Figure Global Healthcare Claims Management Market Size (Million USD) Status and Outlook (2014-2025)
Table Global Healthcare Claims Management Market Size (Million USD) and Growth Rate by Regions (2014-2025)
Figure Global Healthcare Claims Management Market Share by Regions (2014-2019)
Figure North America Healthcare Claims Management Market Size (Million USD) and Growth Rate (2014-2019)
Figure Europe Healthcare Claims Management Market Size (Million USD) and Growth Rate (2014-2019)
Figure China Healthcare Claims Management Market Size (Million USD) and Growth Rate (2014-2019)
Figure Rest of Asia Pacific Healthcare Claims Management Market Size (Million USD) and Growth Rate (2014-2019)
Figure Central & South America Healthcare Claims Management Market Size (Million USD) and Growth Rate (2014-2019)
Figure Middle East & Africa Healthcare Claims Management Market Size (Million USD) and Growth Rate (2014-2019)
Figure Global Healthcare Claims Management Market Share by Type in 2018 & 2025
Figure On-premise Market Size (Million USD) and Growth Rate (2014-2019)
Figure Cloud-based Market Size (Million USD) and Growth Rate (2014-2019)
Table Global Healthcare Claims Management Market Size (Million US$) Comparison by Application (2014-2025)
Figure Global Healthcare Claims Management Market Share by Application in 2018 & 2025
Figure Healthcare Claims Management Market Size (Million USD) and Growth Rate in Healthcare Payers (2014-2019)
Figure Healthcare Claims Management Market Size (Million USD) and Growth Rate in Healthcare Providers (2014-2019)
Figure Healthcare Claims Management Market Size (Million USD) and Growth Rate in Others (2014-2019)
Table Global Healthcare Claims Management Revenue (Million US$) by Players (2014-2019)
Table Global Healthcare Claims Management Revenue Market Share by Players (2014-2019)
Eigure Healthcare Claims Management Market Size Share by Players in 2018
Table Global Healthcare Claims Management Manufacturers Market Concentration Ratio (CR5 and HHI)
Figure Global Top 5 Players Healthcare Claims Management Market Share in 2018
Figure Global Top 10 Players Healthcare Claims Management Market Share in 2018
Table Healthcare Claims Management Key Players Product/Service
Table Mergers & Acquisitions, Expansion Plans
Table Athenahealth Basic Information List
Table Athenahealth Description and Business Overview
Table Athenahealth Healthcare Claims Management Products, Services and Solutions
Table Revenue (Million US$) in Healthcare Claims Management Business of Athenahealth (2014-2019)
Table Athenahealth Healthcare Claims Management Recent Developments
Table Cerner Basic Information List
Table Cerner Description and Business Overview
Table Cerner Healthcare Claims Management Products, Services and Solutions
Table Revenue (Million US$) in Healthcare Claims Management Business of Cerner (2014-2019)
Table Cerner Healthcare Claims Management Recent Developments
Table Allscripts Healthcare Solutions Basic Information List
Table Allscripts Healthcare Solutions Description and Business Overview
Table Allscripts Healthcare Solutions Healthcare Claims Management Products, Services and Solutions
Table Revenue (Million US$) in Healthcare Claims Management Business of Allscripts Healthcare Solutions (2014-2019)
Table Allscripts Healthcare Solutions Healthcare Claims Management Recent Developments
Table Eclinicalworks Basic Information List
Table Eclinicalworks Description and Business Overview
Table Eclinicalworks Healthcare Claims Management Products, Services and Solutions
Table Revenue (Million US$) in Healthcare Claims Management Business of Eclinicalworks (2014-2019)
Table Eclinicalworks Healthcare Claims Management Recent Developments
Table Unitedhealth Group Basic Information List
Table Unitedhealth Group Description and Business Overview
Table Unitedhealth Group Healthcare Claims Management Products, Services and Solutions
Table Revenue (Million US$) in Healthcare Claims Management Business of Unitedhealth Group (2014-2019)
Table Unitedhealth Group Healthcare Claims Management Recent Developments
Table Mckesson Basic Information List
Table Mckesson Description and Business Overview
Table Mckesson Healthcare Claims Management Products, Services and Solutions
Table Revenue (Million US$) in Healthcare Claims Management Business of Mckesson (2014-2019)
Table Mckesson Healthcare Claims Management Recent Developments
Table Conifer Health Solutions Basic Information List
Table Conifer Health Solutions Description and Business Overview
Table Conifer Health Solutions Healthcare Claims Management Products, Services and Solutions
Table Revenue (Million US$) in Healthcare Claims Management Business of Conifer Health Solutions (2014-2019)
Table Conifer Health Solutions Healthcare Claims Management Recent Developments
Table Gebbs Healthcare Solutions Basic Information List
Table Gebbs Healthcare Solutions Description and Business Overview
Table Gebbs Healthcare Solutions Healthcare Claims Management Products, Services and Solutions
Table Revenue (Million US$) in Healthcare Claims Management Business of Gebbs Healthcare Solutions (2014-2019)
Table Gebbs Healthcare Solutions Healthcare Claims Management Recent Developments
Table The SSI Group Basic Information List
Table The SSI Group Description and Business Overview
Table The SSI Group Healthcare Claims Management Products, Services and Solutions
Table Revenue (Million US$) in Healthcare Claims Management Business of The SSI Group (2014-2019)
Table The SSI Group Healthcare Claims Management Recent Developments
Table GE Healthcare Basic Information List
Table GE Healthcare Description and Business Overview
Table GE Healthcare Healthcare Claims Management Products, Services and Solutions
Table Revenue (Million US$) in Healthcare Claims Management Business of GE Healthcare (2014-2019)
Table GE Healthcare Healthcare Claims Management Recent Developments
Table Nthrive Basic Information List
Table DST Systems Basic Information List
Table Cognizant Technology Solutions Basic Information List
Table Quest Diagnostics Basic Information List
Table Context 4 Healthcare Basic Information List
Table Ram Technologies Basic Information List
Table Health Solutions Plus (HSP) Basic Information List
Table Plexis Healthcare Systems Basic Information List
Table Global Healthcare Claims Management Market Size by Type (2014-2019) (Million US$)
Figure Global Healthcare Claims Management Revenue Market Share by Type in 2018
Table Global Healthcare Claims Management Market Size by Application (2014-2019) (Million US$)
Figure Global Healthcare Claims Management Revenue Market by Application in 2018
Table Top Consumer/End Users of Healthcare Claims Management
Figure North America Healthcare Claims Management Market Size and Growth Rate(2014-2019) (Million USD)
Table North America Healthcare Claims Management Market Size by Players (2014-2019)(Million US$)
Figure North America Healthcare Claims Management Market Size Share by Players in 2018
Table North America Healthcare Claims Management Market Size by Application (2014-2019) (Million US$)
Figure North America Healthcare Claims Management Revenue Market Share by Application (2014-2019)
Figure North America Healthcare Claims Management Market Size Share by Application in 2018
Figure Europe Healthcare Claims Management Market Size and Growth Rate(2014-2019) (Million USD)
Table Europe Healthcare Claims Management Market Size by Players (2014-2019)(Million US$)
Figure Europe Healthcare Claims Management Market Size Share by Players in 2018
Table Europe Healthcare Claims Management Market Size by Application (2014-2019) (Million US$)
Figure Europe Healthcare Claims Management Revenue Market Share by Application (2014-2019)
Figure Europe Healthcare Claims Management Market Size Share by Application in 2018
Figure China Healthcare Claims Management Market Size and Growth Rate(2014-2019) (Million USD)
Table China Healthcare Claims Management Market Size by Players (2014-2019)(Million US$)
Figure China Healthcare Claims Management Market Size Share by Players in 2018
Table China Healthcare Claims Management Market Size by Application (2014-2019) (Million US$)
Figure China Healthcare Claims Management Revenue Market Share by Application (2014-2019)
Figure China Healthcare Claims Management Market Size Share by Application in 2018
Figure Rest of Asia Pacific Healthcare Claims Management Market Size and Growth Rate(2014-2019) (Million USD)
Table Rest of Asia Pacific Healthcare Claims Management Market Size by Players (2014-2019)(Million US$)
Figure Rest of Asia Pacific Healthcare Claims Management Market Size Share by Players in 2018
Table Rest of Asia Pacific Healthcare Claims Management Market Size by Application (2014-2019) (Million US$)
Figure Rest of Asia Pacific Healthcare Claims Management Revenue Market Share by Application (2014-2019)
Figure Rest of Asia Pacific Healthcare Claims Management Market Size Share by Application in 2018
Figure Central & South America Healthcare Claims Management Market Size and Growth Rate(2014-2019) (Million USD)
Table Central & South America Healthcare Claims Management Market Size by Players (2014-2019)(Million US$)
Figure Central & South America Healthcare Claims Management Market Size Share by Players in 2018
Table Central & South America Healthcare Claims Management Market Size by Application (2014-2019) (Million US$)
Figure Central & South America Healthcare Claims Management Revenue Market Share by Application (2014-2019)
Figure Central & South America Healthcare Claims Management Market Size Share by Application in 2018
Figure Middle East & Africa Healthcare Claims Management Market Size and Growth Rate(2014-2019) (Million USD)
Table Middle East & Africa Healthcare Claims Management Market Size by Players (2014-2019)(Million US$)
Figure Middle East & Africa Healthcare Claims Management Market Size Share by Players in 2018
Table Middle East & Africa Healthcare Claims Management Market Size by Application (2014-2019) (Million US$)
Figure Middle East & Africa Healthcare Claims Management Revenue Market Share by Application (2014-2019)
Figure Middle East & Africa Healthcare Claims Management Market Size Share by Application in 2018
Figure Global Healthcare Claims Management Market Size and Growth Rate (Value) (2019-2025) (Million US$)
Table Global Healthcare Claims Management Market Size by Regions (2019-2025) (Million US$)
Figure Global Healthcare Claims Management Market Size Share by Regions (2019-2025)
Figure Global Healthcare Claims Management Market Size Share by Regions in 2025
Figure North America Healthcare Claims Management Revenue (Million USD) and Growth Rate (2019-2025)
Figure Europe Healthcare Claims Management Revenue (Million USD) and Growth Rate (2019-2025)
Figure China Healthcare Claims Management Revenue (Million USD) and Growth Rate (2019-2025)
Figure Rest of Asia Pacific Healthcare Claims Management Revenue (Million USD) and Growth Rate (2019-2025)
Figure Central & South America Healthcare Claims Management Revenue (Million USD) and Growth Rate (2019-2025)
Figure Middle East & Africa Healthcare Claims Management Revenue (Million USD) and Growth Rate (2019-2025)
Table Global Healthcare Claims Management Market Size by Application (2019-2025) (Million USD)
Figure Global Healthcare Claims Management Market Size by Application (2019-2025)
Figure Global Healthcare Claims Management Market Size by Application in 2025
Table Global Healthcare Claims Management Market Size by Type (2019-2025) (Million US$)
Figure Global Healthcare Claims Management Market Size by Type (2019-2025)
Figure Global Healthcare Claims Management Market Size by Type in 2025
Table Market Top Trends
Table Key Drivers: Impact Analysis (2019-2025)
Table Key Challenges
Figure Porter's Five Forces Analysis
Table Research Programs/Design for This Report
Figure Bottom-up and Top-down Approaches for This Report
Figure Data Triangulation
Table Key Data Information from Secondary Sources
Table Key Data Information from Primary Sources
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