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Healthcare Reimbursement Market by Claim (Fully Paid, Underpaid), Payer (Private Payers, Public Payers), Service Provider - Global Forecast 2024-2030

Publisher 360iResearch
Published Jan 15, 2024
Length 185 Pages
SKU # IRE18444286

Description

Healthcare Reimbursement Market by Claim (Fully Paid, Underpaid), Payer (Private Payers, Public Payers), Service Provider - Global Forecast 2024-2030


The Healthcare Reimbursement Market size was estimated at USD 52.00 billion in 2023 and expected to reach USD 57.28 billion in 2024, at a CAGR 10.63% to reach USD 105.48 billion by 2030.

FPNV Positioning Matrix

The FPNV Positioning Matrix is pivotal in evaluating the Healthcare Reimbursement Market. It offers a comprehensive assessment of vendors, examining key metrics related to Business Strategy and Product Satisfaction. This in-depth analysis empowers users to make well-informed decisions aligned with their requirements. Based on the evaluation, the vendors are then categorized into four distinct quadrants representing varying levels of success: Forefront (F), Pathfinder (P), Niche (N), or Vital (V).

Market Share Analysis

The Market Share Analysis is a comprehensive tool that provides an insightful and in-depth examination of the current state of vendors in the Healthcare Reimbursement Market. By meticulously comparing and analyzing vendor contributions in terms of overall revenue, customer base, and other key metrics, we can offer companies a greater understanding of their performance and the challenges they face when competing for market share. Additionally, this analysis provides valuable insights into the competitive nature of the sector, including factors such as accumulation, fragmentation dominance, and amalgamation traits observed over the base year period studied. With this expanded level of detail, vendors can make more informed decisions and devise effective strategies to gain a competitive edge in the market.

Key Company Profiles

The report delves into recent significant developments in the Healthcare Reimbursement Market, highlighting leading vendors and their innovative profiles. These include Aditya Birla Capital Ltd., Aetna, Allianz SE, Aviva Life Insurance Company India Ltd., Blue Cross Blue Shield Association by Elevance Health, Care Health Insurance Limited, CCVS Healthentene Corporation, Cigna, Healthcare Reimbursement Services, Inc., Humana Inc., IFFCO-Tokio General Insurance Company Limited, Magma HDI General Insurance Company Limited, Medica Insurance Company, Niva Bupa Health Insurance Company Limited, and The Oriental Insurance Company Ltd..

Market Segmentation & Coverage



This research report categorizes the Healthcare Reimbursement Market to forecast the revenues and analyze trends in each of the following sub-markets:

Claim
Fully Paid
Underpaid
Payer
Private Payers
Public Payers
Service Provider
Diagnostic Laboratories
Hospitals
Physician Office
Region
Americas
Argentina

Brazil

Canada

Mexico

United States
California

Florida

Illinois

New York

Ohio

Pennsylvania

Texas
Asia-Pacific
Australia

China

India

Indonesia

Japan

Malaysia

Philippines

Singapore

South Korea

Taiwan

Thailand

Vietnam
Europe, Middle East & Africa
Denmark

Egypt

Finland

France

Germany

Israel

Italy

Netherlands

Nigeria

Norway

Poland

Qatar

Russia

Saudi Arabia

South Africa

Spain

Sweden

Switzerland

Turkey

United Arab Emirates

United Kingdom

The report offers valuable insights on the following aspects:

1. Market Penetration: It presents comprehensive information on the market provided by key players.
2. Market Development: It delves deep into lucrative emerging markets and analyzes the penetration across mature market segments.
3. Market Diversification: It provides detailed information on new product launches, untapped geographic regions, recent developments, and investments.
4. Competitive Assessment & Intelligence: It conducts an exhaustive assessment of market shares, strategies, products, certifications, regulatory approvals, patent landscape, and manufacturing capabilities of the leading players.
5. Product Development & Innovation: It offers intelligent insights on future technologies, R&D activities, and breakthrough product developments.

The report addresses key questions such as:

1. What is the market size and forecast of the Healthcare Reimbursement Market?
2. Which products, segments, applications, and areas should one consider investing in over the forecast period in the Healthcare Reimbursement Market?
3. What are the technology trends and regulatory frameworks in the Healthcare Reimbursement Market?
4. What is the market share of the leading vendors in the Healthcare Reimbursement Market?
5. Which modes and strategic moves are suitable for entering the Healthcare Reimbursement Market?

Note: PDF & Excel + Online Access - 1 Year

Table of Contents

185 Pages
1. Preface
1.1. Objectives of the Study
1.2. Market Segmentation & Coverage
1.3. Years Considered for the Study
1.4. Currency & Pricing
1.5. Language
1.6. Limitations
1.7. Assumptions
1.8. Stakeholders
2. Research Methodology
2.1. Define: Research Objective
2.2. Determine: Research Design
2.3. Prepare: Research Instrument
2.4. Collect: Data Source
2.5. Analyze: Data Interpretation
2.6. Formulate: Data Verification
2.7. Publish: Research Report
2.8. Repeat: Report Update
3. Executive Summary
4. Market Overview
4.1. Introduction
4.2. Healthcare Reimbursement Market, by Region
5. Market Insights
5.1. Market Dynamics
5.1.1. Drivers
5.1.1.1. Need to address increasing healthcare economic burden
5.1.1.2. Introduction of favourable regulatory policies for the healthcare
5.1.1.3. Increasing penetration of insurance services in rural areas
5.1.2. Restraints
5.1.2.1. Complex framework and degraded quality of care being provided to patients
5.1.3. Opportunities
5.1.3.1. Increasing government reforms about the adoption of advanced healthcare infrastructure
5.1.3.2. Technological advancements such as real-time claims management processing system
5.1.4. Challenges
5.1.4.1. Fraud related to federal and state government healthcare programs
5.2. Market Segmentation Analysis
5.3. Market Trend Analysis
5.4. Cumulative Impact of High Inflation
5.5. Porter’s Five Forces Analysis
5.5.1. Threat of New Entrants
5.5.2. Threat of Substitutes
5.5.3. Bargaining Power of Customers
5.5.4. Bargaining Power of Suppliers
5.5.5. Industry Rivalry
5.6. Value Chain & Critical Path Analysis
5.7. Regulatory Framework
6. Healthcare Reimbursement Market, by Claim
6.1. Introduction
6.2. Fully Paid
6.3. Underpaid
7. Healthcare Reimbursement Market, by Payer
7.1. Introduction
7.2. Private Payers
7.3. Public Payers
8. Healthcare Reimbursement Market, by Service Provider
8.1. Introduction
8.2. Diagnostic Laboratories
8.3. Hospitals
8.4. Physician Office
9. Americas Healthcare Reimbursement Market
9.1. Introduction
9.2. Argentina
9.3. Brazil
9.4. Canada
9.5. Mexico
9.6. United States
10. Asia-Pacific Healthcare Reimbursement Market
10.1. Introduction
10.2. Australia
10.3. China
10.4. India
10.5. Indonesia
10.6. Japan
10.7. Malaysia
10.8. Philippines
10.9. Singapore
10.10. South Korea
10.11. Taiwan
10.12. Thailand
10.13. Vietnam
11. Europe, Middle East & Africa Healthcare Reimbursement Market
11.1. Introduction
11.2. Denmark
11.3. Egypt
11.4. Finland
11.5. France
11.6. Germany
11.7. Israel
11.8. Italy
11.9. Netherlands
11.10. Nigeria
11.11. Norway
11.12. Poland
11.13. Qatar
11.14. Russia
11.15. Saudi Arabia
11.16. South Africa
11.17. Spain
11.18. Sweden
11.19. Switzerland
11.20. Turkey
11.21. United Arab Emirates
11.22. United Kingdom
12. Competitive Landscape
12.1. FPNV Positioning Matrix
12.2. Market Share Analysis, By Key Player
12.3. Competitive Scenario Analysis, By Key Player
13. Competitive Portfolio
13.1. Key Company Profiles
13.1.1. Aditya Birla Capital Ltd.
13.1.2. Aetna
13.1.3. Allianz SE
13.1.4. Aviva Life Insurance Company India Ltd.
13.1.5. Blue Cross Blue Shield Association by Elevance Health
13.1.6. Care Health Insurance Limited
13.1.7. CCVS Healthentene Corporation
13.1.8. Cigna
13.1.9. Healthcare Reimbursement Services, Inc.
13.1.10. Humana Inc.
13.1.11. IFFCO-Tokio General Insurance Company Limited
13.1.12. Magma HDI General Insurance Company Limited
13.1.13. Medica Insurance Company
13.1.14. Niva Bupa Health Insurance Company Limited
13.1.15. The Oriental Insurance Company Ltd.
13.2. Key Product Portfolio
14. Appendix
14.1. Discussion Guide
14.2. License & Pricing
FIGURE 1. HEALTHCARE REIMBURSEMENT MARKET RESEARCH PROCESS
FIGURE 2. HEALTHCARE REIMBURSEMENT MARKET SIZE, 2023 VS 2030
FIGURE 3. HEALTHCARE REIMBURSEMENT MARKET SIZE, 2018-2030 (USD MILLION)
FIGURE 4. HEALTHCARE REIMBURSEMENT MARKET SIZE, BY REGION, 2023 VS 2030 (%)
FIGURE 5. HEALTHCARE REIMBURSEMENT MARKET SIZE, BY REGION, 2023 VS 2024 VS 2030 (USD MILLION)
FIGURE 6. HEALTHCARE REIMBURSEMENT MARKET DYNAMICS
FIGURE 7. HEALTHCARE REIMBURSEMENT MARKET SIZE, BY CLAIM, 2023 VS 2030 (%)
FIGURE 8. HEALTHCARE REIMBURSEMENT MARKET SIZE, BY CLAIM, 2023 VS 2024 VS 2030 (USD MILLION)
FIGURE 9. HEALTHCARE REIMBURSEMENT MARKET SIZE, BY PAYER, 2023 VS 2030 (%)
FIGURE 10. HEALTHCARE REIMBURSEMENT MARKET SIZE, BY PAYER, 2023 VS 2024 VS 2030 (USD MILLION)
FIGURE 11. HEALTHCARE REIMBURSEMENT MARKET SIZE, BY SERVICE PROVIDER, 2023 VS 2030 (%)
FIGURE 12. HEALTHCARE REIMBURSEMENT MARKET SIZE, BY SERVICE PROVIDER, 2023 VS 2024 VS 2030 (USD MILLION)
FIGURE 13. AMERICAS HEALTHCARE REIMBURSEMENT MARKET SIZE, BY COUNTRY, 2023 VS 2030 (%)
FIGURE 14. AMERICAS HEALTHCARE REIMBURSEMENT MARKET SIZE, BY COUNTRY, 2023 VS 2024 VS 2030 (USD MILLION)
FIGURE 15. UNITED STATES HEALTHCARE REIMBURSEMENT MARKET SIZE, BY STATE, 2023 VS 2030 (%)
FIGURE 16. UNITED STATES HEALTHCARE REIMBURSEMENT MARKET SIZE, BY STATE, 2023 VS 2024 VS 2030 (USD MILLION)
FIGURE 17. ASIA-PACIFIC HEALTHCARE REIMBURSEMENT MARKET SIZE, BY COUNTRY, 2023 VS 2030 (%)
FIGURE 18. ASIA-PACIFIC HEALTHCARE REIMBURSEMENT MARKET SIZE, BY COUNTRY, 2023 VS 2024 VS 2030 (USD MILLION)
FIGURE 19. EUROPE, MIDDLE EAST & AFRICA HEALTHCARE REIMBURSEMENT MARKET SIZE, BY COUNTRY, 2023 VS 2030 (%)
FIGURE 20. EUROPE, MIDDLE EAST & AFRICA HEALTHCARE REIMBURSEMENT MARKET SIZE, BY COUNTRY, 2023 VS 2024 VS 2030 (USD MILLION)
FIGURE 21. HEALTHCARE REIMBURSEMENT MARKET, FPNV POSITIONING MATRIX, 2023
FIGURE 22. HEALTHCARE REIMBURSEMENT MARKET SHARE, BY KEY PLAYER, 2023

Pricing

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