Report cover image

Healthcare Claims Management Market Size, Share, and Analysis, By Component (Software, Services), By Type (Integrated Solutions, Standalone Solutions), By Delivery Mode (On-Premise, Cloud-Based), By End User (Healthcare Players, Healthcare Providers, and

Publisher Fatpos Global
Published Mar 01, 2025
Length 478 Pages
SKU # FAGL19863381

Description

Healthcare Claims Management Market Size, Share, and Analysis, By Component (Software, Services), By Type (Integrated Solutions, Standalone Solutions), By Delivery Mode (On-Premise, Cloud-Based), By End User (Healthcare Players, Healthcare Providers, and Other End Users), and By Region (North America, Europe, Asia-Pacific, And Rest of the World) And Regional Forecast 2024-2034

PRODUCT OVERVIEW

Healthcare Claims Management Market is anticipated to grow at a CAGR of 6% in the forecast period (2024-2034), with the market size valued at USD 15 billion in 2023 and projected to reach USD 28.6 billion by 2034.

Healthcare Claims Management involves the handling and processing of claims submitted by healthcare providers to insurance companies for reimbursement. This process includes verifying claim details, processing claims using medical codes and insurer guidelines, and managing the payment process. Efficient claims management ensures accurate and timely reimbursements, reduces claim rejections and denials, and lowers administrative costs. The process involves several stages, such as claim submission, processing, and payment, with an emphasis on compliance with regulations and precision in data management. Advanced technologies like AI and automation are increasingly being adopted to streamline these processes, enhance accuracy, and improve overall efficiency in healthcare claims management.

MARKET HIGHLIGHTS

Healthcare Claims Management Market is expected to reach USD 28.6 billion, with a 6% CAGR driven by rising healthcare expenses, intricate billing procedures, and the demand for streamlined claims processing. The increasing number of patients and regulatory requirements are heightening the demand for accurate and efficient claims management solutions. Technological advancements, such as AI and automation, are improving the effectiveness and accuracy of claims processing, reducing errors and fraud. Additionally, the shift towards value-based healthcare and the adoption of electronic medical records are pushing healthcare providers and payers to implement advanced claims management systems. The market is expected to continue growing due to a sustained focus on cost control, regulatory compliance, and data integration.

Healthcare Claims Management Market Segments:
  • By Component
  • Software
  • Services
  • By Type
  • Integrated Solutions
  • Standalone Solutions
  • By Delivery Mode
  • On-Premise
  • Cloud-Based
  • By End Users
  • Healthcare Players
  • Healthcare Providers
  • Other End Users
MARKET DYNAMICS

Growth Drivers

Growing Demand for Streamlined and Efficient Claims Processing to Bolster Market Growth

Adoption of Digital Technologies and Automation in Healthcare has Provided Significant Growth Opportunities

Restraint

Integration Challenges with Existing Healthcare Systems May Hinder Market Growth

Key Players
  • Optum
  • Conduent
  • McKesson Corporation
  • Cotiviti
  • Change Healthcare
  • Truven Health Analytics (a part of IBM Watson Health)
  • Cerner Corporation
  • Allscripts Healthcare Solutions
  • R1 RCM
  • MedicoReach
  • NextGen Healthcare
  • NTT DATA Services
  • Experian Health
  • UnitedHealth Group
  • eCatalyst Healthcare Solutions
  • Other Prominent Players (Company Overview, Business Strategy, Key Product Offerings, Financial Performance, Key Performance Indicators, Risk Analysis, Recent Development, Regional Presence, SWOT Analysis)
Global Laboratory Temperature Control Units Market is further segmented by region into:
  • North America Market Size, Share, Trends, Opportunities, Y-o-Y Growth, CAG.R – United States and Canada
  • Latin America Market Size, Share, Trends, Opportunities, Y-o-Y Growth, CAGR – Mexico, Argentina, Brazil and Rest of Latin America
  • Europe Market Size, Share, Trends, Opportunities, Y-o-Y Growth, CAGR – United Kingdom, France, Germany, Italy, Spain, Belgium, Hungary, Luxembourg, Netherlands, Poland, NORDIC, Russia, Turkey and Rest of Europe
  • Asia Pacific Market Size, Share, Trends, Opportunities, Y-o-Y Growth, CAGR – India, China, South Korea, Japan, Malaysia, Indonesia, New Zealand, Australia and Rest of APAC
  • Middle East and Africa Market Size, Share, Trends, Opportunities, Y-o-Y Growth, CAGR – North Africa, Israel, GCC, South Africa and Rest of MENA
Reasons to Purchase this Report
  • Qualitative and quantitative analysis of the market based on segmentation involving both economic as well as non-economic factors
  • Provision of market value (USD Billion) data for each segment and sub-segment
  • Indicates the region and segment that is expected to witness the fastest growth as well as to dominate the market
  • Analysis by geography highlighting the consumption of the product/service in the region as well as indicating the factors that are affecting the market within each region
  • Competitive landscape which incorporates the market ranking of the major players, along with new service/product launches, partnerships, business expansions, and acquisitions in the past five years of companies profiled
  • Extensive company profiles comprising of company overview, company insights, product benchmarking, and SWOT analysis for the major market players
  • The current as well as the future market outlook of the industry with respect to recent developments which involve growth opportunities and drivers as well as challenges and restraints of both emerging as well as developed regions
  • Includes in-depth analysis of the market of various perspectives through Porter’s five forces analysis
  • Provides insight into the market through Value Chain
  • Market dynamics scenario, along with growth opportunities of the market in the years to come
  • 3-month post-sales analyst support.
*Please Note: The report will be delivered in 2-3 business days upon order confirmation*

Table of Contents

478 Pages
1. Executive Summary
1.1. Regional Market Share
1.2. Business Trends
1.3. Healthcare Claims Management Market: COVID-19 Outbreak
1.4. Regional Trends
1.5. Segmentation Snapshot
2. Research Methodology
2.1. Research Objective
2.2. Research Approach
2.3. Data Sourcing and Methodology
2.4. Primary Research
2.5. Secondary Research
2.5.1. Paid Sources
2.5.2. Public Sources
2.6. Market Size Estimation and Data Triangulation
3. Market Characteristics
3.1. Market Definition
3.2. Healthcare Claims Management Market: COVID-19 Impact
3.3. Key Segmentations
3.4. Key Developments
3.5. Allied Industry Data
4. Healthcare Claims Management Market – Industry Insights
4.1. Industry Segmentation
4.2. COVID-19 overview on world economy
4.3. Industry ecosystem Channel analysis
4.4. Innovation & Sustainability
5. Macroeconomic Indicators
6. Recent Developments
7. Market Dynamics
7.1. Introduction
7.2. Growth Drivers
7.3. Market Opportunities
7.4. Market Restraints
7.5. Market Trends
8. Risk Analysis
9. Market Analysis
9.1. Porters Five Forces
9.2. PEST Analysis
9.2.1. Political
9.2.2. Economic
9.2.3. Social
9.2.4. Technological
10. Healthcare Claims Management Market
10.1. Overview
10.2. Historical Analysis (2019-2022)
10.2.1. Market Size, Y-o-Y Growth (%) and Market Forecast
11. Healthcare Claims Management Market Size & Forecast 2024 A-2034 F
11.1. Overview
11.2. Key Findings
11.3. Market Segmentation
11.3.1. By Component
11.3.1.1. Software
11.3.1.1.1. By Value (USD Million) 2024-2034 F
11.3.1.1.2. Market Share (%) 2024-2034 F
11.3.1.1.3. Y-o-Y Growth (%) 2024-2034 F
11.3.1.2. Services
11.3.1.2.1. By Value (USD Million) 2024-2034 F
11.3.1.2.2. Market Share (%) 2024-2034 F
11.3.1.2.3. Y-o-Y Growth (%) 2024-2034 F
11.3.2. By Type
11.3.2.1. Integrated Solutions
11.3.2.1.1. By Value (USD Million) 2024-2034 F
11.3.2.1.2. Market Share (%) 2024-2034 F
11.3.2.1.3. Y-o-Y Growth (%) 2024-2034 F
11.3.2.2. Standalone Solutions
11.3.2.2.1. By Value (USD Million) 2024-2034 F
11.3.2.2.2. Market Share (%) 2024-2034 F
11.3.2.2.3. Y-o-Y Growth (%) 2024-2034 F
11.3.3. By Delivery Mode
11.3.3.1. On-Premise
11.3.3.1.1. By Value (USD Million) 2024-2034 F
11.3.3.1.2. Market Share (%) 2024-2034 F
11.3.3.1.3. Y-o-Y Growth (%) 2024-2034 F
11.3.3.2. Cloud-Based
11.3.3.2.1. By Value (USD Million) 2024-2034 F
11.3.3.2.2. Market Share (%) 2024-2034 F
11.3.3.2.3. Y-o-Y Growth (%) 2024-2034 F
11.3.4. By End User
11.3.4.1. Healthcare Players
11.3.4.1.1. By Value (USD Million) 2024-2034 F
11.3.4.1.2. Market Share (%) 2024-2034 F
11.3.4.1.3. Y-o-Y Growth (%) 2024-2034 F
11.3.4.2. Healthcare Providers
11.3.4.2.1. By Value (USD Million) 2024-2034 F
11.3.4.2.2. Market Share (%) 2024-2034 F
11.3.4.2.3. Y-o-Y Growth (%) 2024-2034 F
11.3.4.3. Other End Users
11.3.4.3.1. By Value (USD Million) 2024-2034 F
11.3.4.3.2. Market Share (%) 2024-2034 F
11.3.4.3.3. Y-o-Y Growth (%) 2024-2034 F
12. North America Healthcare Claims Management Market Size & Forecast 2024 A-2034 F
12.1. Overview
12.2. Key Findings
12.3. Market Segmentation
12.3.1. By Component
12.3.2. By Type
12.3.3. By Delivery Mode
12.3.4. By End User
12.4. Country
12.4.1. United States
12.4.2. Canada
13. Europe Healthcare Claims Management Market Size & Forecast 2024 A-2034 F
13.1. Overview
13.2. Key Findings
13.3. Market Segmentation
13.3.1. By Component
13.3.2. By Type
13.3.3. By Delivery Mode
13.3.4. By End User
13.4. Country
13.4.1. Germany
13.4.2. United Kingdom
13.4.3. France
13.4.4. Italy
13.4.5. Spain
13.4.6. Russia
13.4.7. Rest of Europe (BENELUX, NORDIC, Hungary, Turkey & Poland)
14. Asia-Pacific Healthcare Claims Management Market Size & Forecast 2024 A-2034 F
14.1. Overview
14.2. Key Findings
14.3. Market Segmentation
14.3.1. By Component
14.3.2. By Type
14.3.3. By Delivery Mode
14.3.4. By End User
14.4. Country
14.4.1. India
14.4.2. China
14.4.3. South Korea
14.4.4. Japan
14.4.5. Rest of APAC
15. Middle East and Africa Healthcare Claims Management Market Size & Forecast 2024 A-2034 F
15.1. Overview
15.2. Key Findings
15.3. Market Segmentation
15.3.1. By Component
15.3.2. By Type
15.3.3. By Delivery Mode
15.3.4. By End User
15.4. Country
15.4.1. Israel
15.4.2. GCC
15.4.3. North Africa
15.4.4. South Africa
15.4.5. Rest of Middle East and Africa
16. Latin America Healthcare Claims Management Market Size & Forecast 2024 A-2034 F
16.1. Overview
16.2. Key Findings
16.3. Market Segmentation
16.3.1. By Component
16.3.2. By Type
16.3.3. By Delivery Mode
16.3.4. By End User
16.4. Country
16.4.1. Mexico
16.4.2. Brazil
16.4.3. Rest of Latin America
17. Competitive Landscape
17.1. Company market share, 2023
17.2. Key player overview
17.3. Key stakeholders
18. Company Profiles
18.1. Optum
18.1.1. Company Overview
18.1.2. Financial Overview
18.1.3. Key Product; Analysis
18.1.4. Company Assessment
18.1.4.1. Product Portfolio
18.1.4.2. Key Clients
18.1.4.3. Market Share
18.1.4.4. Recent News & Development (Last 3 Yrs.)
18.1.4.5. Executive Team
18.2. Conduent
18.3. McKesson Corporation
18.4. Cotiviti
18.5. Change Healthcare
18.6. Truven Health Analytics (a part of IBM Watson Health)
18.7. Cerner Corporation
18.8. Allscripts Healthcare Solutions
18.9. R1 RCM
18.10. MedicoReach
18.11. NextGen Healthcare
18.12. NTT DATA Services
18.13. Experian Health
18.14. UnitedHealth Group
18.15. eCatalyst Healthcare Solutions
18.16. Other Prominent Players
19. Appendix
20. Consultant Recommendation

Pricing

Currency Rates
How Do Licenses Work?

How Do Licenses Work?

The primary function of a report license is to define how many people within a company are authorized to use the purchased report. This is separate to how a report might be delivered. Unless specifically identified otherwise, the purchase option is Single User. Below is a helpful description of that license, along with a sampling of others most commonly offered.

  • This license allows only one user to have access to and to use/read the report. It is not one user at a time or one user group; it is an individual who will be reading and utilizing the report.

  • This license allows for the entire purchasing company to read and use the report. This is the license level that would allow for a report to be placed on an internal company shared drive for access by all employees of that direct company. This license does not extend to parent or sister company use.

  • This license is designed to allow an entire department within a company full access to a report. The departmental license is a great option for companies that have more than one location and the department is spread out all over the country/world

  • This license is for companies that have one location where they want the report to be accessible by all employees within that physical location.

  • This is the most flexible of the licensing options. Some publishers will allow you to get a license for a preset number of people (typically 5). These licenses are ideal for small work groups.

License options are at the discretion of each publisher. As such, not all licenses indicated above are available for every product. If you are uncertain of the best license for your needs or would like a license that is not proactively available, please contact us and we will be happy to assist.

Head shot

Questions or Comments?

Our team has the ability to search within reports to verify it suits your needs. We can also help maximize your budget by finding sections of reports you can purchase.
Chat Now
Contact Us