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Medical Claims Processing Services - Industry Market Research Report

Medical Claims Processing Services

The Medical Claims Processing Services industry in the United States helps healthcare providers collect payments from private insurance companies and government insurance programs. As health expenditure rose over the five years to 2019, the industry revenue is expected to grow. Improving economic conditions have brought down the unemployment rate, increasing Americans' access to private employer-sponsored health insurance. In addition, the aging population has increased the number of patients who are eligible for Medicare, a government-sponsored health insurance program. The industry is expected to continue benefiting from higher health expenditure over the five years to 2024. The expanding senior population will create demand via Medicare. However, changes to the Patient Protection and Affordable Care Act are likely to contribute to stagnation in the number of people with private health insurance. Despite this, industry revenue is projected to grow.

This industry processes and administers medical insurance policies and claims. Businesses help doctors and other healthcare providers collect payments from insurance companies and Medicare.

This report covers the scope, size, disposition and growth of the industry including the key sensitivities and success factors. Also included are five year industry forecasts, growth rates and an analysis of the industry key players and their market shares.


  • About this Industry
  • Industry at a Glance
    • Table Key Statistics Snapshot
    • Table Revenue vs. employment growth
    • Table Products and services segmentation (2019)
    • Table Industry Structure
  • Industry Performance
    • Table Number of physician visits
    • Table Industry revenue
    • Table Life Cycle Stage
  • Products & Markets
    • Table KEY BUYING INDUSTRIES
    • Table KEY SELLING INDUSTRIES
    • Table Products and services segmentation (2019)
    • Table Major market segmentation (2019)
    • Table Business Locations 2019
    • Table Distribution of establishments vs. population
  • Competitive Landscape
    • Table Sector vs. Industry Costs
    • Table Barriers to Entry checklist
  • Major Companies
    • Table Major Players
    • Table HMS Holdings Corp. (US industry-specific segment) - financial performance*
  • Operating Conditions
    • Table Capital Intensity
    • Table Tools of the Trade: Growth Strategies for Success
    • Table Volatility vs. growth
  • Key Statistics
    • Table Industry Data
    • Table Annual Change
    • Table Key Ratios
  • Jargon & Glossary

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