Healthcare Claims Management Solutions Market Size, Share Global Analysis Report, 2019 – 2026

Industry Insights

[110+ Pages Report] According to the report published by Facts Factors, the global healthcare claims management solutions market size was worth around USD 21,700 million in 2019 and is predicted to grow to around USD 33,400 million by 2026 with a compound annual growth rate (CAGR) of roughly 6.50% between 2020 and 2026. The report analyzes the global healthcare claims management solutions market drivers, restraints/challenges, and the effect they have on the demands during the projection period. In addition, the report explores emerging opportunities in the healthcare claims management solutions market.

This specialized and expertise oriented industry research report scrutinizes the technical and commercial business outlook of the healthcare claims management solutions industry. The report analyzes and declares the historical and current trends analysis of the healthcare claims management solutions industry and subsequently recommends the projected trends anticipated to be observed in the healthcare claims management solutions market during the upcoming years.

The healthcare claims management solutions market report analyzes and notifies the industry statistics at the global as well as regional and country levels in order to acquire a thorough perspective of the entire healthcare claims management solutions market. The historical and past insights are provided for FY 2016 to FY 2019 whereas projected trends are delivered for FY 2020 to FY 2026. The quantitative and numerical data is represented in terms of value (USD 33,400 Million) from FY 2016 – 2026.

Key Insights from Primary Research

• As per our primary respondents, the global healthcare claims management solutions market is set to grow annually at a rate of around 6.45%.
• It was established through primary research that the global healthcare claims management solutions market was valued at around USD 21,600 Million in 2019.
• The “software” category, on the basis of component segmentation, was the leading revenue-generating category in 2019.
• On the basis of end-user segmentation, the “healthcare providers” category was the leading revenue-generating category in 2019.
• Based on the region, North America was the leading revenue-generating category in 2019.

Key Recommendations from Analysts

• As per our analysis, the global healthcare claims management solution market is growing at high CAGR and various end-use industries are aware of this potential market and applications of the healthcare claims management solutions.
• Growing at a CAGR around 6.50%, the global healthcare claims management solutions market provides numerous opportunities for all of the involved stakeholders across the entire value chain.
• Our analysts have identified software and healthcare providers segments that will be dominating for global healthcare claims management solutions market in terms of component and end-user segmentation respectively.
• As per our analysts, North America is expected to account for maximum revenue share, in the target market.

The quantitative data is further underlined and reinforced by comprehensive qualitative data which comprises various across-the-board market dynamics. The rationales which directly or indirectly impact the healthcare claims management solutions industry are exemplified through parameters such as growth drivers, restraints, challenges, and opportunities among other impacting factors.

Throughout our research report, we have encompassed all the proven models and tools of industry analysis and extensively illustrated all the key business strategies and business models adopted in the healthcare claims management solutions industry. The report provides an all-inclusive and detailed competitive landscape prevalent in the healthcare claims management solutions market.

Report Scope

The report utilizes established industry analysis tools and models such as Porter’s Five Forces framework to analyze and recognize critical business strategies adopted by various stakeholders involved in the entire value chain of the healthcare claims management solutions industry. The healthcare claims management solutions market report additionally employs SWOT analysis and PESTLE analysis models for further in-depth analysis.

The report study further includes an in-depth analysis of industry players' market shares and provides an overview of leading players' market position in the healthcare claims management solutions sector. Key strategic developments in the healthcare claims management solutions market competitive landscape such as acquisitions & mergers, inaugurations of different products and services, partnerships & joint ventures, MoU agreements, VC & funding activities, R&D activities, and geographic expansion among other noteworthy activities by key players of the healthcare claims management solutions market are appropriately highlighted in the report.

The healthcare claims Management software for coverage claims is used to monitor payment procedures in medical claims, the healthcare solution allows the insurance provider to increase their revenue by reducing the cost of manual work. Basically, an organization of healthcare claims refers to a cooperative arrangement between clients, insurance providers, health care providers, and the billing agency. As the healthcare insurance sector has grown rapidly in the last decade hence, creating a demand for healthcare claims solutions to manage the medical claims.

The rise in healthcare solutions is seen in recent years as, there is an increase in the aging population, increase awareness of insurance and other factors that are driving the growth of the market. However, the cost associated with software maintenance is one of the factors which is hampering the growth of the market.

The healthcare claims management solutions market is segmented based on type, component, end-user and delivery mode.  On the basis of type segmentation, the market is classified into standalone solutions and integrated solutions. In terms of component segmentation, the market is bifurcated into software and services. In terms of delivery mode segmentation, the market is bifurcated into on-premise and cloud-based. In terms of end-user segmentation, the market is bifurcated into software and services. In terms of delivery mode segmentation, the market is bifurcated into healthcare providers, healthcare payers, and other end users.

Some of the essential players operating in the healthcare claims management solutions market include:

• Siemens Healthcare
• Quest Diagnostics
• Oracle Corporation
• McKesson Corporation
• InforInc
• IBM Corporation
• Genpact Limited
• GE Healthcare
• eClinical Works LLC
• Cognizant Technology Solutions Corporation
• Cerner Corporation
• CareCloud Corporation
• Avaya Inc
• Athenahealth Inc
• Allscripts Healthcare Solutions Inc
• Accenture plc Incorporated
• Bard Peripheral Vascular
• B. Braun Melsungen
• ArtiCasc 3D.

The taxonomy of the healthcare claims management solutions market by its scope and segmentation is as follows:

Component Segment Analysis

• Software
• Services

Type Segment Analysis

• Integrated Solutions
• Standalone solutions

Delivery Mode Segment Analysis

• On-premise
• Cloud-based

End-user Segment Analysis

• Healthcare Payers
• Healthcare Providers
• Other End Users

Regional Segment Analysis

• North America
  • The U.S.
  • Canada
• Europe
  • Germany
  • France
  • UK
  • Italy
  • Spain
  • Rest Of Europe
• Asia Pacific
  • China
  • Japan
  • India
  • South Korea
  • Southeast Asia
  • Rest of Asia Pacific
• Latin America
  • Brazil
  • Mexico
  • Rest of Latin America
• The Middle East & Africa
  • GCC Countries
  • South Africa
  • Rest of Middle East & Africa