Global Healthcare Claims Management Market Overview:
Medical claims management software provides the billing, filing, updating and processing of medical claims related to patient diagnoses, treatments and medications. The Medical claims management maintains patient records, cooperating with health insurance agencies and delivering invoices for medical services are time consuming responsibilities, some hospitals and medical facilities outsource those tasks to medical claims management firms.
Attributes | Details |
---|
Study Period | 2018-2028 |
Base Year | 2022 |
Forecast Period | 2023-2028 |
Historical Period | 2018-2022 |
Unit | Value (USD Million) |
Customization Scope | Avail customization with purchase of this report. Add or modify country, region & or narrow down segments in the final scope subject to feasibility |
Influencing Trend:
Procedure Developments in Healthcare Organizations
Market Growth Drivers:
Rising Importance of Denials Management and Increasing Acceptance of Electronic Health Records
Challenges:
Data Breaches and Loss of Confidentiality and Lack of Skilled It Professionals in Healthcare
Restraints:
High Cost of Deployment
Opportunities:
Expanding Health Insurance Market and Adoption of Artificial Intelligence in Health Insurance
Competitive Landscape:
Healthcare Claims Management market is a fragmented market due to the presence of various players. Companies are focusing on developing innovative products and solutions to improve quality, enhances and promotes performance. The companies are coming up with partnerships or agreements along with planning strategic activities such as partnerships, product launch, mergers, and acquisitions which will help them to sustain in the market and maintain their competitive edge.
Some of the key players profiled in the report are Accenture plc (Ireland), Allscripts Healthcare Solutions, Inc. (United States), Athenahealth Inc. (United States), Insurance Technology Solutions (Norway), Cerner Corporation (United States), Jane Software (Canada), Genpact limited (United States), InSync Tech-Fin Solutions Ltd (India), Health solutions plus (United States), IBM Corporation (United States), Pandora X Software Studios (Turkey) and Oracle Health Insurance (United States). Analyst at AMA Research see United States Players to retain maximum share of Global Healthcare Claims Management market by 2028. Considering Market by Deployment Mode, the sub-segment i.e. On Premises will boost the Healthcare Claims Management market. Considering Market by Components, the sub-segment i.e. Software will boost the Healthcare Claims Management market.
Latest Market Insights:
On February 11, 2019 - Athenahealth, Inc., a leading provider of network-enabled services for hospital and ambulatory customers nationwide, announced that it has completed its previously announced sale to an affiliate of Veritas Capital and Evergreen Coast Capital.
In February 2023, Jopari Solutions, Inc. partnered with Veradigm, formerly known as Allscripts. Jopari's online portal provides medical providers with unique capabilities allowing them to view and process medical claims and attachments rapidly, efficiently, and effectively. This partnership helped company to expand its presence in Healthcare Claims Management market
What Can be Explored with the Healthcare Claims Management Market Study
Gain Market Understanding
Identify Growth Opportunities
Analyze and Measure the Global Healthcare Claims Management Market by Identifying Investment across various Industry Verticals
Understand the Trends that will drive Future Changes in Healthcare Claims Management
Understand the Competitive Scenario
- Track Right Markets
- Identify the Right Verticals
Research Methodology:
The top-down and bottom-up approaches are used to estimate and validate the size of the Global Healthcare Claims Management market.
In order to reach an exhaustive list of functional and relevant players various industry classification standards are closely followed such as NAICS, ICB, SIC to penetrate deep in important geographies by players and a thorough validation test is conducted to reach most relevant players for survey in Healthcare Claims Management market.
In order to make priority list sorting is done based on revenue generated based on latest reporting with the help of paid databases such as Factiva, Bloomberg etc.
Finally the questionnaire is set and specifically designed to address all the necessities for primary data collection after getting prior appointment by targeting key target audience that includes Service Provider of Medical Claims Management, Software Provider of Medical Claims Management, Network Providers, Healthcare Industry and Governmental Bodies.
This helps us to gather the data related to players revenue, operating cycle and expense, profit along with product or service growth etc.
Almost 70-80% of data is collected through primary medium and further validation is done through various secondary sources that includes Regulators, World Bank, Association, Company Website, SEC filings, OTC BB, USPTO, EPO, Annual reports, press releases etc.