Research Methodology Used for This Study:
Top-down and bottom-up approaches were used to validate the size of the global healthcare claims management market and estimate the size of other dependent submarkets. Various secondary sources such as associations like the World Health Organization, Centers for Disease Control and Prevention, American Society for Metabolic and Bariatric Surgery, International Federation for the Surgery of Obesity And Metabolic Disorders, European Association for the Study of Obesity, Australian Institute of Health and Welfare, directories, industry journals, databases, and annual reports of the companies have been used to identify and collect information useful for the study of this market.
Primary sources such as experts from both supply and demand sides have been interviewed to obtain and validate information as well as to assess dynamics of healthcare claims management market.
Base year considered for the report is 2017 and the forecast period is 2018–2023.
The global healthcare claims management market was valued at USD 10.16 billion in 2017 and is projected to reach USD 13.93 billion by 2023, at a CAGR of 5.3% during the forecast period.
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Objectives of the Study:
# To define, describe, segment, and forecast the healthcare claims management market by component, delivery mode, type, end user, and region.
# To provide detailed information about factors (drivers, restraints, opportunities, and challenges) influencing healthcare claims management market growth.
# To analyze micromarkets with respect to individual growth trends, prospects, and contributions to the overall market.
# To analyze market opportunities for stakeholders and provide details of the competitive landscape for key players.
# To forecast the size of the healthcare claims management market segments with respect to North America, Europe, Asia, and the Rest of the World (RoW).
# To strategically analyze the market structure and profile the key players of the global healthcare claims management and comprehensively analyze their core competencies.
# To track and analyze competitive developments such as agreements, collaborations, and partnerships; product deployments, product launches, and enhancements; acquisitions; and expansions in the healthcare claims management market.
Global Industry Segmentation:
By end user, the healthcare payers segment is expected to command the largest share of the market in 2018
On the basis of end user, the market has been segmented into healthcare payers, healthcare providers, and other end users. The payers segment is expected to command the largest share of the market in 2018. The large share of this segment can be attributed to the mandate for insurance companies to meet the regulatory requirements and reduce unnecessary penalties and punishments.
By type, integrated solutions are expected to account for the largest share of the market in 2018
On the basis of type, the healthcare claims management market is broadly segmented into integrated solutions and standalone solutions. In 2018, the integrated solutions segment is expected to account for the largest share of this market. The high growth in this segment can be attributed to increasing demand for integrated solutions, which play an integral role in improving process efficiency and reducing costs.
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The healthcare claims management market is rapidly emerging with many regional as well as international companies. Players in this market compete with each other to deploy claims management solutions which are of superior quality.
In 2017, the healthcare claims management market was dominated by a few large players, namely, Cerner Corporation (US), McKesson Corporation (US), athenahealth (US), eClinicalWorks (US), Optum, Inc, (US), Conifer Health Solutions (US), and nThrive (US).
Product deployments, product launches, & approvals; acquisitions; and partnerships, agreements, and collaborations were the key strategies adopted by key players between 2015 and 2018. The players that adopted these strategies are Cerner Corporation (US), McKesson Corporation (US), athenahealth (US), eClinicalWorks (US), Optum, Inc, (US), Conifer Health Solutions (US), and nThrive (US).