Overview and Scope
Healthcare claims management solutions refer to solutions that strive to provide complete automation of claims processing and speedier access to client information while maintaining the protection of private medical information.
Sizing and Forecast
The healthcare claims management solutions market size has grown strongly in recent years. It will grow from <b>$15.32 billion in 2023 to $16.34 billion in 2024 at a compound annual growth rate (CAGR) of 6.7%. </b> The growth in the historic period can be attributed to increased healthcare cost, regulatory compliance, paperless claims processing, improved accuracy, provider-payer collaboration.
The healthcare claims management solutions market size is expected to see strong growth in the next few years. It will grow to <b>$21.24 billion in 2028 at a compound annual growth rate (CAGR) of 6.8%. </b> The growth in the forecast period can be attributed to telehealth expansion, value-based care, interoperability, cybersecurity, pandemic preparedness. Major trends in the forecast period include blockchain for claims processing, ai-powered claims analytics, predictive analytics for fraud detection, mobile claims submission:, automated claims adjudication.
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Segmentation & Regional Insights
The healthcare claims management solutions market covered in this report is segmented –
1) By Type: Software, Services
2) By Deployment Mode: Web-Based, Cloud-Based, On-Premise
3) By End-User: Healthcare Payers, Healthcare Providers, Other End-Users
<b>North America</b> was the largest region in the healthcare claim management solution market in 2023. <b>Asia-Pacific</b> is expected to be the fastest-growing region in the forecast period. The regions covered in the healthcare claims management solutions market report include Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East and Africa.
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Major Driver Impacting Market Growth
The rapid increase in the ageing population is expected to propel the growth of the healthcare claims management solutions market going forward. The aging population refers to people aged 65 and over. People ageing over 65 years of age would need healthcare claims to speed up the payment lifecycle and healthcare claim management solutions provide them easier access to healthcare claim management, as a result, a rapid increase in the ageing population increases the demand for healthcare claims management solutions. For instance, in October 2022, according to the World Health Organization, a US-based specialized health agency, globally, 1 in 6 individuals would be 60 or older by 2030 and is expected to reach 2.1 billion elderly people by 2050. Therefore, a rapid increase in the ageing population is driving the healthcare claims management market.
Key Industry Players
Major companies operating in the healthcare claims management solutions market include <b> Allscripts Healthcare Solutions Inc., Athenahealth, McKesson Corporation, Quest Diagnostics, Oracle Corporation, Alpha II LLC, Dell Inc., Availity Co., Cerner Corporation, Change Healthcare, Conifer Health Solutions LLC, eClinicalWorks, EmblemHealth Co., Emdeon Inc., Epic Systems Corporation, GE Healthcare, Inovalon Co., InstaMed Co., Kareo Co., NaviNet Inc., NTT Data Services, Optum Inc., Provation Medical, NetApp Co., SSI Group LLC, The SSI Group, Cognizant Technology Ltd., TruBridge Co., Waystar Co., ZirMed Inc. </b>
The healthcare claims management solutions market report table of contents includes:
1. Executive Summary
2. Healthcare Claims Management Solutions Market Characteristics
3. Healthcare Claims Management Solutions Market Trends And Strategies
4. Healthcare Claims Management Solutions Market – Macro Economic Scenario
5. Global Healthcare Claims Management Solutions Market Size and Growth
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26. South America Healthcare Claims Management Solutions Market
27. Brazil Healthcare Claims Management Solutions Market
28. Middle East Healthcare Claims Management Solutions Market
29. Africa Healthcare Claims Management Solutions Market
30. Healthcare Claims Management Solutions Market Competitive Landscape And Company Profiles
Top Major Players:
- Allscripts Healthcare Solutions Inc
- Athenahealth
- McKesson Corporation
- Quest Diagnostics
- Oracle Corporation
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