Overview and Scope
Healthcare reimbursement is a system in which medical expenses of a patient is paid by the insurance company. It is very useful in costlier medical treatments.
Sizing and Forecast
The healthcare reimbursement market size has grown rapidly in recent years. It will grow from $11.33 billion in 2023 to $13.33 billion in 2024 at a compound annual growth rate (CAGR) of 17.7%. The growth in the historic period can be attributed to fee-for-service model, health insurance expansion, third-party payers, cost containment efforts.
The healthcare reimbursement market size is expected to see rapid growth in the next few years. It will grow to $23.36 billion in 2028 at a compound annual growth rate (CAGR) of 15.0%. The growth in the forecast period can be attributed to value-based care, telehealth expansion, healthcare policy and reform, alternative payment models. Major trends in the forecast period include telehealth reimbursement, alternative payment models (apms), medicare access and chip reauthorization act (macra), preauthorization and utilization management.
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Segmentation & Regional Insights
The healthcare reimbursement market covered in this report is segmented –
1) By Claims: Underpaid, Full Paid
2) By Payers: Private Payers, Public Payers
3) By Service Provider: Physician Office, Hospitals, Diagnostic Laboratories, Other Service Providers
North America was the largest region in the healthcare reimbursement market in 2023. Western Europe was the second largest region in the healthcare reimbursement market. The regions covered in the healthcare reimbursement market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa
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Major Driver Impacting Market Growth
The increasing cost of healthcare and supportive government programs are the key factors that are driving the healthcare reimbursement market growth. According to the Journal of the American Medical Association (JAMA), US healthcare costs are expected to reach $6 trillion, which is $17,000 per person by 2027. According to Centres for Medicare & Medicaid Services, a Federal agency of the US government administering the Medicaid program, healthcare costs in 2021 touched $4.3 trillion. The rising healthcare cost and supportive government policies increase the number of people opting for payer services and thereby contribute to the growth of the healthcare reimbursement market.
Key Industry Players
Major companies operating in the healthcare reimbursement market include UnitedHealth Group Incorporated, Aviva plc, Allianz SE, CVS Health Corporation, BNP Paribas Group, Aetna Inc., Nippon Life Insurance Company, WellCare Health Plans Inc., AgileHealthInsurance, Blue Cross Blue Shield Association, Kaiser Foundation Health Plan Inc., Anthem Inc., Centene Corporation, Humana Inc., Health Care Service Corporation, Cigna Corporation, Molina Healthcare Inc., Independence Health Group Inc., Health Net LLC, Universal American Corporation, Blue Shield of California, Tufts Health Plan Inc., Fallon Community Health Plan Inc., CareSource, Health Alliance Plan (HAP), Geisinger Health Plan, SelectHealth
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