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Healthcare Claims Management Solutions Market: by Component (software and services), Type (integrated solutions and standalone solutions), Delivery mode (on-premise and cloud-based) & end-user (Healthcare Payers, Healthcare Providers and Other End Users) – Global Industry Perspective Comprehensive Analysis and Forecast, 2019-2025

Published Date: 11-Oct-2019 Category: Technology & Media Report Format : PDF Pages: 130 Report Code: ZMR-4837 Status : Published

Description

The report covers forecast and analysis for the Healthcare Claims Management Solutions market on a global and regional level. The study provides historic data from 2016 to 2018 along with a forecast from 2019 to 2025 based on revenue (USD Million). The study includes drivers and restraints for the Healthcare Claims Management Solutions market along with the impact they have on the demand over the forecast period. Additionally, the report includes the study of opportunities available in the Healthcare Claims Management Solutions market on a global level. In order to give the users of this report a comprehensive view on the Healthcare Claims Management Solutions market we have included competitive landscape and analysis of Porter’s Five Forces model for the market. The study encompasses a market attractiveness analysis, wherein component, type, delivery mode, end-user, and regional segments are benchmarked based on their market size, growth rate and general attractiveness.

Management software for insurance claims is used to monitor medical claims as well as payment procedures, allowing healthcare providers to increase their revenue through efficient claim management. Essentially, administration of health claims refers to a collaborative arrangement between health care providers, clients, insurance providers, and the billing agency. The health claims management industry is expanding rapidly due to the rapid rate of expansion of the healthcare insurance sector in recent years.

Healthcare Claims Management Solutions

The study provides a decisive view on the Healthcare Claims Management Solutions market by segmenting the market based on component, type, delivery mode, end-user, and regions. All the segments have been analyzed based on present and future trends and the market is estimated from 2019 to 2027. Based on component, the market is segmented into software and services. Due to technological advances in technology and increased use of data for accurate and faster processing of claims, the software segment accounted for the largest share of the global market. Based on the type, the Healthcare Claims Management Solutions is segmented into integrated solutions and standalone solutions. Based on delivery mode, the Healthcare Claims Management Solutions market is segmented into on-premise and cloud-based. Based on End-user, the healthcare claims management solutions market is bifurcated into healthcare payers, healthcare providers and other end users. The regional segmentation includes the current and forecast demand for North America, Europe, Asia Pacific, Latin America, and Middle East & Africa with its further bifurcation into major countries such as US, Canada, Germany, UK, France, China, Japan, India, GCC countries, Brazil.

The demand for health claims management solutions is driven by increasing aging population, increased prevalence of chronic diseases, increased awareness of care delivery, aggressive government initiatives to expand citizens ' insurance coverage, and increased use of cloud-based services. Services related to healthcare IT bridge the gap between healthcare agencies by reducing human errors and reducing spending on healthcare. Due to the increasing prevalence of chronic disorders, the demand for healthcare IT solutions is expected to increase during the forecast period.

Key players within global Healthcare Claims Management Solutions market include Accenture plc., Allscripts Healthcare Solutions, Inc., Athenahealth Inc., Avaya Inc., CareCloud Corporation, Cerner Corporation, Cognizant Technology Solutions Corporation, eClinicalWorks LLC, GE Healthcare, Genpact Limited., IBM Corporation, Infor Inc., McKesson Corporation, Oracle Corporation, Quest Diagnostics, Siemens Healthcare and The SSI Groups Inc. amongst others.

The report segments the Healthcare Claims Management Solutions market as follows:

Global Healthcare Claims Management Solutions Market: Component Segment Analysis

  • Software
  • Services

Global Healthcare Claims Management Solutions Market: Type Segment Analysis

  • Integrated Solutions
  • Standalone Solutions

Global Healthcare Claims Management Solutions Market: Delivery Mode Segment Analysis

  • On-premise
  • Cloud-based

Global Healthcare Claims Management Solutions Market: End-user Segment Analysis

  • Healthcare Payers
  • Healthcare Providers
  • Other End Users

Global Healthcare Claims Management Solutions Market: Regional Segment Analysis

  • North America
    • U.S.
  • Europe
    • UK
    • France
    • Germany
  • Asia Pacific
    • China
    • Japan
    • India
  • Latin America
    • Brazil
  • Middle East and Africa

Table Of Content

  • Chapter 1. Preface
    • 1.1. Report Description and Scope
    • 1.2. Research Scope
    • 1.3. Research Methodology
      • 1.3.1. Market Research Process
      • 1.3.2. Market Research Methodology
  • Chapter 2. Executive Summary
    • 2.1. Healthcare Claims Management Solutions Market, 2016-2025 (USD Million)
    • 2.2. Healthcare Claims Management Solutions Market, 2016-2025 (USD Million)
    • 2.3. Healthcare Claims Management Solutions Market: Snapshot
  • Chapter 3. Healthcare Claims Management Solutions Market - Industry Analysis
    • 3.1. Healthcare Claims Management Solutions Market: Market Dynamics
    • 3.2. Market Drivers
      • 3.2.1. Driver 1
      • 3.2.2. Driver 2
    • 3.3. Restraints
      • 3.3.1. Restraint 1
      • 3.3.2. Restraint 2
    • 3.4. Opportunity
      • 3.4.1. Government funding and support
    • 3.5. Porter's Five Forces Analysis
    • 3.6. Market Attractiveness Analysis
      • 3.6.1. Market attractiveness analysis By Component
      • 3.6.2. Market attractiveness analysis By Type
      • 3.6.3. Market attractiveness analysis By Delivery Mode
      • 3.6.4. Market attractiveness analysis By End-User
      • 3.6.5. Market attractiveness analysis by Region
  • Chapter 4. Healthcare Claims Management Solutions Market- Competitive Landscape
    • 4.1. Company market share analysis
      • 4.1.1. Global Healthcare Claims Management Solutions Market: company market share, 2018
    • 4.2. Strategic development
      • 4.2.1. Acquisitions & mergers
      • 4.2.2. New Component launches
      • 4.2.3. Agreements, partnerships, collaborations and joint ventures
      • 4.2.4. Research and development and Regional expansion
    • 4.3. Price trend analysis
  • Chapter 5. Global Healthcare Claims Management Solutions Market -Component Analysis
    • 5.1. Global Healthcare Claims Management Solutions Market overview: By Component type
      • 5.1.1. Global Healthcare Claims Management Solutions Market share, By Component,2018 and 2025
    • 5.2. Software
      • 5.2.1. Global Healthcare Claims Management Solutions Market by Software, 2016-2025 (USD Million)
    • 5.3. Services
      • 5.3.1. Global Healthcare Claims Management Solutions Market by Services, 2016-2025 (USD Million)
  • Chapter 6. Global Healthcare Claims Management Solutions Market -Type Analysis
    • 6.1. Global Healthcare Claims Management Solutions Market overview: By Type
      • 6.1.1. Global Healthcare Claims Management Solutions Market share, By Type, 2018 and 2025
    • 6.2. Integrated Solutions
      • 6.2.1. Global Healthcare Claims Management Solutions Market By Integrated Solutions, 2016-2025 (USD Million)
    • 6.3. Standalone Solutions
      • 6.3.1. Global Healthcare Claims Management Solutions Market By Standalone Solutions, 2016-2025 (USD Million)
  • Chapter 7. Global Healthcare Claims Management Solutions Market -Delivery Mode Analysis
    • 7.1. Global Healthcare Claims Management Solutions Market overview: By Delivery Mode
      • 7.1.1. Global Healthcare Claims Management Solutions Market share, By Delivery Mode, 2018 and 2025
    • 7.2. On-premise
      • 7.2.1. Global Healthcare Claims Management Solutions Market by On-premise, 2016-2025 (USD Million)
    • 7.3. Cloud-based
      • 7.3.1. Global Healthcare Claims Management Solutions Market by Cloud-based, 2016-2025 (USD Million)
  • Chapter 8. Global Healthcare Claims Management Solutions Market - End-User Analysis
    • 8.1. Global Healthcare Claims Management Solutions Market overview: By End-User
      • 8.1.1. Global Healthcare Claims Management Solutions Market share, By End-User, 2018 and 2025
    • 8.2. Healthcare Payers
      • 8.2.1. Global Healthcare Claims Management Solutions Market by Healthcare Payers, 2016-2025 (USD Million)
    • 8.3. Healthcare Payers
      • 8.3.1. Global Healthcare Claims Management Solutions Market by Healthcare Providers, 2016-2025 (USD Million)
    • 8.4. Other End Users
      • 8.4.1. Global Healthcare Claims Management Solutions Market by Other End Users, 2016-2025 (USD Million)
  • Chapter 9. Global Healthcare Claims Management Solutions Market - Regional Analysis
    • 9.1. Global Healthcare Claims Management Solutions Market overview: by Region
      • 9.1.1. Global Healthcare Claims Management Solutions Marketshare, by Region, 2018 and 2025
    • 9.2. North America
      • 9.2.1. North America Healthcare Claims Management Solutions Market, 2016-2025 (USD Million)
      • 9.2.2. North America Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
      • 9.2.3. North America Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
      • 9.2.4. North America Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
      • 9.2.5. North America Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
      • 9.2.6. The U.S.
        • 9.2.6.1. The U.S.Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
        • 9.2.6.2. The U.S.Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
        • 9.2.6.3. The U.S.Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
        • 9.2.6.4. The U.S.Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
      • 9.2.7. Rest of North America
        • 9.2.7.1. Rest of North America Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
        • 9.2.7.2. Rest of North America Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
        • 9.2.7.3. Rest of North America Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
        • 9.2.7.4. Rest of North America Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
    • 9.3. Europe
      • 9.3.1. Europe Healthcare Claims Management Solutions Market, 2016-2025 (USD Million)
      • 9.3.2. Europe Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
      • 9.3.3. Europe Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
      • 9.3.4. Europe Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
      • 9.3.5. Europe Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
      • 9.3.6. UK
        • 9.3.6.1. U.K.Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
        • 9.3.6.2. U.K.Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
        • 9.3.6.3. U.K. Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
        • 9.3.6.4. U.K. Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
      • 9.3.7. France
        • 9.3.7.1. France Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
        • 9.3.7.2. France Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
        • 9.3.7.3. France Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
        • 9.3.7.4. France Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
      • 9.3.8. Germany
        • 9.3.8.1. Germany Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
        • 9.3.8.2. Germany Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
        • 9.3.8.3. Germany Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
        • 9.3.8.4. Germany Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
      • 9.3.9. Rest of Europe
        • 9.3.9.1. Rest of EuropeHealthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
        • 9.3.9.2. Rest of EuropeHealthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
        • 9.3.9.3. Rest of Europe Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
        • 9.3.9.4. Rest of Europe Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
    • 9.4. Asia Pacific
      • 9.4.1. Asia Pacific Healthcare Claims Management Solutions Market, 2016-2025 (USD Million)
      • 9.4.2. Asia Pacific Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
      • 9.4.3. Asia Pacific Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
      • 9.4.4. Asia Pacific Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
      • 9.4.5. Asia Pacific Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
      • 9.4.6. China
        • 9.4.6.1. China Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
        • 9.4.6.2. China Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
        • 9.4.6.3. China Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
        • 9.4.6.4. China Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million
      • 9.4.7. Japan
        • 9.4.7.1. Japan Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
        • 9.4.7.2. Japan Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
        • 9.4.7.3. Japan Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
        • 9.4.7.4. Japan Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
      • 9.4.8. India
        • 9.4.8.1. India Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
        • 9.4.8.2. India Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
        • 9.4.8.3. India Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
        • 9.4.8.4. India Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
      • 9.4.9. Rest of Asia Pacific
        • 9.4.9.1. Rest of Asia Pacific Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
        • 9.4.9.2. Rest of Asia Pacific Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
        • 9.4.9.3. Rest of Asia Pacific Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
        • 9.4.9.4. Rest of Asia Pacific Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
    • 9.5. Latin America
      • 9.5.1. Latin America Healthcare Claims Management Solutions Market, 2016-2025 (USD Million)
      • 9.5.2. Latin America Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
      • 9.5.3. Latin America Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
      • 9.5.4. Latin America Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
      • 9.5.5. Latin America Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
      • 9.5.6. Brazil
        • 9.5.6.1. Brazil Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
        • 9.5.6.2. Brazil Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
        • 9.5.6.3. Brazil Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
        • 9.5.6.4. Brazil Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
      • 9.5.7. Rest of LatinAmerica
        • 9.5.7.1. Rest of LatinAmerica Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
        • 9.5.7.2. Rest of LatinAmerica Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
        • 9.5.7.3. Rest of Latin America Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
        • 9.5.7.4. Rest of Latin America Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
    • 9.6. The Middle East and Africa
      • 9.6.1. The Middle East and Africa Healthcare Claims Management Solutions Market, 2016-2025 (USD Million)
      • 9.6.2. The Middle East and Africa Healthcare Claims Management Solutions Market revenue, By Component,2016-2025 (USD Million)
      • 9.6.3. The Middle East and Africa Healthcare Claims Management Solutions Market revenue, By Type, 2016-2025 (USD Million)
      • 9.6.4. The Middle East and Africa Healthcare Claims Management Solutions Market revenue, By Delivery Mode, 2016-2025 (USD Million)
      • 9.6.5. The Middle East and Africa Healthcare Claims Management Solutions Market revenue, By End-User, 2016-2025 (USD Million)
  • Chapter 10. Company Profiles
    • 10.1. Accenture plc
      • 10.1.1. Overview
      • 10.1.2. Financials
      • 10.1.3. Component Portfolio
      • 10.1.4. Business Strategy
      • 10.1.5. Recent Developments
    • 10.2. Allscripts Healthcare Solutions, Inc.
      • 10.2.1. Overview
      • 10.2.2. Financials
      • 10.2.3. Component Portfolio
      • 10.2.4. Business Strategy
      • 10.2.5. Recent Developments
    • 10.3. Athenahealth Inc
      • 10.3.1. Overview
      • 10.3.2. Financials
      • 10.3.3. Component Portfolio
      • 10.3.4. Business Strategy
      • 10.3.5. Recent Developments
    • 10.4. Avaya Inc.
      • 10.4.1. Overview
      • 10.4.2. Financials
      • 10.4.3. Component Portfolio
      • 10.4.4. Business Strategy
      • 10.4.5. Recent Developments
    • 10.5. CareCloud Corporation
      • 10.5.1. Overview
      • 10.5.2. Financials
      • 10.5.3. Component Portfolio
      • 10.5.4. Business Strategy
      • 10.5.5. Recent Development
    • 10.6. Cerner Corporation
      • 10.6.1. Overview
      • 10.6.2. Financials
      • 10.6.3. Component Portfolio
      • 10.6.4. Business Strategy
      • 10.6.5. Recent Development
    • 10.7. Cognizant Technology Solutions Corporation
      • 10.7.1. Overview
      • 10.7.2. Financials
      • 10.7.3. Component Portfolio
      • 10.7.4. Business Strategy
      • 10.7.5. Recent Development
    • 10.8. eClinicalWorks LLC
      • 10.8.1. Overview
      • 10.8.2. Financials
      • 10.8.3. Component Portfolio
      • 10.8.4. Business Strategy
      • 10.8.5. Recent Development
    • 10.9. GE Healthcare
      • 10.9.1. Overview
      • 10.9.2. Financials
      • 10.9.3. Component Portfolio
      • 10.9.4. Business Strategy
      • 10.9.5. Recent Development
    • 10.10. Genpact Limited
      • 10.10.1. Overview
      • 10.10.2. Financials
      • 10.10.3. Component Portfolio
      • 10.10.4. Business Strategy
      • 10.10.5. Recent Development
    • 10.11. IBM Corporation
      • 10.11.1. Overview
      • 10.11.2. Financials
      • 10.11.3. Component Portfolio
      • 10.11.4. Business Strategy
      • 10.11.5. Recent Development
    • 10.12. Infor Inc.
      • 10.12.1. Overview
      • 10.12.2. Financials
      • 10.12.3. Component Portfolio
      • 10.12.4. Business Strategy
      • 10.12.5. Recent Development
    • 10.13. McKesson Corporation
      • 10.13.1. Overview
      • 10.13.2. Financials
      • 10.13.3. Component Portfolio
      • 10.13.4. Business Strategy
      • 10.13.5. Recent Development
    • 10.14. Oracle Corporation
      • 10.14.1. Overview
      • 10.14.2. Financials
      • 10.14.3. Component Portfolio
      • 10.14.4. Business Strategy
      • 10.14.5. Recent Development
    • 10.15. Quest Diagnostics
      • 10.15.1. Overview
      • 10.15.2. Financials
      • 10.15.3. Component Portfolio
      • 10.15.4. Business Strategy
      • 10.15.5. Recent Development
    • 10.16. Siemens Healthcare and The SSI Groups Inc
      • 10.16.1. Overview
      • 10.16.2. Financials
      • 10.16.3. Component Portfolio
      • 10.16.4. Business Strategy
      • 10.16.5. Recent Development

Methodology

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