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1565008

세계의 의료비 청구 관리 시장

Healthcare Claims Management

발행일: | 리서치사: Market Glass, Inc. (Formerly Global Industry Analysts, Inc.) | 페이지 정보: 영문 194 Pages | 배송안내 : 1-2일 (영업일 기준)

    
    
    



※ 본 상품은 영문 자료로 한글과 영문 목차에 불일치하는 내용이 있을 경우 영문을 우선합니다. 정확한 검토를 위해 영문 목차를 참고해주시기 바랍니다.

의료비 청구 관리 세계 시장, 2030년까지 251억 달러에 달할 것으로 전망

2023년 176억 달러로 추정되는 세계 의료비 청구 관리 시장은 2023년부터 2030년까지 연평균 5.2% 성장하여 2030년에는 251억 달러에 달할 것으로 예상됩니다. 본 보고서에서 분석한 부문 중 하나인 독립형 의료비 청구 관리 부문은 CAGR 4.8%를 기록하여 분석 기간 종료 시점에 161억 달러에 도달할 것으로 예측됩니다. 통합 의료비 청구 관리 분야의 성장률은 분석 기간 동안 CAGR 5.9%로 추정됩니다.

미국 시장은 48억 달러로 추정, 중국은 CAGR 5.0%로 성장 전망

미국의 의료비 청구 관리 시장 규모는 2023년 48억 달러로 추정됩니다. 세계 2위의 경제 대국인 중국은 2023-2030년의 분석 기간 동안 5.0%의 연평균 복합 성장률(CAGR)로 2030년까지 40억 달러 규모에 도달할 것으로 예상됩니다. 다른 주목할 만한 지역 시장으로는 일본과 캐나다가 있으며, 분석 기간 동안 각각 4.8%와 4.4%의 연평균 복합 성장률(CAGR)을 나타낼 것으로 예상됩니다. 유럽에서는 독일이 연평균 5.2%의 성장률을 보일 것으로 예상됩니다.

세계 의료비 청구 관리 시장 - 주요 동향 및 촉진요인 요약

보건 의료 청구 관리가 의료기관의 진료비 청구 프로세스를 간소화하고, 오류를 줄이며, 재무 성과를 개선하는 데 필수적인 이유는 무엇일까요?

의료 클레임 관리는 의료기관의 상환 프로세스를 간소화하고, 오류를 줄이며, 재무 성과를 향상시키는 데 필수적인 요소로 자리 잡았습니다. 그렇다면 오늘날 클레임 관리가 왜 이토록 중요한 것일까? 다양한 보험 플랜, 코딩 시스템, 규제 상황 등 점점 더 복잡해지는 의료 환경에서 클레임 관리는 의료 기관이 제공하는 서비스에 대한 정확하고 신속한 환급을 받을 수 있도록 도와줍니다. 이 프로세스에는 환자에게 제공된 의료 서비스에 대한 보험사에 청구서를 제출, 추적 및 처리하는 과정이 포함됩니다. 효율적인 클레임 관리는 의료기관의 수익 주기와 전반적인 재무 건전성에 큰 영향을 미치는 지불 지연을 방지하는 데 도움이 됩니다.

또한, 의료비 청구 관리는 보험금 청구와 관련된 많은 수작업 프로세스를 자동화하여 관리자의 부담을 덜어줍니다. 또한, 의료 서비스 제공업체가 지속적으로 변화하는 의료 규정과 지불자의 요구 사항을 준수하여 고액의 벌금이나 거부 처분을 피할 수 있도록 돕습니다. 클레임 관리 시스템은 환자 자격 확인, 의료 서비스의 정확한 코딩, 거부된 클레임 해결 등의 프로세스를 간소화합니다. 이러한 최적화는 의료 기관이 환자에게 양질의 진료를 제공하면서도 재정적 안정성과 운영 효율성을 유지하는 데 필수적입니다.

기술의 발전과 혁신은 의료비 청구 관리의 정확성, 속도, 효율성을 어떻게 향상시키고 있는가?

기술의 발전으로 의료 청구 관리의 정확성, 속도, 효율성이 크게 향상되어 의료 기관이 복잡한 청구 처리를 쉽게 처리할 수 있게 되었습니다. 가장 영향력 있는 혁신 중 하나는 청구 프로세스의 주요 단계를 자동화하는 청구 관리 소프트웨어의 보급입니다. 이러한 플랫폼은 인공지능(AI)과 머신러닝(ML) 알고리즘을 사용하여 청구의 정확성을 확인하고 환자 정보, 의료 코드 및 보험 세부 정보가 제출되기 전에 정확한지 확인합니다. 이러한 점검을 자동화함으로써 의료 서비스 제공업체는 청구 거부의 주요 원인 중 하나인 인적 오류를 줄일 수 있습니다.

또 다른 큰 발전은 전자 의료 기록(EHR) 및 진료 관리 소프트웨어와 청구 관리 시스템의 통합입니다. 이러한 통합을 통해 임상 부서와 청구 부서 간의 원활한 데이터 공유가 가능해져 의료 코드와 환자 정보가 정확하고 최신 상태로 유지될 수 있습니다. 청구서가 처음부터 정확한 내용으로 제출되면 청구 거부 가능성이 크게 감소하고 환급 절차가 빨라집니다. 또한, 이 통합을 통해 의료 서비스 제공업체는 청구 현황에 대한 실시간 최신 정보에 액세스하고, 환급을 추적하고, 발생한 문제를 신속하게 처리할 수 있습니다.

로봇 프로세스 자동화(RPA)는 데이터 입력, 클레임 추적, 환자 자격 확인과 같은 반복적인 작업을 자동화함으로써 의료비 청구 관리에 혁명을 일으키고 있습니다. 직원들은 거부된 클레임 해결이나 환자 문의 대응과 같은 더 복잡한 업무에 집중할 수 있습니다. 이러한 수준의 자동화는 처리 시간을 단축할 뿐만 아니라, 의료 기관이 더 적은 자원으로 더 많은 청구를 처리하고 전반적인 업무 효율성을 향상시키는 데 도움이 됩니다.

블록체인 기술 역시 의료비 청구 관리 분야에서 유망한 혁신 기술입니다. 블록체인의 탈중앙화된 위변조 방지 원장 시스템은 모든 당사자(공급자, 지불자, 환자)가 접근할 수 있는 안전하고 투명한 기록을 제공함으로써 청구서 제출 프로세스를 간소화할 수 있습니다. 이러한 투명성은 청구 관련 분쟁을 줄이고 모든 당사자가 동일한 정확한 정보에 접근할 수 있게 해줍니다. 블록체인은 또한 민감한 환자 데이터와 재무 데이터를 부정 행위와 무단 액세스로부터 보호하여 보안을 강화하고, 의료 기관이 HIPAA와 같은 규제 표준을 준수할 수 있도록 보장합니다.

예측 분석 및 데이터 분석 툴의 사용은 의료 기관이 거부 및 지연으로 이어질 수 있는 패턴을 파악하여 청구 관리를 개선하는 데에도 도움이 됩니다. 이러한 도구는 과거 청구 데이터를 분석하여 자주 거부되는 시술, 일반적인 코딩 오류, 지불자별 요구 사항과 같은 추세를 파악할 수 있습니다. 이러한 통찰력을 통해 의료 서비스 제공업체는 청구 제출 프로세스를 사전에 조정하여 오류 가능성을 줄이고 첫 번째 청구 승인 가능성을 높일 수 있습니다. 또한, 분석 도구는 미래 현금 흐름을 예측하는 데 도움이 되어 의료기관의 재무 상태를 보다 명확하게 파악할 수 있도록 도와줍니다.

의료 클레임 관리가 거부율을 줄이고, 수익 주기를 최적화하며, 규제 준수를 보장하는 데 필수적인 이유는 무엇일까요?

의료비 청구 관리는 클레임 거부 감소, 수익 주기 최적화, 규제 준수에 필수적인 요소입니다. 의료비 청구 관리가 주목받는 주요 이유 중 하나는 의료기관의 주요 수익 손실 원인인 클레임 거절을 최소화할 수 있기 때문입니다. 클레임이 거부되는 이유는 잘못된 코딩, 환자 정보 누락, 보험 자격 문제 등 다양합니다. 효과적인 클레임 관리 시스템은 자동화와 실시간 데이터 검증을 통해 클레임이 처음부터 정확하게 제출되도록 하여 거부 가능성 및 재제출로 인한 비용 낭비를 줄일 수 있습니다.

수익 주기 최적화도 의료 보험금 청구 관리의 중요한 이점 중 하나입니다. 수익 주기는 예약, 보험 적용 범위 확인, 서비스 제공, 지불인으로부터의 지불에 이르기까지 환자 치료의 전 과정을 포괄합니다. 클레임 관리는 환급 지연을 줄이고 클레임 접수율을 높여 이 과정을 원활하게 진행하는 데 중요한 역할을 합니다. 효율적인 클레임 처리를 통해 의료 서비스 제공업체는 안정적인 현금 흐름을 유지하고, 효율적인 운영에 필요한 재원을 확보하여 환자에게 양질의 진료를 제공할 수 있습니다.

규정 준수를 보장하는 것도 의료비 청구 관리의 중요한 기능 중 하나입니다. 헬스케어 산업은 HIPAA(Health Insurance Portability and Accountability Act), ACA(Affordable Care Act), 다양한 지불자별 요구사항 등 수많은 규제를 준수해야 합니다. 등 수많은 규제를 받고 있습니다. 클레임 관리 시스템은 정확하고 완전한 클레임 제출을 자동화하고 모든 환자 데이터와 재무 데이터를 안전하게 처리함으로써 의료 서비스 제공업체가 이러한 규제를 준수할 수 있도록 지원합니다. 규제 요건을 준수하지 않으면 처벌, 감사, 심지어 법적 조치로 이어질 수 있으며, 이는 모두 의료 기관에 재정적, 평판적으로 심각한 결과를 초래할 수 있습니다. 의료 기관은 컴플라이언스 프로세스를 자동화함으로써 청구 관리 시스템을 통해 이러한 위험을 줄이고 최고 수준의 데이터 보안과 정확성을 유지할 수 있습니다.

또한 효과적인 클레임 관리는 청구 오류와 분쟁을 줄여 환자 만족도를 향상시킵니다. 환자들은 의료 비용에 대한 투명성과 정확성을 요구하며, 청구 오류나 청구 거부는 불만족과 재정적 스트레스로 이어질 수 있습니다. 의료 서비스 제공업체는 청구의 정확성과 적시성을 보장함으로써 환자에게 보다 원활한 청구 경험을 제공할 수 있어 신뢰도와 만족도를 높일 수 있습니다. 또한, 자동화 시스템은 환자에게 비용에 대한 자세한 내역을 제공하여 환자가 재정적 책임과 보험 적용에 대한 세부 사항을 더 잘 이해할 수 있도록 도와줍니다.

또한, 청구 관리 시스템은 의료 기관에 재무 성과에 대한 귀중한 통찰력을 제공합니다. 상세한 보고 및 분석을 통해 의료 기관은 청구 승인률, 거부 추세, 환급 시간 등 주요 지표를 추적할 수 있습니다. 이러한 데이터 기반 접근 방식을 통해 의료 서비스 관리자는 클레임 처리의 병목 현상과 비효율성을 파악할 수 있으며, 이를 통해 목표에 맞는 개선책을 실행하고 전체 수익 사이클을 최적화할 수 있습니다.

건강관리 클레임 관리 시장의 성장을 가속하는 요인은 무엇일까?

의료 청구 및 코딩의 복잡성, 자동화 기술의 발전, 비용 효율적인 의료 솔루션에 대한 수요 증가, 가치 기반 케어 모델 추진 등 몇 가지 중요한 요인이 의료 청구 및 청구 관리 시장의 급격한 성장에 영향을 미치고 있습니다. 주요 촉진요인 중 하나는 의료 청구 및 코딩 시스템의 복잡성입니다. 의료 서비스가 더욱 전문화되고 지불자의 요구 사항이 더욱 다양해짐에 따라 의료 서비스 제공업체는 복잡한 코드, 규칙 및 규정의 그물망을 뚫고 정확한 청구를 수행해야 합니다. 청구 관리 솔루션은 코딩 프로세스를 자동화하고 오류의 위험을 줄이며 청구서가 지불자의 요구 사항을 충족하도록 함으로써 이러한 복잡성을 관리할 수 있는 합리적인 방법을 제공합니다.

AI, 머신러닝, 로봇 프로세스 자동화(RPA)와 같은 자동화 기술의 발전도 클레임 관리 시장의 성장에 기여하는 중요한 요인입니다. 이러한 기술을 통해 의료 서비스 제공업체는 대량의 클레임을 신속하고 정확하게 처리하여 관리 비용을 절감하고 업무 효율성을 향상시킬 수 있습니다. 자동화된 클레임 관리 시스템은 거부로 이어지는 패턴을 식별하고 과거 클레임 데이터를 기반으로 미래의 현금 흐름을 예측하는 등 보다 복잡한 작업도 처리할 수 있습니다. 의료 기관들이 서비스 품질을 향상시키면서 비용을 절감할 수 있는 방법을 모색하는 가운데, 자동화된 클레임 관리 솔루션의 도입이 점점 더 확산되고 있습니다.

비용 효율적인 헬스케어 솔루션에 대한 수요가 증가하면서 클레임 관리 시장의 성장을 더욱 촉진하고 있습니다. 의료 비용이 계속 상승함에 따라 의료 기관과 환자 모두 의료 서비스의 질을 떨어뜨리지 않고 비용을 절감할 수 있는 방법을 모색하고 있습니다. 효과적인 클레임 관리를 통해 의료 서비스 제공업체는 거부되는 클레임을 줄이고 적시에 환급을 보장함으로써 건전한 수익 사이클을 유지할 수 있습니다. 환자 입장에서도 정확한 청구 처리는 청구 실수나 예상치 못한 청구의 위험을 줄이고, 의료 서비스를 받는 전반적인 경험을 향상시킵니다.

가치 기반 치료 모델로의 전환도 시장 성장의 중요한 촉진제 중 하나입니다. 가치 기반 의료는 비용 절감과 환자 결과 개선에 초점을 맞추고, 서비스 제공의 양에서 의료 서비스의 질에 초점을 맞추었습니다. 클레임 관리는 의료 서비스 제공업체가 환자 결과, 치료의 질, 비용 효율성에 대한 핵심 성과 지표(KPI)를 추적하고 보고할 수 있도록 지원함으로써 이러한 변화에서 중요한 역할을 합니다. 청구 프로세스를 최적화하고 수익 주기 관리를 개선함으로써 의료 서비스 제공업체는 가치 기반 의료 이니셔티브에 맞게 업무를 조정하여 재무 성과와 환자 만족도를 모두 향상시킬 수 있습니다.

또한, 미국에서는 의료비 부담 적정화법(ACA)과 같은 규제 변경과 의료 개혁으로 인해 정확한 청구 처리와 적시 환급에 대한 중요성이 더욱 강조되고 있습니다. 이러한 규제로 인해 의료기관은 코딩, 청구 및 보고에 대한 새로운 기준을 준수해야 하는 경우가 많으며, 이에 따라 규정 준수를 보장할 수 있는 고급 청구 관리 시스템의 필요성이 증가하고 있습니다. 규제는 계속 진화하고 있으며, 의료 기관은 이러한 변화에 대응할 수 있는 클레임 관리 솔루션에 투자해야 하므로 고급 클레임 관리 기술에 대한 수요가 더욱 증가하고 있습니다.

결론적으로, 의료비 청구 관리 시장의 성장은 청구 업무의 복잡성 증가, 자동화 기술의 발전, 비용 효율적인 헬스케어 솔루션에 대한 수요, 가치 기반 케어 모델로의 전환에 의해 주도되고 있습니다. 헬스케어 조직이 수익 주기 관리라는 과제에 계속 직면하고 있는 가운데, 클레임 관리 시스템은 재무 성과를 최적화하고, 규제 준수를 보장하며, 전반적인 환자 치료 서비스를 개선하는 데 필수적인 도구로 자리매김할 것으로 보입니다.

조사 대상 기업 예시(총 41개)

  • Allscripts Healthcare Solutions, Inc.
  • Athenahealth, Inc.
  • Cerner Corporation
  • Cognizant Technology Solutions Corporation
  • Conifer Health Solutions, LLC.
  • Context4 Healthcare Inc.
  • DST Systems, Inc.
  • eClinicalWorks LLC
  • GE Healthcare
  • GeBBS Healthcare Solutions, Inc.
  • Health Solutions Plus
  • McKesson Corporation
  • nThrive, Inc.
  • Optum, Inc.
  • PLEXIS Healthcare Systems, Inc.
  • Quest Diagnostics, Inc.
  • Ram Technologies, Inc.
  • The SSI Group, LLC

목차

제1장 조사 방법

제2장 주요 요약

  • 시장 개요
  • 주요 기업
  • 시장 동향과 촉진요인
  • 세계 시장 전망

제3장 시장 분석

  • 미국
  • 캐나다
  • 일본
  • 중국
  • 유럽
  • 프랑스
  • 독일
  • 이탈리아
  • 영국
  • 기타 유럽
  • 아시아태평양
  • 기타 지역

제4장 경쟁

LSH 24.10.08

Global Healthcare Claims Management Market to Reach US$25.1 Billion by 2030

The global market for Healthcare Claims Management estimated at US$17.6 Billion in the year 2023, is expected to reach US$25.1 Billion by 2030, growing at a CAGR of 5.2% over the analysis period 2023-2030. Standalone Healthcare Claims Management, one of the segments analyzed in the report, is expected to record a 4.8% CAGR and reach US$16.1 Billion by the end of the analysis period. Growth in the Integrated Healthcare Claims Management segment is estimated at 5.9% CAGR over the analysis period.

The U.S. Market is Estimated at US$4.8 Billion While China is Forecast to Grow at 5.0% CAGR

The Healthcare Claims Management market in the U.S. is estimated at US$4.8 Billion in the year 2023. China, the world's second largest economy, is forecast to reach a projected market size of US$4.0 Billion by the year 2030 trailing a CAGR of 5.0% over the analysis period 2023-2030. Among the other noteworthy geographic markets are Japan and Canada, each forecast to grow at a CAGR of 4.8% and 4.4% respectively over the analysis period. Within Europe, Germany is forecast to grow at approximately 5.2% CAGR.

Global Healthcare Claims Management Market - Key Trends and Drivers Summarized

Why Is Healthcare Claims Management Becoming Essential for Streamlining Reimbursement Processes, Reducing Errors, and Enhancing Financial Performance in Healthcare Organizations?

Healthcare claims management has become essential for streamlining reimbursement processes, reducing errors, and enhancing the financial performance of healthcare organizations. But why is claims management so critical today? In an increasingly complex healthcare landscape, where providers must navigate various insurance plans, coding systems, and regulatory requirements, claims management ensures that healthcare facilities are reimbursed accurately and promptly for the services they provide. This process involves submitting, tracking, and processing claims to insurance companies for the care rendered to patients. Efficient claims management helps avoid delays in payments, which can significantly impact a healthcare provider's revenue cycle and overall financial health.

Moreover, healthcare claims management reduces administrative burdens by automating many of the manual processes involved in claims submission. It also ensures compliance with the ever-evolving healthcare regulations and payer requirements, helping providers avoid costly penalties or rejections. Claims management systems streamline the process of verifying patient eligibility, coding medical services correctly, and resolving denied claims. This optimization is crucial for healthcare organizations to maintain financial stability and operational efficiency while delivering high-quality care to their patients.

How Are Technological Advancements and Innovations Improving the Accuracy, Speed, and Efficiency of Healthcare Claims Management?

Technological advancements are significantly improving the accuracy, speed, and efficiency of healthcare claims management, making it easier for healthcare organizations to handle complex billing processes. One of the most impactful innovations is the widespread adoption of claims management software that automates key steps in the claims process. These platforms use artificial intelligence (AI) and machine learning (ML) algorithms to review claims for accuracy, ensuring that patient information, medical codes, and insurance details are correct before submission. By automating these checks, healthcare providers can reduce human errors, which are one of the leading causes of claim denials.

Another major advancement is the integration of claims management systems with electronic health records (EHRs) and practice management software. This integration allows for seamless data sharing between clinical and billing departments, ensuring that medical codes and patient information are accurate and up-to-date. When claims are submitted with correct details from the start, the chances of claim denials are significantly reduced, speeding up the reimbursement process. Moreover, this integration ensures that healthcare providers can access real-time updates on claim statuses, track reimbursements, and quickly address any issues that arise.

Robotic process automation (RPA) is also revolutionizing healthcare claims management by automating repetitive tasks such as data entry, claims tracking, and patient eligibility verification. RPA tools can process large volumes of claims quickly and accurately, freeing up administrative staff to focus on more complex tasks like resolving denied claims or addressing patient inquiries. This level of automation not only reduces processing time but also helps healthcare organizations handle a higher volume of claims with fewer resources, improving overall operational efficiency.

Blockchain technology is another promising innovation in healthcare claims management. Blockchain's decentralized, tamper-proof ledger system can streamline the claims submission process by providing secure, transparent records that all parties (providers, payers, and patients) can access. This transparency reduces disputes over billing and ensures that all parties have access to the same accurate information. Blockchain also enhances security by protecting sensitive patient and financial data from fraud and unauthorized access, ensuring that healthcare organizations comply with regulatory standards like HIPAA.

The use of predictive analytics and data analytics tools is also improving claims management by helping providers identify patterns that may lead to denials or delays. By analyzing historical claims data, these tools can identify trends such as frequently denied procedures, common coding errors, or payer-specific requirements. This insight allows healthcare providers to adjust their claims submission processes proactively, reducing the likelihood of errors and improving the chances of first-time claim acceptance. Analytics tools can also help predict future cash flow, providing healthcare organizations with a clearer picture of their financial health.

Why Is Healthcare Claims Management Critical for Reducing Denials, Optimizing Revenue Cycles, and Ensuring Regulatory Compliance?

Healthcare claims management is critical for reducing claim denials, optimizing revenue cycles, and ensuring regulatory compliance because it directly impacts the financial health and operational efficiency of healthcare providers. One of the main reasons healthcare claims management is so valuable is its ability to minimize claim denials, which are a leading cause of revenue loss in healthcare organizations. Claims can be denied for a variety of reasons, including incorrect coding, missing patient information, or issues with insurance eligibility. Effective claims management systems use automation and real-time data validation to ensure that claims are submitted accurately the first time, reducing the chances of denial and the costly rework involved in resubmitting claims.

Optimizing the revenue cycle is another key benefit of healthcare claims management. The revenue cycle encompasses the entire process of patient care, from scheduling appointments and verifying insurance coverage to providing services and receiving payment from payers. Claims management plays a crucial role in ensuring that this process runs smoothly by reducing delays in reimbursement and increasing the rate of claims acceptance. When claims are processed efficiently, healthcare providers can maintain a steady cash flow, ensuring that they have the financial resources needed to operate effectively and continue delivering high-quality care to their patients.

Ensuring regulatory compliance is another critical function of healthcare claims management. The healthcare industry is subject to numerous regulations, including the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and various payer-specific requirements. Claims management systems help providers stay compliant with these regulations by automating the submission of accurate, complete claims and ensuring that all patient and financial data is securely handled. Failing to comply with regulatory requirements can lead to penalties, audits, and even legal action, all of which can have severe financial and reputational consequences for healthcare organizations. By automating the compliance process, claims management systems help providers mitigate these risks and maintain the highest standards of data security and accuracy.

Effective claims management also improves patient satisfaction by reducing billing errors and disputes. Patients expect transparency and accuracy when it comes to their healthcare costs, and errors in billing or denied claims can lead to frustration and financial stress. By ensuring that claims are processed accurately and in a timely manner, healthcare providers can offer a smoother billing experience for their patients, leading to higher levels of trust and satisfaction. Additionally, automated systems can provide patients with detailed breakdowns of their costs, helping them better understand their financial responsibility and any insurance coverage details.

Moreover, claims management systems offer healthcare organizations valuable insights into their financial performance. Through detailed reporting and analytics, providers can track key metrics such as claim acceptance rates, denial trends, and reimbursement times. This data-driven approach allows healthcare administrators to identify bottlenecks or inefficiencies in their claims processes, making it easier to implement targeted improvements and optimize the overall revenue cycle.

What Factors Are Driving the Growth of the Healthcare Claims Management Market?

Several key factors are driving the rapid growth of the healthcare claims management market, including the increasing complexity of healthcare billing and coding, advancements in automation technologies, the rising demand for cost-effective healthcare solutions, and the push for value-based care models. One of the primary drivers is the growing complexity of healthcare billing and coding systems. As healthcare services become more specialized and payer requirements more varied, providers must navigate an intricate web of codes, rules, and regulations to ensure accurate billing. Claims management solutions offer a streamlined way to manage this complexity by automating coding processes, reducing the risk of errors, and ensuring that claims comply with payer requirements.

The advancement of automation technologies such as AI, machine learning, and robotic process automation (RPA) is another significant factor contributing to the growth of the claims management market. These technologies enable healthcare providers to process large volumes of claims quickly and accurately, reducing administrative costs and improving operational efficiency. Automated claims management systems can also handle more complex tasks, such as identifying patterns that lead to denials or predicting future cash flow based on historical claims data. As healthcare organizations look for ways to reduce costs while improving service quality, the adoption of automated claims management solutions is becoming increasingly widespread.

The rising demand for cost-effective healthcare solutions is further fueling the growth of the claims management market. As healthcare costs continue to rise, both providers and patients are seeking ways to reduce expenses without compromising the quality of care. Effective claims management helps providers maintain a healthy revenue cycle by reducing denied claims and ensuring timely reimbursements, allowing them to continue delivering care while keeping operational costs in check. For patients, accurate claims processing reduces the risk of billing errors and unexpected charges, improving the overall experience of receiving healthcare services.

The shift toward value-based care models is another key driver of market growth. Value-based care emphasizes improving patient outcomes while controlling costs, shifting the focus away from the volume of services provided and toward the quality of care delivered. Claims management plays a critical role in this shift by enabling providers to track and report on key performance indicators (KPIs) related to patient outcomes, quality of care, and cost-efficiency. By optimizing claims processes and improving revenue cycle management, healthcare providers can align their operations with value-based care initiatives, improving both financial performance and patient satisfaction.

Additionally, regulatory changes and healthcare reforms, such as the Affordable Care Act (ACA) in the U.S., have placed greater emphasis on accurate claims processing and timely reimbursement. These regulations often require providers to adhere to new standards for coding, billing, and reporting, which has increased the need for sophisticated claims management systems that can ensure compliance. As regulations continue to evolve, healthcare organizations must invest in claims management solutions that can adapt to these changes, further driving the demand for advanced claims management technologies.

In conclusion, the growth of the healthcare claims management market is driven by increasing billing complexity, advancements in automation technologies, the demand for cost-efficient healthcare solutions, and the shift toward value-based care models. As healthcare organizations continue to face challenges in managing the revenue cycle, claims management systems will remain essential tools for optimizing financial performance, ensuring regulatory compliance, and improving overall patient care delivery.

Select Competitors (Total 41 Featured) -

  • Allscripts Healthcare Solutions, Inc.
  • Athenahealth, Inc.
  • Cerner Corporation
  • Cognizant Technology Solutions Corporation
  • Conifer Health Solutions, LLC.
  • Context4 Healthcare Inc.
  • DST Systems, Inc.
  • eClinicalWorks LLC
  • GE Healthcare
  • GeBBS Healthcare Solutions, Inc.
  • Health Solutions Plus
  • McKesson Corporation
  • nThrive, Inc.
  • Optum, Inc.
  • PLEXIS Healthcare Systems, Inc.
  • Quest Diagnostics, Inc.
  • Ram Technologies, Inc.
  • The SSI Group, LLC

TABLE OF CONTENTS

I. METHODOLOGY

II. EXECUTIVE SUMMARY

  • 1. MARKET OVERVIEW
    • Influencer Market Insights
    • Global Economic Update
    • Healthcare Claims Management - Global Key Competitors Percentage Market Share in 2024 (E)
    • Competitive Market Presence - Strong/Active/Niche/Trivial for Players Worldwide in 2024 (E)
  • 2. FOCUS ON SELECT PLAYERS
  • 3. MARKET TRENDS & DRIVERS
    • Increasing Complexity of Insurance Claims Drives Adoption of Automated Claims Management Systems
    • Role of Claims Management in Reducing Administrative Costs and Improving Revenue Cycle Management
    • Technological Advancements in AI and Machine Learning Enhance Claims Processing Efficiency
    • Future Directions: Development of Blockchain-powered Claims Management Systems for Transparency
    • Managing Fraud Detection and Prevention in Healthcare Claims Processing
    • Increasing Demand for Real-time Analytics and Reporting Tools in Claims Management
  • 4. GLOBAL MARKET PERSPECTIVE
    • TABLE 1: World Healthcare Claims Management Market Analysis of Annual Sales in US$ Million for Years 2014 through 2030
    • TABLE 2: World Recent Past, Current & Future Analysis for Healthcare Claims Management by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 3: World Historic Review for Healthcare Claims Management by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 4: World 16-Year Perspective for Healthcare Claims Management by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets for Years 2014, 2024 & 2030
    • TABLE 5: World Recent Past, Current & Future Analysis for Standalone by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 6: World Historic Review for Standalone by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 7: World 16-Year Perspective for Standalone by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2014, 2024 & 2030
    • TABLE 8: World Recent Past, Current & Future Analysis for Integrated by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 9: World Historic Review for Integrated by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 10: World 16-Year Perspective for Integrated by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2014, 2024 & 2030
    • TABLE 11: World Recent Past, Current & Future Analysis for Software by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 12: World Historic Review for Software by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 13: World 16-Year Perspective for Software by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2014, 2024 & 2030
    • TABLE 14: World Recent Past, Current & Future Analysis for Services by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 15: World Historic Review for Services by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 16: World 16-Year Perspective for Services by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2014, 2024 & 2030
    • TABLE 17: World Recent Past, Current & Future Analysis for On-Premise by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 18: World Historic Review for On-Premise by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 19: World 16-Year Perspective for On-Premise by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2014, 2024 & 2030
    • TABLE 20: World Recent Past, Current & Future Analysis for Cloud by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 21: World Historic Review for Cloud by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 22: World 16-Year Perspective for Cloud by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2014, 2024 & 2030
    • TABLE 23: World Recent Past, Current & Future Analysis for Healthcare Providers by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 24: World Historic Review for Healthcare Providers by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 25: World 16-Year Perspective for Healthcare Providers by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2014, 2024 & 2030
    • TABLE 26: World Recent Past, Current & Future Analysis for Healthcare Payers by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 27: World Historic Review for Healthcare Payers by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 28: World 16-Year Perspective for Healthcare Payers by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2014, 2024 & 2030
    • TABLE 29: World Recent Past, Current & Future Analysis for Other End-Uses by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 30: World Historic Review for Other End-Uses by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 31: World 16-Year Perspective for Other End-Uses by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2014, 2024 & 2030

III. MARKET ANALYSIS

  • UNITED STATES
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in the United States for 2024 (E)
    • TABLE 32: USA Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 33: USA Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 34: USA 16-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2014, 2024 & 2030
    • TABLE 35: USA Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 36: USA Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 37: USA 16-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2014, 2024 & 2030
    • TABLE 38: USA Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 39: USA Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 40: USA 16-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2014, 2024 & 2030
    • TABLE 41: USA Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 42: USA Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 43: USA 16-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2014, 2024 & 2030
  • CANADA
    • TABLE 44: Canada Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 45: Canada Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 46: Canada 16-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2014, 2024 & 2030
    • TABLE 47: Canada Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 48: Canada Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 49: Canada 16-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2014, 2024 & 2030
    • TABLE 50: Canada Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 51: Canada Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 52: Canada 16-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2014, 2024 & 2030
    • TABLE 53: Canada Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 54: Canada Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 55: Canada 16-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2014, 2024 & 2030
  • JAPAN
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Japan for 2024 (E)
    • TABLE 56: Japan Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 57: Japan Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 58: Japan 16-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2014, 2024 & 2030
    • TABLE 59: Japan Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 60: Japan Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 61: Japan 16-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2014, 2024 & 2030
    • TABLE 62: Japan Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 63: Japan Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 64: Japan 16-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2014, 2024 & 2030
    • TABLE 65: Japan Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 66: Japan Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 67: Japan 16-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2014, 2024 & 2030
  • CHINA
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in China for 2024 (E)
    • TABLE 68: China Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 69: China Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 70: China 16-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2014, 2024 & 2030
    • TABLE 71: China Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 72: China Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 73: China 16-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2014, 2024 & 2030
    • TABLE 74: China Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 75: China Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 76: China 16-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2014, 2024 & 2030
    • TABLE 77: China Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 78: China Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 79: China 16-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2014, 2024 & 2030
  • EUROPE
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Europe for 2024 (E)
    • TABLE 80: Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Geographic Region - France, Germany, Italy, UK and Rest of Europe Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 81: Europe Historic Review for Healthcare Claims Management by Geographic Region - France, Germany, Italy, UK and Rest of Europe Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 82: Europe 16-Year Perspective for Healthcare Claims Management by Geographic Region - Percentage Breakdown of Value Sales for France, Germany, Italy, UK and Rest of Europe Markets for Years 2014, 2024 & 2030
    • TABLE 83: Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 84: Europe Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 85: Europe 16-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2014, 2024 & 2030
    • TABLE 86: Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 87: Europe Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 88: Europe 16-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2014, 2024 & 2030
    • TABLE 89: Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 90: Europe Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 91: Europe 16-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2014, 2024 & 2030
    • TABLE 92: Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 93: Europe Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 94: Europe 16-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2014, 2024 & 2030
  • FRANCE
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in France for 2024 (E)
    • TABLE 95: France Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 96: France Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 97: France 16-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2014, 2024 & 2030
    • TABLE 98: France Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 99: France Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 100: France 16-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2014, 2024 & 2030
    • TABLE 101: France Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 102: France Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 103: France 16-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2014, 2024 & 2030
    • TABLE 104: France Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 105: France Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 106: France 16-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2014, 2024 & 2030
  • GERMANY
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Germany for 2024 (E)
    • TABLE 107: Germany Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 108: Germany Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 109: Germany 16-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2014, 2024 & 2030
    • TABLE 110: Germany Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 111: Germany Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 112: Germany 16-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2014, 2024 & 2030
    • TABLE 113: Germany Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 114: Germany Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 115: Germany 16-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2014, 2024 & 2030
    • TABLE 116: Germany Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 117: Germany Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 118: Germany 16-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2014, 2024 & 2030
  • ITALY
    • TABLE 119: Italy Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 120: Italy Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 121: Italy 16-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2014, 2024 & 2030
    • TABLE 122: Italy Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 123: Italy Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 124: Italy 16-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2014, 2024 & 2030
    • TABLE 125: Italy Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 126: Italy Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 127: Italy 16-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2014, 2024 & 2030
    • TABLE 128: Italy Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 129: Italy Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 130: Italy 16-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2014, 2024 & 2030
  • UNITED KINGDOM
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in the United Kingdom for 2024 (E)
    • TABLE 131: UK Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 132: UK Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 133: UK 16-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2014, 2024 & 2030
    • TABLE 134: UK Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 135: UK Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 136: UK 16-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2014, 2024 & 2030
    • TABLE 137: UK Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 138: UK Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 139: UK 16-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2014, 2024 & 2030
    • TABLE 140: UK Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 141: UK Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 142: UK 16-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2014, 2024 & 2030
  • REST OF EUROPE
    • TABLE 143: Rest of Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 144: Rest of Europe Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 145: Rest of Europe 16-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2014, 2024 & 2030
    • TABLE 146: Rest of Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 147: Rest of Europe Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 148: Rest of Europe 16-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2014, 2024 & 2030
    • TABLE 149: Rest of Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 150: Rest of Europe Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 151: Rest of Europe 16-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2014, 2024 & 2030
    • TABLE 152: Rest of Europe Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 153: Rest of Europe Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 154: Rest of Europe 16-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2014, 2024 & 2030
  • ASIA-PACIFIC
    • Healthcare Claims Management Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Asia-Pacific for 2024 (E)
    • TABLE 155: Asia-Pacific Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 156: Asia-Pacific Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 157: Asia-Pacific 16-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2014, 2024 & 2030
    • TABLE 158: Asia-Pacific Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 159: Asia-Pacific Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 160: Asia-Pacific 16-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2014, 2024 & 2030
    • TABLE 161: Asia-Pacific Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 162: Asia-Pacific Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 163: Asia-Pacific 16-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2014, 2024 & 2030
    • TABLE 164: Asia-Pacific Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 165: Asia-Pacific Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 166: Asia-Pacific 16-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2014, 2024 & 2030
  • REST OF WORLD
    • TABLE 167: Rest of World Recent Past, Current & Future Analysis for Healthcare Claims Management by Type - Standalone and Integrated - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 168: Rest of World Historic Review for Healthcare Claims Management by Type - Standalone and Integrated Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 169: Rest of World 16-Year Perspective for Healthcare Claims Management by Type - Percentage Breakdown of Value Sales for Standalone and Integrated for the Years 2014, 2024 & 2030
    • TABLE 170: Rest of World Recent Past, Current & Future Analysis for Healthcare Claims Management by Component - Software and Services - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 171: Rest of World Historic Review for Healthcare Claims Management by Component - Software and Services Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 172: Rest of World 16-Year Perspective for Healthcare Claims Management by Component - Percentage Breakdown of Value Sales for Software and Services for the Years 2014, 2024 & 2030
    • TABLE 173: Rest of World Recent Past, Current & Future Analysis for Healthcare Claims Management by Deployment - On-Premise and Cloud - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 174: Rest of World Historic Review for Healthcare Claims Management by Deployment - On-Premise and Cloud Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 175: Rest of World 16-Year Perspective for Healthcare Claims Management by Deployment - Percentage Breakdown of Value Sales for On-Premise and Cloud for the Years 2014, 2024 & 2030
    • TABLE 176: Rest of World Recent Past, Current & Future Analysis for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 177: Rest of World Historic Review for Healthcare Claims Management by End-Use - Healthcare Providers, Healthcare Payers and Other End-Uses Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 178: Rest of World 16-Year Perspective for Healthcare Claims Management by End-Use - Percentage Breakdown of Value Sales for Healthcare Providers, Healthcare Payers and Other End-Uses for the Years 2014, 2024 & 2030

IV. COMPETITION

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