全球医疗保健索赔管理市场研究报告 - 2023 年至 2030 年行业分析、规模、份额、成长、趋势和预测

全球医疗保健理赔管理市场需求预计将从 2022 年的 154.3 亿美元增至 2030 年的近 293.9 亿美元，2023-2030 年研究期间复合年增长率为 7.42%。

医疗保健索赔管理软体有助于管理医疗保健行业内的医疗索赔和报销流程。医疗保健索赔管理涉及多项任务，包括组织、计费、归檔、处理和更新与患者的诊断、药物和治疗相关的医疗索赔。医疗保健索赔管理用于简化医疗索赔流程，从而缓解提供者和保险公司之间的关係，从而有效地加快患者的付款生命週期。

市场动态：

诸如更加重视向目标族群提供高品质医疗保健服务以及技术相关服务采用率不断上升等变数的发展推动了市场的成长。此外，不断增长的健康保险行业以及不断增长的互联网使用和数位化进一步确保了医疗索赔管理市场的持续成长。此外，政府为医疗保健基础设施现代化和采用医疗保健 IT 解决方案提供的巨额资金对整个行业的成长产生了积极影响。此外，医疗保健产业自动化趋势的增强、技术创新以及研发支出的增加是一些成长诱发因素。然而，对患者资料安全和保障的日益担忧以及网路犯罪的增加预计将阻碍市场的成长。

研究报告涵盖波特五力模型、市场吸引力分析和价值链分析。这些工具有助于清晰地了解行业结构并评估全球范围内的竞争吸引力。此外，这些工具还对全球医疗保健索赔管理市场的每个细分市场进行包容性评估。医疗保健索赔管理行业的成长和趋势为本研究提供了整体方法。

区域分析：

本节涵盖区域前景，重点介绍北美、欧洲、亚太地区、拉丁美洲以及中东和非洲医疗保健索赔管理市场当前和未来的需求。此外，该报告重点关注所有主要地区各个应用领域的需求、估计和预测。

该研究报告还涵盖了市场主要参与者的全面概况以及对全球竞争格局的深入了解。医疗保健索赔管理市场的主要参与者包括Cerner Corporation（美国）、McKesson Corporation（美国）、athenahealth（美国）、eClinicalWorks（美国）、Optum, Inc（美国）、Conifer Health Solutions（美国）和nThrive（美国） 。我们）。本节包含竞争格局的整体视图，包括各种策略发展，例如关键併购、未来产能、合作伙伴关係、财务概况、合作、新产品开发、新产品发布和其他发展。

如果您有任何客製化要求，请写信给我们。我们的研究团队可以根据您的需求提供客製化报告。

目录

第一章：前言

• 报告说明
  • 客观的
  • 目标受众
  • 独特的销售主张 (USP) 和产品
• 研究范围
• 研究方法论
  • 市场研究过程
  • 市场研究方法论

第 2 章：执行摘要

• 市集亮点
• 全球市场概况

第 3 章：医疗保健索赔管理 - 产业分析

• 简介 - 市场动态
• 市场驱动因素
• 市场限制
• 机会
• 产业动态
• 波特五力分析
• 市场吸引力分析
  • 按组件分類的市场吸引力分析
  • 按类型分類的市场吸引力分析
  • 按交付模式分類的市场吸引力分析
  • 最终用户的市场吸引力分析
  • 市场吸引力分析：按地区

第 4 章：价值链分析

• 价值链分析
• 原料分析
  • 原料清单
  • 原料厂商清单
  • 主要原物料价格走势
• 潜在买家名单
• 行销管道
  • 直效行销
  • 间接行销
  • 行销通路发展趋势

第 5 章：COVID-19 爆发的影响分析

第 6 章：全球医疗保健理赔管理市场分析：按组成部分

• 按组件概述
• 历史和预测数据
• 按成分分析
• 软体
• 服务

第 7 章：全球医疗保健理赔管理市场分析：按类型

• 按类型概述
• 历史和预测数据
• 按类型分析
• 综合解决方案
• 独立解决方案

第 8 章：全球医疗保健理赔管理市场分析：依交付模式分类

• 按交付模式概述
• 历史和预测数据
• 按交付模式分析
• 本地部署
• 基于云端

第 9 章：全球医疗保健索赔管理市场分析：按最终用户分类

• 最终用户概述
• 历史和预测数据
• 最终用户分析
• 医疗保健支付者
• 医疗保健机构
• 其他最终用户

第 10 章：全球医疗保健理赔管理市场分析：依地理位置

• 区域展望
• 介绍
• 北美销售分析
  • 概述、历史和预测销售分析
  • 北美按细分市场销售分析
  • 北美按国家销售分析
  • 美国销售分析
  • 加拿大销售分析
  • 墨西哥销售分析
• 欧洲销售分析
  • 概述、历史和预测销售分析
  • 欧洲按细分市场销售分析
  • 欧洲按国家销售分析
  • 英国销售分析
  • 法国销售分析
  • 德国销售分析
  • 义大利销售分析
  • 俄罗斯销售分析
  • 欧洲其他地区销售分析
• 亚太地区销售分析
  • 概述、历史和预测销售分析
  • 亚太地区按细分市场销售分析
  • 亚太地区国家/地区销售分析
  • 中国销售分析
  • 印度销售分析
  • 日本销售分析
  • 韩国销售分析
  • 澳洲销售分析
  • 亚太地区其他地区销售分析
• 拉丁美洲销售分析
  • 概述、历史和预测销售分析
  • 拉丁美洲按细分市场销售分析
  • 拉丁美洲按国家销售分析
  • 巴西销售分析
  • 阿根廷销售分析
  • 秘鲁销售分析
  • 智利销售分析
  • 拉丁美洲其他地区销售分析
• 中东和非洲销售分析
  • 概述、历史和预测销售分析
  • 中东和非洲按细分市场销售分析
  • 中东和非洲国家销售分析
  • 沙乌地阿拉伯销售分析
  • 阿联酋销售分析
  • 以色列销售分析
  • 南非销售分析
  • 中东其他地区和非洲销售分析

第 11 章：医疗保健索赔管理公司的竞争格局

• 医疗保健理赔管理市场竞争
• 伙伴关係/协作/协议
• 併购
• 新产品发布
• 其他发展

第 12 章：公司简介

• 顶尖公司股票分析
• 市场集中度
• Cerner Corporation (US)
• 公司简介
• 公司收入
• 产品
• 最近的发展
• McKesson Corporation (US)
• 公司简介
• 公司收入
• 产品
• 最近的发展
• athenahealth (US)
• 公司简介
• 公司收入
• 产品
• 最近的发展
• eClinicalWorks (US)
• 公司简介
• 公司收入
• 产品
• 最近的发展
• Optum Inc (US)
• 公司简介
• 公司收入
• 产品
• 最近的发展
• Conifer Health Solutions (US)
• 公司简介
• 公司收入
• 产品
• 最近的发展
• nThrive (US)
• 公司简介
• 公司收入
• 产品
• 最近的发展

注意 - 在公司概况中，财务详细资讯和近期发展视情况而定，或者如果是私人公司，则可能不包括在内

The global demand for Healthcare Claims Management Market is presumed to reach the market size of nearly USD 29.39 BN by 2030 from USD 15.43 BN in 2022 with a CAGR of 7.42% under the study period 2023 - 2030.

Healthcare claims management software aids in the management of medical claims and reimbursement processes within the healthcare industry. Healthcare claims management involves multiple tasks, including organization, billing, filing, processing, and updating medical claims associated with diagnosis, medication, and treatment of patients. Healthcare claims management is used to streamline the medical claims process, which eases the relationship between provider and insurance company, to speed up the patient's payment lifecycle efficiently.

MARKET DYNAMICS:

The development of variables such as an increased focus on providing high-quality healthcare services to the target population and the rising adoption rate of technology-related services fuel the market growth. Moreover, the growing health insurance sector and rising internet usage and digitalization further ensure sustained growth of the healthcare claims management market. Also, huge government funding to modernize the healthcare infrastructure and adopt healthcare IT solutions positively influences the overall industry growth. Furthermore, the increase in the automation trend in the healthcare industry, technological innovations, and an increase in R&D expenditure are a few growth-inducing factors. However, increasing concerns about patient data safety & security and the rise in cybercrime is expected to hamper the market growth.

The research report covers Porter's Five Forces Model, Market Attractiveness Analysis, and Value Chain analysis. These tools help to get a clear picture of the industry's structure and evaluate the competition attractiveness at a global level. Additionally, these tools also give an inclusive assessment of each segment in the global market of healthcare claims management. The growth and trends of healthcare claims management industry provide a holistic approach to this study.

MARKET SEGMENTATION:

This section of the healthcare claims management market report provides detailed data on the segments at country and regional level, thereby assisting the strategist in identifying the target demographics for the respective product or services with the upcoming opportunities.

By Component

• Software
• Services

By Type

• Integrated Solutions
• Standalone Solutions

By Delivery Mode

• On-Premise
• Cloud-Based

By End User

• Healthcare Payers
• Healthcare Providers
• Other End Users

REGIONAL ANALYSIS:

This section covers the regional outlook, which accentuates current and future demand for the Healthcare Claims Management market across North America, Europe, Asia-Pacific, Latin America, and Middle East & Africa. Further, the report focuses on demand, estimation, and forecast for individual application segments across all the prominent regions.

The research report also covers the comprehensive profiles of the key players in the market and an in-depth view of the competitive landscape worldwide. The major players in the healthcare claims management market include Cerner Corporation (US), McKesson Corporation (US), athenahealth (US), eClinicalWorks (US), Optum, Inc, (US), Conifer Health Solutions (US), and nThrive (US). This section consists of a holistic view of the competitive landscape that includes various strategic developments such as key mergers & acquisitions, future capacities, partnerships, financial overviews, collaborations, new product developments, new product launches, and other developments.

In case you have any custom requirements, do write to us. Our research team can offer a customized report as per your need.

TABLE OF CONTENTS

1 . PREFACE

• 1.1. Report Description
  • 1.1.1. Objective
  • 1.1.2. Target Audience
  • 1.1.3. Unique Selling Proposition (USP) & offerings
• 1.2. Research Scope
• 1.3. Research Methodology
  • 1.3.1. Market Research Process
  • 1.3.2. Market Research Methodology

2 . EXECUTIVE SUMMARY

• 2.1. Highlights of Market
• 2.2. Global Market Snapshot

3 . HEALTHCARE CLAIMS MANAGEMENT - INDUSTRY ANALYSIS

• 3.1. Introduction - Market Dynamics
• 3.2. Market Drivers
• 3.3. Market Restraints
• 3.4. Opportunities
• 3.5. Industry Trends
• 3.6. Porter's Five Force Analysis
• 3.7. Market Attractiveness Analysis
  • 3.7.1 Market Attractiveness Analysis By Component
  • 3.7.2 Market Attractiveness Analysis By Type
  • 3.7.3 Market Attractiveness Analysis By Delivery Mode
  • 3.7.4 Market Attractiveness Analysis By End User
  • 3.7.5 Market Attractiveness Analysis By Region

4 . VALUE CHAIN ANALYSIS

• 4.1. Value Chain Analysis
• 4.2. Raw Material Analysis
  • 4.2.1. List of Raw Materials
  • 4.2.2. Raw Material Manufactures List
  • 4.2.3. Price Trend of Key Raw Materials
• 4.3. List of Potential Buyers
• 4.4. Marketing Channel
  • 4.4.1. Direct Marketing
  • 4.4.2. Indirect Marketing
  • 4.4.3. Marketing Channel Development Trend

5 . IMPACT ANALYSIS OF COVID-19 OUTBREAK

6 . GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET ANALYSIS BY COMPONENT

• 6.1 Overview by Component
• 6.2 Historical and Forecast Data
• 6.3 Analysis by Component
• 6.4 Software Historic and Forecast Sales by Regions
• 6.5 Services Historic and Forecast Sales by Regions

7 . GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET ANALYSIS BY TYPE

• 7.1 Overview by Type
• 7.2 Historical and Forecast Data
• 7.3 Analysis by Type
• 7.4 Integrated Solutions Historic and Forecast Sales by Regions
• 7.5 Standalone Solutions Historic and Forecast Sales by Regions

8 . GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET ANALYSIS BY DELIVERY MODE

• 8.1 Overview by Delivery Mode
• 8.2 Historical and Forecast Data
• 8.3 Analysis by Delivery Mode
• 8.4 On-premise Historic and Forecast Sales by Regions
• 8.5 Cloud-based Historic and Forecast Sales by Regions

9 . GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET ANALYSIS BY END USER

• 9.1 Overview by End User
• 9.2 Historical and Forecast Data
• 9.3 Analysis by End User
• 9.4 Healthcare Payers Historic and Forecast Sales by Regions
• 9.5 Healthcare Providers Historic and Forecast Sales by Regions
• 9.6 Other End Users Historic and Forecast Sales by Regions

10 . GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET ANALYSIS BY GEOGRAPHY

• 10.1. Regional Outlook
• 10.2. Introduction
• 10.3. North America Sales Analysis
  • 10.3.1. Overview, Historic and Forecast Sales Analysis
  • 10.3.2. North America By Segment Sales Analysis
  • 10.3.3. North America By Country Sales Analysis
  • 10.3.4. United State Sales Analysis
  • 10.3.5. Canada Sales Analysis
  • 10.3.6. Mexico Sales Analysis
• 10.4. Europe Sales Analysis
  • 10.4.1. Overview, Historic and Forecast Sales Analysis
  • 10.4.2. Europe by Segment Sales Analysis
  • 10.4.3. Europe by Country Sales Analysis
  • 10.4.4. United Kingdom Sales Analysis
  • 10.4.5. France Sales Analysis
  • 10.4.6. Germany Sales Analysis
  • 10.4.7. Italy Sales Analysis
  • 10.4.8. Russia Sales Analysis
  • 10.4.9. Rest Of Europe Sales Analysis
• 10.5. Asia Pacific Sales Analysis
  • 10.5.1. Overview, Historic and Forecast Sales Analysis
  • 10.5.2. Asia Pacific by Segment Sales Analysis
  • 10.5.3. Asia Pacific by Country Sales Analysis
  • 10.5.4. China Sales Analysis
  • 10.5.5. India Sales Analysis
  • 10.5.6. Japan Sales Analysis
  • 10.5.7. South Korea Sales Analysis
  • 10.5.8. Australia Sales Analysis
  • 10.5.9. Rest Of Asia Pacific Sales Analysis
• 10.6. Latin America Sales Analysis
  • 10.6.1. Overview, Historic and Forecast Sales Analysis
  • 10.6.2. Latin America by Segment Sales Analysis
  • 10.6.3. Latin America by Country Sales Analysis
  • 10.6.4. Brazil Sales Analysis
  • 10.6.5. Argentina Sales Analysis
  • 10.6.6. Peru Sales Analysis
  • 10.6.7. Chile Sales Analysis
  • 10.6.8. Rest of Latin America Sales Analysis
• 10.7. Middle East & Africa Sales Analysis
  • 10.7.1. Overview, Historic and Forecast Sales Analysis
  • 10.7.2. Middle East & Africa by Segment Sales Analysis
  • 10.7.3. Middle East & Africa by Country Sales Analysis
  • 10.7.4. Saudi Arabia Sales Analysis
  • 10.7.5. UAE Sales Analysis
  • 10.7.6. Israel Sales Analysis
  • 10.7.7. South Africa Sales Analysis
  • 10.7.8. Rest Of Middle East And Africa Sales Analysis

11 . COMPETITIVE LANDSCAPE OF THE HEALTHCARE CLAIMS MANAGEMENT COMPANIES

• 11.1. Healthcare Claims Management Market Competition
• 11.2. Partnership/Collaboration/Agreement
• 11.3. Merger And Acquisitions
• 11.4. New Product Launch
• 11.5. Other Developments

12 . COMPANY PROFILES OF HEALTHCARE CLAIMS MANAGEMENT INDUSTRY

• 12.1. Top Company Share Analysis
• 12.2. Market Concentration Rate
• 12.3. Cerner Corporation (US)
  • 12.3.1. Company Overview
  • 12.3.2. Company Revenue
  • 12.3.3. Products
  • 12.3.4. Recent Developments
• 12.4. McKesson Corporation (US)
  • 12.4.1. Company Overview
  • 12.4.2. Company Revenue
  • 12.4.3. Products
  • 12.4.4. Recent Developments
• 12.5. athenahealth (US)
  • 12.5.1. Company Overview
  • 12.5.2. Company Revenue
  • 12.5.3. Products
  • 12.5.4. Recent Developments
• 12.6. eClinicalWorks (US)
  • 12.6.1. Company Overview
  • 12.6.2. Company Revenue
  • 12.6.3. Products
  • 12.6.4. Recent Developments
• 12.7. Optum Inc (US)
  • 12.7.1. Company Overview
  • 12.7.2. Company Revenue
  • 12.7.3. Products
  • 12.7.4. Recent Developments
• 12.8. Conifer Health Solutions (US)
  • 12.8.1. Company Overview
  • 12.8.2. Company Revenue
  • 12.8.3. Products
  • 12.8.4. Recent Developments
• 12.9. nThrive (US)
  • 12.9.1. Company Overview
  • 12.9.2. Company Revenue
  • 12.9.3. Products
  • 12.9.4. Recent Developments

Note - in company profiling, financial details and recent development are subject to availability or might not be covered in case of private companies

LIST OF TABLES

• Market Snapshot
• Drivers : Impact Analysis
• Restraints : Impact Analysis
• List of Raw Material
• List of Raw Material Manufactures
• List of Potential Buyers
• Analysis by Component (USD MN)
• Software Market Sales by Geography (USD MN)
• Services Market Sales by Geography (USD MN)
• Analysis Market by Type (USD MN)
• Integrated Solutions Market Sales by Geography (USD MN)
• Standalone Solutions Market Sales by Geography (USD MN)
• Analysis by Delivery Mode (USD MN)
• On-premise Market Sales by Geography (USD MN)
• Cloud-based Market Sales by Geography (USD MN)
• Analysis by End User (USD MN)
• Healthcare Payers Market Sales by Geography (USD MN)
• Healthcare Providers Market Sales by Geography (USD MN)
• Other End Users Market Sales by Geography (USD MN)
• Global Healthcare Claims Management Market Sales by Geography (USD MN)
• North America Market Analysis (USD MN)
• United State Market Analysis (USD MN)
• Canada Market Analysis (USD MN)
• Mexico Market Analysis (USD MN)
• Europe Market Analysis (USD MN)
• Europe Market Estimate by Country (USD MN)
• United Kingdom Market Analysis (USD MN)
• France Market Analysis (USD MN)
• Germany Market Analysis (USD MN)
• Italy Market Analysis (USD MN)
• Russia Market Analysis (USD MN)
• Spain Market Analysis (USD MN)
• Rest of Europe Market Analysis (USD MN)
• Asia Pacific Market Analysis (USD MN)
• China Market Analysis (USD MN)
• Japan Market Analysis (USD MN)
• India Market Analysis (USD MN)
• South Korea Market Analysis (USD MN)
• Australia Market Analysis (USD MN)
• Rest of Asia Pacific Market Analysis (USD MN)
• Latin America Market Analysis (USD MN)
• Brazil Market Analysis (USD MN)
• Argentina Market Analysis (USD MN)
• Peru Market Analysis (USD MN)
• Chile Market Analysis (USD MN)
• Rest of Latin America Market Analysis (USD MN)
• Middle East & Africa Market Analysis (USD MN)
• Saudi Arabia Market Analysis (USD MN)
• UAE Market Analysis (USD MN)
• Israel Market Analysis (USD MN)
• South Africa Market Analysis (USD MN)
• Rest of Middle East and Africa Market Analysis (USD MN)
• Partnership/Collaboration/Agreement
• Mergers And Acquisition

LIST OF FIGURES

• Research Scope of Healthcare Claims Management Report
• Market Research Process
• Market Research Methodology
• Global Healthcare Claims Management Market Size, by Region (USD MN)
• Porters Five Forces Analysis
• Market Attractiveness Analysis by Component
• Market Attractiveness Analysis by Type
• Market Attractiveness Analysis by Delivery Mode
• Market Attractiveness Analysis by End User
• Market Attractiveness Analysis by Region
• Value Chain Analysis
• Global Market Analysis by Component (USD MN)
• Software Market Sales by Geography (USD MN)
• Services Market Sales by Geography (USD MN)
• Global Market Analysis by Type (USD MN)
• Integrated Solutions Market Sales by Geography (USD MN)
• Standalone Solutions Market Sales by Geography (USD MN)
• Global Market Analysis by Delivery Mode (USD MN)
• On-premise Market Sales by Geography (USD MN)
• Cloud-based Market Sales by Geography (USD MN)
• Global Market Analysis by End User (USD MN)
• Healthcare Payers Market Sales by Geography (USD MN)
• Healthcare Providers Market Sales by Geography (USD MN)
• Other End Users Market Sales by Geography (USD MN)
• Global Market by Revenue
• North America Market by Revenue
• Europe Market by Revenue
• Asia Pacific Market by Revenue
• Latin America Market by Revenue
• Middle East & Africa Market by Revenue
• Recent Development in Industry
• Top Company Share Analysis

Kindly note that the above listed are the basic tables and figures of the report and are not limited to the TOC.