Healthcare Claims Management Market report has been structured after a thorough study of various key market segments like market size, latest trends, market threats and key drivers which drives the market. This market study report has been prepared with the use of in-depth qualitative analysis of the global market. The report displays a fresh market research study that explores several significant facets related to Healthcare Claims Management Market covering industry environment, segmentation analysis, and competitive landscape. This global market research report is a proven source to gain valuable market insights and take better decisions about important business strategies.

Healthcare Claims Management Market report provides statistics on the current state of the industry as a valuable source of guidance and direction for companies and investors interested in this market. The report also plays key role in keeping hold of the reputation of the firm and its products. The Healthcare Claims Management Market document contains all the information including market definition, classifications, applications, and engagements while also detailing about what the major players are doing in respect of product launches, joint ventures, developments, mergers and acquisitions and how it is affecting the market in terms of sales, import, export, revenue and CAGR values for the market.



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The key factors driving the growth of this market are increasing patient volumes, expanding the health insurance market, the growing importance of denials management, and declining reimbursement rates. On the other hand, the high cost of deployment of claims management solutions could be a challenging factor for this market.

Some of the major players in healthcare claims management include:

Cerner Corporation (US),

McKesson Corporation (US),

a then health (US),

eClinical Works (US),

Optum, Inc, (US),

Conifer Health Solutions (US),

and nThrive (US).

“The cloud-based segment is projected to grow at the highest CAGR during the forecast period.”

Based on delivery mode, the healthcare claims management market is segmented into on-premise and cloud-based. The cloud-based segment is expected to grow at the highest CAGR during the forecast period. The high growth of this segment can be attributed to the comparatively lower capital expenses and operational costs incurred along with better scalability, flexibility, and affordability.



“Asia to witness the highest growth during the forecast period.”



Asia is expected to grow at the highest CAGR during the forecast period of 2018–2023. Factors such as the investments to modernize the healthcare infrastructure and growing adoption of healthcare IT solutions in China, measures to boost the quality of healthcare delivery in Japan, rapid growth of the healthcare industry in India, and government initiatives to boost the implementation of healthcare IT in Singapore are contributing to the high growth in Asia during the forecast period.

Break of primary participants was as mentioned below:

By Company Type – Tier 1- 54%, Tier 2- 34%, Tier 3- 12%
By Designation – C-level–31%, Director Level–19%, Others–50%
By Region – North America–46%, Europe–25%, Asia–18%, RoW-11%
Research Coverage:

The report analyzes the healthcare claims management market and aims at estimating the market size and the future growth potential of this market based on various segments such as component, type, delivery mode, end user, and region. The report also includes an in-depth regulatory analysis for various regions across the globe and the competitive analysis of the key players in this market along with their company profiles, recent developments, and key strategies adopted by them to remain competitive in the market.

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The report will enrich established firms as well as new entrants/smaller firms to gauge the pulse of the market, which in turn would help them, garner a greater share. Firms purchasing the report could use any one or a combination of the below-mentioned strategies.

This report provides insights on the following pointers:

Market Penetration: Comprehensive information on the solutions offered by the top players in the global healthcare claims management market. The report analyzes the global bariatric surgery devices market by type, component, delivery mode, end user, and region.
Product Deployments/Launches: Detailed insights on upcoming trends, new product launches, and deployments in the global healthcare claims management market


Market Development: Comprehensive information on the lucrative emerging markets by type, component, delivery mode, end user, and region


Market Diversification: Exhaustive information about new products, growing geographies, recent developments, and investments in the global healthcare claims management market
Competitive Assessment: In-depth assessment of market shares, growth strategies, products, and capabilities of leading players in the global market
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Table of Contents

1 Introduction
1.1 Objectives of the Study
1.2 Market Definition
1.3 Market Scope
1.3.1 Markets Covered
1.3.2 Years Considered for the Study
1.4 Currency
1.5 Limitations
1.6 Stakeholders

2 Research Methodology
2.1 Research Data
2.1.1 Secondary Data
2.1.1.1 Secondary Sources
2.1.2 Primary Data
2.1.2.1 Key Data From Primary Sources
2.1.2.2 Breakdown of Primaries
2.1.2.3 Key Industry Insights
2.2 Market Size Estimation
2.3 Market Breakdown and Data Triangulation
2.4 Assumptions for the Study

3 Executive Summary

4 Premium Insights
4.1 Healthcare Claims Management Solutions: Market Overview
4.2 Healthcare Claims Management Solutions Market, By End User (2018)
4.3 Healthcare Claims Management Solutions Market Share, By Type (2018 vs 2023)
4.4 Geographical Snapshot of the Healthcare Claims Management Solutions Market

5 Market Overview
5.1 Introduction
5.2 Market Dynamics
5.2.1 Market Drivers
5.2.1.1 Increasing Patient Volumes
5.2.1.2 Expanding Health Insurance Market
5.2.1.3 Process Improvements in Healthcare Organizations
5.2.1.4 Growing Importance of Denials Management
5.2.1.5 Declining Reimbursement Rates
5.2.2 Market Restraints
5.2.2.1 High Cost of Deployment
5.2.3 Market Opportunities
5.2.3.1 Emerging Countries
5.2.3.2 Cloud-Based Solutions
5.2.3.3 Artificial Intelligence in Health Insurance
5.2.3.4 Rising Adoption of Electronic Health Records
5.2.4 Market Challenges
5.2.4.1 Integration of Claim Management Solutions
5.2.4.2 Data Breaches and Loss of Confidentiality
5.2.4.3 Lack of Skilled It Professionals in Healthcare



6 Healthcare Claims Management Solutions Market, By Component
6.1 Introduction
6.2 Services
6.3 Software

7 Healthcare Claims Management Solutions Market, By Type
7.1 Introduction
7.2 Integrated Solutions
7.3 Standalone Solutions

8 Healthcare Claims Management Solutions Market, By Delivery Mode
8.1 Introduction
8.2 On-Premise Delivery Mode
8.3 Cloud-Based Delivery Mode

9 Healthcare Claims Management Solutions Market, By End User
9.1 Introduction
9.2 Healthcare Payers
9.3 Healthcare Providers
9.4 Other End Users

10 Healthcare Claims Management Solutions Market, By Region
10.1 Introduction
10.2 North America
10.2.1 US
10.2.2 Canada
10.3 Europe
10.3.1 UK
10.3.2 Germany
10.3.3 France
10.3.4 Italy
10.3.5 Rest of Europe
10.4 Asia
10.5 Rest of the World

11 Competitive Landscape
11.1 Overview
11.2 Competitive Scenario
11.2.1 Product Launches, Deployments, and Enhancements
11.2.2 Agreements, Partnerships, Contracts, and Collaborations
11.2.3 Acquisitions
11.2.4 Expansions



12 Company Profile
(Introduction, Products & Services, Strategy, & Analyst Insights, Developments, MnM View)*
12.1 Athenahealth
12.2 Cerner Corporation
12.3 Allscripts Healthcare Solutions
12.4 Eclinicalworks
12.5 Optum, Inc. (A Subsidiary of Unitedhealth Group Inc.)
12.6 Mckesson Corporation
12.7 Conifer Health Solutions
12.8 Gebbs Healthcare Solutions
12.9 The SSI Group
12.10 GE Healthcare
12.11 Nthrive
12.12 DST Systems
12.13 Cognizant Technology Solutions
12.14 Quest Diagnostics
12.15 Context 4 Healthcare
12.16 Ram Technologies
12.17 Health Solutions Plus (HSP)
12.18 Plexis Healthcare Systems

*Details on Marketsandmarkets View, Introduction, Product & Services, Strategy, & Analyst Insights, New Developments Might Not Be Captured in Case of Unlisted Companies.

13 Appendix
13.1 Discussion Guide
13.2 Knowledge Store: Marketsandmarkets’ Subscription Portal
13.3 Introducing RT: Real-Time Market Intelligence
13.4 Available Customizations
13.5 Related Reports
13.6 Author Details

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