Healthcare Insurance Is A Contract Between A Patient And Insurer To Cover Health Expenses In Lieu Of The Premiums Paid By A Patient. Health Claim Is A Detailed Invoice That Is Sent By A Patient Or A Healthcare Provider To The Health Insurer, Which Contains The Description And The Expenses Incurred For Availing Services By That Patient. Healthcare Claims Management Is The Process Of Billing, Filling, Updating, And Processing Medical Claims Related To The Diagnosis, Treatment, And Medication Of Patients.
The Global Healthcare Claims Management Solutions Market Was Valued At $3,644 Million In 2015, And Is Estimated To Garner $5,213 Million By 2022, Registering A Cagr Of 5.1% During The Forecast Period. The Key Driving Factors Of The Market Are Growing Geriatric Population And Increasing Awareness For Care Provision. Moreover, Proactive Initiatives By Government Organizations To Improve The Longevity Of Citizens Have Supplemented The Market Growth. In Addition, Growing Preference For Cloud-Based Deployment Of Healthcare Claims Management Solutions Is Expected To Create Opportunities For Market Players. However, Burgeoning Increase In Premium Rates, Reluctance To Adopt New Technology, High Cost Of Deployment & Data Security, And Interoperability Issues Hamper The Growth Of The Market.
The Global Healthcare Claims Management Solutions Market Is Segmented Based On Type, Deployment Mode, And Geography. Based On Type, The Market Is Segmented Into Software, Hardware, And Services. Based On The Mode Of Deployment, The Market Is Segmented Into Web-Based, Cloud-Based, And On-Premise. The Market Is Analyzed Based On Four Regions, Namely North America, Europe, Asia-Pacific, And Lamea. The North American Region Accounted For Four-Ninths Share Of The Global Healthcare Claims Management Solutions Market In 2015, And Is Expected To Maintain Its Dominance Throughout The Forecast Period. This Is Attributed To The Increase In Prevalence Of Chronic Disease, Technological Advancements In Software, And Burgeoning Use Of Cloud-Based Solution In The Region. However, The Asia-Pacific Region Is Projected To Grow At A Cagr Of 7.3% From 2016 To 2022, Owing To The Increase In Geriatric Population And Surge In Healthcare Facilities. In Addition, Improvements In Healthcare Infrastructure And Implementation Of Government Initiatives To Boosts Awareness Among People Are Expected To Boost The Market Growth.
Key Benefits for Stakeholders
Healthcare Claims Management Solutions Market Key Segments
By Type
By Deployment Mode
By Geography
List of Key Players Profiled in the Report
List Of Other Players in the Value Chain
CHAPTER 1 INTRODUCTION
1.1. REPORT DESCRIPTION
1.2. KEY BENEFITS
1.3. KEY MARKET SEGMENTS
1.4. RESEARCH METHODOLOGY
1.4.1. Secondary research
1.4.2. Primary research
1.4.3. Analyst tools and models
CHAPTER 2 EXECUTIVE SUMMARY
2.1. CXO PERSPECTIVE
CHAPTER 3 MARKET OVERVIEW
3.1. MARKET DEFINITION AND SCOPE
3.2. KEY FINDINGS
3.2.1. Top investment pockets
3.3. TOP PLAYER POSITIONING
3.4. PORTERS FIVE FORCES ANALYSIS
3.4.1. Bargaining Power of Buyers
3.4.2. Bargaining Power of Suppliers
3.4.3. Threat of Substitution
3.4.4. Threat of New Entrants
3.4.5. Intensity of Competitive Rivalry
3.5. MARKET DYNAMICS
3.5.1. Drivers
3.5.1.1. Rapidly increasing aging population and subsequent rise in the number of chronic diseases
3.5.1.2. Increase in awareness for care provision
3.5.1.3. Government initiatives to improve the insurance cover of their citizens
3.5.1.4. Adoption of Cloud Technology related services
3.5.2. Restraints
3.5.2.1. Increasing concerns regarding the patient data safety & security
3.5.3. Opportunities
3.5.3.1. Increasing investment in the Asia-Pacific region offers huge market potential
CHAPTER 4 HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY COMPONENT
4.1. OVERVIEW
4.2. SOFTWARE
4.2.1. Key market trends
4.2.2. Key growth factors and opportunities
4.2.3. Market size and forecast
4.3. HARDWARE
4.3.1. Key market trends
4.3.2. Key growth factors and opportunities
4.3.3. Market size and forecast
4.4. SERVICES
4.4.1. Key market trends
4.4.2. Key growth factors and opportunities
4.4.3. Market size and forecast
CHAPTER 5 HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY DEPLOYMENT MODE
5.1. OVERVIEW
5.2. WEB-BASED
5.2.1. Market size and forecast
5.3. CLOUD-BASED
5.3.1. Market size and forecast
5.4. ON-PREMISE BASED
5.4.1. Market size and forecast
CHAPTER 6 HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY GEOGRAPHY
6.1. OVERVIEW
6.2. NORTH AMERICA
6.2.1. Key market trends
6.2.2. Key growth factors and opportunities
6.2.3. Market size and forecast
6.2.4. U.S.: market size and forecast
6.2.5. Canada: market size and forecast
6.2.6. Mexico: market size and forecast
6.3. EUROPE
6.3.1. Key market trends
6.3.2. Key growth factors and opportunities
6.3.3. Market size and forecast
6.3.4. Germany: market size and forecast
6.3.5. France market size and forecast
6.3.6. UK: market size and forecast
6.3.7. Italy market size and forecast
6.3.8. Spain market size and forecast
6.3.9. Rest of Europe: market size and forecast
6.4. ASIA-PACIFIC
6.4.1. Key market trends
6.4.2. Key growth factors and opportunities
6.4.3. Market size and forecast
6.4.4. Japan: market size and forecast
6.4.5. China market size and forecast
6.4.6. India: market size and forecast
6.4.7. Rest of Asia-Pacific market size and forecast
6.5. LAMEA
6.5.1. Key market trends
6.5.2. Key growth factors and opportunities
6.5.3. Market size and forecast
6.5.4. Latin America: market size and forecast
6.5.5. Middle East market size and forecast
6.5.6. Africa: market size and forecast
CHAPTER 7 COMPANY PROFILES
7.1. CERNER CORPORATION
7.1.1. Overview
7.1.2. Operating business segments
7.1.3. Business performance
7.1.4. Key strategic moves and developments
7.2. AVAYA INC.
7.2.1. Overview
7.2.2. Operating business segments
7.2.3. Business performance
7.2.4. Key strategic moves and developments
7.3. ORACLE CORPORATION
7.3.1. Overview
7.3.2. Operating business segments
7.3.3. Business performance
7.3.4. Key strategic moves and developments
7.4. INFOR, INC.
7.4.1. Overview
7.4.2. Operating business segments
7.4.3. Business performance
7.4.4. Key strategic moves and developments
7.5. ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
7.5.1. Overview
7.5.2. Operating business segments
7.5.3. Business performance
7.5.4. Key strategic moves and developments
7.6. ATHENAHEALTH INC.
7.6.1. Overview
7.6.2. Operating business segments
7.6.3. Business performance
7.6.4. Key strategic moves and developments
7.7. ACCENTURE PLC.
7.7.1. Overview
7.7.2. Operating business segments
7.7.3. Business performance
7.7.4. Key strategic moves and developments
7.8. IBM CORPORATION
7.8.1. Overview
7.8.2. Operating business segments
7.8.3. Business performance
7.8.4. Key strategic moves and developments
7.9. COGNIZANT TECHNOLOGY SOLUTIONS CORPORATION
7.9.1. Overview
7.9.2. Operating business segments
7.9.3. Business performance
7.9.4. Key strategic moves and developments
7.10. GENPACT LIMITED
7.10.1. Overview
7.10.2. Operating business segments
7.10.3. Business performance
7.10.4. Key strategic moves & developments
LIST OF TABLES
TABLE 1 GLOBAL HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY COMPONENT, 2014-2022, ($MILLION)
TABLE 2 GLOBAL HEALTHCARE CLAIMS MANAGEMENT SOFTWARE MARKET, BY GEOGRAPHY, 2014-2022 ($MILLION)
TABLE 3 GLOBAL HEALTHCARE CLAIMS MANAGEMENT HARDWARE MARKET, BY GEOGRAPHY, 2014-2022 ($MILLION)
TABLE 4 GLOBAL HEALTHCARE CLAIMS MANAGEMENT SERVICES MARKET, BY GEOGRAPHY, 2014-2022 ($MILLION)
TABLE 5 GLOBAL HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY DEPLOYMENT MODE, 2014-2022 ($ MILLION)
TABLE 6 GLOBAL WEB-BASED HEALTHCARE CLAIMS MANAGEMENT SOLUTION MARKET, BY GEOGRAPHY, 2014-2022 ($MILLION)
TABLE 7 GLOBAL CLOUD-BASED HEALTHCARE CLAIMS MANAGEMENT SOLUTION MARKET, BY GEOGRAPHY, 2014-2022 ($MILLION)
TABLE 8 GLOBAL ON-PREMISE HEALTHCARE CLAIMS MANAGEMENT SOLUTION MARKET, BY GEOGRAPHY, 2014-2022 ($MILLION)
TABLE 9 GLOBAL HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY GEOGRAPHY, 2014-2022($MILLION)
TABLE 10 NORTH AMERICA: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY COUNTRY, 2014-2022 ($MILLION)
TABLE 11 NORTH AMERICA: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY COMPONENT, 2014-2022 ($MILLION)
TABLE 12 NORTH AMERICA: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY DEPLOYMENT MODE, 2014-2022 ($MILLION)
TABLE 13 EUROPE: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY COUNTRY, 2014-2022 ($MILLION)
TABLE 14 EUROPE: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY COMPONENT, 2014-2022 ($MILLION)
TABLE 15 EUROPE: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY DEPLOYMENT MODE, 2014-2022 ($MILLION)
TABLE 16 ASIA-PACIFIC: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY COUNTRY, 2014-2022 ($MILLION)
TABLE 17 ASIA-PACIFIC: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY COMPONENT, 2014-2022 ($MILLION)
TABLE 18 ASIA-PACIFIC: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY DEPLOYMENT MODE, 2014-2022 ($MILLION)
TABLE 19 LAMEA: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY COUNTRY, 2014-2022 ($MILLION)
TABLE 20 LAMEA: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY COMPONENT, 2014-2022 ($MILLION)
TABLE 21 LAMEA: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, BY DEPLOYMENT MODE, 2014-2022 ($MILLION)
TABLE 22 CERNER: COMPANY SNAPSHOT
TABLE 23 CERNER: BUSINESS SEGMENTS
TABLE 24 AVAYA: COMPANY SNAPSHOT
TABLE 25 AVAYA: BUSINESS SEGMENTS
TABLE 26 ORACLE: COMPANY SNAPSHOT
TABLE 27 ORACLE: BUSINESS SEGMENTS
TABLE 28 INFOR: COMPANY SNAPSHOT
TABLE 29 INFOR: BUSINESS SEGMENTS
TABLE 30 ALLSCRIPTS: COMPANY SNAPSHOT
TABLE 31 ALLSCRIPTS: BUSINESS SEGMENTS
TABLE 32 ATHENAHEALTH: COMPANY SNAPSHOT
TABLE 33 ATHENAHEALTH: BUSINESS SEGMENTS
TABLE 34 ACCENTURE: COMPANY SNAPSHOT
TABLE 35 ACCENTURE: BUSINESS SEGMENTS
TABLE 36 IBM: COMPANY SNAPSHOT
TABLE 37 IBM: BUSINESS SEGMENTS
TABLE 38 COGNIZANT: COMPANY SNAPSHOT
TABLE 39 COGNIZANT: BUSINESS SEGMENTS
TABLE 40 GENPACT: COMPANY SNAPSHOT
TABLE 41 GENPACT: BUSINESS SEGMENTS
LIST OF FIGURES
FIGURE 1. HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS: MARKET SEGMENTATION
FIGURE 2. TOP INVESTMENT POCKETS IN HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET
FIGURE 3. TOP PLAYER POSITIONING: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET
FIGURE 4. HEALTHCARE CLOUD COMPUTING MARKET
FIGURE 5. TOP COUNTRIES IN CYBER CRIME IN 2015 (%)
FIGURE 6. CYBER ATTACKS BY MEDICAL ENDPOINT DEVICES IN 2015 (%)
FIGURE 7. CYBER ATTACKS IN 2015 (%)
FIGURE 8. U.S.: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 9. CANADA: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 10. MEXICO: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 11. GERMANY: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 12. FRANCE: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 13. UK: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 14. ITALY: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 15. SPAIN: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 16. REST OF EUROPE: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 17. JAPAN: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 18. CHINA: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 19. INDIA: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 20. REST OF ASIA-PACIFIC: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 21. LATIN AMERICA: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 22. MIDDLE EAST: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 23. AFRICA: HEALTHCARE CLAIMS MANAGEMENT SOLUTIONS MARKET, 2014-2022 ($MILLION)
FIGURE 24. CERNER TOTAL REVENUE, 2013-2015 ($MILLION)
FIGURE 25. CERNER - REVENUE, BY PRODUCT CATEGORY, 2015 (%)
FIGURE 26. CERNER - REVENUE, BY GEOGRAPHY, 2015 (%)
FIGURE 27. AVAYA- TOTAL REVENUE, 2013-2015 ($MILLION)
FIGURE 28. AVAYA - REVENUE, BY PRODUCT CATEGORY, 2015 (%)
FIGURE 29. AVAYA - REVENUE, BY GEOGRAPHY, 2015 (%)
FIGURE 30. ORACLE - TOTAL REVENUE, 2013-2015 ($MILLION)
FIGURE 31. ORACLE - REVENUE, BY PRODUCT CATEGORY, 2015 (%)
FIGURE 32. ORACLE - REVENUE, BY GEOGRAPHY, 2015 (%)
FIGURE 33. INFOR - TOTAL REVENUE, 2013-2015 ($MILLION)
FIGURE 34. INFOR - REVENUE, BY PRODUCT CATEGORY, 2015 (%)
FIGURE 35. INFOR - REVENUE, BY GEOGRAPHY, 2015 (%)
FIGURE 36. ALLSCRIPTS - TOTAL REVENUE, 2013-2015 ($MILLION)
FIGURE 37. ALLSCRIPTS - REVENUE, BY PRODUCT CATEGORY, 2015 (%)
FIGURE 38. ALLSCRIPTS - REVENUE, BY GEOGRAPHY, 2015 (%)
FIGURE 39. ATHENAHEALTH - TOTAL REVENUE, 2013-2015 ($MILLION)
FIGURE 40. ATHENAHEALTH - REVENUE, BY PRODUCT CATEGORY, 2015 (%)
FIGURE 41. ACCENTURE: TOTAL REVENUE, 2013-2015 ($MILLION)
FIGURE 42. ACCENTURE - REVENUE, BY PRODUCT CATEGORY, 2015 (%)
FIGURE 43. ACCENTURE - REVENUE, BY GEOGRAPHY, 2015 (%)
FIGURE 44. IBM: TOTAL REVENUE, 2013-2015 ($MILLION)
FIGURE 45. IBM - REVENUE, BY PRODUCT CATEGORY, 2015 (%)
FIGURE 46. IBM - REVENUE, BY GEOGRAPHY, 2015 (%)
FIGURE 47. COGNIZANT: TOTAL REVENUE, 2013-2015 ($MILLION)
FIGURE 48. COGNIZANT - REVENUE, BY PRODUCT CATEGORY, 2015 (%)
FIGURE 49. COGNIZANT - REVENUE, BY GEOGRAPHY, 2015 (%)
FIGURE 50. GENPACT: TOTAL REVENUE, 2013-2015 ($MILLION)
FIGURE 51. GENPACT - REVENUE, BY PRODUCT CATEGORY, 2015 (%)
FIGURE 52. GENPACT - REVENUE, BY GEOGRAPHY, 2015 (%)
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Published On : December 2019
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Published On : December 2019
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