Market Overview:
The global healthcare claims management software market is expected to grow at a CAGR of 10.8% during the forecast period from 2018 to 2030. The growth in this market can be attributed to the increasing demand for cloud-based healthcare claims management software and the growing need for streamlining and automating the process of healthcare claims management. On-premise healthcare claims management software held a major share of the global market in 2017, owing to its advantages such as low cost and better security features as compared to cloud-based solutions. However, cloud-based solutions are expected to witness higher growth during the forecast period, due to their advantages such as scalability, lower cost of ownership, and easy deployment. Hospitals are expected to account for a major share of the global healthcare claims management software market in 2018, followed by specialty clinics.
Product Definition:
Healthcare Claims Management Software is a type of software used in the healthcare industry to manage and process healthcare claims. Its main purpose is to improve efficiency and accuracy in the processing of claims, which can lead to lower costs and improved patient care.
On-premise:
On-premise software is a type of cloud computing system that involves the installation of the software on computers present within an organization. The data and applications are hosted on physical servers present within the organization's premises. This model has been around for decades, however, in recent years it has witnessed a tremendous upsurge in popularity due to its security and privacy features.
Cloud-based:
Cloud-based software is a type of software service that provides solutions to manage data and applications across multiple platforms. It allows users to access their data from remote locations using various devices such as laptops, smartphones, and tablets. The major advantage of cloud-based services is that they are easy to use; this helps in reducing the cost incurred on IT infrastructure which further helps in cutting down operational costs.
Application Insights:
The others segment held the largest share of over 30.0% in 2017. The others segment includes home healthcare, dental care and optometry clinics. These clinics manage a large number of claims and are subject to frauds, which necessitates the use of robust software for monitoring and reducing risks associated with these transactions. Furthermore, an increasing number of patients is demanding better services from their doctors resulting in an increased demand for healthcare claims management software among other applications such as dentistry or optometry clinics. This trend is expected to continue over the forecast period driving market growth across all regions during the forecast period.
Regional Analysis:
North America accounted for the largest revenue share in 2017. The region is expected to maintain its dominance over the forecast period owing to factors such as increasing government initiatives and regulatory changes, which are driving adoption of healthcare information technology solutions across hospitals and clinics. Moreover, high penetration of EHRs in this region is further propelling market growth.
Asia Pacific is anticipated to witness lucrative growth over the forecast period owing to rising demand for technologically advanced medical software systems coupled with improving healthcare infrastructure in countries such as India, China, Japan and Australia. Furthermore, increasing number of mergers & acquisitions among players operating in this sector will also help boost market development across Asia Pacific during the forecast period. For instance; In May 2018; Columbia Asia was acquired by Columbia/HCA Healthcare (Columbia/HCA) - a company that runs more than 600 hospitals around the world including those located in United States- thus strengthening their presence within Asia Pacific region.
Growth Factors:
- Increasing demand for accuracy and efficiency in healthcare services
- Rising incidence of chronic diseases and other health conditions
- Growing need to curtail healthcare costs
- Proliferation of private health insurance schemes
- Stringent government regulations governing the healthcare sector
Scope Of The Report
Report Attributes
Report Details
Report Title
Healthcare Claims Management Software Market Research Report
By Type
On-premise, Cloud-based
By Application
Hospitals, Speciality Clinics, Others
By Companies
Kareo, EClinicalWorks, Waystar Health, Athenahealth, AdvancedMD, Optum, CareCloud, Cognizant, Health Solutions Plus, LexisNexis, Henry Schein, OSPLabs, Allscripts Healthcare, Harris Healthcare, ISalus
Regions Covered
North America, Europe, APAC, Latin America, MEA
Base Year
2021
Historical Year
2019 to 2020 (Data from 2010 can be provided as per availability)
Forecast Year
2030
Number of Pages
140
Number of Tables & Figures
98
Customization Available
Yes, the report can be customized as per your need.
Global Healthcare Claims Management Software Market Report Segments:
The global Healthcare Claims Management Software market is segmented on the basis of:
Types
On-premise, Cloud-based
The product segment provides information about the market share of each product and the respective CAGR during the forecast period. It lays out information about the product pricing parameters, trends, and profits that provides in-depth insights of the market. Furthermore, it discusses latest product developments & innovation in the market.
Applications
Hospitals, Speciality Clinics, Others
The application segment fragments various applications of the product and provides information on the market share and growth rate of each application segment. It discusses the potential future applications of the products and driving and restraining factors of each application segment.
Some of the companies that are profiled in this report are:
- Kareo
- EClinicalWorks
- Waystar Health
- Athenahealth
- AdvancedMD
- Optum
- CareCloud
- Cognizant
- Health Solutions Plus
- LexisNexis
- Henry Schein
- OSPLabs
- Allscripts Healthcare
- Harris Healthcare
- ISalus
Highlights of The Healthcare Claims Management Software Market Report:
- The market structure and projections for the coming years.
- Drivers, restraints, opportunities, and current trends of market.
- Historical data and forecast.
- Estimations for the forecast period 2030.
- Developments and trends in the market.
- By Type:
- On-premise
- Cloud-based
- By Application:
- Hospitals
- Speciality Clinics
- Others
- Market scenario by region, sub-region, and country.
- Market share of the market players, company profiles, product specifications, SWOT analysis, and competitive landscape.
- Analysis regarding upstream raw materials, downstream demand, and current market dynamics.
- Government Policies, Macro & Micro economic factors are also included in the report.
We have studied the Healthcare Claims Management Software Market in 360 degrees via. both primary & secondary research methodologies. This helped us in building an understanding of the current market dynamics, supply-demand gap, pricing trends, product preferences, consumer patterns & so on. The findings were further validated through primary research with industry experts & opinion leaders across countries. The data is further compiled & validated through various market estimation & data validation methodologies. Further, we also have our in-house data forecasting model to predict market growth up to 2030.
Regional Analysis
- North America
- Europe
- Asia Pacific
- Middle East & Africa
- Latin America
Note: A country of choice can be added in the report at no extra cost. If more than one country needs to be added, the research quote will vary accordingly.
The geographical analysis part of the report provides information about the product sales in terms of volume and revenue in regions. It lays out potential opportunities for the new entrants, emerging players, and major players in the region. The regional analysis is done after considering the socio-economic factors and government regulations of the countries in the regions.
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8 Reasons to Buy This Report
- Includes a Chapter on the Impact of COVID-19 Pandemic On the Market
- Report Prepared After Conducting Interviews with Industry Experts & Top Designates of the Companies in the Market
- Implemented Robust Methodology to Prepare the Report
- Includes Graphs, Statistics, Flowcharts, and Infographics to Save Time
- Industry Growth Insights Provides 24/5 Assistance Regarding the Doubts in the Report
- Provides Information About the Top-winning Strategies Implemented by Industry Players.
- In-depth Insights On the Market Drivers, Restraints, Opportunities, and Threats
- Customization of the Report Available
Frequently Asked Questions?
Healthcare claims management software is a computer application used to manage and process healthcare claims. Claims processing can include verifying the accuracy of information submitted by patients, providers, or insurers; issuing payments; and tracking payment history.
Some of the major companies in the healthcare claims management software market are Kareo, EClinicalWorks, Waystar Health, Athenahealth, AdvancedMD, Optum, CareCloud, Cognizant, Health Solutions Plus, LexisNexis, Henry Schein, OSPLabs, Allscripts Healthcare, Harris Healthcare, ISalus.
The healthcare claims management software market is expected to register a CAGR of 10.8%.
Chapter 1 Executive Summary
Chapter 2 Assumptions and Acronyms Used
Chapter 3 Research Methodology
Chapter 4 Healthcare Claims Management Software Market Overview
4.1 Introduction
4.1.1 Market Taxonomy
4.1.2 Market Definition
4.1.3 Macro-Economic Factors Impacting the Market Growth
4.2 Healthcare Claims Management Software Market Dynamics
4.2.1 Market Drivers
4.2.2 Market Restraints
4.2.3 Market Opportunity
4.3 Healthcare Claims Management Software Market - Supply Chain Analysis
4.3.1 List of Key Suppliers
4.3.2 List of Key Distributors
4.3.3 List of Key Consumers
4.4 Key Forces Shaping the Healthcare Claims Management Software Market
4.4.1 Bargaining Power of Suppliers
4.4.2 Bargaining Power of Buyers
4.4.3 Threat of Substitution
4.4.4 Threat of New Entrants
4.4.5 Competitive Rivalry
4.5 Global Healthcare Claims Management Software Market Size & Forecast, 2018-2028
4.5.1 Healthcare Claims Management Software Market Size and Y-o-Y Growth
4.5.2 Healthcare Claims Management Software Market Absolute $ Opportunity
Chapter 5 Global Healthcare Claims Management Software Market Analysis and Forecast by Type
5.1 Introduction
5.1.1 Key Market Trends & Growth Opportunities by Type
5.1.2 Basis Point Share (BPS) Analysis by Type
5.1.3 Absolute $ Opportunity Assessment by Type
5.2 Healthcare Claims Management Software Market Size Forecast by Type
5.2.1 On-premise
5.2.2 Cloud-based
5.3 Market Attractiveness Analysis by Type
Chapter 6 Global Healthcare Claims Management Software Market Analysis and Forecast by Applications
6.1 Introduction
6.1.1 Key Market Trends & Growth Opportunities by Applications
6.1.2 Basis Point Share (BPS) Analysis by Applications
6.1.3 Absolute $ Opportunity Assessment by Applications
6.2 Healthcare Claims Management Software Market Size Forecast by Applications
6.2.1 Hospitals
6.2.2 Speciality Clinics
6.2.3 Others
6.3 Market Attractiveness Analysis by Applications
Chapter 7 Global Healthcare Claims Management Software Market Analysis and Forecast by Region
7.1 Introduction
7.1.1 Key Market Trends & Growth Opportunities by Region
7.1.2 Basis Point Share (BPS) Analysis by Region
7.1.3 Absolute $ Opportunity Assessment by Region
7.2 Healthcare Claims Management Software Market Size Forecast by Region
7.2.1 North America
7.2.2 Europe
7.2.3 Asia Pacific
7.2.4 Latin America
7.2.5 Middle East & Africa (MEA)
7.3 Market Attractiveness Analysis by Region
Chapter 8 Coronavirus Disease (COVID-19) Impact
8.1 Introduction
8.2 Current & Future Impact Analysis
8.3 Economic Impact Analysis
8.4 Government Policies
8.5 Investment Scenario
Chapter 9 North America Healthcare Claims Management Software Analysis and Forecast
9.1 Introduction
9.2 North America Healthcare Claims Management Software Market Size Forecast by Country
9.2.1 U.S.
9.2.2 Canada
9.3 Basis Point Share (BPS) Analysis by Country
9.4 Absolute $ Opportunity Assessment by Country
9.5 Market Attractiveness Analysis by Country
9.6 North America Healthcare Claims Management Software Market Size Forecast by Type
9.6.1 On-premise
9.6.2 Cloud-based
9.7 Basis Point Share (BPS) Analysis by Type
9.8 Absolute $ Opportunity Assessment by Type
9.9 Market Attractiveness Analysis by Type
9.10 North America Healthcare Claims Management Software Market Size Forecast by Applications
9.10.1 Hospitals
9.10.2 Speciality Clinics
9.10.3 Others
9.11 Basis Point Share (BPS) Analysis by Applications
9.12 Absolute $ Opportunity Assessment by Applications
9.13 Market Attractiveness Analysis by Applications
Chapter 10 Europe Healthcare Claims Management Software Analysis and Forecast
10.1 Introduction
10.2 Europe Healthcare Claims Management Software Market Size Forecast by Country
10.2.1 Germany
10.2.2 France
10.2.3 Italy
10.2.4 U.K.
10.2.5 Spain
10.2.6 Russia
10.2.7 Rest of Europe
10.3 Basis Point Share (BPS) Analysis by Country
10.4 Absolute $ Opportunity Assessment by Country
10.5 Market Attractiveness Analysis by Country
10.6 Europe Healthcare Claims Management Software Market Size Forecast by Type
10.6.1 On-premise
10.6.2 Cloud-based
10.7 Basis Point Share (BPS) Analysis by Type
10.8 Absolute $ Opportunity Assessment by Type
10.9 Market Attractiveness Analysis by Type
10.10 Europe Healthcare Claims Management Software Market Size Forecast by Applications
10.10.1 Hospitals
10.10.2 Speciality Clinics
10.10.3 Others
10.11 Basis Point Share (BPS) Analysis by Applications
10.12 Absolute $ Opportunity Assessment by Applications
10.13 Market Attractiveness Analysis by Applications
Chapter 11 Asia Pacific Healthcare Claims Management Software Analysis and Forecast
11.1 Introduction
11.2 Asia Pacific Healthcare Claims Management Software Market Size Forecast by Country
11.2.1 China
11.2.2 Japan
11.2.3 South Korea
11.2.4 India
11.2.5 Australia
11.2.6 South East Asia (SEA)
11.2.7 Rest of Asia Pacific (APAC)
11.3 Basis Point Share (BPS) Analysis by Country
11.4 Absolute $ Opportunity Assessment by Country
11.5 Market Attractiveness Analysis by Country
11.6 Asia Pacific Healthcare Claims Management Software Market Size Forecast by Type
11.6.1 On-premise
11.6.2 Cloud-based
11.7 Basis Point Share (BPS) Analysis by Type
11.8 Absolute $ Opportunity Assessment by Type
11.9 Market Attractiveness Analysis by Type
11.10 Asia Pacific Healthcare Claims Management Software Market Size Forecast by Applications
11.10.1 Hospitals
11.10.2 Speciality Clinics
11.10.3 Others
11.11 Basis Point Share (BPS) Analysis by Applications
11.12 Absolute $ Opportunity Assessment by Applications
11.13 Market Attractiveness Analysis by Applications
Chapter 12 Latin America Healthcare Claims Management Software Analysis and Forecast
12.1 Introduction
12.2 Latin America Healthcare Claims Management Software Market Size Forecast by Country
12.2.1 Brazil
12.2.2 Mexico
12.2.3 Rest of Latin America (LATAM)
12.3 Basis Point Share (BPS) Analysis by Country
12.4 Absolute $ Opportunity Assessment by Country
12.5 Market Attractiveness Analysis by Country
12.6 Latin America Healthcare Claims Management Software Market Size Forecast by Type
12.6.1 On-premise
12.6.2 Cloud-based
12.7 Basis Point Share (BPS) Analysis by Type
12.8 Absolute $ Opportunity Assessment by Type
12.9 Market Attractiveness Analysis by Type
12.10 Latin America Healthcare Claims Management Software Market Size Forecast by Applications
12.10.1 Hospitals
12.10.2 Speciality Clinics
12.10.3 Others
12.11 Basis Point Share (BPS) Analysis by Applications
12.12 Absolute $ Opportunity Assessment by Applications
12.13 Market Attractiveness Analysis by Applications
Chapter 13 Middle East & Africa (MEA) Healthcare Claims Management Software Analysis and Forecast
13.1 Introduction
13.2 Middle East & Africa (MEA) Healthcare Claims Management Software Market Size Forecast by Country
13.2.1 Saudi Arabia
13.2.2 South Africa
13.2.3 UAE
13.2.4 Rest of Middle East & Africa (MEA)
13.3 Basis Point Share (BPS) Analysis by Country
13.4 Absolute $ Opportunity Assessment by Country
13.5 Market Attractiveness Analysis by Country
13.6 Middle East & Africa (MEA) Healthcare Claims Management Software Market Size Forecast by Type
13.6.1 On-premise
13.6.2 Cloud-based
13.7 Basis Point Share (BPS) Analysis by Type
13.8 Absolute $ Opportunity Assessment by Type
13.9 Market Attractiveness Analysis by Type
13.10 Middle East & Africa (MEA) Healthcare Claims Management Software Market Size Forecast by Applications
13.10.1 Hospitals
13.10.2 Speciality Clinics
13.10.3 Others
13.11 Basis Point Share (BPS) Analysis by Applications
13.12 Absolute $ Opportunity Assessment by Applications
13.13 Market Attractiveness Analysis by Applications
Chapter 14 Competition Landscape
14.1 Healthcare Claims Management Software Market: Competitive Dashboard
14.2 Global Healthcare Claims Management Software Market: Market Share Analysis, 2019
14.3 Company Profiles (Details – Overview, Financials, Developments, Strategy)
14.3.1 Kareo
14.3.2 EClinicalWorks
14.3.3 Waystar Health
14.3.4 Athenahealth
14.3.5 AdvancedMD
14.3.6 Optum
14.3.7 CareCloud
14.3.8 Cognizant
14.3.9 Health Solutions Plus
14.3.10 LexisNexis
14.3.11 Henry Schein
14.3.12 OSPLabs
14.3.13 Allscripts Healthcare
14.3.14 Harris Healthcare
14.3.15 ISalus
