Market Overview:
The global healthcare reimbursement market is expected to grow at a CAGR of 7.5% from 2018 to 2030. The growth in the market can be attributed to the increasing demand for healthcare services, rising prevalence of chronic diseases, and growing number of private players in the healthcare industry. The global healthcare reimbursement market is segmented on the basis of type, application, and region. On the basis of type, the market is segmented into full paid and underpaid reimbursements. Full paid reimbursements are those that cover all medical expenses incurred by a patient during treatment or surgery. Underpaid reimbursements are those that do not cover all medical expenses incurred by a patient during treatment or surgery and require patients to pay out-of-pocket expenses for some treatments or surgeries. On the basis of application,the market is divided into physician office visits/consultations, hospital stays/admissions, diagnostic laboratory tests/procedures (including pathology), other applications (including dental care). The physician office visits/consultations segment accounted for majority share in 2017 owing to high utilization rates across developed countries such as U.S., Canada., Germany., France., etc.).
Product Definition:
Healthcare reimbursement is the process of seeking payment for healthcare services from an insurer or other payor. It is important because it helps ensure that healthcare providers are fairly compensated for the services they provide.
Underpaid:
Underpaid is a free online tool that helps healthcare professionals and patients calculate the right amount of money that a patient or provider is owed. It's main function is to give the user an estimation of how much money various providers are underpaid, based on data entered by them. The more people use it, the better it gets at understanding patterns in compensation across different specialties and regions.
Full Paid:
Full paid is a reimbursement model in which the healthcare service provider charges no copayment or deductible and the insurance company pays directly to the healthcare provider. In this model, there is no cost to patients beyond their co-pay or co-determined amount. The full paid model has been gaining popularity as it increases patient access to quality care while reducing costs for providers and insurers.
Application Insights:
The physician office application segment led the global healthcare reimbursement market in 2017. This is attributed to factors such as increasing number of practices and growing preference for outpatient procedures. The hospital application segment is expected to witness a lucrative CAGR during the forecast period owing to rising investments by governments in order to improve healthcare infrastructure, coupled with an increase in spending on medical devices and equipment.
Increasing investment by governments across the globe towards building better hospitals has resulted in an upsurge in demand for advanced diagnostic equipment, which can be expensive at times. In such cases, third-party insurers play a major role as they are able to cover large parts of these costs through claims settlement processes with insurance companies or underwriters acting as intermediaries between them and providers of medical services or products related thereto (referred to as ¢â‚¬Å“claims¢â‚¬).
Regional Analysis:
North America dominated the global healthcare reimbursement market in 2017. The presence of favorable government policies, high economic development, and the adoption of advanced technologies are some major factors responsible for its large share. Furthermore, increasing demand for quality healthcare services is also expected to drive growth over the forecast period.
Asia Pacific is anticipated to witness lucrative growth during the forecast period owing to rising medical tourism and improving access to health care facilities due to increased disposable income coupled with growing population. Moreover, an increase in chronic diseases prevalence rates such as cardiovascular disorders (CVDs), diabetes & obesity has also led Asia Pacific into a better position compared with other regions thus making it a potential destination for medical treatments; this factor will further boost revenue generation over the next eight years.
Growth Factors:
- Increasing demand for quality healthcare services
- Rising prevalence of chronic diseases and other health conditions
- Growing number of aging population
- Technological advancements in the field of healthcare reimbursement and management 5. Government initiatives to promote and support the growth of healthcare reimbursement market
Scope Of The Report
Report Attributes
Report Details
Report Title
Healthcare Reimbursement Market Research Report
By Type
Underpaid, Full Paid
By Application
Physician office, Hospitals, Diagnostic Laboratories, Others
By Companies
UnitedHealth Group, Aviva, Allianz, CVS Health, BNP Paribas, Aetna, Nippon Life Insurance, WellCare Health Plans, AgileHealthInsurance, The Blue Cross Blue Shield Association
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
158
Number of Tables & Figures
111
Customization Available
Yes, the report can be customized as per your need.
Global Healthcare Reimbursement Market Report Segments:
The global Healthcare Reimbursement market is segmented on the basis of:
Types
Underpaid, Full Paid
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
Physician office, Hospitals, Diagnostic Laboratories, 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:
- UnitedHealth Group
- Aviva
- Allianz
- CVS Health
- BNP Paribas
- Aetna
- Nippon Life Insurance
- WellCare Health Plans
- AgileHealthInsurance
- The Blue Cross Blue Shield Association
Highlights of The Healthcare Reimbursement 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:
- Underpaid
- Full Paid
- By Application:
- Physician office
- Hospitals
- Diagnostic Laboratories
- 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 Reimbursement 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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- Correctly Positioning New Products
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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 reimbursement is the process by which healthcare providers are paid for services they provide. Healthcare reimbursement can take a variety of forms, including payments from insurance companies, government programs, and private insurers.
Some of the major players in the healthcare reimbursement market are UnitedHealth Group, Aviva, Allianz, CVS Health, BNP Paribas, Aetna, Nippon Life Insurance, WellCare Health Plans, AgileHealthInsurance, The Blue Cross Blue Shield Association.
The healthcare reimbursement market is expected to register a CAGR of 7.5%.
Chapter 1 Executive Summary
Chapter 2 Assumptions and Acronyms Used
Chapter 3 Research Methodology
Chapter 4 Healthcare Reimbursement 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 Reimbursement Market Dynamics
4.2.1 Market Drivers
4.2.2 Market Restraints
4.2.3 Market Opportunity
4.3 Healthcare Reimbursement 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 Reimbursement 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 Reimbursement Market Size & Forecast, 2018-2028
4.5.1 Healthcare Reimbursement Market Size and Y-o-Y Growth
4.5.2 Healthcare Reimbursement Market Absolute $ Opportunity
Chapter 5 Global Healthcare Reimbursement 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 Reimbursement Market Size Forecast by Type
5.2.1 Underpaid
5.2.2 Full Paid
5.3 Market Attractiveness Analysis by Type
Chapter 6 Global Healthcare Reimbursement 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 Reimbursement Market Size Forecast by Applications
6.2.1 Physician office
6.2.2 Hospitals
6.2.3 Diagnostic Laboratories
6.2.4 Others
6.3 Market Attractiveness Analysis by Applications
Chapter 7 Global Healthcare Reimbursement 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 Reimbursement 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 Reimbursement Analysis and Forecast
9.1 Introduction
9.2 North America Healthcare Reimbursement 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 Reimbursement Market Size Forecast by Type
9.6.1 Underpaid
9.6.2 Full Paid
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 Reimbursement Market Size Forecast by Applications
9.10.1 Physician office
9.10.2 Hospitals
9.10.3 Diagnostic Laboratories
9.10.4 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 Reimbursement Analysis and Forecast
10.1 Introduction
10.2 Europe Healthcare Reimbursement 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 Reimbursement Market Size Forecast by Type
10.6.1 Underpaid
10.6.2 Full Paid
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 Reimbursement Market Size Forecast by Applications
10.10.1 Physician office
10.10.2 Hospitals
10.10.3 Diagnostic Laboratories
10.10.4 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 Reimbursement Analysis and Forecast
11.1 Introduction
11.2 Asia Pacific Healthcare Reimbursement 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 Reimbursement Market Size Forecast by Type
11.6.1 Underpaid
11.6.2 Full Paid
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 Reimbursement Market Size Forecast by Applications
11.10.1 Physician office
11.10.2 Hospitals
11.10.3 Diagnostic Laboratories
11.10.4 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 Reimbursement Analysis and Forecast
12.1 Introduction
12.2 Latin America Healthcare Reimbursement 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 Reimbursement Market Size Forecast by Type
12.6.1 Underpaid
12.6.2 Full Paid
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 Reimbursement Market Size Forecast by Applications
12.10.1 Physician office
12.10.2 Hospitals
12.10.3 Diagnostic Laboratories
12.10.4 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 Reimbursement Analysis and Forecast
13.1 Introduction
13.2 Middle East & Africa (MEA) Healthcare Reimbursement 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 Reimbursement Market Size Forecast by Type
13.6.1 Underpaid
13.6.2 Full Paid
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 Reimbursement Market Size Forecast by Applications
13.10.1 Physician office
13.10.2 Hospitals
13.10.3 Diagnostic Laboratories
13.10.4 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 Reimbursement Market: Competitive Dashboard
14.2 Global Healthcare Reimbursement Market: Market Share Analysis, 2019
14.3 Company Profiles (Details – Overview, Financials, Developments, Strategy)
14.3.1 UnitedHealth Group
14.3.2 Aviva
14.3.3 Allianz
14.3.4 CVS Health
14.3.5 BNP Paribas
14.3.6 Aetna
14.3.7 Nippon Life Insurance
14.3.8 WellCare Health Plans
14.3.9 AgileHealthInsurance
14.3.10 The Blue Cross Blue Shield Association
