Healthcare Claim Management Market Recent Developments, Emerging Trends and Business Outlook 2028 | Allscripts Healthcare Solutions, Inc., Athenahealth Inc, Cerner Corporation, Genpact limited, Health solutions plus, IBM Corporation.

Global Healthcare Claims Management Market was valued at USD 10.11 Billion in 2018 and is projected to reach USD 15.07 Billion by 2026, growing at a CAGR of 5.09% from 2021 to 2028.

Healthcare Claims Management Market is conducted covering various organizations of the industry from different geographies report. The study is a perfect mix of qualitative and quantitative information highlighting key market developments, challenges that industry and competition are facing along with gap analysis and new opportunities available and trend in the Healthcare Claims Management Market.

Most hospitals fail to resubmit their claims. Denial management has an important role to play in a hospital’s revenue generation. Most hospitals are now dependent on third-party providers for denial management services, as they lack the expert knowledge and the time to manage the reimbursement process. These providers, with dedicated and skilled professionals, are able to handle the denied claims and resubmit them. With their expertise, the providers are able to increase the cash flow of their clients neglected by the hospitals failing to resubmit the denied claims. It is estimated that over 90% of the claim denials can be prevented with support from providers, who have the system, knowledge, and expertise in this field.

The report is updated with the impact of the currently ongoing COVID-19 pandemic. The pandemic has dynamically affected key market segments and changed the growth pattern and demands in the Healthcare Claim Management market. The report covers an in-depth analysis of these changes and provides an accurate estimate of the market growth forecast after the impact of the pandemic.

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Some of the key players operating in the Healthcare Claim Management market are Allscripts Healthcare Solutions, Inc., Athenahealth Inc, Cerner Corporation, Genpact limited, Health solutions plus, IBM Corporation, Mckesson Corporation, Optum, Inc, and Oracle Corporation.

What is Healthcare Claims Management?

Healthcare claims management is a process that involves various tasks such as organization, billing, filling, updating and processing of medical claims related to the diagnosis, treatment, and medication of patients. In other words, it is a software that manages medical claims and reimbursement processes is increasingly enabling healthcare providers to optimize their revenues by proper claim management. It is generally the bilateral process between patients, healthcare providers, billing company, and insurance provider. The market for claims management is multiplying rapidly due to the rapid expansion in the healthcare insurance sector

Denials management observes the most common trends in denial and puts appropriate systems in place for the prevention of future claims denial. Denial management team maximizes revenue collection by understanding the cause for claim denial, along with helping the hospitals provide better patient satisfaction. These teams have become the back bone for hospitals, as they have rich experience in appealing to an insurer for the approval of a claim as per their filing process. All the above factors are expected to contribute to the growth of the healthcare claim management market in the forecast period.

Market segmentation:
This report segments the market on the basis of by type are:

Standalone Solutions
Integrated Solutions

On the basis by application, the market is segmented into:

Healthcare Providers
Healthcare Payers
Others

Key Market Trends

Cloud-based is the Segment by Delivery Mode is expected to Dominate the Market

The healthcare claim management market is complex, due to administration and processing activities across multiple systems. In addition, it has to adapt to a number of ever-changing regulations. Manual intervention may hamper the experience of good customers or providers, due to delays in processing, turn-around-time, and increased operational costs. Cloud-based claim management solutions reduce the claims processing time and control administrative costs. The claim administration cloud service is efficient in the management of entire claim administrative processes, such as adjudication, pricing, authorizations, and analytics. It enables real-time claim processing with no wait time for batch processes. With the decline in reimbursement rates, healthcare providers are opting for cloud-based services that reduce costs significantly and help insurers get paid on time. Thus, owing to the all above mentioned factors the market is expected to witness high growth over the forecast period.

The report is mainly segmented into several key regions, with sales, revenue, market share, and growth rate in these regions, covering:

North America (United States, Canada and Mexico)
Europe (Germany, France, United Kingdom, Russia, Italy, and Rest of Europe)
Asia-Pacific (China, Japan, Korea, India, Southeast Asia, and Australia)
South America (Brazil, Argentina, Colombia, and Rest of South America)
Middle East & Africa (Saudi Arabia, UAE, Egypt, South Africa, and Rest of Middle East & Africa)

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Table of Contents: -

1. Global Healthcare Claim Management Market Overview
2. Global Healthcare Claim Management Market Competitions by Manufacturers
3. Global Healthcare Claim Management Capacities, Production, Revenue (Value) by Region
4. Global Healthcare Claim Management Supply (Production), Consumption, Export, Import by Region
5. Global Healthcare Claim Management Productions, Revenue (Value), Price Trend by Type
6. Global Healthcare Claim Management Market Analyses by Application
7. Global Healthcare Claim Management Manufacturers Profiles/Analysis
8. Healthcare Claim Management Manufacturing Cost Analysis
9. Industrial Chain, Sourcing Strategy and Downstream Buyers
10. Marketing Strategy Analyses, Distributors/Traders
11. Market Effect Factors Analysis
12. Global Healthcare Claim Management Market Forecast
13. Research Findings and Conclusion
14. Appendixes

The research includes historic data from 2015 to 2021 and forecasts until 2028 which makes the report's an invaluable resource for industry executives, Marketing, Sales and product managers, consultants, analysts, and other people looking for key industry data in readily accessible documents with clearly presented tables and graphs.

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