Healthcare Claims Management Solutions Market: Global Industry Growth Factors, Trends, Demand Status And Forecast To 2033

The healthcare claims management solutions market size has grown strongly in recent years. It will grow from $15.32 billion in 2023 to $16.34 billion in 2024 at a compound annual growth rate (CAGR) of 6.7%. The growth in the historic period can be attributed to increased healthcare cost, regulatory compliance, paperless claims processing, improved accuracy, provider-payer collaboration.

The healthcare claims management solutions market size is expected to see strong growth in the next few years. It will grow to $21.24 billion in 2028 at a compound annual growth rate (CAGR) of 6.8%. The growth in the forecast period can be attributed to telehealth expansion, value-based care, interoperability, cybersecurity, pandemic preparedness. Major trends in the forecast period include blockchain for claims processing, ai-powered claims analytics, predictive analytics for fraud detection, mobile claims submission:, automated claims adjudication.

Market Overview -
Healthcare claims management solutions refer to solutions that strive to provide complete automation of claims processing and speedier access to client information while maintaining the protection of private medical information.

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Aging Population Drives Healthcare Claims Management Solutions Market Growth
The rapid increase in the ageing population is expected to propel the growth of the healthcare claims management solutions market going forward. The aging population refers to people aged 65 and over. People ageing over 65 years of age would need healthcare claims to speed up the payment lifecycle and healthcare claim management solutions provide them easier access to healthcare claim management, as a result, a rapid increase in the ageing population increases the demand for healthcare claims management solutions. For instance, in October 2022, according to the World Health Organization, a US-based specialized health agency, globally, 1 in 6 individuals would be 60 or older by 2030 and is expected to reach 2.1 billion elderly people by 2050. Therefore, a rapid increase in the ageing population is driving the healthcare claims management market.

Competitive Landscape -
Major companies operating in the healthcare claims management solutions market include Allscripts Healthcare Solutions Inc., Athenahealth, McKesson Corporation, Quest Diagnostics, Oracle Corporation, Alpha II LLC, Dell Inc., Availity Co., Cerner Corporation, Change Healthcare, Conifer Health Solutions LLC, eClinicalWorks, EmblemHealth Co., Emdeon Inc., Epic Systems Corporation, GE Healthcare, Inovalon Co., InstaMed Co., Kareo Co., NaviNet Inc., NTT Data Services, Optum Inc., Provation Medical, NetApp Co., SSI Group LLC, The SSI Group, Cognizant Technology Ltd., TruBridge Co., Waystar Co., ZirMed Inc.

Innovative Healthcare Solutions Transforming The Healthcare Claims Management Market
Advancements in technology for innovative treatments in healthcare are the key trend gaining popularity in the healthcare claims management solutions market. Major companies operating in the healthcare claims management solutions market are coming up with new technologies to provide innovative treatments for their customers and to sustain their position in the market. For instance, in January 2022, Treatment.com International Inc., a US-based healthcare software solutions provider including healthcare claims management launched their doctor-built digital health app named the treatment digital health app. This app is a revolutionary digital health app that uses AI software technology which gives wide access to provide highly accurate insights about the users' health. This provides diagnoses, and treatments customized for the user.

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Key Segments -
The healthcare claims management solutions market covered in this report is segmented -
1) By Type: Software, Services
2) By Deployment Mode: Web-Based, Cloud-Based, On-Premise
3) By End-User: Healthcare Payers, Healthcare Providers, Other End-Users

Key highlights covered in the report -
1. Detailed market size forecast and historical data analysis
2. Key drivers influencing market growth
3. Identification of upcoming trends and potential opportunities in the market
4. Analysis of major players strategies, to understand competitive dynamics and market positioning
5. Evaluation of regional dynamics

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