Global Healthcare Claims Management Solutions Market Projected to Grow at 7.2% CAGR, Reaching $23.1 Billion by 2029

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What Will the Healthcare Claims Management Solutions Industry Market Size Be by 2025?
The market size of healthcare claims management solutions has seen substantial growth lately. The market, which will increase from $16.45 billion in 2024 to $17.49 billion in 2025, will experience a compound annual growth rate (CAGR) of 6.3%. The historic period's expansion can be linked to the heightened healthcare expense, regulatory adherence, digital claims handling, enhanced accuracy, and collaboration between providers and payers.

What's the Long-Term Growth Forecast for the Healthcare Claims Management Solutions Market Size Through 2029?
The market size for healthcare claims management solutions is set to experience significant expansion in the coming years. The market projections ascribe it a growth spike to reach $23.1 billion by 2029, with a CAGR of 7.2%. Factors such as advancements in telehealth, value-based care, interoperability, cybersecurity, and preparedness for pandemics are contributing to this forecasted growth. Key trends predicted over this period include the usage of blockchain for processing claims, claims analysis driven by artificial intelligence, predictive analytics being utilized for detecting fraud, mobile claims submissions, and automated adjudication of claims.

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What Are the Key Growth Drivers Fueling the Healthcare Claims Management Solutions Market Expansion?
The healthcare claims management solutions market is projected to experience a significant boost as the elderly population escalates rapidly. People aged 65 and above, often referred to as the ageing population, typically require healthcare claims to expedite their payment cycles. Healthcare claims management solutions make it easier for these individuals to deal with these claims. Consequently, as the number of elderly people grows, so does the demand for healthcare claims management solutions. The World Health Organization, a US-based specialized health agency, noted in October 2022 that 1 in 6 people worldwide would be 60 years or older by 2030, and by 2050, the elderly population is expected to balloon to 2.1 billion. This anticipated surge in the ageing population is thus propelling the healthcare claims management market.

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What Are the Key Trends Driving Healthcare Claims Management Solutions Market Growth?
Technological progress aimed at unique treatments in healthcare is becoming a prevalent trend in the healthcare claims management solutions market. Major firms active in this market are introducing novel technologies to offer innovative treatments to their clients and maintain their market standing. For example, in January 2022, Treatment.com International Inc., a company specializing in healthcare software solutions including healthcare claims management, unveiled their physician-developed digital health app called the treatment digital health app. This groundbreaking digital health app utilizes AI software technology, offering broad access to highly accurate user health insights. This involves providing diagnoses and treatments tailored to the user's specific needs.

How Is the Healthcare Claims Management Solutions Market Segmented?
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

Subsegments:
1) By Software: Claims Processing Software, Revenue Cycle Management Software, Medical Billing Software, Analytics And Reporting Tools
2) By Services: Consulting Services, Implementation Services, Training And Support Services, Claims Auditing Services

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Which Companies Are Leading the Charge in Healthcare Claims Management Solutions Market Innovation?
Major companies operating in the healthcare claims management solutions market include Allscripts Healthcare Solutions Inc., Athenahealth, McKesson Corporation, Oracle Corporation, Alpha II LLC, Availity Co., Cerner Corporation, Change Healthcare, Conifer Health Solutions LLC, eClinicalWorks, EmblemHealth Co., Emdeon Inc., Epic Systems Corporation, Inovalon Co., InstaMed Co., Kareo Co., NaviNet Inc., NTT Data Services, Optum Inc., Provation Medical, SSI Group LLC, The SSI Group, Cognizant Technology Ltd., TruBridge Co., Waystar Co., ZirMed Inc.

Which Regions Are Leading the Global Healthcare Claims Management Solutions Market in Revenue?
North America was the largest region in the healthcare claim management solution market in 2024. Asia-Pacific is expected to be the fastest-growing region in the forecast period. The regions covered in the healthcare claims management solutions market report include Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East and Africa.

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