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HEALTHCARE REIMBURSEMENT MARKET SIZE AND SHARE ANALYSIS - GROWTH TRENDS AND FORECASTS (2024 - 2031)

Healthcare Reimbursement Market, By Claim (Fully paid and Underpaid), By Payer (Private Payers and Public Payers), By Service Provider (Physician office, Hospitals & Clinics, Diagnostic Laboratories, Medical Equipment & Supplies, Others), By Geography (North America, Latin America, Asia Pacific, Europe, Middle East, and Africa)

  • Published In : Jul 2024
  • Code : CMI7108
  • Pages :174
  • Formats :
      Excel and PDF
  • Industry : Medical Devices
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Healthcare reimbursement refers to the payment received by healthcare providers like physicians, hospitals and others from either patients or insurance companies. Reimbursements enable access to quality care for the patients by compensating the costs incurred during treatment. Factors such as rising geriatric population,  rising  chronic diseases, increasing health insurance penetration and emergence of new regulatory reforms can drive the market growth during the forecast period. However, unclear reimbursement policies and reduced funding in the public sector can hamper the market growth.

Market Dynamics:

Global healthcare reimbursement market growth is driven by factors such as increasing prevalence of chronic diseases, growing geriatric population, rising healthcare costs, expansion of private health insurance across developing nations and introduction of favorable reimbursement frameworks by governments promoting universal healthcare. According to estimates, chronic diseases affected 133 million Americans in 2016 and contributed to US$ 3.7 trillion in annual healthcare costs. Such high costs have led to the development of favorable reimbursement policies that aim to increase access to care. However, reimbursement landscape present challenges in terms of unclear policies and processes, thus, resulting in declining reimbursement rates in some countries. Lack of funding and budgetary constraints in the public sector can also hamper the market growth. Meanwhile, digitization of reimbursement processes and entry of new players in the market can offer opportunities for market growth during the forecast period.

Key features of the study

  • -This report provides in-depth analysis of the global healthcare reimbursement market, and provides market size (USD Billion) and compound annual growth rate (CAGR%) for the forecast period (2024–2031), considering 2023 as the base year
  • It elucidates potential revenue opportunities across different segments and explains attractive investment proposition matrices for this market
  • This study also provides key insights about market drivers, restraints, opportunities, new product launches or approval, market trends, regional outlook, and competitive strategies adopted by key players
  • It profiles key players in the global healthcare reimbursement market based on the following parameters – company highlights, products portfolio, key highlights, financial performance, and strategies
  • Key companies covered as a part of this study include UnitedHealth Group, Aviva, Allianz, CVS Health, BNP Paribas, Aetna, Nippon Life Insurance, WellCare Health Plans, AgileHealthInsurance and Blue Cross Blue Shield Association
  • Insights from this report would allow marketers and the management authorities of the companies to make informed decisions regarding their future product launches, type up-gradation, market expansion, and marketing tactics
  • Global healthcare reimbursement market report caters to various stakeholders in this industry including investors, suppliers, product manufacturers, distributors, new entrants, and financial analysts
  • Stakeholders would have ease in decision-making through various strategy matrices used in analyzing the global healthcare reimbursement market.

Detailed Segmentation-

  • By Claim
    • Fully paid
    • Underpaid 
  • By Payer
    • Private Payers
    • Public Payers
  • By Service Provider
    • Physician office
    • Hospitals & Clinics
    • Diagnostic Laboratories
    • Medical Equipment & Supplies
    • Others
  • By Region:         
    • North America
    • Europe
    • Asia Pacific
    • Latin America
    • Middle East
    • Africa
  • Company Profiles:
    • UnitedHealth Group
    • Aviva
    • Allianz
    • CVS Health Corporation
    • Bupa
    • Aon plc
    • Cigna Corporation
    • Centene Corporation
    • Anthem, Inc.
    • Blue Cross Blue Shield Association (BCBSA)
    • Humana Inc.
    • WellCare Health Plans, Inc.
    • Medicaid Services (CMS)
    • Health Care Service Corporation (HCSC)
    • Anthem Blue Cross Blue Shield
    • Molina Healthcare, Inc.
    • Kaiser Permanente

Table of Contents

  1. Research Objectives and Assumptions
    • Research Objectives
    • Assumptions
    • Abbreviations
  2. Market Purview
    • Report Description
      • Market Definition and Scope
    • Executive Summary
      • Market Snapshot, By Claim
      • Market Snapshot, By Payer
      • Market Snapshot, By Service Provider
      • Market Snapshot, By Region
    • Coherent Opportunity Map (COM)
  3. Market Dynamics, Regulations, and Trends Analysis
    • Market Dynamics
      • Drivers
      • Restraints
      • Opportunities
    • Impact Analysis
    • Market Trends
    • Key Developments
    • Regulatory Scenario
    • Acquisitions and Partnerships Scenario
    • Funding and Investments
    • PEST Analysis
    • Porter’s Analysis
  4. Global Healthcare Reimbursement Market - Impact of Coronavirus (COVID-19) Pandemic
    • Overall Impact
    • Government Initiatives
    • COVID-19 Impact on the Market
  5. Global Healthcare Reimbursement Market, By Claim, 2019 – 2031, (USD Bn)
    • Overview
      • Market Share Analysis, 2024 and 2031 (%)
      • Y-o-Y Growth Analysis, 2020 – 2031
      • Segment Trends
    • Fully paid
      • Overview
      • Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
    • Underpaid
      • Overview
      • Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
  6. Global Healthcare Reimbursement Market, By Payer, 2019 – 2031, (USD Bn)
    • Overview
      • Market Share Analysis, 2024 and 2031 (%)
      • Y-o-Y Growth Analysis, 2020 – 2031
      • Segment Trends
    • Private Payers
      • Overview
      • Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
    • Public Payers
      • Overview
      • Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
  7. Global Healthcare Reimbursement Market, By Service Provider, 2019 – 2031, (USD Bn)
    • Overview
      • Market Share Analysis, 2024 and 2031 (%)
      • Y-o-Y Growth Analysis, 2020 – 2031
      • Segment Trends
    • Physician office
      • Overview
      • Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
    • Hospitals & Clinics
      • Overview
      • Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
    • Diagnostic Laboratories
      • Overview
      • Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
    • Medical Equipment & Supplies
      • Overview
      • Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
    • Others
      • Overview
      • Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
  8. Global Healthcare Reimbursement Market, By Region, 2019 – 2031, (USD Bn)
    • Introduction
      • Market Share Analysis, By Region, 2024 and 2031 (%)
      • Y-o-Y Growth Analysis, For Region, 2020–2031
      • Regional Trends
    • North America
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, By Claim, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Payer, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Service Provider, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 – 2031, (USD Bn)
        • U.S.
        • Canada
    • Latin America
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, By Claim, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Payer, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Service Provider, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 – 2031, (USD Bn)
        • Brazil
        • Mexico
        • Argentina
        • Rest of Latin America
    • Europe
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, By Claim, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Payer, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Service Provider, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 – 2031, (USD Bn)
        • U.K.
        • Germany
        • Italy
        • France
        • Spain
        • Russia
        • Rest of Europe
    • Asia Pacific
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, By Claim, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Payer, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Service Provider, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 – 2031, (USD Bn)
        • China
        • India
        • Japan
        • ASEAN
        • Australia
        • South Korea
        • Rest of Asia Pacific
    • Middle East
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, By Claim, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Payer, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Service Provider, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 – 2031, (USD Bn)
        • GCC Countries
        • Israel
        • Rest of Middle East
    • Africa
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, By Claim, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Payer, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Service Provider, 2019 - 2031, (USD Bn)
      • Market Size and Forecast, and Y-o-Y Growth, By Country/Region, 2019 – 2031, (USD Bn)
        • North Africa
        • Central Africa
        • South Africa
  9. Competitive Landscape
    • Company Profiles
      • UnitedHealth Group
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Aviva
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Allianz
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • CVS Health Corporation
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Bupa
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Aon plc
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Cigna Corporation
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Centene Corporation
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Anthem, Inc.
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Blue Cross Blue Shield Association (BCBSA)
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Humana Inc.
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • WellCare Health Plans, Inc.
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Medicaid Services (CMS)
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Health Care Service Corporation (HCSC)
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Anthem Blue Cross Blue Shield
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Molina Healthcare, Inc.
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
      • Kaiser Permanente
        • Company Highlights
        • Product Portfolio
        • Key Highlights
        • Financial Performance
        • Market Strategies
  10. Analyst Recommendations
    • Wheel of Fortune
    • Analyst View
    • Coherent Opportunity Map
  11. References and Research Methodology
    • References
    • Research Methodology
    • About Us and Sales Contact

*Browse 32 market data tables and 28 figures on "Healthcare Reimbursement Market” - Global forecast to 2031

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