Global Healthcare Reimbursement Market: By Claim (Underpaid and Full Paid), By Payers (Private Payers and Public Payers), By Service Provider (Hospitals, Clinics, Diagnostic Laboratories, and Others) and Geography

   

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Healthcare Reimbursement Market size is anticipated to be around USD 21.3 billion by 2027, this market is anticipated to grow 18.6% CAGR during the forecast time period 2021-2027 owing to increase in prevalence of chronic diseases, rising patient population, support by the government along with the rising cost of prescription medications are the major factors that are driving the growth of the healthcare reimbursement market. Moreover, initiatives by the public and private entities and growing awareness among people about the healthcare insurance policies fuels the growth of the market over the forecast period. The payment that your hospital, doctor, diagnostic facility, or other healthcare providers receive for providing you with medical services is referred to as healthcare reimbursement. Often, your health insurer or a government payer will cover all or part of the cost of your medical treatment. The market's key growth drivers have been the growing healthcare burden on established and developing economies, as well as good regulatory regulations and a favourable reimbursement scenario. The research makes a spectacular endeavour to disclose important opportunities available in the worldwide market to help players achieve a strong market position, with industry-standard precision in analysis and high data integrity. The report's buyers will have access to validated and trustworthy market forecasts, such as those for the worldwide market's overall revenue size. Overall, the report demonstrates that players may utilise it to acquire a competitive advantage over their competitors and achieve long-term success in the worldwide market. With the support of reliable sources, all of the report's results, data, and information are validated and revalidated. For an in-depth examination of the worldwide Healthcare Reimbursement market, the analysts who prepared the report used a unique and industry-best research and analysis approach.

Global Healthcare Reimbursement Market Summary

Study Period

2023-29

Base Year

2022

CAGR

18.6%

Largest Market

North America

Fastest Growing Market

Asia-Pacific
Growth

The center for Medicare and Medicaid Services offers delivery of reliable high-quality care, endorsement of efficient results in healthcare systems and making health insurance available to millions of Americans. In 2016, the Medicaid spending in U.S. grew by 3.9% and Medicare spending grew by 3.6% that was equal to 20% of total National Health Expenditure. The underpaid segment is expected dominate the healthcare reimbursement market over the forecast years due to increasing cases of frauds against government healthcare programs and rising use of healthcare services that are not medically required. There are number of cases where business and individuals have defrauded federal and state government healthcare programs by submitting the false claims for healthcare services, treatment and medical devices that were never rendered.

Key Features of the Reports

  • The report provides granular level information about the market size, regional market share, historic market (2015 to 2020) and forecast (2021 to 2027)
  • The report covers in-detail insights about the competitor’s overview, company share analysis, key market developments, and their key strategies
  • The report outlines drivers, restraints, unmet needs, and trends that are currently affecting the market
  • The report tracks recent innovations, key developments and startup’s details that are actively working in the market
  • The report provides plethora of information about market entry strategies, regulatory framework and reimbursement scenario
  • The report analyses the impact of socio-political environment through PESTLE Analysis and competition through Porter’s Five Force Analysis in addition to recent technology advancements and innovations in the market

Global Healthcare Reimbursement Market Segmentation

By Claim
  • Underpaid
  • Full Paid
By Payers
  • Private Payers
  • Public Payers
By Service Providers
  • Hospitals
  • Clinics
  • Diagnostic Laboratories
  • Others
By Geography
North America
  • US
  • Canada
Europe
  • Germany
  • France
  • UK
  • Italy
  • Spain
  • Russia
  • Poland
Rest of Europe
  • Asia-Pacific
  • Japan
  • China
  • India
  • Australia & New Zealand
  • ASEAN (Includes Indonesia, Thailand, Vietnam, Philippines, Malaysia, and Others)
  • South Korea
  • Rest of Asia-Pacific
Latin America
  • Brazil
  • Mexico
  • Argentina
  • Venezuela
  • Rest of Latin America
Middle East and Africa (MEA)
  • Gulf Cooperation Council (GCC) Countries
  • Israel
  • South Africa
  • Rest of MEA

Frequently Asked Questions

2021 is the base year and 2028 is the forecast year.

The report covers the five regions and 15+ countries market data: North America (United States, Canada), Europe (Germany, France, Italy, Spain, and United Kingdom (UK), Asia Pacific (China, India, Japan, Australia & New Zealand), Latin America (Brazil, Mexico, Argentina) and Middle East and Africa (Saudi Arabia, United Arab Emirates, South Africa).

In our report, we provide 12-15 market players’ information into the report. However, based on the client’s request we will provide additional country and regional market players information as well.

  1. Executive Summary
  2. Global Healthcare Reimbursement Market Introduction
2.1. Global Healthcare Reimbursement Market – Taxonomy 2.2. Global Healthcare Reimbursement Market –Definitions 2.2.1. By Claim 2.2.2. By Payers 2.2.3. By Service Providers
  1. Global Healthcare Reimbursement Market Dynamics
3.1. Drivers 3.2. Restraints 3.3. Opportunities/Unmet Needs of the Market 3.4. Trends 3.5. Global Healthcare Reimbursement Market Dynamics – Factors Impact Analysis
  1. Global Healthcare Reimbursement Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025
4.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 4.2. Year-over-Year (Y-o-Y) Growth Analysis (%) 4.3. Market Opportunity Analysis
  1. Global Healthcare Reimbursement Market Forecast, By Claim, 2014 - 2018 and Forecast, 2019 - 2025
5.1. Underpaid 5.1.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 5.1.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 5.1.3. Market Opportunity Analysis 5.2. Full Paid 5.2.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 5.2.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 5.2.3. Market Opportunity Analysis
  1. Global Healthcare Reimbursement Market Forecast, By Payers, 2014 - 2018 and Forecast, 2019 - 2025
6.1. Private Payers 6.1.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 6.1.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 6.1.3. Market Opportunity Analysis 6.2. Public Payers 6.2.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 6.2.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 6.2.3. Market Opportunity Analysis
  1. Global Healthcare Reimbursement Market Forecast, By Service Providers, 2014 - 2018 and Forecast, 2019 - 2025
7.1. Hospitals 7.1.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 7.1.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 7.1.3. Market Opportunity Analysis 7.2. Clinics 7.2.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 7.2.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 7.2.3. Market Opportunity Analysis 7.3. Diagnostic Laboratories 7.3.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 7.3.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 7.3.3. Market Opportunity Analysis 7.4. Others 7.4.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 7.4.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 7.4.3. Market Opportunity Analysis
  1. Global Healthcare Reimbursement Market Forecast, By Region, 2014 - 2018 and Forecast, 2019 - 2025
8.1. North America 8.1.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 8.1.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 8.1.3. Market Opportunity Analysis 8.2. Europe 8.2.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 8.2.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 8.2.3. Market Opportunity Analysis 8.3. Asia Pacific 8.3.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 8.3.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 8.3.3. Market Opportunity Analysis 8.4. Latin America 8.4.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 8.4.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 8.4.3. Market Opportunity Analysis 8.5. The Middle East & Africa 8.5.1. Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025 (Revenue, USD Mn) 8.5.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 8.5.3. Market Opportunity Analysis 8.6. Global Healthcare Reimbursement Market - Opportunity Analysis Index, By Claim, By Payers, By Service Providers, and Region, 2019 - 2025
  1. North America Healthcare Reimbursement Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025
9.1. Claim Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 9.1.1. Underpaid 9.1.2. Full Paid 9.2. Payers Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 9.2.1. Private Payers 9.2.2. Public Payers 9.3. Service Providers Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 9.3.1. Hospitals 9.3.2. Clinics 9.3.3. Diagnostic Laboratories 9.3.4. Others 9.4. Country Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn) Y-o-Y Growth (%) and Market Share (%) 9.4.1. U.S. 9.4.2. Canada 9.5. North America Healthcare Reimbursement Market - Opportunity Analysis Index, By Claim, By Payers, By Service providers, and Country, 2019 - 2025 9.6. North America Healthcare Reimbursement Market Dynamics – Trends
  1. Europe Healthcare Reimbursement Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025
10.1. Claim Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 10.1.1. Underpaid 10.1.2. Full Paid 10.2. Payers Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 10.2.1. Private Payers 10.2.2. Public Payers 10.3. Service Providers Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 10.3.1. Hospitals 10.3.2. Clinics 10.3.3. Diagnostic Laboratories 10.3.4. Others 10.4. Country Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn) Y-o-Y Growth (%) and Market Share (%) 10.4.1. U.K. 10.4.2. Germany 10.4.3. France 10.4.4. Italy 10.4.5. Spain 10.4.6. Russia 10.4.7. Rest of Europe 10.5. Europe Healthcare Reimbursement Market - Opportunity Analysis Index, By Type, By Claim, By Payers, By Service providers, and Country, 2019 - 2025 10.6. Europe Healthcare Reimbursement Market Dynamics – Trends
  1. Asia Pacific Healthcare Reimbursement Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025
11.1. Claim Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 11.1.1. Underpaid 11.1.2. Full Paid 11.2. Payers Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 11.2.1. Private Payers 11.2.2. Public Payers 11.3. Service Providers Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 11.3.1. Hospitals 11.3.2. Clinics 11.3.3. Diagnostic Laboratories 11.3.4. Others 11.4. Country Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn) Y-o-Y Growth (%) and Market Share (%) 11.4.1. China 11.4.2. Japan 11.4.3. India 11.4.4. ASEAN Counties 11.4.5. Philippines 11.4.6. Rest of Asia Pacific 11.5. Asia Pacific Healthcare Reimbursement Market - Opportunity Analysis Index, By Claim, By Payers, By Service providers, and Country, 2019 - 2025 11.6. Asia Pacific Healthcare Reimbursement Market Dynamics – Trends
  1. Latin America Healthcare Reimbursement Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025
12.1. Claim Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 12.1.1. Underpaid 12.1.2. Full Paid 12.2. Payers Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 12.2.1. Private Payers 12.2.2. Public Payers 12.3. Service Providers Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 12.3.1. Hospitals 12.3.2. Clinics 12.3.3. Diagnostic Laboratories 12.3.4. Others 12.4. Country Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn) Y-o-Y Growth (%) and Market Share (%) 12.4.1. Mexico 12.4.2. Brazil 12.4.3. Argentina 12.4.4. Chile 12.4.5. Rest of Latin America 12.5. Latin America Healthcare Reimbursement Market - Opportunity Analysis Index, By Claim, By Payers, By Service providers, and Country, 2019 - 2025 12.6. Latin America Healthcare Reimbursement Market Dynamics – Trends
  1. Middle East and Africa Healthcare Reimbursement Market Analysis, 2014 - 2018 and Forecast, 2019 - 2025
13.1. Claim Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 13.1.1. Underpaid 13.1.2. Full Paid 13.2. Payers Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 13.2.1. Private Payers 13.2.2. Public Payers 13.3. Service Providers Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%) 13.3.1. Hospitals 13.3.2. Clinics 13.3.3. Diagnostic Laboratories 13.3.4. Others 13.4. Country Analysis (2014 - 2018) and Forecast (2019 - 2025) by Revenue (USD Mn) Y-o-Y Growth (%) and Market Share (%) 13.4.1. GCC Countries 13.4.2. South Africa 13.4.3. Saudi Arabia 13.4.4. Turkey 13.4.5. Rest of MEA 13.5. Middle East and Africa Healthcare Reimbursement Market - Opportunity Analysis Index, By Claim, By Payers, By Service providers, and Country, 2019 - 2025 13.6. Middle East and Africa Healthcare Reimbursement Market Dynamics – Trends
  1. Competition Landscape
14.1. Strategic Dashboard of Top Market Players 14.2. Company Profiles (Introduction, Financial Analysis, Key Developments, Strategies, and SWOT Analysis) 14.2.1. UnitedHealth Group 14.2.2. CVS Health 14.2.3. Aetna Inc. 14.2.4. WellCare Health Plans, Inc. 14.2.5. BNP Paribas 14.2.6. Aviva Life Insurance Company India Ltd. 14.2.7. Reliance Nippon Life Insurance Company Limited 14.2.8. Agile Health Insurance 14.2.9. Blue Cross Blue Shield Association. 14.2.10. Allianz
  1. Research Methodology
  2. Key Assumptions and Acronyms
  • UnitedHealth Group
  • CVS Health
  • Aetna Inc.
  • WellCare Health Plans, Inc.
  • BNP Paribas
  • Aviva Life Insurance Company India Ltd.
  • Reliance Nippon Life Insurance Company Limited
  • Agile Health Insurance
  • Blue Cross Blue Shield Association.
  • Allianz