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 By Geography    

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Healthcare Reimbursement Market size was valued at  USD 22.3 billion by 2023 and is poised to grow at a CAGR of 19.2% from 2024-2030 owing to increase in the 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 healthcare insurance policies fuel 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 favorable reimbursement scenario.

The research makes a spectacular endeavor 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 utilize 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

2024-2030

Base Year

2023

CAGR

19.2%

Largest Market

North America

Fastest Growing Market

Asia-Pacific
Dynamics

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 (2019-2023), and forecast (2024-2030)
  • 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 start-up details that are actively working in the market
  • The report provides a plethora of information about market entry strategies, regulatory framework, and reimbursement scenario

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
  • Europe
  • Rest of Europe
  • Latin America
  • Middle East and Africa (MEA)

Frequently Asked Questions

The healthcare reimbursement market size was valued at USD 22.3 billion in 2023

The healthcare reimbursement market key players are: 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

The healthcare reimbursement market has been classified into North America, Asia Pacific, Europe, Latin America, Middle East and Africa, and the rest of MEA.

The healthcare reimbursement market size was valued at USD 22.3 billion in 2023

The healthcare reimbursement market key players are: 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

The healthcare reimbursement market has been classified into North America, Asia Pacific, Europe, Latin America, Middle East and Africa, and the rest of MEA.

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.Claim
2.2.2.Payers
2.2.3. Service Providers
2.2.4.Region
3. Global Healthcare Reimbursement Market Dynamics
3.1. Drivers
3.2. Restraints
3.3. Opportunities/Unmet Needs of the Market
3.4. Trends
3.5. Product Landscape
3.6. New Product Launches
3.7. Impact of COVID 19 on Market
4. Global Healthcare Reimbursement Market Analysis, 2019 - 2023 and Forecast 2024 - 2030
4.1.  Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
4.2.  Year-Over-Year (Y-o-Y) Growth Analysis (%) 
4.3.  Market Opportunity Analysis 
5. Global Healthcare Reimbursement Market  By Claim, 2019 - 2023 and Forecast 2024 - 2030 (Sales Value USD Million)
5.1. Underpaid
5.1.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
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, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
5.2.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
5.2.3. Market Opportunity Analysis 
6. Global Healthcare Reimbursement Market  By Payers, 2019 - 2023 and Forecast 2024 - 2030 (Sales Value USD Million)
6.1. Private Payers
6.1.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
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, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
6.2.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
6.2.3. Market Opportunity Analysis 
7. Global Healthcare Reimbursement Market  By  Service Providers, 2019 - 2023 and Forecast 2024 - 2030 (Sales Value USD Million)
7.1. Hospitals
7.1.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
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, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
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, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
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, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
7.4.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
7.4.3. Market Opportunity Analysis 
8. Global Healthcare Reimbursement Market  By Region, 2019 - 2023 and Forecast 2024 - 2030 (Sales Value USD Million)
8.1. North America
8.1.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
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, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
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 (APAC)
8.3.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
8.3.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
8.3.3. Market Opportunity Analysis 
8.4. Middle East and Africa (MEA)
8.4.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
8.4.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
8.4.3. Market Opportunity Analysis 
8.5. Latin America
8.5.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
8.5.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
8.5.3. Market Opportunity Analysis 
9. North America Healthcare Reimbursement Market ,2019 - 2023 and Forecast 2024 - 2030 (Sales Value USD Million)
9.1. Claim Analysis 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
9.1.1.Underpaid
9.1.2.Full Paid
9.2.  Payers Analysis 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
9.2.1.Private Payers
9.2.2.Public Payers
9.3.   Service Providers Analysis 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, 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 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
9.4.1.United States of America (USA)
9.4.2.Canada
10. Europe Healthcare Reimbursement Market ,2019 - 2023 and Forecast 2024 - 2030 (Sales Value USD Million)
10.1. Claim Analysis  and Forecast  by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
10.1.1.Underpaid
10.1.2.Full Paid
10.2.  Payers Analysis 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
10.2.1.Private Payers
10.2.2.Public Payers
10.3.   Service Providers Analysis 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, 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 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
10.4.1.Germany
10.4.2.France
10.4.3.Italy
10.4.4.United Kingdom (UK)
10.4.5.Spain
10.4.6.Rest of EU
11. Asia Pacific (APAC) Healthcare Reimbursement Market ,2019 - 2023 and Forecast 2024 - 2030 (Sales Value USD Million)
11.1. Claim Analysis  and Forecast  by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
11.1.1.Underpaid
11.1.2.Full Paid
11.2.  Payers Analysis 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
11.2.1.Private Payers
11.2.2.Public Payers
11.3.   Service Providers Analysis 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, 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 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
11.4.1.China
11.4.2.India
11.4.3.Australia and New Zealand (ANZ)
11.4.4.Japan
11.4.5.Rest of APAC
12. Middle East and Africa (MEA) Healthcare Reimbursement Market,2019 - 2023 and Forecast 2024 - 2030 (Sales Value USD Million)
12.1. Claim Analysis  and Forecast  by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
12.1.1.Underpaid
12.1.2.Full Paid
12.2.  Payers Analysis 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
12.2.1.Private Payers
12.2.2.Public Payers
12.3.   Service Providers Analysis 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, 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 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
12.4.1.GCC Countries
12.4.2.South Africa
12.4.3.Rest of MEA
13. Latin America Healthcare Reimbursement Market ,2019 - 2023 and Forecast 2024 - 2030 (Sales Value USD Million)
13.1. Claim Analysis  and Forecast  by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
13.1.1.Underpaid
13.1.2.Full Paid
13.2.  Payers Analysis 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
13.2.1.Private Payers
13.2.2.Public Payers
13.3.   Service Providers Analysis 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, 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 2019 - 2023 and Forecast 2024 - 2030 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
13.4.1.Brazil
13.4.2.Mexico
13.4.3.Rest of LA
14. Competition Landscape
14.1.  Market Player Profiles (Introduction, Brand/Product Sales, Financial Analysis, Product Offerings, Key Developments, Collaborations, M&A, 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
15. Research Methodology 
16. Appendix and Abbreviations 
  • 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

Adjacent Markets