Healthcare Reimbursement Market, By Claim, By Payer, By Service Provider, By Geography

Description

Global healthcare reimbursement market is estimated to be valued at USD 23.11 Bn in 2024 and is expected to reach USD 71.10 Bn by 2031, exhibiting a compound annual growth rate (CAGR) of 17.4% from 2024 to 2031.

Report Coverage		Report Details
Base Year:	2023	Market Size in 2024:	US$ 23.11 Bn
Historical Data for:	2019 to 2023	Forecast Period:	2024 to 2031
Forecast Period 2024 to 2031 CAGR:	17.40%	2031 Value Projection:	US$ 71.10 Bn

Figure. Healthcare Reimbursement Market Share (%), By Region 2024

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

Product Code: CMI7108

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
- 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

10. Analyst Recommendations

Wheel of Fortune
Analyst View
Coherent Opportunity Map

11. References and Research Methodology

References
Research Methodology
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