Claim processing is a complex process, involving the payer and healthcare provider, wherein the process revolves around the fulfillment of the obligation by an insurer to receive, investigate and act on a claim filed by an insured person. It involves multiple administrative and customer service layers that includes review, investigation, adjustment (if necessary), remittance or denial of the claim.
Europe accounted for 23.3% share of the payer claim management market globally in 2013. The market value was pegged at $753 million in 2013 and is expected to grow at a CAGR of 5.3% from 2014 to 2019.
American Medical Association 2010 National Health Insurer Report Card estimated that one in five medical claims are processed inaccurately. These processing errors cost the healthcare industry an estimated $15.5 billion every year. Claims management software assists in reducing the number of mistakes in claims, which is one of the major driving factors for the claims processing software.
Claims processing is the heart of the entire payer industry. Claims process generates a large amount of data which is complex in nature, the claims processing software helps in managing this data in an effective and efficient way. The software also helps in gap analysis, and authenticates data.
This market is segmented and forecasted on the basis of two different types namely Integrated Payer Claim Management and Standalone Payer Claim Management. Standalone Payer Claim Management accounts for the largest share of Europe Payer Claim Management market and is expected to grow at a CAGR of 6.3% from 2013 to 2018. On the basis of Components and Deployments the market is segmented into Hardware, Software and Services, while the Deployments are on-premise, Cloud-based, and Web-based. The market is further segmented and forecasted on the basis of major countries, such as U.k., Germany, France, Italy, and Spain. The market is also segmented and analyzed further on the basis of the end-users.
The report provides an extensive competitive landscaping of companies operating in this market. The key players of the market covered in the report are Aspect Software, Avaya Inc., Cerner Corporation, Infor, Oracle Corporation. This report also includes the market share, value chain analysis, and market metrics such as drivers, restraints and upcoming opportunities in the market.
1 INTRODUCTION
1.1 Objective of the Study
1.2 Market Segmentation & Coverage
1.3 Stakeholders
2 RESEARCH METHODOLOGY
2.1 Integrated Ecosystem of Payer Claim Management Market
2.2 Arriving at the Payer Claim Management Market Size
2.2.1 Top-Down Approach
2.2.2 Bottom-Up Approach
2.2.3 Demand Side Approach
2.2.4 Macro Indicator-Based Approach
2.3 Assumptions
3 EXECUTIVE SUMMARY
4 MARKET OVERVIEW
4.1 Introduction
4.2 Europe Payer Claim Management Market: Comparison With Parent Market
4.3 Market Drivers And Inhibitors
4.4 Key Market Dynamics
4.5 Demand Side Analysis
4.6 Vendor Side Analysis
5 PAYER CLAIM MANAGEMENT MARKET, BY DEPLOYMENT
5.1 Research Methodology
5.2 Introduction
5.3 Europe Payer Claim Management Market, Type Comparison with Healthcare Workflow Systems Market
5.4 Europe Web-based Market, By Geography
5.5 Europe On-premise Market, By Geography
5.6 Europe Cloud-based Market, By Geography
5.7 Sneak View: Europe Healthcare Workflow Systems Market, By Deployment
6 PAYER CLAIM MANAGEMENT MARKET, BY COMPONENT
6.1 Research Methodology
6.2 Introduction
6.3 Europe Payer Claim Management Market, Type Comparison with Healthcare Workflow Systems Market
6.4 Europe Services (Healthcare IT) Market, By Geography
6.5 Europe Software (Healthcare IT) Market, By Geography
6.6 Europe Hardware (Healthcare IT) Market, By Geography
6.7 Sneak View: Europe Healthcare Workflow Systems Market, By Component
7 PAYER CLAIM MANAGEMENT MARKET, BY ENDUSER
7.1 Introduction
7.2 Demand Side Analysis
7.3 Vendor Side Analysis
7.4 Payer Claim Management In Hospitals, By Geography
7.5 Payer Claim Management In Office based Physicians, By Geography
7.6 Payer Claim Management In Nurses, By Geography
7.7 Payer Claim Management In Emergency Healthcare Service providers, By Geography
7.8 Payer Claim Management In Other Healthcare Providers, By Geography
7.9 Sneak View: Europe Healthcare Workflow Systems Market, By Enduser
8 PAYER CLAIM MANAGEMENT MARKET, BY PRODUCT
8.1 Research Methodology
8.2 Introduction
8.3 Europe Payer Claim Management Market, Type Comparison With Healthcare Workflow Systems Market
8.4 Europe Standalone Payer Claim Management Market, By Geography
8.5 Europe Integrated Payer Claim Management Market, By Geography
8.6 Sneak View: Europe Healthcare Workflow Systems Market, By Product
9 PAYER CLAIM MANAGEMENT MARKET, BY GEOGRAPHY
9.1 Introduction
9.2 Vendor Side Analysis
9.3 Europe - Other Geographies Payer Claim Management Market
9.3.1 Europe - Other Geographies Payer Claim Management Market, By Application
9.3.2 Europe - Other Geographies Payer Claim Management Market, By Type
9.4 United Kingdom Payer Claim Management Market
9.4.1 United Kingdom Payer Claim Management Market, By Application
9.4.2 United Kingdom Payer Claim Management Market, By Type
9.5 France Payer Claim Management Market
9.5.1 France Payer Claim Management Market, By Application
9.5.2 France Payer Claim Management Market, By Type
9.6 Germany Payer Claim Management Market
9.6.1 Germany Payer Claim Management Market, By Application
9.6.2 Germany Payer Claim Management Market, By Type
9.7 Spain Payer Claim Management Market
9.7.1 Spain Payer Claim Management Market, By Application
9.7.2 Spain Payer Claim Management Market, By Type
9.8 Italy Payer Claim Management Market
9.8.1 Italy Payer Claim Management Market, By Application
9.8.2 Italy Payer Claim Management Market, By Type
9.9 Sneak View: Europe Healthcare Workflow Systems Market, By Geography
10 COMPETITIVE LANDSCAPE
10.1 Payer Claim Management Market Concentration Analysis
10.2 Company Presence In Payer Claim Management Market, By Type
10.3 Merger & Acquisition
10.4 Other Expansion
10.5 New Synergies
11 PAYER CLAIM MANAGEMENT MARKET, BY COMPANY
11.1 Oracle Corporation
11.1.1 Overview
11.1.2 Key Financials
11.1.3 Product and Service Offerings
11.1.4 Related Developments
11.1.5 MMM Analysis
11.2 Cerner Corporation
11.2.1 Overview
11.2.2 Key Financials
11.2.3 Product and Service Offerings
11.2.4 Related Developments
11.2.5 MMM Analysis
11.3 Aspect Imaging.
11.3.1 Overview
11.3.2 Key Financials
11.3.3 Product and Service Offerings
11.3.4 Related Developments
11.3.5 MMM Analysis
11.4 Avaya Inc.
11.4.1 Overview
11.4.2 Key Financials
11.4.3 Product and Service Offerings
11.4.4 Related Developments
11.4.5 MMM Analysis
11.5 Infor
11.5.1 Overview
11.5.2 Key Financials
11.5.3 Product and Service Offerings
11.5.4 Related Developments
11.5.5 MMM Analysis
12 APPENDIXPlease fill in the form below to receive a free copy of the Summary of this Report
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PRODUCT TITLE | PUBLISHED | |
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European Healthcare Workflow Systems Peers of Hydrocolloids are Payer Claim Management, Customer Relationship Management (HCIT), Pharmacy Audit And Analysis and Fraud Detection comprising 35.8%, 25.2%, 20.9% and 18.1% respectively of the Global Workflow Solutions market. It is segmented on basis... |
Upcoming | |
North American Healthcare Workflow Systems The North American healthcare workflow systems report defines and segments the concerned market in North America with analysis and forecast of revenue. The market was valued at $5318.0 million in 2013 and is projected to witness a CAGR of 5.9% between 2014 and 2019. |
Upcoming | |
Asian Healthcare Workflow System Peers of Hydrocolloids are Payer Claim Management, Customer Relationship Management (HCIT), Pharmacy Audit And Analysis and Fraud Detection comprising 35.8%, 25.2%, 20.9% and 18.1% respectively of the Global Workflow Solutions market. It is segmented on basis... |
Apr 2015 |