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医療費償還の世界市場：市場規模・シェア・動向分析 (請求別、サービスプロバイダー別、支払者別)・地域別展望・将来予測 (2024年～2031年)

Global Healthcare Reimbursement Market Size, Share & Trends Analysis Report By Claim (Underpaid and Full Paid), By Service Provider, By Payer (Public Payers and Private Payers), By Regional Outlook and Forecast, 2024 - 2031

出版日
発行
KBV Research
ページ情報
英文 187 Pages
納期
即納可能 即納可能とは
価格
価格表記: USDを日本円(税抜)に換算
本日の銀行送金レート: 1USD=144.06円
医療費償還の世界市場：市場規模・シェア・動向分析 (請求別、サービスプロバイダー別、支払者別)・地域別展望・将来予測 (2024年～2031年)
出版日: 2025年02月07日
発行: KBV Research
ページ情報: 英文 187 Pages
納期: 即納可能 即納可能とは
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  • 全表示
  • 概要
  • 図表
  • 目次
概要

医療費償還の市場規模は、予測期間中に17.6%のCAGRで市場成長し、2031年までに808億6,000万米ドルに達すると予想されています。

しかし、医療業界では詐欺が蔓延しているため、保険会社や医療提供者は詐欺防止とコンプライアンスの取り組みに多額の投資を余儀なくされています。これによりコストが増加し、償還システムがより複雑になります。詐欺や不正請求に対抗するための規制の取り組みは改善していますが、これらの問題は依然として市場の成長に対する大きな障壁となっています。この課題に対処するために、医療組織はAIや機械学習などのテクノロジー主導のソリューションにますます目を向け、不正行為をリアルタイムで検出して防止していますが、この問題は依然として根強い懸念事項です。このように、医療詐欺と不正請求は市場の成長を妨げています。

請求別の展望

請求に基づいて、市場は分割請求と一括請求に分類されます。分割請求のセグメントは、2023年に市場で最高の収益シェアの78%を獲得しました。このセグメントには、医療提供者が実際のコストまたは契約額よりも低いレートでサービスの償還を受けるケースが含まれます。分割払いの蔓延は、保険請求の拒否、資金不足の健康プログラム、および償還の遅れに起因する可能性があります。医療提供者は、運用コストの上昇と払い戻しの課題により財政的圧力にさらされ続けているため、分割払いセグメントは、請求の非効率性に対処し、支払いの正確性を向上させることを目指す業界利害関係者にとって依然として重要な焦点です。

支払者別の展望

支払者に基づいて、市場は民間支払者 (民間保険) と公的支払者 (公的保険) に分類されます。公的支払者セグメントは、2023年に市場で54%の収益シェアを獲得しました。メディケア、メディケイド、その他の州運営の健康保険制度などの政府資金によるプログラムを含む公的支払者は、その広範なカバー率と大規模な受益者ベースにより、医療費償還の情勢を支配しています。高齢化人口の増加と医療ニーズの高まりにより、公的支払者プログラムの拡大が促進されています。さらに、医療サービスへのアクセスを改善するための政策の実施により、市場における公的支払者の存在感がさらに高まっています。

サービスプロバイダー別の展望

サービスプロバイダー別に見ると、市場は病院、診療所 (開業医)、診断検査室、その他に分かれています。診療所セグメントは、2023年に市場で20%の収益シェアを獲得しました。個人診療所とグループ診療所を含む診療所は、プライマリケアと専門医療サービスの重要な提供者です。これらの診療所は、日常的な医療アニーズと予防ケアの管理に不可欠であり、多くの場合、より頻繁な償還請求につながります。外来診療と遠隔医療への移行と、保険加入者数の増加は、診療所セグメントにプラスの影響を与え、医療費償還市場のかなりの部分を獲得することを可能にしました。

地域別の展望

地域別に見ると、市場は北米、欧州、アジア太平洋、ラテンアメリカ・中東・アフリカにわたって分析されています。北米セグメントは、2023年に市場で52%の収益シェアを記録しました。北米、特に米国は、メディケア、メディケイド、雇用主主導の健康保険など、広範な民間および公的支払者プログラムを備えた高度に発達した医療システムを備えています。この地域の高度な医療構造と保険にアクセスできる大規模な人口は、市場での支配的な地位に貢献しています。さらに、デジタルヘルス技術の採用の増加と医療アクセスの改善を目的とした政策改革は、北米の医療費償還市場の成長をさらにサポートします。

目次

第1章 市場の範囲と分析手法

  • 市場の定義
  • 目的
  • 市場範囲
  • セグメンテーション
  • 分析手法

第2章 市場要覧

  • 主なハイライト

第3章 市場概要

  • イントロダクション
    • 概要
      • 市場構成とシナリオ
  • 市場に影響を与える主な要因
    • 市場促進要因
    • 市場抑制要因
    • 市場機会
    • 市場の課題
  • ポーターのファイブフォース分析

第4章 世界の医療費償還市場：請求別

  • 世界の分割請求市場：地域別
  • 世界の一括請求市場：地域別

第5章 世界の医療費償還市場：サービスプロバイダー別

  • 世界の病院市場：地域別
  • 世界の診断検査室市場：地域別
  • 世界の診療所市場：地域別
  • 世界のその他のサービスプロバイダー市場：地域別

第6章 世界の医療費償還市場：支払者別

  • 世界の公的支払者 (公的保険) 市場：地域別
  • 世界の民間支払者 (民間保険) 市場：地域別

第7章 世界の医療費償還市場：地域別

  • 北米
    • 北米の医療費償還市場：国別
      • 米国
      • カナダ
      • メキシコ
      • その他北米地域
  • 欧州
    • 欧州の医療費償還市場：国別
      • ドイツ
      • 英国
      • フランス
      • ロシア
      • スペイン
      • イタリア
      • その他欧州地域
  • アジア太平洋
    • アジア太平洋の医療費償還市場：国別
      • 中国
      • 日本
      • インド
      • 韓国
      • シンガポール
      • マレーシア
      • その他アジア太平洋地域
  • ラテンアメリカ・中東・アフリカ
    • ラテンアメリカ・中東・アフリカの医療費償還市場：国別
      • ブラジル
      • アルゼンチン
      • アラブ首長国連邦
      • サウジアラビア
      • 南アフリカ
      • ナイジェリア
      • その他ラテンアメリカ・中東・アフリカ地域

第8章 企業プロファイル

  • United HealthCare Services, Inc
  • CVS Health Corporation (ActiveHealth Management, Inc)
  • Allianz Care (Allianz Group)
  • Reliance Nippon Life Insurance Company Limited
  • The Cigna Group
  • Elevance Health, Inc
  • Humana Inc
  • Molina Healthcare, Inc
  • Centene Corporation
  • MetLife, Inc

第9章 医療費償還市場の成功必須条件

図表

LIST OF TABLES

  • TABLE 1 Global Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 2 Global Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 3 Global Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 4 Global Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 5 Global Underpaid Market by Region, 2020 - 2023, USD Million
  • TABLE 6 Global Underpaid Market by Region, 2024 - 2031, USD Million
  • TABLE 7 Global Full Paid Market by Region, 2020 - 2023, USD Million
  • TABLE 8 Global Full Paid Market by Region, 2024 - 2031, USD Million
  • TABLE 9 Global Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 10 Global Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 11 Global Hospitals Market by Region, 2020 - 2023, USD Million
  • TABLE 12 Global Hospitals Market by Region, 2024 - 2031, USD Million
  • TABLE 13 Global Diagnostic Laboratories Market by Region, 2020 - 2023, USD Million
  • TABLE 14 Global Diagnostic Laboratories Market by Region, 2024 - 2031, USD Million
  • TABLE 15 Global Physician Office Market by Region, 2020 - 2023, USD Million
  • TABLE 16 Global Physician Office Market by Region, 2024 - 2031, USD Million
  • TABLE 17 Global Other Service Provider Market by Region, 2020 - 2023, USD Million
  • TABLE 18 Global Other Service Provider Market by Region, 2024 - 2031, USD Million
  • TABLE 19 Global Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 20 Global Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 21 Global Public Payers Market by Region, 2020 - 2023, USD Million
  • TABLE 22 Global Public Payers Market by Region, 2024 - 2031, USD Million
  • TABLE 23 Global Private Payers Market by Region, 2020 - 2023, USD Million
  • TABLE 24 Global Private Payers Market by Region, 2024 - 2031, USD Million
  • TABLE 25 Global Healthcare Reimbursement Market by Region, 2020 - 2023, USD Million
  • TABLE 26 Global Healthcare Reimbursement Market by Region, 2024 - 2031, USD Million
  • TABLE 27 North America Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 28 North America Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 29 North America Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 30 North America Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 31 North America Underpaid Market by Region, 2020 - 2023, USD Million
  • TABLE 32 North America Underpaid Market by Region, 2024 - 2031, USD Million
  • TABLE 33 North America Full Paid Market by Region, 2020 - 2023, USD Million
  • TABLE 34 North America Full Paid Market by Region, 2024 - 2031, USD Million
  • TABLE 35 North America Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 36 North America Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 37 North America Hospitals Market by Country, 2020 - 2023, USD Million
  • TABLE 38 North America Hospitals Market by Country, 2024 - 2031, USD Million
  • TABLE 39 North America Diagnostic Laboratories Market by Country, 2020 - 2023, USD Million
  • TABLE 40 North America Diagnostic Laboratories Market by Country, 2024 - 2031, USD Million
  • TABLE 41 North America Physician Office Market by Country, 2020 - 2023, USD Million
  • TABLE 42 North America Physician Office Market by Country, 2024 - 2031, USD Million
  • TABLE 43 North America Other Service Provider Market by Country, 2020 - 2023, USD Million
  • TABLE 44 North America Other Service Provider Market by Country, 2024 - 2031, USD Million
  • TABLE 45 North America Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 46 North America Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 47 North America Public Payers Market by Country, 2020 - 2023, USD Million
  • TABLE 48 North America Public Payers Market by Country, 2024 - 2031, USD Million
  • TABLE 49 North America Private Payers Market by Country, 2020 - 2023, USD Million
  • TABLE 50 North America Private Payers Market by Country, 2024 - 2031, USD Million
  • TABLE 51 North America Healthcare Reimbursement Market by Country, 2020 - 2023, USD Million
  • TABLE 52 North America Healthcare Reimbursement Market by Country, 2024 - 2031, USD Million
  • TABLE 53 US Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 54 US Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 55 US Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 56 US Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 57 US Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 58 US Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 59 US Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 60 US Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 61 Canada Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 62 Canada Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 63 Canada Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 64 Canada Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 65 Canada Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 66 Canada Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 67 Canada Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 68 Canada Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 69 Mexico Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 70 Mexico Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 71 Mexico Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 72 Mexico Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 73 Mexico Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 74 Mexico Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 75 Mexico Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 76 Mexico Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 77 Rest of North America Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 78 Rest of North America Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 79 Rest of North America Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 80 Rest of North America Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 81 Rest of North America Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 82 Rest of North America Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 83 Rest of North America Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 84 Rest of North America Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 85 Europe Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 86 Europe Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 87 Europe Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 88 Europe Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 89 Europe Underpaid Market by Country, 2020 - 2023, USD Million
  • TABLE 90 Europe Underpaid Market by Country, 2024 - 2031, USD Million
  • TABLE 91 Europe Full Paid Market by Country, 2020 - 2023, USD Million
  • TABLE 92 Europe Full Paid Market by Country, 2024 - 2031, USD Million
  • TABLE 93 Europe Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 94 Europe Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 95 Europe Hospitals Market by Country, 2020 - 2023, USD Million
  • TABLE 96 Europe Hospitals Market by Country, 2024 - 2031, USD Million
  • TABLE 97 Europe Diagnostic Laboratories Market by Country, 2020 - 2023, USD Million
  • TABLE 98 Europe Diagnostic Laboratories Market by Country, 2024 - 2031, USD Million
  • TABLE 99 Europe Physician Office Market by Country, 2020 - 2023, USD Million
  • TABLE 100 Europe Physician Office Market by Country, 2024 - 2031, USD Million
  • TABLE 101 Europe Other Service Provider Market by Country, 2020 - 2023, USD Million
  • TABLE 102 Europe Other Service Provider Market by Country, 2024 - 2031, USD Million
  • TABLE 103 Europe Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 104 Europe Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 105 Europe Public Payers Market by Country, 2020 - 2023, USD Million
  • TABLE 106 Europe Public Payers Market by Country, 2024 - 2031, USD Million
  • TABLE 107 Europe Private Payers Market by Country, 2020 - 2023, USD Million
  • TABLE 108 Europe Private Payers Market by Country, 2024 - 2031, USD Million
  • TABLE 109 Europe Healthcare Reimbursement Market by Country, 2020 - 2023, USD Million
  • TABLE 110 Europe Healthcare Reimbursement Market by Country, 2024 - 2031, USD Million
  • TABLE 111 Germany Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 112 Germany Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 113 Germany Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 114 Germany Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 115 Germany Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 116 Germany Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 117 Germany Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 118 Germany Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 119 UK Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 120 UK Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 121 UK Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 122 UK Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 123 UK Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 124 UK Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 125 UK Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 126 UK Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 127 France Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 128 France Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 129 France Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 130 France Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 131 France Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 132 France Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 133 France Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 134 France Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 135 Russia Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 136 Russia Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 137 Russia Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 138 Russia Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 139 Russia Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 140 Russia Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 141 Russia Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 142 Russia Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 143 Spain Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 144 Spain Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 145 Spain Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 146 Spain Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 147 Spain Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 148 Spain Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 149 Spain Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 150 Spain Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 151 Italy Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 152 Italy Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 153 Italy Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 154 Italy Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 155 Italy Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 156 Italy Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 157 Italy Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 158 Italy Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 159 Rest of Europe Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 160 Rest of Europe Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 161 Rest of Europe Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 162 Rest of Europe Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 163 Rest of Europe Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 164 Rest of Europe Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 165 Rest of Europe Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 166 Rest of Europe Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 167 Asia Pacific Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 168 Asia Pacific Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 169 Asia Pacific Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 170 Asia Pacific Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 171 Asia Pacific Underpaid Market by Country, 2020 - 2023, USD Million
  • TABLE 172 Asia Pacific Underpaid Market by Country, 2024 - 2031, USD Million
  • TABLE 173 Asia Pacific Full Paid Market by Country, 2020 - 2023, USD Million
  • TABLE 174 Asia Pacific Full Paid Market by Country, 2024 - 2031, USD Million
  • TABLE 175 Asia Pacific Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 176 Asia Pacific Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 177 Asia Pacific Hospitals Market by Country, 2020 - 2023, USD Million
  • TABLE 178 Asia Pacific Hospitals Market by Country, 2024 - 2031, USD Million
  • TABLE 179 Asia Pacific Diagnostic Laboratories Market by Country, 2020 - 2023, USD Million
  • TABLE 180 Asia Pacific Diagnostic Laboratories Market by Country, 2024 - 2031, USD Million
  • TABLE 181 Asia Pacific Physician Office Market by Country, 2020 - 2023, USD Million
  • TABLE 182 Asia Pacific Physician Office Market by Country, 2024 - 2031, USD Million
  • TABLE 183 Asia Pacific Other Service Provider Market by Country, 2020 - 2023, USD Million
  • TABLE 184 Asia Pacific Other Service Provider Market by Country, 2024 - 2031, USD Million
  • TABLE 185 Asia Pacific Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 186 Asia Pacific Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 187 Asia Pacific Public Payers Market by Country, 2020 - 2023, USD Million
  • TABLE 188 Asia Pacific Public Payers Market by Country, 2024 - 2031, USD Million
  • TABLE 189 Asia Pacific Private Payers Market by Country, 2020 - 2023, USD Million
  • TABLE 190 Asia Pacific Private Payers Market by Country, 2024 - 2031, USD Million
  • TABLE 191 Asia Pacific Healthcare Reimbursement Market by Country, 2020 - 2023, USD Million
  • TABLE 192 Asia Pacific Healthcare Reimbursement Market by Country, 2024 - 2031, USD Million
  • TABLE 193 China Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 194 China Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 195 China Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 196 China Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 197 China Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 198 China Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 199 China Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 200 China Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 201 Japan Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 202 Japan Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 203 Japan Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 204 Japan Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 205 Japan Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 206 Japan Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 207 Japan Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 208 Japan Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 209 India Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 210 India Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 211 India Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 212 India Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 213 India Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 214 India Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 215 India Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 216 India Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 217 South Korea Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 218 South Korea Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 219 South Korea Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 220 South Korea Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 221 South Korea Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 222 South Korea Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 223 South Korea Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 224 South Korea Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 225 Singapore Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 226 Singapore Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 227 Singapore Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 228 Singapore Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 229 Singapore Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 230 Singapore Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 231 Singapore Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 232 Singapore Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 233 Malaysia Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 234 Malaysia Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 235 Malaysia Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 236 Malaysia Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 237 Malaysia Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 238 Malaysia Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 239 Malaysia Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 240 Malaysia Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 241 Rest of Asia Pacific Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 242 Rest of Asia Pacific Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 243 Rest of Asia Pacific Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 244 Rest of Asia Pacific Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 245 Rest of Asia Pacific Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 246 Rest of Asia Pacific Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 247 Rest of Asia Pacific Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 248 Rest of Asia Pacific Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 249 LAMEA Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 250 LAMEA Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 251 LAMEA Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 252 LAMEA Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 253 LAMEA Underpaid Market by Country, 2020 - 2023, USD Million
  • TABLE 254 LAMEA Underpaid Market by Country, 2024 - 2031, USD Million
  • TABLE 255 LAMEA Full Paid Market by Country, 2020 - 2023, USD Million
  • TABLE 256 LAMEA Full Paid Market by Country, 2024 - 2031, USD Million
  • TABLE 257 LAMEA Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 258 LAMEA Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 259 LAMEA Hospitals Market by Country, 2020 - 2023, USD Million
  • TABLE 260 LAMEA Hospitals Market by Country, 2024 - 2031, USD Million
  • TABLE 261 LAMEA Diagnostic Laboratories Market by Country, 2020 - 2023, USD Million
  • TABLE 262 LAMEA Diagnostic Laboratories Market by Country, 2024 - 2031, USD Million
  • TABLE 263 LAMEA Physician Office Market by Country, 2020 - 2023, USD Million
  • TABLE 264 LAMEA Physician Office Market by Country, 2024 - 2031, USD Million
  • TABLE 265 LAMEA Other Service Provider Market by Country, 2020 - 2023, USD Million
  • TABLE 266 LAMEA Other Service Provider Market by Country, 2024 - 2031, USD Million
  • TABLE 267 LAMEA Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 268 LAMEA Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 269 LAMEA Public Payers Market by Country, 2020 - 2023, USD Million
  • TABLE 270 LAMEA Public Payers Market by Country, 2024 - 2031, USD Million
  • TABLE 271 LAMEA Private Payers Market by Country, 2020 - 2023, USD Million
  • TABLE 272 LAMEA Private Payers Market by Country, 2024 - 2031, USD Million
  • TABLE 273 LAMEA Healthcare Reimbursement Market by Country, 2020 - 2023, USD Million
  • TABLE 274 LAMEA Healthcare Reimbursement Market by Country, 2024 - 2031, USD Million
  • TABLE 275 Brazil Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 276 Brazil Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 277 Brazil Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 278 Brazil Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 279 Brazil Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 280 Brazil Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 281 Brazil Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 282 Brazil Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 283 Argentina Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 284 Argentina Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 285 Argentina Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 286 Argentina Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 287 Argentina Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 288 Argentina Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 289 Argentina Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 290 Argentina Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 291 UAE Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 292 UAE Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 293 UAE Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 294 UAE Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 295 UAE Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 296 UAE Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 297 UAE Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 298 UAE Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 299 Saudi Arabia Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 300 Saudi Arabia Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 301 Saudi Arabia Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 302 Saudi Arabia Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 303 Saudi Arabia Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 304 Saudi Arabia Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 305 Saudi Arabia Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 306 Saudi Arabia Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 307 South Africa Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 308 South Africa Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 309 South Africa Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 310 South Africa Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 311 South Africa Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 312 South Africa Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 313 South Africa Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 314 South Africa Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 315 Nigeria Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 316 Nigeria Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 317 Nigeria Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 318 Nigeria Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 319 Nigeria Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 320 Nigeria Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 321 Nigeria Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 322 Nigeria Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 323 Rest of LAMEA Healthcare Reimbursement Market, 2020 - 2023, USD Million
  • TABLE 324 Rest of LAMEA Healthcare Reimbursement Market, 2024 - 2031, USD Million
  • TABLE 325 Rest of LAMEA Healthcare Reimbursement Market by Claim, 2020 - 2023, USD Million
  • TABLE 326 Rest of LAMEA Healthcare Reimbursement Market by Claim, 2024 - 2031, USD Million
  • TABLE 327 Rest of LAMEA Healthcare Reimbursement Market by Service Provider, 2020 - 2023, USD Million
  • TABLE 328 Rest of LAMEA Healthcare Reimbursement Market by Service Provider, 2024 - 2031, USD Million
  • TABLE 329 Rest of LAMEA Healthcare Reimbursement Market by Payer, 2020 - 2023, USD Million
  • TABLE 330 Rest of LAMEA Healthcare Reimbursement Market by Payer, 2024 - 2031, USD Million
  • TABLE 331 Key Information - United HealthCare Services, Inc.
  • TABLE 332 Key Information - CVS Health Corporation
  • TABLE 333 Key Information - Allianz Care
  • TABLE 334 Key Information - Reliance Nippon Life Insurance Company Limited
  • TABLE 335 Key Information - The Cigna Group
  • TABLE 336 Key Information - Elevance Health, Inc.
  • TABLE 337 Key Information - Humana Inc.
  • TABLE 338 Key Information - Molina Healthcare, Inc.
  • TABLE 339 Key Information - Centene Corporation
  • TABLE 340 Key Information - MetLife, Inc.
目次

The Global Healthcare Reimbursement Market size is expected to reach $80.86 billion by 2031, rising at a market growth of 17.6% CAGR during the forecast period.

The increasing adoption of government health programs and private insurance schemes, alongside the region's growing aging population and higher healthcare demands and rising healthcare expenditures across countries like China, India, and Japan have played a key role in the growth of this segment. Hence, the Asia Pacific segment witnessed 19% revenue share in the market in 2023. The rapid growth of healthcare infrastructure, expanding healthcare insurance coverage, have also contributed to the substantial revenue share of the Asia Pacific segment in the market.

The combination of an aging population and the rising incidence of chronic diseases places significant pressure on healthcare systems to adapt. Reimbursement models must reflect the changing demographics and provide coverage for long-term care, frequent doctor visits, and specialty treatments. The need to cater to these complex, ongoing healthcare needs drives innovation and growth in the healthcare reimbursement market, spurring the development of more flexible and comprehensive reimbursement systems. Additionally, as healthcare spending shifts toward chronic disease management, long-term care, and the elderly population, the focus on cost-effective reimbursement models becomes even more pressing. This has led to an emphasis on integrating technology to improve reimbursement accuracy, reduce overhead, and enhance patient outcomes. As the market grapples with escalating healthcare expenses, it becomes clear that reimbursement models will need to evolve to accommodate these growing financial pressures, pushing for further advancements in the sector. In conclusion, the increase in chronic diseases and rising healthcare costs and a focus on cost management drives the market's growth.

However, the prevalence of fraud in the healthcare industry forces insurers and providers to invest heavily in fraud prevention and compliance efforts. This raises costs and makes reimbursement systems more complex. While regulatory efforts to combat fraud and billing abuse are improving, these issues remain a significant barrier to market growth. To address this challenge, healthcare organizations are increasingly turning to technology-driven solutions, such as AI and machine learning, to detect and prevent fraudulent activities in real-time, but the issue remains a persistent concern. Thus, healthcare fraud and billing abuse are impeding the market's growth.

Claim Outlook

Based on claim, the market is characterized into underpaid and full paid. The underpaid segment garnered 78% the highest revenue share in the market in 2023. This segment includes cases where healthcare providers are reimbursed for services at rates lower than the actual cost or contracted amount. The prevalence of underpayment can be attributed to insurance claim denials, underfunded health programs, and reimbursement delays. As healthcare providers continue to experience financial pressure due to rising operational costs and reimbursement challenges, the underpaid segment remains a significant focus for industry stakeholders aiming to address billing inefficiencies and improve payment accuracy.

Payer Outlook

On the basis of payer, the market is classified into private payers and public payers. The public payers segment acquired 54% revenue share in the market in 2023. Public payers, which include government-funded programs such as Medicare, Medicaid, and other state-run health insurance schemes, dominate the healthcare reimbursement landscape due to their extensive coverage and large beneficiary base. The growing aging population and increasing healthcare needs have driven expanding public-payer programs. Additionally, implementing policies to improve access to healthcare services has further boosted the prominence of public payers in the market.

Service Provider Outlook

By service provider, the market is divided into hospitals, physician offices, diagnostic laboratories, and others. The physician office segment garnered 20% revenue share in the market in 2023. Physician offices, which include individual and group practices, are essential providers of primary care and specialized medical services. These offices are crucial in managing routine healthcare needs and preventive care, often leading to more frequent reimbursement claims. The shift toward outpatient care and telemedicine, along with the increasing number of insured individuals, has positively impacted the physician office segment, enabling it to capture a significant portion of the healthcare reimbursement market.

Regional Outlook

Region-wise, the market is analyzed across North America, Europe, Asia Pacific, and LAMEA. The North America segment recorded 52% revenue share in the market in 2023. North America, particularly the United States, has a highly developed healthcare system with extensive private and public payer programs such as Medicare, Medicaid, and employer-sponsored health plans. The region's advanced healthcare infrastructure and a large population with access to insurance coverage contribute to its dominant position in the market. Additionally, the increasing adoption of digital health technologies and policy reforms aimed at improving healthcare access further support the growth of the healthcare reimbursement market in North America.

List of Key Companies Profiled

  • United HealthCare Services, Inc.
  • Allianz Care (Allianz Group)
  • CVS Health Corporation (ActiveHealth Management, Inc.)
  • Nippon Life Insurance Company Limited
  • The Cigna Group
  • Elevance Health, Inc.
  • Humana Inc.
  • Molina Healthcare, Inc.
  • Centene Corporation
  • MetLife, Inc.

Global Healthcare Reimbursement Market Report Segmentation

By Claim

  • Underpaid
  • Full Paid

By Service Provider

  • Hospitals
  • Diagnostic Laboratories
  • Physician Office
  • Other Service Provider

By Payer

  • Public Payers
  • Private Payers

By Geography

  • North America
    • US
    • Canada
    • Mexico
    • Rest of North America
  • Europe
    • Germany
    • UK
    • France
    • Russia
    • Spain
    • Italy
    • Rest of Europe
  • Asia Pacific
    • China
    • Japan
    • India
    • South Korea
    • Singapore
    • Malaysia
    • Rest of Asia Pacific
  • LAMEA
    • Brazil
    • Argentina
    • UAE
    • Saudi Arabia
    • South Africa
    • Nigeria
    • Rest of LAMEA

Table of Contents

Chapter 1. Market Scope & Methodology

  • 1.1 Market Definition
  • 1.2 Objectives
  • 1.3 Market Scope
  • 1.4 Segmentation
    • 1.4.1 Global Healthcare Reimbursement Market, by Claim
    • 1.4.2 Global Healthcare Reimbursement Market, by Service Provider
    • 1.4.3 Global Healthcare Reimbursement Market, by Payer
    • 1.4.4 Global Healthcare Reimbursement Market, by Geography
  • 1.5 Methodology for the research

Chapter 2. Market at a Glance

  • 2.1 Key Highlights

Chapter 3. Market Overview

  • 3.1 Introduction
    • 3.1.1 Overview
      • 3.1.1.1 Market Composition and Scenario
  • 3.2 Key Factors Impacting the Market
    • 3.2.1 Market Drivers
    • 3.2.2 Market Restraints
    • 3.2.3 Market Opportunities
    • 3.2.4 Market Challenges
  • 3.3 Porter Five Forces Analysis

Chapter 4. Global Healthcare Reimbursement Market by Claim

  • 4.1 Global Underpaid Market by Region
  • 4.2 Global Full Paid Market by Region

Chapter 5. Global Healthcare Reimbursement Market by Service Provider

  • 5.1 Global Hospitals Market by Region
  • 5.2 Global Diagnostic Laboratories Market by Region
  • 5.3 Global Physician Office Market by Region
  • 5.4 Global Other Service Provider Market by Region

Chapter 6. Global Healthcare Reimbursement Market by Payer

  • 6.1 Global Public Payers Market by Region
  • 6.2 Global Private Payers Market by Region

Chapter 7. Global Healthcare Reimbursement Market by Region

  • 7.1 North America Healthcare Reimbursement Market
    • 7.1.1 North America Healthcare Reimbursement Market by Claim
      • 7.1.1.1 North America Underpaid Market by Region
      • 7.1.1.2 North America Full Paid Market by Region
    • 7.1.2 North America Healthcare Reimbursement Market by Service Provider
      • 7.1.2.1 North America Hospitals Market by Country
      • 7.1.2.2 North America Diagnostic Laboratories Market by Country
      • 7.1.2.3 North America Physician Office Market by Country
      • 7.1.2.4 North America Other Service Provider Market by Country
    • 7.1.3 North America Healthcare Reimbursement Market by Payer
      • 7.1.3.1 North America Public Payers Market by Country
      • 7.1.3.2 North America Private Payers Market by Country
    • 7.1.4 North America Healthcare Reimbursement Market by Country
      • 7.1.4.1 US Healthcare Reimbursement Market
        • 7.1.4.1.1 US Healthcare Reimbursement Market by Claim
        • 7.1.4.1.2 US Healthcare Reimbursement Market by Service Provider
        • 7.1.4.1.3 US Healthcare Reimbursement Market by Payer
      • 7.1.4.2 Canada Healthcare Reimbursement Market
        • 7.1.4.2.1 Canada Healthcare Reimbursement Market by Claim
        • 7.1.4.2.2 Canada Healthcare Reimbursement Market by Service Provider
        • 7.1.4.2.3 Canada Healthcare Reimbursement Market by Payer
      • 7.1.4.3 Mexico Healthcare Reimbursement Market
        • 7.1.4.3.1 Mexico Healthcare Reimbursement Market by Claim
        • 7.1.4.3.2 Mexico Healthcare Reimbursement Market by Service Provider
        • 7.1.4.3.3 Mexico Healthcare Reimbursement Market by Payer
      • 7.1.4.4 Rest of North America Healthcare Reimbursement Market
        • 7.1.4.4.1 Rest of North America Healthcare Reimbursement Market by Claim
        • 7.1.4.4.2 Rest of North America Healthcare Reimbursement Market by Service Provider
        • 7.1.4.4.3 Rest of North America Healthcare Reimbursement Market by Payer
  • 7.2 Europe Healthcare Reimbursement Market
    • 7.2.1 Europe Healthcare Reimbursement Market by Claim
      • 7.2.1.1 Europe Underpaid Market by Country
      • 7.2.1.2 Europe Full Paid Market by Country
    • 7.2.2 Europe Healthcare Reimbursement Market by Service Provider
      • 7.2.2.1 Europe Hospitals Market by Country
      • 7.2.2.2 Europe Diagnostic Laboratories Market by Country
      • 7.2.2.3 Europe Physician Office Market by Country
      • 7.2.2.4 Europe Other Service Provider Market by Country
    • 7.2.3 Europe Healthcare Reimbursement Market by Payer
      • 7.2.3.1 Europe Public Payers Market by Country
      • 7.2.3.2 Europe Private Payers Market by Country
    • 7.2.4 Europe Healthcare Reimbursement Market by Country
      • 7.2.4.1 Germany Healthcare Reimbursement Market
        • 7.2.4.1.1 Germany Healthcare Reimbursement Market by Claim
        • 7.2.4.1.2 Germany Healthcare Reimbursement Market by Service Provider
        • 7.2.4.1.3 Germany Healthcare Reimbursement Market by Payer
      • 7.2.4.2 UK Healthcare Reimbursement Market
        • 7.2.4.2.1 UK Healthcare Reimbursement Market by Claim
        • 7.2.4.2.2 UK Healthcare Reimbursement Market by Service Provider
        • 7.2.4.2.3 UK Healthcare Reimbursement Market by Payer
      • 7.2.4.3 France Healthcare Reimbursement Market
        • 7.2.4.3.1 France Healthcare Reimbursement Market by Claim
        • 7.2.4.3.2 France Healthcare Reimbursement Market by Service Provider
        • 7.2.4.3.3 France Healthcare Reimbursement Market by Payer
      • 7.2.4.4 Russia Healthcare Reimbursement Market
        • 7.2.4.4.1 Russia Healthcare Reimbursement Market by Claim
        • 7.2.4.4.2 Russia Healthcare Reimbursement Market by Service Provider
        • 7.2.4.4.3 Russia Healthcare Reimbursement Market by Payer
      • 7.2.4.5 Spain Healthcare Reimbursement Market
        • 7.2.4.5.1 Spain Healthcare Reimbursement Market by Claim
        • 7.2.4.5.2 Spain Healthcare Reimbursement Market by Service Provider
        • 7.2.4.5.3 Spain Healthcare Reimbursement Market by Payer
      • 7.2.4.6 Italy Healthcare Reimbursement Market
        • 7.2.4.6.1 Italy Healthcare Reimbursement Market by Claim
        • 7.2.4.6.2 Italy Healthcare Reimbursement Market by Service Provider
        • 7.2.4.6.3 Italy Healthcare Reimbursement Market by Payer
      • 7.2.4.7 Rest of Europe Healthcare Reimbursement Market
        • 7.2.4.7.1 Rest of Europe Healthcare Reimbursement Market by Claim
        • 7.2.4.7.2 Rest of Europe Healthcare Reimbursement Market by Service Provider
        • 7.2.4.7.3 Rest of Europe Healthcare Reimbursement Market by Payer
  • 7.3 Asia Pacific Healthcare Reimbursement Market
    • 7.3.1 Asia Pacific Healthcare Reimbursement Market by Claim
      • 7.3.1.1 Asia Pacific Underpaid Market by Country
      • 7.3.1.2 Asia Pacific Full Paid Market by Country
    • 7.3.2 Asia Pacific Healthcare Reimbursement Market by Service Provider
      • 7.3.2.1 Asia Pacific Hospitals Market by Country
      • 7.3.2.2 Asia Pacific Diagnostic Laboratories Market by Country
      • 7.3.2.3 Asia Pacific Physician Office Market by Country
      • 7.3.2.4 Asia Pacific Other Service Provider Market by Country
    • 7.3.3 Asia Pacific Healthcare Reimbursement Market by Payer
      • 7.3.3.1 Asia Pacific Public Payers Market by Country
      • 7.3.3.2 Asia Pacific Private Payers Market by Country
    • 7.3.4 Asia Pacific Healthcare Reimbursement Market by Country
      • 7.3.4.1 China Healthcare Reimbursement Market
        • 7.3.4.1.1 China Healthcare Reimbursement Market by Claim
        • 7.3.4.1.2 China Healthcare Reimbursement Market by Service Provider
        • 7.3.4.1.3 China Healthcare Reimbursement Market by Payer
      • 7.3.4.2 Japan Healthcare Reimbursement Market
        • 7.3.4.2.1 Japan Healthcare Reimbursement Market by Claim
        • 7.3.4.2.2 Japan Healthcare Reimbursement Market by Service Provider
        • 7.3.4.2.3 Japan Healthcare Reimbursement Market by Payer
      • 7.3.4.3 India Healthcare Reimbursement Market
        • 7.3.4.3.1 India Healthcare Reimbursement Market by Claim
        • 7.3.4.3.2 India Healthcare Reimbursement Market by Service Provider
        • 7.3.4.3.3 India Healthcare Reimbursement Market by Payer
      • 7.3.4.4 South Korea Healthcare Reimbursement Market
        • 7.3.4.4.1 South Korea Healthcare Reimbursement Market by Claim
        • 7.3.4.4.2 South Korea Healthcare Reimbursement Market by Service Provider
        • 7.3.4.4.3 South Korea Healthcare Reimbursement Market by Payer
      • 7.3.4.5 Singapore Healthcare Reimbursement Market
        • 7.3.4.5.1 Singapore Healthcare Reimbursement Market by Claim
        • 7.3.4.5.2 Singapore Healthcare Reimbursement Market by Service Provider
        • 7.3.4.5.3 Singapore Healthcare Reimbursement Market by Payer
      • 7.3.4.6 Malaysia Healthcare Reimbursement Market
        • 7.3.4.6.1 Malaysia Healthcare Reimbursement Market by Claim
        • 7.3.4.6.2 Malaysia Healthcare Reimbursement Market by Service Provider
        • 7.3.4.6.3 Malaysia Healthcare Reimbursement Market by Payer
      • 7.3.4.7 Rest of Asia Pacific Healthcare Reimbursement Market
        • 7.3.4.7.1 Rest of Asia Pacific Healthcare Reimbursement Market by Claim
        • 7.3.4.7.2 Rest of Asia Pacific Healthcare Reimbursement Market by Service Provider
        • 7.3.4.7.3 Rest of Asia Pacific Healthcare Reimbursement Market by Payer
  • 7.4 LAMEA Healthcare Reimbursement Market
    • 7.4.1 LAMEA Healthcare Reimbursement Market by Claim
      • 7.4.1.1 LAMEA Underpaid Market by Country
      • 7.4.1.2 LAMEA Full Paid Market by Country
    • 7.4.2 LAMEA Healthcare Reimbursement Market by Service Provider
      • 7.4.2.1 LAMEA Hospitals Market by Country
      • 7.4.2.2 LAMEA Diagnostic Laboratories Market by Country
      • 7.4.2.3 LAMEA Physician Office Market by Country
      • 7.4.2.4 LAMEA Other Service Provider Market by Country
    • 7.4.3 LAMEA Healthcare Reimbursement Market by Payer
      • 7.4.3.1 LAMEA Public Payers Market by Country
      • 7.4.3.2 LAMEA Private Payers Market by Country
    • 7.4.4 LAMEA Healthcare Reimbursement Market by Country
      • 7.4.4.1 Brazil Healthcare Reimbursement Market
        • 7.4.4.1.1 Brazil Healthcare Reimbursement Market by Claim
        • 7.4.4.1.2 Brazil Healthcare Reimbursement Market by Service Provider
        • 7.4.4.1.3 Brazil Healthcare Reimbursement Market by Payer
      • 7.4.4.2 Argentina Healthcare Reimbursement Market
        • 7.4.4.2.1 Argentina Healthcare Reimbursement Market by Claim
        • 7.4.4.2.2 Argentina Healthcare Reimbursement Market by Service Provider
        • 7.4.4.2.3 Argentina Healthcare Reimbursement Market by Payer
      • 7.4.4.3 UAE Healthcare Reimbursement Market
        • 7.4.4.3.1 UAE Healthcare Reimbursement Market by Claim
        • 7.4.4.3.2 UAE Healthcare Reimbursement Market by Service Provider
        • 7.4.4.3.3 UAE Healthcare Reimbursement Market by Payer
      • 7.4.4.4 Saudi Arabia Healthcare Reimbursement Market
        • 7.4.4.4.1 Saudi Arabia Healthcare Reimbursement Market by Claim
        • 7.4.4.4.2 Saudi Arabia Healthcare Reimbursement Market by Service Provider
        • 7.4.4.4.3 Saudi Arabia Healthcare Reimbursement Market by Payer
      • 7.4.4.5 South Africa Healthcare Reimbursement Market
        • 7.4.4.5.1 South Africa Healthcare Reimbursement Market by Claim
        • 7.4.4.5.2 South Africa Healthcare Reimbursement Market by Service Provider
        • 7.4.4.5.3 South Africa Healthcare Reimbursement Market by Payer
      • 7.4.4.6 Nigeria Healthcare Reimbursement Market
        • 7.4.4.6.1 Nigeria Healthcare Reimbursement Market by Claim
        • 7.4.4.6.2 Nigeria Healthcare Reimbursement Market by Service Provider
        • 7.4.4.6.3 Nigeria Healthcare Reimbursement Market by Payer
      • 7.4.4.7 Rest of LAMEA Healthcare Reimbursement Market
        • 7.4.4.7.1 Rest of LAMEA Healthcare Reimbursement Market by Claim
        • 7.4.4.7.2 Rest of LAMEA Healthcare Reimbursement Market by Service Provider
        • 7.4.4.7.3 Rest of LAMEA Healthcare Reimbursement Market by Payer

Chapter 8. Company Profiles

  • 8.1 United HealthCare Services, Inc.
    • 8.1.1 Company Overview
  • 8.2 CVS Health Corporation (ActiveHealth Management, Inc.)
    • 8.2.1 Company Overview
    • 8.2.2 Financial Analysis
    • 8.2.3 Segmental and Regional Analysis
  • 8.3 Allianz Care (Allianz Group)
    • 8.3.1 Company Overview
    • 8.3.2 Financial Analysis
  • 8.4 Reliance Nippon Life Insurance Company Limited
    • 8.4.1 Company Overview
  • 8.5 The Cigna Group
    • 8.5.1 Company Overview
    • 8.5.2 Financial Analysis
    • 8.5.3 Segmental Analysis
  • 8.6 Elevance Health, Inc.
    • 8.6.1 Company Overview
    • 8.6.2 Financial Analysis
    • 8.6.3 Segmental Analysis
  • 8.7 Humana Inc.
    • 8.7.1 Company Overview
  • 8.8 Molina Healthcare, Inc.
    • 8.8.1 Company Overview
  • 8.9 Centene Corporation
    • 8.9.1 Company Overview
  • 8.10. MetLife, Inc.
    • 8.10.1 Company Overview

Chapter 9. Winning Imperatives of Healthcare Reimbursement Market