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Healthcare Reimbursement Market: Global Market Estimation, Dynamics, Regional Share, Trends, Competitor Analysis 2014-2018 and Forecast 2019-2025

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

 

 

Global Healthcare Reimbursement Market:

The global healthcare reimbursement market accounted US$ XX Mn in 2018 and projected to grow at significant CAGR over 2019-2025 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.

 

Initiatives by the Public and Private Entities and Support by the Government

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.

 

North America Accounts the Larger Market Revenue Share in Global Healthcare Reimbursement Market

North America accounted for larger revenue share in global healthcare reimbursement market with significant CAGR owing to the presence of insurance payers and strong reimbursement framework coupled with the prevalence of the Affordable Care Act in the U.S. that has made it’s mandatory for the people of United States must have health insurance coverage. Asia Pacific region is expected to grow at highest CAGR owing to increase in prevalence of chronic diseases and initiation by the government and private entities to offer healthcare reimbursement policies.

 

Competition Assessment

Key player’s profiles in the global healthcare reimbursement market include:

  • 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

 

Key Findings of the Report:

 

  • Global healthcare reimbursement market expanding at significant CAGR over 2019 to 2025 owing to rising government support and strong reimbursement framework.
  • Based on Payers, Underpaid segment of healthcare reimbursement accounted for larger market revenue share in 2018 and projected gain market revenue share over the forecast period
  • Players focusing on collaboration strategies with the government to retain market position in global healthcare reimbursement market

Global Healthcare Reimbursement Market Report Description:

Global healthcare reimbursement market report gives comprehensive outlook on healthcare reimbursement across the globe with special emphasis on key regions such as North America, Europe, Asia Pacific, Latin America, and Middle East and Africa. The report on global healthcare reimbursement market gives historical, current, and future market sizes (US$ Mn) on the basis of product and services, application, sector, and region. This report studies global healthcare reimbursement market dynamics elaborately to identify the current trends & drivers, future opportunities and possible challenges to the key stakeholders operating in the market. In addition, global healthcare reimbursement market report includes human demographics; regulatory scenario, and competition analysis with vividly illustrated the competition dashboard to assess the market competition. Moreover, PBI analyzed global healthcare reimbursement market to better equip clients with possible investment opportunities across the regions (regional Investment Hot-Spots) and market unmet needs (Product Opportunities). Key stakeholders of the global healthcare reimbursement market report include suppliers, manufacturers, marketers, policy makers, and service providers engaged in global healthcare reimbursement products

 

Detailed Segmentation

 

By Claim

  • Underpaid
  • Full Paid

By Payers

  • Private Payers
  • Public Payers

By Service Providers

  • Hospitals
  • Clinics
  • Diagnostic Laboratories
  • Others

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

 

Key Features of the Report:

 

  • The report provides granular level information about the market size, regional market share, historic market (2014-2018) and forecast (2019-2025)
  • 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
  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