Healthcare Reimbursement Global Market Report 2023 – By Claims (Underpaid, Full Paid), By Payers (Private Payers, Public Payers), By Service Provider (Physician Office, Hospitals, Diagnostic Laboratories, Other Service Providers) – Market Size, Trends, And Global Forecast 2023-2032

Hospital daily cash benefit insurance pays out cash while you are in the hospital. It does not replace comprehensive or significant medical coverage. Instead, it is intended to assist you in meeting additional costs that your other insurance may not cover. The main types of hospital daily cash benefit insurance are a rider, standalone cover, and part of health insurance. The rider refers to the hospital cash rider that provides a fixed benefit to the holder. The various terms of coverage include lifetime coverage, term insurance. The different benefits included are emergency admission, accidents, medical treatment, and surgery. The service providers involved are public and private. The global hospital daily cash benefit insurance market is segmented - 1) By Type Of Plan: Rider, Standalone Cover, Part Of Health Insurance 2) By Term Of Coverage: Lifetime Coverage, Term Insurance 3) By Benefit: Emergency Admission, Accident, Medical Treatment, Surgery 4) By Service Provider: Public, Private The global hospital daily cash benefit insurance market grew from $41.58 billion in 2022 to $47.68 billion in 2023 at a compound annual growth rate (CAGR) of 14.7% . The Russia-Ukraine war disrupted the chances of global economic recovery from the COVID-19 pandemic, at least in the short term. The war between these two countries has led to economic sanctions on multiple countries, a surge in commodity prices, and supply chain disruptions, causing inflation across goods and services and affecting many markets across the globe. The hospital daily cash benefit insurance market is expected to grow from $70.8 billion in 2027 at a CAGR of 10.4% . Rising out of the pocket health care expenditure is expected to drive the hospital's daily cash benefit insurance market. Out-of-pocket payments (OOPs) are direct payments made by individuals to healthcare providers at the time of service use. According to the Centers for Medicare and Medicaid Services (CMS) report on National Health Expenditures 2020, the expenditure grew to $4.1 trillion in 2020 and accounted for a GDP of 19.7%. During hospitalization, out-of-pocket hospital expenses include user fees, medicine, diagnostics, procedure charges, transportation, informal charges, and others that have to be borne by the insured. The hospital's daily cash benefit insurance provides a certain fixed amount to the insured during their hospital stay, which the person is free to use as per his/her needs. Hence, an increase in out-of-pocket health care expenditure aids in the growth of the hospital's daily cash benefit insurance market. Major players in the hospital daily cash benefit insurance market are Cigna Corporation, AIA Insurance Group, UnitedHealth Group Inc., Allianz SE, Zurich Insurance Group Ltd., Express Scripts Holding Company, AXA, Aviva PLC., Aetna Inc., and Apollo Munich Health Insurance . The inability to cover the complete medical treatment expenses is anticipated to hinder the hospital's daily cash benefit insurance market’s growth. A hospital cash plan only provides a daily allowance through hospitalization instead, a health insurance plan provides more comprehensive coverage. On average, the hospital's daily cash benefit insurance provides the insured with an amount ranging from $100 to $3000 per day, which is not sufficient for the complete coverage of the treatment, making it a supplement to the health insurance plans. This scenario is likely to act as a hindrance to the growth of the market. Companies are collaborating with digital payment platforms to provide hospital daily cash benefits to policyholders to provide a simple and hassle-free claim process to policyholders for faster reimbursement. For instance, in July 2020, ICICI Lombard partnered with Phone Pe to offer hospital daily cash benefits to Phone Pe users. Similarly, in April 2020, Airtel Payments Bank partnered with Bharti AXA General Insurance for providing hospital cash benefit insurance to their customers. In January 2020, HDFC, an Indian-based provider of housing finance with a presence in banking, life and general insurance, asset management, venture capital, real estate, education, deposits, and educational loans, acquired a majority stake in Apollo Munich health insurance for $334 million. Through this acquisition, Apollo Munich health insurance is renamed HDFC ERGO health insurance to improve customer service experience with a wider range of products and a network of 10000+ cashless hospitals. Apollo Munich Health Insurance is an India-based company formed by the collaboration between Apollo Hospitals and Munich which offers services such as life, health, accident, and travel insurance. North America was the largest region in the hospital daily cash benefit insurance market share in 2022. Asia-Pacific was the second largest market in global hospital daily cash benefit insurance market. The regions covered in the global hospital daily cash benefit insurance market analysis report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, and Africa. The countries covered in the hospital daily cash benefit insurance market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, the UK, and the USA. The hospital daily cash benefit insurance market consists of sales of hospital daily cash benefit insurance products by entities that are engaged in directly underwriting daily hospital cash plans that provide a lump sum amount in case of hospitalization and this amount can be used as per the liberty of the insured. The insurance industry is categorized on the basis of the business model of the firms present in the industry. Some insurance firms may offer other services financial or otherwise. Contributions and premiums are set on the basis of actuarial calculations of probable payouts based on risk factors from experience tables and expected investment returns on reserves. The value of the market is based on the premiums paid by the insured. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included. The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified). The revenues for specified geography are consumption values – that is, they are revenues generated by organizations in the specified geography within the specified market, irrespective of where they are produced. It does not include revenues from resales either further along the supply chain or as part of other products. The hospital daily cash benefit research report is one of a series of new reports from The Business Research Company that provides hospital daily cash benefit statistics, including hospital daily cash benefit industry global market size, regional shares, competitors with hospital daily cash benefit share, detailed hospital daily cash benefit segments, market trends and opportunities, and any further data you may need to thrive in the hospital daily cash benefit industry. This hospital daily cash benefit research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenario of the industry.

Home health care and residential nursing care services are medical services that are provided to patients at their home. These services are used to treat patients that cannot travel to hospitals. The home health care and residential nursing care services market consists of sales of home health care and residential nursing care services and related goods by entities (organizations, sole traders and partnerships) that provide home health care and residential nursing care, including personal services, counselling services, vocational therapies, rest home services, social services, and nutritional services. The main types of home health care and residential nursing care services are home health care providers, retirement communities, nursing care facilities, and orphanages and group homes. A nursing care facility is an in-patient rehabilitation and medical treatment institution staffed by qualified medical personnel. The different expenditure types include public and private which are used by male and female. The global home health care and residential nursing care services market is segmented - 1) By Type: Home Health Care Providers, Retirement Communities, Nursing Care Facilities, Orphanages & Group Homes 2) By End User Gender: Male, Female 3) By Type of Expenditure: Public, Private Subsegments Covered: Home Health Care Agencies, Visiting Nurses, In-Home Hospice Care Services, Assisted Living Facilities Without On-Site Nursing Care, Assisted Living Facilities For The Elderly Without Nursing Care, Continuing Care Retirement Communities, Rest Homes Without Nursing Care The global home health care and residential nursing care services market grew from $1,095.63 billion in 2022 to $1,155.36 billion in 2023 at a compound annual growth rate (CAGR) of 5.5%. The Russia-Ukraine war disrupted the chances of global economic recovery from the COVID-19 pandemic, at least in the short term. The war between these two countries has led to economic sanctions on multiple countries, a surge in commodity prices, and supply chain disruptions, causing inflation across goods and services and affecting many markets across the globe. The home health care and residential nursing care services market is expected to grow to $1,370.63 billion in 2027 at a CAGR of 4.4%. Access to health care services is expected to improve in developing countries, driving the nursing care market in those geographies. Effective implementation of health plans is the core reason for the improvement in healthcare access in many developing countries such as India, China and Latin American countries. Some country-specific health reforms which were set to improve healthcare access include China’s Urban Resident Basic Medical Insurance and New Rural Cooperative Medical Insurance schemes, Brazil’s Unified Health System and Mexico’s Popular Health Insurance. Improvement in healthcare access is expected to have a positive impact on the growth of the nursing care market. Major companies in the home health care and residential nursing care services market include UnitedHealth Group Incorporated, Kaiser Permanente, Encompass home health, Orpea, Genesis Healthcare, Brookdale Senior Living, Golden Living, The Ensign Group, Inc., LHC Group and Amedisys Inc. The nursing care market is expected to be limited by a shortage of trained doctors, consultants, nurses and caregivers in both developed and developing countries. Developing countries face a high shortage of healthcare professionals as the demand for nursing care rises. For example, according to the World Health Organization (WHO), there will be a shortage of 18 million health workers by 2030, with the majority of this personnel coming from low- and lower-middle-income countries. Developed nations are also experiencing a similar crisis. This is mainly due to the lack of right skills, and lack of education and right work experience among the candidates. Going forward, the shortage of healthcare personnel is likely to continue to act as a restraint on the nursing care market. The nursing care industry is adopting big data technologies to monitor patients’ health and offer appropriate care. Big data is large amounts of data that can be analysed to gain insights and drive decision-making. Big data allows the nursing care providers to access to a significant amount of data that can be used to aid health care professionals to identify future health risks and suggest suitable remedies. Home care providers can also use this data to identify the irregularities in the treatment of patients and improve the effectiveness of the treatment. For example, MJHS, a leading home care, palliative, and hospice provider in the US has adopted eCaring, a big data technology solution, to monitor a patient’s health every hour and track individual patient behaviors and health outcomes. Western Europe was the largest region in the home health care and residential nursing care services market in 2022. North America was the second largest region in the home health care and residential nursing care services market. The regions covered in the home health care and residential nursing care services market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, and Africa. The countries covered in the home health care and residential nursing care services market are Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, China, Colombia, Czech Republic, Denmark, Egypt, Finland, France, Germany, Hong Kong, India, Indonesia, Ireland, Israel, Italy, Japan, Malaysia, Mexico, Netherlands, New Zealand, Nigeria, Norway, Peru, Philippines, Poland, Portugal, Romania, Russia, Saudi Arabia, Singapore, South Africa, South Korea, Spain, Sweden, Switzerland, Thailand, Turkey, UAE, UK, USA, Venezuela, and Vietnam. The home health care and residential nursing care services market includes revenues earned by entities by providing home health care and residential nursing care, including personal services, counseling services, vocational therapies, rest home services, social services, and nutritional services. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included. The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified). The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products. The home health care and residential nursing care services market research report is one of a series of new reports from The Business Research Company that provides home health care and residential nursing care services market statistics, including home health care and residential nursing care services industry global market size, home health care and residential nursing care services market regional shares, competitors with a home health care and residential nursing care services market share, detailed home health care and residential nursing care services market segments, home health care and residential nursing care services market trends and opportunities, and any further data you may need to thrive in the home health care and residential nursing care services industry. This home health care and residential nursing care services market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenario of the home health care and residential nursing care services industry.

Medical and diagnostic laboratory services are services that provide diagnostics tests for various diseases. The tests are used for detecting if the person has encountered the disease. Medical and diagnostic laboratory services makes it possible to deliver prompt, affordable, and high-quality diagnostic services in secure settings. The main types of medical and diagnostic laboratory services are diagnostic imaging centres and medical laboratory services. A diagnostic imaging center is a service provider that offers technical or comprehensive diagnostic imaging services. The different expenditure types include public and private that are used in various applications such as cardiology, oncology, neurology, orthopedics, gastroenterology, gynecology, and others. The services are used by males and females. The global medical and diagnostic laboratory services market is segmented - 1) By Type: Diagnostic Imaging Centers, Medical Laboratory Services 2) By Application: Cardiology, Oncology, Neurology, Orthopedics, Gastroenterology, Gynecology, Other Applications 3) By End User Gender: Male, Female 4) By Type of Expenditure: Public, Private Subsegments Covered: Computer Tomography (CT-Scan) Centers, Medical Radiological Laboratories, Dental or Medical X-Ray Laboratories, Ultrasound Imaging Centers, Magnetic Resonance Imaging (MRI) Centers The global medical and diagnostic laboratory services market grew from $169.87 billion in 2022 to $183.84 billion in 2023 at a compound annual growth rate (CAGR) of 8.2%. The Russia-Ukraine war disrupted the chances of global economic recovery from the COVID-19 pandemic, at least in the short term. The war between these two countries has led to economic sanctions on multiple countries, a surge in commodity prices, and supply chain disruptions, causing inflation across goods and services and affecting many markets across the globe. The medical and diagnostic laboratory services market is expected to grow to $240.86 billion in 2027 at a CAGR of 7.0%. The rise in sedentary jobs, busy lifestyles, and changing consumer preferences are affecting the disease profile of the world population, especially non-communicable diseases such as cancer, diabetes, and cardiovascular diseases. Long working hours, less physical activity, and unhealthy eating and drinking habits are major causes of chronic diseases such as diabetes. According to the World Health Organization, chronic disease prevalence rose by 57% globally, in 2020. Tests to diagnose these diseases include HbA1c tests for monitoring diabetes, biopsies, tumor marker tests, bone scans, MRI and CT scans for diagnosis of various cancers, electrocardiograms, chest X-rays, cardiac CT scans, and stress tests for detection of cardiovascular diseases. The increase in the prevalence of lifestyle diseases will increase the demand for tests to diagnose these diseases and thus will drive the medical and diagnostic laboratory services market during the forecast period. Major companies in the medical and diagnostic laboratory services market include Laboratory Corporation of America, Eurofins, Quest Diagnostics Incorporated, Sonic Healthcare Limited, Kaiser Permanente, RadNet, OPKO Health, Myriad Genetics, Charles River Laboratories, Inc., and NeoGenomics Laboratories, Inc. The medical and diagnostic laboratory services market is expected to limit by the rising prevalence of self-care diagnostic equipment. These tools can be used by patients without assistance from medical personnel, to diagnose particular disabilities or disorders. Common self-care diagnostic devices include glucose monitoring devices, blood pressure monitoring devices, sleep apnea monitors and temperature monitors. The ease of use of self-care devices has increased demand for them during the last decade and is expected to increase it further during the forecast period. Some virtual applications are also aiding in the diagnosis of certain health conditions. For instance, iPhone is working on an IOS accessory called Cue, which can be used as a home diagnostic kit. Self-care diagnostics is expected to have a negative impact on the traditional medical and diagnostic laboratory services market during the forecast period by reducing the need for laboratory testing for some basic tests. Medical and diagnostic laboratories are using biomarkers to measure health parameters associated with individual wellness. The health and well-being of individuals can be measured by using biomarkers to assess factors behind sleep disorders and symptoms of stress. Biomarkers such as cortisol, testosterone, and secretory IgA can indicate changes in the immune system relating to physical and mental conditions. This can be used by physicians to know the causative factors behind such conditions. This is a premium service primarily targeted at wealthy individuals and senior employees of corporations. North America was the largest region in the medical and diagnostic laboratory services market in 2022. Asia-Pacific was the second largest region in the medical and diagnostic laboratory services market. The regions covered in the medical and diagnostic laboratory services market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa. The countries covered in the medical and diagnostic laboratory services market are Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, China, Colombia, Czech Republic, Denmark, Egypt, Finland, France, Germany, Hong Kong, India, Indonesia, Ireland, Israel, Italy, Japan, Malaysia, Mexico, Netherlands, New Zealand, Nigeria, Norway, Peru, Philippines, Poland, Portugal, Romania, Russia, Saudi Arabia, Singapore, South Africa, South Korea, Spain, Sweden, Switzerland, Thailand, Turkey, UAE, UK, USA, Venezuela, and Vietnam. The medical and diagnostic laboratory services market includes revenues earned by entities by providing diagnostic services such as diagnostic laboratory services, X-ray, CT scan, and Mammography. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included. The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified). The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products. The medical and diagnostic laboratory services market research report is one of a series of new reports from The Business Research Company that provides medical and diagnostic laboratory services market statistics, including medical and diagnostic laboratory services industry global market size, regional shares, competitors with a medical and diagnostic laboratory services market share, detailed medical and diagnostic laboratory services market segments, market trends and opportunities, and any further data you may need to thrive in the medical and diagnostic laboratory services industry. This medical and diagnostic laboratory services market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenario of the industry.

Healthcare services are the medical services provided to the people who are in need by healthcare professionals, organizations and healthcare workers. These services are provided to patients, families and communities. The main types of healthcare services are medical and diagnostic laboratory services, dental services, home health care and residential nursing care services, residential substance abuse and mental health facilities, hospitals and outpatient care centres, physicians and other health practitioners, all other ambulatory health care services, and ambulance services. The hospitals and outpatient care centres are engaged in providing diagnostic and medical treatment to patients with a wide range of medical conditions. The different expenditure types include public and private which are used by male and female. The global healthcare services market is segmented - 1) By Type: Medical And Diagnostic Laboratory Services, Dental Services, Home Health Care And Residential Nursing Care Services, Residential Substance Abuse And Mental Health Facilities, Hospitals And Outpatient Care Centers, Physicians And Other Health Practitioners, All Other Ambulatory Health Care Services, Ambulance Services 2) By End User Gender: Male, Female 3) By Type of Expenditure: Public, Private Subsegments Covered: Medical Laboratory Services, Diagnostic Imaging Centers, General Dentistry, Oral Surgery, Orthodontics And Prosthodontics, Other Dental Services, Home Health Care Providers, Nursing Care Facilities, Orphanages & Group Homes, Retirement Communities, Residential Mental Health & Intellectual Disability Facilities, Substance Abuse Centers, Hospitals, Outpatient Care Centers, Specialist The global healthcare services market grew from $7,499.75 billion in 2022 to $7,975.87 billion in 2023 at a compound annual growth rate (CAGR) of 6.3%. The Russia-Ukraine war disrupted the chances of global economic recovery from the COVID-19 pandemic, at least in the short term. The war between these two countries has led to economic sanctions on multiple countries, a surge in commodity prices, and supply chain disruptions, causing inflation across goods and services and affecting many markets across the globe. The healthcare services market is expected to grow to $9,816.85 billion in 2027 at a CAGR of 5.3%. Survival rates and quality of life have improved tremendously over the past decade. Medical and technological advances have played an important role in their progress. High technology diagnostics and therapeutic equipment integrating doctors’ practice patterns have improved healthcare services delivery. According to a report by TrendWatch, medical advances are responsible for a 70% improvement in survival rates for heart attack patients and a two-thirds reduction in mortality rates for those suffering from cancer. These factors contribute to the potential growth of the market. Major companies in the healthcare services market include UnitedHealth Group Incorporated, Kaiser Permanente, HCA Healthcare, Fresenius Medical Care AG & Co. KGaA, Tenet Healthcare, Mayo Clinic, Community Health Systems, Laboratory Corporation of America, Cleveland Clinic and Davita Inc. Many federal and state governments are either offering subsidized or free healthcare services to their citizens. Since most of the governments are offering quality healthcare services for free or subsidized rates, patients tend to opt for government healthcare services thereby, limiting the scope for private healthcare services providers. For example, the NHS (National Health Service) of the UK offers free healthcare services to all legal residents and visitors. Going forward, federal and state provisions are expected to be a major restraint on the healthcare services market. The shared medical appointments (SMA) model is being increasingly adopted globally to optimize resources and reduce costs. This is a model generally defined as multiple patients being seen as a group by a multi-disciplinary medical care team for follow-up or routine care. It is being adopted by hospitals to create awareness and counsel individual patients dealing with similar medical conditions. The SMA supplements the traditional physician-patient appointment. SMAs provide individual evaluation and disease management for each patient at the same time that they provide counseling to the patient within a group setting. SMAs are currently used to address diabetes, asthma, ulcerative colitis, MS, cancer, HIV, menopause, insomnia and stress. North America was the largest region in the healthcare services market in 2022. Western Europe was the second largest region in the healthcare services market. The regions covered in the healthcare services market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, and Africa. The countries covered in the healthcare services market are Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, China, Colombia, Czech Republic, Denmark, Egypt, Finland, France, Germany, Hong Kong, India, Indonesia, Ireland, Israel, Italy, Japan, Malaysia, Mexico, Netherlands, New Zealand, Nigeria, Norway, Peru, Philippines, Poland, Portugal, Romania, Russia, Saudi Arabia, Singapore, South Africa, South Korea, Spain, Sweden, Switzerland, Thailand, Turkey, UAE, UK, USA, Venezuela, and Vietnam. The healthcare services market includes revenues earned by entities by providing human healthcare services such as medical and diagnostic laboratory services, dental services, nursing care, residential substance abuse and mental health facilities and other healthcare services. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included. The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified). The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products. Doctors, Primary Care Doctors, Physical Therapists, Optometrists, Chiropractors, Podiatrists, Ground Ambulance Services, Air Ambulance Services, Water Ambulance Services The healthcare services market research report is one of a series of new reports from The Business Research Company that provides healthcare services market statistics, including healthcare services industry global market size, regional shares, competitors with a healthcare services market share, detailed healthcare services market segments, market trends and opportunities, and any further data you may need to thrive in the healthcare services industry. This healthcare services market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenario of the industry.

Payer services help the payers to streamline their business processes and deliver better services to their customers. Organizations that determine service prices, collect payments, handle claims, and pay provider claims are known as payers in the health care sector. Examples of payers include Medicare, Medicaid, and health plan providers. The main outsourcing services in payer services are business process outsourcing services, knowledge process outsourcing services and information technology outsourcing services. The practise of contracting a specific work process or procedures to an external service provider is known as business process outsourcing (BPO). The different applications include revenue cycle management, healthcare reimbursement, medical billing outsourcing, others and is used by various sectors such as public payers, private payers. The global payer services market is segmented - 1)By Outsourcing Services: Business Process Outsourcing Services, Knowledge Process Outsourcing Services, Information Technology Outsourcing Services 2)By Application: Revenue Cycle Management, Healthcare Reimbursement, Medical Billing Outsourcing, Other Applications 3)By End-User: Public Payers, Private Payers The global payer services market size grew from $116.52 billion in 2022 to $134.65 billion in 2023 at a compound annual growth rate (CAGR) of 15.6%. The Russia-Ukraine war disrupted the chances of global economic recovery from the COVID-19 pandemic, at least in the short term. The war between these two countries has led to economic sanctions on multiple countries, a surge in commodity prices, and supply chain disruptions, causing inflation across goods and services and affecting many markets across the globe. The market size of the global payer services is expected to grow from $239.49 billion in 2027 at a CAGR of 15.5%. The increase in healthcare frauds is expected to drive the payer services market for tightening its security systems. Healthcare fraud includes malpractices such as individuals obtaining subsidized or fully-covered prescription pills that are actually unneeded and then selling them on the black market for a profit billing by practitioners for care that they never rendered, filing duplicate claims for the same service rendered, altering the dates and modifying medical records. The healthcare industry continues to suffer losses attributed to frauds and errors. For instance, according to the National Health Care Anti-Fraud Association, in the USA the loss from healthcare fraud was estimated to be $300 billion. Therefore, increasing healthcare fraud in the healthcare industry is propelling the demand for rigid security systems, thereby driving the growth of the payer services market. Major players in the payer services market are United Health Group, Anthem, Concentrix Corporation, United Healthcare, Anthem Inc., Aetna, Inc., CIGNA Corp., HealthPartners, Blue Cross Blue Shield of Massachusetts and Group Health Cooperative. The rising incidences of data breaches and loss of confidentiality have always been a major challenge in the payer service industry. In recent years, the healthcare sector has always been at the forefront in cases of breaching privacy and the resulting loss of confidential data. For instance, according to Hippa Journal, the official publication of the American Health Information Management Association, the Office for Civil Rights (OCR) of the Department of Health and Human Services (HHS) received 347 reports of healthcare data breaches involving 500 or more records between January 1, 2022, and June 30, 2022. Rising incidences of data breaches and loss of confidentiality are thus hampering the growth of the payer service market. Increased adoption of technologically advanced products is gaining substantial popularity in the payer services market. This has led to improved price transparency, affordable payer services, higher utilization of resources, increasing quality reach, and member satisfaction and loyalty towards the service provider. For instance, in January 2022, Jopari, a US-based customer-focused health information technology company supplying advanced medical EDI solutions to payers, launched an All-Payer Attachments model. This is a cost-effective solution that allows a standardized, efficient, and compliant approach that enables providers to deliver electronic Attachments to All Payers, regardless of the payer's preference for electronic or paper submission.This has led to greater transparency and economical alternative for payers. In April 2020, Molina, a US-based company engaged in providing managed care in the field of medicare and medicaid programs, announced that it will purchase Magellan Complete Care (MCC), a managed healthcare organization, in a deal worth about $820 million. The acquisition is expected to expand Molina’s geographic footprint in its core businesses of managed medicaid. Magellan Complete Care (MCC) is a US-based company offering care management solutions. North America was the largest region in the payer services market in 2022. Western Europe was the second largest region in the global payer services market share. The regions covered in the payer services market analysis report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East and Africa. The countries covered in the payer services market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA. The payer services market includes revenues earned by entities by providing BPO services, ITO services, and KPO services. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included. The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified). The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain or as part of other products. The payer services market research report is one of a series of new reports from The Business Research Company that provides payer services market statistics, including payer services industry global market size, regional shares, competitors with a payer services market share, detailed payer services market segments, market trends and opportunities, and any further data you may need to thrive in the payer services industry. This payer services market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenario of the industry.

Healthcare provider network management provides a point for access to information about health insurance plans, government regulations and processes, pricing, and other data within the healthcare organization. The main types of components in the healthcare provider network management market are network management services and network management software. The network management services market refers to services used to provide access to plans of patient care, pathology report results, and medical and pharmacy claims utilization data. The network management services refer to network maintenance, monitoring of devices, and monthly report status. The various deployment types include on-premises and cloud, and the end users are private payers and public payers. The global healthcare provider network management market is segmented - 1) By Component: Network management services, Network management software 2) By Deployment Type: On-Premises, Cloud 3) By End User: Private Payers, Public Payers The global healthcare provider network management market size grew from $3.37 billion in 2022 to $3.94 billion in 2023 at a compound annual growth rate (CAGR) of 16.9%. The Russia-Ukraine war disrupted the chances of global economic recovery from the COVID-19 pandemic, at least in the short term. The war between these two countries has led to economic sanctions on multiple countries, a surge in commodity prices, and supply chain disruptions, causing inflation across goods and services and affecting many markets across the globe. The healthcare provider network management market size is expected to grow to $7.07 billion in 2027 at a CAGR of 15.7%. The rising patient population is expected to propel the growth of the healthcare provider network management market going forward. The patient population refers to individuals living with certain medical conditions and illnesses. With the increasing patient population, the patient flow to hospitals also increases. Healthcare provider network management helps providers monitor patient records to predict hospitalization and readmission and enables them to manage care-management programs. For instance, according to the American Hospital Association, a US-based organization that represents all types of hospitals and health care networks' 2020 Annual Survey, over 33.35 million hospital admissions were registered in the US during 2020. Therefore, the rising patient population is driving the growth of the healthcare provider network management market. Major players in the healthcare provider network management market are Optum Inc., Atos SE, Cognizant, Symphony AyasdiAI, Infosys Technologies Limited, Change Healthcare Inc., SkyGen, McKesson Corporation, Centene Corporation, OSPLabs, Virtusa Corporation, Appian Corporation, Salesforce Inc., Evolent Health Inc., and Coforge. Technological advancement is the key trend gaining popularity in the healthcare provider network management market. Major market players are concentrating their efforts on creating innovative technologies to sustain their position in the market. For instance, in March 2021, Innovaccer Inc., a US-based digital healthcare company, launched a provider network management solution that is powered by the Innovaccer health cloud and an integrated platform to assist healthcare payers to enhance provider network performance, data collection, and analysis. Payers can educate and reach out to providers as well as offer services such as point-of-care alerts to improve quality scores, the total cost of care, and member health value. In January 2022, Centene Corporation, a US-based managed care company, acquired Magellan Health Inc. for a deal amount of $2.2 billion. This acquisition will help Centene Corporation to increase its behavioral and specialty healthcare service portfolio and integrate healthcare solutions for patients at lower medical costs. Magellan Health Inc. is a US-based provider network management organization. North America was the largest region in the healthcare provider network management market in 2022. The regions covered in the healthcare provider network management market analysis report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, and Africa. The countries covered in the healthcare provider network management market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA. The healthcare provider network management market includes revenues earned by software and services. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included. The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified). The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products. The healthcare provider network management market research report is one of a series of new reports from The Business Research Company that provides healthcare provider network management market statistics, including healthcare provider network management industry global market size, regional shares, competitors with a healthcare provider network management market share, detailed healthcare provider network management market segments, market trends and opportunities, and any further data you may need to thrive in the healthcare provider network management industry. This healthcare provider network management market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future state of the industry.

Hospitalization insurance is a type of health insurance policy that pays for hospital stays, outpatient medical treatment, surgery, or any other hospital-related activity involving the insured's health. The main demographics of hospitalization insurance are minors, adults, and senior citizens. Senior citizen's hospitalization insurance refers to the insurance that is provided for people over 60 years. The various service providers are private, public. The different networks are preferred provider organizations (PPOs), points of service (POS), health maintenance organizations (HMOs), exclusive provider organizations (EPOs), and other networks. The global hospitalization insurance market is segmented - 1) By Service Provider: Private, Public 2) By Network: Preferred Provider Organizations (PPOs), Point Of Service (POS), Health Maintenance Organizations (HMOs), Exclusive Provider Organizations (EPOs), Other Networks 3) By Demographics: Minors, Adults, Senior Citizens The global hospitalization insurance market size grew from $101.91 billion in 2022 to $117.03 billion in 2023 at a compound annual growth rate (CAGR) of 14.8%. The Russia-Ukraine war disrupted the chances of global economic recovery from the COVID-19 pandemic, at least in the short term. The war between these two countries has led to economic sanctions on multiple countries, a surge in commodity prices, and supply chain disruptions, causing inflation across goods and services and affecting many markets across the globe. The market size of the hospitalization insurance market is expected to grow from $174.91 billion in 2027 at a CAGR of 10.6%. The growing adoption of health insurance policies by individuals during COVID-19 is expected to fuel the growth of the hospitalization insurance market over the forecast period. The demand for health insurance policies has seen a massive spike during the coronavirus pandemic. The rise in the number of COVID-19 positive cases has made individuals more conscious of the value of buying health insurance. For instance, the officials from the health insurance company, Policybazaar, stated that in March 2020 (from March 6 to March 31) they experienced a rise of 20–30% over 25 days in terms of sales of health insurance policies when compared with sales in February. More specifically, the number of health policies distributed in March was nearly 45,000, compared with roughly 36,000 in January and February 2020. Therefore, the growing adoption of health insurance policies during COVID-19 contributes to the growth of the hospitalization insurance market. Major players in the hospitalization insurance market are Aetna, Anthem Health Insurance, Blue Cross Blue Shield Companies, Cigna, Humana, HCSC, Highmark, Kaiser Permanente, UnitedHealth Group, and Wellcare . The exclusion of various medical treatments from the health policy is expected to limit the growth of the hospitalization insurance market in the forecast period. The exclusion is a policy clause that excludes coverage for certain types of disorders. Insurers use exclusions to break out coverage for factors they are not willing to insure. For example, most insurance companies, such as Royal Sundaram General Insurance Co. Limited, Policy Bazaar, and a few others, do not offer compensation for the use of alternative therapies for the treatment of medical problems. Many insurance benefits do not offer compensation for expenses associated with childbirth and pregnancy. Similarly, infertility and abortion care expenses are not included under these insurance plans. Therefore, the exclusion of various medical treatments from the health policy restrains the growth of the hospitalization insurance market. The integration of blockchain in health insurance is a key trend gaining popularity in the hospitalization insurance market. The incorporation of blockchain in health insurance provides many benefits such as enhancing integrity and protection by offering better control of patient data, reducing regulatory and enforcement costs, and maximizing interactions between health practitioners, insurance providers, and insurers. In November 2020, Tata Consultancy Services joined hands with B3i to launch blackchain solutions for the insurance industry. Through this, the companies aim to apply blockchain technology to insurance and improve data accuracy. In January 2020, HDFC ERGO, a joint venture firm between HDFC and ERGO International AG, one of the insurance subsidiaries of Munich Re Group, acquired a majority stake in Apollo Munich Health Insurance Company for about $200 million (Rs. 1485.15 crores). The acquisition is expected to provide HDFC ERGO an opportunity to grow by increasing its footprint and distribution network. It's a strategic objective, and Apollo Munich is renamed as HDFC ERGO. North America was the largest region in the hospitalization insurance market share in 2022. Asia-Pacific was the second largest market in global hospitalization insurance market. The regions covered in the global hospitalization insurance market analysis report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, and Africa. The countries covered in the hospitalization insurance market are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, the UK, and the USA. The hospitalization insurance market consists of sales of hospitalization insurance products by entities that are engaged in directly underwriting hospitalization insurance policies providing coverage for hospital confinement due to illness, accidents, intensive care of convalescence. The insurance industry is categorized on the basis of the business model of the firms present in the industry. Some insurance firms may offer other services financial or otherwise. Contributions and premiums are set on the basis of actuarial calculations of probable payouts based on risk factors from experience tables and expected investment returns on reserves. The value of the market is based on the premiums paid by the insured. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included. The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified). The revenues for specified geography are consumption values – that is, they are revenues generated by organizations in the specified geography within the specified market, irrespective of where they are produced. It does not include revenues from resales either further along the supply chain or as part of other products. The hospitalization insurance research report is one of a series of new reports from The Business Research Company that provides hospitalization insurance statistics, including hospitalization insurance industry global market size, regional shares, competitors with hospitalization insurance share, detailed hospitalization insurance segments, market trends and opportunities, and any further data you may need to thrive in the hospitalization insurance industry. This hospitalization insurance research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenario of the industry.

The health and medical insurance market consists of sales of health and medical insurance by entities (organizations, sole traders, and partnerships) that are engaged in directly underwriting health and medical insurance policies. Group hospitalization plans and health maintenance organization HMO establishments (except those providing health care services) that provide health and medical insurance policies are included in this industry. Clients of these insurance providers are the general public/companies who buy medical and health insurance policies, it can be either through intermediary or direct selling. Only goods and services traded between entities or sold to end consumers are included.

The global health & medical insurance market is expected to grow from $385.24 billion in 2020 to $390.54 billion in 2021 at a compound annual growth rate (CAGR) of 1.4%. The growth is mainly due to the companies rearranging their operations and recovering from the COVID-19 impact, which had earlier led to restrictive containment measures involving social distancing, remote working, and the closure of commercial activities that resulted in operational challenges. The market is expected to reach $653.4 billion in 2025 at a CAGR of 13.7%.

The health & medical insurance market covered in this report is segmented by type into hospitalization insurance; hospital daily cash benefit insurance; critical illness insurance; domiciliary insurance; others.

The increase in the prevalence of chronic diseases and the expected rise in the geriatric population contributed to the growth of the health & medical insurance market. The elderly population is growing rapidly and is expected to continue, thereby generating a high demand for health & medical insurance to reduce the burden of healthcare expenditure. According to the World Health Organization (WHO), the world’s population aged 60 years and above is projected to increase from 900 million in 2015 to 2 billion by 2050. Moreover, according to the United States Census Bureau, the population aged 65 and over is expected to reach 83.7 million by the end of 2050 in the USA. The probable surge in the aging population suffering from chronic and other diseases requires critical monitoring and surgical procedures, which contributes to the health & medical insurance market.

The long waiting period for pre-existing diseases and an increase in premium with age limit the growth of the health & medical insurance market. The greatest disadvantage of health & medical insurance is cost. The probability of health problems rises with an increase in age and hence the premium amount also goes up with age. Many individual policies can cost several hundred dollars a month and family coverage can be even higher. For instance, in 2020, the average national cost for health insurance in the USA is $456 for an individual and $1,152 for a family per month. Moreover, several medical insurance plans have a waiting period of up to 2-3 years for pre-existing diseases. In addition to this, many health insurance policies do not provide coverage for all types of diseases and conditions. Hence, the premium and long waiting period with health & medical insurance have a negative impact on market growth and expected to restrain the health and medical insurance market during the forecast period.

Major players operating in the health & medical insurance industry are undergoing strategic partnerships and collaborations to expand their consumer base and geographical presence which is likely to be a leading trend in the health & medical insurance market. For instance, in January 2020, Cigna, a health service company, and Oscar, a US-based technology-driven health insurance company announced a partnership to provide commercial health solutions to small businesses. Moreover, in August 2019, Aditya Birla Health Insurance Company Limited, a subsidiary of Aditya Birla Capital collaborated with Axis Bank to provide comprehensive health insurance solutions to its customers.

In November 2018, CVS Health, a US-based healthcare company acquired Aetna Inc., an American healthcare company for $69 billion. Both companies are expected to bring together the largest pharmacy chains and health insurers in the country. CVS Health together with Aetna Inc. plans to provide consumers with improved healthcare access at reduced costs to healthcare experts in home and communities across the country. Aetna Inc. is a US-based managed healthcare company engaged in selling healthcare insurance and related services to meet the needs of individuals, families, and healthcare providers.

The major players covered in the global health and medical insurance market are Allianz Group, UnitedHealth Group Incorporated, AIA Group Limited, Anthem Inc., AXA Equitable Life Insurance Company, China Life Insurance Company Limited, Cigna, HCSC Group, State Farm Group, Zurich Insurance Group, Berkshire Hathaway Inc., Prudential plc, Nippon Life Insurance Company.

The countries covered in the global health and medical insurance market are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA.

The regions covered in the global health and medical insurance market are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa.

The global health and medical insurance market is segmented -

1) By Type: Hospitalization Insurance, Hospital Daily Cash Benefit Insurance, Critical Illness Insurance, Domiciliary Insurance, Others

2) By Service Provider: Private, Public

3) By Demographics: Minor, Adults, Senior Citizen