Healthcare Reimbursement Market

Healthcare Reimbursement Market Size, Share & Trends Analysis
Report and Segment Forecast, 2026| Grand View Research, Inc
“The global healthcare reimbursement market size is expected to reach USD 20.45
trillion by 2026.”
The global Healthcare Reimbursement Market size is expected to reach USD 20.45 trillion by 2026, according
to a new report by Grand View Research, Inc., exhibiting a CAGR of 19.0% during the forecast period.
Supportive government initiatives along with rising cost of prescription medicines are likely to work in favor of
the market.
The U.S. Affordable Care Act focuses on controlling and minimizing costs of healthcare. The law supports
innovative methods to deliver medical care to reduce healthcare costs and makes affordable health insurance
available to more people. Since the Obamacare came into effect in 2014, the number of uninsured children
under the age of 18 in the U.S. reduced to 5.0% in 2015 as compared to 9% in 2008.
In addition, the Centre for Medicare & Medicaid Services is working towards delivery of reliable high-quality
care, endorsement of efficient results in healthcare system, and making health insurance affordable for millions
of Americans who are seeking and getting coverage. The Medicaid spending in the U.S. grew by 3.9% in 2016 or
17.0% of the total National Health Expenditure. And Medicare spending grew by 3.6% in 2016 or 20.0% of the
total National Health Expenditure.
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The underpaid segment is anticipated to dominate the market through 2026 owing to growing cases of frauds
against government healthcare programs and increasing use of healthcare services that are not medically
required. There have been several cases where businesses and individuals have defrauded federal and state
government healthcare programs by submitting false claims for healthcare services, treatment, pharmaceutical,
and medical devices that were never rendered.
Also, the rivalry among healthcare providers and rising pressure from commercial and public payers to reduce
costs as well as to improve care are shifting their focus towards value-based care models from volume-based
healthcare models.
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Further Key Findings from the Report Suggest:

Underpaid emerged as the largest segment in 2017 owing to increasing number of insurance plans that
do not cover full reimbursement

On the basis of payers, private players accounted for the leading share in the market in 2017 owing to
presence of a large number of private players

North America dominated the market in 2017. A raft of insurance players and strong reimbursement
framework are facilitating the dominance of the region

The market in Asia Pacific is projected to witness rapid growth during the forecast period owing to rising
penetration of insurance services in rural and urban areas

Some of the market players are UnitedHealth Group, Allianz, Aviva, Aetna, Nippon Life Insurance, CVS
Health, WellCare Health Plans, BNP Paribas, The Blue Cross Blue Shield Association, and
AgileHealthInsurance.
Grand View Research has segmented the global healthcare reimbursement market based on claim, payers,
service provider, and region:
Healthcare Reimbursement Claim Outlook (Revenue, USD Million, 2014 - 2026)
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
Underpaid

Full Paid
Healthcare Reimbursement Payers Outlook (Revenue, USD Million, 2014 - 2026)

Private Payers

Public Payers
Healthcare Reimbursement Service Providers Outlook (Revenue, USD Million, 2014 - 2026)

Physician office

Hospitals

Diagnostic Laboratories

Others
Healthcare Reimbursement Regional Outlook (Revenue, USD Million, 2014 - 2026)




North America
o
U.S.
o
Canada
Europe
o
U.K.
o
Germany
Asia Pacific
o
India
o
China
Latin America
o
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Brazil
o

Mexico
Middle East & Africa
o
South Africa
o
Saudi Arabia
Table of Content of Healthcare Reimbursement Market
Chapter 1 Report Scope
1.1 Segment Market Scope
1.2 Regional Scope
1.3 Estimates and Forecast Timeline
Chapter 2 Methodology
2.1 Research Methodology
2.1.1 Information procurement
2.2 Information or Data Analysis
2.3 Market Formulation & Validation
2.4 Region Wise Market Calculation
2.4.1 Region Wise Market: Base Estimates
2.4.2 Global Market: CAGR Calculation
2.5 Region Based Segment Share Calculation
2.6 Model Details
2.6.1 Commodity flow analysis (Model 1)
2.6.2 Volume price analysis (model 2)
2.7 List of Secondary Sources
2.8 List of Primary Sources
2.9 List of Abbreviations
Chapter 3 Objectives
3.1 Objective - 1: Understanding the market dynamics
3.2 Objective - 2: Understanding the market estimates and forecasts
3.3 Objective - 3: Understanding the attributes such as strategy framework, competitor categorization
3.4 Objective - 4: Understanding the key end-users, technological, application and product scopes
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Chapter 4 Executive Summary
Chapter 5 Market Definition
Chapter 6 Industry Outlook
6.1 Market Segmentation
6.2 Business Segment Trends
6.2.1 Product business analysis
6.2.2 regional business analysis
6.3 Market Variable Analysis
6.3.1 Market driver analysis
6.3.1.1 Increasing cost of healthcare
6.3.1.2 Supportive Government Programs
6.3.2 Market restraint analysis
6.3.2.1 Complex Framework
6.4 Business Environment Analysis tools
6.4.1 SWOT Analysis, by PEST
6.4.2 Porter’s five forces analysis
6.4.3 Industry Analysis - Ansoff Matrix
Chapter 7 Competitive & Vendor Landscape
7.1 Participant Categorization
7.1.1 Innovators
7.2 Strategy Mapping
7.2.1 Acquisition:
7.2.2 Collaboration:
7.2.3 New Product Launch:
7.2.4 Expansion:
7.2.5 Partnerships:
Chapter 8 Healthcare Reimbursement Market: Claim Estimates & Trend Analysis
8.1 Healthcare reimbursement Market: Claim Movement Analysis
8.2 Fully Paid
8.2.1 Fully Paid market estimates and forecasts, 2014 - 2026 (USD Billion)
8.3 Underpaid
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8.3.1 Underpaid market estimates and forecasts, 2014 - 2026 (USD Billion)
Chapter 9 Healthcare Reimbursement Market: Payer Estimates & Trend Analysis
9.1 Healthcare reimbursement Market: Payer Movement Analysis
9.2 Private Payers
9.2.1 Private payers market estimates and forecasts, 2014 - 2026 (USD Billion)
9.3 Public Payers
9.3.1 Public payers market estimates and forecasts, 2014 - 2026 (USD Billion)
Chapter 10 Healthcare Reimbursement Market: Service Provider Estimates & Trend Analysis
10.1 Healthcare reimbursement Market: Service Provider Movement Analysis
10.2 Physician office
10.2.1 Physician office market estimates and forecasts, 2014 - 2026 (USD Billion)
10.3 Hospitals
10.3.1 Hospitals market estimates and forecasts, 2014 - 2026 (USD Billion)
10.4 Diagnostic Laboratories
10.4.1 Diagnostic Laboratories market estimates and forecasts, 2014 - 2026 (USD Billion)
10.5 Others
10.5.1 Others market estimates and forecasts, 2014 - 2026 (USD Billion)
Chapter 11 Regional Outlook
11.1 Healthcare reimbursement Market: Regional Movement Analysis
11.2 North America
11.2.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.2.2 U.S.
11.2.2.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.2.3 Canada
11.2.3.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.3 Europe
11.3.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.3.2 U.K.
11.3.2.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.3.3 Germany
11.3.3.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
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11.3.4 RoE
11.3.4.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.4 Asia Pacific
11.4.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.4.2 Japan
11.4.2.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.4.3 China
11.4.3.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.4.4 Rest of Asia Pacific
11.4.4.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.5 Latin America
11.5.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.5.2 Brazil
11.5.2.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.5.3 Mexico
11.5.3.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.5.4 Rest of Latin america
11.5.4.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.6 MEA
11.6.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.6.2 South Africa
11.6.2.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.6.3 Saudi Arabia
11.6.3.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
11.6.4 RoMEA
11.6.4.1 Market estimates and forecasts, 2014 - 2026 (USD Billion)
Chapter 12 Company Profiles
12.1 Strategic Framework
12.2 Company Profiles
12.2.1 Unitedhealth group
12.2.1.1 Company overview
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12.2.1.2 Financial performance
12.2.1.3 service benchmarking
12.2.1.4 Strategic initiatives
12.2.2 Aviva
12.2.2.1 Company overview
12.2.2.2 Financial performance
12.2.2.3 Service benchmarking
12.2.3 Allianz Group
12.2.3.1 Company overview
12.2.3.2 Financial performance
12.2.3.3 Service benchmarking
12.2.3.4 Strategic initiatives
12.2.4 CVS Health
12.2.4.1 Company overview
12.2.4.2 Financial performance
12.2.4.3 Service benchmarking
12.2.4.4 Strategic initiatives
12.2.5 BNP PAribas
12.2.5.1 Company overview
12.2.5.2 Financial performance
12.2.5.3 Service benchmarking
12.2.6 Aetna
12.2.6.1 Company overview
12.2.6.2 Financial performance
12.2.6.3 Service benchmarking
12.2.7 Nippon Life Insurance
12.2.7.1 Company overview
12.2.7.2 Financial performance
12.2.7.3 Service benchmarking
12.2.7.4 Strategic initiatives
12.2.8 Wellcare Health Plans
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12.2.8.1 Company overview
12.2.8.2 Financial performance
12.2.8.3 Service benchmarking
12.2.8.4 Strategic Initiatives
12.2.9 AgileHealthInsurance
12.2.9.1 Company overview
12.2.9.2 Service benchmarking
12.2.9.3 Strategic initiatives
12.2.10 The Blue Cross Blue Shield Association
12.2.10.1 Company overview
12.2.10.2 Service benchmarking
12.2.10.3 Strategic initiatives
Chapter 13 KOL Commentary
13.1 Key Insights
13.2 KOL Views
Chapter 14 Recommendations
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About Us:
Grand View Research, Inc. is a U.S. based market research and consulting company, registered in the State of
California and headquartered in San Francisco. The company provides syndicated research reports, customized
research reports, and consulting services. To help clients make informed business decisions, the company offers
market intelligence studies ensuring relevant and fact-based research across a range of industries including
technology, chemicals, materials, healthcare and energy.
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Blog: https://healthcareforecastreport.blogspot.com/
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The global healthcare reimbursement market size is expected to reach USD 20.45 trillion by 2026

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