At what pace is the healthcare reimbursement market growing, and what is its estimated value?
The healthcare reimbursement market size has grown rapidly in recent years. It will grow from $13.41 billion in 2024 to $15.73 billion in 2025 at a compound annual growth rate (CAGR) of 17.3%. The growth in the historic period can be attributed to fee-for-service model, health insurance expansion, third-party payers, cost containment efforts.
The healthcare reimbursement market size is expected to see rapid growth in the next few years. It will grow to $26.71 billion in 2029 at a compound annual growth rate (CAGR) of 14.2%. The growth in the forecast period can be attributed to value-based care, telehealth expansion, healthcare policy and reform, alternative payment models. Major trends in the forecast period include telehealth reimbursement, alternative payment models (apms), medicare access and chip reauthorization act (macra), preauthorization and utilization management.
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What are the top drivers to the rising demand in the healthcare reimbursement market?
The increasing cost of healthcare and supportive government programs are the key factors that are driving the healthcare reimbursement market growth. According to the Journal of the American Medical Association (JAMA), US healthcare costs are expected to reach $6 trillion, which is $17,000 per person by 2027. The rising healthcare cost and supportive government policies increase the number of people opting for payer services and thereby contribute to the growth of the healthcare reimbursement market.
How is the healthcare reimbursement market segmented?
The healthcare reimbursement market covered in this report is segmented –
1) By Claims: Underpaid, Full Paid
2) By Payers: Private Payers, Public Payers
3) By Service Provider: Physician Office, Hospitals, Diagnostic Laboratories, Other Service Providers
Subsegments:
1) By Underpaid Claims: Denied Claims, Partial Payment Claims, Delayed Claims
2) By Full Paid Claims: Timely Paid Claims, Properly Paid Claims
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Who are the top competitors in the healthcare reimbursement market?
Major companies operating in the healthcare reimbursement market include UnitedHealth Group Incorporated, Aviva plc, Allianz SE, CVS Health Corporation, BNP Paribas Group, Aetna Inc., Nippon Life Insurance Company, WellCare Health Plans Inc., AgileHealthInsurance, Blue Cross Blue Shield Association, Kaiser Foundation Health Plan Inc., Anthem Inc., Centene Corporation, Humana Inc., Health Care Service Corporation, Cigna Corporation, Molina Healthcare Inc., Independence Health Group Inc., Health Net LLC, Universal American Corporation, Blue Shield of California, Tufts Health Plan Inc., Fallon Community Health Plan Inc., CareSource, Health Alliance Plan (HAP), Geisinger Health Plan, SelectHealth
What significant trends should we anticipate in the healthcare reimbursement market over the forecast period?
Companies in the healthcare reimbursement market are providing options of value-based care models to cater to better experiences for the patients. Value-based care models are based on the quality of patient’s treatment and how well healthcare providers can improve their quality by adhering to certain metrics such as reducing hospital readmissions, improving preventative care, and using particular kinds of certified health technology and help lower healthcare costs. For instance, UnitedHealth stated that revenue per consumer served increased by 29% in 2022, driven by growth in patients served under value-based arrangements.
Which regional trends are influencing the healthcare reimbursement market, and which area dominates the industry?
North America was the largest region in the healthcare reimbursement market in 2023. Western Europe was the second largest region in the healthcare reimbursement market. The regions covered in the healthcare reimbursement market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa
What Does The Healthcare Reimbursement Market Report 2025 Offer?
The healthcare reimbursement market research report from The Business Research Company offers global market size, growth rate, regional shares, competitor analysis, detailed segments, trends, and opportunities.
Healthcare reimbursement refers to the payment that hospitals, doctors, and other healthcare providers receive for providing medical services to patients. This payment is often made by health insurance companies, government programs, or by the patient themselves, depending on the coverage. Reimbursement covers costs for various treatments, procedures, tests, and medications, ensuring that providers are compensated for their services and patients can access necessary care without upfront costs.
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