¼¼°è ÇコÄɾî û±¸ °ü¸® ½ÃÀå : Á¦Ç° À¯Çüº°, ¼­ºñ½ºº°, Àü°³º°, ¼Ö·ç¼Çº°, ±¹°¡º°, Áö¿ªº° - »ê¾÷ ºÐ¼®, ½ÃÀå ±Ô¸ð, ½ÃÀå Á¡À¯À² ¿¹Ãø(2023³â-2030³â)
Healthcare Claims Management Market, By Product Type, By Service, By Deployment, By Solution, By Country, and By Region - Industry Analysis, Market Size, Market Share & Forecast from 2023-2030
»óǰÄÚµå : 1408888
¸®¼­Ä¡»ç : AnalystView Market Insights
¹ßÇàÀÏ : 2024³â 01¿ù
ÆäÀÌÁö Á¤º¸ : ¿µ¹® 311 Pages
 ¶óÀ̼±½º & °¡°Ý (ºÎ°¡¼¼ º°µµ)
US $ 3,250 £Ü 4,574,000
PDF (Single User License) help
PDF º¸°í¼­¸¦ 1¸í¸¸ ÀÌ¿ëÇÒ ¼ö ÀÖ´Â ¶óÀ̼±½ºÀÔ´Ï´Ù. Àμ⠺Ұ¡´ÉÇϸç, ÅØ½ºÆ®ÀÇ Copy&Pasteµµ ºÒ°¡´ÉÇÕ´Ï´Ù.
US $ 4,650 £Ü 6,544,000
PDF (5 User License) help
PDF º¸°í¼­¸¦ µ¿ÀÏ »ç¾÷Àå¿¡¼­ 5¸í±îÁö ÀÌ¿ëÇÒ ¼ö ÀÖ´Â ¶óÀ̼±½ºÀÔ´Ï´Ù. Àμ⠰¡´ÉÇϸç Àμ⹰ÀÇ ÀÌ¿ë ¹üÀ§´Â PDF ÀÌ¿ë ¹üÀ§¿Í µ¿ÀÏÇÕ´Ï´Ù.
US $ 5,650 £Ü 7,952,000
PDF & Excel (Enterprise User License) help
PDF & Excel º¸°í¼­¸¦ µ¿ÀÏ ±â¾÷ ³» ¸ðµç »ç¿ëÀÚ°¡ »ç¿ëÇÒ ¼ö ÀÖ´Â ¶óÀ̼±½ºÀÔ´Ï´Ù. ÅØ½ºÆ®ÀÇ Copy&Paste °¡´ÉÇÕ´Ï´Ù. Àμ⠰¡´ÉÇϸç Àμ⹰ÀÇ ÀÌ¿ë ¹üÀ§´Â PDF ÀÌ¿ë ¹üÀ§¿Í µ¿ÀÏÇÕ´Ï´Ù.


¤± Add-on °¡´É: °í°´ÀÇ ¿äû¿¡ µû¶ó ÀÏÁ¤ÇÑ ¹üÀ§ ³»¿¡¼­ CustomizationÀÌ °¡´ÉÇÕ´Ï´Ù. ÀÚ¼¼ÇÑ »çÇ×Àº ¹®ÀÇÇØ Áֽñ⠹ٶø´Ï´Ù.

Çѱ۸ñÂ÷

º¸°í¼­ ÇÏÀ̶óÀÌÆ®

ÇコÄɾî û±¸ °ü¸® ½ÃÀå ±Ô¸ð´Â 2022³â¿¡ 214¾ï 5,940¸¸ ´Þ·¯·Î Æò°¡µÇ¾ú°í(2023³â)ºÎÅÍ 2030³â¿¡ °ÉÃÄ º¹ÇÕ ¿¬°£ ¼ºÀå·ü(CAGR) 25.4%·Î È®´ëµÉ Àü¸ÁÀÔ´Ï´Ù.

.°Ç°­ °ü¸® û±¸ °ü¸® ½ÃÀå - ½ÃÀå ¿ªÇÐ

´ë»ó Àα¸¿¡ °íǰÁú ÀÇ·á ¼­ºñ½º Á¦°ø Áß½ÃÀÇ ³ô¾ÆÁü°ú ±â¼ú ÁÖµµÇü ¼­ºñ½ºÀÇ Ã¤¿ë È®´ë°¡ ½ÃÀå ¼ö¿ä¸¦ ÃËÁø

ÇコÄɾî û±¸ °ü¸® ¼¼°è ½ÃÀåÀº ´ë»ó Àα¸¿¡ÀÇ °íǰÁúÀÇ Çコ ÄÉ¾î ¼­ºñ½ºÀÇ Á¦°ø Áß½ÃÀÇ °íÁ¶³ª, ±â¼ú ÁÖµµÇü ¼­ºñ½ºÀÇ Ã¤¿ë È®´ë µî, ´Ù¾çÇÑ ¿äÀο¡ ÀÇÇØ Å©°Ô È®´ëµÇ°í ÀÖ½À´Ï´Ù. ¶ÇÇÑ, ±Þ¼ºÀåÇÏ´Â ÀǷẸÇè ºÐ¾ß¿Í ÀÎÅÍ³Ý ÀÌ¿ëÀÇ ±ÞÁõ, µðÁöÅÐÈ­°¡ ¾÷°è ÀüüÀÇ ¼ºÀå¿¡ Ç÷¯½º¿¡ ±â¿©Çϰí ÀÖ½À´Ï´Ù. °Ô´Ù°¡ ¼¼°èº¸°Ç±â±¸(WHO)ÀÇ ¡°Administration Mistakes:Technical Workshop on Safer Primary Healthcare 2016¡± Á¶»ç¿¡ ÀÇÇϸé 1Â÷ ÇコÄɾ¼­ÀÇ ÀÇ·á ½Ç¼öÀÇ 5-50%´Â °ü¸®»óÀÇ °£°ú°¡ ¿øÀÎÀÌ µÇ°í ÀÖ½À´Ï´Ù. ÀÌ ÀνÄÀº ¼­ºñ½º¿Í ¼ÒÇÁÆ®¿þ¾î¸¦ ¸ðµÎ Æ÷ÇÔÇÏ´Â ÀÇ·áºñ û±¸ ¹× û±¸ ó¸® °ü¸®¿Í °°Àº µðÁöÅÐ Á¤¹Ð ¼Ö·ç¼ÇÀÇ Çʿ伺À» °­Á¶ÇÕ´Ï´Ù. ÀÌ·¯ÇÑ ¿äÀεéÀÌ ÇÔ²² ÀÌ »ê¾÷Àº Å©°Ô ¼ºÀåÇÒ °ÍÀ¸·Î ¿¹»óµË´Ï´Ù.

ÀÇ·á °ü¸® °ü¸® ½ÃÀå - ÁÖ¿ä ÀλçÀÌÆ®·Â

¸®¼­Ä¡ ¾Ö³Î¸®½ºÆ®ÀÇ ºÐ¼®¿¡ µû¸£¸é ¼¼°è ½ÃÀåÀº ¿¹Ãø ±â°£ µ¿¾È ¾à º¹ÇÕ ¿¬°£ ¼ºÀå·ü(CAGR) 25.4%·Î ¸Å³â ¼ºÀåÇÒ °ÍÀ¸·Î ¿¹ÃøµË´Ï´Ù.

Á¦Ç° À¯Çüº°·Î ÀÇ·áºñ û±¸´Â 2022³â ÃÖ´ë ½ÃÀå Á¡À¯À²À» ³ªÅ¸³¾ °ÍÀ¸·Î ¿¹ÃøµË´Ï´Ù.

¼­ºñ½ºº°·Î ¼ÒÇÁÆ®¿þ¾î´Â 2022³âÀÇ ÁÖ¿ä À¯ÇüÀÔ´Ï´Ù.

Àü°³º°·Î´Â ¿ÂÇÁ·¹¹Ì½ºÇüÀÌ 2022³âÀÇ ÁÖ¿ä À¯ÇüÀ̾ú½À´Ï´Ù.

Áö¿ªº°·Î ºÏ¹Ì´Â 2022³â ÁÖ¿ä ¼öÀÍ¿øÀÌ µÇ¾ú½À´Ï´Ù.

ÀÇ·á °ü¸® °ü¸® ½ÃÀå - ¼¼ºÐÈ­ ºÐ¼® :

ÀÇ·áºñ û±¸ °ü¸® ¼¼°è ½ÃÀåÀº Á¦Ç° À¯Çü, ¼­ºñ½º, ¹èÆ÷, ¼Ö·ç¼Ç ¹× Áö¿ª¿¡ µû¶ó ¼¼ºÐÈ­µË´Ï´Ù.

½ÃÀåÀº Á¦Ç° À¯Çü¿¡ µû¶ó µÎ °¡Áö ¹üÁÖ·Î ³ª´¹´Ï´Ù. ÀÇ·áºñ û±¸ ó¸®(Medical Billing)¿Í ÀÇ·áºñ û±¸ ó¸®(Claims Processing)ÀÔ´Ï´Ù. 2022³â¿¡ °¡Àå Å« ÆÇ¸Å Á¡À¯À²À» Â÷ÁöÇÑ °ÍÀº ÀÇ·á û±¸ ó¸® ºÐ¾ß¿´½À´Ï´Ù. ÀÌ ºÐ¾ßÀÇ ÁÖ¿ä ÃËÁø¿äÀÎÀ¸·Î´Â ÀÎÅÍ³Ý ÀÌ¿ë Áõ°¡, µðÁöÅÐÈ­, °Ç°­ °ü¸® ÁöÃâ Áõ°¡, ¸®½ºÅ© ¹× ÄÄÇöóÀ̾𽺠°ü¸® ¼ö¿ä µîÀÌ ÀÖ½À´Ï´Ù. ¸ÞµðÄà ºô¸µÀº Àü¹® ºô¸µ°ú ÀνºÆ¼Æ©¼Å³Î ºô¸µÀ¸·Î ºÐ·ùµË´Ï´Ù. Àü¹® ºô¸µÀº ÀÇ»ç¿Í ÀÇ·á Àü¹®°¡°¡ ½Ç½ÃÇÑ ÀÇ·á ¼­ºñ½º ¹× Ä¡·á¿¡ ´ëÇÑ Ã»±¸¼­¸¦ ÇǺ¸ÇèÀÚ¿¡°Ô Á¦ÃâÇÏ´Â °ÍÀÔ´Ï´Ù. ÀÇ»çÀÇ Ã»±¸¿Í Àü¹®°¡ÀÇ Ã»±¸¸¦ ±¸º°ÇÏ´Â Áß¿äÇÑ Á¡Àº ÀÇ·á ÄÚµùÀÌ Æ÷ÇԵȴٴ °ÍÀÔ´Ï´Ù.

½ÃÀåÀº ¼­ºñ½º¿¡ µû¶ó µÎ °¡Áö ¹üÁÖ·Î ³ª´¹´Ï´Ù. ¼ÒÇÁÆ®¿þ¾î ¹× ¼­ºñ½º. 2022³â¿¡´Â ¼ÒÇÁÆ®¿þ¾î ºÐ¾ß°¡ ÃÖ´ë ¼öÀÍ Á¡À¯À²À» ¾ò°í ¿¹Ãø ±â°£ µ¿¾È¿¡µµ ¿ìÀ§¸¦ À¯ÁöÇÒ °ÍÀ¸·Î ¿¹»óµË´Ï´Ù. ÀüüÀûÀÎ µðÁöÅÐÈ­¿¡ ÀÇÇØ ÇコÄÉ¾î »ê¾÷Àº Å©°Ô º¯¸ðÇØ, ȯÀÚÀÇ Ä¡·á Áöµµ ½Ã½ºÅÛ, ºñ¿ë È¿À²ÀûÀÎ ·Îº¿ û±¸ ¹× û±¸ ó¸® ½Ã½ºÅÛÀ» ÅëÇØ Çコ ÄÉ¾î µ¥ÀÌÅÍ¿¡ÀÇ ¿ëÀÌÇÑ ¾×¼¼½º¸¦ Á¦°øÇÏ´Â ¼ÒÇÁÆ®¿þ¾î ±â¼ú µîÀÇ Áøº¸°¡ µµÀԵǾú½À´Ï´Ù. ÇコÄɾî û±¸ ¹× û±¸ ó¸® ¼ÒÇÁÆ®¿þ¾î´Â û±¸ Á¤¹Ðµµ Çâ»ó, °ü¸® ½Ç¼ö °¨¼Ò, º¸Çè û±¸ °ÅºÎ °¨¼Ò, ¼ÛÀå ÃßÀû, ½Å¼ÓÇÑ ÁöºÒ µî ¼ö¸¹Àº ÀÌÁ¡À» Á¦°øÇÏ¿© È¿À²¼º°ú Á¤¹Ðµµ¸¦ ´õ¿í Çâ»ó½Ãŵ´Ï´Ù.

ÀÇ·á °ü¸® °ü¸® ½ÃÀå - Áö¸®Àû ÀλçÀÌÆ®

Áö¿ªÀûÀ¸·Î, ÀÌ ½ÃÀåÀº ºÏ¹Ì, ¶óƾ¾Æ¸Þ¸®Ä«, À¯·´, ¾Æ½Ã¾ÆÅÂÆò¾ç ¹× Áßµ¿ ¹× ¾ÆÇÁ¸®Ä«ÀÇ °¢ Áö¿ªÀ¸·Î ÆÛÁ® ÀÖ½À´Ï´Ù. ÀÌ Áö¿ªÀº ºñÁî´Ï½º¸¦ Á¦°øÇÏ´Â ±¹°¡¿¡ ÀÇÇØ ´õ ³ª´¹´Ï´Ù.

ÀÇ·á °ü¸® °ü¸® ½ÃÀå - °æÀï ±¸µµ:

ÇコÄɾî û±¸ °ü¸® ½ÃÀå¿¡¼­ ±â¾÷Àº ÇコÄɾî Ŭ·¹ÀÓÀÇ Á¦Ãâ, ó¸®, ȯºÒÀ» °£¼ÒÈ­Çϱâ À§ÇØ AI ÁÖµµÀÇ Åø°ú Ŭ¶ó¿ìµå ±â¹Ý Ç÷§Æû µîÀÇ ¼±Áø ±â¼úÀ» µµÀÔÇÏ´Â °ÍÀ» ¿ì¼±Çϰí ÀÖ½À´Ï´Ù. °¢ ȸ»ç´Â È¿À²¼º, Á¤È®¼º ¹× HIPAA¿Í °°Àº ¾ö°ÝÇÑ °Ç°­ °ü¸® ±ÔÁ¤¿¡ ´ëÇÑ ÄÄÇöóÀ̾𽺸¦ °­È­ÇÏ´Â µ¥ ÁßÁ¡À» µÓ´Ï´Ù. ÀÚµ¿È­¸¦ ÅëÇÑ °ü¸® ºñ¿ë Àý°¨À» À§ÇØ »ç¿ëÀÚ Ä£È­Àû ÀÎ ÀÎÅÍÆäÀ̽º¿Í °³º° Áö¿øÀ» Á¦°øÇÏ¿© °í°´¿¡ ÁßÁ¡À» µÐ ¼Ö·ç¼ÇÀ» »ç¿ëÀÚ Á¤ÀÇÇÕ´Ï´Ù. ÇコÄɾî ÀÌÇØ°ü°èÀÚ¿ÍÀÇ Çù¾÷À» ÅëÇØ Çõ½ÅÀ» ÃßÁøÇÏ°í ¼­ºñ½º Á¦°øÀÇ ÆøÀ» ³ÐÇô °á±¹ °áÁ¦Ã³¸® ÃÖÀûÈ­, ¿¡·¯ ÃÖ¼ÒÈ­, ÇコÄÉ¾î »óȯ ÇÁ·Î¼¼½º ÀüüÀÇ °­È­¸¦ ¸ñÇ¥·Î Çϰí ÀÖ½À´Ï´Ù.

¸ñÂ÷

Á¦1Àå ¼¼°è ÇコÄɾî û±¸ °ü¸® ½ÃÀå °³¿ä

Á¦2Àå ÁÖ¿ä ¿ä¾à

Á¦3Àå ¼¼°è ÇコÄɾî û±¸ °ü¸®ÀÇ ÁÖ¿ä ½ÃÀå µ¿Çâ

Á¦4Àå ¼¼°è ÇコÄɾî û±¸ °ü¸® ¾÷°èÀÇ Á¶»ç

Á¦5Àå ¼¼°è ÇコÄɾî û±¸ °ü¸® ½ÃÀå : COVID-19ÀÇ ¿µÇ⠺м®

Á¦6Àå ¼¼°è ÇコÄɾî û±¸ °ü¸® ½ÃÀå »óȲ

Á¦7Àå ¼¼°è ÇコÄɾî û±¸ °ü¸® ½ÃÀå : Á¦Ç° À¯Çüº°

Á¦8Àå ¼¼°è ÇコÄɾî û±¸ °ü¸® ½ÃÀå : ¼­ºñ½ºº°

Á¦9Àå ¼¼°è ÇコÄɾî û±¸ °ü¸® ½ÃÀå : Àü°³º°

Á¦10Àå ¼¼°è ÇコÄɾî û±¸ °ü¸® ½ÃÀå : ¼Ö·ç¼Çº°

Á¦11Àå ¼¼°è ÇコÄɾî û±¸ °ü¸® ½ÃÀå :Áö¿ªº°

Á¦12Àå ÁÖ¿ä º¥´õ ºÐ¼® : ÇコÄɾî û±¸ °ü¸® ¾÷°è

Á¦13Àå ¾Ö³Î¸®½ºÆ®ÀÇ Àü¹æÀ§ Àü¸Á

BJH
¿µ¹® ¸ñÂ÷

¿µ¹®¸ñÂ÷

REPORT HIGHLIGHT

Healthcare Claims Management Market size was valued at USD 21,459.4 Million in 2022, expanding at a CAGR of 25.4% from 2023 to 2030.

Healthcare Claims Management involves the intricate process of managing and handling medical claims, encompassing submissions from healthcare providers, patients, or their representatives to insurance companies or payers. This comprehensive process includes submission, review, adjudication, and either payment or denial of healthcare claims for services rendered by healthcare providers. It encompasses verifying patient eligibility, coding diagnoses and procedures, submitting claims via electronic means or paper forms, and diligently tracking claims' statuses until reimbursement or settlement. Effectively managed claims are vital for accurate billing, timely reimbursement, and adherence to regulatory standards, ensuring a smooth financial flow within the healthcare system while upholding precision and transparency in billing and reimbursement procedures.

Healthcare Claims Management Market- Market Dynamics

Increasing emphasis on delivering high-quality healthcare services to the intended population and a growing adoption of technology-driven services to propel market demand

The global market for Healthcare Claims Management is undergoing significant expansion driven by various factors such as an increased emphasis on delivering high-quality healthcare services to the intended population and a growing adoption of technology-driven services. Additionally, the burgeoning health insurance sector and the surge in internet usage and digitalization are contributing positively to the overall industry growth. Furthermore, according to the World Health Organization's (WHO) 'Administration Mistakes: Technical Workshop on Safer Primary Healthcare 2016' research, administrative oversights contribute to 5-50% of medical mistakes in primary health care. This recognition emphasizes the necessity for digital accuracy solutions like medical billing and claims processing management, which encompass both services and software. Collectively, these factors are expected to drive significant growth in the industry.

Healthcare Claims Management Market- Key Insights

Healthcare Claims Management Market- Segmentation Analysis:

Healthcare Claims Management Market- Geographical Insights

Geographically, this market is widespread into the regions of North America, Latin America, Europe, Asia Pacific, and the Middle East and Africa. These regions are further divided as per the nations bringing business.

Healthcare Claims Management Market- Competitive Landscape:

Within the Healthcare Claims Management Market, companies prioritize the incorporation of advanced technologies such as AI-driven tools and cloud-based platforms to streamline the submission, processing, and reimbursement of healthcare claims. Their focus remains on enhancing efficiency, precision, and compliance with stringent healthcare regulations such as HIPAA. They tailor solutions focused on clients, offering user-friendly interfaces and personalized support while striving to lower administrative costs through automation. Collaborations with healthcare stakeholders drive innovation and broaden service offerings, ultimately aiming to optimize claims processing, minimize errors, and enhance the overall healthcare reimbursement process.

Recent Developments:

In October 2021, The SSI Group established a strategic partnership with RCxRules to offer updated automated billing solutions for healthcare organizations' population health and revenue cycle operations.

SCOPE OF THE REPORT

The scope of this report covers the market by its major segments, which include as follows:

GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET KEY PLAYERS

GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET, BY PRODUCT TYPE

GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET, BY SERVICE

GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET, BY DEPLOYMENT

GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET, BY SOLUTION

GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET, BY REGION

Table of Contents

1. Healthcare Claims Management Market Overview

2. Executive Summary

3. Healthcare Claims Management Key Market Trends

4. Healthcare Claims Management Industry Study

5. Healthcare Claims Management Market: COVID-19 Impact Analysis

6. Healthcare Claims Management Market Landscape

7. Healthcare Claims Management Market - By Product Type

8. Healthcare Claims Management Market - By Service

9. Healthcare Claims Management Market - By Deployment

10. Healthcare Claims Management Market - By Solution

11. Healthcare Claims Management Market- By Geography

12. Key Vendor Analysis- Healthcare Claims Management Industry

13. 360 Degree Analyst View

14. Appendix

(ÁÖ)±Û·Î¹úÀÎÆ÷¸ÞÀÌ¼Ç 02-2025-2992 kr-info@giikorea.co.kr
¨Ï Copyright Global Information, Inc. All rights reserved.
PC¹öÀü º¸±â