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Medical Claims Processing Services in the US: Market Research Report

Market Research • Market Size • Industry Statistics • Industry Analysis • Industry Trends

Medical Claims Processing Services Market Research Report | Advisory & Financial Services | Insurance Services | Oct 2011

Staking a claim: The aging population and healthcare reform will bolster industry demand

IBISWorld’s Medical Claims Processing Services market research report offers insightful industry analysis and research into the market at the national level. IBISWorld’s in-depth industry market research is presented in a logical and consistent format. The industry report contains key industry statistics, market size, industry trends, and growth and profit forecasts for a 5-year outlook period.

Report Snapshot
Market Share of Companies
HMS Holdings HMS Holdings market share
Industry Statistics & Market Size
Revenue
$3bn
Annual Growth 06-11
0.1%
Annual Growth 11-16
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Profit
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Employment
26,043
Businesses
9,038
Industry Analysis & Industry Trends

Staking a claim

The industry will experience steady growth over the next five years, as the growing senior population creates demand via Medicare. Furthermore, the number of insured people will rise in line with healthcare reform, as people with pre-existing conditions are able to receive insurance. To combat any potential fluctuations in the market, the industry will likely diversify its service offerings during the five years to 2016.... purchase to read more

Industry Report - Industry SWOT Analysis Chapter

The Medical Claims Processing Services industry is in a mature life cycle stage, defined by its steady place in the domestic economy. Its industry value added (IVA), which measures the industry's contribution to the economy, is forecast to grow at an average annual rate of 3.1% over the 10 years to 2016. Meanwhile, GDP is anticipated to grow at a similar 1.8% during the same period.

The move to outsourcing medical claims processing occurred in the early 2000s, so the service is widely accepted and few changes are being made to the process. However, providers are expanding their offerings to include services such as worker's compensation claims processing, welfare funds administration and consulting. Thi... purchase to read more

 


Industry ProductsRelated ReportsTable of Contents

What is the Medical Claims Processing Services Industry?

This industry processes and administers medical insurance policies and claims. Businesses help doctors and other healthcare providers collect payments from insurance companies and Medicare.

Industry Products
Policy and claims examinationsClaims investigationsBack-office, administrative support and consultingClaims processing
 
Industry Activities
Medical insurance claims submissionsMedical insurance billingMedical insurance claims adjustment


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