by The U.S. payment integrity market size accounted for US$ 772.26 Mn in 2022 and is projected to reach around USD 8,664.49 Mn by 2032, growing at a CAGR of 27.4% from 2023 to 2032.
Report Summary
The global U.S. payment integrity market report provides a Point-by-Point and In-Depth analysis of global market size, regional and country-level market size, market share, segmentation market growth, competitive landscape, sales analysis, opportunities analysis, strategic market growth analysis, the impact of domestic and global market key players, value chain optimization, trade regulations, recent developments, product launches, area marketplace expanding, and technological innovations.
The study offers a comprehensive analysis on diverse features, including production capacities, demand, product developments, revenue generation, and sales in the U.S. payment integrity market across the globe.
A comprehensive estimate on the U.S. payment integrity market has been provided through an optimistic scenario as well as a conservative scenario, taking into account the sales of U.S. payment integrity during the forecast period. Price point comparison by region with global average price is also considered in the study.
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U.S. Payment Integrity Market Report Scope
| Report Coverage | Details |
| Market Size in 2023 | USD 980 Million |
| Market Size by 2032 | USD 8,664.49 Million |
| Growth Rate from 2023 to 2032 | CAGR of 27.4% |
| Base Year | 2022 |
| Forecast Period | 2023 to 2032 |
| Segments Covered | By Component, By Function, By Application, By Mode of Delivery, and By End Use |
Key Highlights:
Reports Coverage: It incorporates key market sections, key makers secured, the extent of items offered in the years considered, worldwide containerized U.S. payment integrity market and study goals. Moreover, it contacts the division study gave in the report based on the sort of item and applications.
Market Outline: This area stresses the key investigations, market development rate, serious scene, market drivers, patterns, and issues notwithstanding the naturally visible pointers.
Market Production by Region: The report conveys information identified with import and fare, income, creation, and key players of every single local market contemplated are canvassed right now.
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U.S. Payment Integrity Market Players
The report includes the profiles of key U.S. payment integrity market companies along with their SWOT analysis and market strategies. In addition, the report focuses on leading industry players with information such as company profiles, components and services offered, financial information, key development in past five years.
Major companies operating in this area
- Cotiviti
- Optum / Change Healthcare
- Zelis
- Availity
- MultiPlan
- Ceris
- Cognizant
- EXL
- Performant
- Syrtis
- Varis
- ClarisHealth
- ClaimLogiq
- Rialtic
- HealthEdge
Market Segmentation
By Component
- Software
- Services
By Function
- Query & Reporting
- OLAP & Visualization
- Performance Management
By Application
- Pre-Payment
- Claims Editing (1st pass)
- Claims Editing (2nd, 3rd, etc.)
- Coding Validation
- Post-Payment
- Complex/Clinical Provider Audit
- Coordination of Benefits (COB)
- Subrogation
- Data Mining
- FWA
- Provider Fraud, Waste & Abuse
- Special Investigations
- Others
- Reporting and Analytics
- Others
By Mode of Delivery
- On-Premises
- Cloud-Based
- Hybrid
By End Use
- Payers
- Healthcare Providers
Regional Segmentation
- North America (U.S., Canada, Mexico)
- Europe (Germany, France, U.K., Italy, Spain, Rest of Europe)
- Asia-Pacific (China, Japan, India, Southeast Asia and Rest of APAC)
- Latin America (Brazil and Rest of Latin America)
- Middle East and Africa (GCC, North Africa, South Africa, Rest of MEA)
Research Methodology
Secondary Research
It involves company databases such as Hoover’s: This assists us to recognize financial information, the structure of the market participants and industry’s competitive landscape.
The secondary research sources referred in the process are as follows:
- Governmental bodies, and organizations creating economic policies
- National and international social welfare institutions
- Company websites, financial reports and SEC filings, broker and investor reports
- Related patent and regulatory databases
- Statistical databases and market reports
- Corporate Presentations, news, press release, and specification sheet of Manufacturers
Primary Research
Primary research includes face-to-face interviews, online surveys, and telephonic interviews.
- Means of primary research: Email interactions, telephonic discussions and Questionnaire-based research etc.
- In order to validate our research findings and analysis, we conduct primary interviews of key industry participants. Insights from primary respondents help in validating the secondary research findings. It also develops Research Team’s expertise and market understanding.
TABLE OF CONTENT
Chapter 1. Introduction
1.1. Research Objective
1.2. Scope of the Study
1.3. Definition
Chapter 2. Research Methodology (Premium Insights)
2.1. Research Approach
2.2. Data Sources
2.3. Assumptions & Limitations
Chapter 3. Executive Summary
3.1. Market Snapshot
Chapter 4. Market Variables and Scope
4.1. Introduction
4.2. Market Classification and Scope
4.3. Industry Value Chain Analysis
4.3.1. Raw Material Procurement Analysis
4.3.2. Sales and Distribution Channel Analysis
4.3.3. Downstream Buyer Analysis
Chapter 5. COVID 19 Impact on U.S. Payment Integrity Market
5.1. COVID-19 Landscape: U.S. Payment Integrity Industry Impact
5.2. COVID 19 – Impact Assessment for the Industry
5.3. COVID 19 Impact: Global Major Government Policy
5.4. Market Trends and Opportunities in the COVID-19 Landscape
Chapter 6. Market Dynamics Analysis and Trends
6.1. Market Dynamics
6.1.1. Market Drivers
6.1.2. Market Restraints
6.1.3. Market Opportunities
6.2. Porter’s Five Forces Analysis
6.2.1. Bargaining power of suppliers
6.2.2. Bargaining power of buyers
6.2.3. Threat of substitute
6.2.4. Threat of new entrants
6.2.5. Degree of competition
Chapter 7. Competitive Landscape
7.1.1. Company Market Share/Positioning Analysis
7.1.2. Key Strategies Adopted by Players
7.1.3. Vendor Landscape
7.1.3.1. List of Suppliers
7.1.3.2. List of Buyers
Chapter 8. U.S. Payment Integrity Market, By Component
8.1. U.S. Payment Integrity Market, by Component, 2023-2032
8.1.1. Software
8.1.1.1. Market Revenue and Forecast (2020-2032)
8.1.2. Services
8.1.2.1. Market Revenue and Forecast (2020-2032)
Chapter 9. U.S. Payment Integrity Market, By Function
9.1. U.S. Payment Integrity Market, by Function, 2023-2032
9.1.1. Query & Reporting
9.1.1.1. Market Revenue and Forecast (2020-2032)
9.1.2. OLAP & Visualization
9.1.2.1. Market Revenue and Forecast (2020-2032)
9.1.3. Performance Management
9.1.3.1. Market Revenue and Forecast (2020-2032)
Chapter 10. U.S. Payment Integrity Market, By Application
10.1. U.S. Payment Integrity Market, by Application, 2023-2032
10.1.1. Pre-Payment
10.1.1.1. Market Revenue and Forecast (2020-2032)
10.1.2. Post-Payment
10.1.2.1. Market Revenue and Forecast (2020-2032)
10.1.3. FWA
10.1.3.1. Market Revenue and Forecast (2020-2032)
10.1.4. Others
10.1.4.1. Market Revenue and Forecast (2020-2032)
Chapter 11. U.S. Payment Integrity Market, By Mode of Delivery
11.1. U.S. Payment Integrity Market, by Mode of Delivery, 2023-2032
11.1.1. On-Premises
11.1.1.1. Market Revenue and Forecast (2020-2032)
11.1.2. Cloud-Based
11.1.2.1. Market Revenue and Forecast (2020-2032)
11.1.3. Hybrid
11.1.3.1. Market Revenue and Forecast (2020-2032)
Chapter 12. U.S. Payment Integrity Market, By End Use
12.1. U.S. Payment Integrity Market, by End Use, 2023-2032
12.1.1. Payers
12.1.1.1. Market Revenue and Forecast (2020-2032)
12.1.2. Healthcare Providers
12.1.2.1. Market Revenue and Forecast (2020-2032)
Chapter 13. U.S. Payment Integrity Market, Countries Estimate and Trends Forecast
13.1. U.S.
13.1.1. Market Revenue and Forecast, by Component (2020-2032)
13.1.2. Market Revenue and Forecast, by Function (2020-2032)
13.1.3. Market Revenue and Forecast, by Application (2020-2032)
13.1.4. Market Revenue and Forecast, by Mode of Delivery (2020-2032)
13.1.5. Market Revenue and Forecast, by End Use (2020-2032)
Chapter 14. Company Profiles
14.1. Cotiviti
14.1.1. Company Overview
14.1.2. Product Offerings
14.1.3. Financial Performance
14.1.4. Recent Initiatives
14.2. Optum / Change Healthcare
14.2.1. Company Overview
14.2.2. Product Offerings
14.2.3. Financial Performance
14.2.4. Recent Initiatives
14.3. Zelis
14.3.1. Company Overview
14.3.2. Product Offerings
14.3.3. Financial Performance
14.3.4. Recent Initiatives
14.4. Availity
14.4.1. Company Overview
14.4.2. Product Offerings
14.4.3. Financial Performance
14.4.4. Recent Initiatives
14.5. MultiPlan
14.5.1. Company Overview
14.5.2. Product Offerings
14.5.3. Financial Performance
14.5.4. Recent Initiatives
14.6. Ceris
14.6.1. Company Overview
14.6.2. Product Offerings
14.6.3. Financial Performance
14.6.4. Recent Initiatives
14.7. Cognizant
14.7.1. Company Overview
14.7.2. Product Offerings
14.7.3. Financial Performance
14.7.4. Recent Initiatives
14.8. EXL
14.8.1. Company Overview
14.8.2. Product Offerings
14.8.3. Financial Performance
14.8.4. Recent Initiatives
14.9. Performant
14.9.1. Company Overview
14.9.2. Product Offerings
14.9.3. Financial Performance
14.9.4. Recent Initiatives
14.10. Syrtis
14.10.1. Company Overview
14.10.2. Product Offerings
14.10.3. Financial Performance
14.10.4. Recent Initiatives
Chapter 15. Research Methodology
15.1. Primary Research
15.2. Secondary Research
15.3. Assumptions
Chapter 16. Appendix
16.1. About Us
16.2. Glossary of Terms
Thanks for reading you can also get individual chapter-wise sections or region-wise report versions such as North America, Europe, or the Asia Pacific.
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