France Healthcare Claims Management Market Report 2022 to 2030

France Healthcare Claims Management Market Analysis

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The France healthcare claims management market is projected to grow from $734.25 Mn in 2022 to $3699.09 Mn by 2030, registering a CAGR of 22.4% during the forecast period of 2022 - 2030. The main factors driving the growth would be increasing healthcare spending, government initiatives, the ageing population and increasing privatization. The market is segmented by component, type, by delivery mode and end-user. Some of the major players include Almerys, Cegedim, Prima Solutions, Accenture, Cognizant and Genpact.

ID: IN10FRHS006 CATEGORY: Healthcare Services GEOGRAPHY: France AUTHOR: Neha Davda

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France Healthcare Claims Management Market Executive Summary

The France healthcare claims management market is projected to grow from $734.25 Mn in 2022 to $3699.09 Mn by 2030, registering a CAGR of 22.4% during the forecast period of 2022 - 2030. In 2020, France spent $227 Bn on healthcare or about $3,364 per person. In the past, France has surpassed the EU norm in terms of health spending as a percentage of GDP and per person. Prior to 2020, the growth rates of the GDP and health spending growth were almost comparable. Yet, it grew more quickly in reaction to the COVID-19 epidemic, which caused an 8% drop in GDP.

France's healthcare system includes a significant amount of the market for healthcare claims administration. The management of medical claims for payment from insurance providers or government programs is referred to as healthcare claims management. In France, a range of public and commercial organisations, including insurance companies, healthcare providers, and governmental bodies, are primarily in charge of managing healthcare claims. Together, these organisations process claims, confirm eligibility, and guarantee prompt and effective delivery of healthcare services.

To increase effectiveness and lower costs, the French healthcare system has undergone a major transformation in recent years. The creation of electronic medical records, which makes processing insurance claims simpler and more effective, has been a major push.

France Healthcare Claims Management Market

Market Dynamics

Market Growth Drivers

The France healthcare claims management market is expected to be driven by factors such as:

Increasing healthcare spending- One of the highest healthcare spending countries in Europe is France. The demand for effective claims management solutions is projected to rise as healthcare spending does so
Government initiatives- The development of electronic medical records and the promotion of telemedicine are some of the measures the French government has launched to enhance the effectiveness and efficiency of the healthcare system. The demand for claims management services that can support these new technologies and processes is projected to rise as a result of these initiatives
Ageing population- An estimated 20% of the population in France is over the age of 65, contributing to the country's ageing demographic. There will probably be a rise in healthcare consumption and, consequently, claims as the population ages. As a result, demand for claims management services will increase
Increasing privatization- Although the public sector has historically dominated France's healthcare system, privatisation has been more popular recently. Due to the rise in private healthcare providers and insurance firms as a result of this, there will likely be an increase in demand for claims management services that can accommodate these new market participants

Market Restraints

The following factors are expected to limit the growth of the healthcare claims management market in France:

Complex regulatory environment- The French healthcare system is heavily controlled, with tight guidelines for the submission of claims and payment of claims. This can make it challenging for new competitors to find their way in the market and for established businesses to maintain compliance with shifting rules
Limited inoperability- The degree of system interoperability remains relatively low. Due to this, it may be challenging for claims management businesses to interface with current systems and for healthcare providers to communicate with insurers and governmental organisations
Resistance to change- As a result of its strong traditionalism, the French healthcare system can be resistant to change. The adoption of new technologies and procedures may be hampered as a result, which may restrict the growth of the claims management industry

Competitive Landscape

Key Players

Almerys (FRA)- specialises in management solutions for health and provident insurance, subscriptions, donations, and benefits handling
Cegedim (FRA)- for the French market, Cegedim offers software solutions for managing claims, such as insurance claims, medical claims, and workers' compensation claims
Prima Solutions (FRA)- a French business that offers software solutions for managing insurance claims, including healthcare claims and claims for property and casualty
Accenture- a worldwide professional services firm that offers consulting, technology, and outsourcing services to clients in France and all over the world, including solutions for healthcare claim administration
Cognizant- healthcare claim management services are provided to clients in France and throughout the world by the international IT services and consulting firm Cognizant
Genpact- Genpact claims manager is a complete claims servicing platform that manages segmentation, fast-track claims, and claims setup

1. Executive Summary
1.1 Service Overview
1.2 Global Scenario
1.3 Country Overview
1.4 Healthcare Scenario in Country
1.5 Healthcare Services Market in Country
1.6 Recent Developments in the Country

2. Market Size and Forecasting
2.1 Market Size (With Excel and Methodology)
2.2 Market Segmentation (Check all Segments in Segmentation Section)

3. Market Dynamics
3.1 Market Drivers
3.2 Market Restraints

4. Competitive Landscape
4.1 Major Market Share

4.2 Key Company Profile (Check all Companies in the Summary Section)

4.2.1 Company
4.2.1.1 Overview
4.2.1.2 Product Applications and Services
4.2.1.3 Recent Developments
4.2.1.4 Partnerships Ecosystem
4.2.1.5 Financials (Based on Availability)

5. Reimbursement Scenario
5.1 Reimbursement Regulation
5.2 Reimbursement Process for Services
5.3 Reimbursement Process for Treatment

6. Methodology and Scope

Healthcare Claims Management Market Segmentation

By Component (Revenue, USD Billion):

Further breakdown of the software and services segment of the healthcare claims management market

Software
Services

By Type (Revenue, USD Billion):

Although they have nothing to do with it, skills unrelated to patient care are equally crucial for any healthcare organization that wants to stay in business. Among these are managing intricate insurance regulations, comprehending best practices for data collection, and analyzing data to identify areas for development. For the above reasons, providers are constantly looking for methods to improve claim administration and medical billing systems. Setting up an integrated billing and claims processing system is one approach to accomplish this, which has a number of benefits.

Integrated Solutions
Standalone Solutions

By Delivery Mode (Revenue, USD Billion):

On-Premise
Cloud-Based

By End User (Revenue, USD Billion):

Healthcare Payers
Healthcare Providers
Other End Users

Healthcare payers in this market are anticipated to rise quickly over the course of the projection period because of the installation of strict regulatory requirements, a lack of experienced personnel internally for claims processing, rising healthcare expenditures, and fraud associated with those charges. Payers have also assisted healthcare providers by creating a web-based and cloud-based interface that helps them manage medical billing and associated claims and offers accurate and timely information about the epidemic.

Methodology for Database Creation

Our database offers a comprehensive list of healthcare centers, meticulously curated to provide detailed information on a wide range of specialties and services. It includes top-tier hospitals, clinics, and diagnostic facilities across 30 countries and 24 specialties, ensuring users can find the healthcare services they need.

Additionally, we provide a comprehensive list of Key Opinion Leaders (KOLs) based on your requirements. Our curated list captures various crucial aspects of the KOLs, offering more than just general information. Whether you're looking to boost brand awareness, drive engagement, or launch a new product, our extensive list of KOLs ensures you have the right experts by your side. Covering 30 countries and 36 specialties, our database guarantees access to the best KOLs in the healthcare industry, supporting strategic decisions and enhancing your initiatives.

How Do We Get It?

Our database is created and maintained through a combination of secondary and primary research methodologies.

1. Secondary Research

With many years of experience in the healthcare field, we have our own rich proprietary data from various past projects. This historical data serves as the foundation for our database. Our continuous process of gathering data involves:

Analyzing historical proprietary data collected from multiple projects.
Regularly updating our existing data sets with new findings and trends.
Ensuring data consistency and accuracy through rigorous validation processes.

With extensive experience in the field, we have developed a proprietary GenAI-based technology that is uniquely tailored to our organization. This advanced technology enables us to scan a wide array of relevant information sources across the internet. Our data-gathering process includes:

Searching through academic conferences, published research, citations, and social media platforms
Collecting and compiling diverse data to build a comprehensive and detailed database
Continuously updating our database with new information to ensure its relevance and accuracy

2. Primary Research

To complement and validate our secondary data, we engage in primary research through local tie-ups and partnerships. This process involves:

Collaborating with local healthcare providers, hospitals, and clinics to gather real-time data.
Conducting surveys, interviews, and field studies to collect fresh data directly from the source.
Continuously refreshing our database to ensure that the information remains current and reliable.
Validating secondary data through cross-referencing with primary data to ensure accuracy and relevance.

Combining Secondary and Primary Research

By integrating both secondary and primary research methodologies, we ensure that our database is comprehensive, accurate, and up-to-date. The combined process involves:

Merging historical data from secondary research with real-time data from primary research.
Conducting thorough data validation and cleansing to remove inconsistencies and errors.
Organizing data into a structured format that is easily accessible and usable for various applications.
Continuously monitoring and updating the database to reflect the latest developments and trends in the healthcare field.

Through this meticulous process, we create a final database tailored to each region and domain within the healthcare industry. This approach ensures that our clients receive reliable and relevant data, empowering them to make informed decisions and drive innovation in their respective fields.