Italy Healthcare Claims Management Market Report 2022 to 2030

Italy Healthcare Claims Management Market Analysis

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Italy's healthcare claims management market is projected to grow from $640.8 Mn in 2022 to $3335.32 Mn by 2030, registering a CAGR of 22.9% during the forecast period of 2022-30. The main factors driving the growth would be increasing healthcare spending, increasing health insurance coverage, technological advancements, regulatory compliance, and an aging population. The market is segmented by component, type, delivery mode, and end-user. Some of the major players include Dedalus, UnipolSai, DWF Group, Cognizant, and Accenture.

ID: IN10ITHS006 CATEGORY: Healthcare Services GEOGRAPHY: Italy AUTHOR: Neha Davda

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Italy Healthcare Claims Management Market Executive Summary

Italy's healthcare claims management market is projected to grow from $640.8 Mn in 2022 to $3335.32 Mn by 2030, registering a CAGR of 22.9% during the forecast period of 2022-30. Italy spent $2,906 per capita on healthcare in 2019 or 8.67% of its GDP. In terms of per capita spending and as a proportion of GDP, health spending lags far behind the EU average. Around 74% of health costs were covered by the government in 2019, which is less than the 80% average for the EU.

The administration of insurance claims for healthcare services is referred to as the healthcare claims management market in Italy. It covers the full submission, processing, and resolution of claims for medical services, procedures, and costs. The healthcare claims management market in Italy is a crucial component of the nation's overall healthcare system since it works to guarantee that patients receive timely and adequate medical care as well as that healthcare providers are paid for their services.

The need for healthcare claims management services has increased recently in Italy. As a result, the number of businesses in the nation that provide healthcare claims management solutions has significantly increased. These approaches often entail the use of cutting-edge software programs that can automate the handling and processing of claims, enabling quicker and more precise reimbursements. Additionally, they might offer tools for patient involvement, data analytics, and fraud detection and prevention.

Italy Healthcare Claims Management Market

Market Dynamics

Market Growth Drivers

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

Increasing healthcare spending- Italy has a sizable and expanding healthcare sector, with an increased emphasis on providing patients with high-quality care. In order to ensure that claims are processed effectively and precisely, this has led to higher healthcare spending, which in turn has increased demand for healthcare claims management systems
Increasing health insurance coverage- In Italy, there has been a considerable rise in the number of people with health insurance, which has resulted in a rise in the volume of claims. To handle the rising number of claims, there is a need for more advanced and effective healthcare claims management solutions
Technological advancements- The market for healthcare claims management in Italy is changing as a result of major technological improvements. AI and blockchain technology usage are among the main market development drivers
Ageing population- With one of the oldest populations in Europe and a high incidence of chronic illnesses in Italy. As the population ages, there is a growth in the number of claims that need to be processed due to the growing need for healthcare services

Market Restraints

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

Fragmented healthcare system- The Italian healthcare system has numerous payers, providers, and regulators. This may make it difficult to standardise claims administration and processing procedures, which could result in inefficiencies and delays
Limited adoption of electronic health records- Even though EHR adoption is rising in Italy, it is still very low when compared to other nations. Healthcare claims management solutions that depend on electronic data interchange and real-time data access may be less effective as a result
Cost constraint- Particularly for smaller providers and payers, the high cost of installing and maintaining healthcare claims management solutions can be a barrier. Due to a lack of investment, many solutions may not be adopted widely or effectively

Competitive Landscape

Key Players

Dedalus (ITA)- the organisation was founded in Florence. Dedalus has worked with healthcare organisations serving public, private, and communal interests for 40 years to help them optimise their professional procedures. Dedalus offers a range of software solutions to achieve this goal, including hospital and clinical information systems, diagnostic, medical imaging, connected care, preventative, primary care population health management, and business analytics
UnipolSai (ITA)- headquartered in Bologna, is one of Italy's top suppliers of non-life and life insurance products is UnipolSai Assicurazioni. Its group portfolio consists of asset management, retirement savings plan administration, and a full range of life, disability, health, and pension policies that are meant to supplement the Italian statutory benefits. Online services, insurance counselling and consultant services, and claim resolution are among the services provided by the business
DWF Group- a multinational claims management company with a focus on handling and managing all types of commercial lines claims. Large numbers of claims can be managed via the effective cloud system EvoClaim. Teams can manage, visualise, and respond to claims data in real-time using EvoClaim. It produces cost-cutting efficiency
Cognizant- a multinational corporation based in the US that provides consulting, operational, and digital services, including solutions for healthcare claims management. It concentrates on business-changing technologies—IoT, AI, software engineering, and the cloud
Accenture- a multinational professional services firm that offers clients in Italy and other nations healthcare claims management services. Healthcare management services from Accenture include claims processing and management, fraud and abuse detection, analytics and reporting, and customer support

Notable Deals

February 2023: To hasten the digital transformation of the healthcare industry, Dedalus joins the Italian "Cloud Region Partner Alliance" and affirms its partnership with Microsoft.

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.