Poland Healthcare Claims Management Market Report 2022 to 2030

Poland Healthcare Claims Management Market Analysis

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The Poland healthcare claims management market is projected to grow from $154.86 Mn in 2022 to $857.25 Mn by 2030, registering a CAGR of 23.85% during the forecast period of 2022 - 2030. The main factors driving the growth would be the rising demand for value-based care, the growing adoption of digital health solutions, and increasing healthcare expenditure and government initiatives. The market is segmented by component, type, by delivery mode and end-user. Some of the major players include Comarch, Minte, Crawford and Company, Infosys and Accenture.

ID: IN10PLHS006 CATEGORY: Healthcare Services GEOGRAPHY: Poland AUTHOR: Neha Davda

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Poland Healthcare Claims Management Market Executive Summary

The Poland healthcare claims management market is projected to grow from $154.86 Mn in 2022 to $857.25 Mn by 2030, registering a CAGR of 23.85% during the forecast period of 2022 - 2030. In 2019, Poland spent 6.45% of its national GDP, or $1,014 per person, on health care. Throughout the past ten years, Poland has regularly spent less on health than the average EU nation, both in terms of per-capita spending and as a proportion of GDP.

The practice of coordinating the payment of medical claims between healthcare providers and insurance companies is referred to as healthcare claim management in Poland. It entails duties like determining a patient's eligibility, handling claims, and organising insurance payments to healthcare providers. The ageing population, rising healthcare costs, and the use of electronic health records are some of the reasons that are propelling the growth of the European healthcare claims management market.

Poland Healthcare Claims Management Market

Market Dynamics

Market Growth Drivers

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

Rising demand for value-based care- In Poland, there has been a move towards value-based care, which emphasises enhancing health outcomes while lowering costs. The provision of data analytics and reporting capabilities by healthcare claim management systems, which may be used to monitor health outcomes and pinpoint areas for improvement, can enhance value-based care
Growing adoption of digital health solutions- Poland has seen a rise in the use of digital health solutions due to the country's desire for healthcare services that are more effective and efficient. To handle the processing and payment of claims, digital health technologies like telemedicine, remote monitoring, and electronic health records need reliable healthcare claim management systems
Increasing healthcare expenditure- Poland has been spending more money on healthcare recently, which has resulted in a rise in demand for healthcare services. In order to handle the processing, submission, and payment of medical insurance claims, it is now necessary to use healthcare claim management systems that are more effective and efficient
Government initiatives- The National Health Program is one of many projects being carried out by the Polish government to enhance the healthcare system. In order to increase the effectiveness and efficiency of the healthcare system, these initiatives have given healthcare claim management firms the chance to collaborate with healthcare providers and insurers

Market Restraints

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

Lack of standardization- Healthcare claim handling procedures and methods in Poland are not standardised. Due to this, it would be challenging for insurers and healthcare providers to properly integrate and use healthcare claim management systems, which might restrain the market's expansion
Limited healthcare infrastructure- Poland's healthcare infrastructure could possess a few gaps, especially in rural areas. Because of this, it might be more challenging for healthcare providers and insurers to implement and use healthcare claim management systems

Competitive Landscape

Key Players

Comarch (POL)- For life, health, and non-life insurance firms, Comarch Insurance Claims is a cutting-edge and all-encompassing claims management software. The technology streamlines claim adjusters' daily tasks by supporting claim-handling operations from registration and calculation to decision-making and benefit payout
Minte (POL)- a insurtech startup based in Krakow, extract structured medical data from medical records so that insurance companies can utilise it to process claims more quickly and enhance customer service. Minte.ai is a B2B platform that streamlines the handling of personal claims in order to lower OPEX, boost end-user happiness, and deliver structured data for additional processing
Crawford and Company- is the world's largest publicly traded autonomous source of claims management and outsourcing solutions to carriers, brokers, and corporations, with a global network that serves clients in over 70 countries, including Poland
Infosys- Based in India, this company gives insurers a competitive edge through end-to-end claims transformation services that are driven by technology. These services lead to quicker processing times and lower total cost of ownership
Accenture- a global professional services company that supplies clients in Poland and everywhere else with consulting, technology, and outsourcing services, as well as options for handling medical claim administration

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.