The global U.S. payment integrity market size was valued at USD 772.26 million in 2022 and is projected to reach USD 8,664.49 million by 2032, growing at a CAGR of 27.4% from 2023 to 2032, According to Precedence Research.
The global U.S. payment integrity market boons an in-depth synopsis of the competitive landscape of the market globally, thus helping establishments understand the primary threats and prospects that players/vendors in the market are dealt with. It also incorporates thorough business profiles of some of the prime vendors in the market.
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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 |
Also read: Biologics Contract Development Market Size To Rake USD 18.71 Bn By 2032
Benefits of this market
- This study analyses the market size and share for U.S. payment integrity along with the present trends in the industry and forecasts for the future, showing investment opportunities for the future.
- In order to compare the financial capabilities of the U.S. payment integrity market in the present, a quantitative analysis is done of the market from 2023 to 2032.
- It is clear from this brilliant presentation of Porter’s Five Forces that buyers and suppliers have a lot of potential to gain from one another.
- It is important to understand the most profitable trends in the U.S. payment integrity market in order to gain an advantage in the market.
- A comprehensive analysis of the driving factors, limitations, and opportunities is provided in the report, along with an in-depth analysis of the effect they have on the market.
- The report also includes the market share for U.S. payment integrity for several significant vendors as well as the latest developments in the market.
Leading players of the global U.S. payment integrity market are analysed taking into account their market share, recent developments, new product launches, partnerships, mergers or acquisitions, and markets served. Precedence Research provide an exhaustive analysis of their product portfolios to explore the products and applications they concentrate on when operating in the global U.S. payment integrity market. Furthermore, the report offers two separate market forecasts – one for the production side and another for the consumption side of the global U.S. payment integrity market. It also provides useful recommendations for new as well as established players of the global U.S. payment integrity market.
The major players in the market
- Cotiviti
- Optum / Change Healthcare
- Zelis
- Availity
- MultiPlan
- Ceris
- Cognizant
- EXL
- Performant
- Syrtis
- Varis
- ClarisHealth
- ClaimLogiq
- Rialtic
- HealthEdge
U.S. Payment Integrity Market Segmentations:
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
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
Key inquiries addressed in the report:
- Investigate the COVID 19 outbreak’s effects.
- Our researchers give precise responses, pinpoint significant chances and fresh investments, and suggest excellent market strategy avenues.
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