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North America Payer Billing Market

  • Report Code: PA 1003
  • Publish Date: Upcoming
  
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Automation of cumbersome, manual processes such as cash application can decrease manpower expenses. Automation of the collection process, through automated dunning letter generation and workflow management, leads to enormous and immediate gains. Implementing adaptive billing solutions offers healthcare payers the opportunity to greatly reduce expenses, increase revenue, and improve customer service.

 

An advanced billing system such as payer billing system with electronic bill presentation and payment (EBPP) capability leads to a reduction in day sales outstanding and increases float and cash in hand. Such a billing system also reduces the errors and time involved in the process, resulting in happier customers.

 

In 2013, North America accounted for the largest share of the payer billing systems market globally. The market was valued at $591.0 million in 2012 and is expected to grow at a CAGR of 6.3% from 2013 to 2018. Healthcare reforms in the U.S. such as HITECH ACT, ACA ACT, and ARRA are likely to expand the IT outsourcing market due to increased volumes of medical bills.

 

In North America, healthcare payer spends 30% of their income on administrative costs due to manual process. They are now under pressure to customize and automate the services, which is now becoming main reason for the implementation of healthcare payer billing system in the U.S. and Canada, thus reducing the billing errors.

 

This market is segmented and forecasted on the basis of two different types, namely, integrated payer billing and standalone payer billing. Integrated payer billing accounts for the largest share of the North American payer billing market and is expected to grow at a CAGR of 7.2% from 2013 to 2018. On the basis of components the market is segmented into hardware, software, and services, while by deployments the segmentation includes on-premise, cloud-based, and web-based. The market is further segmented and forecasted on the basis of major countries, such as the U.S., Canada, and Mexico.

 

The healthcare payers' IT infrastructure is currently constrained by aged and inflexible systems, which is a limiting factor affecting their capabilities to capitalize on new markets, respond to competition and legislation, and improve operational efficiency. This has enticed healthcare payers to consider replacement of existing systems with the new ones, which in turn is driving the market.

 

The report on the North American payer billing market provides an extensive competitive landscape of companies operating in this market. The key players of the market covered in the report are Aspect Software, Avaya Inc., Cerner Corporation, Infor, and Oracle Corporation. This report also includes the market share, value chain analysis, and market metrics such as drivers, restraints, and upcoming opportunities in the market. 



1 Introduction
1.1 Objective of the study
1.2 Market Definition and Scope of the study
1.3 Markets Covered
1.4 Stakeholders
2 Research Methodology
2.1 INTEGRATED ECOSYSTEM OF PAYER BILLING SYSTEM
2.2 ARRIVING ATPAYER BILLING SYSTEM MARKET SIZE
2.3 TOP DOWN APPROACH
2.4 BOTTOM-UP APPROACH
2.5 DEMAND (CONSUMPTION) SIDE ANALYSIS
2.6 Macro indicators
2.7 Assumptions
3 EXECUTIVE SUMMARY
4 MARKET OVERVIEW
4.1 INTRODUCTION
4.2 PARENT MARKET COMPARISON
4.3 DRIVERS AND INHIBITORS OF PAYER BILLING SYSTEM MARKET
4.4 DEMAND SIDE ANALYSIS
4.5 VENDOR SIDE ANALYSIS
5 Payer Billing-North America, By Deployments
5.1 Split By Geography
5.1 Payer Billing-U.S. by Deployments
5.1 Payer Billing-Canada by Deployments
5.1 Payer Billing-Mexico by Deployments
5.2 Payer Billing-North America-Web-based Healthcare IT
5.2.1 Payer Billing-North America-Web-based Healthcare IT, By Geographies
5.2.1.1 Payer Billing-U.S.-Web-based Healthcare IT
5.2.1.2 Payer Billing-Canada-Web-based Healthcare IT
5.2.1.3 Payer Billing-Mexico-Web-based Healthcare IT
5.2.2 Payer Billing-North America-Web-based Healthcare IT, By Products
5.2.2.1 Integrated Payer Billing-North America-Web-based Healthcare IT
5.2.2.2 Standalone Payer Billing-North America-Web-based Healthcare IT
5.3 Payer Billing-North America-On-premise Healthcare IT
5.3.1 Payer Billing-North America-On-premise Healthcare IT, By Geographies
5.3.1.1 Payer Billing-U.S.-On-premise Healthcare IT
5.3.1.2 Payer Billing-Canada-On-premise Healthcare IT
5.3.1.3 Payer Billing-Mexico-On-premise Healthcare IT
5.3.2 Payer Billing-North America-On-premise Healthcare IT, By Products
5.3.2.1 Integrated Payer Billing-North America-On-premise Healthcare IT
5.3.2.2 Standalone Payer Billing-North America-On-premise Healthcare IT
5.4 Payer Billing-North America-Cloud-based
5.4.1 Payer Billing-North America-Cloud-based, By Geographies
5.4.1.1 Payer Billing-U.S.-Cloud-based
5.4.1.2 Payer Billing-Canada-Cloud-based
5.4.1.3 Payer Billing-Mexico-Cloud-based
5.4.2 Payer Billing-North America-Cloud-based, By Products
5.4.2.1 Integrated Payer Billing-North America-Cloud-based
5.4.2.2 Standalone Payer Billing-North America-Cloud-based
6 Payer Billing-North America, By Components
6.1 Split By Geography
6.2 Payer Billing-U.S. by Components
6.1 Payer Billing-Canada by Components
6.1 Payer Billing-Mexico by Components
6.2 Payer Billing-North America-Services (Healthcare IT)
6.2.1 Payer Billing-North America-Services (Healthcare IT), By Geographies
6.2.1.1 Payer Billing-U.S.-Services (Healthcare IT)
6.2.1.2 Payer Billing-Canada-Services (Healthcare IT)
6.2.1.3 Payer Billing-Mexico-Services (Healthcare IT)
6.2.2 Payer Billing-North America-Services (Healthcare IT), By Products
6.2.2.1 Integrated Payer Billing-North America-Services (Healthcare IT)
6.2.2.2 Standalone Payer Billing-North America-Services (Healthcare IT)
6.3 Payer Billing-North America-Software (Healthcare IT)
6.3.1 Payer Billing-North America-Software (Healthcare IT), By Geographies
6.3.1.1 Payer Billing-U.S.-Software (Healthcare IT)
6.3.1.2 Payer Billing-Canada-Software (Healthcare IT)
6.3.1.3 Payer Billing-Mexico-Software (Healthcare IT)
6.3.2 Payer Billing-North America-Software (Healthcare IT), By Products
6.3.2.1 Integrated Payer Billing-North America-Software (Healthcare IT)
6.3.2.2 Standalone Payer Billing-North America-Software (Healthcare IT)
6.4 Payer Billing-North America-Hardware.
6.4.1 Payer Billing-North America-Hardware., By Geographies
6.4.1.1 Payer Billing-U.S.-Hardware.
6.4.1.2 Payer Billing-Canada-Hardware.
6.4.1.3 Payer Billing-Mexico-Hardware.
6.4.2 Payer Billing-North America-Hardware., By Products
6.4.2.1 Integrated Payer Billing-North America-Hardware.
6.4.2.2 Standalone Payer Billing-North America-Hardware.
7 Payer Billing-North America, By Endusers
7.1 Split By Geography
7.3 Payer Billing-U.S. by Endusers
7.1 Payer Billing-Canada by Endusers
7.1 Payer Billing-Mexico by Endusers
7.2 Payer Billing-North America-Hospitals
7.2.1 Payer Billing-North America-Hospitals, By Geographies
7.2.1.1 Payer Billing-U.S.-Hospitals
7.2.1.2 Payer Billing-Canada-Hospitals
7.2.1.3 Payer Billing-Mexico-Hospitals
7.2.2 Payer Billing-North America-Hospitals, By Products
7.2.2.1 Integrated Payer Billing-North America-Hospitals
7.2.2.2 Standalone Payer Billing-North America-Hospitals
7.3 Payer Billing-North America-Office based Physicians
7.3.1 Payer Billing-North America-Office based Physicians, By Geographies
7.3.1.1 Payer Billing-U.S.-Office based Physicians
7.3.1.2 Payer Billing-Canada-Office based Physicians
7.3.1.3 Payer Billing-Mexico-Office based Physicians
7.3.2 Payer Billing-North America-Office based Physicians, By Products
7.3.2.1 Integrated Payer Billing-North America-Office based Physicians
7.3.2.2 Standalone Payer Billing-North America-Office based Physicians
7.4 Payer Billing-North America-Nurses
7.4.1 Payer Billing-North America-Nurses, By Geographies
7.4.1.1 Payer Billing-U.S.-Nurses
7.4.1.2 Payer Billing-Canada-Nurses
7.4.1.3 Payer Billing-Mexico-Nurses
7.4.2 Payer Billing-North America-Nurses, By Products
7.4.2.1 Integrated Payer Billing-North America-Nurses
7.4.2.2 Standalone Payer Billing-North America-Nurses
7.5 Payer Billing-North America-Emergency Healthcare Service providers
7.5.1 Payer Billing-North America-Emergency Healthcare Service providers, By Geographies
7.5.1.1 Payer Billing-U.S.-Emergency Healthcare Service providers
7.5.1.2 Payer Billing-Canada-Emergency Healthcare Service providers
7.5.1.3 Payer Billing-Mexico-Emergency Healthcare Service providers
7.5.2 Payer Billing-North America-Emergency Healthcare Service providers, By Products
7.5.2.1 Integrated Payer Billing-North America-Emergency Healthcare Service providers
7.5.2.2 Standalone Payer Billing-North America-Emergency Healthcare Service providers
7.6 Payer Billing-North America-Other Endusers
7.6.1 Payer Billing-North America-Other Endusers, By Geographies
7.6.1.1 Payer Billing-U.S.-Other Endusers
7.6.1.2 Payer Billing-Canada-Other Endusers
7.6.1.3 Payer Billing-Mexico-Other Endusers
7.6.2 Payer Billing-North America-Other Endusers, By Products
7.6.2.1 Standalone Payer Billing-North America-Other Endusers
7.6.2.2 Integrated Payer Billing-North America-Other Endusers
8 Payer Billing-North America, By Products
8.1 Split By Geography
8.4 Payer Billing-U.S. by Products
8.1 Payer Billing-Canada by Products
8.1 Payer Billing-Mexico by Products
8.2 Integrated Payer Billing-North America
8.2.1 Integrated Payer Billing-North America, By Deployments
8.2.1.1 Integrated Payer Billing-North America-Web-based Healthcare IT
8.2.1.2 Integrated Payer Billing-North America-On-premise Healthcare IT
8.2.1.3 Integrated Payer Billing-North America-Cloud-based
8.2.2 Integrated Payer Billing-North America, By Components
8.2.2.1 Integrated Payer Billing-North America-Services (Healthcare IT)
8.2.2.2 Integrated Payer Billing-North America-Software (Healthcare IT)
8.2.2.3 Integrated Payer Billing-North America-Hardware.
8.2.3 Integrated Payer Billing-North America, By Endusers
8.2.3.1 Integrated Payer Billing-North America-Hospitals
8.2.3.2 Integrated Payer Billing-North America-Office based Physicians
8.2.3.3 Integrated Payer Billing-North America-Nurses
8.2.3.4 Integrated Payer Billing-North America-Emergency Healthcare Service providers
8.2.3.5 Integrated Payer Billing-North America-Other Endusers
8.2.4 Integrated Payer Billing-North America, By Geographies
8.2.4.1 Integrated Payer Billing-U.S.
8.2.4.2 Integrated Payer Billing-Canada
8.2.4.3 Integrated Payer Billing-Mexico
8.3 Standalone Payer Billing-North America
8.3.1 Standalone Payer Billing-North America, By Deployments
8.3.1.1 Standalone Payer Billing-North America-Web-based Healthcare IT
8.3.1.2 Standalone Payer Billing-North America-On-premise Healthcare IT
8.3.1.3 Standalone Payer Billing-North America-Cloud-based
8.3.2 Standalone Payer Billing-North America, By Components
8.3.2.1 Standalone Payer Billing-North America-Services (Healthcare IT)
8.3.2.2 Standalone Payer Billing-North America-Software (Healthcare IT)
8.3.2.3 Standalone Payer Billing-North America-Hardware.
8.3.3 Standalone Payer Billing-North America, By Endusers
8.3.3.1 Standalone Payer Billing-North America-Hospitals
8.3.3.2 Standalone Payer Billing-North America-Office based Physicians
8.3.3.3 Standalone Payer Billing-North America-Nurses
8.3.3.4 Standalone Payer Billing-North America-Emergency Healthcare Service providers
8.3.3.5 Standalone Payer Billing-North America-Other Endusers
8.3.4 Standalone Payer Billing-North America, By Geographies
8.3.4.1 Standalone Payer Billing-U.S.
8.3.4.2 Standalone Payer Billing-Canada
8.3.4.3 Standalone Payer Billing-Mexico
9 Payer Billing-North America, By Geographies
9.1 Payer Billing-U.S.
9.1.1 Payer Billing-U.S., By Deployments
9.1.1.1 Payer Billing-U.S.-Web-based Healthcare IT
9.1.1.2 Payer Billing-U.S.-On-premise Healthcare IT
9.1.1.3 Payer Billing-U.S.-Cloud-based
9.1.2 Payer Billing-U.S., By Components
9.1.2.1 Payer Billing-U.S.-Services (Healthcare IT)
9.1.2.2 Payer Billing-U.S.-Software (Healthcare IT)
9.1.2.3 Payer Billing-U.S.-Hardware.
9.1.3 Payer Billing-U.S., By Endusers
9.1.3.1 Payer Billing-U.S.-Hospitals
9.1.3.2 Payer Billing-U.S.-Office based Physicians
9.1.3.3 Payer Billing-U.S.-Nurses
9.1.3.4 Payer Billing-U.S.-Emergency Healthcare Service providers
9.1.3.5 Payer Billing-U.S.-Other Endusers
9.1.4 Payer Billing-U.S., By Products
9.1.4.1 Integrated Payer Billing-U.S.
9.1.4.2 Standalone Payer Billing-U.S.
9.2 Payer Billing-Canada
9.2.1 Payer Billing-Canada, By Deployments
9.2.1.1 Payer Billing-Canada-Web-based Healthcare IT
9.2.1.2 Payer Billing-Canada-On-premise Healthcare IT
9.2.1.3 Payer Billing-Canada-Cloud-based
9.2.2 Payer Billing-Canada, By Components
9.2.2.1 Payer Billing-Canada-Services (Healthcare IT)
9.2.2.2 Payer Billing-Canada-Software (Healthcare IT)
9.2.2.3 Payer Billing-Canada-Hardware.
9.2.3 Payer Billing-Canada, By Endusers
9.2.3.1 Payer Billing-Canada-Hospitals
9.2.3.2 Payer Billing-Canada-Office based Physicians
9.2.3.3 Payer Billing-Canada-Nurses
9.2.3.4 Payer Billing-Canada-Emergency Healthcare Service providers
9.2.3.5 Payer Billing-Canada-Other Endusers
9.2.4 Payer Billing-Canada, By Products
9.2.4.1 Integrated Payer Billing-Canada
9.2.4.2 Standalone Payer Billing-Canada
9.3 Payer Billing-Mexico
9.3.1 Payer Billing-Mexico, By Deployments
9.3.1.1 Payer Billing-Mexico-Web-based Healthcare IT
9.3.1.2 Payer Billing-Mexico-On-premise Healthcare IT
9.3.1.3 Payer Billing-Mexico-Cloud-based
9.3.2 Payer Billing-Mexico, By Components
9.3.2.1 Payer Billing-Mexico-Services (Healthcare IT)
9.3.2.2 Payer Billing-Mexico-Software (Healthcare IT)
9.3.2.3 Payer Billing-Mexico-Hardware.
9.3.3 Payer Billing-Mexico, By Endusers
9.3.3.1 Payer Billing-Mexico-Hospitals
9.3.3.2 Payer Billing-Mexico-Office based Physicians
9.3.3.3 Payer Billing-Mexico-Nurses
9.3.3.4 Payer Billing-Mexico-Emergency Healthcare Service providers
9.3.3.5 Payer Billing-Mexico-Other Endusers
9.3.4 Payer Billing-Mexico, By Products
9.3.4.1 Integrated Payer Billing-Mexico
9.3.4.2 Standalone Payer Billing-Mexico
10 Payer Billing-North America, By Companies
10.1 Competitive landscape
10.2 Split By Geography
10.5 Payer Billing-U.S. by Companies
10.1 Payer Billing-Canada by Companies
10.1 Payer Billing-Mexico by Companies
10.3 Payer Billing-North America-Oracle Corporation
10.4 Payer Billing-North America-Cerner Corporation
10.5 Payer Billing-North America-Aspect Software
10.6 Payer Billing-North America-Other Companies
10.7 Payer Billing-North America-Avaya Inc.
10.8 Payer Billing-North America-Infor
11 Macro Indicator
12 Global Sub Markets

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