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U.S. Payment Integrity Market Size, Growth, Demands Outlook and Forecasts to 2032

According to the research report, the U.S. payment integrity market size is expected to touch USD 8,664.49 million by 2032, from USD 772.26 million in 2022, growing with a significant CAGR of 27.4% from 2023 to 2032. 

U.S. Payment Integrity Market Size 2023 To 2032

 

Key Takeaways:

  • By Component, the software segment contributed more than 63% of revenue share in 2022.
  • By Function, the OLAP & visualization segment dominated the market and registered more than 40% revenue share in 2022.
  • By Application, the post-payment segment accounted for more than 50% of revenue share in 2022.
  • By Mode of Delivery, the on-premises segment dominated the market and captured more than 56% revenue share in 2022.
  • By End Use, the healthcare providers segment led the market and contributed more than 65% of revenue share in 2022.

The U.S. payment integrity report offers a comprehensive study of the current state expected at the major drivers, market strategies, and key vendors’ growth. The report presents energetic visions to conclude and study the market size, market hopes, and competitive surroundings. The research also focuses on the important achievements of the market, research & development, and regional growth of the leading competitors operating in the market. The current trends of the global U.S. payment integrity in conjunction with the geographical landscape of this vertical have also been included in this report.

The report offers intricate dynamics about different aspects of the global U.S. payment integrity market, which aids companies operating in the market in making strategic development decisions. The study also elaborates on significant changes that are highly anticipated to configure growth of the global U.S. payment integrity during the forecast period. It also includes a key indicator assessment that highlights growth prospects of this market and estimates statistics related to growth of the market in terms of value (US$ Mn) and volume (tons).

Sample Link @ https://www.precedenceresearch.com/sample/3060

This study covers a detailed segmentation of the global U.S. payment integrity market, along with key information and a competition outlook. The report mentions company profiles of players that are currently dominating the global U.S. payment integrity market, wherein various developments, expansions, and winning strategies practiced and implemented by leading players have been presented in detail.

Key Players

  • Cotiviti
  • Optum / Change Healthcare
  • Zelis
  • Availity
  • MultiPlan
  • Ceris
  • Cognizant
  • EXL
  • Performant
  • Syrtis
  • Varis
  • ClarisHealth
  • ClaimLogiq
  • Rialtic
  • HealthEdge

Market Segmentation

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

Research Methodology

The research methodology adopted by analysts for compiling the global U.S. payment integrity report is based on detailed primary as well as secondary research. With the help of in-depth insights of the market-affiliated information that is obtained and legitimated by market-admissible resources, analysts have offered riveting observations and authentic forecasts for the global market.

During the primary research phase, analysts interviewed market stakeholders, investors, brand managers, vice presidents, and sales and marketing managers. Based on data obtained through interviews of genuine resources, analysts have emphasized the changing scenario of the global market.

For secondary research, analysts scrutinized numerous annual report publications, white papers, market association publications, and company websites to obtain the necessary understanding of the global U.S. payment integrity market.

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

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