May 12, 2024
ICT

U.S. Payment Integrity Market Size to Grow US$ 8,664.49 Million By 2032

The global U.S. payment integrity market size was approximate at US$ 772.26 million in 2022 and is anticipated to grow US$ 8,664.49 million by 2032, registering a compound annual growth rate of 27.4% from 2023 to 2032.

U.S. Payment Integrity Market Size 2023 To 2032

The U.S. payment integrity market report covering various industry elements and growth trends helpful for predicting the market’s future.

The study provides a strong base for the U.S. payment integrity market to be segmented into different segments. In fact, the study also covers the maximum market share during the assessment period by 2032.

This study is based on the partners that are highly competitive, key players as well as their market revenue in the forecast years of 2023 g0066ztr to 2032. There is also a strong focus on product revenues, sales, product categories and even the products that are experiencing the most traction. In this manner, the U.S. payment integrity report also speaks about the effectiveness of this market along with its growth during the forecast period of 2030. Other major attributes of the U.S. payment integrity market have been studied and analysed across many developments.

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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 Grow US$ 18.71 Billion By 2032

Research Approach

The comprehensive report on the global U.S. payment integrity market begins with an overview, followed by the scope and objectives of the study. The report provides detailed explanation of the objectives behind this study and key vendors and distributors operating in the market and regulatory scenario for approval of products. Following this, the report provides detailed explanation of objectives of this study and laid down by accredited agencies in the purview of research in the global U.S. payment integrity market.

It is followed by market introduction, market dynamics, and an overview of the global market, which includes analysis of market drivers, restraints, and trends pertaining to the global market. Furthermore, Y-o-Y growth analysis with elaborated insights has been provided in order to understand the Y-o-Y growth trend of the global market.

For reading comprehensibility, the report has been compiled in a chapter-wise layout, with each section divided into smaller sections. The report comprises an exhaustive collection of graphs and tables that are appropriately interspersed. Pictorial representation of actual and projected values of key segments is visually appealing to readers. This also allows comparison of the market shares of key segments in the past and at the end of the forecast period.

Key Players

  • 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

Why should you invest in this report?

If you are aiming to enter the global U.S. payment integrity market, this report is a comprehensive guide that provides crystal clear insights into this niche market. All the major application areas for U.S. payment integrity are covered in this report and information is given on the important regions of the world where this market is likely to boom during the forecast period of 2023-2030 so that you can plan your strategies to enter this market accordingly.

Besides, through this report, you can have a complete grasp of the level of competition you will be facing in this hugely competitive market and if you are an established player in this market already, this report will help you gauge the strategies that your competitors have adopted to stay as market leaders in this market. For new entrants to this market, the voluminous data provided in this report is invaluable.

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