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U.S. Healthcare Payer Analytics Market Forecast Report 2025-2030, with Profiles of CloudMedx, DataSmart Solutions, Amitech Solutions, IMAT Solutions, Indegene, MedeAnalytics, Verisk Analytics, & more

1. Digital advancements in healthcare are driving market growth significantly. 2. U.S. healthcare expenditure exceeded USD 4 trillion in 2020, boosting analytics adoption. 3. Predictive analytics is rapidly growing, enhancing treatment outcomes and cost efficiency. 4. Financial applications lead in market share, crucial for identifying insurance fraud. 5. COVID-19 accelerated the adoption of healthcare analytics and telehealth services.

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FAQ

Why Bullish?

The healthcare payer analytics market shows strong growth trends, suggesting potential benefits for VRSK, which specializes in risk and data analytics solutions. Previous trends in healthcare analytics adoption have positively impacted companies in similar sectors, such as Verisk's revenue growth following increased demand for risk assessment solutions.

How important is it?

The article highlights crucial trends in healthcare analytics which align with VRSK's offerings. An increasing focus on fraud management and cost reduction due to analytical solutions points to a beneficial environment for VRSK's business activities.

Why Long Term?

The ongoing investments in digital healthcare and analytics indicate a sustained demand for solutions that VRSK provides. The significant projected CAGR of 21.5% through 2030 suggests long-term growth potential for companies in the healthcare analytics space.

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The digital advancements in the healthcare field, and the digitization of records, are one of the key factors driving the growth of this market. Adoption of such technologies is on an upward trend thus propelling the market. Digital data is being used to derive meaningful results, cost reduction, and minimize fraudulent insurance claims. The U.S. government has been increasingly spending on healthcare and focusing on improving digital infrastructure, which is boosting technological advancements in the field. Due to technological advancements, decision-making for payers and healthcare providers has become easier with the help of analytical tools. The overall increase in healthcare expenditure has amounted to more than USD 4 trillion in the year 2020. It is not only helping the healthcare industry develop faster but has also made healthcare more affordable and precise.The healthcare analytical tools are helping administrators and policymakers in determining what is the best course of action, how successful is it going to be, and how much cost can be saved by cutting unnecessary expenditures. For insurance companies, analytical tools have helped in recognizing patterns of insurance fraud and in turn saving billions of dollars per year. Doctors' analytical tools have helped to determine the best treatment plans for a particular patient by studying and analyzing their history.In the analytics type, the descriptive analysis held the largest market share of 358% in 2022. Descriptive analytics has been widely used during COVID by various research organizations as well as laboratories, to determine how contagious the virus is by studying the past and present tests being conducted for coronavirus. Descriptive analytics analyzes data to derive meaningful results and can significantly impact future decisions. The fastest-growing was the predictive analytics segment, this helps in charting the best treatment plan for a personalized treatment plan, it can help the doctor to find out what works best for a patient and can give better treatment outcomes.In the components, the service segment dominated the market in 2022. Since the majority of establishments do not have an analytics department, it is generally outsourced to industry experts which saves the cost of training and teaching the staff about tools and methods. The fastest-growing component was the hardware, with rapid investment in healthcare IT, the need for better computers and hardware components has been responsible for the growth of the market.Currently, the largest market share is held by the on-premises delivery model. Healthcare organizations have been opting for the installment of analytical tools and software. The on-premises installation results in less theft of data and provide easier access and maintenance of data and patient records. However, cloud-based storage has been gaining popularity due to ease of storage, and minimum requirement of setup, which has been a key driving factor for the growth of the market.In the applications segment, the largest market share is currently held by financial applications. Private and government facilities have been increasingly adopting analytics for financial applications. Healthcare analytics is being used for claim settlement, risk analysis, and identifying frauds in insurance claims. The fastest-growing application is also financial applications, for use in identifying frauds related to insurance which cost the payers billions of dollars per year. These factors have contributed significantly to the growth of the healthcare payer analytics market.The COVID-19 pandemic created a huge opportunity for the healthcare analytics market. The amount of patient data generated during the pandemic has greatly helped in studying how the disease spreads, how contagious it is, and what implications it can have on people. Economies around the world have suffered gravely due to supply chain disruptions saw a decline in the market, but the usage and rate of adoption of analytics have increased overall. Telehealth, a means to communicate with patients and doctors saw 38 times increase in adoption from pre-COVID times, as per McKinsey.U.S. Healthcare Payer Analytics Market Report Highlights The descriptive analytics segment had the largest market share in 2024. This analytics type is widely used in process optimization and administrative activities.The on-premises segment dominated the market with a share of 47.0% in 2024. The healthcare industry is evolving in terms of technology.Based on application, the financial application segment dominated the market with the largest revenue share in 2024.Based on the components, the services segment had the largest market share of 42.4% in 2024. This report addresses: Market intelligence to enable effective decision-makingMarket estimates and forecasts from 2018 to 2030Growth opportunities and trend analysesSegment and regional revenue forecasts for market assessmentCompetition strategy and market share analysisProduct innovation listings for you to stay ahead of the curve Companies FeaturedThe major companies featured in this U.S. Healthcare Payer Analytics market report include: CloudMedxDataSmart SolutionsAmitech SolutionsCaserta ConceptsGreenway Health, LLCIMAT SolutionsHealth CatalystIndegeneIBMOptumOracleCitius TechMedeAnalyticsVerisk Analytics, Inc.McKesson Medical-Surgical Inc.VeradigmIQVIA Report AttributeDetailsNo. of Pages150Forecast Period2024 - 2030Estimated Market Value (USD) in 2024$5.9 BillionForecasted Market Value (USD) by 2030$19.38 BillionCompound Annual Growth Rate21.5%Regions CoveredUnited States Key Topics Covered:Chapter 1. Methodology and ScopeChapter 2. Executive Summary2.1. Market Snapshot2.2. Segment Snapshot2.3. Competitive Landscape SnapshotChapter 3. Market Variables, Trends, & Scope3.1. Market Lineage Outlook3.2. Market Dynamics3.2.1. Market Driver Analysis3.2.1.1. Growing usage of AI/ML-Driven in payer analytics solutions3.2.1.2. Declining payer profit margins of insurance companies3.2.1.3. Increasing need for risk management and predictive insights3.2.2. Market Restraint Analysis3.2.2.1. Data privacy and Security Concerns3.2.2.2. Shortage of qualified professionals3.2.2.3. Complex regulatory environment3.2.3. Market Opportunity Analysis3.2.3.1. Expansion into predictive and prescriptive analytics3.2.4. Market Threat Analysis3.3. Business Environment AnalysisChapter 4. U.S. Healthcare Payer Analytics Market: Analytics Type Estimates & Trend Analysis4.1. Segment Dashboard4.2. Descriptive Analytics4.3. Predictive Analytics4.4. Prescriptive Analytics4.5. Diagnostic Analytics4.6. Discovery AnalyticsChapter 5. U.S. Healthcare Payer Analytics Market: Component Estimates & Trend Analysis5.1. Component Segment Dashboard5.2. Component Market Share Movement Analysis, 2024 & 20305.3. Market Size & Forecasts and Trend Analysis, by Component, 2018 to 2030 (USD Million)5.4. Software5.5. Hardware5.6. ServicesChapter 6. U.S. Healthcare Payer Analytics Market: Delivery Model Estimates & Trend Analysis6.1. Delivery Model Segment Dashboard6.2. Delivery Model Market Share Movement Analysis, 2024 & 20306.3. Market Size & Forecasts and Trend Analysis, by Delivery Model, 2018 to 2030 (USD Million)6.4. On-premises6.5. Web & cloud-based market, 2018-2030 (USD Million)6.6. Web & cloud-based6.7. Cloud-BasedChapter 7. U.S. Healthcare Payer Analytics Market: Application Estimates & Trend Analysis7.1. Application Segment Dashboard7.2. Application Market Share Movement Analysis, 2024 & 20307.3. Market Size & Forecasts and Trend Analysis, by Application, 2018 to 2030 (USD Million)7.4. Clinical7.5. Financial7.6. Operational and AdministrativeChapter 8. Competitive Landscape8.1. Participant Overview8.2. Company Market Position Analysis8.3. Company Categorization8.4. Strategy Mapping8.5. Company Profiles For more information about this report visit https://www.researchandmarkets.com/r/8a617d About ResearchAndMarkets.comResearchAndMarkets.com is the world's leading source for international market research reports and market data. We provide you with the latest data on international and regional markets, key industries, the top companies, new products and the latest trends. U.S. Healthcare Payer Analytics Market U.S. Healthcare Payer Analytics Market U.S. Healthcare Payer Analytics Market

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