Healthcare Financial Analytics Market - Growth, Trends, COVID-19 Impact, and Forecasts (2022 - 2027)

The Healthcare Financial Analytics Market is Segmented by Type (Claim Analytics, Revenue Cycle Management, Risk Management Analytics, and Others), Component (Hardware and Software & Services), Deployment (On-premise and Cloud-based), and Geography (North America, Europe, Asia-Pacific, Middle East and Africa, and South America). The report offers the value (in USD million) for the above segments.

Market Snapshot

Healthcare Financial Analytics Market Summary
Study Period: 2019-2027
Base Year: 2021
Fastest Growing Market: Asia Pacific
Largest Market: North America
CAGR: >17.5 %
Healthcare Financial Analytics Market Major Players

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Market Overview

The healthcare financial analytics market is expected to witness growth at a CAGR of over 7.1% during the forecast period (2022-2027).

The pandemic had an adverse effect on the healthcare financial analytics market. Healthcare analytics is under pressure for a number of reasons, according to an article titled "Tips to Streamline Your RCM Process During COVID-19 Pandemic" which was published in April 2020. First of all, the requirement to record patients with previously unrecorded conditions has caused a great deal of misunderstanding and procedural chaos. Second, billers and coders must keep up with shifting payer needs and coding standards at a rate far faster than the average learning curve. Thirdly, charging for COVID-19 patients must differ from standard billing because the therapy is linked to a pandemic with numerous accompanying regulatory body constraints that have an effect on the market. However, with COVID-19 in the scenario, Telehealth has emerged as an effective method for patients to interact between patients and healthcare providers. This has provided the flexibility to schedule remote appointments to provide initial screenings, offer second opinions, and follow-up with patients which will prevent the spread of the virus. The increase in the digitalization process has increased the demand for more transparent billing procedures, thus driving the market. The European Commission suggested the EU4Health program as a component of a COVID-19 recovery response program, according to an article titled "The European digital health revolution in the wake of COVID-19" that was published in April 2021. The effort intends to raise EUR 5.1 billion for the European health sector's digital transformation and to assure readiness for potential future international health concerns. Therefore, the market expansion throughout the study period will be driven by rising government investments in the digital transformation of healthcare. Thus, COVID-19 has impacted adversely the demand for healthcare analytics, but it is expected to recover with the increase in the number of inpatients and outpatients number.

Big data analytics is a fast-emerging topic in healthcare analytics. The emerging blend of bioinformatics and health informatics has encouraged research in all the healthcare segments, such as target drug, personalized medicine, clinical decision support, and population health management. A core voluntary contribution (CVC) of EUR 340 million over four years was initiated by the Prime Minister of the United Kingdom in September 2020 to support all of the WHO's activities in the nation as outlined in the 13th General Programme of Work. As a result, a number of government measures are to blame for the adoption of RCM platforms, which contribute to the market's expansion. In 2020, National Health Service (NHS) England allocates funds to 191 Clinical Commissioning Groups, which govern and pay for care delivery at the local level. The NHS provides free public health care, including hospital, physician, and mental health treatment, to all national residents on an automatic basis. The NHS is responsible for determining the strategic direction of health information technology, including the creation of online appointment booking systems and the establishment of quality standards for prescription and medical record-keeping software. As a result, the market under study will be driven by the usage of revenue cycle management software for better reimbursement processes. Additionally, initiatives by key market players are another factor in market growth. For instance, in August 2020, Quantzig launched advanced clinical data analytics solutions to help healthcare, pharma, and life science companies lead their way out of the pandemic with data-driven insights. Thus, the abovementioned factors are expected to increase market growth.

However, the lack of properly trained IT professionals in healthcare is expected to hinder the market growth.

Scope of the Report

As per the scope of the report, financial analytics is a part of advanced analytics that are required for claims processing, payment integrity and fraud, waste, and abuse (FWA), and risk assessment. The Healthcare Financial Analytics Market is Segmented by Type (Claim Analytics, Revenue Cycle Management, Risk Management Analytics, and Others), Component (Hardware and Software & Services), Deployment (On-premise and Cloud-based), and Geography (North America, Europe, Asia-Pacific, Middle East and Africa, and South America). The market report also covers the estimated market sizes and trends for 17 different countries across major regions, globally. The report offers the value (in USD million) for the above segments.

By Type
Claim Analytics
Revenue Cycle Management
Risk Management Analytics
Others
By Component
Hardware
Software & Services
By Deployment
On-premise
Cloud-based
Geography
North America
United States
Canada
Mexico
Europe
Germany
United Kingdom
France
Italy
Spain
Rest of Europe
Asia-Pacific
China
Japan
India
Australia
South Korea
Rest of Asia-Pacific
Middle-East and Africa
GCC
South Africa
Rest of Middle-East and Africa
South America
Brazil
Argentina
Rest of South America

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Key Market Trends

Cloud Based Segment is Expected to Show Significant Growth over the Forecast Period

Based on deployment, the market is segmented into on-premise, and cloud-based. The cloud-based segment is expected to show better growth during the forecast period, owing to the Increasing adoption of cloud platforms. The financial analytics market is driven by the rising application of cloud analytics as it allows organizations to incorporate data from all sources. In addition, the demand for better claims and revenue management systems in healthcare and cloud computing acceptance across various industries has pushed financial planning to a new level and is expected to have a positive effect on the healthcare financial analytics market. Governments in several European nations are launching initiatives to encourage the development of information technology in healthcare. For example, over two million National Health Services (NHS) mail mailboxes were transferred to Exchange Online, a component of Microsoft's Azure Cloud, in February 2021 as part of the United Kingdom government's initiative to adopt a fully connected cloud-driven health service. As a result, communication between staff members of NHS organizations and departments will be easier and more effective, and the information available will be increased. This will improve market expansion and increase the use of Health Information Technology (HCIT) Change Management services in the United Kingdom. The combined actions undertaken by regional market participants and governmental agencies are also contributing to the sector's expansion. For instance, Deutsche Telekom's T-Systems has teamed with Google Cloud to develop and deploy sovereign cloud services to German businesses, healthcare providers, and the general public starting in September 2021. Together, the businesses will innovate to provide a wide range of next-generation sovereign cloud infrastructure and products. The business is thinking of constructing a comparable sovereign cloud for Austria and Switzerland. Thus, the abovementioned factors are expected to increase the market growth.

Healthcare Financial Analytics Market : Estimated Number of People Using Internet (in Billions), Global, 2010-2021

North America Dominates the Healthcare Financial Analytics Market

The healthcare infrastructure in North America is expected to reflect positive trends in the financial analytics domain, owing to factors such as technological advancements, and high requirements for management of big data generated from hospitals and other healthcare facilities. Furthermore, the growing popularity of software in the management of data reduces the manpower leading to increased adoption of healthcare financial analytics. Hence, the rising demand for advanced technologies across various verticals is expected to enhance the growth of the studied market. Through several laws and programs, the federal government promotes the use of its healthcare data. The Department of Health and Human Services is permitted to publish data that encourages transparency in the markets for healthcare and medical insurance under the terms of the Affordable Care Act (ACA), the most significant piece of healthcare legislation in the United States. The government has taken the necessary steps to release data from organizations like the Centers for Medicare and Medicaid Services, the Food and Drug Administration, and the Centers for Disease Control. It is also providing financial incentives for healthcare providers to use electronic medical records. Similar to this, the healthcare analytics market is being driven by strategic initiatives taken by major market participants to improve the standard of healthcare. In March 2020, Definitive Healthcare and ESRI collaborated to create a platform that allows for the study and monitoring of hospital bed capacity and possible COVID-19 risk by geographic regions in the United States. As a result, the market in the area is likely to develop. Government payers, including Medicare and Medicaid, are quickly embracing value-based purchasing and capitated payment models where outcomes will be tracked and rewarded. Predictive analytics will become just as important to the success of this new model as the suppliers. As a result, the increased demand for and use of analytical tools and solutions is anticipated to fuel market expansion.

Healthcare Financial Analytics Market : Growth Rate by Region

Competitive Landscape

The healthcare financial analytics market is partially fragmented and consists of several major players. The global players in the healthcare financial analytics market are IBM, Allscripts Healthcare Solutions, Cerner Corporation, Health Catalyst, Mckesson Corporation, Optum Inc, Oracle Corporation, SAS Institute Inc., and Verisk Analytics, Inc. among others.

Major Players

  1. IBM

  2. Allscripts Healthcare Solutions

  3. Cerner Corporation

  4. Mckesson Corporation

  5. Oracle Corporation

Healthcare Financial Analytics Market Concentration

Recent Development

  • In May 2022, the Clarify Health Institute is a cutting-edge research division established by Clarify Health, a leading cloud analytics, and value-based payments platform company, to provide practical analysis and data-driven insights on issues and trends affecting healthcare organizations, policymakers, and patients.
  • In January 2022, following the signing of a legally binding agreement, Francisco Partners acquired healthcare data and analytics assets from IBM that were previously a part of the Watson Health business. Francisco Partners is a well-known international investment firm that specializes in working with technology companies.

Table of Contents

  1. 1. INTRODUCTION

    1. 1.1 Study Assumptions and Market Definition

    2. 1.2 Scope of the Study

  2. 2. RESEARCH METHODOLOGY

  3. 3. EXECUTIVE SUMMARY

  4. 4. MARKET DYNAMICS

    1. 4.1 Market Overview

    2. 4.2 Market Drivers

      1. 4.2.1 Emergence of Big Data in Healthcare

      2. 4.2.2 Growing Awareness For Digital Technologies

      3. 4.2.3 Technological Advancements Making Data Handling Easy

    3. 4.3 Market Restraints

      1. 4.3.1 Lack of Properly Trained IT Professionals in Healthcare

    4. 4.4 Porter's Five Forces Analysis

      1. 4.4.1 Threat of New Entrants

      2. 4.4.2 Bargaining Power of Buyers/Consumers

      3. 4.4.3 Bargaining Power of Suppliers

      4. 4.4.4 Threat of Substitute Products

      5. 4.4.5 Intensity of Competitive Rivalry

  5. 5. MARKET SEGMENTATION (Market Size by Value – USD million)

    1. 5.1 By Type

      1. 5.1.1 Claim Analytics

      2. 5.1.2 Revenue Cycle Management

      3. 5.1.3 Risk Management Analytics

      4. 5.1.4 Others

    2. 5.2 By Component

      1. 5.2.1 Hardware

      2. 5.2.2 Software & Services

    3. 5.3 By Deployment

      1. 5.3.1 On-premise

      2. 5.3.2 Cloud-based

    4. 5.4 Geography

      1. 5.4.1 North America

        1. 5.4.1.1 United States

        2. 5.4.1.2 Canada

        3. 5.4.1.3 Mexico

      2. 5.4.2 Europe

        1. 5.4.2.1 Germany

        2. 5.4.2.2 United Kingdom

        3. 5.4.2.3 France

        4. 5.4.2.4 Italy

        5. 5.4.2.5 Spain

        6. 5.4.2.6 Rest of Europe

      3. 5.4.3 Asia-Pacific

        1. 5.4.3.1 China

        2. 5.4.3.2 Japan

        3. 5.4.3.3 India

        4. 5.4.3.4 Australia

        5. 5.4.3.5 South Korea

        6. 5.4.3.6 Rest of Asia-Pacific

      4. 5.4.4 Middle-East and Africa

        1. 5.4.4.1 GCC

        2. 5.4.4.2 South Africa

        3. 5.4.4.3 Rest of Middle-East and Africa

      5. 5.4.5 South America

        1. 5.4.5.1 Brazil

        2. 5.4.5.2 Argentina

        3. 5.4.5.3 Rest of South America

  6. 6. COMPETITIVE LANDSCAPE

    1. 6.1 Company Profiles

      1. 6.1.1 IBM

      2. 6.1.2 Allscripts Healthcare Solutions

      3. 6.1.3 Cerner Corporation

      4. 6.1.4 Health Catalyst

      5. 6.1.5 Mckesson Corporation

      6. 6.1.6 Optum Inc

      7. 6.1.7 Oracle Corporation

      8. 6.1.8 SAS Institute Inc.

      9. 6.1.9 Verisk Analytics, Inc

      10. 6.1.10 CitiusTech Inc

      11. 6.1.11 CVS Health

      12. 6.1.12 Inovalon

    2. *List Not Exhaustive
  7. 7. MARKET OPPORTUNITIES AND FUTURE TRENDS

**Subject to Availability
**Competitive Landscape covers- Business Overview, Financials, Products and Strategies, and Recent Developments
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Frequently Asked Questions

The Global Healthcare Financial Analytics Market market is studied from 2019 - 2027.

The Global Healthcare Financial Analytics Market is growing at a CAGR of >17.5% over the next 5 years.

Asia Pacific is growing at the highest CAGR over 2021- 2026.

North America holds highest share in 2021.

IBM, Allscripts Healthcare Solutions, Cerner Corporation, Mckesson Corporation, Oracle Corporation are the major companies operating in Global Healthcare Financial Analytics Market.

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