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Canada Healthcare Claims Management Market Analysis Sample Report

Canada's healthcare claims management market is likely to grow at a CAGR of 23.4% from a market size of $2.13 Bn in 2022 to $11.48 Bn in 2030. The rise in research and development expenditure in healthcare along with the new technological advancements and the increasing trend of automation in healthcare acts as a growth factor for the market. To get a detailed report, contact us at - info@insights10.com

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Canada Healthcare Claims Management Market Analysis Sample Report

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  1. A sample report on Canada Healthcare Claims Management Market Includes Market Size, Market Segmented by Types and Key Competitors (Data forecasts from 2022 – 2030F) www.insights10.com

  2. This report presents a strategic analysis of the Canada Healthcare Claims Management Market and a forecast for its development in the medium and long term. It provides a comprehensive overview of the market value, dynamics, segmentation, main players, growth and demand drivers, challenges & future outlook, etc. This is one of the most comprehensive reports about the Canada Healthcare Claims Management Market, and offers unmatched value, accuracy, and expert insights

  3. Report Scope Report Attribute Details Number of Pages 70-80 Base Year for Estimation 2022 Forecast Period 2023-2030 Market Overview, Revenue Forecast, Market Segmentation, Growth Factors and Trends, Competitive Landscape, Key Company Profiles, Government Policies, Regulatory Landscape, Reimbursement Scenario Report Coverage Quantitative Units Revenue in USD Million/Billion (Mn/Bn) Research Approach Secondary Research (60%), Primary Research (40%) Click on the icon to know the detailed methodology 3 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  4. Table of Content CONTENT PG. NO. 08-24 1. Healthcare Claims Management Overview 1.1. Healthcare Claims Process In Canada 1.2. Canada Overview 1.3. Economic Overview: Canada 1.4. Healthcare Claims Management Market in Canada 1.5. Healthcare Services Market in Canada 1.6. Healthcare Scenario in Canada 1.7. Health Insurance Coverage: Canada 1.8. Budget of the Government for Public Insurance 1.9. Mergers and Acquisitions 25-33 2. Market Size and Forecasting 2.1 Market size and forecasts (Excel and Methodology) 4 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  5. Table of Content CONTENT PG. NO. 2.2. Market Segmentation 2.2.1. By Service Type 2.2.2. By Deployment Mode 2.2.3. By End User 2.2.1. By Component 2.2.2. By Organization Size 2.2.3. By Mode of Delivery 34-38 3. Market Dynamics 3.1. Market Growth Drivers 3.1.1. Canada Healthcare Claims Management Market Driver 1 3.1.2. Canada Healthcare Claims Management Market Driver 2 3.1.3. Canada Healthcare Claims Management Market Driver 3 5 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  6. Table of Content CONTENT PG. NO. 3.2. Market Restraints 3.2.1. Canada Healthcare Claims Management Market Restraint 1 3.2.2. Canada Healthcare Claims Management Market Restraint 2 3.2.3. Canada Healthcare Claims Management Market Restraint 3 39-49 4. Competitive Landscape 4.1. Major Market Share 4.2. Key Company Profile 4.2.1. Accenture 4.2.2. IBM Corporation 4.2.3. McKesson Corporation 4.2.4. Infosys Limited 4.2.5. Cognizant 6 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  7. Table of Content CONTENT PG. NO. 4.2.6. TELUS Health 4.2.7. Optum, Inc. 4.2.8. CGI Group Inc. 4.2.9. Change Healthcare 4.2.10. Allscripts Healthcare 50-55 5. Reimbursement Scenario 5.1. Reimbursement Regulation 5.2. Reimbursement Process for Diagnosis 5.3. Reimbursement Process for Treatment 56-61 6. Methodology & Scope 7 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  8. Canada Healthcare Claims Management Market Analysis 1. Healthcare Claims Management Overview

  9. 1.1 Healthcare Claims Process In Canada Here are the main parts of the healthcare claim process in Canada: Patient Registration: Similar to other healthcare systems, patients need to register with their healthcare provider and provide their personal information, including their provincial health insurance number, which grants them access to publicly funded healthcare services 1. Service Documentation: Healthcare providers document the services provided to the patient, including diagnoses, procedures, treatments, medications, and other relevant information. This documentation is essential for accurate billing and claim submission 2. Claim Creation: Based on the service documentation, a claim is created using specific billing codes and other relevant information. In Canada, the billing codes used for procedures and services are typically based on the Canadian version of the International Statistical Classification of Diseases and Related Health Problems (ICD-10-CA) and the Canadian Classification of Health Interventions (CCI) 3. Claim Submission: The claim is submitted to the respective provincial or territorial health authority or an intermediary organization responsible for processing claims on behalf of the government. Each province or territory may have its own electronic or paper-based claim submission processes 4. Adjudication: The provincial or territorial health authority reviews the claim to determine if the services provided are covered under the publicly funded healthcare system. This process involves assessing the submitted documentation and comparing it against the province or territory's guidelines and policies 5. Payment or Denial: After the claim is adjudicated, the health authority will either approve the claim and provide payment to the healthcare provider or deny the claim if it does not meet the necessary requirements. Denials can occur for various reasons, such as incomplete documentation or services not meeting the eligibility criteria 6. Patient Billing: If there are any patient fees or costs not covered by the publicly funded healthcare system, such as copayments or deductibles, the healthcare provider may bill the patient directly for those amounts 7. Claim Follow-Up: In cases of denials or payment discrepancies, healthcare providers may need to follow up with the health authority to resolve any issues and ensure proper reimbursement 8. 9 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  10. 1.1 Healthcare Claims Administration In Canada (continued) Type Of Stakeholders In the Healthcare Claim Management Market Outsourcing options for health claims administrations The manual process of receiving, recording, handling and processing of claims (e.g., back and front office outsourcing, knowledge process outsourcing) ➢ Healthcare Providers BPO Business Process Outsourcing ➢ Insurance Payers ➢ Third-Party Administrators (TPAs) Building and maintaining applications and design IT processes (e.g., production support, security and controls, application development and support ADM Application Development and Maintenance ➢ Government Healthcare Agencies ➢ Medical Billing Companies Building the physical capabilities to run applications and house data (e.g., Data Centers, Servers, Networks, etc.) ITI ➢ Employers IT Infrastructure ➢ Healthcare Clearinghouses 10 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  11. 1.2 Global Top 10 Digital Health Trends in 2023 and Start Ups Digital Health Digital Therapeutics Healthcare Analytics Patient Engagement Cloud Healthcare Electronic Health Records Home Healthcare Medical Wearables Digital Biomarkers Remote Patient Monitoring Mobile Health Illustrative Illustrative 11 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  12. 1.2 Overview of Healthcare Claims Management Market in the World (continued) Europe Canada Market ~$XX Bn ~Revenue to reach $XX Bn by 2027 Asia -Fastest CAGR North America ~ Market Size of $93.5 Bn Africa ~Market Size of $XX Bn Illustrative Illustrative 12 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  13. 1.3 Canada Overview Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ In this section you will get an understanding of the demographics of the country/region, which includes the population, GDP, healthcare expenditure and other details related to the topic ▪ 38 Mn Is the population of Canada $2.090 trillion GDP In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest ▪ 40.2 Is the median age in Canada $52,722 per capita Illustrative Illustrative 13 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  14. 1.3 Economic Overview: Canada Population of Canada, (2020-2030) GDP of Canada, (2020-2030) XX XX XX XX 2020 2021 2022 2023F2024F2025F2026F2027F2028F2029F2023F 2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2023F Population Split (2023) In this section you will get an understanding of the demographics of the country/region, which includes the population, GDP, healthcare expenditure and other details related to the topic ▪ By Gender By Age Group In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ 0-14 15-24 25-54 Male 49% Female 51% Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest ▪ 55-64 65+ Illustrative Illustrative 14 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  15. 1.4 Digital Health Overview in Canada Digital Health Services Survey: At a glance Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ 72% receive medical advice from a health care provider by telephone 58% have made an appointment electronically 42% access websites, mobile applications, or interactive online tools and services designed to help support monitor their health In this section you will get an understanding of the topic, which includes the prevalence of the disease, the application of medical devices, new technology, and other details related to the topic in Canada ▪ 89% of patients find it easy to receive care via telephone 60% find it easy to receive care through video 69% find it easy to receive care through secure messaging 70% of physicians believe that virtual care improves patient access and enables both quality and efficient care 91% of Canadians are satisfied with the quality of virtual care 69% find it easy to receive care through secure messaging In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest Illustrative Illustrative ▪ 15 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  16. 1.5 Healthcare Services in Canada Canada Healthcare Services Market Forecast, 2022-2030 (in $Bn) 785 763 740 719 698 677 658 639 620 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ In this section you will get an understanding of the overall Healthcare Services market in Canada, which includes the market size, current trends and other details related to the topic ▪ In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest ▪ Illustrative Illustrative 16 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  17. 1.6 Healthcare Scenario in Canada Canada's healthcare system is often called a publicly funded, universal healthcare system. Here is an overview of the healthcare scenario in Canada: Universal Coverage: Canada has a publicly funded healthcare system known as Medicare, which provides universal coverage for medically necessary hospital and physician services. This means that all Canadian citizens and permanent residents have access to essential healthcare services without direct payment at the point of service 1. Provincial/Territorial Responsibility: Healthcare in Canada is primarily administered at the provincial and territorial level, resulting in some variations in healthcare delivery across different regions. Each province and territory is responsible for managing and delivering healthcare services within the framework of the Canada Health Act 2. Primary Healthcare: Primary healthcare serves as the first point of contact for Canadians seeking medical care. It includes services provided by family physicians, nurse practitioners, and other healthcare professionals. Primary care focuses on preventive care, health promotion, and the management of common illnesses 3. Hospital Care: Hospital care is provided to Canadians through publicly funded hospitals. Hospital services include emergency care, surgeries, diagnostic tests, and specialized treatments. Access to hospital care is typically based on medical necessity, urgency, and availability of resources 4. Illustrative Illustrative 17 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  18. 1.6 Healthcare Scenario in Canada (continued) Canada's healthcare system is often called a publicly funded, universal healthcare system. Here is an overview of the healthcare scenario in Canada: Prescription Medications: While hospital and physician services are covered under Medicare, prescription medications are not universally covered. The provision of prescription drug coverage varies by province, with some provinces offering public drug insurance programs to help subsidize the cost of medications for certain populations, such as seniors or low-income individuals 5. Wait Times: Wait times for certain medical procedures and specialist consultations have been a concern in the Canadian healthcare system. Efforts have been made to reduce wait times through initiatives such as targeted funding, improved coordination, and innovative models of care delivery 6. Private Healthcare: While Canada's healthcare system is predominantly publicly funded and publicly delivered, private healthcare also has a role. Private clinics and facilities exist, providing services that are not covered by the public system, such as cosmetic surgery or elective procedures. However, access to private healthcare cannot be used to bypass or expedite access to publicly funded care 7. Healthcare Expenditure: Healthcare expenditure in Canada is funded through a combination of federal, provincial, and territorial tax revenues. The federal government provides financial transfers to the provinces and territories to support healthcare delivery. Canadians also have the option to purchase private health insurance for additional coverage, such as prescription drugs, dental care, or vision care 8. Illustrative Illustrative 18 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  19. 1.6 Healthcare Scenario: Patient Journey Presentation Diagnosis Treatment Follow up Confirmatory Diagnosis Complete blood count (evaluate number & quality of RBCs, Hb & WBCs) Prevention and management of crisis: • For VOC and Splenic Sequestration: HU, Endari, Adakveo, Oxbryta • For infections: Antibiotics, Vaccines • Long term follow-up is required for patients with SCD • Annual assessment: CBC and reticulocyte count, iron status, liver and renal function tests, urinalysis, LDH, vitamin D level and neurocognitive assessment • ESOD (End Stage Organ Damage) evaluation starting from age 7 • Yearly Transcranial Doppler test to determine risk of stroke Initial Diagnosis Imaging (confirm bone related changes or respiratory problems) A suspected diagnosis is usually made, based on physical examination and detailed patient and family history Prenatal screening/ Neonatal screening Bacterial cultures of blood, sputum, urine, stool (detect any infection) Prevention and management of complications: Genetic testing (detect the type of SCD) • Stroke: Chronic transfusions, HU Stakeholders PCP, pediatrician, neonatologist, endocrinologist, cardiologist, hematologist, orthopedist, psychologist and psychiatrist PCP, paediatrician, neonatologist, haematologist and genetic counsellor PCP, pediatrician, medical geneticist, cardiologist, hematologist, endocrinologist, psychologist and psychiatrist PCP, pediatrician, medical geneticist, hematologist, gynecologist and pathologist Depending on the organ complications, the treatment involves different specialists at different times Illustrative Illustrative 19 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  20. 1.7 Health Insurance Coverage: Canada % of People by Type of Health Insurance Coverage (2021) Number of People By Health Insurance Coverage Coverage Type 2020 2021 Change % 8.3 Uninsured Total 327,521 328,074 91.7 With health insurance Any health plan 299,230 300,887 0.4 Any private plan 217,896 216,366 –0.6 66.0 Any private plan Employment-based 178,737 178,285 –0.2 54.3 Employment-based Direct-purchase 33,869 33,555 –0.1 10.2 Direct-purchase Marketplace coverage 10,924 11,389 0.1 3.5 Marketplace TRICARE 9,165 8,299 –0.3 2.5 TRICARE Any public plan 112,925 117,095 1.2 58,541 60,226 0.5 35.7 Any public plan 18.4 58,778 61,940 0.9 18.9 2,967 3,151 0.1 1.0 Uninsured 28,291 27,187 –0.4 Canada has a universal healthcare system, which means that all Canadian citizens and permanent residents are eligible for medically necessary healthcare services. This coverage is provided through the provincial and territorial healthcare plans While the public healthcare system provides coverage for medically necessary services, certain healthcare services and items are not covered. This includes prescription drugs outside of the public drug programs, dental care, vision care, and other paramedical services Many Canadians supplement their coverage through private health insurance plans offered by employers or purchased individually ▪ ▪ ▪ Illustrative Illustrative 20 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  21. 1.8 Budget of Canada Government for Public Insurance Proposed Budget By Category 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2022-31 Outlays $769 $709 $766 $841 $840 $947 $1,014 $1,085 $1,227 $1,178 $1,325 $1,412 $10,633 In Billions Of Dollars Public Insurence 3.7% 3.2% 3.3% 3.4% 3.3% 3.6% 3.7% 3.8% 4.1% 3.8% 4.1% 4.2% 3.7% As % Of GDP National Health Expenditures (NHE) grew 2.7% to $4.3 trillion in 2021, or $12,914 per person, and accounted for 18.3% of Gross Domestic Product (GDP) ▪ Public Insurence spending grew 8.4% to $900.8 billion in 2021, or 21% of total NHE ▪ Private health insurance spending grew 5.8% to $1,211.4 billion in 2021, or 28% of total NHE ▪ Out of pocket spending grew 10.4% to $433.2 billion in 2021, or 10% of total NHE ▪ Other Third Party Payers and Programs and Public Health Activity spending declined 20.7% in 2021 to $596.6 billion, or 14% of total NHE ▪ Hospital expenditures grew 4.4% to $1,323.9 billion in 2021, slower than the 6.2% growth in 2020 ▪ Physician and clinical services expenditures grew 5.6% to $864.6 billion in 2021, slower growth than the 6.6% in 2020 ▪ Prescription drug spending increased 7.8% to $378.0 billion in 2021, faster than the 3.7% growth in 2020 ▪ Largest shares of total health spending were sponsored by the federal government (34%) and the households (27%). The private business share of health spending accounted for 17% of total health care spending, state and local governments accounted for 15%, and other private revenues accounted for 7% ▪ Illustrative Illustrative 21 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  22. 1.9 Mergers and Acquisitions RCM M&A Deal Value Trend ($Bn) RCM M&A Deal Volume Trend $16.7 112 110 107 107 89 82 $11.7 $10.5 $7.7 $6.8 $6.0 1H 2020 2H 2020 1H 2021 2H 2021 1H 2022 2H 2022 1H 2020 2H 2020 1H 2021 2H 2021 1H 2022 2H 2022 Buyer Composition: Strategic Vs Financial (2020) Buyer Type by Deal Size ($Mn) 39% 41% 41% 42% 58% 59% 59% 61% Strategic Buyers Financial Buyers $0- $25 $25-$50 $50-$100 $100+ 57% of the total deal volume are done by strategic buyers and the rest 43% are done by financial buyers in 2020 Illustrative Illustrative 22 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  23. 1.9 Digital Health Market News (continued) Global News Company Name Year Key Pointers DeliverHealth, a global provider of technology-enabled solutions for hospitals, health systems, and group practices, launched its partner program built to unify point solutions in healthcare and clear the way for essential, resilient connections among providers, clinicians, and patients Patform allows for frictionless access and effective workflows to apply purpose- built, explainable AI with the needed human-in-the-loop flexibility that delivers speed to value ▪ In March 2022, ▪ DeliverHealth Blessing Health System, an integrated rural health system, selected Biofourmis, a virtual care and digital therapeutics provider, to launch its home hospital services ▪ March 2022 Biofourmis is supporting the health system with its turnkey, end-to-end, home hospital solution for participation in the Rural Home Hospital project. ▪ Blessing Health System Illustrative Illustrative 23 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  24. 1.9 Mergers and Acquisitions (continued) Latest Deals In Canada Amount / Duration Company Name Type Year Key Pointers Merger March 2023 Merger Jan 2023 24 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  25. Canada Healthcare Claims Management Market Analysis 2. Market Size and Forecasting

  26. 2.1 Market size and forecasts (Excel and Methodology) Click on the icon to know the methodology and assumption Canada Healthcare Claims Management Market Forecast, 2022-2030 (in $Bn) Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ XX XX In this section you will get an understanding of the overall Canada Healthcare Claims Management Market, which includes the market size, current trends and other details related to the topic ▪ 2022 2023F 2024F 2025F 2026F 2025 2027F 2026 2028F 2027 2029F 2030F 2023 2024 2028 2029 2030 Major Markets Patient (Mn) In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ 2.74 2.82 2.90 2.94 2.98 3.02 3.07 3.12 Canada Patient Size (Bn) 0.51 0.61 0.68 0.69 0.70 0.71 0.72 0.73 Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest Illustrative Illustrative ▪ % of US Patients 18.75% 21.70% 23.56% 23.45% 23.42% 23.39% 23.34% 23.45% Global Market Size (Bn $) 3,620 3,780 3,950 4,128 4,314 4,508 4,711 4,937 Canada Market Size (Bn $) 61 74 84 87 91 95 99 106 26 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  27. 2.2 Snapshot of Healthcare Claims Management Market Segmentation By Deployment Mode By Organization Size By Mode of Delivery By Service Type By End User By Component Claims Processing Hospitals and Clinics Integrated Solutions On-Premises Software SMEs Claims Denial Management Insurance Companies Large Enterprises Standalone Solutions Cloud-Based Services Claims Analytics and Reporting Others In this section you will get an understanding of the segmentations which will cover the Canada Healthcare Claims Management Market ▪ In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ 27 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  28. 2.2.1 Market Segmentation: By Service Type Canada Healthcare Claims Management Market Share, By Services Type (2022) Claims Processing market in Canada is a significant component of the overall Healthcare Claims Management market ▪ It has the maximum market share in Canada market with approximately xx% ▪ Claims Analytics and Reporting Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ Claims Processing Claims Denial Management In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest Illustrative Illustrative ▪ 28 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  29. 2.2.2 Market Segmentation: By Deployment Mode Canada Healthcare Claims Management Market Share, By Deployment Mode (2022) On-Premises market in Canada is a significant component of the overall cancer market ▪ It has the maximum market share in Canada market with approximately xx% ▪ Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ Cloud-Based On-Premises In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest Illustrative Illustrative ▪ 29 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  30. 2.2.3 Market Segmentation: By End User Canada Healthcare Claims Management Market Share, By End User (2022) Hospitals have the maximum market share in Canada market with approximately xx% ▪ Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ Other Healthcare Providers In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ Hospitals and Clinics Insurance Companies Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest ▪ Illustrative Illustrative 30 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  31. 2.2.3 Market Segmentation: By Component Canada Healthcare Claims Management Market Share, By Component (2022) Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ Services Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest ▪ Software Illustrative Illustrative 31 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  32. 2.2.3 Market Segmentation: By Organization Size Canada Healthcare Claims Management Market Share, By Organization Size (2022) Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ Large Enterprises Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest ▪ SMEs Illustrative Illustrative 32 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  33. 2.2.3 Market Segmentation: By Mode of Delivery Canada Healthcare Claims Management Market Share, By Mode of Delivery (2022) Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ Standalone Solutions Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest ▪ Integrated Solutions Integrated Solutions Standalone Solutions Illustrative Illustrative 33 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  34. Canada Healthcare Claims Management Market Analysis 3. Market Dynamics

  35. 3.1 Market growth drivers 3.1.1 In 2022, total health spending in Canada is projected to reach $331 Bn, equivalent to $8,563 per Canadian, representing approximately 12.2% of the country's gross domestic product (GDP) Rising healthcare expenditure in Canada is driving the need for efficient claims management ▪ National health expenditure trends As healthcare costs continue to increase, healthcare providers and payers are seeking ways to streamline claims processing, reduce administrative costs, and optimize reimbursement to manage overall healthcare expenditures effectively ▪ Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest ▪ 2010 2022 2030 Illustrative Illustrative 35 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  36. 3.1 Market growth drivers (continued) 3.1.2 Growing Emphasis on Data Analytics Top countries that are leveraging technology in their fight against cancer There is a growing emphasis on data analytics in healthcare claims management ▪ Advanced analytics tools enable the identification of trends, patterns, and anomalies in claims data, allowing healthcare organizations to detect fraud, improve coding accuracy, and optimize revenue cycle management ▪ Norway Austria Denmark Belgium Spain Integration of data analytics in claims management processes is driving efficiency and cost savings ▪ Italy Netherlands Sweden Singapore In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ Switzerland Israel Australia Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest ▪ Canada France United Kingdom China South Korea Germany Japan United States Illustrative Illustrative 36 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  37. 3.1 Market growth drivers (continued) 3.1.3 Technological Advancements Technological advancements in healthcare IT, such as automation, artificial intelligence (AI), and machine learning, are transforming healthcare claims management ▪ Automation can streamline claims processing, reduce manual errors, and accelerate reimbursement cycles ▪ AI-powered systems can help identify fraudulent claims, improve coding accuracy, and enhance overall claims management efficiency ▪ XX XX Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest ▪ Illustrative Illustrative 37 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  38. 3.2 Market restraints 3.2.1 Complex Regulatory Environment 3.2.2 Fragmented Data Systems 3.2.3 Limited Integration with Electronic Health Records (EHRs) Complex regulatory environment in healthcare, including compliance with privacy laws, billing regulations, and reimbursement policies, poses a challenge for claims management Adhering to various regulations across different provinces and territories can create complexity and increase administrative burdens, impacting the efficiency and speed of claims processing Fragmentation of data systems and lack of interoperability between healthcare organizations and payers can hinder efficient claims management Inconsistent data formats, limited data sharing, and siloed information can result in delays, errors, and challenges in claims processing and coordination among stakeholders Integration of claims management systems with electronic health records (EHRs) can enhance the accuracy and efficiency of claims processing However, the limited integration between claims management systems and EHRs can pose challenges, leading to manual data entry, data discrepancies, and potential errors in claims submission and processing. ▪ ▪ ▪ ▪ ▪ ▪ Our analysis will thoroughly investigate the key restraints that may significantly impact business operations and growth. Illustrative Illustrative 38 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  39. Canada Healthcare Claims Management Market Analysis 4. Competitive Landscape

  40. 4.1 Major Market Share Revenue of Major Players in Canada Healthcare Claims Management Market ($ Mn) Canada Healthcare Claims Management Market is a highly competitive space, with many companies developing and marketing cancer treatments ▪ Other Some of the top companies in Canada cancer market based on revenue and market share include ▪ XX Illustrative Illustrative 40 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  41. 4.2 Key Company Profile Key Note: 1 Accenture Here is the list of top 10 companies which will cover in the final report ▪ 2 IBM Corporation Each company will have slides for ▪ 3 Overview Key details Offerings Name of products Recent activities/ Press Coverage Distribution and Vendor Partners Mergers, Acquisitions and Collaboration Financials If there are specific companies that you would like to be included in the report, please let us know via email In order to obtain access to all of the information that you are seeking, you will need to purchase the final report McKesson Corporation o o 4 Infosys Limited o o 5 Cognizant o 6 o TELUS Health o 7 Optum, Inc. o 8 CGI Group Inc. ▪ 9 Change Healthcare ▪ 10 Allscripts Healthcare 41 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  42. 4.2.1 Accenture Offerings in Hea ▪ Accenture is a global professional services company that provides a wide range of services, including consulting, technology, and outsourcing solutions ▪ It offers expertise in healthcare and has experience in supporting healthcare claims management processes ▪ In the context of healthcare claims management, Accenture provides consulting services, technology solutions, and process optimization strategies to help healthcare organizations streamline their claims operations and improve efficiency ➢ Consulting Services Founded in: 1989 ➢ Technology Solutions HQ: Dublin, Ireland ➢ Analytics and Data Insights Type: Private ➢ Automation and Digital Transformation Total Revenue: $61.6 Bn ➢ Claims Audit and Compliance Website: www.accenture.com ➢ Fraud Detection and Prevention Recent Activity / Press Coverage Accenture has announced its intent to acquire Green Domus Desenvolvimento Sustentável LTDA, a leading Brazil-based sustainability consultancy with experience helping clients design and implement a range of sustainability services with a focus on measurable decarbonization strategies Celent report titled, “New Business and Underwriting Systems: North America Individual Life Insurance Edition,” recognizes the Accenture Life Insurance & Annuity Platform (ALIP) as one of the highest-rated solutions among nine new business and underwriting systems in the Advanced Technology category, awarded every two years Accenture, Microsoft and Unilever have completed one of the largest and most complex cloud migrations in the consumer goods industry 42 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  43. 4.2.1 Accenture (continued) Partnerships Ecosystem Major Distribution Partners Major Vendor Partners One of the largest pharmaceutical distributors in the United States, McKesson has been a long-standing distribution partner for Roche Roche has been working with SAP, a leading software company, to develop digital solutions for its healthcare products A leading Swiss biotechnology company, Lonza provides Roche with contract manufacturing services for the production of its biologics and pharmaceuticals Cardinal Health is a Fortune 500 healthcare services company that provides pharmaceutical distribution services to Roche It is one of the largest drugstore chains in the United States and Europe, and its extensive network of retail locations and distribution centers make it an important distribution partner for Roche Roche has a strategic partnership with Microsoft to leverage its cloud computing and AI technologies in the development of new healthcare products Thermo Fisher Scientific is a leading provider of analytical instruments, reagents, and laboratory services A leading healthcare services provider in Asia, Zuellig Pharma is a distribution partner for Roche in several Asian countries GE Healthcare provides Roche with advanced medical imaging and diagnostics technologies, including CT scanners and MRI machines Illustrative Illustrative One of the largest pharmaceutical wholesalers in Europe, PHOENIX Group distributes Roche's products in several European countries 43 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  44. 4.2.1 Accenture (continued) Latest Deals - Mergers and Acquisitions Amount / Duration Company Name Type Year Key Pointers Accenture has completed its acquisition of Objectivity, a digital engineering firm specializing in cloud and platform development services that help clients accelerate their transformation journey for rapid innovation ▪ Acquisition - May, 2023 Objectivity’s extensive experience in platform engineering, cloud native computing and application modernization bolsters Accenture’s Cloud First capabilities to help clients tap into more open and adaptable platform models and services in order to accelerate their digital transformation ▪ Objectivity Accenture has completed its acquisition of Einr AS, a business consulting company specialized in high volume logistics solutions using SAP® technologies to optimize the flow of products from manufacturers to consumers, headquartered in Oslo, Norway ▪ Acquisition - May, 2023 Einr AS Acquisition further enhances Accenture’s SAP capabilities, helping it to accelerate supply chain reinvention for organizations within the retail and consumer electronics industries ▪ 44 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  45. 4.2.1 Accenture (continued) Revenues ($Bn), 2020-2030 According to Accenture's 2022 financial report, the company had a record increase of 22% in revenue ▪ Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ In this section you will the understating of financial overview of the company, which includes revenue forecasting, segment revenue and other key details as per availability ▪ 2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F Breakdown of Net Revenue by Segment, 2022 In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ 1 2 3 4 Illustrative Illustrative 45 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  46. 4.2.2 Company 2 Solutions offered by Company Founded in: HQ: Type: Revenue: Website: Drugs for Cancer Recent Activity / Press Coverage Drugs Indications Illustrative Illustrative 46 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  47. 4.2.2 Company 2 (continued) Partnerships Ecosystem Major Distribution Partners Major Vendor Partners Illustrative Illustrative 47 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  48. 4.2.2 Company 2 (continued) Latest Deals - Mergers and Acquisitions Amount / Duration Company Name Type Year Key Pointers Illustrative Illustrative 48 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  49. 4.2.2 Company 2 (continued) Revenues ($Bn), 2020-2030 Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report ▪ xx xx xx In this section you will the understating of financial overview of the company, which includes revenue forecasting, segment revenue and other key details as per availability ▪ 2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F In order to obtain access to all of the information that you are seeking, you will need to purchase the final report ▪ Breakdown of Net Revenue by Segment, 2022 Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest ▪ 1 2 3 4 Illustrative Illustrative 49 A Sample Report on Canada Healthcare Claims Management Market Analysis I Confidential

  50. Canada Healthcare Claims Management Market Analysis 5. Reimbursement Scenario

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