Singapore Healthcare Claims Management Market Analysis

Singapore Healthcare Claims Management Market Analysis


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The Singapore healthcare claims management market is projected to grow from $32.04 Mn in 2022 to $179.09 Mn by 2030, registering a CAGR of 24% during the forecast period of 2022 - 2030. The main factors driving the growth would be growing awareness, technological advancements and government initiatives. The market is segmented by component, type, by delivery mode and end-user. Some of the major players include Fullerton Health, Igloo, Fermion, Accenture and Optum.

ID: IN10SGHS006 CATEGORY: Healthcare Services GEOGRAPHY: Singapore AUTHOR: Neha Davda

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Singapore Healthcare Claims Management Market Executive Summary

The Singapore healthcare claims management market is projected to grow from $32.04 Mn in 2022 to $179.09 Mn by 2030, registering a CAGR of 24% during the forecast period of 2022 - 2030. Singapore spent $2,633 on healthcare per person in 2019, a decrease of 1.31% from the year before. It only spent 4.09% of its GDP on healthcare, which was relatively low compared to many other industrialised nations.

The healthcare system in Singapore is among the best in the world, with a strong emphasis on quality, accessibility, and affordability. A wide variety of public and private healthcare providers, including hospitals, clinics, and medical facilities, support the nation's healthcare sector.

Healthcare claims management, which entails the processing and payment of medical claims by insurance companies, is a crucial component of the healthcare sector. Due to the increased demand for healthcare services and the growing volume of insurance claims, Singapore's healthcare claims management market is expanding. Healthcare claims management businesses in Singapore are using technology to accelerate the processing and settlement of claims in order to meet this growing demand. These businesses are implementing cutting-edge automation and analytics solutions to increase the speed and accuracy of claims processing, which also lowers costs and enhances the overall client experience.

Singapore Healthcare Claims Management Market

Market Dynamics

Market Growth Drivers

The Singapore healthcare claims management market is expected to be driven by factors such as:

  1. Growing awareness- People in Singapore are becoming more aware of the value of healthcare and the requirement for health insurance as a result of the increased availability of information and services. As a result, there are more health insurance plans on the market, which has increased demand for healthcare claims management services
  2. Technological advancements- To increase the speed and accuracy of claims processing, healthcare claims management organisations in Singapore are implementing cutting-edge technology like artificial intelligence, machine learning, and blockchain
  3. Government initiatives- The Singaporean government has launched a number of measures to promote the use of health insurance and raise the standard of medical care. The demand for healthcare claims management services has increased as a result of these efforts increased enrolment in health insurance coverage

Market Restraints

The following factors are expected to limit the growth of the healthcare claims management market in Singapore:

  1. Regulatory constraints- Healthcare claims management organisations must comply with stringent rules and regulations due to the intense regulation of the healthcare sector in Singapore. This can restrict these businesses' capacity for innovation and the development of new technologies, which might have an effect on the market's expansion
  2. Limited insurance coverage- Despite an increase in the number of Singaporeans purchasing health insurance plans, a sizable portion of the population remains uninsured. This restricts the size of the possible market for healthcare claims management companies and may hinder their ability to expand
  3. Cost pressures- Healthcare claims management firms must control costs to stay competitive, yet there are cost constraints in the market, such as increasing labour costs and the requirement to invest in new technologies. Healthcare claims management firms' profitability and capacity to finance expansion plans may be impacted by these cost pressures

Competitive Landscape

Key Players

  • Fullerton Health (SGP)- provides clinics and facilities within the healthcare network with affordable administration and management solutions. They provide services including processing insurance claims and providing emergency medical care. Their technological infrastructure enables them to perform more than only management and administration of crucial functions for healthcare providers. They evaluate and assess the market through data mining and analysis to provide data that could assist healthcare providers cut costs and being more prepared
  • Igloo (SGP)- an internet platform for health and property and casualty insurance. It provides coverage for several insurance types, such as content insurance, social insurance, health insurance, and more. For the benefit of the policyholders, it has a platform for claims administration. It also provides AI-based software for a variety of tasks, including claim processing, sales & distribution, market development, and more
  • Fermion (SGP)- an insurance startup that provides solutions for the insurance industry's product development and policy claims on the cloud. It offers complete digital transformation solutions that empower financial service companies, insurers, and more
  • Accenture- a global professional services company that provides consulting, technology, and outsourcing services to clients in Singapore and everywhere else in the world, including options for managing medical claim payments
  • Optum- is committed to making healthcare delivery better, creating opportunities for clients to have better experiences, better health, and lower costs

Notable Upcoming Events

May 2023- The 18th Asia conference on healthcare and health insurance is scheduled on 10-11 May 2023 in Singapore. The Theme of this conference is "Reimagining Health Insurance: addressing pain points towards a promising future!"

1. Executive Summary
1.1 Service Overview
1.2 Global Scenario
1.3 Country Overview
1.4 Healthcare Scenario in Country
1.5 Healthcare Services Market in Country
1.6 Recent Developments in the Country

2. Market Size and Forecasting
2.1 Market Size (With Excel and Methodology)
2.2 Market Segmentation (Check all Segments in Segmentation Section)

3. Market Dynamics
3.1 Market Drivers
3.2 Market Restraints

4. Competitive Landscape
4.1 Major Market Share

4.2 Key Company Profile (Check all Companies in the Summary Section)

4.2.1 Company
4.2.1.1 Overview
4.2.1.2 Product Applications and Services
4.2.1.3 Recent Developments
4.2.1.4 Partnerships Ecosystem
4.2.1.5 Financials (Based on Availability)

5. Reimbursement Scenario
5.1 Reimbursement Regulation
5.2 Reimbursement Process for Services
5.3 Reimbursement Process for Treatment

6. Methodology and Scope

Healthcare Claims Management Market Segmentation

By Component (Revenue, USD Billion):

Further breakdown of the software and services segment of the healthcare claims management market

  • Software
  • Services

By Type (Revenue, USD Billion):

Although they have nothing to do with it, skills unrelated to patient care are equally crucial for any healthcare organization that wants to stay in business. Among these are managing intricate insurance regulations, comprehending best practices for data collection, and analyzing data to identify areas for development. For the above reasons, providers are constantly looking for methods to improve claim administration and medical billing systems. Setting up an integrated billing and claims processing system is one approach to accomplish this, which has a number of benefits.

  • Integrated Solutions
  • Standalone Solutions

By Delivery Mode (Revenue, USD Billion):

  • On-Premise
  • Cloud-Based

By End User (Revenue, USD Billion):

  • Healthcare Payers
  • Healthcare Providers
  • Other End Users

Healthcare payers in this market are anticipated to rise quickly over the course of the projection period because of the installation of strict regulatory requirements, a lack of experienced personnel internally for claims processing, rising healthcare expenditures, and fraud associated with those charges. Payers have also assisted healthcare providers by creating a web-based and cloud-based interface that helps them manage medical billing and associated claims and offers accurate and timely information about the epidemic.

Insights10 will provide you with the reports within 10 key parameters which are:

  1. Market Overview
  2. Market Growth Drivers & Restraints
  3. Epidemiology of Disease Type
  4. Market Segmentation
  5. Market Share
  6. Competitive Landscape
  7. Key Company Profiles
  8. Healthcare Policies & Regulatory Framework
  9. Reimbursement Scenario
  10. Factors Driving Future Growth

Based on our many years of experience, we believe that these are the parameters that are critical to decision-making for business stakeholders. Our focused approach to developing reports focused on 10 key parameters, enabled us to arrive at the name “Insights10”.

 

Stage I: Market Data Collection

Primary Interviews: We have developed a network of experts, freelancers, and researchers across countries through which we engage with local experts to gather key data points and assumptions about each market. We also engage regularly with some of the best market research agencies such as Atheneum, GuidePoint, GLG, etc. to conduct surveys and interviews, and build intelligence. We have language translators as a part of our team, who between them can cover 30+ languages allowing us to extract better local insights.

Secondary Data Collection: We have developed strong expertise and experience in secondary data collection methods for developing unique data sets and research material. We gather data from multiple reliable sources to maintain a high level of accuracy and consistency. The market data is analyzed and forecasted using appropriate statistical and coherent models. The report offers an overall analysis of the market size, growth, and market share as well as a segment-level analysis of the specific market. Our report includes precise, to-the-point information related to the overall market, competition, growth drivers, challenges, regulatory updates, and competition.

Data Sources: We have access to multiple highly reliable free and subscription data sources. We have many years of experience to understand which sources are more dependable for what and which to prefer for the reliable and latest information. The key sources of information include the following, but are not limited to:

 

 

Stage II: Market Data Analysis and Statistical Model

Market Trends: We generally look at macro parameters and micro indicators. The macro parameters include changes in government policies, demand and supply of the market, government intervention programs, and major market share. The micro indicators are GDP growth, market size, market volume, etc. We also understand nuances specific to each country like the US, Canada, India, Germany, etc., and have worked across 60+ countries and hence not only understand global trends but how these differ by country, how payment models, market structure, cultural parameters, etc. differ in each country.

Market Sizing and Analysis: Our expert data analytics team has created various market forecast models by employing the top-down approach i.e. starting with the large overall market and segmenting different areas and the bottom-up approach i.e. starting with population and epidemiology and rolling up based on spend, etc., estimating the size of the market, and distributing among the geographic and/or product segments.

The top-down approach is mainly used for new product forecasting and the bottom-up approach is used for demand estimation of any product for different countries summed up to form the total market. We are able to round off insights and build stronger forecasts because we always do both these methods and triangulate the final numbers.

The study on the market covers the analysis of the leading geographies such as Asia-Pacific, Africa, Europe, Middle East, North America, and  Latin America for the period of 2022 to 2030. The qualitative analysis covers the industry landscape and trends, market opportunities, competitive landscape, and policy and regulatory scenario, and the quantitative analysis covers different market estimates and forecasts.

Data Triangulation & Validation:

Data triangulation of various sources and results of the research are carried out by benchmarking with reliable sources such as industry statistics, statistical databases, and company-level averages, etc.

We make sure to finalize the numbers in alignment with the market research. Firstly, our internal experts ensure thorough validation and checking to ensure accurate and precise analysis and then validation is also done using a multiple-data analysis model. Two-level validation is done and entails the finalization of the report scope and the way of representation pattern.

 

 

Stage III: Interpretation and Presentation

Analysis & Interpretation: The information gathered is then analyzed and synthesized. The second series of interviews are done if necessary to check and validate. The future opportunities are analyzed by understanding product commercialization and many other factors. It also comprises the analysis of data discrepancies observed across various data sources. Information procured from secondary and primary results is then, interpreted by considering the following parameters: (a partial list)

  • Establishing market drivers and trends
  • Analyzing the regulatory landscape to understand future growth
  • Market Segment based analysis to obtain revenue/volume
  • ​Analyzing current needs and determining penetration to estimate the market

Insights: Our reports deliver actionable insights backed with supporting facts and figures to assist you in achieving exemplary growth. Our in-depth analyses are interspersed with relevant insights and statistics to offer an executive-level view of a given market. The description helps in correlating many minor factors affecting the market and their impact on the different segments within the market.

Data curated from the analysis and interpretation are drawn to portray all in one consolidated report.

Presentation & Reporting: The market research report is presented in different forms such as charts by using a scientific approach for easy understanding. Historic, current, and future analysis is provided for each market in terms of both value and volume. The size of the market is interpreted in the US Dollar value and the respective unit, based on the product, for volume consumption.

The foreign exchange rates are calculated on the respective dates and for the respective regions covered in the study.

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  • Qualitative, acute and result oriented market analysis
  • Market size and forecasts from 2022 to 2030
  • Opportunities for expansion and in-depth market analysis
  • Segmentation and regional revenue forecasts
  • Analysis of the market share and competitive landscape
  • Strategic Recommendations to chart future course of action
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Last updated on: 23 March 2023
Updated by: Riya Doshi

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