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Asia-Pacific Healthcare Reimbursement Market Size, Share & Trends Analysis Report by Claim (Underpaid and Full Paid), Service Provider, Payer (Public Payers and Private Payers), and Country with Growth Forecasts, 2024-2031

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    Report

  • 86 Pages
  • February 2025
  • Region: Asia Pacific
  • Marqual IT Solutions Pvt. Ltd (KBV Research)
  • ID: 6052448
The Asia-Pacific Healthcare Reimbursement Market is expected to witness market growth of 18.4% CAGR during the forecast period (2024-2031).

The Germany market dominated the Europe Healthcare Reimbursement Market by country in 2023, and is expected to continue to be a dominant market till 2031; thereby, achieving a market value of $3.93 billion by 2031. The UK market is experiencing a CAGR of 16.1% during 2024-2031. Additionally, the France market is expected to exhibit a CAGR of 18% during 2024-2031.



In developing regions such as Asia-Pacific, the adoption of healthcare reimbursement is steadily increasing. Governments are investing in expanding public health insurance programs to improve access to healthcare services. The rise of the middle class and the growing demand for quality healthcare services have also boosted private insurance adoption in these regions. Adopting digital technologies such as Electronic Health Records (EHRs), claims management software and automated coding systems have streamlined reimbursement processes. These solutions reduce errors, enhance efficiency, and improve claim submission and payment transparency.

Reimbursement systems help manage the costs of medical services by ensuring that expenses are shared among various stakeholders. This reduces the financial burden on patients and promotes equitable access to care. Many reimbursement models are shifting from traditional fee-for-service (FFS) structures to value-based ones. These models incentivize healthcare providers to deliver high-quality care by linking payment to patient outcomes.

China’s aging population is a major factor influencing the growth of the market. Citizens aged 60 or older now comprise 18.7% of the population, with 13.5% aged 65 or older, representing a significant rise since the last census in 2010. This demographic shift increases healthcare utilization and expenditure, particularly for chronic and age-related conditions.

Older adults are more prone to chronic illnesses such as cardiovascular diseases, diabetes, and neurodegenerative disorders. The growing prevalence of these diseases necessitates efficient reimbursement systems to manage long-term care and high-cost treatments. The Chinese government’s focus on elderly care and age-related services is expected to drive reimbursement policies that cater to geriatric healthcare, including long-term care, rehabilitation, and preventive services. This will create a surge in claims volume and complexity, further propelling the reimbursement market’s growth. In conclusion, the growing healthcare sector in India and the rapidly aging population in China are accelerating the growth of the healthcare reimbursement market in both countries.

List of Key Companies Profiled

  • United HealthCare Services, Inc.
  • Allianz Care (Allianz Group)
  • CVS Health Corporation (ActiveHealth Management, Inc.)
  • Nippon Life Insurance Company Limited
  • The Cigna Group
  • Elevance Health, Inc.
  • Humana Inc.
  • Molina Healthcare, Inc.
  • Centene Corporation
  • MetLife, Inc.

Market Report Segmentation

By Claim
  • Underpaid
  • Full Paid
By Service Provider
  • Hospitals
  • Diagnostic Laboratories
  • Physician Office
  • Other Service Provider
By Payer
  • Public Payers
  • Private Payers
By Country
  • China
  • Japan
  • India
  • South Korea
  • Singapore
  • Malaysia
  • Rest of Asia-Pacific

Table of Contents

Chapter 1. Market Scope & Methodology
1.1 Market Definition
1.2 Objectives
1.3 Market Scope
1.4 Segmentation
1.4.1 Asia-Pacific Healthcare Reimbursement Market, by Claim
1.4.2 Asia-Pacific Healthcare Reimbursement Market, by Service Provider
1.4.3 Asia-Pacific Healthcare Reimbursement Market, by Payer
1.4.4 Asia-Pacific Healthcare Reimbursement Market, by Country
1.5 Methodology for the Research
Chapter 2. Market at a Glance
2.1 Key Highlights
Chapter 3. Market Overview
3.1 Introduction
3.1.1 Overview
3.1.1.1 Market Composition and Scenario
3.2 Key Factors Impacting the Market
3.2.1 Market Drivers
3.2.2 Market Restraints
3.2.3 Market Opportunities
3.2.4 Market Challenges
3.3 Porter Five Forces Analysis
Chapter 4. Asia-Pacific Healthcare Reimbursement Market by Claim
4.1 Asia-Pacific Underpaid Market by Country
4.2 Asia-Pacific Full Paid Market by Country
Chapter 5. Asia-Pacific Healthcare Reimbursement Market by Service Provider
5.1 Asia-Pacific Hospitals Market by Country
5.2 Asia-Pacific Diagnostic Laboratories Market by Country
5.3 Asia-Pacific Physician Office Market by Country
5.4 Asia-Pacific Other Service Provider Market by Country
Chapter 6. Asia-Pacific Healthcare Reimbursement Market by Payer
6.1 Asia-Pacific Public Payers Market by Country
6.2 Asia-Pacific Private Payers Market by Country
Chapter 7. Asia-Pacific Healthcare Reimbursement Market by Country
7.1 China Healthcare Reimbursement Market
7.1.1 China Healthcare Reimbursement Market by Claim
7.1.2 China Healthcare Reimbursement Market by Service Provider
7.1.3 China Healthcare Reimbursement Market by Payer
7.2 Japan Healthcare Reimbursement Market
7.2.1 Japan Healthcare Reimbursement Market by Claim
7.2.2 Japan Healthcare Reimbursement Market by Service Provider
7.2.3 Japan Healthcare Reimbursement Market by Payer
7.3 India Healthcare Reimbursement Market
7.3.1 India Healthcare Reimbursement Market by Claim
7.3.2 India Healthcare Reimbursement Market by Service Provider
7.3.3 India Healthcare Reimbursement Market by Payer
7.4 South Korea Healthcare Reimbursement Market
7.4.1 South Korea Healthcare Reimbursement Market by Claim
7.4.2 South Korea Healthcare Reimbursement Market by Service Provider
7.4.3 South Korea Healthcare Reimbursement Market by Payer
7.5 Singapore Healthcare Reimbursement Market
7.5.1 Singapore Healthcare Reimbursement Market by Claim
7.5.2 Singapore Healthcare Reimbursement Market by Service Provider
7.5.3 Singapore Healthcare Reimbursement Market by Payer
7.6 Malaysia Healthcare Reimbursement Market
7.6.1 Malaysia Healthcare Reimbursement Market by Claim
7.6.2 Malaysia Healthcare Reimbursement Market by Service Provider
7.6.3 Malaysia Healthcare Reimbursement Market by Payer
7.7 Rest of Asia-Pacific Healthcare Reimbursement Market
7.7.1 Rest of Asia-Pacific Healthcare Reimbursement Market by Claim
7.7.2 Rest of Asia-Pacific Healthcare Reimbursement Market by Service Provider
7.7.3 Rest of Asia-Pacific Healthcare Reimbursement Market by Payer
Chapter 8. Company Profiles
8.1 United HealthCare Services, Inc.
8.1.1 Company Overview
8.2 CVS Health Corporation (ActiveHealth Management, Inc.)
8.2.1 Company Overview
8.2.2 Financial Analysis
8.2.3 Segmental and Regional Analysis
8.3 Allianz Care (Allianz Group)
8.3.1 Company Overview
8.3.2 Financial Analysis
8.4 Reliance Nippon Life Insurance Company Limited
8.4.1 Company Overview
8.5 The Cigna Group
8.5.1 Company Overview
8.5.2 Financial Analysis
8.5.3 Segmental Analysis
8.6 Elevance Health, Inc.
8.6.1 Company Overview
8.6.2 Financial Analysis
8.6.3 Segmental Analysis
8.7 Humana Inc.
8.7.1 Company Overview
8.8 Molina Healthcare, Inc.
8.8.1 Company Overview
8.9 Centene Corporation
8.9.1 Company Overview
8.10. MetLife, Inc.
8.10.1 Company Overview

Companies Mentioned

  • United HealthCare Services, Inc.
  • Allianz Care (Allianz Group)
  • CVS Health Corporation (ActiveHealth Management, Inc.)
  • Nippon Life Insurance Company Limited
  • The Cigna Group
  • Elevance Health, Inc.
  • Humana Inc.
  • Molina Healthcare, Inc.
  • Centene Corporation
  • MetLife, Inc.

Methodology

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