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Egypt Healthcare Claims Management Market

This report presents a strategic analysis of the Egypt 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 Egypt Healthcare Claims Management Market , and offers unmatched value, accuracy, and expert insights.

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Egypt Healthcare Claims Management Market

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  1. Sample Report Egypt Healthcare Claims Management Market Analysis July 2024

  2. This report presents a strategic analysis of the Egypt 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 Egypt 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 2023 Forecast Period 2024-2030 Market Overview, Size & Forecasting, 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) Currency Conversion 1 Egyptian Pound = 0.021 USD Research Approach Secondary Research (90%), Primary Research (10%) 3 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  4. Table of Content CONTENT PG. NO. 6-14 1. Market Overview 1.1 Healthcare Claims Management Market Overview 1.2 Healthcare Claims Management Market Overview: Global 1.3 Economic Overview: Egypt 1.4 Healthcare Claims Management Market Overview: Egypt 1.5 Healthcare Overview: Egypt 1.6 Budget of Egypt Government for Public Insurance 1.7 Top Developments in Egypt 15-17 2. Healthcare Claims Management Process and Software 2.1 Process for effective Claim Management 2.2 Software for Healthcare Claim Management 18-23 3. Market Size and Forecasting 3.1 Egypt Healthcare Claims Management Market Size and Forecasts 4 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  5. Table of Content CONTENT PG. NO. 3.2 Snapshot of Egypt Healthcare Claims Management Market Segmentation 3.2.1 Market Segmentation: By Component 3.2.2 Market Segmentation: By Delivery Mode 3.2.3 Market Segmentation: By Type 24-29 4. Market Dynamics 4.1 Market Growth Drivers 4.2 Market Growth Restraints 30-37 5. Competitive Landscape 5.1 Key Players in Egypt Healthcare Claims Management Market 38-43 6. Regulatory and Reimbursement Landscape 6.1 Regulatory Landscape in Egypt 6.2 Reimbursement Scenario in Egypt 6.3 Reimbursement Process 5 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  6. Egypt Healthcare Claims Management Market Analysis 1. Market Overview

  7. 1.1 Healthcare Claims Management Market Overview Healthcare claims management involves the submission, processing, and administration of healthcare claims among healthcare providers, patients, and insurance companies ▪ Effective management of healthcare claims is crucial for the financial well-being of healthcare organizations, as it ensures that services rendered are reimbursed promptly and accurately ▪ Artificial intelligence and automation are transforming healthcare claims management by improving processing speed, accuracy, and fraud detection ▪ Benefits of integrating Healthcare Claims Management include: Increased Efficiency and Accuracy by consolidating incident reports and claims data into a single integrated system ▪ Accelerated payment processing by automated claims processing ▪ Enhanced data analysis capabilities for making informed decisions ▪ Lowered administrative expenses by automating manual tasks such as data entry, eligibility verification, and posting payments ▪ Reducing errors and resubmissions leading to improved patient satisfaction ▪

  8. 1.2 Healthcare Claims Management Market Overview: Global (1/2) Current Health Expenditure – (% of GDP) 4.5 Bn People lacking universal health coverage in 2021 10.87 1.3 Bn People pushed into poverty due to medical spending 10.35 9.87 9.81 9.76 10.35 % Of GDP in current health expenditure globally in 2021 9.73 9.68 9.45 9.37 9.34 86% Of 90 Mn deaths each year due to chronic disease 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 8 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  9. 1.2 Healthcare Claims Management Market Overview: Global (2/2) Egypt Market ~$xx Bn Market Illustrative Illustrative 9 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  10. 1.3 Economic Overview: Egypt Population of Egypt, In Mn GDP growth (annual %) – Egypt 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 Population Split (2023) Egypt’s median age is 24.2 years which is lower than global median age ▪ By Gender By Age Group Country's population’s global share is 1.4% and it is increasing at a rate of 1.56% Life expectancy of female is 73.2 years and for male it is 68.5 years Currently 41.3% of population is urban in Egypt Top 3 largest cities in Egypt are Cairo, Alexandria, Giza ▪ 0-14 ▪ 15-64 Female Male ▪ 65+ ▪ Illustrative Illustrative 10 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  11. 1.4 Healthcare Claims Management Market Overview: Egypt Current Health Expenditure (% of GDP) – Egypt 15 – 17 Mn People to be covered by UHI by 2023 in Egypt 1-10% Of population percentage covered by private health insurance 4.61 % Of GDP as Current health expenditure in Egypt in 2021 22 Mn Of predicted aging population over 60 years in 2050 in Egypt 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Illustrative Illustrative 11 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  12. 1.5 Healthcare Overview: Egypt Public Healthcare Private Healthcare Primary Body: Ministry of Health and Population (MoHP) responsible for delivery of both preventive and curative healthcare across primary, secondary, and tertiary levels Composition: Includes for-profit, nonprofit organizations, and non governmental organizations including religiously affiliated clinics and other charitable organizations ▪ ▪ Parastatal Organization: Offer specialized healthcare services through the Health Insurance Organization (HIO), Curative Care Organization (CCO), and Teaching Hospitals and Institutes Organization (THO) Infrastructure: Range from large, modern, sophisticated hospitals to smaller hospitals, day care centers, and polyclinics ▪ ▪ Service: Private sector deemed superior to the public services in terms of quality ▪ University Hospitals: Considered secondary and tertiary care facilities and are more advanced than MoHP facilities ▪ Facilities: Private hospitals and clinics offer more modern facilities, advanced equipment, and better-maintained infrastructure than many public healthcare facilities ▪ Universal Coverage: Aims to ensure citizens have access to primary care services and essential medications at affordable rates ▪ Challenges: High out-of-pocket expenditures and variations in pricing and billing practices across different private providers ▪ Challenges: Insufficient funding, staffing shortages, and disparities in service availability ▪ 12 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  13. 1.6 Budget of Egypt 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 Medicare 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 Tn in 2021, or $12,914 per person, and accounted for 18.3% of Gross Domestic Product (GDP) ▪ Medicare spending grew 8.4% to $900.8 Bn in 2021, or 21% of total NHE ▪ Private health insurance spending grew 5.8% to $1,211.4 Bn in 2021, or 28% of total NHE ▪ Out of pocket spending grew 10.4% to $433.2 Bn 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 Bn, or 14% of total NHE ▪ Hospital expenditures grew 4.4% to $1,323.9 Bn in 2021, slower than the 6.2% growth in 2020 ▪ Physician and clinical services expenditures grew 5.6% to $864.6 Bn in 2021, slower growth than the 6.6% in 2020 ▪ Prescription drug spending increased 7.8% to $378.0 Bn 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 13 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  14. 1.7 Top Developments in Egypt Latest Deals in Egypt Company Name Type Year Key Pointers Allianz Egypt renewed its partnership with Emirates NBD-Egypt, aiming to provide an extensive range of life and property insurance products and services Collaboration, which has been extended for five years, is facilitated through the bank’s branch network and targets various customer segments It focuses on enhancing the service mechanism to cater to all customer needs under one roof ▪ February 12, 2024 ▪ Partnership ▪ Egypt-based investment fund management company Ezdehar acquired a minority stake in the Egyptian healthtech Yodawy for $10 Mn Investment represents Ezdehar's first venture into the healthtech sector and aligns with its strategy of backing startups through its Mid-Cap Fund II Ezdehar aims to assist Yodawy in expanding its customer base, enhancing technology-driven prescription fulfillment capabilities, and increasing its impact in the healthcare services market ▪ ▪ January 16, 2024 Acquisition ▪ Illustrative Illustrative 14 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  15. Egypt Healthcare Claims Management Market Analysis 2. Healthcare Claim Management Process and Software

  16. 2.1 Process for Effective Claim Management Documentation by maintaining thorough records of patient information, treatments, and associated costs Claim Reporting by accurately documenting and submitting claims to insurance providers Claim Evaluation to ensure they are complete and correct Claim Processing and tracking their status Finalizing claims by reconciling payments received from both insurers and patients Appeals for denied claims and providing additional documentation Claim Closure by archiving resolved claims Payment of approved claims or Denial Illustrative Illustrative 16 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  17. 2.2 Software for Healthcare Claim Management Claim Processing Automation ▪Automate the entire claims submission process, from verifying patient eligibility to accurately coding diagnoses and procedures, and submitting claims to insurance companies Claim Denial Management ▪Minimize denials, reduce billing errors, and accelerate revenue cycles Medical Billing ▪Medical billing and coding programs that aid you in managing the entire claim process smoothly Coding and Compliance Management ▪Ensuring claims adhere to the latest medical coding standards and regulations Illustrative Illustrative 17 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  18. Egypt Healthcare Claims Management Market Analysis 3. Market Size and Forecasting

  19. 3.1 Egypt Healthcare Claims Management Market Size and Forecasts Egypt Healthcare Claims Management Market Forecast, 2023-2030 2023 2024F 2025F 2026F 2027F 2028F 2029F 2030F 2023 2024 2025 2026 2027 2028 2029 2030 Major Markets Patient ($Mn) 2.74 2.82 2.90 2.94 2.98 3.02 3.07 3.12 Egypt Patient Size ($Bn) 0.51 0.61 0.68 0.69 0.70 0.71 0.72 0.73 % of Patients 18.75% 21.70% 23.56% 23.45% 23.42% 23.39% 23.34% 23.45% Global Market Size ($Bn) 3,620 3,780 3,950 4,128 4,314 4,508 4,711 4,937 Egypt Market Size ($Bn) 61 74 84 87 91 95 99 106 Illustrative Illustrative 19 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  20. 3.2 Snapshot of Egypt Healthcare Claims Management Market Segmentation Component Delivery Mode Type Software On Premise Standalone Solutions Services Cloud Based Integrated Solutions In this section you will get an understanding of the segmentations which will cover the Egypt 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 ▪ Illustrative Illustrative 20 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  21. 3.2.1 Market Segmentation: Component Egypt Healthcare Claims Management Market Share, By Component (2023) 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 ▪ ▪ Services ▪ Software Illustrative Illustrative 21 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  22. 3.2.2 Market Segmentation: By Delivery Mode Egypt Healthcare Claims Management Market Share, By Delivery Mode (2023) 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 ▪ Cloud Based ▪ ▪ On Premise Illustrative Illustrative 22 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  23. 3.2.3 Market Segmentation: By Type Egypt Healthcare Claims Management Market Share, By Type (2023) 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 ▪ ▪ Integrated Solutions ▪ Standalone Solutions Illustrative Illustrative 23 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  24. Egypt Healthcare Claims Management Market Analysis 4. Market Dynamics

  25. 4. Snapshot Of Market Growth Drivers And Restraints 4.1.1 4.1.2 Government initiatives to enhance healthcare services and expand health insurance coverage 4.1.3 Rising adoption of digital healthcare solutions to streamline claims processing Aging population over 60 predicted to more than double to 22 Mn, between 2020 and 2050 in Egypt 4.2.1 4.2.2 Concerns over data breaches and loss of confidentiality restricts market growth Limited regulatory oversight hinders adoption of advanced claim management system Illustrative Illustrative 25 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  26. 4.1 Market Growth Drivers 4.1.1 Rising adoption of digital healthcare solution, including AI and automation drives healthcare claims management market by improving efficiency and accuracy in claims processing 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 ▪ Adoption of Digital Solutions 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 26 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  27. 4.1 Market Growth Drivers 4.1.2 Egypt Vision 2030’s goal of achieving an integrated, accessible, and high-quality healthcare system increases demand for advanced healthcare claims management solutions Demand for Advanced Healthcare Claims Management Solutions 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 27 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  28. 4.1 Market Growth Drivers 4.1.3 Aging population in Egypt fuels the healthcare claims management market by increasing demand for healthcare services requiring efficient claims processing Aging Population 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 28 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  29. 4.2 Market Growth Restraints 4.2.1 Concern over data breaches and loss of confidentiality related to healthcare claims data restricts the growth of market in Egypt 4.2.2 Lack of regulatory oversight increases inconsistencies and fraud undermining efficiency and trust in healthcare claims processing 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 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 ▪ ▪ ▪ ▪ Our analysis will thoroughly investigate the key restraints that may significantly impact business operations and growth. Illustrative Illustrative 29 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  30. Egypt Healthcare Claims Management Market Analysis 5. Competitive Landscape

  31. 5.2 Key Players in Egypt Healthcare Claims Management Market Here is the list of top 10 companies which will cover in the final report ▪ 1 6 Each company will have slides for ▪ Allianz MetLife 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 Illustrative Illustrative o o o o 2 7 MedMisr GIG Egypt o o o 3 8 Cigna GlobeMed o Orient Takaful Insurance ▪ 4 9 Marsh ▪ 10 5 Accenture AXA Egypt 31 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  32. 5.2.1 Allianz (Continued) Offerings Founded In: 1890 ▪ Alliance Egypt is part of Allianz Group, a global financial services provider with 100 Mn retail and corporate clients in more than 70 countries ▪ Allianz provides comprehensive and integrated insurance services to business partners and individuals who require the best of local know-how based on extensive international expertise and experience in Egypt ➢ Life Insurance HQ: Munich, Germany ➢ Health Insurance Type: Public Revenue: $106.3 Bn (Global) ➢ Employee Benefits Website: allianz.com ➢ Property and Casualty Recent Activity / Press Coverage ▪ May 15, 2024 — Allianz increases operating profit by 6.8% driven by the Property-Casualty business segment, supported by good results in the Asset Management and the Life/Health business segments ▪ January 24, 2024 — Allianz Partners announced the launch of the allyz mobile app, a digital platform providing travelers with trusted advice and expertise as well as access to the full suite of insurance benefits available to customers ▪ January 17, 2024 — Allianz holds the position as the leading global insurance and asset management brand in the Brand Finance Global 500 – a ranking of the world’s 500 most valuable and strongest brands ▪ Allianz came in as the 28th most valuable brand in the world with a brand value growth of 15% on the insurance side 32 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  33. 5.2.1 Allianz (Continued) Latest Deals in Allianz Company Name Type Year Key Pointers Allianz, a longtime partner of FC Bayern football club, announced a new partnership with professional footballer Harry Kane, MBE (Member of the Order of the British Empire) Kane will serve as a global ambassador and will jointly work on global marketing activations to inspire the next generation ▪ Jun 12, 2024 Partnership ▪ Allianz Egypt Signs First of the Kind Partnership Agreement with Esaal Platform to Offer its Clients Physical and Mental Healthcare Services Online Esaal is a digital platform offering mental health, comprehensive healthcare and nutrition services, in addition to medical consultations in the Middle East and North Africa Agreement aims to offer high-quality healthcare services digitally for the clients of Allianz, including individuals, SMEs or corporates ▪ Jun 13, 2023 ▪ Partnership ▪ Illustrative Illustrative 33 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  34. 5.2.1 Allianz (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 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 ▪ ▪ 2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F Breakdown of Net Revenue by Segment, 2023 ▪ 1 2 3 4 Illustrative Illustrative 34 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  35. 5.2.1 Company 2 Offerings Founded In: HQ: Type: Revenue: Website: Recent Activity / Press Coverage Illustrative Illustrative 35 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  36. 5.2.1 Company 2 (Continued) Latest Deals in CompanyName Company Name Type Year Key Pointers Illustrative Illustrative 36 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  37. 5.2.1 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 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 ▪ ▪ 2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F Breakdown of Net Revenue by Segment, 2023 ▪ 1 2 3 4 Illustrative Illustrative 37 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  38. Egypt Healthcare Claims Management Market Analysis 6. Regulatory and Reimbursement Landscape

  39. 6.1 Regulatory Landscape in Egypt Regulatory Authorities With Jurisdiction Over Drugs, Biologicals, And Medical Devices In Egypt Ministry of Health and Population (MoHP) is the main government agency responsible for regulating the healthcare sector in Egypt. MoHP defines national health policies and sets standards for medical practice across Egypt's healthcare system ▪ Egyptian Drug Authority (EDA), reporting to the Prime Minister of Egypt, is a public service authority tasked with overseeing and ensuring the quality, effectiveness, and safety of pharmaceuticals, medical devices, and related products within the Egyptian market. It oversees the regulation of the import, manufacturing, and distribution of all pharmaceuticals and medical products within Egypt. EDA comprises three main organizations: ▪ Central Administration for Pharmaceutical Affairs (CAPA), o National Organization for Drug Control and Research (NODCR), and o National Organization for Research & Control of Biologicals (NORCB) o Egyptian Authority for Unified Procurement (UPA) is a government entity tasked with ensuring equitable and efficient distribution of medicines and medical supplies throughout Egypt's healthcare system ▪ Universal Health Insurance (UHI) Law introduced three new independent regulatory authorities to oversee the implementation of the universal health insurance program: the General Authority for Accreditation and Health Control (GAAHC), the General Authority for Healthcare (GAHC), and the General Authority for Universal Health Insurance (GAUHI). ▪ Regulatory bodies under UHI collaborate with different government entities to gather taxes and fees mandated by the UHI Law, which funds the universal healthcare program ▪ Illustrative Illustrative 39 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  40. 6.2 Reimbursement Scenario in Egypt Reimbursement Scenario for Healthcare Public Healthcare ▪ Ministry of Health and Population (MoHP) offers subsidized services, with 80% provided free of charge, while the remaining services require some user fees MoHP significantly funds parastatal organizations such as the Curative Care Organization (CCO) and the Teaching Hospitals and Institutes Organization (THIO) directly CCO provides services for employees of companies with dedicated contracts and covers accident cases, private patients, and a limited number of impoverished patients through MoHP grants Health Insurance Organization (HIO) provides compulsory insurance to most formal sector employees, allowing an opt-out strategy UHI is an entity established to provide Universal Health Insurance services for all Egyptians and is financed through several sources such as citizen-paid premiums, state budget, government subsidization of the poor, general tax, tobacco earmarked tax, co-payments (service fees) Private Healthcare ▪ Private health insurance in Egypt offers extensive coverage for individuals and families, granting access to high-quality healthcare services Out-of-pocket payments are the largest source of healthcare financing in Egypt and largest share goes to private clinics and pharmaceuticals Non-Governmental Organizations (NGOs) in Egypt do not make substantial contributions to healthcare financing, but are involved in providing primary healthcare services and raising public awareness Approximately 25% of NGO funding is sourced from domestic donations, with the remainder coming from external funding sources ▪ ▪ ▪ ▪ ▪ ▪ ▪ Illustrative Illustrative 40 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  41. 6.2 Reimbursement Scenario in Egypt (Continued) Coverage Penetration (% Total Population) Source of Funding Spend on Healthcare (%of Current Health Expenditure) 100% 100% 100% 100% 100% 44.0% Government Expenditure xx 46.0% xx 47.7% xx xx xx 51.0% 51.8% Public Healthcare Coverage Private Health Insurance Out of Pocket 38.9% 37.1% 35.6% 31.5% 32.5% Private Coverage Other NA NA 2019 2020 2021 2022 2023 2017 2018 2019 2020 2021 2022 2023  Public healthcare coverage is provided by the government and includes programs like Medicare and Medicaid  Medicare is a federal program that provides healthcare coverage to individuals who are 65 years of age or older, as well as certain younger people with disabilities 6.3% 4.08% 5.1% 3.8% 2.2% 2.4% 3.6% GDP Growth (yoy) 14.7% 11.3% 15.5% 7.5% 4.2% NA NA HC Spend Growth (yoy) Reimbursement Market Trends ▪ Shift towards value-based care has been a significant trend in Egypt healthcare system, with payers and providers increasingly focused on improving patient outcomes and reducing costs ▪ This has led to the development of alternative payment models such as accountable care organizations (ACOs) and bundled payment arrangements, which incentivize providers to deliver high-quality, cost-effective care Illustrative Illustrative 41 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  42. 6.3 Reimbursement Process The reimbursement process in Egypt healthcare system can be complex and can vary depending on the type of healthcare service, the healthcare provider, and the insurance coverage. Here are the general steps involved in the reimbursement process: Service or Treatment Provided: The healthcare provider performs a service or treatment for the patient ▪ Billing: The healthcare provider submits a claim to the insurance company or other payer, requesting reimbursement for the service provided ▪ Adjudication: The insurance company or other payer reviews the claim to determine whether it meets the criteria for reimbursement. This can involve verifying the patient's eligibility, reviewing the treatment provided, and checking for any potential errors or fraud ▪ Payment: If the claim is approved, the insurance company or other payer reimburses the healthcare provider for the service provided, based on the negotiated payment rates or fee schedule ▪ Patient Responsibility: Depending on the patient's insurance coverage, they may be responsible for paying a portion of the cost of the service, such as deductibles, co-payments, or co-insurance 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 42 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

  43. 6.3 Reimbursement Process (Continued) The reimbursement process in Egypt healthcare system can be complex and can vary depending on the type of healthcare service, the healthcare provider, and the insurance coverage. Here are the general steps involved in the reimbursement process: MoH Service or Treatment Provided: The healthcare provider performs a service or treatment for the patient ▪ Market Authorization Billing: The healthcare provider submits a claim to the insurance company or other payer, requesting reimbursement for the service provided ▪ Private Payers Public Payers Adjudication: The insurance company or other payer reviews the claim to determine whether it meets the criteria for reimbursement. This can involve verifying the patient's eligibility, reviewing the treatment provided, and checking for any potential errors or fraud ▪ Health Technology Assessment Payment: If the claim is approved, the insurance company or other payer reimburses the healthcare provider for the service provided, based on the negotiated payment rates or fee schedule ▪ 1 2 3 Coding Coverage Payment Coding depends on availability code while coverage and payment process decisions are made through an HTA. Illustrative Illustrative 43 A Sample Report on Egypt Healthcare Claims Management Market Analysis I Confidential

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  48. What do our reports cover? Market Overview Competitive Landscape 1 6 Growth Drivers & Growth Restraints 2 7 Policy & Regulatory Landscape Epidemiology & Disease type 3 8 Reimbursement Scenario Market Size & Forecast Recent Developments 4 9 Market Segmentation Factors Driving Future Growth 5 10

  49. Our Research Process 01 02 03 04 05 06 Define precise research questions Gather data through secondary research Validate data through primary research interviews Forecast market size and segment analysis Extract key insights from the research findings Compile & present a comprehensive analytical report

  50. Data Triangulation & Data Validation Top Down Approach Find final Examine the total healthcare expenditure in the targeted disease or service domain. market size Assess the proportion of spending allocated to the specific product or treatment category. Predict future market growth or decline based on key market trends & dynamics Predict future market growth or decline based on key market trends & dynamics Analyze product or treatment pricing and reimbursement strategies Find final market size Evaluate consumer or patient demographics and numbers Bottom Up Approach

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