Healthcare Payer Network Management Market

Best Price Guarantee	Length	Publisher	Published Date	SKU
from $4,500	135 Pages	Coherent Market Insights	August, 2023	CMI18163238

Best Price Guarantee
Price	from $4,500
Length	135 Pages
Publisher	Coherent Market Insights
Published Date	August, 2023
SKU	CMI18163238

Healthcare Payer Network Management Market, By Solution Type, By Deployment Mode, By End Users, By Component, By Organization Size, By Use Case, By Organization Size, By Technology, By Integration, By Payer Type, By geography (North America, Latin America, Europe, Asia Pacific, Middle East & Africa)-Size, Share, Outlook, and Opportunity Analysis, 2023 - 2030

Healthcare Payer Network Management is the process of onboarding, credentialing and contracting providers to serve a payer's member population. It's a crucial function that requires effective processes, streamlined data and robust communication tools. But many payers are struggling to meet this need, as they use outdated homegrown systems and experience a lack of collaboration.

Market Dynamics:

Transition to value-based care, rising healthcare costs, and consumer expectations is anticipated to drive growth of the global healthcare payer network Management Market over the forecast period. Moreover, population health management is also expected to boost the growth of the global healthcare payer network management market over the forecast period. Technology integration and automation, telehealth and remote services, value-based care models, and data analytics and insights are expected to create growth opportunities for the global Healthcare Payer Network Management Market during the forecast period.

However, regulatory complexity, interoperability challenges, and resistance to change are expected to hamper growth of the healthcare payer network management market over the forecast period.

Key features of the study:

This report provides in-depth analysis of the global Healthcare Payer Network Management Market, and provides market size (US$ Billion) and compound annual growth rate (CAGR %) for the forecast period (2023–2030), considering 2022 as the base year
It elucidates potential revenue opportunities across different segments and explains attractive investment proposition matrices for this market
This study also provides key insights about market drivers, restraints, opportunities, new product launches or approval, market trends, regional outlook, and competitive strategies adopted by key players
It profiles key players in the global Healthcare Payer Network Management Market based on the following parameters – company highlights, products portfolio, key highlights, financial performance, and strategies
Key companies covered as a part of this study include Change Healthcare (Now part of Optum, UnitedHealth Group), Cognizant, McKesson Corporation, Cerner Corporation, OptumInsight (UnitedHealth Group), TriZetto (A Cognizant Company), NTT DATA Corporation, MultiPlan, Athenahealth (Now part of Veritas Capital), Allscripts Healthcare Solutions, Experian Health, eClinicalWorks, Inovalon, Mphasis, Wipro
Insights from this report would allow marketers and the management authorities of the companies to make informed decisions regarding their future product launches, type up-gradation, market expansion, and marketing tactics
The global Healthcare Payer Network Management Market report caters to various stakeholders in this industry including investors, suppliers, product manufacturers, distributors, new entrants, and financial analysts
Stakeholders would have ease in decision-making through various strategy matrices used in analyzing the global Healthcare Payer Network Management Market

Detailed Segmentation:

Global Healthcare Payer Network Management Market, By Solution Type:
Provider Network Contracting
Provider Credentialing
Provider Directory Management
Claims Management
Analytics and Reporting
Others
Global Healthcare Payer Network Management Market, By Deployment Mode:
Cloud-based
On-premises
Healthcare Payer Network Management Market, By End users:
Health Insurance Companies
Third-Party Administrators (TPAs)
Government Payers
Self-insured Employers
Global Healthcare Payer Network Management Market, By Component:
Software
Services
Consulting and Implementation
Support and Maintenance
Training and Education
Global Healthcare Payer Network Management Market, By Organization Size:
Large Enterprises
Small and Medium-sized Enterprises (SMEs)
Global Healthcare Payer Network Management Market, By Use Case:
Network Expansion and Optimization
Claims Management and Processing
Provider Data Management
Provider Performance Monitoring
Fraud Detection and Prevention
Global Healthcare Payer Network Management Market, By Technology:
Artificial Intelligence (AI)
Machine Learning (ML)
Big Data Analytics
Blockchain
Global Healthcare Payer Network Management Market, By Integration:
Integrated Payer Systems
Standalone Network Management Platforms
Global Healthcare Payer Network Management Market, By Payer Type:
Commercial Payers
Medicare Payers
Medicaid Payers
Global Healthcare Payer Network Management Market, By Region:
North America
Europe
Asia Pacific
Latin America
Middle East and Africa
Company Profiles:
Change Healthcare (Now part of Optum, UnitedHealth Group)
Cognizant
McKesson Corporation
Cerner Corporation
OptumInsight (UnitedHealth Group)
TriZetto (A Cognizant Company)
NTT DATA Corporation
MultiPlan
Athenahealth (Now part of Veritas Capital)
Allscripts Healthcare Solutions
Experian Health
eClinicalWorks
Inovalon
Mphasis
Wipro

1. Research Objectives and Assumptions: Research Objectives; Assumptions; Abbreviations
2. Market Purview: Report Description; Market Definition and Scope; Executive Summary; Market Snapshot, By Solution Type; Market Snapshot, By Deployment Mode; Market Snapshot, By End users; Market Snapshot, By Component; Market Snapshot, By Organization Size; Market Snapshot, By Use Case; Market Snapshot, By Technology; Market Snapshot, By Integration; Market Snapshot, By Payer Type; Market Snapshot, By Region; Coherent Opportunity Map (COM)
3. Market Dynamics, Regulations, and Trends Analysis: Market Dynamics; Drivers; Transition to Value-Based Care; Rising Healthcare Costs; Consumer Expectations; Restraints; Regulatory Complexity; Interoperability Challenges; Resistance to Change; Opportunities; Technology Integration and Automation; Telehealth and Remote Services; Value-Based Care Models; Impact Analysis; Key Highlights; Regulatory Scenario; Product launch/Approvals; PEST Analysis; PORTER’s Analysis; Merger and Acquisition Scenario
4. Global Healthcare Payer Network Management Market – Impact of Coronavirus (COVID-19) Pandemic: COVID-19 Epidemiology; Supply Side and Demand Side Analysis; Economic Impact
5. Global Healthcare Payer Network Management Market , By Solution Type, 2023-2030, (US$ Bn): Introduction; Market Share Analysis, 2023 and 2030 (%); Y-o-Y Growth Analysis, 2018 – 2030; Segment Trends; Provider Network Contracting; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Bn); Provider Credentialing; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Bn); Provider Directory Management; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Bn); Claims Management; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Bn); Analytics and Reporting; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Bn); Others; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Bn)
6. Global Healthcare Payer Network Management Market , By Deployment Mode, 2023-2030, (US$ Bn): Introduction; Market Share Analysis, 2023 and 2030 (%); Y-o-Y Growth Analysis, 2018 – 2030; Segment Trends; Cloud-based; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); On-premises; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
7. Global Healthcare Payer Network Management Market, By End users, 2023-2030, (US$ Bn): Introduction; Market Share Analysis, 2023 and 2030 (%); Y-o-Y Growth Analysis, 2018 – 2030; Segment Trends; Health Insurance Companies; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Third-Party Administrators (TPAs); Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Government Payers; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Self-insured Employers; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
8. Global Healthcare Payer Network Management Market , By Component, 2023-2030, (US$ Bn): Introduction; Market Share Analysis, 2023 and 2030 (%); Y-o-Y Growth Analysis, 2018 – 2030; Segment Trends; Software; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Services; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Consulting and Implementation; Support and Maintenance; Training and Education
9. Global Healthcare Payer Network Management Market, By Organization Size, 2023-2030, (US$ Bn): Introduction; Market Share Analysis, 2023 and 2030 (%); Y-o-Y Growth Analysis, 2018 – 2030; Segment Trends; Large Enterprises; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Small and Medium-sized Enterprises (SMEs); Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
10. Global Healthcare Payer Network Management Market, By Use Case, 2023-2030, (US$ Bn): Introduction; Market Share Analysis, 2023 and 2030 (%); Y-o-Y Growth Analysis, 2018 – 2030; Segment Trends; Network Expansion and Optimization; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Claims Management and Processing; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Provider Data Management; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Provider Performance Monitoring; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Fraud Detection and Prevention; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
11. Global Healthcare Payer Network Management Market, By Technology, 2023-2030, (US$ Bn): Introduction; Market Share Analysis, 2023 and 2030 (%); Y-o-Y Growth Analysis, 2018 – 2030; Segment Trends; Artificial Intelligence (AI); Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Machine Learning (ML); Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Big Data Analytics; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Blockchain; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
12. Global Healthcare Payer Network Management Market , By Integration, 2023-2030, (US$ Bn): Introduction; Market Share Analysis, 2023 and 2030 (%); Y-o-Y Growth Analysis, 2018 – 2030; Segment Trends; Integrated Payer Systems; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Standalone Network Management Platforms; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
13. Global Healthcare Payer Network Management Market , By Payer Type, 2023-2030, (US$ Bn): Introduction; Market Share Analysis, 2023 and 2030 (%); Y-o-Y Growth Analysis, 2018 – 2030; Segment Trends; Commercial Payers; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Medicare Payers; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion); Medicaid Payers; Introduction; Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
14. Global Healthcare Payer Network Management Market , By Region, 2023-2030, (US$ Bn): Introduction; Market Share Analysis, By Country, 2023 and 2030 (%); Y-o-Y Growth Analysis, For Country 2018 –2030; Country Trends; North America; Introduction; Market Size and Forecast, and Y-o-Y Growth, By Solution Type, 2023-2030,(US$ Bn); Market Size and Forecast, and Y-o-Y Growth, By Deployment Mode Industry, 2023-2030,(US$ Bn); Market Size and Forecast, and Y-o-Y Growth, By End users, 2023-2030,(US$ Bn); Market Size and Forecast, and Y-o-Y Growth, By Component, 2023-2030,(US$ Bn); Market Size and Forecast, and Y-o-Y Growth, By Organization Size, 2023-2030,(US$ Bn); Market Size and Forecast, and Y-o-Y Growth, By Use Case, 2023-2030,(US$ Bn); Market Size and Forecast, and Y-o-Y Growth, By Technology, 2023-2030,(US$ Bn); Market Size and Forecast, and Y-o-Y Growth, By Integration, 2023-2030,(US$ Bn); Market Size and Forecast, and Y-o-Y Growth, By Payer Type, 2023-2030,(US$ Bn); Europe; Size and Forecast, and Y-o-Y Growth, By Payer Type, 2023-2030,(US$ Bn); Asia-Pacific; Latin America; Middle East & Africa
15. Competitive Landscape: Change Healthcare (Now part of Optum, UnitedHealth Group); Company Highlights; Product Portfolio; Key Developments; Financial Performance; Strategies; Cognizant; McKesson Corporation; Cerner Corporation; OptumInsight (UnitedHealth Group); TriZetto (A Cognizant Company); NTT DATA Corporation; MultiPlan; Athenahealth (Now part of Veritas Capital); Allscripts Healthcare Solutions; Experian Health; eClinicalWorks; Inovalon; Mphasis; Wipro
16. Section: Research Methodology; About us; *Browse 24 market data tables and 28 figures on "Global Healthcare Payer Network Management Market” - Global forecast to 2030