Healthcare Payer Services Market, By Service Type (Business Process Outsourcing, Information Technology Outsourcing, Knowledge Process Outsourcing), By Application (Claims Management Services, Integrated Front Office Service and Back Office Operations, Me

Healthcare Payer Services Market, By Service Type (Business Process Outsourcing, Information Technology Outsourcing, Knowledge Process Outsourcing), By Application (Claims Management Services, Integrated Front Office Service and Back Office Operations, Member Management Services, Provider Management Services, Billing and Accounts Management Services, Analytics and Fraud Management Services, HR Services, Payment Management Services, Audit and Analysis Systems), By End User (Private Payers and Public Payers), By Geography (North America, Latin America, Europe, Asia Pacific, Middle East & Africa)


Global healthcare payer services market growth is driven by increasing focus of healthcare payers and providers on improving the overall efficiency of revenue cycle operations. Healthcare payers are emphasizing on offering improved customer services and engagement to gain a competitive edge. Moreover, growing utilization of healthcare insurance schemes and rising out-of-pocket medical expenses boosts demand for efficient payer services. Various service providers are developing and deploying advanced solutions to help payers manage shifting revenue streams, optimize claims processing, streamline administration workflows, and reduce costs.

Market Dynamics:

Global healthcare payer services market growth is driven by growing focus on curbing rising healthcare costs and improving profitability. Payers are increasingly outsourcing non-core operations to Third Party Administrators (TPAs) and other service providers to reduce expenses. Furthermore, proliferation of chronic illnesses along with rising geriatric population requiring medical insurance can boost demand for efficient claims processing and management. However, security concerns related to handling sensitive patient data and difficulties in integrating legacy systems with new solutions can hamper the market growth. Increasing uptake of cloud-based platforms and the emergence of advanced technologies, such as artificial intelligence, can offer lucrative opportunities for market players in the near future.

Key Features of the Study:
  • This report provides in-depth analysis of the global healthcare payer services market, and provides market size (USD Billion) and compound annual growth rate (CAGR%) for the forecast period (2024–2031), considering 2023 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 services 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 UnitedHealth Group, Anthem, Inc., Aetna Inc., Humana Inc., Centene Corporation
  • 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
  • Global healthcare payer services 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 services market
Detailed Segmentation-
  • By Service Type
  • Business Process Outsourcing
  • Information Technology Outsourcing
  • Knowledge Process Outsourcing
  • By Application
  • Claims Management Services
  • Integrated Front Office Service and Back Office Operations
  • Member Management Services
  • Provider Management Services
  • Billing and Accounts Management Services
  • Analytics and Fraud Management Services
  • HR Services
  • Payment Management Services
  • Audit and Analysis Systems
  • By End User
  • Private Payers
  • Public Payers
  • By Region
  • North America
  • Europe
  • Asia Pacific
  • Latin America
  • Middle East
  • Africa
  • Company Profiles:
  • Accenture PLC
  • Institute BCN Esthetics S.L.
  • Hewlett-Packard
  • Dell, Inc.
  • Zeomega
  • Verisk Analytics, Inc.
  • UNITEDHEALTH GROUP
  • NXGN Management, LLC
  • MCKESSON CORPORATION
  • IBM Corporation
  • Epic Systems Corporation
  • eClinicalWorks
  • Cerner Corporation
  • Allscripts Healthcare Solutions, Inc.
  • Aetna, Inc.
  • Cognizant
  • Accenture
  • DXC Technology Company
  • Wipro


1. Research Objectives and Assumptions
Research Objectives
Assumptions
Abbreviations
2. Market Purview
Report Description
Market Definition and Scope
Executive Summary
Market Snapshot, By Service Type
Market Snapshot, By Application
Market Snapshot, By End User
Market Snapshot, By Region
Coherent Opportunity Map (COM)
3. Market Dynamics, Regulations, and Trends Analysis
Market Dynamics
Drivers
Restraints
Opportunities
Impact Analysis
Market Trends
Key Developments
Regulatory Scenario
Acquisitions and Partnerships Scenario
Funding and Investments
PEST Analysis
Porter’s Analysis
4. Global Healthcare Payer Services Market - Impact of Coronavirus (COVID-19) Pandemic
Overall Impact
Government Initiatives
COVID-19 Impact on the Market
5. Global Healthcare Payer Services Market, By Service Type, 2019 – 2031, (USD Bn)
Overview
Market Share Analysis, 2024 and 2031 (%)
Y-o-Y Growth Analysis, 2019 – 2031
Segment Trends
Business Process Outsourcing
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
Information Technology Outsourcing
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
Knowledge Process Outsourcing
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
6. Global Healthcare Payer Services Market, By Application, 2019 – 2031, (USD Bn)
Overview
Market Share Analysis, 2024 and 2031 (%)
Y-o-Y Growth Analysis, 2019 – 2031
Segment Trends
Claims Management Services
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
Integrated Front Office Service and Back Office Operations
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
Member Management Services
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
Provider Management Services
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
Billing and Accounts Management Services
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
Analytics and Fraud Management Services
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
HR Services
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
Payment Management Services
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
Audit and Analysis Systems
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
7. Global Healthcare Payer Services Market, By End User, 2019 – 2031, (USD Bn)
Overview
Market Share Analysis, 2024 and 2031 (%)
Y-o-Y Growth Analysis, 2019 – 2031
Segment Trends
Private Payers
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
Public Payers
Overview
Market Size and Forecast, and Y-o-Y Growth, 2019–2031, (USD Bn)
8. Global Healthcare Payer Services Market, By Region, 2019 – 2031, (USD Bn)
Introduction
Market Share Analysis, By Region, 2024 and 2031 (%)
Y-o-Y Growth Analysis, For Region, 2019–2031
Regional Trends
North America
Introduction
Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By Application, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By End User, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 – 2031, (USD Bn)
U.S.
Canada
Latin America
Introduction
Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By Application, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By End User, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 – 2031, (USD Bn)
Brazil
Mexico
Argentina
Rest of Latin America
Europe
Introduction
Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By Application, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By End User, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 – 2031, (USD Bn)
U.K.
Germany
Italy
France
Spain
Russia
Rest of Europe
Asia Pacific
Introduction
Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By Application, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By End User, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 – 2031, (USD Bn)
China
India
Japan
ASEAN
Australia
South Korea
Rest of Asia Pacific
Middle East
Introduction
Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By Application, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By End User, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 – 2031, (USD Bn)
GCC Countries
Israel
Rest of Middle East
Africa
Introduction
Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By Application, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By End User, 2019 - 2031, (USD Bn)
Market Size and Forecast, and Y-o-Y Growth, By Country/Region, 2019 – 2031, (USD Bn)
North Africa
Central Africa
South Africa
9. Competitive Landscape
Company Profiles
Accenture PLC
Company Highlights
Product Portfolio
Key Highlights
Financial Performance
Market Strategies
Institute BCN Esthetics S.L.
Company Highlights
Product Portfolio
Key Highlights
Financial Performance
Market Strategies
Hewlett-Packard
Company Highlights
Product Portfolio
Key Highlights
Financial Performance
Market Strategies
Dell, Inc.
Company Highlights
Product Portfolio
Key Highlights
Financial Performance
Market Strategies
Zeomega
Company Highlights
Product Portfolio
Key Highlights
Financial Performance
Market Strategies
Verisk Analytics, Inc.
Company Highlights
Product Portfolio
Key Highlights
Financial Performance
Market Strategies
UNITEDHEALTH GROUP
Company Highlights
Product Portfolio
Key Highlights
Financial Performance
Market Strategies
NXGN Management, LLC
MCKESSON CORPORATION
IBM Corporation
Epic Systems Corporation
eClinicalWorks
Cerner Corporation
Allscripts Healthcare Solutions, Inc.
Aetna, Inc.
Cognizant
Accenture
DXC Technology Company
Wipro
10. Analyst Recommendations
Wheel of Fortune
Analyst View
Coherent Opportunity Map
11. References and Research Methodology
References
Research Methodology
About us and Sales Contact
*Browse 32 market data tables and 28 figures on Healthcare Payer Services Market” - Global forecast to 2031

Download our eBook: How to Succeed Using Market Research

Learn how to effectively navigate the market research process to help guide your organization on the journey to success.

Download eBook
Cookie Settings