Market Research Technology & Media Market Research E-Commerce & IT Outsourcing Market Research IT Services Market Research Outsourcing Market Research

Healthcare Payer Service Market Research Report Information by Service Type (Business Process Outsourcing Services, IT Outsourcing Services, and Knowledge Process Outsourcing Services) by Application (Claims Management, Integrated Front Office and Back Of

Best Price Guarantee Length Publisher Published Date SKU
from $4,950 141 Pages Market Research Future October, 2024 RESFT19324652
Best Price Guarantee
Price from $4,950
Length 141 Pages
Publisher Market Research Future
Published Date October, 2024
SKU RESFT19324652

Healthcare Payer Service Market Research Report Information by Service Type (Business Process Outsourcing Services, IT Outsourcing Services, and Knowledge Process Outsourcing Services) by Application (Claims Management, Integrated Front Office and Back Office Operations, Member Management, Provider Management, Billing and Accounts Management, Analytics and Fraud Management, Human Resource, Clinical Decision-Making, Patient Engagement, and Others), by End User (Private Payers and Public Payers), by Region Industry Forecast to 2032


In 2022, the Healthcare Payer Service Market was estimated to be worth USD 69.32 billion. During the forecast period (2023-2032), the Healthcare Payer Service Market industry is anticipated to experience a compound annual growth rate (CAGR) of 8.81%, increasing from USD 73.01 billion in 2023 to USD 156.04 billion by 2032.

The enrollment of healthcare insurance is on the rise due to a variety of factors, including the increasing geriatric population in developing regions, the increasing cost of healthcare, and changes in health insurance policies offered by employers. Approximately 31 million individuals were enrolled in the United States between late 2020 and early 2021, according to the Assistant Secretary for Planning and Evaluation. Additionally, in 2022 and early 2023, over 40.2 million American individuals enrolled in Marketplace and Medicaid expansion coverage.

Additionally, secondary research indicates that there has been a significant increase in the enrollment of health insurance in low- and middle-income countries. This is attributable to the government's provision of subsidized health insurance to individuals, the reduction in the cost of health insurance products, and the growing awareness of the advantages of health insurance adoption. Therefore, the healthcare payer services market is experiencing growth because of the increasing awareness of health insurance and the increasing enrolment of individuals in health insurance.

Market segment insights
The Healthcare Payer Service Market segmentation is based on the type of service provided and includes business process outsourcing services, IT outsourcing services, and knowledge process outsourcing services.

Application-based segmentation of the Healthcare Payer Service Market encompasses claims management, integrated front and back-office operations, member management, provider management, billing and accounts management, analytics and fraud management, human resource, clinical decision-making, patient engagement, and other functions.

The Healthcare Payer Service Market segmentation is based on the end consumer, which encompasses both private and public payers.

Regional Perspectives
The market is segmented into North America, Europe, Asia-Pacific, and the Rest of the World by region. In 2022, the healthcare payer service market in North America held the highest market share. This is a result of the established presence of major market actors, the growing adoption of healthcare policies, and the advanced healthcare system in the region.

It is anticipated that the Asia-Pacific healthcare payer service market will experience substantial growth from 2023 to 2032. This is a result of the growing patient population in the Asia-Pacific region, the implementation of new ICT guidelines in Japan, and the increasing investments and reforms to modernize China's healthcare infrastructure. Additionally, the patient population is suffering from chronic diseases such as cancer, orthopedic, and cardiovascular diseases.

The Middle East, Africa, and Latin America comprise the Rest of the World. The healthcare payer service market in the aforementioned regions is expected to expand as a result of the increasing investment in healthcare infrastructure and technological advancements.

Major Players
Oracle Corporation (US), IQVIA Holding, Inc (US), HCL Technologies Limited (India), Accenture (Ireland), Cognizant (US), Dell Inc (US), Genpact (US), Omega Healthcare Management Services (India), Infosys Limited (India), and NTT DATA, Inc (Japan) are among the key companies in the Healthcare Payer Service Market.


1 Executive Summary
2 Market Introduction
2.1 Definition
2.2 Scope Of The Study
2.3 Research Objective
2.4 Market Structure
3 Research Methodology
3.1 Overview
3.2 Data Flow
3.2.1 Data Mining Process
3.3 Purchased Database:
3.4 Secondary Sources:
3.4.1 Secondary Research Data Flow:
3.5 Primary Research:
3.5.1 Primary Research Data Flow:
3.5.2 Primary Research: Number Of Interviews Conducted
3.5.3 Primary Research: Regional Coverage
3.6 Approaches For Market Size Estimation:
3.6.1 Revenue Analysis Approach
3.7 Data Forecasting
3.7.1 Data Forecasting Technique
3.8 Data Formulationling
3.8.1 Microeconomic Factor Analysis:
3.8.2 Data Formulationling:
3.9 Teams And Analyst Contribution
4 Market Dynamics
4.1 Introduction
4.2 Drivers
4.2.1 Increasing Number Of Healthcare Insurance Enrollments
4.2.2 Rising Cases Of Healthcare Fraud
4.3 Restraints
4.3.1 High Risk Of Data Breaches And Loss Of Confidentiality
4.4 Opportunity
4.4.1 Increasing Adoption Of Advanced Data Analytics
5 Market Factor Analysis
5.1 Value Chain Analysis
5.1.1 Customer Acquisition (Prepurchase Query)
5.1.2 Service Customization
5.1.3 Customer Purchase Support
5.1.4 Customer Fulfilment & Post-purchase Support
5.2 Porter’s Five Forces Model
5.2.1 Threat Of New Entrants
5.2.2 Bargaining Power Of Suppliers
5.2.3 Threat Of Substitutes
5.2.4 Bargaining Power Of Buyers
5.2.5 Intensity Of Rivalry
5.3 Covid-19 Impact Analysis
5.3.1 Demand-supply Analysis
5.3.2 Pricing Analysis
5.3.3 Impact On Key Players
5.4 Qualitative Overview On “evaluating Workflow Gaps In Healthcare Transactional Processes Between Medical Insurance Payers And Laboratories Or Pharmacies
6 Global Healthcare Payer Services Market, By Service Type
6.1 Overview
6.2 Business Process Outsourcing Services
6.3 It Outsourcing Services
6.4 Knowledge Process Outsourcing Services
7 Global Healthcare Payer Services Market, By Application
7.1 Overview
7.2 Claims Management
7.3 Integrated Front Office And Back Office Operations
7.4 Member Management
7.5 Provider Management
7.6 Billing And Accounts Management
7.7 Analytics And Fraud Management
7.8 Human Resource
7.9 Clinical Decision-making
7.10 Patient Engagement
7.11 Others
8 Global Healthcare Payer Services Market, By End User
8.1 Overview
8.2 Private Payers
8.3 Public Payers
9 Global Healthcare Payer Services Market, By Region
9.1 Overview
9.2 North America
9.2.1 Us
9.2.2 Canada
9.3 Europe
9.3.1 Germany
9.3.2 France
9.3.3 Uk
9.3.4 Italy
9.3.5 Spain
9.3.6 Rest Of Europe
9.4 Asia-pacific
9.4.1 China
9.4.2 India
9.4.3 Japan
9.4.4 South Korea
9.4.5 Australia
9.4.6 Rest Of Asia-pacific
9.5 Rest Of The World
9.5.1 Middle East & Africa
9.5.2 South America
10 Competitive Landscape
10.1 Introduction
10.2 Market Share Analysis, 2022
10.3 Competitor Dashboard
10.4 Public Players Stock Summary
10.5 Comparative Analysis: Key Players Finanical
10.6 Key Developments & Growth Strategies
10.6.1 Acquisition
10.6.2 Collaboration
11 Company Profiles
11.1 Oracle Corporation
11.1.1 Company Overview
11.1.2 Financial Overview
11.1.3 Services Offered
11.1.4 Key Developments
11.1.5 Swot Analysis
11.1.6 Key Strategies
11.2 Iqvia Holding, Inc.
11.2.1 Company Overview
11.2.2 Financial Overview
11.2.3 Services Offered
11.2.4 Key Developments
11.2.5 Swot Analysis
11.2.6 Key Strategies
11.3 Hcl Technologies Limited
11.3.1 Company Overview
11.3.2 Financial Overview
11.3.3 Services/Solutions Offered
11.3.4 Key Developments
11.3.5 Swot Analysis
11.3.6 Key Strategies
11.4 Accenture
11.4.1 Company Overview
11.4.2 Financial Overview
11.4.3 Products Offered
11.4.4 Key Developments
11.4.5 Key Strategies
11.5 Cognizant
11.5.1 Company Overview
11.5.2 Financial Overview
11.5.3 Products Offered
11.5.4 Key Developments
11.5.5 Swot Analysis
11.5.6 Key Strategies
11.6 Dell Inc.
11.6.1 Company Overview
11.6.2 Financial Overview
11.6.3 Products Offered
11.6.4 Key Developments
11.6.5 Key Strategies
11.7 Genpact
11.7.1 Company Overview
11.7.2 Financial Overview
11.7.3 Products Offered
11.7.4 Key Developments
11.7.5 Key Strategies
11.8 Omega Healthcare Management Services
11.8.1 Company Overview
11.8.2 Financial Overview
11.8.3 Services Offered
11.8.4 Key Developments
11.8.5 Key Strategies
11.9 Infosys Limited
11.9.1 Company Overview
11.9.2 Financial Overview
11.9.3 Services Offered
11.9.4 Key Developments
11.9.5 Swot Analysis
11.9.6 Key Strategies
11.10 Ntt Data, Inc
11.10.1 Company Overview
11.10.2 Financial Overview
11.10.3 Services Offered
11.10.4 Key Developments
11.10.5 Key Strategies 139 List Of Tables
Table 1 Qfd Formulationling For Market Share Assessment
Table 2 Global Healthcare Payer Services Market, By Service Type, 2019–2032 (Usd Billion)
Table 3 Global Healthcare Payer Services Market, For Business Process Outsourcing Services, By Region, 2019–2032 (Usd Billion)
Table 4 Global Healthcare Payer Services Market, For It Outsourcing Services, By Region, 2019–2032 (Usd Billion)
Table 5 Global Healthcare Payer Services Market, For Knowledge Process Outsourcing Services, By Region, 2019–2032 (Usd Billion)
Table 6 Global Healthcare Payer Services Market, By Application, 2019–2032 (Usd Billion)
Table 7 Global Healthcare Payer Services Market, For Claims Management, By Region, 2019–2032 (Usd Billion)
Table 8 Global Healthcare Payer Services Market, For Integrated Front Office And Back Office Operations, By Region, 2019–2032 (Usd Billion)
Table 9 Global Healthcare Payer Services Market, For Member Management, By Region, 2019–2032 (Usd Billion)
Table 10 Global Healthcare Payer Services Market, For Provider Management, By Region, 2019–2032 (Usd Billion)
Table 11 Global Healthcare Payer Services Market, For Billing And Accounts Management, By Region, 2019–2032 (Usd Billion)
Table 12 Global Healthcare Payer Services Market, For Analytics And Fraud Management, By Region, 2019–2032 (Usd Billion)
Table 13 Global Healthcare Payer Services Market, For Human Resource, By Region, 2019–2032 (Usd Billion)
Table 14 Global Healthcare Payer Services Market, For Clinical Decision-making, By Region, 2019–2032 (Usd Billion)
Table 15 Global Healthcare Payer Services Market, For Patient Engagement, By Region, 2019–2032 (Usd Billion)
Table 16 Global Healthcare Payer Services Market, For Others, By Region, 2019–2032 (Usd Billion)
Table 17 Global Healthcare Payer Services Market, By End User, 2019–2032 (Usd Billion)
Table 18 Global Healthcare Payer Services Market, For Private Payers, By Region, 2019–2032 (Usd Billion)
Table 19 Global Healthcare Payer Services Market, For Public Payers, By Region, 2019–2032 (Usd Billion)
Table 20 Global: Healthcare Payer Services Market, By Region, 2019–2032 (Usd Billion)
Table 21 North America: Healthcare Payer Services Market, By Country, 2019–2032 (Usd Billion)
Table 22 North America: Healthcare Payer Services Market, By Service Type, 2019–2032 (Usd Billion)
Table 23 North America: Healthcare Payer Services Market By Application, 2019–2032 (Usd Billion)
Table 24 North America: Healthcare Payer Services Market By End User, 2019–2032 (Usd Billion)
Table 25 Us: Healthcare Payer Services Market, By Service Type, 2019–2032 (Usd Billion)
Table 26 Us: Healthcare Payer Services Market By Application, 2019–2032 (Usd Billion)
Table 27 Us: Healthcare Payer Services Market By End User, 2019–2032 (Usd Billion)
Table 28 Canada: Healthcare Payer Services Market, By Service Type, 2019–2032 (Usd Billion)
Table 29 Canada: Healthcare Payer Services Market By Application, 2019–2032 (Usd Billion)
Table 30 Canada: Healthcare Payer Services Market By End User, 2019–2032 (Usd Billion)
Table 31 Europe: Healthcare Payer Services Market, By Country, 2019–2032 (Usd Billion)
Table 32 Europe: Healthcare Payer Services Market, By Service Type, 2019–2032 (Usd Billion)
Table 33 Europe: Healthcare Payer Services Market By Application, 2019–2032 (Usd Billion)
Table 34 Europe: Healthcare Payer Services Market By End User, 2019–2032 (Usd Billion)
Table 35 Germany: Healthcare Payer Services Market, By Service Type, 2019–2032 (Usd Billion)
Table 36 Germany: Healthcare Payer Services Market By Application, 2019–2032 (Usd Billion)
Table 37 Germany: Healthcare Payer Services Market By End User, 2019–2032 (Usd Billion)
Table 38 France: Healthcare Payer Services Market, By Service Type, 2019–2032 (Usd Billion)
Table 39 France: Healthcare Payer Services Market By Application, 2019–2032 (Usd Billion)
Table 40 France: Healthcare Payer Services Market By End User, 2019–2032 (Usd Billion)
Table 41 Uk: Healthcare Payer Services Market, By Service Type, 2019–2032 (Usd Billion)
Table 42 Uk: Healthcare Payer Services Market By Application, 2019–2032 (Usd Billion)
Table 43 Uk: Healthcare Payer Services Market By End User, 2019–2032 (Usd Billion)
Table 44 Italy: Healthcare Payer Services Market, By Service Type, 2019–2032 (Usd Billion)
Table 45 Italy: Healthcare Payer Services Market By Application, 2019–2032 (Usd Billion)
Table 46 Italy: Healthcare Payer Services Market By End User, 2019–2032 (Usd Billion)
Table 47 Spain: Healthcare Payer Services Market, By Service Type, 2019–2032 (Usd Billion)
Table 48 Spain: Healthcare Payer Services Market By Application, 2019–2032 (Usd Billion)
Table 49 Spain: Healthcare Payer Services Market By End User, 2019–2032 (Usd Billion)
Table 50 Rest Of Europe: Healthcare Payer Services Market, By Service Type, 2019–2032 (Usd Billion)
Table 51 Rest Of Europe: Healthcare Payer Services Market By Application, 2019–2032 (Usd Billion)
Table 52 Rest Of Europe: Healthcare Payer Services Market By End User, 2019–2032 (Usd Billion)
Table 53 Asia-pacific: Healthcare Payer Service Market, By Country, 2019–2032 (Usd Billion)
Table 54 Asia-pacific: Healthcare Payer Service Market, By Service Type, 2019–2032 (Usd Billion)
Table 55 Asia-pacific: Healthcare Payer Service Market By Application, 2019–2032 (Usd Billion)
Table 56 Asia-pacific: Healthcare Payer Service Market By End User, 2019–2032 (Usd Billion)
Table 57 China: Healthcare Payer Service Market, By Service Type, 2019–2032 (Usd Billion)
Table 58 China: Healthcare Payer Service Market By Application, 2019–2032 (Usd Billion)
Table 59 China: Healthcare Payer Service Market By End User, 2019–2032 (Usd Billion)
Table 60 India: Healthcare Payer Service Market, By Service Type, 2019–2032 (Usd Billion)
Table 61 India: Healthcare Payer Service Market By Application, 2019–2032 (Usd Billion)
Table 62 India: Healthcare Payer Service Market By End User, 2019–2032 (Usd Billion)
Table 63 Japan: Healthcare Payer Service Market, By Service Type, 2019–2032 (Usd Billion)
Table 64 Japan: Healthcare Payer Service Market By Application, 2019–2032 (Usd Billion)
Table 65 Japan: Healthcare Payer Service Market By End User, 2019–2032 (Usd Billion)
Table 66 South Korea: Healthcare Payer Service Market, By Service Type, 2019–2032 (Usd Billion)
Table 67 South Korea: Healthcare Payer Service Market By Application, 2019–2032 (Usd Billion)
Table 68 South Korea: Healthcare Payer Service Market By End User, 2019–2032 (Usd Billion)
Table 69 Australia: Healthcare Payer Service Market, By Service Type, 2019–2032 (Usd Billion)
Table 70 Australia: Healthcare Payer Service Market By Application, 2019–2032 (Usd Billion)
Table 71 Australia: Healthcare Payer Service Market By End User, 2019–2032 (Usd Billion)
Table 72 Rest Of Asia-pacific: Healthcare Payer Service Market, By Service Type, 2019–2032 (Usd Billion)
Table 73 Rest Of Asia-pacific: Healthcare Payer Service Market By Application, 2019–2032 (Usd Billion)
Table 74 Rest Of Asia-pacific: Healthcare Payer Service Market By End User, 2019–2032 (Usd Billion)
Table 75 Rest Ot The World: Healthcare Payer Service Market, By Region, 2019–2032 (Usd Billion)
Table 76 Rest Of The World: Healthcare Payer Service Market, By Service Type, 2019–2032 (Usd Billion)
Table 77 Rest Of The World: Healthcare Payer Service Market By Application, 2019–2032 (Usd Billion)
Table 78 Rest Of The World: Healthcare Payer Service Market By End User, 2019–2032 (Usd Billion)
Table 79 Middle East & Africa: Healthcare Payer Service Market, By Service Type, 2019–2032 (Usd Billion)
Table 80 Middle East & Africa: Healthcare Payer Service Market By Application, 2019–2032 (Usd Billion)
Table 81 Middle East & Africa: Healthcare Payer Service Market By End User, 2019–2032 (Usd Billion)
Table 82 South America: Healthcare Payer Service Market, By Service Type, 2019–2032 (Usd Billion)
Table 83 South America: Healthcare Payer Service Market By Application, 2019–2032 (Usd Billion)
Table 84 South America: Healthcare Payer Service Market By End User, 2019–2032 (Usd Billion)
Table 85 Public Players Stock Summary
Table 86 Comparative Analysis: Key Players Finanical
Table 87 Acquisition
Table 88 Collaboration
Table 89 Oracle Corporation: Service Offered
Table 90 Iqvia Holding, Inc.: Service Offered
Table 91 Hcl Technologies Limited: Service/Solution Offered
Table 92 Accenture: Products Offered
Table 93 Accenture: Key Developments
Table 94 Cognizant: Products Offered
Table 95 Dell Inc.: Prodcuts Offered
Table 96 Genpact: Prodcuts Offered
Table 97 Omega Healthcare Management Services: Services Offered
Table 98 Infosys Limited: Services Offered
Table 99 Ntt Data, Inc: Services Offered 138 List Of Figures
Figure 1 Global Healthcare Payer Services Market: Structure
Figure 2 Global Healthcare Payer Services Market: Market Growth Factor Analysis (2022-2032)
Figure 3 Driver Impact Analysis (2023-2032)
Figure 4 Restraint Impact Analysis (2022-2032)
Figure 5 Value Chain Analysis Of The Global Healthcare Payer Services Market
Figure 6 Porter’s Five Forces Analysis: Global Healthcare Payer Services Market
Figure 7 Global Healthcare Payer Services Market, Service Type Segment Attractiveness, 2019-2032 (Usd Billion)
Figure 8 Global Healthcare Payer Services Market, By Service Type, 2022 & 2032 (Usd Billion)
Figure 9 Global Healthcare Payer Services Market Share (%), By Service Type, 2022
Figure 10 Global Healthcare Payer Services Market, Application Segment Attractiveness, 2019-2032 (Usd Billion)
Figure 11 Global Healthcare Payer Services Market, By Application, 2022 & 2032 (Usd Billion)
Figure 12 Global Healthcare Payer Services Market Share (%), By Application, 2022
Figure 13 Global Healthcare Payer Services Market, End User Segment Attractiveness, 2019-2032 (Usd Billion)
Figure 14 Global Healthcare Payer Services Market, By End User, 2022 & 2032 (Usd Billion)
Figure 15 Global Healthcare Payer Services Market Share (%), By End User, 2022
Figure 16 Global: Healthcare Payer Services Market, By Region, 2022 & 2032 (Usd Billion)
Figure 17 Global: Healthcare Payer Services Market Share (%), By Region, 2023
Figure 18 North America Market Analysis: Healthcare Payer Services Market, 2019-2032 (Usd Billion)
Figure 19 North America: Healthcare Payer Services Market, By Country, 2022 & 2032 (Usd Billion)
Figure 20 North America: Healthcare Payer Services Market Share (%), By Country, 2022
Figure 21 Europe Market Analysis: Healthcare Payer Services Market, 2019-2032 (Usd Billion)
Figure 22 Europe: Healthcare Payer Services Market, By Country, 2022 & 2032 (Usd Billion)
Figure 23 Europe: Healthcare Payer Services Market Share (%), By Country, 2022
Figure 24 Asia-pacific Market Analysis: Healthcare Payer Service Market, 2019-2030 (Usd Billion)
Figure 25 Asia-pacific: Healthcare Payer Service Market, By Country, 2022 & 2030 (Usd Billion)
Figure 26 Asia-pacific: Healthcare Payer Service Market Share (%), By Country, 2022
Figure 27 Rest Of The World Market Analysis: Healthcare Payer Service Market, 2019-2032 (Usd Billion)
Figure 28 Rest Ot The World: Healthcare Payer Service Market, By Region, 2022 & 2032 (Usd Billion)
Figure 29 Rest Ot The World: Healthcare Payer Service Market Share (%), By Region, 2022
Figure 30 Healthcare Payer Service Market Players: Competitive Analsis, 2022
Figure 31 Competitor Dashboard: Global Healthcare Payer Service Market
Figure 32 Oracle Corporation: Financial Overview Snapshot
Figure 33 Oracle Corporation: Swot Analysis
Figure 34 Iqvia Holding, Inc.: Financial Overview Snapshot
Figure 35 Iqvia Holding, Inc.: Swot Analysis
Figure 36 Hcl Technologies Limited: Financial Overview Snapshot
Figure 37 Hcl Technologies Limited: Swot Analysis
Figure 38 Accenture: Financial Overview Snapshot
Figure 39 Cognizant: Financial Overview Snapshot
Figure 40 Cognizant: Swot Analysis
Figure 41 Dell Inc.: Financial Overview Snapshot
Figure 42 Genpact: Financial Overview Snapshot
Figure 43 Infosys Limited: Financial Overview Snapshot
Figure 44 Infosys Limited: Swot Analysis
Figure 45 Ntt Data, Inc: Financial Overview Snapshot

$4,950
$5,950
$7,250

Research Assistance

US: 800.298.5699
Int'l: +1.240.747.3093
Live help
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

Other tasks

Cookie Settings