Global Healthcare Payer Solutions Market, By Service Type (BPO, ITO, KPO), By Application (Claims Management Service, Provider Management Service, Member Management Service, HR Services, Analytics & Fraud Management Service, Billing & Accounts Management Service, Others), By End User (Public v/s Private), By Region, Competition, Forecast & Opportunities, 2025

May 2020 | 115 pages | ID: G90D0ECB6602EN
TechSci Research

Abstracts

Global healthcare payer solutions market is forecast to grow from an estimated $ 39 billion in 2020 to $ 50 billion by 2025. The global healthcare payer solutions market is driven by the increasing cases of frauds in the healthcare industry and rising awareness towards health insurance across the globe. Additionally, healthcare payer solutions help in managing costs and provide better outcomes by collaborating with the providers, thereby positively impacting the market. Furthermore, associated benefits such as better care coordination, network management, risk analysis, affordability, among others are anticipated to spur the growth of market during forecast period.

The global healthcare payer solutions market is segmented based on service type, application, end user, and region. Based on service type, the market can be categorized into BPO, ITO and KPO. Among these, the BPO segment is expected to dominate the market during forecast period. This can be ascribed to the growing number of people enrolling different insurance plans and increasing pressure to bend the healthcare cost curve. Additionally, growing implementation of ICD-10 codes is further anticipated to drive the growth of the segment, globally.

Regionally, the global healthcare payer solutions market has been segmented into Asia-Pacific, North America, South America, Europe, and Middle East & Africa. Among these, North America is expected to register significant growth in the overall healthcare payer solutions market during forecast period owing to the stringent government regulations and presence of skilled workforce to provide high end process services such as software and application development and maintenance in the region.

Major players operating in the global healthcare payer solutions market include Cognizant Technology Solutions, Accenture plc, Concentrix Corporation, ExlService Holdings, Inc., Xerox Corporation, Genpact Limited, Hewlett-Packard, Hexaware Technologies Limited, FirstSource Solutions Limited, HCL Technologies Ltd. and others. The companies are developing advanced technologies and launching new services in order to stay competitive in the market. Other competitive strategies include mergers & acquisitions and new service developments.

Years considered for this report:

Historical Years: 2015-2018

• Base Year: 2019
• Estimated Year: 2020
• Forecast Period: 2021–2025

Objective of the Study:

• To analyze and estimate the market size of global healthcare payer solutions market from 2015 to 2018.
• To estimate and forecast the market size of global healthcare payer solutions market from 2019 to 2025.
• To classify and forecast global healthcare payer solutions market based on service type, application, end user, company and regional distribution.
• To identify dominant region or segment in the global healthcare payer solutions market.
• To identify drivers and challenges for global healthcare payer solutions market.
• To examine competitive developments such as expansions, new service launches, mergers & acquisitions, etc., in global healthcare payer solutions market.
• To identify and analyze the profile of leading players operating in the global healthcare payer solutions market.
• To identify key sustainable strategies adopted by market players in global healthcare payer solutions market.

TechSci Research performed both primary as well as exhaustive secondary research for this study. Initially, TechSci Research sourced a list of service providers across the globe. Subsequently, TechSci Research conducted primary research surveys with the identified companies. While interviewing, the respondents were also enquired about their competitors. Through this technique, TechSci Research could include the service providers which could not be identified due to the limitations of secondary research. TechSci Research analyzed the service providers, vendors and presence of all major players across the globe.

TechSci Research calculated the market size of global healthcare payer solutions market using a bottom-up approach, wherein data for various end-user segments was recorded and forecast for the future years. TechSci Research sourced these values from the industry experts and company representatives and externally validated through analyzing historical data of these product types and applications for getting an appropriate, overall market size. Various secondary sources such as company websites, news articles, press releases, company annual reports, investor presentations and financial reports were also studied by TechSci Research.

Key Target Audience:

• Healthcare payer solutions service providers, vendors and other stakeholders
• Government bodies such as regulating authorities and policy makers
• Organizations, forums and alliances related to healthcare payer solutions
• Market research and consulting firms

The study is useful in providing answers to several critical questions that are important for the industry stakeholders such as service providers, partners, end users, etc., besides allowing them in strategizing investments and capitalizing on market opportunities.

Report Scope:

In this report, global healthcare payer solutions market has been segmented into following categories, in addition to the industry trends which have also been detailed below:

• Global Healthcare Payer Solutions Market, By Service Type:
• BPO
• ITO
• KPO
• Global Healthcare Payer Solutions Market, By Application:
• Claims Management Service
• Provider Management Service
• Member Management Service
• HR Services
• Analytics & Fraud Management Service
• Billing & Accounts Management Service
• Others
• Global Healthcare Payer Solutions Market, By End User:
• Public
• Private
• Global Healthcare Payer Solutions Market, By Region:
• North America
• United States
• Canada
• Mexico
• Europe
• United Kingdom
• France
• Germany
• Italy
• Asia-Pacific
• China
• Japan
• India
• Australia
• Middle East & Africa
• UAE
• Saudi Arabia
• South Africa
• Qatar
• South America
• Brazil
• Chile
• Colombia

Competitive Landscape

Company Profiles: Detailed analysis of the major companies present in global healthcare payer solutions market.

Available Customizations:

With the given market data, TechSci Research offers customizations according to a company’s specific needs. The following customization options are available for the report:

Company Information

• Detailed analysis and profiling of additional market players (up to five).

Contents

1. PRODUCT OVERVIEW

2. RESEARCH METHODOLOGY

3. EXECUTIVE SUMMARY

4. VOICE OF CUSTOMER

5. GLOBAL HEALTHCARE PAYER SOLUTIONS MARKET OUTLOOK

5.1. Market Size & Forecast
  5.1.1. By Value
5.2. Market Share & Forecast
  5.2.1. By Service Type (BPO, ITO, KPO)
  5.2.2. By Application (Claims Management Service, Provider Management Service, Member Management Service, HR Services, Analytics & Fraud Management Service, Billing & Accounts Management Service, Others)
  5.2.3. By End User (Public v/s Private)
  5.2.4. By Company (2019)
  5.2.5. By Region
5.3. Product Market Map

6. NORTH AMERICA HEALTHCARE PAYER SOLUTIONS MARKET OUTLOOK

6.1. Market Size & Forecast
  6.1.1. By Value
6.2. Market Share & Forecast
  6.2.1. By Service Type
  6.2.2. By Application
  6.2.3. By End User
  6.2.4. By Country
6.3. North America: Country Analysis
  6.3.1. United States Healthcare Payer Solutions Market Outlook
    6.3.1.1. Market Size & Forecast
      6.3.1.1.1. By Value
    6.3.1.2. Market Share & Forecast
      6.3.1.2.1. By Service Type
      6.3.1.2.2. By Application
  6.3.2. Mexico Healthcare Payer Solutions Market Outlook
    6.3.2.1. Market Size & Forecast
      6.3.2.1.1. By Value
    6.3.2.2. Market Share & Forecast
      6.3.2.2.1. By Service Type
      6.3.2.2.2. By Application
  6.3.3. Canada Healthcare Payer Solutions Market Outlook
    6.3.3.1. Market Size & Forecast
      6.3.3.1.1. By Value
    6.3.3.2. Market Share & Forecast
      6.3.3.2.1. By Service Type
      6.3.3.2.2. By Application

7. EUROPE HEALTHCARE PAYER SOLUTIONS MARKET OUTLOOK

7.1. Market Size & Forecast
  7.1.1. By Value
7.2. Market Share & Forecast
  7.2.1. By Service Type
  7.2.2. By Application
  7.2.3. By End User
  7.2.4. By Country
7.3. Europe: Country Analysis
  7.3.1. France Healthcare Payer Solutions Market Outlook
    7.3.1.1. Market Size & Forecast
      7.3.1.1.1. By Value
    7.3.1.2. Market Share & Forecast
      7.3.1.2.1. By Service Type
      7.3.1.2.2. By Application
  7.3.2. Germany Healthcare Payer Solutions Market Outlook
    7.3.2.1. Market Size & Forecast
      7.3.2.1.1. By Value
    7.3.2.2. Market Share & Forecast
      7.3.2.2.1. By Service Type
      7.3.2.2.2. By Application
  7.3.3. United Kingdom Healthcare Payer Solutions Market Outlook
    7.3.3.1. Market Size & Forecast
      7.3.3.1.1. By Value
    7.3.3.2. Market Share & Forecast
      7.3.3.2.1. By Service Type
      7.3.3.2.2. By Application
  7.3.4. Italy Healthcare Payer Solutions Market Outlook
    7.3.4.1. Market Size & Forecast
      7.3.4.1.1. By Value
    7.3.4.2. Market Share & Forecast
      7.3.4.2.1. By Service Type
      7.3.4.2.2. By Application
  7.3.5. Spain Healthcare Payer Solutions Market Outlook
    7.3.5.1. Market Size & Forecast
      7.3.5.1.1. By Value
    7.3.5.2. Market Share & Forecast
      7.3.5.2.1. By Service Type
      7.3.5.2.2. By Application

8. ASIA-PACIFIC HEALTHCARE PAYER SOLUTIONS MARKET OUTLOOK

8.1. Market Size & Forecast
  8.1.1. By Value
8.2. Market Share & Forecast
  8.2.1. By Service Type
  8.2.2. By Application
  8.2.3. By End User
  8.2.4. By Country
8.3. Asia-Pacific: Country Analysis
  8.3.1. China Healthcare Payer Solutions Market Outlook
    8.3.1.1. Market Size & Forecast
      8.3.1.1.1. By Value
    8.3.1.2. Market Share & Forecast
      8.3.1.2.1. By Service Type
      8.3.1.2.2. By Application
  8.3.2. India Healthcare Payer Solutions Market Outlook
    8.3.2.1. Market Size & Forecast
      8.3.2.1.1. By Value
    8.3.2.2. Market Share & Forecast
      8.3.2.2.1. By Service Type
      8.3.2.2.2. By Application
  8.3.3. Australia Healthcare Payer Solutions Market Outlook
    8.3.3.1. Market Size & Forecast
      8.3.3.1.1. By Value
    8.3.3.2. Market Share & Forecast
      8.3.3.2.1. By Service Type
      8.3.3.2.2. By Application
  8.3.4. Japan Healthcare Payer Solutions Market Outlook
    8.3.4.1. Market Size & Forecast
      8.3.4.1.1. By Value
    8.3.4.2. Market Share & Forecast
      8.3.4.2.1. By Service Type
      8.3.4.2.2. By Application
  8.3.5. South Korea Healthcare Payer Solutions Market Outlook
    8.3.5.1. Market Size & Forecast
      8.3.5.1.1. By Value
    8.3.5.2. Market Share & Forecast
      8.3.5.2.1. By Service Type
      8.3.5.2.2. By Application

9. SOUTH AMERICA HEALTHCARE PAYER SOLUTIONS MARKET OUTLOOK

9.1. Market Size & Forecast
  9.1.1. By Value
9.2. Market Share & Forecast
  9.2.1. By Service Type
  9.2.2. By Application
  9.2.3. By End User
  9.2.4. By Country
9.3. South America: Country Analysis
  9.3.1. Brazil Healthcare Payer Solutions Market Outlook
    9.3.1.1. Market Size & Forecast
      9.3.1.1.1. By Value
    9.3.1.2. Market Share & Forecast
      9.3.1.2.1. By Service Type
      9.3.1.2.2. By Application
  9.3.2. Argentina Healthcare Payer Solutions Market Outlook
    9.3.2.1. Market Size & Forecast
      9.3.2.1.1. By Value
    9.3.2.2. Market Share & Forecast
      9.3.2.2.1. By Service Type
      9.3.2.2.2. By Application
  9.3.3. Colombia Healthcare Payer Solutions Market Outlook
    9.3.3.1. Market Size & Forecast
      9.3.3.1.1. By Value
    9.3.3.2. Market Share & Forecast
      9.3.3.2.1. By Service Type
      9.3.3.2.2. By Application

10. MIDDLE EAST AND AFRICA HEALTHCARE PAYER SOLUTIONS MARKET OUTLOOK

10.1. Market Size & Forecast
  10.1.1. By Value
10.2. Market Share & Forecast
  10.2.1. By Service Type
  10.2.2. By Application
  10.2.3. By End User
  10.2.4. By Country
10.3. MEA: Country Analysis
  10.3.1. South Africa Healthcare Payer Solutions Market Outlook
    10.3.1.1. Market Size & Forecast
      10.3.1.1.1. By Value
    10.3.1.2. Market Share & Forecast
      10.3.1.2.1. By Service Type
      10.3.1.2.2. By Application
  10.3.2. Saudi Arabia Healthcare Payer Solutions Market Outlook
    10.3.2.1. Market Size & Forecast
      10.3.2.1.1. By Value
    10.3.2.2. Market Share & Forecast
      10.3.2.2.1. By Service Type
      10.3.2.2.2. By Application
  10.3.3. UAE Healthcare Payer Solutions Market Outlook
    10.3.3.1. Market Size & Forecast
      10.3.3.1.1. By Value
    10.3.3.2. Market Share & Forecast
      10.3.3.2.1. By Service Type
      10.3.3.2.2. By Application

11. MARKET DYNAMICS

11.1. Drivers
11.2. Challenges

12. MARKET TRENDS & DEVELOPMENTS

13. COMPETITIVE LANDSCAPE

13.1. Cognizant Technology Solutions
13.2. Accenture plc
13.3. Concentrix Corporation
13.4. ExlService Holdings, Inc.
13.5. Xerox Corporation
13.6. Genpact Limited
13.7. Hewlett-Packard
13.8. Hexaware Technologies Limited
13.9. FirstSource Solutions Limited
13.10. HCL Technologies Ltd.

14. STRATEGIC RECOMMENDATIONS

List Of Figures

LIST OF FIGURES

Figure 1: Global Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)
Figure 2: Global Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 3: Global Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 4: Global Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 5: Global Healthcare Payer Solutions Market Share, By Region, 2015-2025F
Figure 6: Global Healthcare Payer Solutions Market Share, By Company, 2019
Figure 7: North America Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)
Figure 8: North America Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 9: North America Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 10: North America Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 11: North America Healthcare Payer Solutions Market Share, By Country, 2015-2025F
Figure 12: US Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)
Figure 13: US Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 14: US Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 15: US Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 16: Canada Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)
Figure 17: Canada Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 18: Canada Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 19: Canada Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 20: Mexico Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)
Figure 21: Mexico Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 22: Mexico Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 23: Mexico Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 24: Europe Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)
Figure 25: Europe Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 26: Europe Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 27: Europe Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 28: Europe Healthcare Payer Solutions Market Share, By Country, 2015-2025F
Figure 29: France Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)
Figure 30: France Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 31: France Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 32: France Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 33: Germany Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)
Figure 34: Germany Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 35: Germany Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 36: Germany Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 37: UK Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 38: UK Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 39: UK Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 40: UK Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 41: Italy Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 42: Italy Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 43: Italy Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 44: Italy Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 45: Spain Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 46: Spain Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 47: Spain Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 48: Spain Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 49: APAC Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 50: APAC Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 51: APAC Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 52: APAC Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 53: Europe Healthcare Payer Solutions Market Share, By Country, 2015-2025F
Figure 54: China Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 55: China Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 56: China Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 57: China Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 58: India Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 59: India Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 60: India Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 61: India Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 62: Australia Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 63: Australia Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 64: Australia Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 65: Australia Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 66: Japan Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 67: Japan Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 68: Japan Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 69: Japan Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 70: South Korea Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 71: South Korea Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 72: South Korea Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 73: South Korea Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 74: South America Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 75: South America Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 76: South America Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 77: South America Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 78: South America Healthcare Payer Solutions Market Share, By Country, 2015-2025F
Figure 79: Brazil Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 80: Brazil Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 81: Brazil Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 82: Brazil Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 83: Argentina Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 84: Argentina Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 85: Argentina Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 86: Argentina Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 87: Colombia Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 88: Colombia Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 89: Colombia Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 90: Colombia Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 91: Middle East & Africa Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 92: Middle East & Africa Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 93: Middle East & Africa Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 94: Middle East & Africa Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 95: Middle East & Africa Healthcare Payer Solutions Market Share, By Country, 2015-2025F
Figure 96: Saudi Arabia Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 97: Saudi Arabia Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 98: Saudi Arabia Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 99: Saudi Arabia Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 100: UAE Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 101: UAE Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 102: UAE Healthcare Payer Solutions Market Share, By Application, 2015-2025F
Figure 103: UAE Healthcare Payer Solutions Market Share, By End User, 2015-2025F
Figure 104: South Africa Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)
Figure 105: South Africa Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F
Figure 106: South Africa Healthcare Payer Solutions Market Share, By Application, 2015-2025
Figure 107: South Africa Healthcare Payer Solutions Market Share, By End User, 2015-2025F

COMPANIES MENTIONED

1. Cognizant Technology Solutions
2. Accenture plc
3. Concentrix Corporation
4. ExlService Holdings, Inc.
5. Xerox Corporation
6. Genpact Limited
7. Hewlett-Packard
8. Hexaware Technologies Limited
9. FirstSource Solutions Limited
10. HCL Technologies Ltd.