[email protected] +44 20 8123 2220 (UK) +1 732 587 5005 (US) Contact Us | FAQ |

Healthcare Payer Services Market Size, Share & Trends Analysis Report By Services (BPO Services, ITO Services, KPO Services), By Application (Claims management services), By End Use, And Segment Forecasts, 2022 - 2030

April 2022 | 100 pages | ID: HDD908249876EN
Grand View Research, Inc.

US$ 5,950.00

E-mail Delivery (PDF)

Download PDF Leaflet

Accepted cards
Wire Transfer
Checkout Later
Need Help? Ask a Question
This report can be delivered to the clients within 72 Business Hours

Healthcare Payer Services Market Growth & Trends

The global healthcare payer services market is expected to reach USD 111.9 billion by 2030, registering a CAGR of 7.7%, according to a new report by Grand View Research, Inc. The industry is anticipated to witness substantial demand for IT operations so as to allow companies to focus on their core tasks and reduce operational costs. The growing vigilance regarding data security and customer-centricity in projects, especially in the aerospace & defense and BFSI sectors, are fueling the demand for information technology services outsourcing.

The market is progressing owing to the ever-increasing demand for consultancy-related projects. The growing need for proficiency in formulating and streamlining IT strategy, enterprise architecture advisory, portfolio consulting, and ensuring effective and smooth digital transformation further boosts the industry growth. Rapid innovations, offering various benefits to different industries globally, will also support market growth. Delegation of time-consuming and tedious tasks to service providers empowers businesses to concentrate on their central functionalities and reduces the load on their internal resources. It also offers optimization of capacity, resources, and flexibility to meet the demands of the changing commercial environment, and better access to innovation and intellectual property.

Service providers are coming up with different operational and pricing models to gain a competitive edge over others. The advent of cloud computing has fueled market growth as it enables firms to automate and ease their business applications and processes. Hence, enterprises, especially Small & Medium Businesses (SMBs), are largely deploying the Software as a Service (SaaS) model and the Infrastructure as a Service (IaaS) model, which has compelled the service providers to capitalize on the cloud-based offerings.

The COVID-19 pandemic has impacted the healthcare payer services market significantly. The market is doing well financially as compared to other sectors due to a rise in demand for medical care. However, the coming years for the economics of the market are full of threats. However, the payers are doing their part in this pandemic by providing support to providers, helping in the management and delivery of COVID-19 related supplies to multiple care providers, and also creating web portals that provide relevant and rapid information related to COVID-19.

Healthcare Payer Services Market Report Highlights
  • ITO services dominated the market with a share of 51.1% in 2021, owing to the rise in the use of innovative and advanced technology in healthcare
  • The claims management services segment held a major market share of 29.9% in 2021, due to increasing healthcare expenditure and other factors that are driving the number of people enrolled in Medicare and Medicaid Services
  • The public payers are projected to exhibit the fastest growth of 7.7% during the forecast period. This can be due to the increasing presence of international health insurance acts such as ACA, HIPAA, and ICD-10
CHAPTER 1 METHODOLOGY AND SCOPE

1.1 Market Segmentation & Scope
  1.1.1 Services
  1.1.2 Application
  1.1.4 End-use
  1.1.5 Regional Scope
  1.1.6 Estimates and Forecast Timeline
1.2 Research Methodology
1.3 Information Procurement
  1.3.1 Purchased Database
  1.3.2 GVR’s Internal Database
  1.3.3 Secondary Sources
  1.3.4 Primary Research
  1.3.5 Details of Primary Research
    1.3.5.1 Data For Primary Interviews In North America
    1.3.5.2 Data For Primary Interviews In Europe
    1.3.5.3 Data For Primary Interviews In Asia Pacific
    1.3.5.4 Data For Primary Interviews In Latin America
    1.3.5.5 Data For Primary Interviews In MEA
1.4 Information or Data Analysis
  1.4.1 Data Analysis Models
1.5 Market Formulation & Validation
1.6 Model Details
  1.6.1 Commodity Flow Analysis (Model 1)
    1.6.1.1 Approach 1: Commodity Flow Approach
1.7 List of Secondary Sources
1.8 List of Primary Sources
1.9 List of Abbreviations
1.10 Objectives
  1.10.1 Objective - 1:
  1.10.2 Objective - 2:
  1.10.3 Objective - 3:
  1.10.4 Objective - 4:

CHAPTER 2 EXECUTIVE SUMMARY

2.1 Market Outlook
2.2 Segment Outlook
2.3 Competitive Insights

CHAPTER 3 HEALTHCARE PAYER SERVICES MARKET: VARIABLES, TRENDS & SCOPE

3.1 Market Lineage Outlook
  3.1.1 Parent Market Outlook
  3.1.2 Ancillary Market Outlook
3.2 Penetration & Growth Prospect Mapping
3.3 Market Variable Analysis
  3.3.1 Market Driver Analysis
    3.3.1.1 Presence Of Various Healthcare Policies
    3.3.1.2 Growing Disease Burden
    3.3.1.3 Increasing Adoption Of Health Insurance Policies
  3.3.2 Market Restraint Analysis
    3.3.2.3 Increasing Legal And Regulatory Constraints For Offshore Outsourcing
3.4 Healthcare Payer Services Market: Analysis Tools
  3.4.1 Porter’s Five Forces Analysis
  3.4.2 PESTEL Analysis
  3.4.3 Major Deals & Strategic Alliances Analysis
    3.4.3.1 Mergers And Acquisitions
    3.4.3.2 Expansions
    3.4.3.3 Agreement & Collaborations
    3.4.3.4 Product & Service Launches
  3.4.4 Market Entry Strategies

CHAPTER 4 HEALTHCARE PAYER SERVICES MARKET: SERVICE SEGMENT ANALYSIS

4.1 Healthcare Payer Services Market: Definition & Scope
4.2 Healthcare Payer Services Market: Market Share Analysis, 2021 & 2030
4.3 BPO Services
  4.3.1 BPO Services Market, 2018 - 2030 (USD Billion)
4.4 ITO Services
  4.4.1 ITO Services Market, 2018 - 2030 (USD Billion)
4.5 KPO Services
  4.5.1 KPO Services Market, 2018 - 2030 (USD Billion)

CHAPTER 5 HEALTHCARE PAYER SERVICES MARKET: APPLICATION SEGMENT ANALYSIS

5.1 Healthcare Payer Services Market: Definition & Scope
5.2 Healthcare Payer Services Market: Market Share Analysis, 2021 & 2030
5.3 Claims management services
  5.3.1 Claims management services Market, 2018 - 2030 (USD Billion)
5.4 Integrated front office service and back office operations
  5.4.1 Integrated front office service and back office operations Market, 2018 - 2030 (USD Billion)
5.5 Member management services
  5.5.1 Member management services Market, 2018 - 2030 (USD Billion)
5.6 Provider management services
  5.6.1 Provider management services Market, 2018 - 2030 (USD Billion)
5.7 Billing and accounts management services
  5.7.1 Billing and accounts management services Market, 2018 - 2030 (USD Billion)
5.8 Analytics and fraud management services
  5.8.1 Analytics and fraud management services Market, 2018 - 2030 (USD Billion)
5.9 HR Services
  5.9.1 HR Services Market, 2018 - 2030 (USD Billion)

CHAPTER 6 HEALTHCARE PAYER SERVICES MARKET: END-USE SEGMENT ANALYSIS

6.1 Healthcare Payer Services Market: Definition & Scope
6.2 Healthcare Payer Services Market: Market Share Analysis, 2021 & 2030
6.3 Private Payers
  6.3.1 Private Payers Market, 2018 - 2030 (USD Billion)
6.4 Public Payers
  6.4.1 Public Payers Market, 2018 - 2030 (USD Billion)

CHAPTER 7 HEALTHCARE PAYER SERVICES MARKET: REGIONAL ANALYSIS

7.1 Healthcare Payer Services Market: Definition & Scope
7.2 Regional Market Snapshot
7.3 Regional Market Share and Leading Players, 2021
  7.3.1 North America
  7.3.2 Europe
  7.3.3 Asia Pacific
  7.3.4 Latin America
  7.3.5 Middle East & Africa
7.4 Healthcare Payer Services Market: Market Share Analysis, 2021 & 2030
7.5 North America
  7.7.1 North America Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
  7.7.2 U.S.
    7.7.2.1 U.S. Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
  7.7.3 Canada
    7.7.3.1 Canada Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
7.6 Europe
  7.7.1 Europe Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
  7.7.2 U.K.
    7.7.2.1 U.K. Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
  7.7.3 Germany
    7.7.3.1 Germany Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
7.7Asia Pacific
  7.7.1 Asia Pacific Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
  7.7.2 Japan
    7.7.2.1 Japan Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
  7.7.3 China
    7.7.3.1 China Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
  7.7.4 India
    7.7.4.1 India Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
7.8 Latin America
  7.8.1 Latin America Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
  7.8.2 Brazil
    7.8.2.1 Brazil Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
  7.8.3 Mexico
    7.8.3.1 Mexico Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
7.9 MEA
  7.9.1 MEA Healthcare Payer Services Market, 2018 - 2030 (USD Billion)
  7.9.2 South Africa
    7.9.2.1 South Africa Healthcare Payer Services Market, 2018 - 2030 (USD Billion)

CHAPTER 8 COMPANY PROFILES

  8.1.1 Cognizant
    8.1.1.1 Company Overview
    8.1.1.2 Financial Performance
    8.1.1.3 Product Benchmarking
    8.1.1.4 Strategic Initiatives
  8.1.2 EXL
    8.1.2.1 Company Overview
    8.1.2.2 Financial Performance
    8.1.2.3 Product Benchmarking
    8.1.2.4 Strategic Initiatives
  8.1.3 HGS Limited (Hinduja Global Solutions Limited)
    8.1.3.1 Company Overview
    8.1.3.2 Financial Performance
    8.1.3.3 Product Benchmarking
    8.1.3.4 Strategic Initiatives
  8.1.4 Accenture
    8.1.4.1 Company Overview
    8.1.4.2 Financial Performance
    8.1.4.3 Product Benchmarking
    8.1.4.4 Strategic Initiatives
  8.1.5 Xerox Corporation
    8.1.8.1 Company Overview
    8.1.8.2 Financial Performance
    8.1.8.3 Product Benchmarking
    8.1.8.4 Strategic Initiatives
  8.1.6 Concentrix Corporation
    8.1.8.1 Company Overview
    8.1.8.2 Financial Performance
    8.1.8.3 Product Benchmarking
    8.1.8.4 Strategic Initiatives
  8.1.7 Genpact
    8.1.8.1 Company Overview
    8.1.8.2 Financial Performance
    8.1.8.3 Product Benchmarking
    8.1.8.4 Strategic Initiatives
  8.1.8 Wipro Limited
    8.1.8.1 Company Overview
    8.1.8.2 Financial Performance
    8.1.8.3 Product Benchmarking
  8.1.9 HCL Technologies Limited
    8.1.9.1 Company Overview
    8.1.9.2 Financial Performance
    8.1.9.3 Product Benchmarking
    8.1.9.4 Strategic Initiatives
LIST OF TABLES

Table 1 List of Secondary Sources
Table 2 List of Abbreviations
Table 3 Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 4 Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 5 Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 6 Healthcare Payer Services Market, By Region 2018 - 2030 (USD Billion)
Table 7 North America Healthcare Payer Services Market, By Country, 2018 - 2030 (USD Billion)
Table 8 North America Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 9 North America Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 10 North America Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 11 U.S. Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 12 U.S. Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 13 U.S. Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 14 Canada Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 15 Canada Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 16 Canada Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 17 Europe Healthcare Payer Services Market, By Country, 2018 - 2030 (USD Billion)
Table 18 Europe Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 19 Europe Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 20 Europe Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 21 U.K. Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 22 U.K. Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 23 U.K. Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 24 Germany Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 25 Germany Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 26 Germany Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 27 France Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 28 France Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 29 France Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 30 Asia Pacific Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 31 Asia Pacific Healthcare Payer Services Market, By Country, 2018 - 2030 (USD Billion)
Table 32 Asia Pacific Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 33 Japan Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 34 Japan Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 35 Japan Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 36 China Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 37 China Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 38 China Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 39 India Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 40 India Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 41 India Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 42 Latin America Healthcare Payer Services Market, By Country, 2018 - 2030 (USD Billion)
Table 43 Latin America Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 44 Latin America Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 45 Latin America Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 46 Brazil Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 47 Brazil Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 48 Brazil Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 49 Mexico Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 50 Mexico Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 51 Mexico Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
Table 52 Middle East & Africa Healthcare Payer Services Market, By Country, 2018 - 2030 (USD Billion)
Table 53 Middle East & Africa Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 54 Middle East & Africa Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 55 South Africa Healthcare Payer Services Market, By Services, 2018 - 2030 (USD Billion)
Table 56 South Africa Healthcare Payer Services Market, By Application, 2018 - 2030 (USD Billion)
Table 57 South Africa Healthcare Payer Services Market, By End-use, 2018 - 2030 (USD Billion)
LIST OF FIGURES

Fig. 1 Market research process
Fig. 2 Information procurement
Fig. 3 Primary research pattern
Fig. 4 Primary interviews in North America
Fig. 5 Primary interviews in Europe
Fig. 6 Primary interviews in Asia Pacific
Fig. 7 Primary interviews in Latin America
Fig. 8 Primary interviews in MEA
Fig. 9 Market research approaches
Fig. 10 Value-chain-based sizing & forecasting
Fig. 11 QFD modeling for market share assessment
Fig. 12 Market formulation & validation
Fig. 13 Commodity Flow Analysis
Fig. 14 Volume Price Analysis
Fig. 15 Healthcare Payer market snapshot (2021)
Fig. 16 Healthcare Payer market segmentation
Fig. 17 Healthcare Payer market: Strategy framework
Fig. 18 Parent market outlook
Fig. 19 Related/ancillary market outlook
Fig. 20 Penetration & growth prospect mapping
Fig. 21 Market driver relevance analysis (Current & future impact)
Fig. 22 Market restraint relevance analysis (Current & future impact)
Fig. 23 Porter’s five forces analysis
Fig. 24 SWOT analysis, by factor (political & legal, economic and technological)
Fig. 25 Healthcare Payer market service outlook: Segment Dashboard
Fig. 26 Healthcare Payer market: Service movement analysis
Fig. 27 BPO Services market, 2018 - 2030 (USD Billion)
Fig. 28 ITO Services market, 2018 - 2030 (USD Billion)
Fig. 29 KPO Services market, 2018 - 2030 (USD Billion)
Fig. 30 Healthcare Payer market: End-use movement analysis
Fig. 31 Private Payers market, 2018 - 2030 (USD Billion)
Fig. 32 Public Payers market, 2018 - 2030 (USD Billion)
Fig. 33 Regional market place: Dashboard
Fig. 34 Healthcare Payer Services Market: Definition & Scope
Fig. 35 Regional Market Snapshot (Figures in USD Billion, 2021)
Fig. 36 Regional Market Share, 2021 (USD Billion)
Fig. 37 Regional outlook, 2021 & 2030
Fig. 38 North America market, 2018 - 2030 (USD Billion)
Fig. 39 U.S. market, 2018 - 2030 (USD Billion)
Fig. 40 Canada market, 2018 - 2030 (USD Billion)
Fig. 41 Europe market, 2018 - 2030 (USD Billion)
Fig. 42 France market, 2018 - 2030 (USD Billion)
Fig. 43 U.K. market, 2018 - 2030 (USD Billion)
Fig. 44 Germany market, 2018 - 2030 (USD Billion)
Fig. 45 Asia Pacific market, 2018 - 2030 (USD Billion)
Fig. 46 Japan market, 2018 - 2030 (USD Billion)
Fig. 47 China market, 2018 - 2030 (USD Billion)
Fig. 48 India market, 2018 - 2030 (USD Billion)
Fig. 49 Latin America market, 2018 - 2030 (USD Billion)
Fig. 50 Brazil market, 2018 - 2030 (USD Billion)
Fig. 51 Mexico market, 2018 - 2030 (USD Billion)
Fig. 52 MEA market, 2018 - 2030 (USD Billion)
Fig. 53 South Africa market, 2018 - 2030 (USD Billion)


More Publications