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醫療保健支付服務市場 - 全球市場規模、佔有率、趨勢分析、機遇和預測報告，2019-2029
市場調查報告書
商品編碼
1319311

醫療保健支付服務市場 - 全球市場規模、佔有率、趨勢分析、機遇和預測報告，2019-2029

Healthcare Payer Services Market - Global Size, Share, Trend Analysis, Opportunity and Forecast Report, 2019-2029, Segmented By Service ; By Application ; By End Use ; By Region
出版日期: | 出版商: Blueweave Consulting | 英文 400 Pages | 商品交期: 2-3個工作天內

價格
簡介目錄

到 2029 年，全球醫療支付服務市場規模有望達到 1250 億美元

由於技術進步的不斷採用、效率的提高以及通過服務外包降低成本，全球醫療保健支付服務市場正在蓬勃發展。

領先的戰略諮詢和市場研究公司 BlueWeave Consulting 最近估計，2022 年全球醫療支付服務市場規模將達到 725.6 億美元。 BlueWeave預測，在2023年至2029年的預測期內，全球醫療支付服務市場規模將以12.31%的年複合成長率大幅成長，到2029年達到1248.9億美元。全球醫療保健支付服務市場的主要成長促進因素包括醫療保健支出的增加、數位技術的日益採用以及對高效醫療保健管理和成本控制不斷成長的需求。對 BPO 服務不斷成長的需求源於高效的庫存管理實踐。醫療保健服務成本下降、ICD-10 代碼的引入以及製藥公司面臨的專利到期等因素也促進了市場擴張。市場主要參與者正在採用人工智慧（AI）、分析和雲端基礎服務等先進技術，從而導致激烈的競爭。例如，埃森哲提供雲端基礎解決方案，可以有效降低物流成本、增加服務收入並提高醫療保健供應鏈中的服務可用性。因此，市場預計將顯著成長。技術進步以及外包流程和供應鏈管理（SCM）的整合預計將成為整個預測期內的關鍵市場促進因素。然而，數據洩露或機密性喪失可能會在分析期間抑制整個市場的成長。

該報告的詳細分析提供了有關全球醫療支付服務市場的成長潛力、未來趨勢和統計數據的資訊。它還涵蓋了推動市場總規模預測的因素。該報告致力於為決策者提供全球醫療支付服務市場的最新技術趨勢以及行業見解，以做出明智的戰略決策。它還分析了市場的成長促進因素、挑戰和競爭力。

目錄

第1章 研究框架

第2章 執行摘要

第3章 全球醫療支付服務市場洞察

  • 行業價值鏈分析
  • DROC分析
    • 成長促進因素
      • 外包服務降低成本提高效率
      • 技術進步
    • 抑制因素
      • 數據洩露和機密性喪失
    • 機會
      • 採用先進的數據分析
    • 任務
      • 從遺留系統遷移
  • 技術進步/最新發展
  • 監管框架
  • 波特五力分析

第4章 全球醫療支付服務市場概況

  • 2019-2029年市場規模及預測
    • 按金額
  • 市場佔有率及預測
    • 按服務
      • 業務流程外包服務
      • ITO服務
      • 關鍵PO服務
    • 按用途
      • 理賠管理服務
      • 綜合前台服務和後台營運
      • 會員管理服務
      • 供應商管理服務
      • 申請和賬戶管理服務
      • 分析和欺詐管理服務
      • 人力資源服務
    • 按最終用途
      • 私人付款人
      • 公共付款人
    • 按地區
      • 北美
      • 歐洲
      • 亞太地區 (APAC)
      • 拉丁美洲 (LATAM)
      • 中東和非洲 (MEA)

第5章 北美醫療保健付費服務市場

  • 2019-2029年市場規模及預測
    • 按金額
  • 市場佔有率及預測
    • 按服務
    • 按用途
    • 按最終用途
    • 按國家/地區
      • 美國
      • 加拿大

第6章 歐洲醫療保健支付服務市場

  • 2019-2029年市場規模及預測
    • 按金額
  • 市場佔有率及預測
    • 按服務
    • 按用途
    • 按最終用途
    • 按國家/地區
      • 德國
      • 英國
      • 義大利
      • 法國
      • 西班牙
      • 比利時
      • 俄羅斯
      • 荷蘭
      • 其他歐洲國家

第7章 亞太醫療保健支付服務市場

  • 2019-2029年市場規模及預測
    • 按金額
  • 市場佔有率及預測
    • 按服務
    • 按用途
    • 按最終用途
    • 按國家/地區
      • 中國
      • 印度
      • 日本
      • 韓國
      • 澳大利亞和紐西蘭
      • 印度尼西亞
      • 馬來西亞
      • 新加坡
      • 越南
      • 亞太地區其他地區

第8章 拉丁美洲醫療支付服務市場

  • 2019-2029年市場規模及預測
    • 按金額
  • 市場佔有率及預測
    • 按服務
    • 按用途
    • 按最終用途
    • 按國家/地區
      • 巴西
      • 墨西哥
      • 阿根廷
      • 秘魯
      • 拉丁美洲其他地區

第9章 中東和非洲醫療支付服務市場

  • 2019-2029年市場規模及預測
    • 按金額
  • 市場佔有率及預測
    • 按服務
    • 按用途
    • 按最終用途
    • 按國家/地區
      • 沙烏地阿拉伯
      • 阿拉伯聯合大公國
      • 卡達
      • 科威特
      • 南非
      • 奈及利亞
      • 阿爾及利亞
      • MEA 的其餘部分

第10章 競爭格局

  • 主要公司及其產品列表
  • 2022年全球醫療支付服務企業市場佔有率分析
  • 通過運行參數進行競爭基準測試
  • 主要戰略發展（合併、收購、合作夥伴關係等）

第11章COVID-19 對全球醫療支付服務市場的影響

第12章公司簡介（公司簡介、財務矩陣、競爭格局、關鍵人才、主要競爭、聯繫地址、戰略展望、SWOT分析）

  • Cognizant
  • TCS
  • WNS
  • NTT Data Corporation
  • IQVIA Inc.
  • Mphasis
  • EXL
  • HGS Ltd.
  • Accenture
  • Xerox Corporation
  • Concentric Corporation
  • Genpact
  • WIPRO Ltd.
  • HCL Technologies
  • Other Prominent Players

第13章關鍵戰略建議

第14章調查方法

  • 定性研究
    • 初級和次級研究
  • 定量研究
  • 市場細分和數據三角測量
    • 二次調查
    • 初步調查
  • 主要調查受訪者的地區分佈
  • 假設和限制
簡介目錄
Product Code: BWC23614

Global Healthcare Payer Services Market Size Booming to Touch USD 125 Billion by 2029.

Global healthcare payer services market is flourishing because of increasing adoption of technological advancements, growing efficiency, and reducing the cost by outsourcing the services.

BlueWeave Consulting, a leading strategic consulting and market research firm, in its recent study, estimated global healthcare payer services market size at USD 72.56 billion in 2022. During the forecast period between 2023 and 2029, BlueWeave expects global healthcare payer services market size to grow at a significant CAGR of 12.31% reaching a value of USD 124.89 billion by 2029. Major growth drivers for the global healthcare payer services market include increasing healthcare expenditures, the growing adoption of digital technologies, and the rising demand for efficient healthcare administration and cost containment. The increasing demand for BPO services is attributed to efficient inventory management practices. Factors like decreased healthcare delivery costs, the implementation of ICD-10 codes, and patent expirations faced by pharmaceutical companies also contribute to market expansion. Key market players are introducing advanced technologies such as artificial intelligence (AI), analytics, and cloud-based services, leading to intense competition. Accenture, for instance, offers cloud-based solutions that effectively reduce logistics costs, enhance service revenue, and improve service availability in the healthcare supply chain. Consequently, the market is expected to exhibit significant growth. Technological advancements and the integration of outsourcing processes with supply chain management (SCM) are expected to serve as major market drivers throughout the forecast period. However, data breaches and loss of confidentiality may restrain the overall market growth during the period in analysis.

Global Healthcare Payer Services Market - Overview:

The global healthcare payer services market refers to the industry that encompasses various administrative and support services provided to healthcare payers. Healthcare payers include insurance companies, government agencies, and managed care organizations responsible for managing healthcare plans and financing. Payer services are designed to assist and streamline payer operations, including claims processing, member enrollment and eligibility verification, provider network management, premium billing and payment, customer service, and data analytics and reporting. These services aim to ensure efficient administration, accurate claims processing, cost containment, and enhanced member and provider satisfaction. The healthcare payer services market plays a crucial role in supporting the overall functioning of the healthcare system by facilitating smooth interactions between payers, providers, and members while managing administrative complexities and improving operational efficiencies.

Impact of COVID-19 on Global Healthcare Payer Services Market:

COVID-19 pandemic adversely affected the global healthcare payer services market. The healthcare industry as a whole faced unprecedented challenge due to the surge in healthcare demands and disruptions in service delivery. Payers had to adapt quickly to address the evolving needs and ensure continued support to healthcare providers and members. The pandemic accelerated the adoption of digital technologies, telehealth services, and remote work arrangements. Payers focused on enhancing their digital capabilities, implementing virtual customer service solutions, and streamlining claims processing to support the influx of COVID-19 related claims. The pandemic highlighted the importance of efficient healthcare administration and the need for agile payer services, driving the market's transformation and growth.

Global Healthcare Payer Services Market - By Application:

Based on application, the global healthcare payer services market is divided into Claims Management Services, Integrated Front Office Service & Back Office Operations, Member Management Services, Provider Management Services, Billing & Accounts Management Services, Analytics & Fraud Management Services, and HR Services segments. The claims management services segment held the highest market share in 2022 by application. The Affordable Care Act (ACA) and the overall growth in healthcare expenditures have contributed to an increase in the number of members enrolled in the Centers for Medicare and Medicaid Services. Among various payer services, claims processing services hold prominence as they involve handling substantial amounts of data and constitute a substantial portion of payer workload. Providers' submitted claims are carefully evaluated for eligibility, authenticity, and the accurate reimbursement amount. With the advancement of the digital era, this process has become more efficient, resulting in improved turnaround times and streamlined operations.

Competitive Landscape:

Major players operating in the global healthcare payer services market include: Cognizant, TCS, WNS, NTT Data Corporation, IQVIA Inc., Mphasis, EXL, HGS Ltd., Accenture, Xerox Corporation, Concentric Corporation, Genpact, WIPRO Ltd, and HCL Technologies. To further enhance their market share, these companies employ various strategies, including mergers and acquisitions, partnerships, joint ventures, license agreements, and new product launches.

The in-depth analysis of the report provides information about growth potential, upcoming trends, and statistics of Global Healthcare Payer Services Market. It also highlights the factors driving forecasts of total market size. The report promises to provide recent technology trends in Global Healthcare Payer Services Market and industry insights to help decision-makers make sound strategic decisions. Furthermore, the report also analyzes the growth drivers, challenges, and competitive dynamics of the market.

Table of Contents

1. Research Framework

  • 1.1. Research Objective
  • 1.2. Product Overview
  • 1.3. Market Segmentation

2. Executive Summary

3. Global Healthcare Payer Services Market Insights

  • 3.1. Industry Value Chain Analysis
  • 3.2. DROC Analysis
    • 3.2.1. Growth Drivers
      • 3.2.1.1. Outsourcing of services to reduce cost and increase efficiency
      • 3.2.1.2. Advancement in technology
    • 3.2.2. Restraints
      • 3.2.2.1. Data breaches and loss of confidentiality
    • 3.2.3. Opportunities
      • 3.2.3.1. Adoption of advanced data analytics
    • 3.2.4. Challenges
      • 3.2.4.1. Migration from legacy systems
  • 3.3. Technology Advancements/Recent Developments
  • 3.4. Regulatory Framework
  • 3.5. Porter's Five Forces Analysis
    • 3.5.1. Bargaining Power of Suppliers
    • 3.5.2. Bargaining Power of Buyers
    • 3.5.3. Threat of New Entrants
    • 3.5.4. Threat of Substitutes
    • 3.5.5. Intensity of Rivalry

4. Global Healthcare Payer Services Market Overview

  • 4.1. Market Size & Forecast, 2019-2029
    • 4.1.1. By Value (USD Million)
  • 4.2. Market Share & Forecast
    • 4.2.1. By Service
      • 4.2.1.1. BPO Services
      • 4.2.1.2. ITO Services
      • 4.2.1.3. KPO Services
    • 4.2.2. By Application
      • 4.2.2.1. Claims Management Services
      • 4.2.2.2. Integrated Front Office Service & Back Office Operations
      • 4.2.2.3. Member Management Services
      • 4.2.2.4. Provider Management Services
      • 4.2.2.5. Billing & Accounts Management Services
      • 4.2.2.6. Analytics & Fraud Management Services
      • 4.2.2.7. HR Services
    • 4.2.3. By End Use
      • 4.2.3.1. Private Payers
      • 4.2.3.2. Public Payers
    • 4.2.4. By Region
      • 4.2.4.1. North America
      • 4.2.4.2. Europe
      • 4.2.4.3. Asia Pacific (APAC)
      • 4.2.4.4. Latin America (LATAM)
      • 4.2.4.5. Middle East and Africa (MEA)

5. North America Healthcare Payer Services Market

  • 5.1. Market Size & Forecast, 2019-2029
    • 5.1.1. By Value (USD Million)
  • 5.2. Market Share & Forecast
    • 5.2.1. By Service
    • 5.2.2. By Application
    • 5.2.3. By End Use
    • 5.2.4. By Country
      • 5.2.4.1. United States
      • 5.2.4.1.1. By Service
      • 5.2.4.1.2. By Application
      • 5.2.4.1.3. By End Use
      • 5.2.4.2. Canada
      • 5.2.4.2.1. By Service
      • 5.2.4.2.2. By Application
      • 5.2.4.2.3. By End Use

6. Europe Healthcare Payer Services Market

  • 6.1. Market Size & Forecast, 2019-2029
    • 6.1.1. By Value (USD Million)
  • 6.2. Market Share & Forecast
    • 6.2.1. By Service
    • 6.2.2. By Application
    • 6.2.3. By End Use
    • 6.2.4. By Country
      • 6.2.4.1. Germany
      • 6.2.4.1.1. By Service
      • 6.2.4.1.2. By Application
      • 6.2.4.1.3. By End Use
      • 6.2.4.2. United Kingdom
      • 6.2.4.2.1. By Service
      • 6.2.4.2.2. By Application
      • 6.2.4.2.3. By End Use
      • 6.2.4.3. Italy
      • 6.2.4.3.1. By Service
      • 6.2.4.3.2. By Application
      • 6.2.4.3.3. By End Use
      • 6.2.4.4. France
      • 6.2.4.4.1. By Service
      • 6.2.4.4.2. By Application
      • 6.2.4.4.3. By End Use
      • 6.2.4.5. Spain
      • 6.2.4.5.1. By Service
      • 6.2.4.5.2. By Application
      • 6.2.4.5.3. By End Use
      • 6.2.4.6. Belgium
      • 6.2.4.6.1. By Service
      • 6.2.4.6.2. By Application
      • 6.2.4.6.3. By End Use
      • 6.2.4.7. Russia
      • 6.2.4.7.1. By Service
      • 6.2.4.7.2. By Application
      • 6.2.4.7.3. By End Use
      • 6.2.4.8. The Netherlands
      • 6.2.4.8.1. By Service
      • 6.2.4.8.2. By Application
      • 6.2.4.8.3. By End Use
      • 6.2.4.9. Rest of Europe
      • 6.2.4.9.1. By Service
      • 6.2.4.9.2. By Application
      • 6.2.4.9.3. By End Use

7. Asia-Pacific Healthcare Payer Services Market

  • 7.1. Market Size & Forecast, 2019-2029
    • 7.1.1. By Value (USD Million)
  • 7.2. Market Share & Forecast
    • 7.2.1. By Service
    • 7.2.2. By Application
    • 7.2.3. By End Use
    • 7.2.4. By Country
      • 7.2.4.1. China
      • 7.2.4.1.1. By Service
      • 7.2.4.1.2. By Application
      • 7.2.4.1.3. By End Use
      • 7.2.4.2. India
      • 7.2.4.2.1. By Service
      • 7.2.4.2.2. By Application
      • 7.2.4.2.3. By End Use
      • 7.2.4.3. Japan
      • 7.2.4.3.1. By Service
      • 7.2.4.3.2. By Application
      • 7.2.4.3.3. By End Use
      • 7.2.4.4. South Korea
      • 7.2.4.4.1. By Service
      • 7.2.4.4.2. By Application
      • 7.2.4.4.3. By End Use
      • 7.2.4.5. Australia & New Zealand
      • 7.2.4.5.1. By Service
      • 7.2.4.5.2. By Application
      • 7.2.4.5.3. By End Use
      • 7.2.4.6. Indonesia
      • 7.2.4.6.1. By Service
      • 7.2.4.6.2. By Application
      • 7.2.4.6.3. By End Use
      • 7.2.4.7. Malaysia
      • 7.2.4.7.1. By Service
      • 7.2.4.7.2. By Application
      • 7.2.4.7.3. By End Use
      • 7.2.4.8. Singapore
      • 7.2.4.8.1. By Service
      • 7.2.4.8.2. By Application
      • 7.2.4.8.3. By End Use
      • 7.2.4.9. Vietnam
      • 7.2.4.9.1. By Service
      • 7.2.4.9.2. By Application
      • 7.2.4.9.3. By End Use
      • 7.2.4.10. Rest of APAC
      • 7.2.4.10.1. By Service
      • 7.2.4.10.2. By Application
      • 7.2.4.10.3. By End Use

8. Latin America Healthcare Payer Services Market

  • 8.1. Market Size & Forecast, 2019-2029
    • 8.1.1. By Value (USD Million)
  • 8.2. Market Share & Forecast
    • 8.2.1. By Service
    • 8.2.2. By Application
    • 8.2.3. By End Use
    • 8.2.4. By Country
      • 8.2.4.1. Brazil
      • 8.2.4.1.1. By Service
      • 8.2.4.1.2. By Application
      • 8.2.4.1.3. By End Use
      • 8.2.4.2. Mexico
      • 8.2.4.2.1. By Service
      • 8.2.4.2.2. By Application
      • 8.2.4.2.3. By End Use
      • 8.2.4.3. Argentina
      • 8.2.4.3.1. By Service
      • 8.2.4.3.2. By Application
      • 8.2.4.3.3. By End Use
      • 8.2.4.4. Peru
      • 8.2.4.4.1. By Service
      • 8.2.4.4.2. By Application
      • 8.2.4.4.3. By End Use
      • 8.2.4.5. Rest of LATAM
      • 8.2.4.5.1. By Service
      • 8.2.4.5.2. By Application
      • 8.2.4.5.3. By End Use

9. Middle East & Africa Healthcare Payer Services Market

  • 9.1. Market Size & Forecast, 2019-2029
    • 9.1.1. By Value (USD Million)
  • 9.2. Market Share & Forecast
    • 9.2.1. By Service
    • 9.2.2. By Application
    • 9.2.3. By End Use
    • 9.2.4. By Country
      • 9.2.4.1. Saudi Arabia
      • 9.2.4.1.1. By Service
      • 9.2.4.1.2. By Application
      • 9.2.4.1.3. By End Use
      • 9.2.4.2. UAE
      • 9.2.4.2.1. By Service
      • 9.2.4.2.2. By Application
      • 9.2.4.2.3. By End Use
      • 9.2.4.3. Qatar
      • 9.2.4.3.1. By Service
      • 9.2.4.3.2. By Application
      • 9.2.4.3.3. By End Use
      • 9.2.4.4. Kuwait
      • 9.2.4.4.1. By Service
      • 9.2.4.4.2. By Application
      • 9.2.4.4.3. By End Use
      • 9.2.4.5. South Africa
      • 9.2.4.5.1. By Service
      • 9.2.4.5.2. By Application
      • 9.2.4.5.3. By End Use
      • 9.2.4.6. Nigeria
      • 9.2.4.6.1. By Service
      • 9.2.4.6.2. By Application
      • 9.2.4.6.3. By End Use
      • 9.2.4.7. Algeria
      • 9.2.4.7.1. By Service
      • 9.2.4.7.2. By Application
      • 9.2.4.7.3. By End Use
      • 9.2.4.8. Rest of MEA
      • 9.2.4.8.1. By Service
      • 9.2.4.8.2. By Application
      • 9.2.4.8.3. By End Use

10. Competitive Landscape

  • 10.1. List of Key Players and Their Offerings
  • 10.2. Global Healthcare Payer Services Company Market Share Analysis, 2022
  • 10.3. Competitive Benchmarking, By Operating Parameters
  • 10.4. Key Strategic Developments (Mergers, Acquisitions, Partnerships, etc.)

11. Impact of Covid-19 on Global Healthcare Payer Services Market

12. Company Profile (Company Overview, Financial Matrix, Competitive Landscape, Key Personnel, Key Competitors, Contact Address, Strategic Outlook, SWOT Analysis)

  • 12.1. Cognizant
  • 12.2. TCS
  • 12.3. WNS
  • 12.4. NTT Data Corporation
  • 12.5. IQVIA Inc.
  • 12.6. Mphasis
  • 12.7. EXL
  • 12.8. HGS Ltd.
  • 12.9. Accenture
  • 12.10. Xerox Corporation
  • 12.11. Concentric Corporation
  • 12.12. Genpact
  • 12.13. WIPRO Ltd.
  • 12.14. HCL Technologies
  • 12.15. Other Prominent Players

13. Key Strategic Recommendations

14. Research Methodology

  • 14.1. Qualitative Research
    • 14.1.1. Primary & Secondary Research
  • 14.2. Quantitative Research
  • 14.3. Market Breakdown & Data Triangulation
    • 14.3.1. Secondary Research
    • 14.3.2. Primary Research
  • 14.4. Breakdown of Primary Research Respondents, By Region
  • 14.5. Assumptions & Limitations