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市場調查報告書
商品編碼
1433303

全球醫療保健支付服務市場 2023-2030

Global Healthcare Payer Services Market 2023-2030
出版日期: | 出版商: Orion Market Research | 英文 225 Pages | 商品交期: 2-3個工作天內

價格

全球醫療保健支付服務市場預計在預測期內（2023-2030年）將以 7.8%的CAGR成長。該市場的成長歸因於對成本效益營運的需求不斷成長以及對先進供應鏈管理（SCM）實踐的需求成長，最大限度地降低醫療保健供應鏈 BPO 服務的總體成本可能會在預測期間推動市場成長時期。此外，PPACA 引發的健康保險註冊，不斷增加的聯邦醫療保健要求，慢性病發病率的上升以及醫療保健詐欺案件的增加都是推動市場成長的因素。2023年 6月，醫療保險和醫療補助服務中心（CMS）發布了最新的醫療保險註冊資料。截至2023年 3月，共有 65,748,297 人加入醫療保險，自 9月的上次報告以來增加了近 10 萬人。其中，33,948,778 人加入了原始醫療保險。有 31,799,519 人加入了 Medicare Advantage 或其他健康計劃。這包括參加有或沒有處方藥承保的 Medicare Advantage 計劃。有 51,591,776 人加入了 Medicare D 部分。這包括加入了獨立處方藥計劃以及提供處方藥承保的 Medicare Advantage 計劃。此外，慢性病的增加進一步促進了健康保險的發展，導致醫療支付服務的採用並推動了市場的成長。根據國際糖尿病聯盟2021年的資料，大約 5.37 億20 歲至 79 歲的人患有糖尿病。糖尿病導致超過 670 萬人死亡。到2030年，糖尿病患者總數預計將達到6.43億，到2045年將達到7.83億。此外，根據 Globocan2020 的資料，預計新增病例為 1,930 萬，癌症死亡人數為 1,000 萬人。如此巨大的慢性病負擔將導致更多地採用道德藥物，顯著推動市場成長。

細分市場前景

全球醫療保健支付服務市場根據技術和最終用途進行細分。根據技術，市場細分為 BPO 服務、KPO 服務和 ITO 服務。此外，根據最終用途，市場分為私人付款人和公共付款人。在最終用途中，私人付款人細分市場預計將在預測期內佔據最大的市場佔有率。此細分市場的大部分佔有率歸功於 BPO 服務提供的更低的成本、更高的效率以及致力於基本業務營運的能力。這在很大程度上歸因於 BPO 服務在重要管理領域提供管理。

預計私人付款人細分市場將在全球醫療保健付款人服務市場中佔據相當大的佔有率

在最終用途中，私人付款人細分市場預計將在預測期內成長。此細分市場的推動因素是醫療保健支付者垂直領域的私人投資不斷增加，以及政府對促進醫療保健產業私人投資的支持不斷增加。根據2022年國家健康（NIH）訪談調查，在 18-64 歲的成年人中，12.2%的人沒有保險，22.0%的人有公共保險，67.8%的人有私人健康保險。 18-64歲的成年人最有可能擁有私人保險（67.8%），其次是0-17歲的兒童（54.3%）和65歲以上的成年人（45.7%）。

區域展望

全球醫療保健支付服務市場根據地理位置進一步細分，包括北美（美國和加拿大）、歐洲（英國、義大利、西班牙、德國、法國和歐洲其他地區）、亞太地區（印度、中國、日本、韓國和亞洲其他地區）以及世界其他地區（中東和非洲以及拉丁美洲）。其中，由於對醫療保健支付服務的需求不斷成長，老年人口不斷增加，健康保險的採用率不斷上升，醫療保健詐欺不斷增加以及醫療保健支出不斷增加，預計亞太地區在預測期內將出現成長。

北美地區預計全球醫療支付服務市場將以顯著的複合CAGR成長

由於醫療保健政策的不斷採用以及該地區成熟的醫療保健系統的存在，預計北美將在市場上佔據顯著佔有率。根據國會研究服務處於2023年 2月更新的題為「美國醫療保健覆蓋範圍和支出」的文章 ，大多數人在2021年擁有私人健康保險或享受 Medicare 或 Medicaid 等政府計劃的覆蓋。美國估計人口為3.27億。其中大多數人都有私人健康保險或享有醫療保險或醫療補助等聯邦計劃的保障。然而，約 8.6%的美國總人口仍然沒有保險。2021年，包括未投保者、健康保險公司以及聯邦和州政府在內的個人在各類健康消費支出（HCE）上的支出約為4.0兆美元，占美國國內生產總值（GDP）的17.4%。由於採用醫療支付服務來索賠保險，該地區對醫療保健消費的如此巨大的投資推動了該地區市場的成長。

2021年健康保險覆蓋率占美國總人口的百分比

目錄

第1章 報告摘要

  • 目前行業分析及成長潛力展望
  • 研究方法和工具
  • 市場區隔
    • 依細分
    • 依地區

第2章 市場概述與見解

  • 報告範圍
  • 分析師見解和當前市場趨勢
    • 主要發現
    • 建議
    • 結論

第3章 競爭格局

  • 主要公司分析
  • Accenture plc
    • 概述
    • 財務分析
    • SWOT分析
    • 最近的發展
  • Dell Inc.
    • 概述
    • 財務分析
    • SWOT分析
    • 最近的發展
  • Oracle Corp.
    • 概述
    • 財務分析
    • SWOT分析
    • 最近的發展
  • Xerox Holdings Corp.
    • 概述
    • 財務分析
    • SWOT分析
    • 最近的發展
  • 關鍵策略分析

第4章 市場細分

  • 依服務分類的全球醫療保健支付服務市場
    • 業務流程外包（BPO）服務
    • 知識流程外包（KPO）服務
    • 資訊科技外包（ITO）服務
  • 依最終用途分類的全球醫療保健支付服務市場
    • 私人付款人
    • 公共付款人

第5章 區域分析

  • 北美洲
    • 美國
    • 加拿大
  • 歐洲
    • 英國
    • 德國
    • 義大利
    • 西班牙
    • 法國
    • 歐洲其他地區
  • 亞太
    • 中國
    • 印度
    • 日本
    • 韓國
    • 亞太其他地區
  • 世界其他地區

第6章 公司簡介

  • Allscripts Healthcare, LLC
  • Cognizant Technology Solutions Corp.
  • Concentric Corp.
  • Conduent Inc.
  • Conifer Health Solutions, LLC
  • EXL Service Holdings, Inc.
  • Firstsource Solutions Ltd.
  • Genpact
  • HCL Technologies Ltd.
  • Hewlett-Packard
  • Hinduja Global Solution Ltd.
  • IBM Corp.
  • Infosys Ltd.
  • Inovalon
  • IQVIA Inc.
  • Mphasis Corp.
  • NTT DATA GROUP Corp.
  • OMH HealthEdge Holdings, LLC
  • Parexel International Corp.
  • R1 RCM, Inc.
  • SAS Institute Inc.
  • Tata consultancy services Ltd.
  • UnitedHealth Group, Inc.
  • Wipro Ltd.
  • WNS（Holdings）Ltd.
Product Code: OMR2027920

Global Healthcare Payer Services Market Size, Share & Trends Analysis Report by Services (Business Process Outsourcing (BPO) Services, Knowledge Process Outsourcing (KPO) Services, and Information Technology Outsourcing (ITO) Services), and by End-Use (Private Payers and Public Payers), Forecast Period (2023-2030)

The global healthcare payer services market is anticipated to grow at a CAGR of 7.8% during the forecast period (2023-2030). The growth of this market is attributed to the rising need for cost-effective operations and the growth in demand for advanced supply chain management (SCM) practices, minimizing the overall cost of healthcare supply chain BPO services is likely to boost market growth during the forecast period. Moreover, health insurance enrollments triggered by PPACA, rising federal healthcare mandates, rising incidences of chronic diseases, and growing cases of healthcare fraud are factors driving market growth. In June 2023, the Centers for Medicare & Medicaid Services (CMS) released the latest enrollment figures for Medicare. As of March 2023, there were 65,748,297 people are enrolled in Medicare, an increase of almost 100,000 since the last report in September. Of those, 33,948,778 were enrolled in Original Medicare. There were 31,799,519 are enrolled in Medicare Advantage or other health plans. This includes enrollment in Medicare Advantage plans with and without prescription drug coverage. There were 51,591,776 are enrolled in Medicare Part D. This includes enrollment in stand-alone prescription drug plans as well as Medicare Advantage plans that offer prescription drug coverage. In addition, the rising chronic diseases further bolster way for health insurance, leading to the adoption of healthcare payer services and fueling the market growth. According to the International Diabetic Federation 2021, around 537 million persons aged 20 to 79 affected by diabetes. Diabetes was responsible for over 6.7 million deaths. By 2030, the overall number of diabetics is expected to reach 643 million, and by 2045, it will reach 783 million. Additionally, according to Globocan 2020, estimated 19.3 million new cases, and 10 million cancer deaths. Such a huge burden of chronic diseases will lead to increased adoption of ethical medication, driving the market growth significantly.

Segmental Outlook

The global healthcare payer services market is segmented based on technology, and end-use. Based on the technology, the market is sub-segmented into BPO services, KPO services, and ITO services. Further, based on end-use, the market is sub-segmented into private payers, and public payers. Among the end-use, the private payers sub-segment is anticipated to hold a largest market share during the forecast period. The large share of this segment is credited to the lower costs, higher efficiency, and ability to focus on essential business operations provided by BPO services. This greatly attributes to the fact that BPO services offer administration in important administrative domains.

The Private Payers Sub-Segment is Anticipated to Hold a Considerable Share of the Global Healthcare Payer Services Market

Among the end-use, private payers sub-segments expected to grow over the forecast period. The segment is driven by the owing to the increasing private investment in the healthcare payer vertical and growing government support to promote private investment in the healthcare industry. According to the National Health (NIH) Interview Survey 2022, among adults aged 18-64 years, 12.2% were uninsured, 22.0% had public coverage, and 67.8% had private health insurance coverage. Adults aged 18-64 were the most likely to have private coverage (67.8%), followed by children aged 0-17 years (54.3%) and adults aged 65 and over (45.7%).

Regional Outlook

The global healthcare payer services market is further segmented based on geography including North America (the US, and Canada), Europe (UK, Italy, Spain, Germany, France, and the Rest of Europe), Asia-Pacific (India, China, Japan, South Korea, and Rest of Asia), and the Rest of the World (the Middle East & Africa, and Latin America). Among these, the Asia-Pacific region is anticipated to grow over the forecast period, owing to the growing demand for healthcare payer services, increasing geriatric population, rising adoption of health insurance, the rising healthcare frauds, and the rising healthcare expenditure.

The North America Region is Expected to Grow at a Significant CAGR in the Global Healthcare Payer Services Market

North America is expected to hold a prominent share in the market, owing to the rising adoption of healthcare policies along with the presence of sophisticated healthcare system in the region. According to the article published by the Congressional Research Service, titled 'The US Health Care Coverage and Spending,' updated in February 2023, most people had private health insurance or were covered by a government program such as Medicare or Medicaid in 2021. The US had an estimated population of 327 million individuals. Most of those individuals had private health insurance or were covered under a federal program such as medicare or medicaid. However, about 8.6% of the total US population was still uninsured. Individuals including those who were uninsured, health insurers, and federal and state governments spent approximately $4.0 trillion on various types of health consumption expenditures (HCE) in 2021, which accounted for 17.4% of the nation's gross domestic product (GDP). Such a huge investment in healthcare consumption in this region led to driving the growth of this market in this region owing to the adoption of healthcare payer services to claim insurance.

Health Insurance Coverage as a Percentage of Total US Population, 2021

Source: US Health Care Coverage and Spending

Market Players Outlook

The major companies serving the global healthcare payer services market include Accenture plc, Dell Inc., Oracle Corp., Xerox Holdings Corp., HCL Technologies Ltd., Hewlett-Packard, IBM Corp., Infosys Ltd., and others. The market players are considerably contributing to the market growth by the adoption of various strategies including mergers and acquisitions, partnerships, collaborations, funding, and new product launches, to stay competitive in the market. For instance, in January 2023, Elevance Health acquired the Blue Cross and Blue Shield of Louisiana (BCBSLA), with the payers aiming to improve care access, quality, and affordability for Louisiana members.

The Report Covers:

  • Market value data analysis of 2022 and forecast to 2030.
  • Annualized market revenues ($ million) for each market segment.
  • Country-wise analysis of major geographical regions.
  • Key companies operating in the global healthcare payer services market. Based on the availability of data, information related to new product launches, and relevant news is also available in the report.
  • Analysis of business strategies by identifying the key market segments positioned for strong growth in the future.
  • Analysis of market-entry and market expansion strategies.
  • Competitive strategies by identifying 'who-stands-where' in the market.

Table of Contents

1. Report Summary

  • Current Industry Analysis and Growth Potential Outlook
  • 1.1. Research Methods and Tools
  • 1.2. Market Breakdown
    • 1.2.1. By Segments
    • 1.2.2. By Region

2. Market Overview and Insights

  • 2.1. Scope of the Report
  • 2.2. Analyst Insight & Current Market Trends
    • 2.2.1. Key Findings
    • 2.2.2. Recommendations
    • 2.2.3. Conclusion

3. Competitive Landscape

  • 3.1. Key Company Analysis
  • 3.2. Accenture plc
    • 3.2.1. Overview
    • 3.2.2. Financial Analysis
    • 3.2.3. SWOT Analysis
    • 3.2.4. Recent Developments
  • 3.3. Dell Inc.
    • 3.3.1. Overview
    • 3.3.2. Financial Analysis
    • 3.3.3. SWOT Analysis
    • 3.3.4. Recent Developments
  • 3.4. Oracle Corp.
    • 3.4.1. Overview
    • 3.4.2. Financial Analysis
    • 3.4.3. SWOT Analysis
    • 3.4.4. Recent Developments
  • 3.5. Xerox Holdings Corp.
    • 3.5.1. Overview
    • 3.5.2. Financial Analysis
    • 3.5.3. SWOT Analysis
    • 3.5.4. Recent Developments
  • 3.6. Key Strategy Analysis

4. Market Segmentation

  • 4.1. Global Healthcare Payer Services Market by Services
    • 4.1.1. Business Process Outsourcing (BPO) Services
    • 4.1.2. Knowledge Process Outsourcing (KPO) Services
    • 4.1.3. Information Technology Outsourcing (ITO) Services
  • 4.2. Global Healthcare Payer Services Market by End-Use
    • 4.2.1. Private Payers
    • 4.2.2. Public Payers

5. Regional Analysis

  • 5.1. North America
    • 5.1.1. United States
    • 5.1.2. Canada
  • 5.2. Europe
    • 5.2.1. UK
    • 5.2.2. Germany
    • 5.2.3. Italy
    • 5.2.4. Spain
    • 5.2.5. France
    • 5.2.6. Rest of Europe
  • 5.3. Asia-Pacific
    • 5.3.1. China
    • 5.3.2. India
    • 5.3.3. Japan
    • 5.3.4. South Korea
    • 5.3.5. Rest of Asia-Pacific
  • 5.4. Rest of the World

6. Company Profiles

  • 6.1. Allscripts Healthcare, LLC
  • 6.2. Cognizant Technology Solutions Corp.
  • 6.3. Concentric Corp.
  • 6.4. Conduent Inc.
  • 6.5. Conifer Health Solutions, LLC
  • 6.6. EXL Service Holdings, Inc.
  • 6.7. Firstsource Solutions Ltd.
  • 6.8. Genpact
  • 6.9. HCL Technologies Ltd.
  • 6.10. Hewlett-Packard
  • 6.11. Hinduja Global Solution Ltd.
  • 6.12. IBM Corp.
  • 6.13. Infosys Ltd.
  • 6.14. Inovalon
  • 6.15. IQVIA Inc.
  • 6.16. Mphasis Corp.
  • 6.17. NTT DATA GROUP Corp.
  • 6.18. OMH HealthEdge Holdings, LLC
  • 6.19. Parexel International Corp.
  • 6.20. R1 RCM, Inc.
  • 6.21. SAS Institute Inc.
  • 6.22. Tata consultancy services Ltd.
  • 6.23. UnitedHealth Group, Inc.
  • 6.24. Wipro Ltd.
  • 6.25. WNS (Holdings) Ltd.

LIST OF TABLES

  • 1. GLOBAL HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY SERVICES, 2022-2030 ($ MILLION)
  • 2. GLOBAL HEALTHCARE BPO SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
  • 3. GLOBAL HEALTHCARE KPO SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
  • 4. GLOBAL HEALTHCARE ITO SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
  • 5. GLOBAL HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY END-USE, 2022-2030 ($ MILLION)
  • 6. GLOBAL HEALTHCARE PAYER SERVICES FOR PRIVATE PAYERS MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
  • 7. GLOBAL HEALTHCARE PAYER SERVICES FOR PUBLIC PAYERS MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
  • 8. GLOBAL HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
  • 9. NORTH AMERICAN HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY COUNTRY, 2022-2030 ($ MILLION)
  • 10. NORTH AMERICAN HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY SERVICES, 2022-2030 ($ MILLION)
  • 11. NORTH AMERICAN HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY END-USE, 2022-2030 ($ MILLION)
  • 12. EUROPEAN HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY COUNTRY, 2022-2030 ($ MILLION)
  • 13. EUROPEAN HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY SERVICES, 2022-2030 ($ MILLION)
  • 14. EUROPEAN HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY END-USE, 2022-2030 ($ MILLION)
  • 15. ASIA-PACIFIC HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY COUNTRY, 2022-2030 ($ MILLION)
  • 16. ASIA-PACIFIC HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY SERVICES, 2022-2030 ($ MILLION)
  • 17. ASIA-PACIFIC HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY END-USE, 2022-2030 ($ MILLION)
  • 18. REST OF THE WORLD HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
  • 19. REST OF THE WORLD HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY SERVICES, 2022-2030 ($ MILLION)
  • 20. REST OF THE WORLD HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY END-USE, 2022-2030 ($ MILLION)

LIST OF FIGURES

  • 1. GLOBAL HEALTHCARE PAYER SERVICES MARKET SHARE BY SERVICES, 2022 VS 2030 (%)
  • 2. GLOBAL HEALTHCARE BPO SERVICES MARKET SHARE BY MATERIAL, 2022 VS 2030 (%)
  • 3. GLOBAL HEALTHCARE KPO SERVICES MARKET SHARE BY REGION, 2022 VS 2030 (%)
  • 4. GLOBAL HEALTHCARE ITO SERVICES MARKET SHARE BY REGION, 2022 VS 2030 (%)
  • 5. GLOBAL HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY END-USE, 2022 VS 2030 (%)
  • 6. GLOBAL HEALTHCARE PAYER SERVICES FOR PRIVATE PAYERS MARKET SHARE BY REGION, 2022 VS 2030 (%)
  • 7. GLOBAL HEALTHCARE PAYER SERVICES FOR PUBLIC PAYERS MARKET SHARE BY REGION, 2022 VS 2030 (%)
  • 8. GLOBAL HEALTHCARE PAYER SERVICES MARKET SHARE BY REGION, 2022 VS 2030 (%)
  • 9. US HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
  • 10. CANADA HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
  • 11. UK HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
  • 12. FRANCE HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
  • 13. GERMANY HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
  • 14. ITALY HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
  • 15. SPAIN HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
  • 16. REST OF EUROPE HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
  • 17. INDIA HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
  • 18. CHINA HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
  • 19. JAPAN HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
  • 20. SOUTH KOREA HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
  • 21. REST OF ASIA-PACIFIC HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
  • 22. REST OF THE WORLD HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)