Product Code: 4616
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
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).
Table of 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
- 5.2. 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
- 6.2. 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
- 6.3.1.2. 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
- 6.3.2.2. 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
- 6.3.3.2. 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
- 7.2. 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
- 7.3.1.2. 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
- 7.3.2.2. 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
- 7.3.3.2. 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
- 7.3.4.2. 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
- 7.3.5.2. 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
- 8.2. 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
- 8.3.1.2. 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
- 8.3.2.2. 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
- 8.3.3.2. 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
- 8.3.4.2. 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
- 8.3.5.2. 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
- 9.2. 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
- 9.3.1.2. 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
- 9.3.2.2. 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
- 9.3.3.2. 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
- 10.2. 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
- 10.3.1.2. 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
- 10.3.2.2. 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
- 10.3.3.2. 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