Digital Payment in Healthcare Market – Global Industry Size, Share, Trends, Opportunity, and Forecast, Segmented By Component (Solution, Service), By Deployment (On-Premise, Cloud), By Organization Size (SMEs, Large Enterprises), By Region & Competition, 2021-2031F

Forecast Period	2027-2031
Market Size (2025)	USD 15.83 Billion
CAGR (2026-2031)	12.92%
Fastest Growing Segment	Large Enterprises
Largest Market	North America
Market Size (2031)	USD 32.82 Billion

Market Overview

The Global Digital Payment in Healthcare Market will grow from USD 15.83 Billion in 2025 to USD 32.82 Billion by 2031 at a 12.92% CAGR. The Global Digital Payment in Healthcare Market encompasses the technological ecosystem facilitating electronic financial transactions between patients, providers, and payers, including electronic funds transfers (EFT), mobile wallets, and online patient portals. The market’s growth is fundamentally supported by the critical need to streamline revenue cycle management to reduce administrative overhead and the increasing consumer demand for flexible, contactless payment options comparable to retail standards. These drivers are distinct from temporary adoption trends, as they represent a structural shift toward operational sustainability. According to Nacha, in 2024, healthcare claim payment volume on the ACH Network reached 510 million transactions, underscoring the substantial reliance on electronic infrastructure for settling medical claims.

However, a significant challenge impeding broader market expansion is the complexity of integrating modern payment gateways with fragmented, legacy healthcare IT systems while maintaining rigorous data security. The high value of sensitive patient data makes these financial networks prime targets for cyberattacks, necessitating stringent compliance protocols that often delay the implementation of new digital solutions. This security burden, coupled with the technical difficulty of interoperability between disparate provider systems, creates a substantial barrier to the universal adoption of seamless digital payment workflows.

Key Market Drivers

The need for operational efficiency and the reduction of administrative billing costs serves as a primary catalyst for the adoption of digital payment solutions in healthcare. Providers are aggressively transitioning away from manual, paper-based revenue cycles to mitigate the financial strain caused by processing delays and reconciliation errors. Automated payment posting and electronic funds transfer (EFT) systems significantly lower the cost per transaction while accelerating cash flow, which is vital for maintaining liquidity in a challenging economic environment. The urgency of this transition is highlighted by the sector's deteriorating financial metrics; according to Kaufman Hall, October 2025, in the 'National Hospital Flash Report', hospital bad debt and charity care increased by 10% year-over-year, necessitating more effective digital collection mechanisms. Furthermore, the potential for cost recovery through technology is immense. According to CAQH, February 2025, in the '2024 CAQH Index', the U.S. healthcare industry could save approximately $20 billion annually by transitioning remaining manual administrative processes to fully electronic workflows, creating a massive financial incentive for market adoption.

Concurrently, the market is being propelled by rising consumer demand for contactless and mobile payment options that mirror the seamless experiences found in the retail and banking sectors. Patients now expect convenient, self-service financial touchpoints, such as text-to-pay links, mobile wallets, and consolidated online portals, which enhance satisfaction and improve collection rates. Meeting these expectations is no longer optional but a strategic imperative for providers aiming to retain patients and ensure timely settlement of financial responsibilities. This behavioral shift is substantiated by recent industry findings. According to J.P. Morgan, May 2025, in the 'Trends in Healthcare Payments Fifteenth Annual Report', 62% of consumers stated a preference for paying their medical bills online, indicating a strong permanent shift toward digital self-service channels that healthcare organizations must accommodate to remain competitive.

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Key Market Challenges

The complexity of integrating modern payment gateways with fragmented, legacy healthcare IT systems constitutes a primary restraint on market expansion. This technical incompatibility not only complicates the deployment of seamless digital workflows but also introduces significant security vulnerabilities. Because these financial networks process high-value sensitive data, they remain attractive targets for cybercriminal activity, forcing organizations to prioritize defensive compliance measures over functional upgrades. The fear of operational disruption due to security breaches directly discourages the rapid uptake of new payment technologies.

The impact of these security risks on financial stability is evident in recent industry disruptions. According to the American Medical Association, in 2024, 80 percent of physician practices reported lost revenue resulting from the cyberattack on the Change Healthcare payment clearinghouse. This incident underscores the fragility of interconnected digital payment infrastructure. Consequently, healthcare providers often delay upgrading their revenue cycle management tools to avoid the financial volatility associated with potential system compromises, thereby stalling the broader growth of the digital payment market.

Key Market Trends

The rapid adoption of Buy Now, Pay Later (BNPL) financing models is reshaping the market by directly addressing the affordability gap in patient responsibility. Unlike standard digital payments focused solely on transaction convenience, BNPL solutions allow patients to amortize out-of-pocket costs into manageable installments, ensuring access to care while securing provider revenue. This structural shift toward embedded financing is substantiated by significant growth in utilization within the sector. According to Synchrony, April 2025, in the '2024 Annual Report', its CareCredit health and wellness platform grew open accounts by 16% in 2024, reflecting increasing consumer reliance on dedicated financing vehicles to mitigate rising medical expenses.

Simultaneously, the integration of AI-driven predictive analytics for claim denial management is transforming revenue cycle operations. By using machine learning to predict claim rejections before submission, providers can implement proactive corrections that surpass the capabilities of legacy rule-based systems. This transition from reactive reworking to preventive assurance is becoming a standard operational strategy to combat revenue leakage. The industry's pivot is distinct; according to the Medical Group Management Association (MGMA), October 2025, in an 'MGMA Stat' poll, 68% of medical groups reported adding or expanding their use of AI tools in 2025, specifically prioritizing revenue cycle applications.

Segmental Insights

The Large Enterprises segment is currently positioned as the fastest-growing category within the Global Digital Payment in Healthcare Market. This accelerated expansion is primarily driven by the substantial volume of transactions processed by major hospital networks and insurance payers, creating an urgent need for automated solutions to mitigate administrative overhead. These organizations possess the requisite capital to integrate comprehensive payment gateways directly with Electronic Health Record systems, thereby streamlining revenue cycle management. Furthermore, compliance with rigorous standards set by regulatory bodies such as the Centers for Medicare & Medicaid Services compels these entities to adopt secure digital transaction methods to ensure data accuracy and operational efficiency.

Regional Insights

North America leads the Global Digital Payment in Healthcare Market, driven by its advanced medical infrastructure and the widespread integration of health information technology. This regional dominance is reinforced by strategic initiatives from the Centers for Medicare & Medicaid Services (CMS) that prioritize value-based care and administrative interoperability. These regulatory frameworks encourage healthcare providers to modernize revenue cycles using secure electronic transaction systems to ensure efficiency and compliance. Furthermore, the strong consumer preference for transparent, retail-style billing experiences accelerates the adoption of these solutions. Consequently, the alignment of regulatory mandates with technological capabilities sustains North America’s position as the primary market leader.

Recent Developments

• In April 2025, Waystar announced the launch of comprehensive generative artificial intelligence capabilities and advanced automation tools designed to mitigate administrative waste in healthcare payments. The new suite, which included a solution called AltitudeAssist, utilized AI to preemptively identify and resolve potential claim denials before submission, drastically reducing processing times. The company’s Chief Executive Officer highlighted that these innovations leveraged a massive dataset of insurance transactions to deliver greater accuracy and productivity for providers. This product launch underscored the increasing reliance on advanced technology to optimize revenue cycle management within the global healthcare payment market.
• In November 2024, Visa Direct collaborated with Zelis and Dash Solutions to introduce a modernized disbursement capability for the healthcare industry. This partnership integrated Visa’s real-time money movement network with the Zelis Advanced Payments Platform and Dash Solutions’ digital engagement technology to streamline funds delivery to patients. The new solution allowed healthcare payers to offer members a choice of real-time digital payment methods for reimbursements and refunds, replacing slower paper-based checks. This innovation focused on reducing administrative burdens for payers while accelerating access to funds for consumers, thereby enhancing the efficiency of digital payments in the healthcare market.
• In March 2024, TrustCommerce, a Sphere company, expanded its healthcare payment platform by entering into a strategic partnership with PayPal. This collaboration enabled healthcare providers to accept payments via PayPal and Venmo, offering patients more flexible and familiar digital wallet options for settling medical bills. By integrating these widely used digital payment methods, the initiative aimed to reduce friction in the checkout process, enhance the patient financial experience, and increase collections for providers. The Chief Product Officer of TrustCommerce noted that this development directly addressed the growing demand for modern, user-friendly payment alternatives in the healthcare sector.
• In January 2024, Mastercard launched a new medical claim payment solution in India designed to address inefficiencies in the business-to-business healthcare payment sector. Developed in collaboration with Remedinet, a cloud-based health technology platform, and a leading financial institution, this solution embedded virtual card technology directly into hospital information systems. The integration allowed for the immediate processing of authorized claims, significantly reducing the settlement time for healthcare providers from months to days. This strategic initiative aimed to provide end-to-end transparency and automate reconciliation for insurance companies and hospitals, thereby improving working capital management within the digital payment in healthcare market.

Key Market Players

• PayPal Holdings, Inc.
• Square, Inc.
• Stripe, Inc.
• Adyen N.V.
• DBA PaySimple, Inc.
• Epic Systems Corporation
• NXGN Management, LLC.
• Veradigm LLC
• Wirecard AG
• Worldpay, LLC

By Component	By Deployment	By Organization Size	By Region
Solution Service	On-Premise Cloud	SMEs Large Enterprises	North America Europe Asia Pacific South America Middle East & Africa

Report Scope:

In this report, the Global Digital Payment in Healthcare Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:

• Digital Payment in Healthcare Market, By Component:

• Solution
• Service

• Digital Payment in Healthcare Market, By Deployment:

• On-Premise
• Cloud

• Digital Payment in Healthcare Market, By Organization Size:

• SMEs
• Large Enterprises

• Digital Payment in Healthcare Market, By Region:

• North America
• United States
• Canada
• Mexico
• Europe
• France
• United Kingdom
• Italy
• Germany
• Spain
• Asia Pacific
• China
• India
• Japan
• Australia
• South Korea
• South America
• Brazil
• Argentina
• Colombia
• Middle East & Africa
• South Africa
• Saudi Arabia
• UAE