Global Healthcare Payer Solutions Market By Service Type (BPO, ITO, KPO), By Application (Claims Management Service, Provider Management Service, Member Management Service, HR Services, Analytics & Fraud Management Service, Billing & Accounts Management Service, Others), By End User (Public v/s Private), By Region, Competition, Forecast & Opportunities, 2025

  • Industry : ICT
  • Pages : 110
  • Published Date : May, 2020
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Summary

Report Description

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.


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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
      • Brazil
      • Chile
      • Colombia

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).


This report captures the direct impact assessment on this market and in-direct impact assessment on the market’s allied sectors due to outbreak of COVID-19 and the same has been considered in our market forecast model.

Table of content

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

5.1.1.     By Value

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          

6.1.1.     By Value

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

6.3.1.1.1.             By Value

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

6.3.2.1.1.             By Value

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

6.3.3.1.1.             By Value

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          

7.1.1.     By Value

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

7.3.1.1.1.             By Value

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

7.3.2.1.1.             By Value

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

7.3.3.1.1.             By Value

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

7.3.4.1.1.             By Value

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

7.3.5.1.1.             By Value

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          

8.1.1.     By Value

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

8.3.1.1.1.             By Value

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

8.3.2.1.1.             By Value

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

8.3.3.1.1.             By Value

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

8.3.4.1.1.             By Value

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

8.3.5.1.1.             By Value

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          

9.1.1.     By Value

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

9.3.1.1.1.             By Value

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

9.3.2.1.1.             By Value

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

9.3.3.1.1.             By Value

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

10.1.1.  By Value

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

10.3.1.1.1.           By Value

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

10.3.2.1.1.           By Value

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

10.3.3.1.1.           By Value

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

 

Figures and Tables

List of Figures

 

Figure 1: Global Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)

Figure 2: Global Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 3: Global Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 4: Global Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 5: Global Healthcare Payer Solutions Market Share, By Region, 2015-2025F

Figure 6: Global Healthcare Payer Solutions Market Share, By Company, 2019

Figure 7: North America Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)

Figure 8: North America Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 9: North America Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 10: North America Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 11: North America Healthcare Payer Solutions Market Share, By Country, 2015-2025F

Figure 12: US Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)

Figure 13: US Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 14: US Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 15: US Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 16: Canada Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)

Figure 17: Canada Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 18: Canada Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 19: Canada Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 20: Mexico Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)

Figure 21: Mexico Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 22: Mexico Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 23: Mexico Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 24: Europe Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)

Figure 25: Europe Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 26: Europe Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 27: Europe Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 28: Europe Healthcare Payer Solutions Market Share, By Country, 2015-2025F

Figure 29: France Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)

Figure 30: France Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 31: France Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 32: France Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 33: Germany Healthcare Payer Solutions Market Size, By Value, 2015-2025F (USD Million)

Figure 34: Germany Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 35: Germany Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 36: Germany Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 37: UK Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 38: UK Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 39: UK Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 40: UK Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 41: Italy Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 42: Italy Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 43: Italy Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 44: Italy Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 45: Spain Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 46: Spain Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 47: Spain Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 48: Spain Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 49: APAC Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 50: APAC Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 51: APAC Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 52: APAC Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 53: Europe Healthcare Payer Solutions Market Share, By Country, 2015-2025F

Figure 54: China Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 55: China Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 56: China Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 57: China Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 58: India Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 59: India Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 60: India Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 61: India Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 62: Australia Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 63: Australia Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 64: Australia Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 65: Australia Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 66: Japan Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 67: Japan Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 68: Japan Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 69: Japan Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 70: South Korea Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 71: South Korea Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 72: South Korea Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 73: South Korea Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 74: South America Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 75: South America Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 76: South America Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 77: South America Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 78: South America Healthcare Payer Solutions Market Share, By Country, 2015-2025F

Figure 79: Brazil Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 80: Brazil Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 81: Brazil Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 82: Brazil Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 83: Argentina Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 84: Argentina Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 85: Argentina Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 86: Argentina Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 87: Colombia Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 88: Colombia Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 89: Colombia Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 90: Colombia Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 91: Middle East & Africa Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 92: Middle East & Africa Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 93: Middle East & Africa Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 94: Middle East & Africa Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 95: Middle East & Africa Healthcare Payer Solutions Market Share, By Country, 2015-2025F

Figure 96: Saudi Arabia Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 97: Saudi Arabia Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 98: Saudi Arabia Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 99: Saudi Arabia Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 100: UAE Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 101: UAE Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 102: UAE Healthcare Payer Solutions Market Share, By Application, 2015-2025F

Figure 103: UAE Healthcare Payer Solutions Market Share, By End User, 2015-2025F

Figure 104: South Africa Healthcare Payer Solutions Market Size, By Value, 2015-2025F, (USD Million)

Figure 105: South Africa Healthcare Payer Solutions Market Share, By Service Type, 2015-2025F

Figure 106: South Africa Healthcare Payer Solutions Market Share, By Application, 2015-2025

Figure 107: South Africa Healthcare Payer Solutions Market Share, By End User, 2015-2025F

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