Global AI for Healthcare Payer Market 2025-2029

Description

List of Tables

The AI for healthcare payer market is forecasted to grow by USD 1,147.3 mn during 2024-2029, accelerating at a CAGR of 9.4% during the forecast period. The report on the AI for healthcare payer market provides a holistic analysis, market size and forecast, trends, growth drivers, and challenges, as well as vendor analysis covering around 25 vendors.

The report offers an up-to-date analysis regarding the current market scenario, the latest trends and drivers, and the overall market environment. The market is driven by escalating imperative to mitigate soaring healthcare costs and combat fraud, waste, and abuse, industry wide transition to value based care and rising demand for personalized member engagement, and rapid technological advancements in AI, especially generative AI, coupled with expanding data interoperability.

Market Scope
Base Year	2025
End Year	2029
Series Year	2025-2029
Growth Momentum	Accelerate
YOY 2025	9.2%
CAGR	9.4%
Incremental Value	$1,147.3 mn

The study was conducted using an objective combination of primary and secondary information including inputs from key participants in the industry. The report contains a comprehensive market size data, segment with regional analysis and vendor landscape in addition to an analysis of the key companies. Reports have historic and forecast data.

Technavio's AI for healthcare payer market is segmented as below:

By Component

Software
Services

By Deployment

On premises
Cloud based

By Application

Claims processing optimization
Fraud detection and prevention
Revenue management and billing
Member engagement and personalization
Others

By Geographical Landscape

North America
Europe
APAC
South America
Middle East and Africa

This study identifies the ascendancy of generative AI in member engagement and administrative process reengineering as one of the prime reasons driving the AI for healthcare payer market growth during the next few years. Also, proactive fraud, waste, and abuse mitigation through advanced predictive analytics and AI as a cornerstone for value-based care enablement and population health strategy will lead to sizable demand in the market.

The report on the AI for healthcare payer market covers the following areas:

AI For Healthcare Payer Market sizing
AI For Healthcare Payer Market forecast
AI For Healthcare Payer Market industry analysis

The robust vendor analysis is designed to help clients improve their market position, and in line with this, this report provides a detailed analysis of several leading AI for healthcare payer market vendors that include Accenture PLC, Airo Digital Labs, CareCloud Inc., Codoxo, Cognizant Technology Solutions Corp., Hexaware Technologies Ltd., Innovaccer Inc., MST Solutions L.L.C., Nuance Communications Inc., Optum Inc., Oracle Corp., Quantiphi Inc., R1 RCM Inc., Softheon Inc., and SoundHound AI Inc.. Also, the AI for healthcare payer market analysis report includes information on upcoming trends and challenges that will influence market growth. This is to help companies strategize and leverage all forthcoming growth opportunities.

The publisher presents a detailed picture of the market by the way of study, synthesis, and summation of data from multiple sources by an analysis of key parameters such as profit, pricing, competition, and promotions. It presents various market facets by identifying the key industry influencers. The data presented is comprehensive, reliable, and a result of extensive primary and secondary research. The market research reports provide a complete competitive landscape and an in-depth vendor selection methodology and analysis using qualitative and quantitative research to forecast accurate market growth.

Product Code: IRTNTR80867

1 Executive Summary

1.1 Market overview
- Executive Summary - Chart on Market Overview
- Executive Summary - Data Table on Market Overview
- Executive Summary - Chart on Global Market Characteristics
- Executive Summary - Chart on Market By Geographical Landscape
- Executive Summary - Chart on Market Segmentation by Component
- Executive Summary - Chart on Market Segmentation by Deployment
- Executive Summary - Chart on Market Segmentation by Application
- Executive Summary - Chart on Incremental Growth
- Executive Summary - Data Table on Incremental Growth
- Executive Summary - Chart on Company Market Positioning

2 Technavio Analysis

2.1 Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
- Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
2.2 Criticality of inputs and Factors of differentiation
- Overview on criticality of inputs and factors of differentiation
2.3 Factors of disruption
- Overview on factors of disruption
2.4 Impact of drivers and challenges
- Impact of drivers and challenges in 2024 and 2029

3 Market Landscape

3.1 Market ecosystem
- Parent Market
- Data Table on - Parent Market
3.2 Market characteristics
- Market characteristics analysis
3.3 Value chain analysis
- Value chain analysis

4 Market Sizing

4.1 Market definition
- Offerings of companies included in the market definition
4.2 Market segment analysis
- Market segments
4.3 Market size 2024
4.4 Market outlook: Forecast for 2024-2029
- Chart on Global - Market size and forecast 2024-2029 ($ million)
- Data Table on Global - Market size and forecast 2024-2029 ($ million)
- Chart on Global Market: Year-over-year growth 2024-2029 (%)
- Data Table on Global Market: Year-over-year growth 2024-2029 (%)

5 Historic Market Size

5.1 Global AI For Healthcare Payer Market 2019 - 2023
- Historic Market Size - Data Table on Global AI For Healthcare Payer Market 2019 - 2023 ($ million)
5.2 Component segment analysis 2019 - 2023
- Historic Market Size - Component Segment 2019 - 2023 ($ million)
5.3 Deployment segment analysis 2019 - 2023
- Historic Market Size - Deployment Segment 2019 - 2023 ($ million)
5.4 Application segment analysis 2019 - 2023
- Historic Market Size - Application Segment 2019 - 2023 ($ million)
5.5 Geography segment analysis 2019 - 2023
- Historic Market Size - Geography Segment 2019 - 2023 ($ million)
5.6 Country segment analysis 2019 - 2023
- Historic Market Size - Country Segment 2019 - 2023 ($ million)

6 Five Forces Analysis

6.1 Five forces summary
- Five forces analysis - Comparison between 2024 and 2029
6.2 Bargaining power of buyers
- Bargaining power of buyers - Impact of key factors 2024 and 2029
6.3 Bargaining power of suppliers
- Bargaining power of suppliers - Impact of key factors in 2024 and 2029
6.4 Threat of new entrants
- Threat of new entrants - Impact of key factors in 2024 and 2029
6.5 Threat of substitutes
- Threat of substitutes - Impact of key factors in 2024 and 2029
6.6 Threat of rivalry
- Threat of rivalry - Impact of key factors in 2024 and 2029
6.7 Market condition
- Chart on Market condition - Five forces 2024 and 2029

7 Market Segmentation by Component

7.1 Market segments
- Chart on Component - Market share 2024-2029 (%)
- Data Table on Component - Market share 2024-2029 (%)
7.2 Comparison by Component
- Chart on Comparison by Component
- Data Table on Comparison by Component
7.3 Software - Market size and forecast 2024-2029
- Chart on Software - Market size and forecast 2024-2029 ($ million)
- Data Table on Software - Market size and forecast 2024-2029 ($ million)
- Chart on Software - Year-over-year growth 2024-2029 (%)
- Data Table on Software - Year-over-year growth 2024-2029 (%)
7.4 Services - Market size and forecast 2024-2029
- Chart on Services - Market size and forecast 2024-2029 ($ million)
- Data Table on Services - Market size and forecast 2024-2029 ($ million)
- Chart on Services - Year-over-year growth 2024-2029 (%)
- Data Table on Services - Year-over-year growth 2024-2029 (%)
7.5 Market opportunity by Component
- Market opportunity by Component ($ million)
- Data Table on Market opportunity by Component ($ million)

8 Market Segmentation by Deployment

8.1 Market segments
- Chart on Deployment - Market share 2024-2029 (%)
- Data Table on Deployment - Market share 2024-2029 (%)
8.2 Comparison by Deployment
- Chart on Comparison by Deployment
- Data Table on Comparison by Deployment
8.3 On premises - Market size and forecast 2024-2029
- Chart on On premises - Market size and forecast 2024-2029 ($ million)
- Data Table on On premises - Market size and forecast 2024-2029 ($ million)
- Chart on On premises - Year-over-year growth 2024-2029 (%)
- Data Table on On premises - Year-over-year growth 2024-2029 (%)
8.4 Cloud based - Market size and forecast 2024-2029
- Chart on Cloud based - Market size and forecast 2024-2029 ($ million)
- Data Table on Cloud based - Market size and forecast 2024-2029 ($ million)
- Chart on Cloud based - Year-over-year growth 2024-2029 (%)
- Data Table on Cloud based - Year-over-year growth 2024-2029 (%)
8.5 Market opportunity by Deployment
- Market opportunity by Deployment ($ million)
- Data Table on Market opportunity by Deployment ($ million)

9 Market Segmentation by Application

9.1 Market segments
- Chart on Application - Market share 2024-2029 (%)
- Data Table on Application - Market share 2024-2029 (%)
9.2 Comparison by Application
- Chart on Comparison by Application
- Data Table on Comparison by Application
9.3 Claims processing optimization - Market size and forecast 2024-2029
- Chart on Claims processing optimization - Market size and forecast 2024-2029 ($ million)
- Data Table on Claims processing optimization - Market size and forecast 2024-2029 ($ million)
- Chart on Claims processing optimization - Year-over-year growth 2024-2029 (%)
- Data Table on Claims processing optimization - Year-over-year growth 2024-2029 (%)
9.4 Fraud detection and prevention - Market size and forecast 2024-2029
- Chart on Fraud detection and prevention - Market size and forecast 2024-2029 ($ million)
- Data Table on Fraud detection and prevention - Market size and forecast 2024-2029 ($ million)
- Chart on Fraud detection and prevention - Year-over-year growth 2024-2029 (%)
- Data Table on Fraud detection and prevention - Year-over-year growth 2024-2029 (%)
9.5 Revenue management and billing - Market size and forecast 2024-2029
- Chart on Revenue management and billing - Market size and forecast 2024-2029 ($ million)
- Data Table on Revenue management and billing - Market size and forecast 2024-2029 ($ million)
- Chart on Revenue management and billing - Year-over-year growth 2024-2029 (%)
- Data Table on Revenue management and billing - Year-over-year growth 2024-2029 (%)
9.6 Member engagement and personalization - Market size and forecast 2024-2029
- Chart on Member engagement and personalization - Market size and forecast 2024-2029 ($ million)
- Data Table on Member engagement and personalization - Market size and forecast 2024-2029 ($ million)
- Chart on Member engagement and personalization - Year-over-year growth 2024-2029 (%)
- Data Table on Member engagement and personalization - Year-over-year growth 2024-2029 (%)
9.7 Others - Market size and forecast 2024-2029
- Chart on Others - Market size and forecast 2024-2029 ($ million)
- Data Table on Others - Market size and forecast 2024-2029 ($ million)
- Chart on Others - Year-over-year growth 2024-2029 (%)
- Data Table on Others - Year-over-year growth 2024-2029 (%)
9.8 Market opportunity by Application
- Market opportunity by Application ($ million)
- Data Table on Market opportunity by Application ($ million)

10 Customer Landscape

10.1 Customer landscape overview
- Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria

11 Geographic Landscape

11.1 Geographic segmentation
- Chart on Market share By Geographical Landscape 2024-2029 (%)
- Data Table on Market share By Geographical Landscape 2024-2029 (%)
11.2 Geographic comparison
- Chart on Geographic comparison
- Data Table on Geographic comparison
11.3 North America - Market size and forecast 2024-2029
- Chart on North America - Market size and forecast 2024-2029 ($ million)
- Data Table on North America - Market size and forecast 2024-2029 ($ million)
- Chart on North America - Year-over-year growth 2024-2029 (%)
- Data Table on North America - Year-over-year growth 2024-2029 (%)
11.4 Europe - Market size and forecast 2024-2029
- Chart on Europe - Market size and forecast 2024-2029 ($ million)
- Data Table on Europe - Market size and forecast 2024-2029 ($ million)
- Chart on Europe - Year-over-year growth 2024-2029 (%)
- Data Table on Europe - Year-over-year growth 2024-2029 (%)
11.5 APAC - Market size and forecast 2024-2029
- Chart on APAC - Market size and forecast 2024-2029 ($ million)
- Data Table on APAC - Market size and forecast 2024-2029 ($ million)
- Chart on APAC - Year-over-year growth 2024-2029 (%)
- Data Table on APAC - Year-over-year growth 2024-2029 (%)
11.6 South America - Market size and forecast 2024-2029
- Chart on South America - Market size and forecast 2024-2029 ($ million)
- Data Table on South America - Market size and forecast 2024-2029 ($ million)
- Chart on South America - Year-over-year growth 2024-2029 (%)
- Data Table on South America - Year-over-year growth 2024-2029 (%)
11.7 Middle East and Africa - Market size and forecast 2024-2029
- Chart on Middle East and Africa - Market size and forecast 2024-2029 ($ million)
- Data Table on Middle East and Africa - Market size and forecast 2024-2029 ($ million)
- Chart on Middle East and Africa - Year-over-year growth 2024-2029 (%)
- Data Table on Middle East and Africa - Year-over-year growth 2024-2029 (%)
11.8 US - Market size and forecast 2024-2029
- Chart on US - Market size and forecast 2024-2029 ($ million)
- Data Table on US - Market size and forecast 2024-2029 ($ million)
- Chart on US - Year-over-year growth 2024-2029 (%)
- Data Table on US - Year-over-year growth 2024-2029 (%)
11.9 China - Market size and forecast 2024-2029
- Chart on China - Market size and forecast 2024-2029 ($ million)
- Data Table on China - Market size and forecast 2024-2029 ($ million)
- Chart on China - Year-over-year growth 2024-2029 (%)
- Data Table on China - Year-over-year growth 2024-2029 (%)
11.10 UK - Market size and forecast 2024-2029
- Chart on UK - Market size and forecast 2024-2029 ($ million)
- Data Table on UK - Market size and forecast 2024-2029 ($ million)
- Chart on UK - Year-over-year growth 2024-2029 (%)
- Data Table on UK - Year-over-year growth 2024-2029 (%)
11.11 Germany - Market size and forecast 2024-2029
- Chart on Germany - Market size and forecast 2024-2029 ($ million)
- Data Table on Germany - Market size and forecast 2024-2029 ($ million)
- Chart on Germany - Year-over-year growth 2024-2029 (%)
- Data Table on Germany - Year-over-year growth 2024-2029 (%)
11.12 Canada - Market size and forecast 2024-2029
- Chart on Canada - Market size and forecast 2024-2029 ($ million)
- Data Table on Canada - Market size and forecast 2024-2029 ($ million)
- Chart on Canada - Year-over-year growth 2024-2029 (%)
- Data Table on Canada - Year-over-year growth 2024-2029 (%)
11.13 India - Market size and forecast 2024-2029
- Chart on India - Market size and forecast 2024-2029 ($ million)
- Data Table on India - Market size and forecast 2024-2029 ($ million)
- Chart on India - Year-over-year growth 2024-2029 (%)
- Data Table on India - Year-over-year growth 2024-2029 (%)
11.14 France - Market size and forecast 2024-2029
- Chart on France - Market size and forecast 2024-2029 ($ million)
- Data Table on France - Market size and forecast 2024-2029 ($ million)
- Chart on France - Year-over-year growth 2024-2029 (%)
- Data Table on France - Year-over-year growth 2024-2029 (%)
11.15 Japan - Market size and forecast 2024-2029
- Chart on Japan - Market size and forecast 2024-2029 ($ million)
- Data Table on Japan - Market size and forecast 2024-2029 ($ million)
- Chart on Japan - Year-over-year growth 2024-2029 (%)
- Data Table on Japan - Year-over-year growth 2024-2029 (%)
11.16 Brazil - Market size and forecast 2024-2029
- Chart on Brazil - Market size and forecast 2024-2029 ($ million)
- Data Table on Brazil - Market size and forecast 2024-2029 ($ million)
- Chart on Brazil - Year-over-year growth 2024-2029 (%)
- Data Table on Brazil - Year-over-year growth 2024-2029 (%)
11.17 Australia - Market size and forecast 2024-2029
- Chart on Australia - Market size and forecast 2024-2029 ($ million)
- Data Table on Australia - Market size and forecast 2024-2029 ($ million)
- Chart on Australia - Year-over-year growth 2024-2029 (%)
- Data Table on Australia - Year-over-year growth 2024-2029 (%)
11.18 Market opportunity By Geographical Landscape
- Market opportunity By Geographical Landscape ($ million)
- Data Tables on Market opportunity By Geographical Landscape ($ million)

12 Drivers, Challenges, and Opportunity/Restraints

12.1 Market drivers
12.2 Market challenges
12.3 Impact of drivers and challenges
- Impact of drivers and challenges in 2024 and 2029
12.4 Market opportunities/restraints

13 Competitive Landscape

13.1 Overview
13.2 Competitive Landscape
- Overview on criticality of inputs and factors of differentiation
13.3 Landscape disruption
- Overview on factors of disruption
13.4 Industry risks
- Impact of key risks on business

14 Competitive Analysis

14.1 Companies profiled
- Companies covered
14.2 Company ranking index
- Company ranking index
14.3 Market positioning of companies
- Matrix on companies position and classification
14.4 Accenture PLC
- Accenture PLC - Overview
- Accenture PLC - Business segments
- Accenture PLC - Key news
- Accenture PLC - Key offerings
- Accenture PLC - Segment focus
- SWOT
14.5 Airo Digital Labs
- Airo Digital Labs - Overview
- Airo Digital Labs - Product / Service
- Airo Digital Labs - Key offerings
- SWOT
14.6 CareCloud Inc.
- CareCloud Inc. - Overview
- CareCloud Inc. - Business segments
- CareCloud Inc. - Key news
- CareCloud Inc. - Key offerings
- CareCloud Inc. - Segment focus
- SWOT
14.7 Codoxo
- Codoxo - Overview
- Codoxo - Product / Service
- Codoxo - Key offerings
- SWOT
14.8 Cognizant Technology Solutions Corp.
- Cognizant Technology Solutions Corp. - Overview
- Cognizant Technology Solutions Corp. - Business segments
- Cognizant Technology Solutions Corp. - Key news
- Cognizant Technology Solutions Corp. - Key offerings
- Cognizant Technology Solutions Corp. - Segment focus
- SWOT
14.9 Hexaware Technologies Ltd.
- Hexaware Technologies Ltd. - Overview
- Hexaware Technologies Ltd. - Product / Service
- Hexaware Technologies Ltd. - Key offerings
- SWOT
14.10 Innovaccer Inc.
- Innovaccer Inc. - Overview
- Innovaccer Inc. - Product / Service
- Innovaccer Inc. - Key offerings
- SWOT
14.11 MST Solutions L.L.C.
- MST Solutions L.L.C. - Overview
- MST Solutions L.L.C. - Product / Service
- MST Solutions L.L.C. - Key offerings
- SWOT
14.12 Nuance Communications Inc.
- Nuance Communications Inc. - Overview
- Nuance Communications Inc. - Product / Service
- Nuance Communications Inc. - Key offerings
- SWOT
14.13 Optum Inc.
- Optum Inc. - Overview
- Optum Inc. - Product / Service
- Optum Inc. - Key offerings
- SWOT
14.14 Oracle Corp.
- Oracle Corp. - Overview
- Oracle Corp. - Business segments
- Oracle Corp. - Key news
- Oracle Corp. - Key offerings
- Oracle Corp. - Segment focus
- SWOT
14.15 Quantiphi Inc.
- Quantiphi Inc. - Overview
- Quantiphi Inc. - Product / Service
- Quantiphi Inc. - Key offerings
- SWOT
14.16 R1 RCM Inc.
- R1 RCM Inc. - Overview
- R1 RCM Inc. - Product / Service
- R1 RCM Inc. - Key offerings
- SWOT
14.17 Softheon Inc.
- Softheon Inc. - Overview
- Softheon Inc. - Product / Service
- Softheon Inc. - Key offerings
- SWOT
14.18 SoundHound AI Inc.
- SoundHound AI Inc. - Overview
- SoundHound AI Inc. - Product / Service
- SoundHound AI Inc. - Key offerings
- SWOT

15 Appendix

15.1 Scope of the report
15.2 Inclusions and exclusions checklist
- Inclusions checklist
- Exclusions checklist
15.3 Currency conversion rates for US$
- Currency conversion rates for US$
15.4 Research methodology
- Research methodology
15.5 Data procurement
- Information sources
15.6 Data validation
- Data validation
15.7 Validation techniques employed for market sizing
- Validation techniques employed for market sizing
15.8 Data synthesis
- Data synthesis
15.9 360 degree market analysis
- 360 degree market analysis
15.10 List of abbreviations
- List of abbreviations