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Hospital IT

PUBLISHER: MarketsandMarkets | PRODUCT CODE: 1230242

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PUBLISHER: MarketsandMarkets | PRODUCT CODE: 1230242

Healthcare Payer Services Market by Service Type (BPO (Claims, Front end, Provider, Product Development, Care Management, Billing, HR), ITO (Provider Network, Accounts, Analytics, Fraud), & KPO), End User (Public and Private) - Global Forecast to 2027

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Table of Contents

The healthcare payer services market is projected to reach USD 118.2 billion by 2027 from USD 69.9 billion in 2022, at a CAGR of 11.1% during the forecast period. The increased usage of outsourcing, federal mandates, rising instances of healthcare fraud, rising enrolment in health insurance, and rising chronic disease cases are the key drivers of industry growth. However, it is anticipated that some factors, such as the possibility of data breaches, the loss of administrative control, linguistic and cultural hurdles, and the high costs of outsourcing, may limit this market's expansion to some extent.

BPO service type segment holds the largest share of the healthcare payer services market in 2021"

On the basis of service type, the healthcare payer services market is bifurcated into ITO services, BPO services and KPO services. In 2021, the BPO services segment accounted for the largest market share. ITO services segment is projected to grow at the highest CAGR during the forecast period due to factors such as rising integration of healthcare and information technology, increasing use of EHRs and EMRs, increasing investment in technology to improve operational efficiency, leveraging data analytics for better decision making, and need for secure and complaint IT systems.

"Private payers segment accounted for the largest share of the healthcare payer services market in 2021."

On the basis of end user, the healthcare payer services market is bifurcated into private payers & public payers. The private payers segment accounted for the largest market share in 2021 and is expected to register the highest CAGR during the forecast period. The high growth of this segment is attributed to the growing focus on patient centric healthcare delivery and the increasing government initiatives to encourage private sector participation in the healthcare industry and rising competitiveness among private payers.

"Asia Pacific to be the fastest-growing regional market in 2021."

On the basis of region, the healthcare payer services market is bifurcated into North America, Europe, Asia Pacific, and the Rest of the World (RoW). In 2021, North America dominated the healthcare payer services market, followed by Asia Pacific. The large share of this market is attributed to the rise in insurance enrolments due to PPACA, federal healthcare mandates to drive the demand for outsourcing of services, rising need to curb healthcare expenditure. However, Asia Pacific is expected to grow at the highest CAGR during the forecast period owing to the increasing adoption of advanced technologies and the growing focus of major players on expanding their presence in emerging Asia Pacific countries.

The primary interviews conducted for this report can be categorized as follows:

By Company Type: Tier 1 (35%), Tier 2 (45%), and Tier 3 (20%)

By Designation: C-level (35%), D-level (25%), and Others (40%)

By Region: North America (45%), Europe (30%), Asia Pacific (20%), Latin America (2%), and Middle East & Africa (3%)

Prominent players in this market include Accenture (Ireland), Cognizant (US), Tata Consultancy Services (India), XEROX Corporation (US), WNS (Holdings) Limited (India), NTT Data Corporation (Japan), IQVIA Inc. (US), Mphasis (India), Genpact (US), Wipro (India), Infosys BPM (India), Firstsource Solutions (India), IBM Corporation (US), HCL Technologies (India), Solutions (US), Lonza (Switzerland), Omega Healthcare (India), R1 RCM (US), UnitedHealth Group (US), Paraxel Corporation International (US),

Research Coverage:

This report provides a picture of the healthcare payer services market. It aims at estimating the size and future growth potential of the market across different segments, such as service type, and end user. The report also includes an in-depth competitive analysis of the key market players, along with their company profiles, recent developments, and key market strategies.

Key Benefits of Buying the Report:

The report will help market leaders/new entrants by providing them with the closest approximations of the revenue numbers for the overall healthcare payer services market and its subsegments. This report will also help stakeholders better understand the competitive landscape and gain more insights to better position their business and make suitable go-to-market strategies. It will also enable stakeholders to understand the pulse of the market and provide them with information on the key market drivers, restraints, challenges, and opportunities.

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Product Code: HIT 3877

1 INTRODUCTION

  • 1.1 STUDY OBJECTIVES
  • 1.2 MARKET DEFINITION
    • 1.2.1 INCLUSIONS AND EXCLUSIONS
  • 1.3 MARKET SCOPE
  • 1.4 YEARS CONSIDERED
  • 1.5 CURRENCY CONSIDERED
    • TABLE 1 EXCHANGE RATES UTILIZED FOR CONVERSION TO USD
  • 1.6 STAKEHOLDERS
  • 1.7 SUMMARY OF CHANGES
  • 1.8 LIMITATIONS

2 RESEARCH METHODOLOGY

  • 2.1 RESEARCH APPROACH
  • 2.2 RESEARCH METHODOLOGY DESIGN
    • FIGURE 1 HEALTHCARE PAYER SERVICES MARKET: RESEARCH DESIGN
    • 2.2.1 SECONDARY RESEARCH
      • 2.2.1.1 Key data from secondary sources
    • 2.2.2 PRIMARY DATA
    • FIGURE 2 PRIMARY SOURCES
      • 2.2.2.1 Key data from primary sources
      • 2.2.2.2 Insights from primary experts
    • FIGURE 3 BREAKDOWN OF PRIMARY INTERVIEWS: BY COMPANY TYPE, DESIGNATION, AND REGION
  • 2.3 MARKET SIZE ESTIMATION
    • FIGURE 4 SUPPLY-SIDE MARKET SIZE ESTIMATION: REVENUE SHARE ANALYSIS
    • FIGURE 5 TOP-DOWN APPROACH
    • FIGURE 6 CAGR PROJECTION FROM ANALYSIS OF DRIVERS, RESTRAINTS, OPPORTUNITIES, AND CHALLENGES (2022-2027)
    • FIGURE 7 CAGR PROJECTION: SUPPLY-SIDE ANALYSIS
  • 2.4 MARKET BREAKDOWN AND DATA TRIANGULATION
    • FIGURE 8 DATA TRIANGULATION METHODOLOGY
  • 2.5 MARKET SHARE ESTIMATION
  • 2.6 STUDY ASSUMPTIONS
  • 2.7 LIMITATIONS
    • 2.7.1 METHODOLOGY-RELATED LIMITATIONS
    • 2.7.2 SCOPE-RELATED LIMITATIONS
  • 2.8 RISK ASSESSMENT
    • TABLE 2 HEALTHCARE PAYER SERVICES MARKET: RISK ANALYSIS
  • 2.9 RECESSION IMPACT

3 EXECUTIVE SUMMARY

    • FIGURE 9 HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2022 VS. 2027 (USD MILLION)
    • FIGURE 10 HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2022 VS. 2027 (USD MILLION)
    • FIGURE 11 HEALTHCARE PAYER SERVICES MARKET: GEOGRAPHICAL SNAPSHOT

4 PREMIUM INSIGHTS

  • 4.1 HEALTHCARE PAYER SERVICES MARKET OVERVIEW
    • FIGURE 12 RISING NEED TO CURB HEALTHCARE COSTS TO DRIVE MARKET
  • 4.2 HEALTHCARE PAYER SERVICES MARKET: GEOGRAPHIC GROWTH OPPORTUNITIES
    • FIGURE 13 JAPAN TO WITNESS HIGHEST GROWTH RATE DURING FORECAST PERIOD
  • 4.3 NORTH AMERICA: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE AND COUNTRY (2021)
    • FIGURE 14 BPO SEGMENT IN THE US ACCOUNTED FOR LARGEST MARKET SHARE IN 2021
  • 4.4 HEALTHCARE PAYER SERVICES MARKET: REGIONAL MIX
    • FIGURE 15 ASIA PACIFIC TO REGISTER HIGHEST GROWTH RATE DURING FORECAST PERIOD

5 MARKET OVERVIEW

  • 5.1 INTRODUCTION
  • 5.2 MARKET DYNAMICS
    • FIGURE 16 HEALTHCARE PAYER SERVICES MARKET: DRIVERS, RESTRAINTS, OPPORTUNITIES, AND CHALLENGES
    • 5.2.1 DRIVERS
      • 5.2.1.1 Rising number of healthcare insurance enrollments
      • 5.2.1.2 Outsourcing of services to reduce healthcare costs
      • 5.2.1.3 Stringent federal mandates to increase payer workloads
      • 5.2.1.4 Increasing cases of healthcare fraud
      • 5.2.1.5 Rising incidence of chronic diseases
    • 5.2.2 RESTRAINTS
      • 5.2.2.1 Data breaches and loss of confidentiality
      • 5.2.2.2 High costs associated with outsourcing healthcare payer services
      • 5.2.2.3 Loss of managerial control
    • 5.2.3 OPPORTUNITIES
      • 5.2.3.1 Adoption of advanced data analytics
      • 5.2.3.2 Gradual shift to ICD-11 standards
      • 5.2.3.3 Service portfolio expansion for vendors
      • 5.2.3.4 Rising need for cost-effective solutions
    • 5.2.4 CHALLENGES
      • 5.2.4.1 Migration from legacy systems
      • 5.2.4.2 Concerns regarding data security
      • 5.2.4.3 Cultural differences and language barriers
  • 5.3 PRICING ANALYSIS
    • 5.3.1 HEALTHCARE PAYER SERVICES MARKET: BPO PRICING ANALYSIS
    • TABLE 3 HEALTHCARE PAYER SERVICES MARKET: AVERAGE SELLING PRICE FOR BPO SERVICES
    • 5.3.2 HEALTHCARE PAYER SERVICES MARKET: IT OUTSOURCING PRICING ANALYSIS
    • TABLE 4 HEALTHCARE IT INTEGRATION SOLUTIONS: PRICING MODEL
  • 5.4 REGULATORY ANALYSIS
    • 5.4.1 NORTH AMERICA
    • 5.4.2 EUROPE
    • 5.4.3 ASIA PACIFIC
    • 5.4.4 MIDDLE EAST AND AFRICA
    • 5.4.5 LATIN AMERICA
  • 5.5 VALUE CHAIN ANALYSIS
    • FIGURE 17 HEALTHCARE PAYER SERVICES MARKET: VALUE-CHAIN ANALYSIS
  • 5.6 PORTER'S FIVE FORCES ANALYSIS
    • FIGURE 18 HIGH INTENSITY OF COMPETITIVENESS AMONG PLAYERS
    • TABLE 5 HEALTHCARE PAYER SERVICES MARKET: PORTER'S FIVE FORCES ANALYSIS
  • 5.7 ECOSYSTEM ANALYSIS
    • FIGURE 19 HEALTHCARE PAYER SERVICES MARKET: ECOSYSTEM ANALYSIS MAP
  • 5.8 TECHNOLOGY ANALYSIS
    • 5.8.1 MACHINE LEARNING
    • 5.8.2 ARTIFICIAL INTELLIGENCE
    • 5.8.3 INTERNET OF THINGS
    • 5.8.4 BLOCKCHAIN
    • 5.8.5 AUGMENTED REALITY
  • 5.9 HEALTHCARE PAYER SERVICES MARKET: APPROACHES TO BPO SERVICES
    • 5.9.1 BUNDLED SERVICES
    • 5.9.2 FEE-FOR-SERVICE
    • 5.9.3 FLEXIBLE CONTRACTS
    • 5.9.4 BEST-SHORE
  • 5.10 HEALTHCARE PAYER SERVICES MARKET: APPROACHES TO BPO MODELS
    • 5.10.1 MULTI-SOURCING
    • 5.10.2 CAPTIVE CENTER
    • 5.10.3 HYBRID DELIVERY MODEL
    • 5.10.4 PREFERRED PROVIDERS
    • 5.10.5 STRATEGIC PARTNERSHIPS
    • 5.10.6 GLOBAL DELIVERY MODEL
  • 5.11 KEY STAKEHOLDERS AND BUYING CRITERIA
    • 5.11.1 KEY STAKEHOLDERS IN BUYING PROCESS
    • FIGURE 20 INFLUENCE OF STAKEHOLDERS ON BUYING PROCESS
    • TABLE 6 INFLUENCE OF STAKEHOLDERS ON END USERS FOR BUYING PROCESS (%)
    • 5.11.2 BUYING CRITERIA
    • FIGURE 21 KEY BUYING CRITERIA FOR HEALTHCARE PAYER COMPONENTS
    • TABLE 7 KEY BUYING CRITERIA FOR HCIT COMPONENTS
  • 5.12 RECESSION IMPACT ON HEALTHCARE PAYER SERVICES MARKET
    • 5.12.1 MACRO INDICATORS OF RECESSION
    • FIGURE 22 GLOBAL GDP: 2011-2021 (USD TRILLION)

6 HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE

  • 6.1 INTRODUCTION
    • TABLE 8 HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
  • 6.2 BUSINESS PROCESS OUTSOURCING (BPO) SERVICES
    • TABLE 9 HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 10 HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY REGION, 2020-2027 (USD MILLION)
    • 6.2.1 CLAIMS MANAGEMENT SERVICES
      • 6.2.1.1 Voluntary agreements between healthcare providers & payers to fuel uptake
    • TABLE 11 COMMERCIALLY AVAILABLE CLAIMS MANAGEMENT SOLUTIONS
    • TABLE 12 HEALTHCARE PAYER SERVICES MARKET FOR BPO CLAIMS MANAGEMENT SERVICES, BY REGION, 2020-2027 (USD MILLION)
    • 6.2.2 INTEGRATED FRONT-END SERVICES AND BACK-OFFICE OPERATIONS
      • 6.2.2.1 Reduced overhead expenses and improved efficiency offered by outsourcing companies to support market growth
    • TABLE 13 HEALTHCARE PAYER SERVICES MARKET FOR BPO INTEGRATED FRONT-END SERVICES AND BACK-OFFICE OPERATIONS, BY REGION, 2020-2027 (USD MILLION)
    • 6.2.3 MEMBER MANAGEMENT SERVICES
      • 6.2.3.1 Ability to manage member-related eligibility data strategically across enterprises to drive market
    • TABLE 14 COMMERCIALLY AVAILABLE MEMBER MANAGEMENT SOLUTIONS
    • TABLE 15 HEALTHCARE PAYER SERVICES MARKET FOR BPO MEMBER MANAGEMENT SERVICES, BY REGION, 2020-2027 (USD MILLION)
    • 6.2.4 PROVIDER MANAGEMENT SERVICES
      • 6.2.4.1 Outsourcing provider management services to third-party vendors for operational efficiency to drive market
    • TABLE 16 HEALTHCARE PAYER SERVICES MARKET FOR BPO PROVIDER MANAGEMENT SERVICES, BY REGION, 2020-2027 (USD MILLION)
    • 6.2.5 PRODUCT DEVELOPMENT AND BUSINESS ACQUISITION SERVICES (PDBA)
      • 6.2.5.1 Rising focus on customer engagement and retention to drive market
    • TABLE 17 HEALTHCARE PAYERS MARKET FOR BPO PRODUCT DEVELOPMENT AND BUSINESS ACQUISITION SERVICES, BY REGION, 2020-2027 (USD MILLION)
    • 6.2.6 CARE MANAGEMENT SERVICES
      • 6.2.6.1 Ability to execute appropriate clinical coverage decisions to support market growth
    • TABLE 18 HEALTHCARE PAYER SERVICES MARKET FOR BPO CARE MANAGEMENT SERVICES, BY REGION, 2020-2027 (USD MILLION)
    • 6.2.7 BILLING AND ACCOUNTS MANAGEMENT SERVICES
      • 6.2.7.1 Reduced process time and minimal burden on payer staff to drive market
    • TABLE 19 HEALTHCARE PAYER SERVICES MARKET FOR BPO BILLING AND ACCOUNTS MANAGEMENT SERVICES, BY REGION, 2020-2027 (USD MILLION)
    • 6.2.8 HR SERVICES
      • 6.2.8.1 Outsourcing of human resource services for improved employee experiences to support market growth
    • TABLE 20 HEALTHCARE PAYER SERVICES MARKET FOR BPO HR SERVICES, BY REGION, 2020-2027 (USD MILLION)
  • 6.3 INFORMATION TECHNOLOGY OUTSOURCING (ITO) SERVICES
    • TABLE 21 HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 22 HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY REGION, 2020-2027 (USD MILLION)
    • 6.3.1 CLAIMS MANAGEMENT SERVICES
      • 6.3.1.1 Rapid turnaround time with low errors & costs to drive outsourcing of operations
    • TABLE 23 HEALTHCARE PAYER SERVICES MARKET FOR ITO CLAIMS MANAGEMENT SERVICES, BY REGION, 2020-2027 (USD MILLION)
    • 6.3.2 PROVIDER NETWORK MANAGEMENT SERVICES
      • 6.3.2.1 Rising focus on core functions to support market growth
    • TABLE 24 HEALTHCARE PAYER SERVICES MARKET FOR ITO PROVIDER NETWORK MANAGEMENT SERVICES, BY REGION, 2020-2027 (USD MILLION)
    • 6.3.3 BILLING AND ACCOUNTS MANAGEMENT SERVICES
      • 6.3.3.1 Rising cash flow and low space requirements to drive market
    • TABLE 25 HEALTHCARE PAYER SERVICES MARKET FOR ITO BILLING AND ACCOUNTS MANAGEMENT SERVICES, BY REGION, 2020-2027 (USD MILLION)
    • 6.3.4 FRAUD ANALYTICS SERVICES
      • 6.3.4.1 Rising volume of fraudulent claims to drive adoption of analytics
    • TABLE 26 HEALTHCARE PAYER SERVICES MARKET FOR ITO FRAUD ANALYTICS SERVICES, BY REGION, 2020-2027 (USD MILLION)
    • 6.3.5 OTHER ITO SERVICES
    • TABLE 27 HEALTHCARE PAYER SERVICES MARKET FOR OTHER ITO SERVICES, BY REGION, 2020-2027 (USD MILLION)
  • 6.4 KNOWLEDGE PROCESS OUTSOURCING SERVICES
    • 6.4.1 RISING NUMBER OF FRAUD CLAIMS TO DRIVE KPO SERVICES
    • TABLE 28 HEALTHCARE PAYER SERVICES MARKET FOR KPO SERVICES, BY REGION, 2020-2027 (USD MILLION)

7 HEALTHCARE PAYER SERVICES MARKET, BY END USER

  • 7.1 INTRODUCTION
    • TABLE 29 HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
  • 7.2 PRIVATE PAYERS
    • 7.2.1 PROVISION OF CONSUMER-FOCUSED HEALTHCARE PLANS TO FUEL UPTAKE OF SOLUTIONS
    • TABLE 30 HEALTHCARE PAYER SERVICES MARKET FOR PRIVATE PAYERS, BY REGION, 2020-2027 (USD MILLION)
  • 7.3 PUBLIC PAYERS
    • 7.3.1 RISING NEED FOR DIVERSE HEALTHCARE IT SOLUTIONS TO DRIVE MARKET
    • TABLE 31 HEALTHCARE PAYER SERVICES MARKET FOR PUBLIC PAYERS, BY REGION, 2020-2027 (USD MILLION)

8 HEALTHCARE PAYER SERVICES MARKET, BY REGION

  • 8.1 INTRODUCTION
    • TABLE 32 HEALTHCARE PAYER SERVICES MARKET, BY REGION, 2020-2027 (USD MILLION)
  • 8.2 NORTH AMERICA
    • TABLE 33 NORTH AMERICA: HEALTHCARE PAYER SERVICES MARKET, BY COUNTRY, 2020-2027 (USD MILLION)
    • FIGURE 23 NORTH AMERICA: MARKET SNAPSHOT
    • 8.2.1 NORTH AMERICA: RECESSION IMPACT ANALYSIS
    • TABLE 34 NORTH AMERICA: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 35 NORTH AMERICA: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 36 NORTH AMERICA: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 37 NORTH AMERICA: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
    • 8.2.2 US
      • 8.2.2.1 Increasing insurance enrolments and rising need to curb healthcare expenditure to drive market
    • TABLE 38 US: MACROECONOMIC INDICATORS FOR HEALTHCARE
    • TABLE 39 US: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 40 US: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 41 US: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 42 US: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
    • 8.2.3 CANADA
      • 8.2.3.1 Rising focus on delivering improved services to drive market uptake
    • TABLE 43 CANADA: MACROECONOMIC INDICATORS FOR HEALTHCARE
    • TABLE 44 CANADA: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 45 CANADA: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 46 CANADA: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 47 CANADA: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
  • 8.3 EUROPE
    • 8.3.1 EUROPE: RECESSION IMPACT ANALYSIS
    • TABLE 48 EUROPE: HEALTHCARE PAYER SERVICES MARKET, BY REGION, 2020-2027 (USD MILLION)
    • TABLE 49 EUROPE: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 50 EUROPE: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 51 EUROPE: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 52 EUROPE: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
    • 8.3.2 GERMANY
      • 8.3.2.1 High adoption of EHR systems among primary care physicians to drive market
    • TABLE 53 GERMANY: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 54 GERMANY: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 55 GERMANY: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 56 GERMANY: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
    • 8.3.3 UK
      • 8.3.3.1 Rising government support for healthcare digitalization to drive market
    • TABLE 57 UK: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 58 UK: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICE, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 59 UK: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 60 UK: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
    • 8.3.4 FRANCE
      • 8.3.4.1 Shortage of skilled personnel to drive demand
    • TABLE 61 FRANCE: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 62 FRANCE: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 63 FRANCE: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 64 FRANCE: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
    • 8.3.5 ITALY
      • 8.3.5.1 Rising need to improve patient care to drive adoption of healthcare payer solutions
    • TABLE 65 ITALY: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 66 ITALY: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 67 ITALY: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 68 ITALY: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
    • 8.3.6 SPAIN
      • 8.3.6.1 High level of mobile phone penetration to fuel uptake of risk management compliance services
    • TABLE 69 SPAIN: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 70 SPAIN: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 71 SPAIN: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 72 SPAIN: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
    • 8.3.7 REST OF EUROPE
    • TABLE 73 REST OF EUROPE: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 74 REST OF EUROPE: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 75 REST OF EUROPE: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 76 REST OF EUROPE: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
  • 8.4 ASIA PACIFIC
    • TABLE 77 ASIA PACIFIC: HEALTHCARE PAYER SERVICES MARKET, BY COUNTRY, 2020-2027 (USD MILLION)
    • FIGURE 24 ASIA PACIFIC: MARKET SNAPSHOT
    • 8.4.1 ASIA PACIFIC: RECESSION IMPACT ANALYSIS
    • TABLE 78 ASIA PACIFIC: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 79 ASIA PACIFIC: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 80 ASIA PACIFIC: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 81 ASIA PACIFIC: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
    • 8.4.2 INDIA
      • 8.4.2.1 Availability of highly skilled personnel at low cost to support market growth
    • TABLE 82 INDIA: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 83 INDIA: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 84 INDIA: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 85 INDIA: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
    • 8.4.3 JAPAN
      • 8.4.3.1 Rising geriatric population to drive adoption of payer solutions for EHRs
    • TABLE 86 JAPAN: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 87 JAPAN: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 88 JAPAN: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 89 JAPAN: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
    • 8.4.4 CHINA
      • 8.4.4.1 Strong government support for HCIT to drive market
    • TABLE 90 CHINA: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 91 CHINA: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 92 CHINA: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 93 CHINA: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
    • 8.4.5 REST OF ASIA PACIFIC
    • TABLE 94 REST OF ASIA PACIFIC: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 95 REST OF ASIA PACIFIC: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD THOUSAND)
    • TABLE 96 REST OF ASIA PACIFIC: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 97 REST OF ASIA PACIFIC: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)
  • 8.5 REST OF THE WORLD
    • 8.5.1 REST OF THE WORLD: RECESSION IMPACT ANALYSIS
    • TABLE 98 REST OF THE WORLD: HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE, 2020-2027 (USD MILLION)
    • TABLE 99 REST OF THE WORLD: HEALTHCARE PAYER SERVICES MARKET FOR BPO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 100 REST OF THE WORLD: HEALTHCARE PAYER SERVICES MARKET FOR ITO SERVICES, BY TYPE, 2020-2027 (USD MILLION)
    • TABLE 101 REST OF THE WORLD: HEALTHCARE PAYER SERVICES MARKET, BY END USER, 2020-2027 (USD MILLION)

9 COMPETITIVE LANDSCAPE

  • 9.1 OVERVIEW
  • 9.2 STRATEGIES ADOPTED BY KEY PLAYERS
    • TABLE 102 HEALTHCARE PAYER SERVICES MARKET: OVERVIEW OF STRATEGIES ADOPTED BY KEY PLAYERS
    • FIGURE 25 HEALTHCARE PAYERS SERVICES MARKET: KEY DEVELOPMENTS (2019-2022)
    • FIGURE 26 HEALTHCARE PAYER SERVICES MARKET: REVENUE ANALYSIS OF KEY PLAYERS
  • 9.3 GEOGRAPHIC REVENUE ASSESSMENT OF KEY PLAYERS
    • FIGURE 27 HEALTHCARE PAYER SERVICES MARKET: GEOGRAPHIC REVENUE MIX
  • 9.4 MARKET RANKING
    • FIGURE 28 HEALTHCARE PAYER SERVICES MARKET: MARKET RANKING OF LEADING COMPANIES (2022)
  • 9.5 MARKET SHARE ANALYSIS
    • TABLE 103 HEALTHCARE PAYER SERVICES MARKET: INTENSITY OF COMPETITIVE RIVALRY
    • FIGURE 29 HEALTHCARE PAYER SERVICES MARKET: MARKET SHARE ANALYSIS
  • 9.6 COMPANY EVALUATION QUADRANT
    • 9.6.1 STARS
    • 9.6.2 EMERGING LEADERS
    • 9.6.3 PARTICIPANTS
    • 9.6.4 PERVASIVE PLAYERS
    • FIGURE 30 HEALTHCARE PAYER SERVICES MARKET: COMPANY EVALUATION QUADRANT (2021)
  • 9.7 COMPANY EVALUATION QUADRANT FOR STARTUPS
    • 9.7.1 PROGRESSIVE COMPANIES
    • 9.7.2 RESPONSIVE COMPANIES
    • 9.7.3 STARTING BLOCKS
    • 9.7.4 DYNAMIC COMPANIES
    • FIGURE 31 HEALTHCARE PAYER SERVICES MARKET: COMPANY EVALUATION QUADRANT FOR STARTUPS (2021)
  • 9.8 COMPETITIVE BENCHMARKING
    • 9.8.1 COMPANY PRODUCT FOOTPRINT
    • TABLE 104 COMPANY PRODUCT FOOTPRINT
    • 9.8.2 COMPANY REGION FOOTPRINT
    • TABLE 105 COMPANY REGION FOOTPRINT
  • 9.9 COMPETITIVE SCENARIO
    • 9.9.1 SERVICE LAUNCHES & APPROVALS
    • TABLE 106 HEALTHCARE PAYER SERVICES MARKET: KEY SERVICE LAUNCHES & APPROVALS
    • 9.9.2 DEALS
    • TABLE 107 HEALTHCARE PAYER SERVICES MARKET: KEY DEALS
    • 9.9.3 OTHER DEVELOPMENTS
    • TABLE 108 HEALTHCARE PAYER SERVICES MARKET: OTHER KEY DEVELOPMENTS

10 COMPANY PROFILES

  • 10.1 KEY PLAYERS

(Business Overview, Products/Services/Solutions Offered, MnM View, Key Strengths and Right to Win, Strategic Choices Made, Weaknesses and Competitive Threats, Recent Developments)*

    • 10.1.1 ACCENTURE
    • TABLE 109 ACCENTURE: BUSINESS OVERVIEW
    • FIGURE 32 ACCENTURE: COMPANY SNAPSHOT (2022)
    • 10.1.2 COGNIZANT
    • TABLE 110 COGNIZANT: BUSINESS OVERVIEW
    • FIGURE 33 COGNIZANT: COMPANY SNAPSHOT (2021)
    • 10.1.3 TATA CONSULTANCY SERVICES
    • TABLE 111 TATA CONSULTANCY SERVICES: BUSINESS OVERVIEW
    • FIGURE 34 TATA CONSULTANCY SERVICES: COMPANY SNAPSHOT (2021)
    • 10.1.4 XEROX CORPORATION
    • TABLE 112 XEROX CORPORATION: BUSINESS OVERVIEW
    • FIGURE 35 XEROX CORPORATION: COMPANY SNAPSHOT (2021)
    • 10.1.5 WNS (HOLDINGS) LTD.
    • TABLE 113 WNS (HOLDINGS) LTD.: BUSINESS OVERVIEW
    • FIGURE 36 WNS (HOLDINGS) LTD.: COMPANY SNAPSHOT (2021)
    • 10.1.6 NTT DATA CORPORATION
    • TABLE 114 NTT DATA CORPORATION: BUSINESS OVERVIEW
    • FIGURE 37 NTT DATA CORPORATION: COMPANY SNAPSHOT (2021)
    • 10.1.7 MPHASIS
    • TABLE 115 MPHASIS: BUSINESS OVERVIEW
    • FIGURE 38 MPHASIS: COMPANY SNAPSHOT (2021)
    • 10.1.8 GENPACT LIMITED
    • TABLE 116 GENPACT: BUSINESS OVERVIEW
    • FIGURE 39 GENPACT: COMPANY SNAPSHOT (2020)
    • 10.1.9 WIPRO LIMITED
    • TABLE 117 WIPRO LIMITED: BUSINESS OVERVIEW
    • FIGURE 40 WIPRO LIMITED: COMPANY SNAPSHOT (2022)
    • 10.1.10 INFOSYS BPM
    • TABLE 118 INFOSYS BPM: BUSINESS OVERVIEW
    • FIGURE 41 INFOSYS BPM: COMPANY SNAPSHOT (2022)
    • 10.1.11 FIRSTSOURCE SOLUTIONS
    • TABLE 119 FIRSTSOURCE SOLUTIONS: BUSINESS OVERVIEW
    • FIGURE 42 FIRSTSOURCE SOLUTIONS: COMPANY SNAPSHOT (2021)
    • 10.1.12 DELL INC.
    • TABLE 120 DELL INC.: BUSINESS OVERVIEW
    • FIGURE 43 DELL INC.: COMPANY SNAPSHOT (2021)
    • 10.1.13 ORACLE CORPORATION
    • TABLE 121 ORACLE CORPORATION: BUSINESS OVERVIEW
    • FIGURE 44 ORACLE CORPORATION: COMPANY SNAPSHOT (2021)
    • 10.1.14 IBM
    • TABLE 122 IBM: BUSINESS OVERVIEW
    • FIGURE 45 IBM: COMPANY SNAPSHOT (2021)
    • 10.1.15 IQVIA INC.
    • TABLE 123 IQVIA INC.: BUSINESS OVERVIEW
    • FIGURE 46 IQVIA INC.: COMPANY SNAPSHOT (2021)

Business Overview, Products/Services/Solutions Offered, MnM View, Key Strengths and Right to Win, Strategic Choices Made, Weaknesses and Competitive Threats, Recent Developments might not be captured in case of unlisted companies.

  • 10.2 OTHER PLAYERS
    • 10.2.1 CONDUENT, INC.
    • 10.2.2 CONIFER HEALTH SOLUTIONS, LLC
    • 10.2.3 OMEGA HEALTHCARE
    • 10.2.4 INOVALON
    • 10.2.5 SAS INSTITUTE, INC.
    • 10.2.6 UNITEDHEALTH GROUP
    • 10.2.7 HCL TECHNOLOGIES LIMITED
    • 10.2.8 PAREXEL INTERNATIONAL CORPORATION
    • 10.2.9 R1RCM, INC.
    • 10.2.10 ALLSCRIPTS HEALTHCARE, LLC.

11 APPENDIX

  • 11.1 DISCUSSION GUIDE
  • 11.2 KNOWLEDGESTORE: MARKETSANDMARKETS' SUBSCRIPTION PORTAL
  • 11.3 CUSTOMIZATION OPTIONS
  • 11.4 RELATED REPORTS
  • 11.5 AUTHOR DETAILS
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