Market Overview:
The global healthcare payer services market exhibited strong growth during 2015-2020. Looking forward, IMARC Group expects the market to grow at a CAGR of 9% during 2021-2026. Keeping in mind the uncertainties of COVID-19, we are continuously tracking and evaluating the direct as well as the indirect influence of the pandemic on different end use industries. These insights are included in the report as a major market contributor.
Healthcare payer services are outsourced by public and private payers and healthcare insurers to manage claims, audits, medical documents, member engagements, and customer relations. These services aid in improving the healthcare system performance by optimizing patient care quality and improving the overall consumer experience. They also assist in using distinctive capabilities in data and analytics, population health, pharmacy care services, and healthcare delivery and operations. Moreover, as healthcare payer solutions help clients minimize their operational costs and improve their operational efficiency, they are gaining traction around the world.
Healthcare Payer Services Market Trends:
The rising utilization of healthcare payer services can be attributed to the increasing need for operating business processes cost-effectively by implementing engagement and contract models. Additionally, the growing implementation of digital technologies in payer operations is augmenting the market worldwide. Apart from this, healthcare payer services offer better quality patient care, streamline the process and improve customer communication. This, in confluence with the adoption of analytics in healthcare, along with the rising number of individuals opting for healthcare insurance on account of the sudden outbreak of the coronavirus disease (COVID-19), is also fueling the market growth. Furthermore, these services find extensive application in billing and account management, analytics and fraud management, and human resource (HR) services and claims management. Besides this, rising mergers and acquisitions (M&A) and the increasing utilization of updated software to address current healthcare needs are anticipated to propel the market growth.
Key Market Segmentation:
IMARC Group provides an analysis of the key trends in each sub-segment of the global healthcare payer services market report, along with forecasts for growth at the global, regional and country level from 2021-2026. Our report has categorized the market based on region, type, application and end use.
Breakup by Type:
- BPO Services
- ITO Services
- KPO Services
Breakup by Application:
- Analytics and Fraud Management Services
- Claims Management Services
- Integrated Front Office Service and Back Office Operations
- Member Management Services
- Provider Management Services
- Billing and Accounts Management Services
- HR Services
Breakup by End Use:
- Private Payers
- Public Payers
Breakup by Region:
- North America
- Asia-Pacific
- China
- Japan
- India
- South Korea
- Australia
- Indonesia
- Others
- Europe
- Germany
- France
- United Kingdom
- Italy
- Spain
- Russia
- Others
- Latin America
- Middle East and Africa
Competitive Landscape:
The competitive landscape of the industry has also been examined along with the profiles of the key players being Accenture plc, Cognizant Technology Solutions Corporation, Concentrix Corporation, ExlService Holdings Inc., Genpact Limited, HCL Technologies Limited, Hinduja Global Solutions Limited, HP Development Company L.P., McKesson Corporation, UnitedHealth Group Incorporated, Wipro Limited and Xerox Corporation.
Key Questions Answered in This Report:
- How has the global healthcare payer services market performed so far and how will it perform in the coming years?
- What has been the impact of COVID-19 on the global healthcare payer services market?
- What are the key regional markets?
- What is the breakup of the market based on the type?
- What is the breakup of the market based on the application?
- What is the breakup of the market based on the end use?
- What are the various stages in the value chain of the industry?
- What are the key driving factors and challenges in the industry?
- What is the structure of the global healthcare payer services market and who are the key players?
- What is the degree of competition in the industry?
1 Preface
2 Scope and Methodology
2.1 Objectives of the Study
2.2 Stakeholders
2.3 Data Sources
2.3.1 Primary Sources
2.3.2 Secondary Sources
2.4 Market Estimation
2.4.1 Bottom-Up Approach
2.4.2 Top-Down Approach
2.5 Forecasting Methodology
3 Executive Summary
4 Introduction
4.1 Overview
4.2 Key Industry Trends
5 Global Healthcare Payer Services Market
5.1 Market Overview
5.2 Market Performance
5.3 Impact of COVID-19
5.4 Market Forecast
6 Market Breakup by Type
6.1 BPO Services
6.1.1 Market Trends
6.1.2 Market Forecast
6.2 ITO Services
6.2.1 Market Trends
6.2.2 Market Forecast
6.3 KPO Services
6.3.1 Market Trends
6.3.2 Market Forecast
7 Market Breakup by Application
7.1 Analytics and Fraud Management Services
7.1.1 Market Trends
7.1.2 Market Forecast
7.2 Claims Management Services
7.2.1 Market Trends
7.2.2 Market Forecast
7.3 Integrated Front Office Service and Back Office Operations
7.3.1 Market Trends
7.3.2 Market Forecast
7.4 Member Management Services
7.4.1 Market Trends
7.4.2 Market Forecast
7.5 Provider Management Services
7.5.1 Market Trends
7.5.2 Market Forecast
7.6 Billing and Accounts Management Services
7.6.1 Market Trends
7.6.2 Market Forecast
7.7 HR Services
7.7.1 Market Trends
7.7.2 Market Forecast
8 Market Breakup by End Use
8.1 Private Payers
8.1.1 Market Trends
8.1.2 Market Forecast
8.2 Public Payers
8.2.1 Market Trends
8.2.2 Market Forecast
9 Market Breakup by Region
9.1 North America
9.1.1 United States
9.1.1.1 Market Trends
9.1.1.2 Market Forecast
9.1.2 Canada
9.1.2.1 Market Trends
9.1.2.2 Market Forecast
9.2 Asia-Pacific
9.2.1 China
9.2.1.1 Market Trends
9.2.1.2 Market Forecast
9.2.2 Japan
9.2.2.1 Market Trends
9.2.2.2 Market Forecast
9.2.3 India
9.2.3.1 Market Trends
9.2.3.2 Market Forecast
9.2.4 South Korea
9.2.4.1 Market Trends
9.2.4.2 Market Forecast
9.2.5 Australia
9.2.5.1 Market Trends
9.2.5.2 Market Forecast
9.2.6 Indonesia
9.2.6.1 Market Trends
9.2.6.2 Market Forecast
9.2.7 Others
9.2.7.1 Market Trends
9.2.7.2 Market Forecast
9.3 Europe
9.3.1 Germany
9.3.1.1 Market Trends
9.3.1.2 Market Forecast
9.3.2 France
9.3.2.1 Market Trends
9.3.2.2 Market Forecast
9.3.3 United Kingdom
9.3.3.1 Market Trends
9.3.3.2 Market Forecast
9.3.4 Italy
9.3.4.1 Market Trends
9.3.4.2 Market Forecast
9.3.5 Spain
9.3.5.1 Market Trends
9.3.5.2 Market Forecast
9.3.6 Russia
9.3.6.1 Market Trends
9.3.6.2 Market Forecast
9.3.7 Others
9.3.7.1 Market Trends
9.3.7.2 Market Forecast
9.4 Latin America
9.4.1 Brazil
9.4.1.1 Market Trends
9.4.1.2 Market Forecast
9.4.2 Mexico
9.4.2.1 Market Trends
9.4.2.2 Market Forecast
9.4.3 Others
9.4.3.1 Market Trends
9.4.3.2 Market Forecast
9.5 Middle East and Africa
9.5.1 Market Trends
9.5.2 Market Breakup by Country
9.5.3 Market Forecast
10 SWOT Analysis
10.1 Overview
10.2 Strengths
10.3 Weaknesses
10.4 Opportunities
10.5 Threats
11 Value Chain Analysis
12 Porters Five Forces Analysis
12.1 Overview
12.2 Bargaining Power of Buyers
12.3 Bargaining Power of Suppliers
12.4 Degree of Competition
12.5 Threat of New Entrants
12.6 Threat of Substitutes
13 Price Analysis
14 Competitive Landscape
14.1 Market Structure
14.2 Key Players
14.3 Profiles of Key Players
14.3.1 Accenture plc
14.3.1.1 Company Overview
14.3.1.2 Product Portfolio
14.3.1.3 Financials
14.3.1.4 SWOT Analysis
14.3.2 Cognizant Technology Solutions Corporation
14.3.2.1 Company Overview
14.3.2.2 Product Portfolio
14.3.2.3 Financials
14.3.2.4 SWOT Analysis
14.3.3 Concentrix Corporation
14.3.3.1 Company Overview
14.3.3.2 Product Portfolio
14.3.4 ExlService Holdings Inc.
14.3.4.1 Company Overview
14.3.4.2 Product Portfolio
14.3.4.3 Financials
14.3.5 Genpact Limited
14.3.5.1 Company Overview
14.3.5.2 Product Portfolio
14.3.5.3 Financials
14.3.5.4 SWOT Analysis
14.3.6 HCL Technologies Limited
14.3.6.1 Company Overview
14.3.6.2 Product Portfolio
14.3.6.3 Financials
14.3.6.4 SWOT Analysis
14.3.7 Hinduja Global Solutions Limited
14.3.7.1 Company Overview
14.3.7.2 Product Portfolio
14.3.7.3 Financials
14.3.7.4 SWOT Analysis
14.3.8 HP Development Company L.P.
14.3.8.1 Company Overview
14.3.8.2 Product Portfolio
14.3.8.3 Financials
14.3.8.4 SWOT Analysis
14.3.9 McKesson Corporation
14.3.9.1 Company Overview
14.3.9.2 Product Portfolio
14.3.9.3 Financials
14.3.9.4 SWOT Analysis
14.3.10 UnitedHealth Group Incorporated
14.3.10.1 Company Overview
14.3.10.2 Product Portfolio
14.3.10.3 Financials
14.3.10.4 SWOT Analysis
14.3.11 Wipro Limited
14.3.11.1 Company Overview
14.3.11.2 Product Portfolio
14.3.11.3 Financials
14.3.11.4 SWOT Analysis
14.3.12 Xerox Corporation
14.3.12.1 Company Overview
14.3.12.2 Product Portfolio
14.3.12.3 Financials
List of Figures
Figure 1: Global: Healthcare Payer Services Market: Major Drivers and Challenges
Figure 2: Global: Healthcare Payer Services Market: Sales Value (in Billion US$), 2015-2020
Figure 3: Global: Healthcare Payer Services Market Forecast: Sales Value (in Billion US$), 2021-2026
Figure 4: Global: Healthcare Payer Services Market: Breakup by Type (in %), 2020
Figure 5: Global: Healthcare Payer Services Market: Breakup by Application (in %), 2020
Figure 6: Global: Healthcare Payer Services Market: Breakup by End Use (in %), 2020
Figure 7: Global: Healthcare Payer Services Market: Breakup by Region (in %), 2020
Figure 8: Global: Healthcare Payer Services (BPO Services) Market: Sales Value (in Million US$), 2015 & 2020
Figure 9: Global: Healthcare Payer Services (BPO Services) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 10: Global: Healthcare Payer Services (ITO Services) Market: Sales Value (in Million US$), 2015 & 2020
Figure 11: Global: Healthcare Payer Services (ITO Services) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 12: Global: Healthcare Payer Services (KPO Services) Market: Sales Value (in Million US$), 2015 & 2020
Figure 13: Global: Healthcare Payer Services (KPO Services) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 14: Global: Healthcare Payer Services (Analytics and Fraud Management Services) Market: Sales Value (in Million US$), 2015 & 2020
Figure 15: Global: Healthcare Payer Services (Analytics and Fraud Management Services) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 16: Global: Healthcare Payer Services (Claims Management Services) Market: Sales Value (in Million US$), 2015 & 2020
Figure 17: Global: Healthcare Payer Services (Claims Management Services) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 18: Global: Healthcare Payer Services (Integrated Front Office Service and Back Office Operations) Market: Sales Value (in Million US$), 2015 & 2020
Figure 19: Global: Healthcare Payer Services (Integrated Front Office Service and Back Office Operations) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 20: Global: Healthcare Payer Services (Member Management Services) Market: Sales Value (in Million US$), 2015 & 2020
Figure 21: Global: Healthcare Payer Services (Member Management Services) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 22: Global: Healthcare Payer Services (Provider Management Services) Market: Sales Value (in Million US$), 2015 & 2020
Figure 23: Global: Healthcare Payer Services (Provider Management Services) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 24: Global: Healthcare Payer Services (Billing and Accounts Management Services) Market: Sales Value (in Million US$), 2015 & 2020
Figure 25: Global: Healthcare Payer Services (Billing and Accounts Management Services) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 26: Global: Healthcare Payer Services (HR Services) Market: Sales Value (in Million US$), 2015 & 2020
Figure 27: Global: Healthcare Payer Services (HR Services) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 28: Global: Healthcare Payer Services (Private Payers) Market: Sales Value (in Million US$), 2015 & 2020
Figure 29: Global: Healthcare Payer Services (Private Payers) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 30: Global: Healthcare Payer Services (Public Payers) Market: Sales Value (in Million US$), 2015 & 2020
Figure 31: Global: Healthcare Payer Services (Public Payers) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 32: North America: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 33: North America: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 34: United States: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 35: United States: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 36: Canada: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 37: Canada: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 38: Asia-Pacific: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 39: Asia-Pacific: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 40: China: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 41: China: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 42: Japan: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 43: Japan: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 44: India: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 45: India: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 46: South Korea: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 47: South Korea: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 48: Australia: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 49: Australia: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 50: Indonesia: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 51: Indonesia: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 52: Others: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 53: Others: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 54: Europe: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 55: Europe: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 56: Germany: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 57: Germany: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 58: France: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 59: France: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 60: United Kingdom: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 61: United Kingdom: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 62: Italy: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 63: Italy: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 64: Spain: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 65: Spain: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 66: Russia: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 67: Russia: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 68: Others: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 69: Others: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 70: Latin America: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 71: Latin America: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 72: Brazil: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 73: Brazil: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 74: Mexico: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 75: Mexico: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 76: Others: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 77: Others: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 78: Middle East and Africa: Healthcare Payer Services Market: Sales Value (in Million US$), 2015 & 2020
Figure 79: Middle East and Africa: Healthcare Payer Services Market: Breakup by Country (in %), 2020
Figure 80: Middle East and Africa: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 81: Global: Healthcare Payer Services Industry: SWOT Analysis
Figure 82: Global: Healthcare Payer Services Industry: Value Chain Analysis
Figure 83: Global: Healthcare Payer Services Industry: Porter's Five Forces Analysis
List of Tables
Table 1: Global: Healthcare Payer Services Market: Key Industry Highlights, 2020 and 2026
Table 2: Global: Healthcare Payer Services Market Forecast: Breakup by Type (in Million US$), 2021-2026
Table 3: Global: Healthcare Payer Services Market Forecast: Breakup by Application (in Million US$), 2021-2026
Table 4: Global: Healthcare Payer Services Market Forecast: Breakup by End Use (in Million US$), 2021-2026
Table 5: Global: Healthcare Payer Services Market Forecast: Breakup by Region (in Million US$), 2021-2026
Table 6: Global: Healthcare Payer Services Market: Competitive Structure
Table 7: Global: Healthcare Payer Services Market: Key Players