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COVID-19
The pandemic continues to cause unprecedented disruption across industries worldwide.
Get detailed insights regarding the impact of COVID-19 on the market.

Healthcare Payer Services Market: Global Industry Trends, Share, Size, Growth, Opportunity and Forecast 2022-2027

Market Overview:

The global healthcare payer services market reached a value of US$ 27.1 Billion in 2021. Looking forward, IMARC Group expects the market to reach US$ 49.6 Billion by 2027, exhibiting a CAGR of 11.4% during 2022-2027. 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 sectors. 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.

 

 
 

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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, along with forecasts at the global, regional and country level from 2022-2027. Our report has categorized the market based on type, application and end use.

Breakup by Type:

 

 
 

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  • 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:

 

 
 

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  • North America
    • United States
    • Canada
  • Asia-Pacific
    • China
    • Japan
    • India
    • South Korea
    • Australia
    • Indonesia
    • Others
  • Europe
    • Germany
    • France
    • United Kingdom
    • Italy
    • Spain
    • Russia
    • Others
  • Latin America
    • Brazil
    • Mexico
    • Others
  • 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.

Report Coverage:

Report Features Details
Base Year of the Analysis 2021
Historical Period 2016-2021
Forecast Period 2022-2027
Units US$ Billion
Segment Coverage Type, Application, End Use, Region
Region Covered  Asia Pacific, Europe, North America, Latin America, Middle East and Africa
Countries Covered United States, Canada, Germany, France, United Kingdom, Italy, Spain, Russia, China, Japan, India, South Korea, Australia, Indonesia, Brazil, Mexico
Companies Covered 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
Customization Scope 10% Free Customization
Report Price and Purchase Option Single User License: US$ 2499
Five User License: US$ 3499
Corporate License: US$ 4499
Post-Sale Analyst Support 10-12 Weeks
Delivery Format PDF and Excel through Email (We can also provide the editable version of the report in PPT/Word format on special request)


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$), 2016-2021
Figure 3: Global: Healthcare Payer Services Market Forecast: Sales Value (in Billion US$), 2022-2027
Figure 4: Global: Healthcare Payer Services Market: Breakup by Type (in %), 2021
Figure 5: Global: Healthcare Payer Services Market: Breakup by Application (in %), 2021
Figure 6: Global: Healthcare Payer Services Market: Breakup by End Use (in %), 2021
Figure 7: Global: Healthcare Payer Services Market: Breakup by Region (in %), 2021
Figure 8: Global: Healthcare Payer Services (BPO Services) Market: Sales Value (in Million US$), 2016 & 2021
Figure 9: Global: Healthcare Payer Services (BPO Services) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 10: Global: Healthcare Payer Services (ITO Services) Market: Sales Value (in Million US$), 2016 & 2021
Figure 11: Global: Healthcare Payer Services (ITO Services) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 12: Global: Healthcare Payer Services (KPO Services) Market: Sales Value (in Million US$), 2016 & 2021
Figure 13: Global: Healthcare Payer Services (KPO Services) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 14: Global: Healthcare Payer Services (Analytics and Fraud Management Services) Market: Sales Value (in Million US$), 2016 & 2021
Figure 15: Global: Healthcare Payer Services (Analytics and Fraud Management Services) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 16: Global: Healthcare Payer Services (Claims Management Services) Market: Sales Value (in Million US$), 2016 & 2021
Figure 17: Global: Healthcare Payer Services (Claims Management Services) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 18: Global: Healthcare Payer Services (Integrated Front Office Service and Back Office Operations) Market: Sales Value (in Million US$), 2016 & 2021
Figure 19: Global: Healthcare Payer Services (Integrated Front Office Service and Back Office Operations) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 20: Global: Healthcare Payer Services (Member Management Services) Market: Sales Value (in Million US$), 2016 & 2021
Figure 21: Global: Healthcare Payer Services (Member Management Services) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 22: Global: Healthcare Payer Services (Provider Management Services) Market: Sales Value (in Million US$), 2016 & 2021
Figure 23: Global: Healthcare Payer Services (Provider Management Services) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 24: Global: Healthcare Payer Services (Billing and Accounts Management Services) Market: Sales Value (in Million US$), 2016 & 2021
Figure 25: Global: Healthcare Payer Services (Billing and Accounts Management Services) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 26: Global: Healthcare Payer Services (HR Services) Market: Sales Value (in Million US$), 2016 & 2021
Figure 27: Global: Healthcare Payer Services (HR Services) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 28: Global: Healthcare Payer Services (Private Payers) Market: Sales Value (in Million US$), 2016 & 2021
Figure 29: Global: Healthcare Payer Services (Private Payers) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 30: Global: Healthcare Payer Services (Public Payers) Market: Sales Value (in Million US$), 2016 & 2021
Figure 31: Global: Healthcare Payer Services (Public Payers) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 32: North America: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 33: North America: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 34: United States: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 35: United States: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 36: Canada: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 37: Canada: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 38: Asia-Pacific: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 39: Asia-Pacific: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 40: China: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 41: China: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 42: Japan: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 43: Japan: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 44: India: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 45: India: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 46: South Korea: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 47: South Korea: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 48: Australia: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 49: Australia: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 50: Indonesia: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 51: Indonesia: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 52: Others: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 53: Others: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 54: Europe: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 55: Europe: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 56: Germany: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 57: Germany: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 58: France: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 59: France: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 60: United Kingdom: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 61: United Kingdom: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 62: Italy: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 63: Italy: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 64: Spain: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 65: Spain: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 66: Russia: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 67: Russia: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 68: Others: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 69: Others: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 70: Latin America: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 71: Latin America: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 72: Brazil: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 73: Brazil: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 74: Mexico: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 75: Mexico: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 76: Others: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 77: Others: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 78: Middle East and Africa: Healthcare Payer Services Market: Sales Value (in Million US$), 2016 & 2021
Figure 79: Middle East and Africa: Healthcare Payer Services Market: Breakup by Country (in %), 2021
Figure 80: Middle East and Africa: Healthcare Payer Services Market Forecast: Sales Value (in Million US$), 2022-2027
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, 2021 and 2027
Table 2: Global: Healthcare Payer Services Market Forecast: Breakup by Type (in Million US$), 2022-2027
Table 3: Global: Healthcare Payer Services Market Forecast: Breakup by Application (in Million US$), 2022-2027
Table 4: Global: Healthcare Payer Services Market Forecast: Breakup by End Use (in Million US$), 2022-2027
Table 5: Global: Healthcare Payer Services Market Forecast: Breakup by Region (in Million US$), 2022-2027
Table 6: Global: Healthcare Payer Services Market: Competitive Structure
Table 7: Global: Healthcare Payer Services Market: Key Players


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