医疗保健支付服务市场 - 全球市场规模、份额、趋势分析、机会和预测报告,2019-2029
市场调查报告书
商品编码
1319311

医疗保健支付服务市场 - 全球市场规模、份额、趋势分析、机会和预测报告,2019-2029

Healthcare Payer Services Market - Global Size, Share, Trend Analysis, Opportunity and Forecast Report, 2019-2029, Segmented By Service ; By Application ; By End Use ; By Region

出版日期: | 出版商: Blueweave Consulting | 英文 400 Pages | 商品交期: 2-3个工作天内

价格
简介目录

到 2029 年,全球医疗支付服务市场规模有望达到 1250 亿美元

由于技术进步的不断采用、效率的提高以及通过服务外包降低成本,全球医疗保健支付服务市场正在蓬勃发展。

领先的战略咨询和市场研究公司 BlueWeave Consulting 最近估计,2022 年全球医疗支付服务市场规模将达到 725.6 亿美元。 BlueWeave预测,在2023年至2029年的预测期内,全球医疗支付服务市场规模将以12.31%的年复合成长率大幅增长,到2029年达到1248.9亿美元。全球医疗保健支付服务市场的主要增长促进因素包括医疗保健支出的增加、数字技术的日益采用以及对高效医疗保健管理和成本控制不断增长的需求。对 BPO 服务不断增长的需求源于高效的库存管理实践。医疗保健服务成本下降、ICD-10 代码的引入以及製药公司面临的专利到期等因素也促进了市场扩张。市场主要参与者正在采用人工智能(AI)、分析和基于云的服务等先进技术,从而导致激烈的竞争。例如,埃森哲提供基于云的解决方案,可以有效降低物流成本、增加服务收入并提高医疗保健供应链中的服务可用性。因此,市场预计将显着增长。技术进步以及外包流程和供应链管理(SCM)的集成预计将成为整个预测期内的关键市场促进因素。然而,数据洩露或机密性丧失可能会在分析期间抑制整个市场的增长。

该报告的详细分析提供了有关全球医疗支付服务市场的增长潜力、未来趋势和统计数据的信息。它还涵盖了推动市场总规模预测的因素。该报告致力于为决策者提供全球医疗支付服务市场的最新技术趋势以及行业见解,以做出明智的战略决策。它还分析了市场的增长促进因素、挑战和竞争力。

目录

第1章研究框架

第2章执行摘要

第3章全球医疗支付服务市场洞察

  • 行业价值链分析
  • DROC分析
    • 增长促进因素
      • 外包服务降低成本提高效率
      • 技术进步
    • 抑制因素
      • 数据洩露和机密性丧失
    • 机会
      • 采用先进的数据分析
    • 任务
      • 从遗留系统迁移
  • 技术进步/最新发展
  • 监管框架
  • 波特五力分析

第4章全球医疗支付服务市场概况

  • 2019-2029年市场规模及预测
    • 按金额
  • 市场份额及预测
    • 按服务
      • 业务流程外包服务
      • ITO服务
      • 关键PO服务
    • 按用途
      • 理赔管理服务
      • 综合前台服务和后台运营
      • 会员管理服务
      • 供应商管理服务
      • 申请和账户管理服务
      • 分析和欺诈管理服务
      • 人力资源服务
    • 按最终用途
      • 私人付款人
      • 公共付款人
    • 按地区
      • 北美
      • 欧洲
      • 亚太地区 (APAC)
      • 拉丁美洲 (LATAM)
      • 中东和非洲 (MEA)

第5章北美医疗保健付费服务市场

  • 2019-2029年市场规模及预测
    • 按金额
  • 市场份额及预测
    • 按服务
    • 按用途
    • 按最终用途
    • 按国家/地区
      • 我们
      • 加拿大

第6章欧洲医疗保健支付服务市场

  • 2019-2029年市场规模及预测
    • 按金额
  • 市场份额及预测
    • 按服务
    • 按用途
    • 按最终用途
    • 按国家/地区
      • 德国
      • 英国
      • 意大利
      • 法国
      • 西班牙
      • 比利时
      • 俄罗斯
      • 荷兰
      • 其他欧洲国家

第7章亚太医疗保健支付服务市场

  • 2019-2029年市场规模及预测
    • 按金额
  • 市场份额及预测
    • 按服务
    • 按用途
    • 按最终用途
    • 按国家/地区
      • 中国
      • 印度
      • 日本
      • 韩国
      • 澳大利亚和新西兰
      • 印尼
      • 马来西亚
      • 新加坡
      • 越南
      • 亚太地区其他地区

第8章拉丁美洲医疗支付服务市场

  • 2019-2029年市场规模及预测
    • 按金额
  • 市场份额及预测
    • 按服务
    • 按用途
    • 按最终用途
    • 按国家/地区
      • 巴西
      • 墨西哥
      • 阿根廷
      • 秘鲁
      • 拉丁美洲其他地区

第9章中东和非洲医疗支付服务市场

  • 2019-2029年市场规模及预测
    • 按金额
  • 市场份额及预测
    • 按服务
    • 按用途
    • 按最终用途
    • 按国家/地区
      • 沙特阿拉伯
      • 阿拉伯联合酋长国
      • 卡塔尔
      • 科威特
      • 南非
      • 尼日利亚
      • 阿尔及利亚
      • MEA 的其余部分

第10章竞争格局

  • 主要公司及其产品列表
  • 2022年全球医疗支付服务企业市场份额分析
  • 通过运行参数进行竞争基准测试
  • 主要战略发展(合併、收购、合作伙伴关係等)

第11章COVID-19 对全球医疗支付服务市场的影响

第12章公司简介(公司简介、财务矩阵、竞争格局、关键人才、主要竞争、联繫地址、战略展望、SWOT分析)

  • Cognizant
  • TCS
  • WNS
  • NTT Data Corporation
  • IQVIA Inc.
  • Mphasis
  • EXL
  • HGS Ltd.
  • Accenture
  • Xerox Corporation
  • Concentric Corporation
  • Genpact
  • WIPRO Ltd.
  • HCL Technologies
  • Other Prominent Players

第13章关键战略建议

第14章调查方法

  • 定性研究
    • 初级和次级研究
  • 定量研究
  • 市场细分和数据三角测量
    • 二次调查
    • 初步调查
  • 主要调查受访者的地区分布
  • 假设和限制
简介目录
Product Code: BWC23614

Global Healthcare Payer Services Market Size Booming to Touch USD 125 Billion by 2029.

Global healthcare payer services market is flourishing because of increasing adoption of technological advancements, growing efficiency, and reducing the cost by outsourcing the services.

BlueWeave Consulting, a leading strategic consulting and market research firm, in its recent study, estimated global healthcare payer services market size at USD 72.56 billion in 2022. During the forecast period between 2023 and 2029, BlueWeave expects global healthcare payer services market size to grow at a significant CAGR of 12.31% reaching a value of USD 124.89 billion by 2029. Major growth drivers for the global healthcare payer services market include increasing healthcare expenditures, the growing adoption of digital technologies, and the rising demand for efficient healthcare administration and cost containment. The increasing demand for BPO services is attributed to efficient inventory management practices. Factors like decreased healthcare delivery costs, the implementation of ICD-10 codes, and patent expirations faced by pharmaceutical companies also contribute to market expansion. Key market players are introducing advanced technologies such as artificial intelligence (AI), analytics, and cloud-based services, leading to intense competition. Accenture, for instance, offers cloud-based solutions that effectively reduce logistics costs, enhance service revenue, and improve service availability in the healthcare supply chain. Consequently, the market is expected to exhibit significant growth. Technological advancements and the integration of outsourcing processes with supply chain management (SCM) are expected to serve as major market drivers throughout the forecast period. However, data breaches and loss of confidentiality may restrain the overall market growth during the period in analysis.

Global Healthcare Payer Services Market - Overview:

The global healthcare payer services market refers to the industry that encompasses various administrative and support services provided to healthcare payers. Healthcare payers include insurance companies, government agencies, and managed care organizations responsible for managing healthcare plans and financing. Payer services are designed to assist and streamline payer operations, including claims processing, member enrollment and eligibility verification, provider network management, premium billing and payment, customer service, and data analytics and reporting. These services aim to ensure efficient administration, accurate claims processing, cost containment, and enhanced member and provider satisfaction. The healthcare payer services market plays a crucial role in supporting the overall functioning of the healthcare system by facilitating smooth interactions between payers, providers, and members while managing administrative complexities and improving operational efficiencies.

Impact of COVID-19 on Global Healthcare Payer Services Market:

COVID-19 pandemic adversely affected the global healthcare payer services market. The healthcare industry as a whole faced unprecedented challenge due to the surge in healthcare demands and disruptions in service delivery. Payers had to adapt quickly to address the evolving needs and ensure continued support to healthcare providers and members. The pandemic accelerated the adoption of digital technologies, telehealth services, and remote work arrangements. Payers focused on enhancing their digital capabilities, implementing virtual customer service solutions, and streamlining claims processing to support the influx of COVID-19 related claims. The pandemic highlighted the importance of efficient healthcare administration and the need for agile payer services, driving the market's transformation and growth.

Global Healthcare Payer Services Market - By Application:

Based on application, the global healthcare payer services market is divided into Claims Management Services, Integrated Front Office Service & Back Office Operations, Member Management Services, Provider Management Services, Billing & Accounts Management Services, Analytics & Fraud Management Services, and HR Services segments. The claims management services segment held the highest market share in 2022 by application. The Affordable Care Act (ACA) and the overall growth in healthcare expenditures have contributed to an increase in the number of members enrolled in the Centers for Medicare and Medicaid Services. Among various payer services, claims processing services hold prominence as they involve handling substantial amounts of data and constitute a substantial portion of payer workload. Providers' submitted claims are carefully evaluated for eligibility, authenticity, and the accurate reimbursement amount. With the advancement of the digital era, this process has become more efficient, resulting in improved turnaround times and streamlined operations.

Competitive Landscape:

Major players operating in the global healthcare payer services market include: Cognizant, TCS, WNS, NTT Data Corporation, IQVIA Inc., Mphasis, EXL, HGS Ltd., Accenture, Xerox Corporation, Concentric Corporation, Genpact, WIPRO Ltd, and HCL Technologies. To further enhance their market share, these companies employ various strategies, including mergers and acquisitions, partnerships, joint ventures, license agreements, and new product launches.

The in-depth analysis of the report provides information about growth potential, upcoming trends, and statistics of Global Healthcare Payer Services Market. It also highlights the factors driving forecasts of total market size. The report promises to provide recent technology trends in Global Healthcare Payer Services Market and industry insights to help decision-makers make sound strategic decisions. Furthermore, the report also analyzes the growth drivers, challenges, and competitive dynamics of the market.

Table of Contents

1. Research Framework

  • 1.1. Research Objective
  • 1.2. Product Overview
  • 1.3. Market Segmentation

2. Executive Summary

3. Global Healthcare Payer Services Market Insights

  • 3.1. Industry Value Chain Analysis
  • 3.2. DROC Analysis
    • 3.2.1. Growth Drivers
      • 3.2.1.1. Outsourcing of services to reduce cost and increase efficiency
      • 3.2.1.2. Advancement in technology
    • 3.2.2. Restraints
      • 3.2.2.1. Data breaches and loss of confidentiality
    • 3.2.3. Opportunities
      • 3.2.3.1. Adoption of advanced data analytics
    • 3.2.4. Challenges
      • 3.2.4.1. Migration from legacy systems
  • 3.3. Technology Advancements/Recent Developments
  • 3.4. Regulatory Framework
  • 3.5. Porter's Five Forces Analysis
    • 3.5.1. Bargaining Power of Suppliers
    • 3.5.2. Bargaining Power of Buyers
    • 3.5.3. Threat of New Entrants
    • 3.5.4. Threat of Substitutes
    • 3.5.5. Intensity of Rivalry

4. Global Healthcare Payer Services Market Overview

  • 4.1. Market Size & Forecast, 2019-2029
    • 4.1.1. By Value (USD Million)
  • 4.2. Market Share & Forecast
    • 4.2.1. By Service
      • 4.2.1.1. BPO Services
      • 4.2.1.2. ITO Services
      • 4.2.1.3. KPO Services
    • 4.2.2. By Application
      • 4.2.2.1. Claims Management Services
      • 4.2.2.2. Integrated Front Office Service & Back Office Operations
      • 4.2.2.3. Member Management Services
      • 4.2.2.4. Provider Management Services
      • 4.2.2.5. Billing & Accounts Management Services
      • 4.2.2.6. Analytics & Fraud Management Services
      • 4.2.2.7. HR Services
    • 4.2.3. By End Use
      • 4.2.3.1. Private Payers
      • 4.2.3.2. Public Payers
    • 4.2.4. By Region
      • 4.2.4.1. North America
      • 4.2.4.2. Europe
      • 4.2.4.3. Asia Pacific (APAC)
      • 4.2.4.4. Latin America (LATAM)
      • 4.2.4.5. Middle East and Africa (MEA)

5. North America Healthcare Payer Services Market

  • 5.1. Market Size & Forecast, 2019-2029
    • 5.1.1. By Value (USD Million)
  • 5.2. Market Share & Forecast
    • 5.2.1. By Service
    • 5.2.2. By Application
    • 5.2.3. By End Use
    • 5.2.4. By Country
      • 5.2.4.1. United States
      • 5.2.4.1.1. By Service
      • 5.2.4.1.2. By Application
      • 5.2.4.1.3. By End Use
      • 5.2.4.2. Canada
      • 5.2.4.2.1. By Service
      • 5.2.4.2.2. By Application
      • 5.2.4.2.3. By End Use

6. Europe Healthcare Payer Services Market

  • 6.1. Market Size & Forecast, 2019-2029
    • 6.1.1. By Value (USD Million)
  • 6.2. Market Share & Forecast
    • 6.2.1. By Service
    • 6.2.2. By Application
    • 6.2.3. By End Use
    • 6.2.4. By Country
      • 6.2.4.1. Germany
      • 6.2.4.1.1. By Service
      • 6.2.4.1.2. By Application
      • 6.2.4.1.3. By End Use
      • 6.2.4.2. United Kingdom
      • 6.2.4.2.1. By Service
      • 6.2.4.2.2. By Application
      • 6.2.4.2.3. By End Use
      • 6.2.4.3. Italy
      • 6.2.4.3.1. By Service
      • 6.2.4.3.2. By Application
      • 6.2.4.3.3. By End Use
      • 6.2.4.4. France
      • 6.2.4.4.1. By Service
      • 6.2.4.4.2. By Application
      • 6.2.4.4.3. By End Use
      • 6.2.4.5. Spain
      • 6.2.4.5.1. By Service
      • 6.2.4.5.2. By Application
      • 6.2.4.5.3. By End Use
      • 6.2.4.6. Belgium
      • 6.2.4.6.1. By Service
      • 6.2.4.6.2. By Application
      • 6.2.4.6.3. By End Use
      • 6.2.4.7. Russia
      • 6.2.4.7.1. By Service
      • 6.2.4.7.2. By Application
      • 6.2.4.7.3. By End Use
      • 6.2.4.8. The Netherlands
      • 6.2.4.8.1. By Service
      • 6.2.4.8.2. By Application
      • 6.2.4.8.3. By End Use
      • 6.2.4.9. Rest of Europe
      • 6.2.4.9.1. By Service
      • 6.2.4.9.2. By Application
      • 6.2.4.9.3. By End Use

7. Asia-Pacific Healthcare Payer Services Market

  • 7.1. Market Size & Forecast, 2019-2029
    • 7.1.1. By Value (USD Million)
  • 7.2. Market Share & Forecast
    • 7.2.1. By Service
    • 7.2.2. By Application
    • 7.2.3. By End Use
    • 7.2.4. By Country
      • 7.2.4.1. China
      • 7.2.4.1.1. By Service
      • 7.2.4.1.2. By Application
      • 7.2.4.1.3. By End Use
      • 7.2.4.2. India
      • 7.2.4.2.1. By Service
      • 7.2.4.2.2. By Application
      • 7.2.4.2.3. By End Use
      • 7.2.4.3. Japan
      • 7.2.4.3.1. By Service
      • 7.2.4.3.2. By Application
      • 7.2.4.3.3. By End Use
      • 7.2.4.4. South Korea
      • 7.2.4.4.1. By Service
      • 7.2.4.4.2. By Application
      • 7.2.4.4.3. By End Use
      • 7.2.4.5. Australia & New Zealand
      • 7.2.4.5.1. By Service
      • 7.2.4.5.2. By Application
      • 7.2.4.5.3. By End Use
      • 7.2.4.6. Indonesia
      • 7.2.4.6.1. By Service
      • 7.2.4.6.2. By Application
      • 7.2.4.6.3. By End Use
      • 7.2.4.7. Malaysia
      • 7.2.4.7.1. By Service
      • 7.2.4.7.2. By Application
      • 7.2.4.7.3. By End Use
      • 7.2.4.8. Singapore
      • 7.2.4.8.1. By Service
      • 7.2.4.8.2. By Application
      • 7.2.4.8.3. By End Use
      • 7.2.4.9. Vietnam
      • 7.2.4.9.1. By Service
      • 7.2.4.9.2. By Application
      • 7.2.4.9.3. By End Use
      • 7.2.4.10. Rest of APAC
      • 7.2.4.10.1. By Service
      • 7.2.4.10.2. By Application
      • 7.2.4.10.3. By End Use

8. Latin America Healthcare Payer Services Market

  • 8.1. Market Size & Forecast, 2019-2029
    • 8.1.1. By Value (USD Million)
  • 8.2. Market Share & Forecast
    • 8.2.1. By Service
    • 8.2.2. By Application
    • 8.2.3. By End Use
    • 8.2.4. By Country
      • 8.2.4.1. Brazil
      • 8.2.4.1.1. By Service
      • 8.2.4.1.2. By Application
      • 8.2.4.1.3. By End Use
      • 8.2.4.2. Mexico
      • 8.2.4.2.1. By Service
      • 8.2.4.2.2. By Application
      • 8.2.4.2.3. By End Use
      • 8.2.4.3. Argentina
      • 8.2.4.3.1. By Service
      • 8.2.4.3.2. By Application
      • 8.2.4.3.3. By End Use
      • 8.2.4.4. Peru
      • 8.2.4.4.1. By Service
      • 8.2.4.4.2. By Application
      • 8.2.4.4.3. By End Use
      • 8.2.4.5. Rest of LATAM
      • 8.2.4.5.1. By Service
      • 8.2.4.5.2. By Application
      • 8.2.4.5.3. By End Use

9. Middle East & Africa Healthcare Payer Services Market

  • 9.1. Market Size & Forecast, 2019-2029
    • 9.1.1. By Value (USD Million)
  • 9.2. Market Share & Forecast
    • 9.2.1. By Service
    • 9.2.2. By Application
    • 9.2.3. By End Use
    • 9.2.4. By Country
      • 9.2.4.1. Saudi Arabia
      • 9.2.4.1.1. By Service
      • 9.2.4.1.2. By Application
      • 9.2.4.1.3. By End Use
      • 9.2.4.2. UAE
      • 9.2.4.2.1. By Service
      • 9.2.4.2.2. By Application
      • 9.2.4.2.3. By End Use
      • 9.2.4.3. Qatar
      • 9.2.4.3.1. By Service
      • 9.2.4.3.2. By Application
      • 9.2.4.3.3. By End Use
      • 9.2.4.4. Kuwait
      • 9.2.4.4.1. By Service
      • 9.2.4.4.2. By Application
      • 9.2.4.4.3. By End Use
      • 9.2.4.5. South Africa
      • 9.2.4.5.1. By Service
      • 9.2.4.5.2. By Application
      • 9.2.4.5.3. By End Use
      • 9.2.4.6. Nigeria
      • 9.2.4.6.1. By Service
      • 9.2.4.6.2. By Application
      • 9.2.4.6.3. By End Use
      • 9.2.4.7. Algeria
      • 9.2.4.7.1. By Service
      • 9.2.4.7.2. By Application
      • 9.2.4.7.3. By End Use
      • 9.2.4.8. Rest of MEA
      • 9.2.4.8.1. By Service
      • 9.2.4.8.2. By Application
      • 9.2.4.8.3. By End Use

10. Competitive Landscape

  • 10.1. List of Key Players and Their Offerings
  • 10.2. Global Healthcare Payer Services Company Market Share Analysis, 2022
  • 10.3. Competitive Benchmarking, By Operating Parameters
  • 10.4. Key Strategic Developments (Mergers, Acquisitions, Partnerships, etc.)

11. Impact of Covid-19 on Global Healthcare Payer Services Market

12. Company Profile (Company Overview, Financial Matrix, Competitive Landscape, Key Personnel, Key Competitors, Contact Address, Strategic Outlook, SWOT Analysis)

  • 12.1. Cognizant
  • 12.2. TCS
  • 12.3. WNS
  • 12.4. NTT Data Corporation
  • 12.5. IQVIA Inc.
  • 12.6. Mphasis
  • 12.7. EXL
  • 12.8. HGS Ltd.
  • 12.9. Accenture
  • 12.10. Xerox Corporation
  • 12.11. Concentric Corporation
  • 12.12. Genpact
  • 12.13. WIPRO Ltd.
  • 12.14. HCL Technologies
  • 12.15. Other Prominent Players

13. Key Strategic Recommendations

14. Research Methodology

  • 14.1. Qualitative Research
    • 14.1.1. Primary & Secondary Research
  • 14.2. Quantitative Research
  • 14.3. Market Breakdown & Data Triangulation
    • 14.3.1. Secondary Research
    • 14.3.2. Primary Research
  • 14.4. Breakdown of Primary Research Respondents, By Region
  • 14.5. Assumptions & Limitations