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市场调查报告书
商品编码
1663370

全球医疗保健付款人 BPO 市场规模、份额和趋势分析报告，按服务（索赔管理、综合前台服务和后台运营、会员管理、人力资源服务）和区域预测 2022-2032

Global Healthcare Payer BPO Market Size, Share & Trends Analysis Report, By Services (Claims Management, Integrated Front Office Service & Back Office Operations, Member Management, HR Services), and Regional Forecasts 2022-2032
出版日期: | 出版商: Bizwit Research & Consulting LLP | 英文 285 Pages | 商品交期: 2-3个工作天内

价格
简介目录

2023 年全球医疗保健付款人 BPO 市场价值为 324 亿美元，预计到 2032 年将达到 590.7 亿美元，2024 年至 2032 年的年复合成长率(CAGR) 为 6.9%。

根据世界卫生组织 (WHO) 的预测，到 2050 年，80 岁及以上人口预计将增长两倍，达到 4.26 亿，而 60 岁以上人口将增长一倍，达到 21 亿。这种人口结构的变化加速了对医疗保健服务的需求，从而增加了保险公司的工作量。医疗保健付款人 BPO 服务已被证明有助于简化索赔管理、会员服务和计费等操作，同时降低成本并提高客户满意度。

人工智慧 (AI)、机器人流程自动化 (RPA) 和高级分析等技术的整合正在重塑市场格局，为付款人提供更高的准确性和营运效率。 Cognizant 和 Accenture 等公司正在与技术供应商合作开发创新解决方案，以满足不断变化的付款人需求。例如，Cognizant 于 2023 年 4 月与 Microsoft 建立合作，增强了索赔管理流程，从而带来了更好的客户结果。

从地区来看，北美由于其先进的支付系统、医疗保险普及率的提高以及对技术基础设施的大量投资，在 2023 年占据了市场主导地位。在公共和私人医疗保健支出不断增长以及政府优惠政策的推动下，预计亚太地区将在预测期内实现最快的增长。

竞争格局高度分散，Cognizant、埃森哲、凯捷、Genpact 和 Wipro 等主要参与者采用併购等策略来加强其市场地位。

到 2030 年，全球医疗保健付款人 BPO 市场规模将达到 520 亿美元

全球医疗保健支付方 BPO 市场正在经历显着增长，这得益于慢性病患病率的上升、对行政效率的需求不断增长以及技术驱动解决方案的日益采用。随着全球医疗成本不断上升，外包管理任务已成为付款人降低成本和提高服务品质的策略性倡议。

索赔管理服务部门在 2023 年占据了最大的份额，这得益于采用 AI 和 RPA 来简化索赔处理和诈欺检测。随着医疗保健提供者数量的增加和对高效资料管理的需求不断增长，提供者管理服务预计将以最快的复合年增长率成长。

由于其强大的医疗保健基础设施和技术进步，北美仍然占据主导地位。同时，受益于高经济成长、保险渗透率提高以及对医疗基础设施发展的重视，亚太市场也将迅速扩张。

市场的关键参与者包括 Cognizant、埃森哲、Genpact、Wipro 和 HCL Technologies Limited，它们正在利用策略合作伙伴关係和先进技术来巩固其市场地位。

市场的详细细分和子细分解释如下：

目录

第 1 章：全球医疗保健付款人 BPO 市场执行摘要

  • 全球医疗保健付款人 BPO 市场规模和预测（2022-2032 年）
  • 区域概况
  • 节段概要
    • 按服务
    • 按地区
  • 主要趋势
  • 经济衰退的影响
  • 分析师建议与结论

第 2 章：全球医疗保健付款人 BPO 市场定义与研究假设

  • 研究目标
  • 市场定义
  • 研究假设
    • 包容与排斥
    • 限制
    • 供给侧分析
      • 可用性
      • 基础设施
      • 监管环境
      • 市场竞争
      • 经济可行性（消费者的观点）
    • 需求面分析
      • 监理框架
      • 技术进步
      • 环境考虑
      • 消费者认知与接受度
  • 估算方法
  • 研究考虑的年份
  • 货币兑换率

第 3 章：全球医疗保健付款人 BPO 市场动态

  • 市场驱动因素
    • 慢性病盛行率上升
    • 医疗保健 BPO 服务的技术进步
    • 降低成本和提高营运效率的需求日益增加
  • 市场挑战
    • 资料安全和合规性问题
    • 先进技术的初始投资成本高
  • 市场机会
    • 新兴经济体的成长
    • 将人工智慧和分析技术融入付款人服务
    • 扩大全球医疗保险覆盖范围

第 4 章：全球医疗保健付款人 BPO 市场产业分析

  • 波特五力分析
    • 供应商的议价能力
    • 买家的议价能力
    • 新进入者的威胁
    • 替代品的威胁
    • 竞争对手
  • PESTEL 分析
    • 政治的
    • 经济
    • 社会的
    • 科技
    • 环境的
    • 合法的
  • 最佳投资机会
  • 最佳获胜策略
  • 颠覆性趋势
  • 产业专家观点
  • 分析师建议与结论

第 5 章：全球医疗保健付款人 BPO 市场规模和预测：按服务分类（2022-2032 年）

  • 细分仪表板
  • 全球医疗保健付款人 BPO 市场：服务收入趋势分析（2022 年和 2032 年）
    • 索赔管理服务
    • 整合前台服务和后台运营
    • 会员管理服务
    • 供应商管理服务
    • 帐单和帐户管理服务
    • 分析和诈欺管理服务
    • 人力资源服务

第 6 章：全球医疗保健付款人 BPO 市场规模与预测：按地区（2022-2032 年）

  • 北美医疗保健付款人 BPO 市场
    • 美国医疗保健付款人 BPO 市场
    • 加拿大医疗保健付款人 BPO 市场
    • 墨西哥医疗保健付款人 BPO 市场
  • 欧洲医疗保健付款人 BPO 市场
    • 英国医疗保健付款人 BPO 市场
    • 德国医疗保健付款人 BPO 市场
    • 法国医疗支付者 BPO 市场
    • 义大利医疗支付方 BPO 市场
    • 西班牙医疗保健付款人 BPO 市场
    • 丹麦医疗支付方 BPO 市场
    • 瑞典医疗保健付款人 BPO 市场
    • 挪威医疗付款人 BPO 市场
  • 亚太医疗支付方 BPO 市场
    • 日本医疗支付者 BPO 市场
    • 中国医疗支付方BPO市场
    • 印度医疗保健付款人 BPO 市场
    • 澳洲医疗保健付款人 BPO 市场
    • 韩国医疗支付方 BPO 市场
    • 泰国医疗支付方 BPO 市场
  • 拉丁美洲医疗保健付款人 BPO 市场
    • 巴西医疗保健付款人 BPO 市场
    • 阿根廷医疗保健付款人 BPO 市场
  • 中东和非洲医疗保健付款人 BPO 市场
    • 南非医疗保健付款人 BPO 市场
    • 沙乌地阿拉伯医疗保健付款人 BPO 市场
    • 阿联酋医疗保健付款人 BPO 市场
    • 科威特医疗保健付款人 BPO 市场

第 7 章：竞争情报

  • 重点公司 SWOT 分析
    • Cognizant
    • Accenture
    • Wipro
  • 顶级市场策略
  • 公司简介
    • Cognizant
      • 关键讯息
      • 概述
      • 财务资讯（以数据可用性为准）
      • 产品概述
      • 市场策略
    • Accenture
    • Genpact
    • Wipro
    • Capgemini
    • HCL Technologies Limited
    • ExlService Holdings, Inc.
    • Hewlett Packard Enterprise Development LP
    • Xerox Corporation
    • Optum Inc.

第 8 章：研究过程

  • 研究进程
    • 资料探勘
    • 分析
    • 市场评估
    • 验证
    • 出版
  • 研究属性
简介目录

The global Healthcare Payer BPO Market was valued at USD 32.4 billion in 2023 and is projected to reach USD 59.07 billion by 2032, growing at a compound annual growth rate (CAGR) of 6.9% from 2024 to 2032. The market's expansion is driven by the increasing global geriatric population, rising healthcare costs, technological advancements, and the need for operational efficiency among healthcare payers.

As per the World Health Organization (WHO), the population aged 80 and above is projected to triple to reach 426 million by 2050, while the 60+ demographic will double to 2.1 billion. This demographic shift is accelerating demand for healthcare services, thus increasing the workload on insurance companies. Healthcare payer BPO services are proving instrumental in streamlining operations such as claims management, member services, and billing while reducing costs and enhancing customer satisfaction.

The integration of technologies like artificial intelligence (AI), robotic process automation (RPA), and advanced analytics is reshaping the market landscape, offering payers improved accuracy and operational efficiency. Companies like Cognizant and Accenture are collaborating with technology providers to develop innovative solutions that address evolving payer needs. For instance, Cognizant's partnership with Microsoft in April 2023 enabled enhanced claims management processes, driving better customer outcomes.

Regionally, North America dominated the market in 2023 due to advanced payer systems, increased penetration of health insurance, and substantial investments in technological infrastructure. The Asia Pacific region is expected to witness the fastest growth during the forecast period, supported by growing public and private healthcare expenditures and favorable government policies.

The competitive landscape is highly fragmented, with major players such as Cognizant, Accenture, Capgemini, Genpact, and Wipro adopting strategies like mergers and acquisitions to strengthen their market presence.

Global Healthcare Payer BPO Market to Reach USD 52.0 Billion by 2030

The global healthcare payer BPO market is experiencing significant growth, driven by the rising prevalence of chronic diseases, the growing need for administrative efficiency, and the increasing adoption of technology-driven solutions. With healthcare costs escalating worldwide, outsourcing administrative tasks has become a strategic move for payers to achieve cost reductions and enhance service quality.

The claims management services segment accounted for the largest share in 2023, driven by the adoption of AI and RPA to streamline claims processing and fraud detection. Provider management services are expected to grow at the fastest CAGR, supported by the increasing number of healthcare providers and the rising need for efficient data management.

North America remains a dominant region due to its robust healthcare infrastructure and technological advancements. Meanwhile, the Asia Pacific market is set to expand rapidly, benefiting from high economic growth, increased insurance penetration, and a focus on healthcare infrastructure development.

Key players in the market include Cognizant, Accenture, Genpact, Wipro, and HCL Technologies Limited, which are leveraging strategic partnerships and advanced technologies to strengthen their market position.

Major Market Players Included in This Report Are:

  • Cognizant
  • Xerox Corporation
  • Accenture
  • Hinduja Global Solution Limited
  • ExlService Holdings, Inc.
  • Hewlett Packard Enterprise Development LP
  • Genpact
  • Wipro
  • Capgemini
  • HCL Technologies Limited
  • IBM Corporation
  • Syntel Inc.
  • Optum Inc.
  • Conduent Inc.
  • DXC Technology

The Detailed Segments and Sub-Segments of the Market Are Explained Below:

By Services:

  • Claims Management Services
  • Integrated Front Office Service & Back Office Operations
  • Member Management Services
  • Provider Management Services
  • Billing & Accounts Management Services
  • Analytics & Fraud Management Services
  • HR Services

By Region:

  • North America
    • U.S.
    • Canada
    • Mexico
  • Europe
    • UK
    • Germany
    • France
    • Italy
    • Spain
    • Denmark
    • Sweden
    • Norway
  • Asia Pacific
    • Japan
    • China
    • India
    • Australia
    • South Korea
    • Thailand
  • Latin America
    • Brazil
    • Argentina
  • Middle East & Africa (MEA)
    • South Africa
    • Saudi Arabia
    • UAE
    • Kuwait

Years Considered for the Study Are as Follows:

  • Historical Year - 2022
  • Base Year - 2023
  • Forecast Period - 2024 to 2032

Key Takeaways:

  • Market estimates & forecasts for 10 years from 2022 to 2032
  • Annualized revenues and regional-level analysis for each market segment
  • Detailed geographical landscape analysis with country-level insights for major regions
  • Competitive landscape information, including major players and market share
  • Strategic recommendations for future market approaches

Table of Contents

Chapter 1. Global Healthcare Payer BPO Market Executive Summary

  • 1.1. Global Healthcare Payer BPO Market Size & Forecast (2022-2032)
  • 1.2. Regional Summary
  • 1.3. Segmental Summary
    • 1.3.1. By Services
    • 1.3.2. By Region
  • 1.4. Key Trends
  • 1.5. Recession Impact
  • 1.6. Analyst Recommendation & Conclusion

Chapter 2. Global Healthcare Payer BPO Market Definition and Research Assumptions

  • 2.1. Research Objective
  • 2.2. Market Definition
  • 2.3. Research Assumptions
    • 2.3.1. Inclusion & Exclusion
    • 2.3.2. Limitations
    • 2.3.3. Supply Side Analysis
      • 2.3.3.1. Availability
      • 2.3.3.2. Infrastructure
      • 2.3.3.3. Regulatory Environment
      • 2.3.3.4. Market Competition
      • 2.3.3.5. Economic Viability (Consumer's Perspective)
    • 2.3.4. Demand Side Analysis
      • 2.3.4.1. Regulatory Frameworks
      • 2.3.4.2. Technological Advancements
      • 2.3.4.3. Environmental Considerations
      • 2.3.4.4. Consumer Awareness & Acceptance
  • 2.4. Estimation Methodology
  • 2.5. Years Considered for the Study
  • 2.6. Currency Conversion Rates

Chapter 3. Global Healthcare Payer BPO Market Dynamics

  • 3.1. Market Drivers
    • 3.1.1. Rising prevalence of chronic diseases
    • 3.1.2. Technological advancements in healthcare BPO services
    • 3.1.3. Increasing need for cost reduction and operational efficiency
  • 3.2. Market Challenges
    • 3.2.1. Data security and compliance concerns
    • 3.2.2. High initial investment costs for advanced technologies
  • 3.3. Market Opportunities
    • 3.3.1. Growth in emerging economies
    • 3.3.2. Integration of AI and analytics into payer services
    • 3.3.3. Expanding healthcare coverage globally

Chapter 4. Global Healthcare Payer BPO Market Industry Analysis

  • 4.1. Porter's Five Forces Analysis
    • 4.1.1. Bargaining Power of Suppliers
    • 4.1.2. Bargaining Power of Buyers
    • 4.1.3. Threat of New Entrants
    • 4.1.4. Threat of Substitutes
    • 4.1.5. Competitive Rivalry
  • 4.2. PESTEL Analysis
    • 4.2.1. Political
    • 4.2.2. Economical
    • 4.2.3. Social
    • 4.2.4. Technological
    • 4.2.5. Environmental
    • 4.2.6. Legal
  • 4.3. Top Investment Opportunities
  • 4.4. Top Winning Strategies
  • 4.5. Disruptive Trends
  • 4.6. Industry Expert Perspective
  • 4.7. Analyst Recommendation & Conclusion

Chapter 5. Global Healthcare Payer BPO Market Size & Forecasts by Services (2022-2032)

  • 5.1. Segment Dashboard
  • 5.2. Global Healthcare Payer BPO Market: Services Revenue Trend Analysis (2022 & 2032)
    • 5.2.1. Claims Management Services
    • 5.2.2. Integrated Front Office Service & Back Office Operations
    • 5.2.3. Member Management Services
    • 5.2.4. Provider Management Services
    • 5.2.5. Billing & Accounts Management Services
    • 5.2.6. Analytics & Fraud Management Services
    • 5.2.7. HR Services

Chapter 6. Global Healthcare Payer BPO Market Size & Forecasts by Region (2022-2032)

  • 6.1. North America Healthcare Payer BPO Market
    • 6.1.1. U.S. Healthcare Payer BPO Market
    • 6.1.2. Canada Healthcare Payer BPO Market
    • 6.1.3. Mexico Healthcare Payer BPO Market
  • 6.2. Europe Healthcare Payer BPO Market
    • 6.2.1. UK Healthcare Payer BPO Market
    • 6.2.2. Germany Healthcare Payer BPO Market
    • 6.2.3. France Healthcare Payer BPO Market
    • 6.2.4. Italy Healthcare Payer BPO Market
    • 6.2.5. Spain Healthcare Payer BPO Market
    • 6.2.6. Denmark Healthcare Payer BPO Market
    • 6.2.7. Sweden Healthcare Payer BPO Market
    • 6.2.8. Norway Healthcare Payer BPO Market
  • 6.3. Asia Pacific Healthcare Payer BPO Market
    • 6.3.1. Japan Healthcare Payer BPO Market
    • 6.3.2. China Healthcare Payer BPO Market
    • 6.3.3. India Healthcare Payer BPO Market
    • 6.3.4. Australia Healthcare Payer BPO Market
    • 6.3.5. South Korea Healthcare Payer BPO Market
    • 6.3.6. Thailand Healthcare Payer BPO Market
  • 6.4. Latin America Healthcare Payer BPO Market
    • 6.4.1. Brazil Healthcare Payer BPO Market
    • 6.4.2. Argentina Healthcare Payer BPO Market
  • 6.5. Middle East & Africa Healthcare Payer BPO Market
    • 6.5.1. South Africa Healthcare Payer BPO Market
    • 6.5.2. Saudi Arabia Healthcare Payer BPO Market
    • 6.5.3. UAE Healthcare Payer BPO Market
    • 6.5.4. Kuwait Healthcare Payer BPO Market

Chapter 7. Competitive Intelligence

  • 7.1. Key Company SWOT Analysis
    • 7.1.1. Cognizant
    • 7.1.2. Accenture
    • 7.1.3. Wipro
  • 7.2. Top Market Strategies
  • 7.3. Company Profiles
    • 7.3.1. Cognizant
      • 7.3.1.1. Key Information
      • 7.3.1.2. Overview
      • 7.3.1.3. Financials (Subject to Data Availability)
      • 7.3.1.4. Product Summary
      • 7.3.1.5. Market Strategies
    • 7.3.2. Accenture
    • 7.3.3. Genpact
    • 7.3.4. Wipro
    • 7.3.5. Capgemini
    • 7.3.6. HCL Technologies Limited
    • 7.3.7. ExlService Holdings, Inc.
    • 7.3.8. Hewlett Packard Enterprise Development LP
    • 7.3.9. Xerox Corporation
    • 7.3.10. Optum Inc.

Chapter 8. Research Process

  • 8.1. Research Process
    • 8.1.1. Data Mining
    • 8.1.2. Analysis
    • 8.1.3. Market Estimation
    • 8.1.4. Validation
    • 8.1.5. Publishing
  • 8.2. Research Attributes