Product Code: CMI6181
The healthcare payer network management market is estimated to be valued at US$ 5.35 billion in 2023 and is projected to achieve a value of about US$ 9.77 billion by 2030, growing at a CAGR of 9% from 2023 to 2030.
Report Coverage |
Report Details |
Base Year: |
2022 |
Market Size in 2023: |
US$ 5.35 Bn |
Historical Data for: |
2018 to 2021 |
Forecast Period: |
2023 - 2030 |
Forecast Period 2023 to 2030 CAGR: |
9.00% |
2030 Value Projection: |
US$ 9.77 Bn |
Figure 1. Healthcare Payer Network Management Market Share (%), by Region, 2023
Healthcare payer network management is the process of onboarding, credentialing, and contracting providers to serve a payer's member population. It is a crucial function that requires effective processes, streamlined data, and robust communication tools. But many payers are struggling to meet this need, as they use outdated homegrown systems and experience a lack of collaboration.
Market Dynamics:
Transition to value-based care, rising healthcare costs, and consumer expectations are anticipated to drive the growth of the global healthcare payer network management market over the forecast period. Moreover, population health management is also expected to boost the growth of the global healthcare payer network management market over the forecast period. Technological integration and automation, telehealth and remote services, value-based care models, and data analytics and insights are expected to create growth opportunities for the global healthcare payer network management market during the forecast period.
However, regulatory complexity, interoperability challenges, and resistance to change are expected to hamper the growth of the healthcare payer network management market over the forecast period.
Key features of the study:
- This report provides an in-depth analysis of the global healthcare payer network management market, and provides market size (US$ Billion) and Compound Annual Growth Rate (CAGR %) for the forecast period (2023-2030), considering 2022 as the base year
- It elucidates potential revenue growth opportunities across different segments and explains attractive investment proposition matrices for this market
- This study also provides key insights about market drivers, restraints, opportunities, new product launches or approvals, market trends, regional outlook, and competitive strategies adopted by key players
- It profiles key players in the global healthcare payer network management market based on the following parameters - company highlights, products portfolio, key highlights, financial performance, and strategies
- Key companies covered as a part of this study include Optum, Inc., Infosys Limited, Cognizant, Wipro, Cerner Corporation, NTT DATA Inc., MultiPlan Corporation, Athenahealth, Inovalon, Mphasis, OSP Labs, and LexisNexis Risk Solutions
- Insights from this report would allow marketers and the management authorities of the companies to make informed decisions regarding their future product launches, type up-gradation, market expansion, and marketing tactics
- The global healthcare payer network management market report caters to various stakeholders in this industry including investors, suppliers, product manufacturers, distributors, new entrants, and financial analysts
- Stakeholders would have ease in decision-making through various strategy matrices used in analyzing the global healthcare payer network management market
Detailed Segmentation:
- By Solution Type:
- Software/Platforms
- Services
- By Deployment Mode:
- By End User:
- Payers
- Providers
- Diagnostic Centers
- Others
- By Region:
- North America
- Latin America
- Europe
- Asia Pacific
- Middle East
- Africa
- Company Profiles:
- Optum, Inc.
- Infosys Limited
- Cognizant
- Wipro
- Cerner Corporation
- NTT DATA Inc.
- MultiPlan Corporation
- Athenahealth
- Inovalon
- Mphasis
- OSP Labs
- LexisNexis Risk Solutions.
Table of Contents
1. Research Objectives and Assumptions
- Research Objectives
- Assumptions
- Abbreviations
2. Market Purview
- Report Description
- Market Definition and Scope
- Executive Summary
- Healthcare Payer Network Management Market, By Solution Type
- Healthcare Payer Network Management Market, By Deployment Mode
- Healthcare Payer Network Management Market, By End User
- Healthcare Payer Network Management Market, By Region
- Coherent Opportunity Map (COM)
3. Market Dynamics, Regulations, and Trends Analysis
- Market Dynamics
- Drivers
- Providers network optimization
- Rising healthcare costs
- Restraints
- Opportunities
- Impact Analysis
- Key Highlights
- Regulatory Scenario
- Product Launches/Approvals
- PEST Analysis
- PORTER's Analysis
- Merger and Acquisition Scenario
4. Healthcare Payer Network Management Market - Impact of Coronavirus (COVID-19) Pandemic
- COVID-19 Epidemiology
- Supply Side and Demand Side Analysis
- Economic Impact
5. Healthcare Payer Network Management Market, By Solution Type, 2018-2030, (US$ Bn)
- Introduction
- Market Share Analysis, 2023 and 2030 (%)
- Y-o-Y Growth Analysis, 2019 - 2030
- Segment Trends
- Software/Platforms
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2018-2030,(US$ Bn)
- Services
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2018-2030,(US$ Bn)
6. Healthcare Payer Network Management Market, By Deployment Mode, 2018-2030, (US$ Bn)
- Introduction
- Market Share Analysis, 2023 and 2030 (%)
- Y-o-Y Growth Analysis, 2019 - 2030
- Segment Trends
- Cloud-based
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2018-2030,(US$ Billion)
- On-premises
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2018-2030,(US$ Billion)
7. Healthcare Payer Network Management Market, By End User, 2018-2030, (US$ Bn)
- Introduction
- Market Share Analysis, 2023 and 2030 (%)
- Y-o-Y Growth Analysis, 2019 - 2030
- Segment Trends
- Payers
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2018-2030,(US$ Billion)
- Providers
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2018-2030,(US$ Billion)
- Diagnostic Centers
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2018-2030,(US$ Billion)
- Others
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2018-2030,(US$ Billion)
8. Healthcare Payer Network Management Market, By Region, 2018-2030, (US$ Bn)
- Introduction
- Market Share Analysis, By Region, 2023 and 2030 (%)
- Y-o-Y Growth Analysis, For Region 2019 - 2030
- Country Trends
- North America
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, By Solution Type, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By Deployment Mode, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By End User, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By Country, 2018-2030,(US$ Bn)
- U.S.
- Canada
- Latin America
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, By Solution Type, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By Deployment Mode, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By End User, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By Country, 2018-2030,(US$ Bn)
- Brazil
- Mexico
- Argentina
- Rest of Latin America
- Europe
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, By Solution Type, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By Deployment Mode, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By End User, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By Country, 2018-2030,(US$ Bn)
- U.K.
- Germany
- Italy
- France
- Spain
- Russia
- Rest of Europe
- Asia Pacific
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, By Solution Type, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By Deployment Mode, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By End User, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By Country, 2018-2030,(US$ Bn)
- China
- India
- Japan
- Australia
- South Korea
- ASEAN
- Rest of Asia Pacific
- Middle East
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, By Solution Type, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By Deployment Mode, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By End User, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By Country, 2018-2030,(US$ Bn)
- GCC
- Israel
- Rest of Middle East
- Africa
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, By Solution Type, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By Deployment Mode, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By End User, 2018-2030,(US$ Bn)
- Market Size and Forecast, and Y-o-Y Growth, By Country/Region, 2018-2030,(US$ Bn)
- North Africa
- Central Africa
- South Africa
9. Competitive Landscape
- Optum, Inc.
- Company Highlights
- Product Portfolio
- Key Developments
- Financial Performance
- Strategies
- Infosys Limited
- Cognizant
- Wipro
- Cerner Corporation
- NTT DATA Inc.
- MultiPlan Corporation
- Athenahealth
- Inovalon
- Mphasis
- OSP Labs
- LexisNexis Risk Solutions.
- Analyst Views
10. Section
- Research Methodology
- About us