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市场调查报告书
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1644163

医疗保健支付方的全球人工智慧市场

Artificial Intelligence for Healthcare Payers
出版日期: | 出版商: Global Industry Analysts, Inc. | 英文 157 Pages | 商品交期: 最快1-2个工作天内

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简介目录

到 2030 年，全球医疗支付人工智慧市场规模将达到 37 亿美元

2024 年全球医疗支付方人工智慧市场规模估计为 23 亿美元，预计到 2030 年将达到 37 亿美元，2024 年至 2030 年的复合年增长率为 8.3%。医疗保健付款人 AI 软体是报告中分析的细分市场之一，预计到分析期结束时复合年增长率将达到 7.7%，达到 21 亿美元。预计在分析期间内，医疗保健支付方 AI 服务部门的复合年增长率为 9.1%。

美国市场规模估计为 6.055 亿美元，中国市场预计复合年增长率为 8.1%

预计 2024 年美国医疗保健支付方的人工智慧市场规模将达到 6.055 亿美元。中国是世界第二大经济体，预计到 2030 年市场规模将达到 5.949 亿美元，2024-2030 年分析期间的复合年增长率为 8.1%。其他值得注意的区域市场包括日本和加拿大，预计在分析期间的复合年增长率分别为 7.6% 和 7.1%。在欧洲，预计德国的复合年增长率约为 6.8%。

全球医疗保健支付者人工智慧市场 - 主要趋势和驱动因素摘要

人工智慧如何改变医疗保健支付者的业务？

人工智慧 (AI) 正在透过自动化管理流程、改善决策和加强成本控制来彻底改变医疗保健支付方的业务。医疗保健付款方（例如保险公司和管理式医疗组织）处理复杂的工作流程，包括索赔处理、诈骗侦测和会员服务。人工智慧系统透过自动执行重复任务、减少处理时间和最大限度地减少人为错误来简化这些业务。例如，人工智慧演算法可以即时分析索赔并识别不准确和不一致之处，从而加快裁决速度并提高效率。

人工智慧还使医疗保健支付者能够透过高级分析和预测模型提供个人化服务。透过分析人口统计、病历和行为模式等会员资料，AI系统可以洞察风险状况和健康趋势。这些见解可协助付款人设计有针对性的健康计划，优化福利计划并提高会员参与度。向主动、个人化照护的转变不仅提高了会员满意度，而且还降低了整体医疗保健成本，使人工智慧成为医疗保健支付者生态系统中的一股变革力量。

医疗保健支付方采用人工智慧的驱动因素有哪些？

医疗保健系统日益复杂以及控製成本的压力不断增加是医疗保健支付者采用人工智慧的主要驱动力。人口老化和慢性病增多导致的医疗成本上升，促使医疗支付者寻求创新解决方案来有效管理成本。人工智慧工具将使付款人能够识别高风险族群，预测疾病进展并实施预防措施，从而减轻系统的财务负担。

监管压力和遵守 HIPAA（健康保险互通性与课责法案）等标准的需求进一步推动了人工智慧的采用。人工智慧系统增强了资料安全性和隐私性，同时确保遵守行业法规。此外，基于价值的护理模式的兴起（强调结果而非服务）正在推动对能够衡量和优化护理品质的人工智慧解决方案的需求。这些趋势，加上资料互通性和云端基础的平台的进步，正在加速人工智慧与医疗保健支付方业务的整合。

人工智慧能否帮助打击诈欺并改善索赔管理？

事实证明，人工智慧是打击诈欺和改善医疗保健支付者索赔管理的关键工具。诈欺索赔每年对医疗产业造成数十亿美元的损失，因此诈欺检测成为重中之重。人工智慧系统使用机器学习演算法来分析索赔资料中的模式并标记可能表明诈欺、浪费或滥用的异常。这些系统不断学习和改进，使付款人能够领先于不断演变的诈欺手段，并将财务损失降至最低。

除了诈欺检测之外，人工智慧还透过自动化复杂流程和确保准确性来改变索赔管理。自然语言处理 (NLP) 工具从医疗记录和发票等非结构化文件中提取和解释资料，减少手动工作并加快索赔核准。预测分析工具还可以识别可能被拒绝的索赔，让付款人主动解决问题并改善报销时间表。这些功能提高了业务效率并建立了付款人和提供者之间的信任。

推动医疗保健支付者人工智慧市场成长的因素有哪些？

医疗保健支付方市场人工智慧的成长受到几个关键因素的推动，反映出对先进工具应对现代医疗保健复杂性的需求日益增长。电子健康记录(EHR)、穿戴式装置和其他数位来源产生的医疗保健资料的增加为人工智慧系统提供可操作的见解提供了丰富的基础。人工智慧分析此类资料并支援即时决策的能力为寻求提高效率和患者治疗效果的付款人创造了巨大的价值。

消费者对更快、更透明服务的期望也在推动对人工智慧的投资。会员期望无缝互动、个人化体验和快速解决方案，人工智慧系统透过自动化工作流程和实现主动沟通来实现这一点。课责和成本透明度的监管要求进一步推动医疗保健支付者采用人工智慧解决方案来增强报告和合规性。这些因素加上人工智慧演算法和云端运算的持续进步，推动了市场的稳定成长，使人工智慧成为寻求优化业务和提供更好护理的医疗保健支付者的重要资产。

部分

元件（软体元件、服务元件）、配置（云端基础的配置、本地配置）、应用程式（索赔处理最佳化应用程式、诈骗侦测和预防应用程式、收益管理和计费应用程式、会员参与和个人化应用程式、其他应用程式）

受访公司范例（25家值得关注的公司）

  • Accenture Plc
  • AiRo Digital Labs
  • CareCloud, Inc.
  • Cognizant Technology Solutions Corporation
  • Innovaccer, Inc.
  • Optum, Inc.
  • Oracle Corporation
  • Quantiphi, Inc.
  • Softheon

目录

第一章调查方法

第 2 章执行摘要

  • 市场概况
  • 主要企业
  • 市场趋势和驱动因素
  • 全球市场展望

第三章 市场分析

  • 美国
  • 加拿大
  • 日本
  • 中国
  • 欧洲
  • 法国
  • 德国
  • 义大利
  • 英国
  • 其他欧洲国家
  • 亚太地区
  • 其他地区

第四章 竞赛

简介目录
Product Code: MCP29246

Global Artificial Intelligence for Healthcare Payers Market to Reach US$3.7 Billion by 2030

The global market for Artificial Intelligence for Healthcare Payers estimated at US$2.3 Billion in the year 2024, is expected to reach US$3.7 Billion by 2030, growing at a CAGR of 8.3% over the analysis period 2024-2030. Healthcare Payers AI Software, one of the segments analyzed in the report, is expected to record a 7.7% CAGR and reach US$2.1 Billion by the end of the analysis period. Growth in the Healthcare Payers AI Services segment is estimated at 9.1% CAGR over the analysis period.

The U.S. Market is Estimated at US$605.5 Million While China is Forecast to Grow at 8.1% CAGR

The Artificial Intelligence for Healthcare Payers market in the U.S. is estimated at US$605.5 Million in the year 2024. China, the world's second largest economy, is forecast to reach a projected market size of US$594.9 Million by the year 2030 trailing a CAGR of 8.1% over the analysis period 2024-2030. Among the other noteworthy geographic markets are Japan and Canada, each forecast to grow at a CAGR of 7.6% and 7.1% respectively over the analysis period. Within Europe, Germany is forecast to grow at approximately 6.8% CAGR.

Global Artificial Intelligence for Healthcare Payers Market - Key Trends & Drivers Summarized

How Is AI Transforming Healthcare Payer Operations?

Artificial Intelligence (AI) is revolutionizing the operations of healthcare payers by automating administrative processes, improving decision-making, and enhancing cost management. Healthcare payers, such as insurance companies and managed care organizations, deal with complex workflows involving claims processing, fraud detection, and member services. AI-powered systems streamline these operations by automating repetitive tasks, reducing processing times, and minimizing human errors. For example, AI algorithms analyze claims in real time to identify inaccuracies or inconsistencies, ensuring faster adjudication and improved efficiency.

AI is also enabling healthcare payers to offer personalized services through advanced analytics and predictive modeling. By analyzing member data, including demographics, medical history, and behavioral patterns, AI systems provide insights into risk profiles and health trends. These insights help payers design targeted wellness programs, optimize benefit plans, and improve member engagement. This shift toward proactive and personalized care is not only improving member satisfaction but also reducing overall healthcare costs, making AI a transformative force in the healthcare payer ecosystem.

What Drives the Adoption of AI by Healthcare Payers?

The growing complexity of healthcare systems and the increasing demand for cost containment are major drivers of AI adoption by healthcare payers. Rising healthcare expenditures, driven by an aging population and the prevalence of chronic diseases, are prompting payers to seek innovative solutions to manage costs effectively. AI-powered tools enable payers to identify high-risk populations, predict disease progression, and implement preventive measures, reducing the financial burden on the system.

Regulatory pressures and the need for compliance with standards such as HIPAA (Health Insurance Portability and Accountability Act) are further encouraging the adoption of AI. AI systems enhance data security and privacy while ensuring compliance with industry regulations. Additionally, the rise of value-based care models, which emphasize outcomes over services, is driving the need for AI solutions that can measure and optimize care quality. These trends, coupled with advancements in data interoperability and cloud-based platforms, are accelerating the integration of AI into healthcare payer operations.

Can AI Help Combat Fraud and Improve Claims Management?

AI is proving to be a critical tool in combating fraud and enhancing claims management for healthcare payers. Fraudulent claims cost the healthcare industry billions annually, making fraud detection a top priority. AI-powered systems use machine learning algorithms to analyze patterns in claims data, flagging anomalies that may indicate fraud, waste, or abuse. These systems continuously learn and improve, enabling payers to stay ahead of evolving fraud tactics and minimize financial losses.

In addition to fraud detection, AI is transforming claims management by automating complex processes and ensuring accuracy. Natural language processing (NLP) tools extract and interpret data from unstructured documents, such as medical records and invoices, reducing manual intervention and speeding up claim approvals. Predictive analytics tools also identify claims likely to be denied, allowing payers to address issues proactively and improve reimbursement timelines. These capabilities are enhancing operational efficiency and building trust between payers and providers.

What’s Driving the Growth of the AI for Healthcare Payers Market?

The growth in the Artificial Intelligence for Healthcare Payers market is driven by several critical factors, reflecting the increasing need for advanced tools to navigate the complexities of modern healthcare. The rise in healthcare data, generated from electronic health records (EHRs), wearables, and other digital sources, is providing a rich foundation for AI systems to deliver actionable insights. AI’s ability to analyze this data and support real-time decision-making is creating significant value for payers seeking to improve efficiency and member outcomes.

Consumer expectations for faster, more transparent services are also driving investments in AI. Members expect seamless interactions, personalized experiences, and quick resolutions, which AI systems deliver by automating workflows and enabling proactive communication. Regulatory requirements for accountability and cost transparency are further pushing healthcare payers to adopt AI solutions that enhance reporting and compliance. These factors, along with continuous advancements in AI algorithms and cloud computing, are fueling the market’s steady growth, establishing AI as an indispensable asset for healthcare payers aiming to optimize operations and deliver better care.

SCOPE OF STUDY:

The report analyzes the Artificial Intelligence for Healthcare Payers market in terms of units by the following Segments, and Geographic Regions/Countries:

Segments:

Component (Software Component, Services Component); Deployment (Cloud-based Deployment, On-Premise Deployment); Application (Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application, Other Applications)

Geographic Regions/Countries:

World; United States; Canada; Japan; China; Europe (France; Germany; Italy; United Kingdom; and Rest of Europe); Asia-Pacific; Rest of World.

Select Competitors (Total 25 Featured) -

  • Accenture Plc
  • AiRo Digital Labs
  • CareCloud, Inc.
  • Cognizant Technology Solutions Corporation
  • Innovaccer, Inc.
  • Optum, Inc.
  • Oracle Corporation
  • Quantiphi, Inc.
  • Softheon

TABLE OF CONTENTS

I. METHODOLOGY

II. EXECUTIVE SUMMARY

  • 1. MARKET OVERVIEW
    • Influencer Market Insights
    • World Market Trajectories
    • Economic Frontiers: Trends, Trials & Transformations
    • Artificial Intelligence for Healthcare Payers - Global Key Competitors Percentage Market Share in 2024 (E)
    • Competitive Market Presence - Strong/Active/Niche/Trivial for Players Worldwide in 2024 (E)
  • 2. FOCUS ON SELECT PLAYERS
  • 3. MARKET TRENDS & DRIVERS
    • AI Adoption Spurs Growth by Enhancing Claims Management and Fraud Detection
    • Predictive AI Tools Propel Growth in Chronic Disease Management Programs
    • AI-Enabled Cost Optimization Solutions Drive Efficiency in Payer Operations
    • Demand for AI in Population Health Management Sets the Stage for Market Growth
    • AI-Powered Payment Automation Bodes Well for Reducing Administrative Overhead
    • Healthcare Payers Embrace AI for Value-Based Care Initiatives, Driving Adoption
    • Real-Time AI Insights Spur Demand for Fraud Prevention in Insurance Processing
    • Integration of AI in Telehealth Solutions Spurs Growth in Member Access Services
    • Growing Need for Real-Time AI Analytics in Care Coordination Drives Innovation
  • 4. GLOBAL MARKET PERSPECTIVE
    • TABLE 1: World Artificial Intelligence for Healthcare Payers Market Analysis of Annual Sales in US$ Million for Years 2015 through 2030
    • TABLE 2: World Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 3: World 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets for Years 2025 & 2030
    • TABLE 4: World Recent Past, Current & Future Analysis for Software Component by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 5: World 6-Year Perspective for Software Component by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 6: World Recent Past, Current & Future Analysis for Services Component by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 7: World 6-Year Perspective for Services Component by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 8: World Recent Past, Current & Future Analysis for Cloud-based Deployment by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 9: World 6-Year Perspective for Cloud-based Deployment by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 10: World Recent Past, Current & Future Analysis for On-Premise Deployment by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 11: World 6-Year Perspective for On-Premise Deployment by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 12: World Recent Past, Current & Future Analysis for Claims Processing Optimization Application by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 13: World 6-Year Perspective for Claims Processing Optimization Application by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 14: World Recent Past, Current & Future Analysis for Fraud Detection & Prevention Application by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 15: World 6-Year Perspective for Fraud Detection & Prevention Application by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 16: World Recent Past, Current & Future Analysis for Revenue Management & Billing Application by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 17: World 6-Year Perspective for Revenue Management & Billing Application by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 18: World Recent Past, Current & Future Analysis for Member Engagement & Personalization Application by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 19: World 6-Year Perspective for Member Engagement & Personalization Application by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 20: World Recent Past, Current & Future Analysis for Other Applications by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 21: World 6-Year Perspective for Other Applications by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030

III. MARKET ANALYSIS

  • UNITED STATES
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in the United States for 2025 (E)
    • TABLE 22: USA Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 23: USA 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 24: USA Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 25: USA 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 26: USA Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 27: USA 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • CANADA
    • TABLE 28: Canada Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 29: Canada 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 30: Canada Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 31: Canada 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 32: Canada Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 33: Canada 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • JAPAN
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Japan for 2025 (E)
    • TABLE 34: Japan Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 35: Japan 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 36: Japan Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 37: Japan 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 38: Japan Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 39: Japan 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • CHINA
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in China for 2025 (E)
    • TABLE 40: China Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 41: China 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 42: China Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 43: China 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 44: China Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 45: China 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • EUROPE
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Europe for 2025 (E)
    • TABLE 46: Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Geographic Region - France, Germany, Italy, UK and Rest of Europe Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 47: Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Geographic Region - Percentage Breakdown of Value Sales for France, Germany, Italy, UK and Rest of Europe Markets for Years 2025 & 2030
    • TABLE 48: Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 49: Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 50: Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 51: Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 52: Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 53: Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • FRANCE
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in France for 2025 (E)
    • TABLE 54: France Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 55: France 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 56: France Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 57: France 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 58: France Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 59: France 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • GERMANY
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Germany for 2025 (E)
    • TABLE 60: Germany Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 61: Germany 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 62: Germany Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 63: Germany 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 64: Germany Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 65: Germany 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • ITALY
    • TABLE 66: Italy Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 67: Italy 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 68: Italy Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 69: Italy 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 70: Italy Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 71: Italy 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • UNITED KINGDOM
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in the United Kingdom for 2025 (E)
    • TABLE 72: UK Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 73: UK 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 74: UK Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 75: UK 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 76: UK Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 77: UK 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • REST OF EUROPE
    • TABLE 78: Rest of Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 79: Rest of Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 80: Rest of Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 81: Rest of Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 82: Rest of Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 83: Rest of Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • ASIA-PACIFIC
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Asia-Pacific for 2025 (E)
    • TABLE 84: Asia-Pacific Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 85: Asia-Pacific 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 86: Asia-Pacific Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 87: Asia-Pacific 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 88: Asia-Pacific Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 89: Asia-Pacific 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • REST OF WORLD
    • TABLE 90: Rest of World Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 91: Rest of World 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 92: Rest of World Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 93: Rest of World 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 94: Rest of World Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 95: Rest of World 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030

IV. COMPETITION