全球医疗保健支付服务市场 2023-2030

全球医疗保健支付服务市场预计在预测期内（2023-2030 年）将以 7.8% 的CAGR成长。该市场的成长归因于对成本效益营运的需求不断增长以及对先进供应链管理 (SCM) 实践的需求增长，最大限度地降低医疗保健供应链 BPO 服务的总体成本可能会在预测期间推动市场成长时期。此外，PPACA 引发的健康保险註册、不断增加的联邦医疗保健要求、慢性病发病率的上升以及医疗保健诈欺案件的增加都是推动市场成长的因素。 2023 年 6 月，医疗保险和医疗补助服务中心 (CMS) 发布了最新的医疗保险註册资料。截至 2023 年 3 月，共有 65,748,297 人加入医疗保险，自 9 月的上次报告以来增加了近 10 万人。其中，33,948,778 人加入了原始医疗保险。有 31,799,519 人加入了 Medicare Advantage 或其他健康计划。这包括参加有或没有处方药承保的 Medicare Advantage 计划。有 51,591,776 人加入了 Medicare D 部分。这包括加入了独立处方药计划以及提供处方药承保的 Medicare Advantage 计划。此外，慢性病的增加进一步促进了健康保险的发展，导致医疗支付服务的采用并推动了市场的成长。根据国际糖尿病联盟 2021 年的数据，大约 5.37 亿 20 岁至 79 岁的人患有糖尿病。糖尿病导致超过 670 万人死亡。到2030年，糖尿病患者总数预计将达到6.43亿，到2045年将达到7.83亿。此外，根据 Globocan 2020 的数据，预计新增病例为 1,930 万，癌症死亡人数为 1,000 万人。如此巨大的慢性病负担将导致更多地采用道德药物，从而显着推动市场成长。

细分市场前景

全球医疗保健支付服务市场根据技术和最终用途进行细分。根据技术，市场细分为 BPO 服务、KPO 服务和 ITO 服务。此外，根据最终用途，市场分为私人付款人和公共付款人。在最终用途中，私人付款人细分市场预计将在预测期内占据最大的市场份额。此细分市场的大部分份额归功于 BPO 服务提供的更低的成本、更高的效率以及专注于基本业务运营的能力。这在很大程度上归因于 BPO 服务在重要管理领域提供管理。

预计私人付款人细分市场将在全球医疗保健付款人服务市场中占据相当大的份额

在最终用途中，私人付款人细分市场预计将在预测期内成长。此细分市场的推动因素是医疗保健支付者垂直领域的私人投资不断增加，以及政府对促进医疗保健产业私人投资的支持不断增加。根据 2022 年国家健康 (NIH) 访谈调查，在 18-64 岁的成年人中，12.2% 的人没有保险，22.0% 的人有公共保险，67.8% 的人有私人健康保险。 18-64岁的成年人最有可能拥有私人保险（67.8%），其次是0-17岁的儿童（54.3%）和65岁以上的成年人（45.7%）。

区域展望

全球医疗保健支付服务市场根据地理位置进一步细分，包括北美（美国和加拿大）、欧洲（英国、义大利、西班牙、德国、法国和欧洲其他地区）、亚太地区（印度、中国、日本、韩国和亚洲其他地区）以及世界其他地区（中东和非洲以及拉丁美洲）。其中，由于对医疗保健支付服务的需求不断增长、老年人口不断增加、健康保险的采用率不断上升、医疗保健诈欺不断增加以及医疗保健支出不断增加，预计亚太地区在预测期内将出现增长。

北美地区预计全球医疗支付服务市场将以显着的复合CAGR成长

由于医疗保健政策的不断采用以及该地区成熟的医疗保健系统的存在，预计北美将在市场上占据显着份额。根据国会研究服务处于 2023 年 2 月更新的题为“美国医疗保健覆盖范围和支出”的文章，大多数人在 2021 年拥有私人健康保险或享受 Medicare 或 Medicaid 等政府计划的覆盖。估计人口为3.27亿。其中大多数人都有私人健康保险或享有医疗保险或医疗补助等联邦计划的保障。然而，约 8.6% 的美国总人口仍然没有保险。 2021年，包括未投保者、健康保险公司以及联邦和州政府在内的个人在各类健康消费支出（HCE）上的支出约为4.0万亿美元，占美国国内生产总值（GDP）的17.4%。由于采用医疗支付服务来索赔保险，该地区对医疗保健消费的如此巨大的投资推动了该地区市场的成长。

2021 年健康保险覆盖率占美国总人口的百分比

目录

第 1 章：报告摘要

• 目前行业分析及成长潜力展望
• 研究方法和工具
• 市场区隔
  • 按细分
  • 按地区

第 2 章：市场概述与见解

• 报告范围
• 分析师见解和当前市场趋势
  • 主要发现
  • 建议
  • 结论

第 3 章：竞争格局

• 主要公司分析
• Accenture plc
  • 概述
  • 财务分析
  • SWOT分析
  • 最近的发展
• Dell Inc.
  • 概述
  • 财务分析
  • SWOT分析
  • 最近的发展
• Oracle Corp.
  • 概述
  • 财务分析
  • SWOT分析
  • 最近的发展
• Xerox Holdings Corp.
  • 概述
  • 财务分析
  • SWOT分析
  • 最近的发展
• 关键策略分析

第 4 章：市场细分

• 按服务分類的全球医疗保健支付服务市场
  • 业务流程外包 (BPO) 服务
  • 知识流程外包（KPO）服务
  • 资讯科技外包（ITO）服务
• 按最终用途分類的全球医疗保健支付服务市场
  • 私人付款人
  • 公共付款人

第 5 章：区域分析

• 北美洲
  • 美国
  • 加拿大
• 欧洲
  • 英国
  • 德国
  • 义大利
  • 西班牙
  • 法国
  • 欧洲其他地区
• 亚太
  • 中国
  • 印度
  • 日本
  • 韩国
  • 亚太其他地区
• 世界其他地区

第 6 章：公司简介

• Allscripts Healthcare, LLC
• Cognizant Technology Solutions Corp.
• Concentric Corp.
• Conduent Inc.
• Conifer Health Solutions, LLC
• EXL Service Holdings, Inc.
• Firstsource Solutions Ltd.
• Genpact
• HCL Technologies Ltd.
• Hewlett-Packard
• Hinduja Global Solution Ltd.
• IBM Corp.
• Infosys Ltd.
• Inovalon
• IQVIA Inc.
• Mphasis Corp.
• NTT DATA GROUP Corp.
• OMH HealthEdge Holdings, LLC
• Parexel International Corp.
• R1 RCM, Inc.
• SAS Institute Inc.
• Tata consultancy services Ltd.
• UnitedHealth Group, Inc.
• Wipro Ltd.
• WNS (Holdings) Ltd.

Global Healthcare Payer Services Market Size, Share & Trends Analysis Report by Services (Business Process Outsourcing (BPO) Services, Knowledge Process Outsourcing (KPO) Services, and Information Technology Outsourcing (ITO) Services), and by End-Use (Private Payers and Public Payers), Forecast Period (2023-2030)

The global healthcare payer services market is anticipated to grow at a CAGR of 7.8% during the forecast period (2023-2030). The growth of this market is attributed to the rising need for cost-effective operations and the growth in demand for advanced supply chain management (SCM) practices, minimizing the overall cost of healthcare supply chain BPO services is likely to boost market growth during the forecast period. Moreover, health insurance enrollments triggered by PPACA, rising federal healthcare mandates, rising incidences of chronic diseases, and growing cases of healthcare fraud are factors driving market growth. In June 2023, the Centers for Medicare & Medicaid Services (CMS) released the latest enrollment figures for Medicare. As of March 2023, there were 65,748,297 people are enrolled in Medicare, an increase of almost 100,000 since the last report in September. Of those, 33,948,778 were enrolled in Original Medicare. There were 31,799,519 are enrolled in Medicare Advantage or other health plans. This includes enrollment in Medicare Advantage plans with and without prescription drug coverage. There were 51,591,776 are enrolled in Medicare Part D. This includes enrollment in stand-alone prescription drug plans as well as Medicare Advantage plans that offer prescription drug coverage. In addition, the rising chronic diseases further bolster way for health insurance, leading to the adoption of healthcare payer services and fueling the market growth. According to the International Diabetic Federation 2021, around 537 million persons aged 20 to 79 affected by diabetes. Diabetes was responsible for over 6.7 million deaths. By 2030, the overall number of diabetics is expected to reach 643 million, and by 2045, it will reach 783 million. Additionally, according to Globocan 2020, estimated 19.3 million new cases, and 10 million cancer deaths. Such a huge burden of chronic diseases will lead to increased adoption of ethical medication, driving the market growth significantly.

Segmental Outlook

The global healthcare payer services market is segmented based on technology, and end-use. Based on the technology, the market is sub-segmented into BPO services, KPO services, and ITO services. Further, based on end-use, the market is sub-segmented into private payers, and public payers. Among the end-use, the private payers sub-segment is anticipated to hold a largest market share during the forecast period. The large share of this segment is credited to the lower costs, higher efficiency, and ability to focus on essential business operations provided by BPO services. This greatly attributes to the fact that BPO services offer administration in important administrative domains.

The Private Payers Sub-Segment is Anticipated to Hold a Considerable Share of the Global Healthcare Payer Services Market

Among the end-use, private payers sub-segments expected to grow over the forecast period. The segment is driven by the owing to the increasing private investment in the healthcare payer vertical and growing government support to promote private investment in the healthcare industry. According to the National Health (NIH) Interview Survey 2022, among adults aged 18-64 years, 12.2% were uninsured, 22.0% had public coverage, and 67.8% had private health insurance coverage. Adults aged 18-64 were the most likely to have private coverage (67.8%), followed by children aged 0-17 years (54.3%) and adults aged 65 and over (45.7%).

Regional Outlook

The global healthcare payer services market is further segmented based on geography including North America (the US, and Canada), Europe (UK, Italy, Spain, Germany, France, and the Rest of Europe), Asia-Pacific (India, China, Japan, South Korea, and Rest of Asia), and the Rest of the World (the Middle East & Africa, and Latin America). Among these, the Asia-Pacific region is anticipated to grow over the forecast period, owing to the growing demand for healthcare payer services, increasing geriatric population, rising adoption of health insurance, the rising healthcare frauds, and the rising healthcare expenditure.

The North America Region is Expected to Grow at a Significant CAGR in the Global Healthcare Payer Services Market

North America is expected to hold a prominent share in the market, owing to the rising adoption of healthcare policies along with the presence of sophisticated healthcare system in the region. According to the article published by the Congressional Research Service, titled 'The US Health Care Coverage and Spending,' updated in February 2023, most people had private health insurance or were covered by a government program such as Medicare or Medicaid in 2021. The US had an estimated population of 327 million individuals. Most of those individuals had private health insurance or were covered under a federal program such as medicare or medicaid. However, about 8.6% of the total US population was still uninsured. Individuals including those who were uninsured, health insurers, and federal and state governments spent approximately $4.0 trillion on various types of health consumption expenditures (HCE) in 2021, which accounted for 17.4% of the nation's gross domestic product (GDP). Such a huge investment in healthcare consumption in this region led to driving the growth of this market in this region owing to the adoption of healthcare payer services to claim insurance.

Health Insurance Coverage as a Percentage of Total US Population, 2021

Source: US Health Care Coverage and Spending

Market Players Outlook

The major companies serving the global healthcare payer services market include Accenture plc, Dell Inc., Oracle Corp., Xerox Holdings Corp., HCL Technologies Ltd., Hewlett-Packard, IBM Corp., Infosys Ltd., and others. The market players are considerably contributing to the market growth by the adoption of various strategies including mergers and acquisitions, partnerships, collaborations, funding, and new product launches, to stay competitive in the market. For instance, in January 2023, Elevance Health acquired the Blue Cross and Blue Shield of Louisiana (BCBSLA), with the payers aiming to improve care access, quality, and affordability for Louisiana members.

The Report Covers:

• Market value data analysis of 2022 and forecast to 2030.
• Annualized market revenues ($ million) for each market segment.
• Country-wise analysis of major geographical regions.
• Key companies operating in the global healthcare payer services market. Based on the availability of data, information related to new product launches, and relevant news is also available in the report.
• Analysis of business strategies by identifying the key market segments positioned for strong growth in the future.
• Analysis of market-entry and market expansion strategies.
• Competitive strategies by identifying 'who-stands-where' in the market.

Table of Contents

1. Report Summary

• Current Industry Analysis and Growth Potential Outlook
• 1.1. Research Methods and Tools
• 1.2. Market Breakdown
  • 1.2.1. By Segments
  • 1.2.2. By Region

2. Market Overview and Insights

• 2.1. Scope of the Report
• 2.2. Analyst Insight & Current Market Trends
  • 2.2.1. Key Findings
  • 2.2.2. Recommendations
  • 2.2.3. Conclusion

3. Competitive Landscape

• 3.1. Key Company Analysis
• 3.2. Accenture plc
  • 3.2.1. Overview
  • 3.2.2. Financial Analysis
  • 3.2.3. SWOT Analysis
  • 3.2.4. Recent Developments
• 3.3. Dell Inc.
  • 3.3.1. Overview
  • 3.3.2. Financial Analysis
  • 3.3.3. SWOT Analysis
  • 3.3.4. Recent Developments
• 3.4. Oracle Corp.
  • 3.4.1. Overview
  • 3.4.2. Financial Analysis
  • 3.4.3. SWOT Analysis
  • 3.4.4. Recent Developments
• 3.5. Xerox Holdings Corp.
  • 3.5.1. Overview
  • 3.5.2. Financial Analysis
  • 3.5.3. SWOT Analysis
  • 3.5.4. Recent Developments
• 3.6. Key Strategy Analysis

4. Market Segmentation

• 4.1. Global Healthcare Payer Services Market by Services
  • 4.1.1. Business Process Outsourcing (BPO) Services
  • 4.1.2. Knowledge Process Outsourcing (KPO) Services
  • 4.1.3. Information Technology Outsourcing (ITO) Services
• 4.2. Global Healthcare Payer Services Market by End-Use
  • 4.2.1. Private Payers
  • 4.2.2. Public Payers

5. Regional Analysis

• 5.1. North America
  • 5.1.1. United States
  • 5.1.2. Canada
• 5.2. Europe
  • 5.2.1. UK
  • 5.2.2. Germany
  • 5.2.3. Italy
  • 5.2.4. Spain
  • 5.2.5. France
  • 5.2.6. Rest of Europe
• 5.3. Asia-Pacific
  • 5.3.1. China
  • 5.3.2. India
  • 5.3.3. Japan
  • 5.3.4. South Korea
  • 5.3.5. Rest of Asia-Pacific
• 5.4. Rest of the World

6. Company Profiles

• 6.1. Allscripts Healthcare, LLC
• 6.2. Cognizant Technology Solutions Corp.
• 6.3. Concentric Corp.
• 6.4. Conduent Inc.
• 6.5. Conifer Health Solutions, LLC
• 6.6. EXL Service Holdings, Inc.
• 6.7. Firstsource Solutions Ltd.
• 6.8. Genpact
• 6.9. HCL Technologies Ltd.
• 6.10. Hewlett-Packard
• 6.11. Hinduja Global Solution Ltd.
• 6.12. IBM Corp.
• 6.13. Infosys Ltd.
• 6.14. Inovalon
• 6.15. IQVIA Inc.
• 6.16. Mphasis Corp.
• 6.17. NTT DATA GROUP Corp.
• 6.18. OMH HealthEdge Holdings, LLC
• 6.19. Parexel International Corp.
• 6.20. R1 RCM, Inc.
• 6.21. SAS Institute Inc.
• 6.22. Tata consultancy services Ltd.
• 6.23. UnitedHealth Group, Inc.
• 6.24. Wipro Ltd.
• 6.25. WNS (Holdings) Ltd.

LIST OF TABLES

• 1. GLOBAL HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY SERVICES, 2022-2030 ($ MILLION)
• 2. GLOBAL HEALTHCARE BPO SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
• 3. GLOBAL HEALTHCARE KPO SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
• 4. GLOBAL HEALTHCARE ITO SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
• 5. GLOBAL HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY END-USE, 2022-2030 ($ MILLION)
• 6. GLOBAL HEALTHCARE PAYER SERVICES FOR PRIVATE PAYERS MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
• 7. GLOBAL HEALTHCARE PAYER SERVICES FOR PUBLIC PAYERS MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
• 8. GLOBAL HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
• 9. NORTH AMERICAN HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY COUNTRY, 2022-2030 ($ MILLION)
• 10. NORTH AMERICAN HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY SERVICES, 2022-2030 ($ MILLION)
• 11. NORTH AMERICAN HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY END-USE, 2022-2030 ($ MILLION)
• 12. EUROPEAN HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY COUNTRY, 2022-2030 ($ MILLION)
• 13. EUROPEAN HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY SERVICES, 2022-2030 ($ MILLION)
• 14. EUROPEAN HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY END-USE, 2022-2030 ($ MILLION)
• 15. ASIA-PACIFIC HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY COUNTRY, 2022-2030 ($ MILLION)
• 16. ASIA-PACIFIC HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY SERVICES, 2022-2030 ($ MILLION)
• 17. ASIA-PACIFIC HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY END-USE, 2022-2030 ($ MILLION)
• 18. REST OF THE WORLD HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2022-2030 ($ MILLION)
• 19. REST OF THE WORLD HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY SERVICES, 2022-2030 ($ MILLION)
• 20. REST OF THE WORLD HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY END-USE, 2022-2030 ($ MILLION)

LIST OF FIGURES

• 1. GLOBAL HEALTHCARE PAYER SERVICES MARKET SHARE BY SERVICES, 2022 VS 2030 (%)
• 2. GLOBAL HEALTHCARE BPO SERVICES MARKET SHARE BY MATERIAL, 2022 VS 2030 (%)
• 3. GLOBAL HEALTHCARE KPO SERVICES MARKET SHARE BY REGION, 2022 VS 2030 (%)
• 4. GLOBAL HEALTHCARE ITO SERVICES MARKET SHARE BY REGION, 2022 VS 2030 (%)
• 5. GLOBAL HEALTHCARE PAYER SERVICES MARKET RESEARCH AND ANALYSIS BY END-USE, 2022 VS 2030 (%)
• 6. GLOBAL HEALTHCARE PAYER SERVICES FOR PRIVATE PAYERS MARKET SHARE BY REGION, 2022 VS 2030 (%)
• 7. GLOBAL HEALTHCARE PAYER SERVICES FOR PUBLIC PAYERS MARKET SHARE BY REGION, 2022 VS 2030 (%)
• 8. GLOBAL HEALTHCARE PAYER SERVICES MARKET SHARE BY REGION, 2022 VS 2030 (%)
• 9. US HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
• 10. CANADA HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
• 11. UK HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
• 12. FRANCE HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
• 13. GERMANY HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
• 14. ITALY HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
• 15. SPAIN HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
• 16. REST OF EUROPE HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
• 17. INDIA HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
• 18. CHINA HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
• 19. JAPAN HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
• 20. SOUTH KOREA HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
• 21. REST OF ASIA-PACIFIC HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)
• 22. REST OF THE WORLD HEALTHCARE PAYER SERVICES MARKET SIZE, 2022-2030 ($ MILLION)