2024-2031 年医疗保健付款服务市场规模、份额、成长分析（按服务、按应用、按最终用途、按地区行业预测）

Healthcare Payer Services Market Size, Share, Growth Analysis, By Services (BPO Services, ITO Services), By Application (Claims Management Services, Integrated Front Office Service), By End Use, By Region - Industry Forecast 2024-2031

出版日期: 2024年12月20日 | 出版商:

SkyQuest | 英文 157 Pages | 商品交期: 3-5个工作天内

价格

简介目录

2022 年，医疗支付服务的全球市场规模为 654 亿美元，从 2023 年的 708.3 亿美元成长到 2031 年的 1,340.4 亿美元，预计复合年增长率为 8.3%。

由于医疗保健供应链中业务流程外包 (BPO) 相关成本的下降，全球医疗保健支付服务市场预计将显着成长。这一趋势与库存管理和整体医疗保健交付效率外包需求的增加相结合。 ICD-10 代码的引入、药物专利到期以及医疗服务成本降低等因素对此成长做出了重大贡献。此外，人工智慧、分析和云端基础的服务等先进技术的整合正在加剧市场竞争，埃森哲等参与企业提供的解决方案可增强服务可及性并降低物流成本。儘管面临新冠肺炎 (COVID-19) 大流行带来的挑战，医疗保健支付者仍在积极适应，建立策略联盟并推出旨在解决系统性健康差异的倡议，从而使市场扩张更具性。

联合健康集团 (UNH)（美国）
CVS Health (CVS)（美国）
麦克森公司 (MCK)（美国）
Cigna (CI)（美国）
Elevance Health (ELV)（美国）
Centene Corporation (CNC)（美国）
Humana Inc. (HUM)（美国）
Anthem, Inc. (ANTM)（美国）
Cognizant 技术解决方案 (CTSH)（印度）
埃森哲公司 (ACN)（爱尔兰）
Wipro 有限公司 (WIT)（印度）
塔塔咨询服务 (TCS)（印度）
印孚瑟斯有限公司 (INFY)（印度）
HCL Technologies (HCL)（印度）
DXC科技公司（DXC）（美国）
IBM 公司（IBM）（美国）
甲骨文公司 (ORCL)（美国）
微软公司（MSFT）（美国）
Amazon.com, Inc. (AMZN)（美国）
谷歌有限责任公司（Alphabet Inc.）（美国）

结论和建议

简介目录

Product Code: SQMIG35A2352

Global Healthcare Payer Services Market size was valued at USD 65.4 billion in 2022 and is poised to grow from USD 70.83 billion in 2023 to USD 134.04 billion by 2031, growing at a CAGR of 8.3% during the forecast period (2024-2031).

The global healthcare payer services market is poised for substantial growth as the costs associated with healthcare supply chain business process outsourcing (BPO) decline. This trend is coupled with an increasing demand for outsourcing in inventory control and overall healthcare delivery efficiency. Factors like the implementation of ICD-10 codes, patent expirations in pharmaceuticals, and the decreasing costs of healthcare delivery significantly contribute to this growth. Furthermore, the integration of advanced technologies like AI, analytics, and cloud-based services intensifies market competition, with players like Accenture providing solutions that enhance service accessibility and reduce logistics costs. Despite challenges posed by the COVID-19 pandemic, healthcare payers have adapted positively, forming strategic alliances and launching initiatives aimed at addressing systemic health disparities, further bolstering market expansion potential.

Top-down and bottom-up approaches were used to estimate and validate the size of the Global Healthcare Payer Services market and to estimate the size of various other dependent submarkets. The research methodology used to estimate the market size includes the following details: The key players in the market were identified through secondary research, and their market shares in the respective regions were determined through primary and secondary research. This entire procedure includes the study of the annual and financial reports of the top market players and extensive interviews for key insights from industry leaders such as CEOs, VPs, directors, and marketing executives. All percentage shares split, and breakdowns were determined using secondary sources and verified through Primary sources. All possible parameters that affect the markets covered in this research study have been accounted for, viewed in extensive detail, verified through primary research, and analyzed to get the final quantitative and qualitative data.

Global Healthcare Payer Services Market Segmental Analysis

Global Healthcare Payer Services Market is segmented by services, application, end use and region. Based on services, the market is segmented into BPO services, ITO services and KPO services. Based on application, the market is segmented into claims management services, integrated front office service and back office operations, member management services, provider management services, billing and accounts management services, analytics and fraud management services and hr services. Based on end use, the market is segmented into private payers and public payers. Based on region, the market is segmented into North America, Europe, Asia Pacific, Latin America and Middle East & Africa.

Driver of the Global Healthcare Payer Services Market

The Global Healthcare Payer Services market is significantly driven by the increasing complexity of payer operations, which encompass various challenges such as claims processing, member enrollment, billing, and customer service. As these organizations navigate intricate operational hurdles, they turn to specialized payer service providers for assistance. These providers deliver tailored expertise, advanced technology solutions, and operational support designed to streamline processes and improve overall efficiency. By effectively managing these complexities, payer services help organizations optimize their operations, ultimately contributing to the heightened demand for such services in the healthcare payer market.

Restraints in the Global Healthcare Payer Services Market

In the Global Healthcare Payer Services market, various restraints hinder growth, particularly regarding cost constraints and pricing pressures. Payer organizations grapple with escalating healthcare costs while attempting to keep premiums manageable for their members. This dynamic challenges payer service providers to not only showcase significant cost savings but also to develop competitive pricing models that ensure their sustainability in an increasingly competitive landscape. As the demand for affordable healthcare solutions rises, these organizations must navigate financial pressures effectively to maintain viability and meet the evolving needs of their customers.

Market Trends of the Global Healthcare Payer Services Market

The Global Healthcare Payer Services market is experiencing a significant shift towards value-based care models, driven by the increasing emphasis on improving patient outcomes and achieving cost-efficiency in healthcare delivery. Payer service providers are adapting their strategies and offerings to support these value-based payment frameworks, which prioritize quality over quantity of care. This trend encompasses enhanced care coordination, robust population health management initiatives, and the integration of advanced analytics to monitor and improve patient outcomes. Additionally, as healthcare systems worldwide seek to optimize resources and ensure sustainable care, there is a growing demand for innovative payer solutions that facilitate seamless transitions to value-based care.

Introduction

Objectives of the Study
Scope of the Report
Definitions

Research Methodology

Information Procurement
Secondary & Primary Data Methods
Market Size Estimation
Market Assumptions & Limitations

Executive Summary

Global Market Outlook
Supply & Demand Trend Analysis
Segmental Opportunity Analysis

Market Dynamics & Outlook

Market Overview
Market Size
Market Dynamics
- Drivers & Opportunities
- Restraints & Challenges
Porters Analysis
- Competitive rivalry
- Threat of substitute
- Bargaining power of buyers
- Threat of new entrants
- Bargaining power of suppliers

Key Market Insights

Key Success Factors
Degree of Competition
Top Investment Pockets
Market Ecosystem
Market Attractiveness Index, 2023
PESTEL Analysis
Macro-Economic Indicators
Value Chain Analysis
Pricing Analysis

Global Healthcare Payer Services Market Size by Services & CAGR (2024-2031)

Market Overview
BPO Services
ITO Services
KPO Services

Global Healthcare Payer Services Market Size by Application & CAGR (2024-2031)

Market Overview
Claims Management Services
Integrated Front Office Service and Back Office Operations
Member Management Services
Provider Management Services
Billing and Accounts Management Services
Analytics and Fraud Management Services
HR Services

Global Healthcare Payer Services Market Size by End Use & CAGR (2024-2031)

Market Overview
Private Payers
Public Payers

Global Healthcare Payer Services Market Size & CAGR (2024-2031)

North America (Services, Application, End Use)
- USA
- Canada
Europe (Services, Application, End Use)
- Germany
- Spain
- France
- UK
- Italy
- Rest of Europe
Asia Pacific (Services, Application, End Use)
- China
- India
- Japan
- South Korea
- Rest of Asia-Pacific
Latin America (Services, Application, End Use)
- Brazil
- Rest of Latin America
Middle East & Africa (Services, Application, End Use)
- GCC Countries
- South Africa
- Rest of Middle East & Africa

Competitive Intelligence

Top 5 Player Comparison
Market Positioning of Key Players, 2023
Strategies Adopted by Key Market Players
Recent Developments in the Market
Company Market Share Analysis, 2023
Company Profiles of All Key Players
- Company Details
- Product Portfolio Analysis
- Company's Segmental Share Analysis
- Revenue Y-O-Y Comparison (2021-2023)

Key Company Profiles

UnitedHealth Group (UNH) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
CVS Health (CVS) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
McKesson Corporation (MCK) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Cigna (CI) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Elevance Health (ELV) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Centene Corporation (CNC) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Humana Inc. (HUM) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Anthem, Inc. (ANTM) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Cognizant Technology Solutions (CTSH) (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Accenture plc (ACN) (Ireland)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Wipro Limited (WIT) (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Tata Consultancy Services (TCS) (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Infosys Limited (INFY) (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
HCL Technologies (HCL) (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
DXC Technology Company (DXC) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
IBM Corporation (IBM) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Oracle Corporation (ORCL) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Microsoft Corporation (MSFT) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Amazon.com, Inc. (AMZN) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Google LLC (Alphabet Inc.) (USA)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments