医疗保健支付服务市场－全球产业规模、份额、趋势、机会和预测，按应用程式、服务类型、最终用户、地区和竞争格局划分，2021-2031年预测

全球医疗保健支付服务市场将从2025年的839.6亿美元成长到2031年的1,512.7亿美元，复合年增长率为10.31%。医疗保健支付服务包括保险公司将行政、临床和资讯技术职能外包给专业的第三方供应商，涵盖理赔处理、帐单管理和会员註册等领域。

主要市场驱动因素

人工智慧和高阶分析技术的加速融合正在从根本上重塑全球医疗支付服务市场，实现预测建模和自动化决策。保险公司正越来越多地利用这些技术来简化复杂的流程，例如理赔审核和诈欺侦测，从而超越数位化，迈向智慧自动化。

主要市场挑战

全球医疗支付服务市场的扩张受到资料安全和病患隐私保护日益增长的担忧的显着阻碍。随着保险支付方越来越依赖第三方供应商来处理理赔和计费等核心功能，将敏感的受保护健康资讯传输到内部防火墙之外的必要性，造成了巨大的风险。

主要市场趋势

向基于价值的医疗和风险分担的报销模式的策略转型正在从根本上改变市场格局，支付方正逐步摒弃按服务收费的模式。保险公司越来越多地将临床风险管理外包给能够处理复杂的人群健康分析和医疗服务提供者绩效监控的供应商。

目录

第一章：产品概述

第二章：研究方法

第三章：执行概要

第四章：顾客之声

第五章：全球医疗支付方服务市场展望

• 市场规模及预测
  • 按价值
• 市占率及预测
  • 依应用领域划分（理赔管理服务、帐单及帐户管理服务、分析及诈欺管理服务、会员管理服务、供应商管理服务、人力资源服务、综合前台服务及后台营运）
  • 依服务类型（业务流程外包、IT外包服务、知识流程外包服务）
  • 依最终用户（私人付费者、公共付费者）划分
  • 按地区
  • 按公司（2025 年）
• 市场地图

第六章：北美医疗保健支付方服务市场展望

• 市场规模及预测
• 市占率及预测
• 北美洲：国家分析
  • 美国
  • 加拿大
  • 墨西哥

第七章：欧洲医疗支付方服务市场展望

• 市场规模及预测
• 市占率及预测
• 欧洲：国家分析
  • 德国
  • 法国
  • 英国
  • 义大利
  • 西班牙

第八章：亚太地区医疗支付服务市场展望

• 市场规模及预测
• 市占率及预测
• 亚太地区：国家分析
  • 中国
  • 印度
  • 日本
  • 韩国
  • 澳洲

第九章：中东和非洲医疗保健支付服务市场展望

• 市场规模及预测
• 市占率及预测
• 中东和非洲：国家分析
  • 沙乌地阿拉伯
  • 阿联酋
  • 南非

第十章：南美洲医疗保健支付服务市场展望

• 市场规模及预测
• 市占率及预测
• 南美洲：国家分析
  • 巴西
  • 哥伦比亚
  • 阿根廷

第十一章：市场动态

• 司机
• 挑战

第十二章：市场趋势与发展

• 併购
• 产品发布
• 最新进展

第十三章：全球医疗支付服务市场：SWOT分析

第十四章：波特五力分析

• 产业竞争
• 新进入者的潜力
• 供应商议价能力
• 顾客的力量
• 替代产品的威胁

第十五章：竞争格局

• Change Healthcare Inc.
• Mckesson Corporation
• Accenture plc
• Cognizant Technology Solutions Corporation
• Dell Technologies Inc.
• Xerox Holdings Corporation
• Elevance Health, Inc.
• Wipro Limited
• Concentrix Corporation
• Centene Corporation
• HCL Technologies Ltd

第十六章：策略建议

第17章调查会社について・免责事项

The Global Healthcare Payer Services Market will grow from USD 83.96 Billion in 2025 to USD 151.27 Billion by 2031 at a 10.31% CAGR. Healthcare Payer Services encompass the outsourcing of administrative, clinical, and information technology functions by insurance providers to specialized third-party vendors, covering areas such as claims processing, billing management, and member enrollment.

Key Market Drivers

Accelerating Integration of Artificial Intelligence and Advanced Analytics is fundamentally reshaping the Global Healthcare Payer Services Market by enabling predictive modeling and automated decision-making. Insurance providers are increasingly utilizing these technologies to streamline complex workflows such as claims adjudication and fraud detection, moving beyond digitization toward intelligent automation. This technological shift allows for real-time risk assessment and personalized member engagement, reducing administrative friction and improving accuracy.

Key Market Challenges

The expansion of the Global Healthcare Payer Services Market is significantly obstructed by escalating apprehensions surrounding data security and the protection of patient privacy. As insurance payers increasingly rely on third-party vendors for core functions like claims processing and billing, the necessity to transmit sensitive Protected Health Information outside internal firewalls creates a substantial risk vector. This reliance on external infrastructure amplifies the potential for cyberattacks, causing payers to exercise extreme caution and often delay outsourcing initiatives to avoid the severe legal and reputational repercussions associated with third-party security failures.

Key Market Trends

The Strategic Transition to Value-Based Care and Risk-Sharing Reimbursement Models is fundamentally altering the market as payers move away from fee-for-service structures. Insurance providers are increasingly outsourcing clinical risk management to vendors capable of handling complex population health analytics and provider performance monitoring. This shift requires robust infrastructure to support arrangements where stakeholders share accountability for patient outcomes.

Key Market Players

• Change Healthcare Inc.
• Mckesson Corporation
• Accenture plc
• Cognizant Technology Solutions Corporation
• Dell Technologies Inc.
• Xerox Holdings Corporation
• Elevance Health, Inc.
• Wipro Limited
• Concentrix Corporation
• Centene Corporation
• HCL Technologies Ltd

Report Scope:

In this report, the Global Healthcare Payer Services Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:

Healthcare Payer Services Market, By Application:

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

Healthcare Payer Services Market, By Service Type:

• Business Process Outsourcing
• IT Outsourcing Services
• Knowledge Process Outsourcing Services

Healthcare Payer Services Market, By End User:

• Private Payers
• Public Payers

Healthcare Payer Services Market, By Region:

• North America
• United States
• Canada
• Mexico
• Europe
• France
• United Kingdom
• Italy
• Germany
• Spain
• Asia Pacific
• China
• India
• Japan
• Australia
• South Korea
• South America
• Brazil
• Argentina
• Colombia
• Middle East & Africa
• South Africa
• Saudi Arabia
• UAE

Competitive Landscape

Company Profiles: Detailed analysis of the major companies present in the Global Healthcare Payer Services Market.

Available Customizations:

Global Healthcare Payer Services Market report with the given market data, TechSci Research offers customizations according to a company's specific needs. The following customization options are available for the report:

Company Information

• Detailed analysis and profiling of additional market players (up to five).

Table of Contents

1. Product Overview

• 1.1. Market Definition
• 1.2. Scope of the Market
  • 1.2.1. Markets Covered
  • 1.2.2. Years Considered for Study
  • 1.2.3. Key Market Segmentations

2. Research Methodology

• 2.1. Objective of the Study
• 2.2. Baseline Methodology
• 2.3. Key Industry Partners
• 2.4. Major Association and Secondary Sources
• 2.5. Forecasting Methodology
• 2.6. Data Triangulation & Validation
• 2.7. Assumptions and Limitations

3. Executive Summary

• 3.1. Overview of the Market
• 3.2. Overview of Key Market Segmentations
• 3.3. Overview of Key Market Players
• 3.4. Overview of Key Regions/Countries
• 3.5. Overview of Market Drivers, Challenges, Trends

4. Voice of Customer

5. Global Healthcare Payer Services Market Outlook

• 5.1. Market Size & Forecast
  • 5.1.1. By Value
• 5.2. Market Share & Forecast
  • 5.2.1. By Application (Claims Management Services, Billing & Accounts Management Services, Analytics & Fraud Management Services, Member Management Services, Provider Management Services, Human Resource Services, Integrated Front-Office Service & Back-Office Operations)
  • 5.2.2. By Service Type (Business Process Outsourcing, IT Outsourcing Services, Knowledge Process Outsourcing Services)
  • 5.2.3. By End User (Private Payers, Public Payers)
  • 5.2.4. By Region
  • 5.2.5. By Company (2025)
• 5.3. Market Map

6. North America Healthcare Payer Services Market Outlook

• 6.1. Market Size & Forecast
  • 6.1.1. By Value
• 6.2. Market Share & Forecast
  • 6.2.1. By Application
  • 6.2.2. By Service Type
  • 6.2.3. By End User
  • 6.2.4. By Country
• 6.3. North America: Country Analysis
  • 6.3.1. United States Healthcare Payer Services Market Outlook
    • 6.3.1.1. Market Size & Forecast
      • 6.3.1.1.1. By Value
    • 6.3.1.2. Market Share & Forecast
      • 6.3.1.2.1. By Application
      • 6.3.1.2.2. By Service Type
      • 6.3.1.2.3. By End User
  • 6.3.2. Canada Healthcare Payer Services Market Outlook
    • 6.3.2.1. Market Size & Forecast
      • 6.3.2.1.1. By Value
    • 6.3.2.2. Market Share & Forecast
      • 6.3.2.2.1. By Application
      • 6.3.2.2.2. By Service Type
      • 6.3.2.2.3. By End User
  • 6.3.3. Mexico Healthcare Payer Services Market Outlook
    • 6.3.3.1. Market Size & Forecast
      • 6.3.3.1.1. By Value
    • 6.3.3.2. Market Share & Forecast
      • 6.3.3.2.1. By Application
      • 6.3.3.2.2. By Service Type
      • 6.3.3.2.3. By End User

7. Europe Healthcare Payer Services Market Outlook

• 7.1. Market Size & Forecast
  • 7.1.1. By Value
• 7.2. Market Share & Forecast
  • 7.2.1. By Application
  • 7.2.2. By Service Type
  • 7.2.3. By End User
  • 7.2.4. By Country
• 7.3. Europe: Country Analysis
  • 7.3.1. Germany Healthcare Payer Services Market Outlook
    • 7.3.1.1. Market Size & Forecast
      • 7.3.1.1.1. By Value
    • 7.3.1.2. Market Share & Forecast
      • 7.3.1.2.1. By Application
      • 7.3.1.2.2. By Service Type
      • 7.3.1.2.3. By End User
  • 7.3.2. France Healthcare Payer Services Market Outlook
    • 7.3.2.1. Market Size & Forecast
      • 7.3.2.1.1. By Value
    • 7.3.2.2. Market Share & Forecast
      • 7.3.2.2.1. By Application
      • 7.3.2.2.2. By Service Type
      • 7.3.2.2.3. By End User
  • 7.3.3. United Kingdom Healthcare Payer Services Market Outlook
    • 7.3.3.1. Market Size & Forecast
      • 7.3.3.1.1. By Value
    • 7.3.3.2. Market Share & Forecast
      • 7.3.3.2.1. By Application
      • 7.3.3.2.2. By Service Type
      • 7.3.3.2.3. By End User
  • 7.3.4. Italy Healthcare Payer Services Market Outlook
    • 7.3.4.1. Market Size & Forecast
      • 7.3.4.1.1. By Value
    • 7.3.4.2. Market Share & Forecast
      • 7.3.4.2.1. By Application
      • 7.3.4.2.2. By Service Type
      • 7.3.4.2.3. By End User
  • 7.3.5. Spain Healthcare Payer Services Market Outlook
    • 7.3.5.1. Market Size & Forecast
      • 7.3.5.1.1. By Value
    • 7.3.5.2. Market Share & Forecast
      • 7.3.5.2.1. By Application
      • 7.3.5.2.2. By Service Type
      • 7.3.5.2.3. By End User

8. Asia Pacific Healthcare Payer Services Market Outlook

• 8.1. Market Size & Forecast
  • 8.1.1. By Value
• 8.2. Market Share & Forecast
  • 8.2.1. By Application
  • 8.2.2. By Service Type
  • 8.2.3. By End User
  • 8.2.4. By Country
• 8.3. Asia Pacific: Country Analysis
  • 8.3.1. China Healthcare Payer Services Market Outlook
    • 8.3.1.1. Market Size & Forecast
      • 8.3.1.1.1. By Value
    • 8.3.1.2. Market Share & Forecast
      • 8.3.1.2.1. By Application
      • 8.3.1.2.2. By Service Type
      • 8.3.1.2.3. By End User
  • 8.3.2. India Healthcare Payer Services Market Outlook
    • 8.3.2.1. Market Size & Forecast
      • 8.3.2.1.1. By Value
    • 8.3.2.2. Market Share & Forecast
      • 8.3.2.2.1. By Application
      • 8.3.2.2.2. By Service Type
      • 8.3.2.2.3. By End User
  • 8.3.3. Japan Healthcare Payer Services Market Outlook
    • 8.3.3.1. Market Size & Forecast
      • 8.3.3.1.1. By Value
    • 8.3.3.2. Market Share & Forecast
      • 8.3.3.2.1. By Application
      • 8.3.3.2.2. By Service Type
      • 8.3.3.2.3. By End User
  • 8.3.4. South Korea Healthcare Payer Services Market Outlook
    • 8.3.4.1. Market Size & Forecast
      • 8.3.4.1.1. By Value
    • 8.3.4.2. Market Share & Forecast
      • 8.3.4.2.1. By Application
      • 8.3.4.2.2. By Service Type
      • 8.3.4.2.3. By End User
  • 8.3.5. Australia Healthcare Payer Services Market Outlook
    • 8.3.5.1. Market Size & Forecast
      • 8.3.5.1.1. By Value
    • 8.3.5.2. Market Share & Forecast
      • 8.3.5.2.1. By Application
      • 8.3.5.2.2. By Service Type
      • 8.3.5.2.3. By End User

9. Middle East & Africa Healthcare Payer Services Market Outlook

• 9.1. Market Size & Forecast
  • 9.1.1. By Value
• 9.2. Market Share & Forecast
  • 9.2.1. By Application
  • 9.2.2. By Service Type
  • 9.2.3. By End User
  • 9.2.4. By Country
• 9.3. Middle East & Africa: Country Analysis
  • 9.3.1. Saudi Arabia Healthcare Payer Services Market Outlook
    • 9.3.1.1. Market Size & Forecast
      • 9.3.1.1.1. By Value
    • 9.3.1.2. Market Share & Forecast
      • 9.3.1.2.1. By Application
      • 9.3.1.2.2. By Service Type
      • 9.3.1.2.3. By End User
  • 9.3.2. UAE Healthcare Payer Services Market Outlook
    • 9.3.2.1. Market Size & Forecast
      • 9.3.2.1.1. By Value
    • 9.3.2.2. Market Share & Forecast
      • 9.3.2.2.1. By Application
      • 9.3.2.2.2. By Service Type
      • 9.3.2.2.3. By End User
  • 9.3.3. South Africa Healthcare Payer Services Market Outlook
    • 9.3.3.1. Market Size & Forecast
      • 9.3.3.1.1. By Value
    • 9.3.3.2. Market Share & Forecast
      • 9.3.3.2.1. By Application
      • 9.3.3.2.2. By Service Type
      • 9.3.3.2.3. By End User

10. South America Healthcare Payer Services Market Outlook

• 10.1. Market Size & Forecast
  • 10.1.1. By Value
• 10.2. Market Share & Forecast
  • 10.2.1. By Application
  • 10.2.2. By Service Type
  • 10.2.3. By End User
  • 10.2.4. By Country
• 10.3. South America: Country Analysis
  • 10.3.1. Brazil Healthcare Payer Services Market Outlook
    • 10.3.1.1. Market Size & Forecast
      • 10.3.1.1.1. By Value
    • 10.3.1.2. Market Share & Forecast
      • 10.3.1.2.1. By Application
      • 10.3.1.2.2. By Service Type
      • 10.3.1.2.3. By End User
  • 10.3.2. Colombia Healthcare Payer Services Market Outlook
    • 10.3.2.1. Market Size & Forecast
      • 10.3.2.1.1. By Value
    • 10.3.2.2. Market Share & Forecast
      • 10.3.2.2.1. By Application
      • 10.3.2.2.2. By Service Type
      • 10.3.2.2.3. By End User
  • 10.3.3. Argentina Healthcare Payer Services Market Outlook
    • 10.3.3.1. Market Size & Forecast
      • 10.3.3.1.1. By Value
    • 10.3.3.2. Market Share & Forecast
      • 10.3.3.2.1. By Application
      • 10.3.3.2.2. By Service Type
      • 10.3.3.2.3. By End User

11. Market Dynamics

• 11.1. Drivers
• 11.2. Challenges

12. Market Trends & Developments

• 12.1. Merger & Acquisition (If Any)
• 12.2. Product Launches (If Any)
• 12.3. Recent Developments

13. Global Healthcare Payer Services Market: SWOT Analysis

14. Porter's Five Forces Analysis

• 14.1. Competition in the Industry
• 14.2. Potential of New Entrants
• 14.3. Power of Suppliers
• 14.4. Power of Customers
• 14.5. Threat of Substitute Products

15. Competitive Landscape

• 15.1. Change Healthcare Inc.
  • 15.1.1. Business Overview
  • 15.1.2. Products & Services
  • 15.1.3. Recent Developments
  • 15.1.4. Key Personnel
  • 15.1.5. SWOT Analysis
• 15.2. Mckesson Corporation
• 15.3. Accenture plc
• 15.4. Cognizant Technology Solutions Corporation
• 15.5. Dell Technologies Inc.
• 15.6. Xerox Holdings Corporation
• 15.7. Elevance Health, Inc.
• 15.8. Wipro Limited
• 15.9. Concentrix Corporation
• 15.10. Centene Corporation
• 15.11. HCL Technologies Ltd

16. Strategic Recommendations

17. About Us & Disclaimer