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Healthcare Payer Services Market: Global Industry Trends, Share, Size, Growth, Opportunity and Forecast 2021-2026

The global healthcare payer services market exhibited strong growth during 2015-2020. Looking forward, IMARC Group expects the market to grow at a CAGR of 11.5% during 2021-2026. Keeping in mind th... もっと見る

 

 

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IMARC Services Private Limited.
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2021年11月10日 US$2,299
シングルユーザライセンス(印刷不可)
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注文方法はこちら
146 英語

 

サマリー

The global healthcare payer services market exhibited strong growth during 2015-2020. Looking forward, IMARC Group expects the market to grow at a CAGR of 11.5% during 2021-2026. Keeping in mind the uncertainties of COVID-19, we are continuously tracking and evaluating the direct as well as the indirect influence of the pandemic on different end use sectors. These insights are included in the report as a major market contributor.

Healthcare payer services are outsourced by public and private payers and healthcare insurers to manage claims, audits, medical documents, member engagements, and customer relations. These services aid in improving the healthcare system performance by optimizing patient care quality and improving the overall consumer experience. They also assist in using distinctive capabilities in data and analytics, population health, pharmacy care services, and healthcare delivery and operations. Moreover, as healthcare payer solutions help clients minimize their operational costs and improve their operational efficiency, they are gaining traction around the world.

Healthcare Payer Services Market Trends:
The rising utilization of healthcare payer services can be attributed to the increasing need for operating business processes cost-effectively by implementing engagement and contract models. Additionally, the growing implementation of digital technologies in payer operations is augmenting the market worldwide. Apart from this, healthcare payer services offer better quality patient care, streamline the process and improve customer communication. This, in confluence with the adoption of analytics in healthcare, along with the rising number of individuals opting for healthcare insurance on account of the sudden outbreak of the coronavirus disease (COVID-19), is also fueling the market growth. Furthermore, these services find extensive application in billing and account management, analytics and fraud management, and human resource (HR) services and claims management. Besides this, rising mergers and acquisitions (M&A) and the increasing utilization of updated software to address current healthcare needs are anticipated to propel the market growth.

Key Market Segmentation:
IMARC Group provides an analysis of the key trends in each sub-segment of the global healthcare payer services market, along with forecasts at the global, regional and country level from 2021-2026. Our report has categorized the market based on region, type, application and end use.

Breakup by Type:

BPO Services
ITO Services
KPO Services

Breakup by Application:

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

Breakup by End Use:

Private Payers
Public Payers

Breakup by Region:

North America
United States
Canada
Asia-Pacific
China
Japan
India
South Korea
Australia
Indonesia
Others
Europe
Germany
France
United Kingdom
Italy
Spain
Russia
Others
Latin America
Brazil
Mexico
Others
Middle East and Africa

Competitive Landscape:
The competitive landscape of the industry has also been examined along with the profiles of the key players being Accenture plc, Cognizant Technology Solutions Corporation, Concentrix Corporation, ExlService Holdings Inc., Genpact Limited, HCL Technologies Limited, Hinduja Global Solutions Limited, HP Development Company L.P., McKesson Corporation, UnitedHealth Group Incorporated, Wipro Limited and Xerox Corporation.

Key Questions Answered in This Report:
How has the global healthcare payer services market performed so far and how will it perform in the coming years?
What has been the impact of COVID-19 on the global healthcare payer services market?
What are the key regional markets?
What is the breakup of the market based on the type?
What is the breakup of the market based on the application?
What is the breakup of the market based on the end use?
What are the various stages in the value chain of the industry?
What are the key driving factors and challenges in the industry?
What is the structure of the global healthcare payer services market and who are the key players?
What is the degree of competition in the industry?

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目次

1 Preface
2 Scope and Methodology
2.1 Objectives of the Study
2.2 Stakeholders
2.3 Data Sources
2.3.1 Primary Sources
2.3.2 Secondary Sources
2.4 Market Estimation
2.4.1 Bottom-Up Approach
2.4.2 Top-Down Approach
2.5 Forecasting Methodology
3 Executive Summary
4 Introduction
4.1 Overview
4.2 Key Industry Trends
5 Global Healthcare Payer Services Market
5.1 Market Overview
5.2 Market Performance
5.3 Impact of COVID-19
5.4 Market Forecast
6 Market Breakup by Type
6.1 BPO Services
6.1.1 Market Trends
6.1.2 Market Forecast
6.2 ITO Services
6.2.1 Market Trends
6.2.2 Market Forecast
6.3 KPO Services
6.3.1 Market Trends
6.3.2 Market Forecast
7 Market Breakup by Application
7.1 Analytics and Fraud Management Services
7.1.1 Market Trends
7.1.2 Market Forecast
7.2 Claims Management Services
7.2.1 Market Trends
7.2.2 Market Forecast
7.3 Integrated Front Office Service and Back Office Operations
7.3.1 Market Trends
7.3.2 Market Forecast
7.4 Member Management Services
7.4.1 Market Trends
7.4.2 Market Forecast
7.5 Provider Management Services
7.5.1 Market Trends
7.5.2 Market Forecast
7.6 Billing and Accounts Management Services
7.6.1 Market Trends
7.6.2 Market Forecast
7.7 HR Services
7.7.1 Market Trends
7.7.2 Market Forecast
8 Market Breakup by End Use
8.1 Private Payers
8.1.1 Market Trends
8.1.2 Market Forecast
8.2 Public Payers
8.2.1 Market Trends
8.2.2 Market Forecast
9 Market Breakup by Region
9.1 North America
9.1.1 United States
9.1.1.1 Market Trends
9.1.1.2 Market Forecast
9.1.2 Canada
9.1.2.1 Market Trends
9.1.2.2 Market Forecast
9.2 Asia-Pacific
9.2.1 China
9.2.1.1 Market Trends
9.2.1.2 Market Forecast
9.2.2 Japan
9.2.2.1 Market Trends
9.2.2.2 Market Forecast
9.2.3 India
9.2.3.1 Market Trends
9.2.3.2 Market Forecast
9.2.4 South Korea
9.2.4.1 Market Trends
9.2.4.2 Market Forecast
9.2.5 Australia
9.2.5.1 Market Trends
9.2.5.2 Market Forecast
9.2.6 Indonesia
9.2.6.1 Market Trends
9.2.6.2 Market Forecast
9.2.7 Others
9.2.7.1 Market Trends
9.2.7.2 Market Forecast
9.3 Europe
9.3.1 Germany
9.3.1.1 Market Trends
9.3.1.2 Market Forecast
9.3.2 France
9.3.2.1 Market Trends
9.3.2.2 Market Forecast
9.3.3 United Kingdom
9.3.3.1 Market Trends
9.3.3.2 Market Forecast
9.3.4 Italy
9.3.4.1 Market Trends
9.3.4.2 Market Forecast
9.3.5 Spain
9.3.5.1 Market Trends
9.3.5.2 Market Forecast
9.3.6 Russia
9.3.6.1 Market Trends
9.3.6.2 Market Forecast
9.3.7 Others
9.3.7.1 Market Trends
9.3.7.2 Market Forecast
9.4 Latin America
9.4.1 Brazil
9.4.1.1 Market Trends
9.4.1.2 Market Forecast
9.4.2 Mexico
9.4.2.1 Market Trends
9.4.2.2 Market Forecast
9.4.3 Others
9.4.3.1 Market Trends
9.4.3.2 Market Forecast
9.5 Middle East and Africa
9.5.1 Market Trends
9.5.2 Market Breakup by Country
9.5.3 Market Forecast
10 SWOT Analysis
10.1 Overview
10.2 Strengths
10.3 Weaknesses
10.4 Opportunities
10.5 Threats
11 Value Chain Analysis
12 Porters Five Forces Analysis
12.1 Overview
12.2 Bargaining Power of Buyers
12.3 Bargaining Power of Suppliers
12.4 Degree of Competition
12.5 Threat of New Entrants
12.6 Threat of Substitutes
13 Price Analysis
14 Competitive Landscape
14.1 Market Structure
14.2 Key Players
14.3 Profiles of Key Players
14.3.1 Accenture plc
14.3.1.1 Company Overview
14.3.1.2 Product Portfolio
14.3.1.3 Financials
14.3.1.4 SWOT Analysis
14.3.2 Cognizant Technology Solutions Corporation
14.3.2.1 Company Overview
14.3.2.2 Product Portfolio
14.3.2.3 Financials
14.3.2.4 SWOT Analysis
14.3.3 Concentrix Corporation
14.3.3.1 Company Overview
14.3.3.2 Product Portfolio
14.3.4 ExlService Holdings Inc.
14.3.4.1 Company Overview
14.3.4.2 Product Portfolio
14.3.4.3 Financials
14.3.5 Genpact Limited
14.3.5.1 Company Overview
14.3.5.2 Product Portfolio
14.3.5.3 Financials
14.3.5.4 SWOT Analysis
14.3.6 HCL Technologies Limited
14.3.6.1 Company Overview
14.3.6.2 Product Portfolio
14.3.6.3 Financials
14.3.6.4 SWOT Analysis
14.3.7 Hinduja Global Solutions Limited
14.3.7.1 Company Overview
14.3.7.2 Product Portfolio
14.3.7.3 Financials
14.3.7.4 SWOT Analysis
14.3.8 HP Development Company L.P.
14.3.8.1 Company Overview
14.3.8.2 Product Portfolio
14.3.8.3 Financials
14.3.8.4 SWOT Analysis
14.3.9 McKesson Corporation
14.3.9.1 Company Overview
14.3.9.2 Product Portfolio
14.3.9.3 Financials
14.3.9.4 SWOT Analysis
14.3.10 UnitedHealth Group Incorporated
14.3.10.1 Company Overview
14.3.10.2 Product Portfolio
14.3.10.3 Financials
14.3.10.4 SWOT Analysis
14.3.11 Wipro Limited
14.3.11.1 Company Overview
14.3.11.2 Product Portfolio
14.3.11.3 Financials
14.3.11.4 SWOT Analysis
14.3.12 Xerox Corporation
14.3.12.1 Company Overview
14.3.12.2 Product Portfolio
14.3.12.3 Financials

 

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Summary

The global healthcare payer services market exhibited strong growth during 2015-2020. Looking forward, IMARC Group expects the market to grow at a CAGR of 11.5% during 2021-2026. Keeping in mind the uncertainties of COVID-19, we are continuously tracking and evaluating the direct as well as the indirect influence of the pandemic on different end use sectors. These insights are included in the report as a major market contributor.

Healthcare payer services are outsourced by public and private payers and healthcare insurers to manage claims, audits, medical documents, member engagements, and customer relations. These services aid in improving the healthcare system performance by optimizing patient care quality and improving the overall consumer experience. They also assist in using distinctive capabilities in data and analytics, population health, pharmacy care services, and healthcare delivery and operations. Moreover, as healthcare payer solutions help clients minimize their operational costs and improve their operational efficiency, they are gaining traction around the world.

Healthcare Payer Services Market Trends:
The rising utilization of healthcare payer services can be attributed to the increasing need for operating business processes cost-effectively by implementing engagement and contract models. Additionally, the growing implementation of digital technologies in payer operations is augmenting the market worldwide. Apart from this, healthcare payer services offer better quality patient care, streamline the process and improve customer communication. This, in confluence with the adoption of analytics in healthcare, along with the rising number of individuals opting for healthcare insurance on account of the sudden outbreak of the coronavirus disease (COVID-19), is also fueling the market growth. Furthermore, these services find extensive application in billing and account management, analytics and fraud management, and human resource (HR) services and claims management. Besides this, rising mergers and acquisitions (M&A) and the increasing utilization of updated software to address current healthcare needs are anticipated to propel the market growth.

Key Market Segmentation:
IMARC Group provides an analysis of the key trends in each sub-segment of the global healthcare payer services market, along with forecasts at the global, regional and country level from 2021-2026. Our report has categorized the market based on region, type, application and end use.

Breakup by Type:

BPO Services
ITO Services
KPO Services

Breakup by Application:

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

Breakup by End Use:

Private Payers
Public Payers

Breakup by Region:

North America
United States
Canada
Asia-Pacific
China
Japan
India
South Korea
Australia
Indonesia
Others
Europe
Germany
France
United Kingdom
Italy
Spain
Russia
Others
Latin America
Brazil
Mexico
Others
Middle East and Africa

Competitive Landscape:
The competitive landscape of the industry has also been examined along with the profiles of the key players being Accenture plc, Cognizant Technology Solutions Corporation, Concentrix Corporation, ExlService Holdings Inc., Genpact Limited, HCL Technologies Limited, Hinduja Global Solutions Limited, HP Development Company L.P., McKesson Corporation, UnitedHealth Group Incorporated, Wipro Limited and Xerox Corporation.

Key Questions Answered in This Report:
How has the global healthcare payer services market performed so far and how will it perform in the coming years?
What has been the impact of COVID-19 on the global healthcare payer services market?
What are the key regional markets?
What is the breakup of the market based on the type?
What is the breakup of the market based on the application?
What is the breakup of the market based on the end use?
What are the various stages in the value chain of the industry?
What are the key driving factors and challenges in the industry?
What is the structure of the global healthcare payer services market and who are the key players?
What is the degree of competition in the industry?

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Table of Contents

1 Preface
2 Scope and Methodology
2.1 Objectives of the Study
2.2 Stakeholders
2.3 Data Sources
2.3.1 Primary Sources
2.3.2 Secondary Sources
2.4 Market Estimation
2.4.1 Bottom-Up Approach
2.4.2 Top-Down Approach
2.5 Forecasting Methodology
3 Executive Summary
4 Introduction
4.1 Overview
4.2 Key Industry Trends
5 Global Healthcare Payer Services Market
5.1 Market Overview
5.2 Market Performance
5.3 Impact of COVID-19
5.4 Market Forecast
6 Market Breakup by Type
6.1 BPO Services
6.1.1 Market Trends
6.1.2 Market Forecast
6.2 ITO Services
6.2.1 Market Trends
6.2.2 Market Forecast
6.3 KPO Services
6.3.1 Market Trends
6.3.2 Market Forecast
7 Market Breakup by Application
7.1 Analytics and Fraud Management Services
7.1.1 Market Trends
7.1.2 Market Forecast
7.2 Claims Management Services
7.2.1 Market Trends
7.2.2 Market Forecast
7.3 Integrated Front Office Service and Back Office Operations
7.3.1 Market Trends
7.3.2 Market Forecast
7.4 Member Management Services
7.4.1 Market Trends
7.4.2 Market Forecast
7.5 Provider Management Services
7.5.1 Market Trends
7.5.2 Market Forecast
7.6 Billing and Accounts Management Services
7.6.1 Market Trends
7.6.2 Market Forecast
7.7 HR Services
7.7.1 Market Trends
7.7.2 Market Forecast
8 Market Breakup by End Use
8.1 Private Payers
8.1.1 Market Trends
8.1.2 Market Forecast
8.2 Public Payers
8.2.1 Market Trends
8.2.2 Market Forecast
9 Market Breakup by Region
9.1 North America
9.1.1 United States
9.1.1.1 Market Trends
9.1.1.2 Market Forecast
9.1.2 Canada
9.1.2.1 Market Trends
9.1.2.2 Market Forecast
9.2 Asia-Pacific
9.2.1 China
9.2.1.1 Market Trends
9.2.1.2 Market Forecast
9.2.2 Japan
9.2.2.1 Market Trends
9.2.2.2 Market Forecast
9.2.3 India
9.2.3.1 Market Trends
9.2.3.2 Market Forecast
9.2.4 South Korea
9.2.4.1 Market Trends
9.2.4.2 Market Forecast
9.2.5 Australia
9.2.5.1 Market Trends
9.2.5.2 Market Forecast
9.2.6 Indonesia
9.2.6.1 Market Trends
9.2.6.2 Market Forecast
9.2.7 Others
9.2.7.1 Market Trends
9.2.7.2 Market Forecast
9.3 Europe
9.3.1 Germany
9.3.1.1 Market Trends
9.3.1.2 Market Forecast
9.3.2 France
9.3.2.1 Market Trends
9.3.2.2 Market Forecast
9.3.3 United Kingdom
9.3.3.1 Market Trends
9.3.3.2 Market Forecast
9.3.4 Italy
9.3.4.1 Market Trends
9.3.4.2 Market Forecast
9.3.5 Spain
9.3.5.1 Market Trends
9.3.5.2 Market Forecast
9.3.6 Russia
9.3.6.1 Market Trends
9.3.6.2 Market Forecast
9.3.7 Others
9.3.7.1 Market Trends
9.3.7.2 Market Forecast
9.4 Latin America
9.4.1 Brazil
9.4.1.1 Market Trends
9.4.1.2 Market Forecast
9.4.2 Mexico
9.4.2.1 Market Trends
9.4.2.2 Market Forecast
9.4.3 Others
9.4.3.1 Market Trends
9.4.3.2 Market Forecast
9.5 Middle East and Africa
9.5.1 Market Trends
9.5.2 Market Breakup by Country
9.5.3 Market Forecast
10 SWOT Analysis
10.1 Overview
10.2 Strengths
10.3 Weaknesses
10.4 Opportunities
10.5 Threats
11 Value Chain Analysis
12 Porters Five Forces Analysis
12.1 Overview
12.2 Bargaining Power of Buyers
12.3 Bargaining Power of Suppliers
12.4 Degree of Competition
12.5 Threat of New Entrants
12.6 Threat of Substitutes
13 Price Analysis
14 Competitive Landscape
14.1 Market Structure
14.2 Key Players
14.3 Profiles of Key Players
14.3.1 Accenture plc
14.3.1.1 Company Overview
14.3.1.2 Product Portfolio
14.3.1.3 Financials
14.3.1.4 SWOT Analysis
14.3.2 Cognizant Technology Solutions Corporation
14.3.2.1 Company Overview
14.3.2.2 Product Portfolio
14.3.2.3 Financials
14.3.2.4 SWOT Analysis
14.3.3 Concentrix Corporation
14.3.3.1 Company Overview
14.3.3.2 Product Portfolio
14.3.4 ExlService Holdings Inc.
14.3.4.1 Company Overview
14.3.4.2 Product Portfolio
14.3.4.3 Financials
14.3.5 Genpact Limited
14.3.5.1 Company Overview
14.3.5.2 Product Portfolio
14.3.5.3 Financials
14.3.5.4 SWOT Analysis
14.3.6 HCL Technologies Limited
14.3.6.1 Company Overview
14.3.6.2 Product Portfolio
14.3.6.3 Financials
14.3.6.4 SWOT Analysis
14.3.7 Hinduja Global Solutions Limited
14.3.7.1 Company Overview
14.3.7.2 Product Portfolio
14.3.7.3 Financials
14.3.7.4 SWOT Analysis
14.3.8 HP Development Company L.P.
14.3.8.1 Company Overview
14.3.8.2 Product Portfolio
14.3.8.3 Financials
14.3.8.4 SWOT Analysis
14.3.9 McKesson Corporation
14.3.9.1 Company Overview
14.3.9.2 Product Portfolio
14.3.9.3 Financials
14.3.9.4 SWOT Analysis
14.3.10 UnitedHealth Group Incorporated
14.3.10.1 Company Overview
14.3.10.2 Product Portfolio
14.3.10.3 Financials
14.3.10.4 SWOT Analysis
14.3.11 Wipro Limited
14.3.11.1 Company Overview
14.3.11.2 Product Portfolio
14.3.11.3 Financials
14.3.11.4 SWOT Analysis
14.3.12 Xerox Corporation
14.3.12.1 Company Overview
14.3.12.2 Product Portfolio
14.3.12.3 Financials

 

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