Global Healthcare Payer Services Market, by Service Type (ITO, BPO, KPO), By Application (Member management, Claims, Provider, HR services, Analytics & Fraud, HR services, Billing & Accounts) & by End Users (Public and Private Payers), and opportunities and forecast 2020-2027
Healthcare Payer Services Market Overview
Market of healthcare payer services is awaited to grow with significant rate in coming years, owed to factors such as, growing healthcare fraud, changing nature of the health benefit plan policies. Progressive data analytics, service portfolio development in healthcare industry in the Asia Pacific are anticipated to offer development opportunities for players operating in market.
Healthcare payer services market is anticipated to grow due to growing number of the healthcare payer service providers and growing pressure of the cost cutting. Cost of outsourcing the healthcare payer service is comparatively less to the in-house payer services. With growing technological progression and increasing implementation of analytics in the healthcare industry, and growing number of the people opting for various healthcare insurance, base of the customers is mounting day by day. This is probable to propel growth of market over the forecast period. Though, features such as growing incidence of the cyber theft, that is loss of private data, and hidden cost related with outsourcing is anticipated to hamper growth of healthcare payer service market though forecast period.
Healthcare Payer Services Market Segment Overview
Claims calculation is the very tedious and time-consuming process. Outsourcing of the claim’s management to the healthcare payers service providers decreases the cost and saves time for the insurance companies. Based on various end users, healthcare payer services market is been segmented into the private and public payers.
Healthcare Payer Services Regional Overview
North America is predictable to account for the larger market share owing to widespread technological advancements in region. Increasing implementation of the ICD-10 codes in U.S. and growing number of the people opting for various health insurance, would further boost the market growth. Furthermore, presence of the developed healthcare and IT infrastructure, and growing number of the healthcare payer services providers is anticipated to propel growth of healthcare payer services market in North America. Various Europe is anticipated to be the second major market of the healthcare payer services market owed to improved digitization of the healthcare processes and application of technologically progressive systems in region. The major aspect that are expected to drive market in the Asia Pacific include adoption and demand for the high-end medical substructure, and obtainability of services at the lower cost compared to the developed region; North America and Europe. Japan, China, and India are most developing countries in region and henceforth would fuel market growth for the healthcare payer services. Various Latin American countries including Brazil and Mexico have noteworthy potential for the growth due to developing medical structure and the high disposable income.
The rising assurance enrolments, the federal healthcare orders in U.S., growing healthcare frauds and the in-house shortage of expert personnel are main factors driving the market growth. On other hand, factors such as rising incidences of the data breach and loss of the confidentiality, unexpected costs related with outsourcing with the loss of decision-making control in the outsourced projects are anticipated to restrain growth of healthcare payer services market. Additionally, the migration from the legacy systems is further posing as major challenge for the healthcare payer market.
Healthcare Payer Services Market, Key Players
• Cognizant Technology Solutions
• Accenture plc
• Concentrix Corporation
• ExlService Holdings, Inc.
• Xerox Corporation
• Genpact Limited
• Hewlett-Packard
• Hexaware Technologies Limited
• FirstSource Solutions Limited
• HCL Technologies Ltd.
• Teleperformance Group
• Hinduja Global Solutions Ltd.
• SourceHOV
• Sutherland Global Services
• Wipro Limited
Healthcare Payer Services Market Segmentation
Healthcare Payer Services Market, By Type
• BPO
• ITO
• KPO
Healthcare Payer Services Market, By Application
• Claims
• Provider
• Member management
• HR services
• Analytics & Fraud
• Billing & Accounts
Healthcare Payer Services Market, By End user
• Public
• Private
Healthcare Payer Services market, By Region:
North America
US
Canada
Europe
UK
Germany
France
Italy
Spain
Rest of Europe
Asia-Pacific
Japan
China
India
Australia
South Korea
Rest of Asia-Pacific
South America
Brazil
Argentina
Rest of South America
Middle East and Africa
GCC
South Africa
Rest of Middle East and Africa
Healthcare Payer Services Market Study Global Market Analysis, Insights and Forecast, 2020-2027
1. Introduction
1.1. Research Scope
1.2. Market Segmentation
1.3. Research Methodology
1.4. Definitions and Assumptions
2. Executive Summary
3. Market Dynamics
3.1. Market Drivers
3.2. Market Restraints
3.3. Market Opportunities
4. Key Insights
4.1. Key Emerging Trends – For Major Countries
4.2. Latest Technological Advancement
4.3. Regulatory Landscape
4.4. Industry SWOT Analysis
4.5. Porters Five Forces Analysis
5. Global Healthcare Payer Services Market Analysis (USD Billion), Insights and Forecast, 2016-2027
5.1. Key Findings / Summary
5.2. Market Analysis, Insights and Forecast – By Segment 1
5.2.1. Sub-Segment 1
5.2.2. Sub-Segment 2
5.3. Market Analysis, Insights and Forecast – By Segment 2
5.3.1. Sub-Segment 1
5.3.2. Sub-Segment 2
5.3.3. Sub-Segment 3
5.3.4. Others
5.4. Market Analysis, Insights and Forecast – By Segment 3
5.4.1. Sub-Segment 1
5.4.2. Sub-Segment 2
5.4.3. Sub-Segment 3
5.4.4. Others
5.5. Market Analysis, Insights and Forecast – By Region
5.5.1. North America
5.5.2. Latin America
5.5.3. Europe
5.5.4. Asia Pacific
5.5.5. Middle East and Africa
6. North America Healthcare Payer Services Market Analysis (USD Billion), Insights and Forecast, 2016-2027
6.1. Key Findings / Summary
6.2. Market Analysis, Insights and Forecast – By Segment 1
6.2.1. Sub-Segment 1
6.2.2. Sub-Segment 2
6.3. Market Analysis, Insights and Forecast – By Segment 2
6.3.1. Sub-Segment 1
6.3.2. Sub-Segment 2
6.3.3. Sub-Segment 3
6.3.4. Others
6.4. Market Analysis, Insights and Forecast – By Segment 3
6.4.1. Sub-Segment 1
6.4.2. Sub-Segment 2
6.4.3. Sub-Segment 3
6.4.4. Others
6.5. Market Analysis, Insights and Forecast – By Country
6.5.1. U.S.
6.5.2. Canada
7. Latin America Healthcare Payer Services Market Analysis (USD Billion), Insights and Forecast, 2016-2027
7.1. Key Findings / Summary
7.2. Market Analysis, Insights and Forecast – By Segment 1
7.2.1. Sub-Segment 1
7.2.2. Sub-Segment 2
7.3. Market Analysis, Insights and Forecast – By Segment 2
7.3.1. Sub-Segment 1
7.3.2. Sub-Segment 2
7.3.3. Sub-Segment 3
7.3.4. Others
7.4. Market Analysis, Insights and Forecast – By Segment 3
7.4.1. Sub-Segment 1
7.4.2. Sub-Segment 2
7.4.3. Sub-Segment 3
7.4.4. Others
7.5. Insights and Forecast – By Country
7.5.1. Brazil
7.5.2. Mexico
7.5.3. Rest of Latin America
8. Europe Healthcare Payer Services Market Analysis (USD Billion), Insights and Forecast, 2016-2027
8.1. Key Findings / Summary
8.2. Market Analysis, Insights and Forecast – By Segment 1
8.2.1. Sub-Segment 1
8.2.2. Sub-Segment 2
8.3. Market Analysis, Insights and Forecast – By Segment 2
8.3.1. Sub-Segment 1
8.3.2. Sub-Segment 2
8.3.3. Sub-Segment 3
8.3.4. Others
8.4. Market Analysis, Insights and Forecast – By Segment 3
8.4.1. Sub-Segment 1
8.4.2. Sub-Segment 2
8.4.3. Sub-Segment 3
8.4.4. Others
8.5. Market Analysis, Insights and Forecast – By Country
8.5.1. UK
8.5.2. Germany
8.5.3. France
8.5.4. Italy
8.5.5. Spain
8.5.6. Russia
8.5.7. Rest of Europe
9. Asia Pacific Healthcare Payer Services Market Analysis (USD Billion), Insights and Forecast, 2016-2027
9.1. Key Findings / Summary
9.2. Market Analysis, Insights and Forecast – By Segment 1
9.2.1. Sub-Segment 1
9.2.2. Sub-Segment 2
9.3. Market Analysis, Insights and Forecast – By Segment 2
9.3.1. Sub-Segment 1
9.3.2. Sub-Segment 2
9.3.3. Sub-Segment 3
9.3.4. Others
9.4. Market Analysis, Insights and Forecast – By Segment 3
9.4.1. Sub-Segment 1
9.4.2. Sub-Segment 2
9.4.3. Sub-Segment 3
9.4.4. Others
9.5. Market Analysis, Insights and Forecast – By Country
9.5.1. China
9.5.2. India
9.5.3. Japan
9.5.4. Australia
9.5.5. South East Asia
9.5.6. Rest of Asia Pacific
10. Middle East & Africa Healthcare Payer Services Market Analysis (USD Billion), Insights and Forecast, 2016-2027
10.1. Key Findings / Summary
10.2. Market Analysis, Insights and Forecast – By Segment 1
10.2.1. Sub-Segment 1
10.2.2. Sub-Segment 2
10.3. Market Analysis, Insights and Forecast – By Segment 2
10.3.1. Sub-Segment 1
10.3.2. Sub-Segment 2
10.3.3. Sub-Segment 3
10.3.4. Others
10.4. Market Analysis, Insights and Forecast – By Segment 3
10.4.1. Sub-Segment 1
10.4.2. Sub-Segment 2
10.4.3. Sub-Segment 3
10.4.4. Others
10.5. Market Analysis, Insights and Forecast – By Country
10.5.1. GCC
10.5.2. South Africa
10.5.3. Rest of Middle East & Africa
11. Competitive Analysis
11.1. Company Market Share Analysis, 2018
11.2. Key Industry Developments
11.3. Company Profile
11.3.1. Company 1
11.3.1.1. Business Overview
11.3.1.2. Segment 1 & Service Offering
11.3.1.3. Overall Revenue
11.3.1.4. Geographic Presence
11.3.1.5. Recent Development
*Similar details will be provided for the following companies
11.3.2. Company 2
11.3.3. Company 3
11.3.4. Company 4
11.3.5. Company 5
11.3.6. Company 6
11.3.7. Company 7
11.3.8. Company 8
11.3.9. Company 9
11.3.10. Company 10
11.3.11. Company 11
11.3.12. Company 12
List of Figures
Figure 1: Global Healthcare Payer Services Market Revenue Breakdown (USD Billion, %) by Region, 2019 & 2027
Figure 2: Global Market Value Share (%), By Segment 1, 2019 & 2027
Figure 3: Global Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 4: Global Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 5: Global Market Value Share (%), By Segment 2, 2019 & 2027
Figure 6: Global Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 7: Global Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 8: Global Market Forecast (USD Billion), by Sub-Segment 3, 2016-2027
Figure 9: Global Market Forecast (USD Billion), by Others, 2016-2027
Figure 10: Global Healthcare Payer Services Market Value Share (%), By Segment 3, 2019 & 2027
Figure 11: Global Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 12: Global Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 13: Global Market Forecast (USD Billion), by Sub-Segment 3, 2016-2027
Figure 14: Global Market Forecast (USD Billion), by Others, 2016-2027
Figure 15: Global Market Value (USD Billion), by Region, 2019 & 2027
Figure 16: North America Healthcare Payer Services Market Value Share (%), By Segment 1, 2019 & 2027
Figure 17: North America Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 18: North America Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 19: North America Market Value Share (%), By Segment 2, 2019 & 2027
Figure 20: North America Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 21: North America Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 22: North America Market Forecast (USD Billion), by Sub-Segment 3, 2016-2027
Figure 23: North America Market Forecast (USD Billion), by Others, 2016-2027
Figure 24: North America Market Value Share (%), By Segment 3, 2019 & 2027
Figure 25: North America Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 26: North America Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 27: North America Market Forecast (USD Billion), by Sub-Segment 3, 2016-2027
Figure 28: North America Market Forecast (USD Billion), by Others, 2016-2027
Figure 29: North America Market Forecast (USD Billion), by U.S., 2016-2027
Figure 30: North America Market Forecast (USD Billion), by Canada, 2016-2027
Figure 31: Latin America Healthcare Payer Services Market Value Share (%), By Segment 1, 2019 & 2027
Figure 32: Latin America Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 33: Latin America Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 34: Latin America Market Value Share (%), By Segment 2, 2019 & 2027
Figure 35: Latin America Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 36: Latin America Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 37: Latin America Market Forecast (USD Billion), by Sub-Segment 3, 2016-2027
Figure 38: Latin America Market Forecast (USD Billion), by Others, 2016-2027
Figure 39: Latin America Market Value Share (%), By Segment 3, 2019 & 2027
Figure 40: Latin America Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 41: Latin America Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 42: Latin America Market Forecast (USD Billion), by Sub-Segment 3, 2016-2027
Figure 43: Latin America Market Forecast (USD Billion), by Others, 2016-2027
Figure 44: Latin America Market Forecast (USD Billion), by Brazil, 2016-2027
Figure 45: Latin America Market Forecast (USD Billion), by Mexico, 2016-2027
Figure 46: Latin America Market Forecast (USD Billion), by Rest of Latin America, 2016-2027
Figure 47: Europe Healthcare Payer Services Market Value Share (%), By Segment 1, 2019 & 2027
Figure 48: Europe Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 49: Europe Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 50: Europe Market Value Share (%), By Segment 2, 2019 & 2027
Figure 51: Europe Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 52: Europe Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 53: Europe Market Forecast (USD Billion), by Sub-Segment 3, 2016-2027
Figure 54: Europe Market Forecast (USD Billion), by Others, 2016-2027
Figure 55: Europe Market Value Share (%), By Segment 3, 2019 & 2027
Figure 56: Europe Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 57: Europe Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 58: Europe Market Forecast (USD Billion), by Sub-Segment 3, 2016-2027
Figure 59: Europe Market Forecast (USD Billion), by Others, 2016-2027
Figure 60: Europe Market Forecast (USD Billion), by U.K., 2016-2027
Figure 61: Europe Market Forecast (USD Billion), by Germany, 2016-2027
Figure 62: Europe Market Forecast (USD Billion), by France, 2016-2027
Figure 63: Europe Market Forecast (USD Billion), by Italy, 2016-2027
Figure 64: Europe Market Forecast (USD Billion), by Spain, 2016-2027
Figure 65: Europe Market Forecast (USD Billion), by Russia, 2016-2027
Figure 66: Europe Market Forecast (USD Billion), by Rest of Europe, 2016-2027
Figure 67: Asia Pacific Healthcare Payer Services Market Value Share (%), By Segment 1, 2019 & 2027
Figure 68: Asia Pacific Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 69: Asia Pacific Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 70: Asia Pacific Market Value Share (%), By Segment 2, 2019 & 2027
Figure 71: Asia Pacific Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 72: Asia Pacific Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 73: Asia Pacific Market Forecast (USD Billion), by Sub-Segment 3, 2016-2027
Figure 74: Asia Pacific Market Forecast (USD Billion), by Others, 2016-2027
Figure 75: Asia Pacific Market Value Share (%), By Segment 3, 2019 & 2027
Figure 76: Asia Pacific Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 77: Asia Pacific Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 78: Asia Pacific Market Forecast (USD Billion), by Sub-Segment 3, 2016-2027
Figure 79: Asia Pacific Market Forecast (USD Billion), by Others, 2016-2027
Figure 80: Asia Pacific Market Forecast (USD Billion), by China, 2016-2027
Figure 81: Asia Pacific Market Forecast (USD Billion), by India, 2016-2027
Figure 82: Asia Pacific Market Forecast (USD Billion), by Japan, 2016-2027
Figure 83: Asia Pacific Market Forecast (USD Billion), by Australia, 2016-2027
Figure 84: Asia Pacific Market Forecast (USD Billion), by Southeast Asia, 2016-2027
Figure 85: Asia Pacific Market Forecast (USD Billion), by Rest of Asia Pacific, 2016-2027
Figure 86: Middle East & Africa Healthcare Payer Services Market Value Share (%), By Segment 1, 2019 & 2027
Figure 87: Middle East & Africa Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 88: Middle East & Africa Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 89: Middle East & Africa Market Value Share (%), By Segment 2, 2019 & 2027
Figure 90: Middle East & Africa Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 91: Middle East & Africa Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 92: Middle East & Africa Market Forecast (USD Billion), by Sub-Segment 3, 2016-2027
Figure 93: Middle East & Africa Market Forecast (USD Billion), by Others, 2016-2027
Figure 94: Middle East & Africa Market Value Share (%), By Segment 3, 2019 & 2027
Figure 95: Middle East & Africa Market Forecast (USD Billion), by Sub-Segment 1, 2016-2027
Figure 96: Middle East & Africa Market Forecast (USD Billion), by Sub-Segment 2, 2016-2027
Figure 97: Middle East & Africa Market Forecast (USD Billion), by Sub-Segment 3, 2016-2027
Figure 98: Middle East & Africa Market Forecast (USD Billion), by Others, 2016-2027
Figure 99: Middle East & Africa Market Forecast (USD Billion), by GCC, 2016-2027
Figure 100: Middle East & Africa Market Forecast (USD Billion), by South Africa, 2016-2027
Figure 101: Middle East & Africa Market Forecast (USD Billion), by Rest of Middle East & Africa, 2016-2027
List of Tables
Table 1: Global Healthcare Payer Services Market Revenue (USD Billion) Forecast, by Segment 1, 2016-2027
Table 2: Global Market Revenue (USD Billion) Forecast, by Segment 2, 2016-2027
Table 3: Global Market Revenue (USD Billion) Forecast, by Segment 3, 2016-2027
Table 4: Global Market Revenue (USD Billion) Forecast, by Region, 2016-2027
Table 5: North America Healthcare Payer Services Market Revenue (USD Billion) Forecast, by Segment 1, 2016-2027
Table 6: North America Market Revenue (USD Billion) Forecast, by Segment 2, 2016-2027
Table 7: North America Market Revenue (USD Billion) Forecast, by Segment 3, 2016-2027
Table 8: North America Market Revenue (USD Billion) Forecast, by Country, 2016-2027
Table 9: Europe Healthcare Payer Services Market Revenue (USD Billion) Forecast, by Segment 1, 2016-2027
Table 10: Europe Market Revenue (USD Billion) Forecast, by Segment 2, 2016-2027
Table 11: Europe Market Revenue (USD Billion) Forecast, by Segment 3, 2016-2027
Table 12: Europe Market Revenue (USD Billion) Forecast, by Country, 2016-2027
Table 13: Latin America Healthcare Payer Services Market Revenue (USD Billion) Forecast, by Segment 1, 2016-2027
Table 14: Latin America Market Revenue (USD Billion) Forecast, by Segment 2, 2016-2027
Table 15: Latin America Market Revenue (USD Billion) Forecast, by Segment 3, 2016-2027
Table 16: Latin America Market Revenue (USD Billion) Forecast, by Country, 2016-2027
Table 17: Asia Pacific Healthcare Payer Services Market Revenue (USD Billion) Forecast, by Segment 1, 2016-2027
Table 18: Asia Pacific Market Revenue (USD Billion) Forecast, by Segment 2, 2016-2027
Table 19: Asia Pacific Market Revenue (USD Billion) Forecast, by Segment 3, 2016-2027
Table 20: Asia Pacific Market Revenue (USD Billion) Forecast, by Country, 2016-2027
Table 21: Middle East & Africa Healthcare Payer Services Market Revenue (USD Billion) Forecast, by Segment 1, 2016-2027
Table 22: Middle East & Africa Market Revenue (USD Billion) Forecast, by Segment 2, 2016-2027
Table 23: Middle East & Africa Market Revenue (USD Billion) Forecast, by Segment 3, 2016-2027
Table 24: Middle East & Africa Market Revenue (USD Billion) Forecast, by Country, 2016-2027
