세계의 의료비 지불자용 BPO 시장 : 시장 규모, 점유율, 동향 분석(서비스별, 지역별)과 예측(2022-2032년)

The global Healthcare Payer BPO Market was valued at USD 32.4 billion in 2023 and is projected to reach USD 59.07 billion by 2032, growing at a compound annual growth rate (CAGR) of 6.9% from 2024 to 2032. The market's expansion is driven by the increasing global geriatric population, rising healthcare costs, technological advancements, and the need for operational efficiency among healthcare payers.

As per the World Health Organization (WHO), the population aged 80 and above is projected to triple to reach 426 million by 2050, while the 60+ demographic will double to 2.1 billion. This demographic shift is accelerating demand for healthcare services, thus increasing the workload on insurance companies. Healthcare payer BPO services are proving instrumental in streamlining operations such as claims management, member services, and billing while reducing costs and enhancing customer satisfaction.

The integration of technologies like artificial intelligence (AI), robotic process automation (RPA), and advanced analytics is reshaping the market landscape, offering payers improved accuracy and operational efficiency. Companies like Cognizant and Accenture are collaborating with technology providers to develop innovative solutions that address evolving payer needs. For instance, Cognizant's partnership with Microsoft in April 2023 enabled enhanced claims management processes, driving better customer outcomes.

Regionally, North America dominated the market in 2023 due to advanced payer systems, increased penetration of health insurance, and substantial investments in technological infrastructure. The Asia Pacific region is expected to witness the fastest growth during the forecast period, supported by growing public and private healthcare expenditures and favorable government policies.

The competitive landscape is highly fragmented, with major players such as Cognizant, Accenture, Capgemini, Genpact, and Wipro adopting strategies like mergers and acquisitions to strengthen their market presence.

Global Healthcare Payer BPO Market to Reach USD 52.0 Billion by 2030

The global healthcare payer BPO market is experiencing significant growth, driven by the rising prevalence of chronic diseases, the growing need for administrative efficiency, and the increasing adoption of technology-driven solutions. With healthcare costs escalating worldwide, outsourcing administrative tasks has become a strategic move for payers to achieve cost reductions and enhance service quality.

The claims management services segment accounted for the largest share in 2023, driven by the adoption of AI and RPA to streamline claims processing and fraud detection. Provider management services are expected to grow at the fastest CAGR, supported by the increasing number of healthcare providers and the rising need for efficient data management.

North America remains a dominant region due to its robust healthcare infrastructure and technological advancements. Meanwhile, the Asia Pacific market is set to expand rapidly, benefiting from high economic growth, increased insurance penetration, and a focus on healthcare infrastructure development.

Key players in the market include Cognizant, Accenture, Genpact, Wipro, and HCL Technologies Limited, which are leveraging strategic partnerships and advanced technologies to strengthen their market position.

Major Market Players Included in This Report Are:

• Cognizant
• Xerox Corporation
• Accenture
• Hinduja Global Solution Limited
• ExlService Holdings, Inc.
• Hewlett Packard Enterprise Development LP
• Genpact
• Wipro
• Capgemini
• HCL Technologies Limited
• IBM Corporation
• Syntel Inc.
• Optum Inc.
• Conduent Inc.
• DXC Technology

The Detailed Segments and Sub-Segments of the Market Are Explained Below:

By Services:

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

By Region:

• North America
  • U.S.
  • Canada
  • Mexico
• Europe
  • UK
  • Germany
  • France
  • Italy
  • Spain
  • Denmark
  • Sweden
  • Norway
• Asia Pacific
  • Japan
  • China
  • India
  • Australia
  • South Korea
  • Thailand
• Latin America
  • Brazil
  • Argentina
• Middle East & Africa (MEA)
  • South Africa
  • Saudi Arabia
  • UAE
  • Kuwait

Years Considered for the Study Are as Follows:

• Historical Year - 2022
• Base Year - 2023
• Forecast Period - 2024 to 2032

Key Takeaways:

• Market estimates & forecasts for 10 years from 2022 to 2032
• Annualized revenues and regional-level analysis for each market segment
• Detailed geographical landscape analysis with country-level insights for major regions
• Competitive landscape information, including major players and market share
• Strategic recommendations for future market approaches

Table of Contents

Chapter 1. Global Healthcare Payer BPO Market Executive Summary

• 1.1. Global Healthcare Payer BPO Market Size & Forecast (2022-2032)
• 1.2. Regional Summary
• 1.3. Segmental Summary
  • 1.3.1. By Services
  • 1.3.2. By Region
• 1.4. Key Trends
• 1.5. Recession Impact
• 1.6. Analyst Recommendation & Conclusion

Chapter 2. Global Healthcare Payer BPO Market Definition and Research Assumptions

• 2.1. Research Objective
• 2.2. Market Definition
• 2.3. Research Assumptions
  • 2.3.1. Inclusion & Exclusion
  • 2.3.2. Limitations
  • 2.3.3. Supply Side Analysis
    • 2.3.3.1. Availability
    • 2.3.3.2. Infrastructure
    • 2.3.3.3. Regulatory Environment
    • 2.3.3.4. Market Competition
    • 2.3.3.5. Economic Viability (Consumer's Perspective)
  • 2.3.4. Demand Side Analysis
    • 2.3.4.1. Regulatory Frameworks
    • 2.3.4.2. Technological Advancements
    • 2.3.4.3. Environmental Considerations
    • 2.3.4.4. Consumer Awareness & Acceptance
• 2.4. Estimation Methodology
• 2.5. Years Considered for the Study
• 2.6. Currency Conversion Rates

Chapter 3. Global Healthcare Payer BPO Market Dynamics

• 3.1. Market Drivers
  • 3.1.1. Rising prevalence of chronic diseases
  • 3.1.2. Technological advancements in healthcare BPO services
  • 3.1.3. Increasing need for cost reduction and operational efficiency
• 3.2. Market Challenges
  • 3.2.1. Data security and compliance concerns
  • 3.2.2. High initial investment costs for advanced technologies
• 3.3. Market Opportunities
  • 3.3.1. Growth in emerging economies
  • 3.3.2. Integration of AI and analytics into payer services
  • 3.3.3. Expanding healthcare coverage globally

Chapter 4. Global Healthcare Payer BPO Market Industry Analysis

• 4.1. Porter's Five Forces Analysis
  • 4.1.1. Bargaining Power of Suppliers
  • 4.1.2. Bargaining Power of Buyers
  • 4.1.3. Threat of New Entrants
  • 4.1.4. Threat of Substitutes
  • 4.1.5. Competitive Rivalry
• 4.2. PESTEL Analysis
  • 4.2.1. Political
  • 4.2.2. Economical
  • 4.2.3. Social
  • 4.2.4. Technological
  • 4.2.5. Environmental
  • 4.2.6. Legal
• 4.3. Top Investment Opportunities
• 4.4. Top Winning Strategies
• 4.5. Disruptive Trends
• 4.6. Industry Expert Perspective
• 4.7. Analyst Recommendation & Conclusion

Chapter 5. Global Healthcare Payer BPO Market Size & Forecasts by Services (2022-2032)

• 5.1. Segment Dashboard
• 5.2. Global Healthcare Payer BPO Market: Services Revenue Trend Analysis (2022 & 2032)
  • 5.2.1. Claims Management Services
  • 5.2.2. Integrated Front Office Service & Back Office Operations
  • 5.2.3. Member Management Services
  • 5.2.4. Provider Management Services
  • 5.2.5. Billing & Accounts Management Services
  • 5.2.6. Analytics & Fraud Management Services
  • 5.2.7. HR Services

Chapter 6. Global Healthcare Payer BPO Market Size & Forecasts by Region (2022-2032)

• 6.1. North America Healthcare Payer BPO Market
  • 6.1.1. U.S. Healthcare Payer BPO Market
  • 6.1.2. Canada Healthcare Payer BPO Market
  • 6.1.3. Mexico Healthcare Payer BPO Market
• 6.2. Europe Healthcare Payer BPO Market
  • 6.2.1. UK Healthcare Payer BPO Market
  • 6.2.2. Germany Healthcare Payer BPO Market
  • 6.2.3. France Healthcare Payer BPO Market
  • 6.2.4. Italy Healthcare Payer BPO Market
  • 6.2.5. Spain Healthcare Payer BPO Market
  • 6.2.6. Denmark Healthcare Payer BPO Market
  • 6.2.7. Sweden Healthcare Payer BPO Market
  • 6.2.8. Norway Healthcare Payer BPO Market
• 6.3. Asia Pacific Healthcare Payer BPO Market
  • 6.3.1. Japan Healthcare Payer BPO Market
  • 6.3.2. China Healthcare Payer BPO Market
  • 6.3.3. India Healthcare Payer BPO Market
  • 6.3.4. Australia Healthcare Payer BPO Market
  • 6.3.5. South Korea Healthcare Payer BPO Market
  • 6.3.6. Thailand Healthcare Payer BPO Market
• 6.4. Latin America Healthcare Payer BPO Market
  • 6.4.1. Brazil Healthcare Payer BPO Market
  • 6.4.2. Argentina Healthcare Payer BPO Market
• 6.5. Middle East & Africa Healthcare Payer BPO Market
  • 6.5.1. South Africa Healthcare Payer BPO Market
  • 6.5.2. Saudi Arabia Healthcare Payer BPO Market
  • 6.5.3. UAE Healthcare Payer BPO Market
  • 6.5.4. Kuwait Healthcare Payer BPO Market

Chapter 7. Competitive Intelligence

• 7.1. Key Company SWOT Analysis
  • 7.1.1. Cognizant
  • 7.1.2. Accenture
  • 7.1.3. Wipro
• 7.2. Top Market Strategies
• 7.3. Company Profiles
  • 7.3.1. Cognizant
    • 7.3.1.1. Key Information
    • 7.3.1.2. Overview
    • 7.3.1.3. Financials (Subject to Data Availability)
    • 7.3.1.4. Product Summary
    • 7.3.1.5. Market Strategies
  • 7.3.2. Accenture
  • 7.3.3. Genpact
  • 7.3.4. Wipro
  • 7.3.5. Capgemini
  • 7.3.6. HCL Technologies Limited
  • 7.3.7. ExlService Holdings, Inc.
  • 7.3.8. Hewlett Packard Enterprise Development LP
  • 7.3.9. Xerox Corporation
  • 7.3.10. Optum Inc.

Chapter 8. Research Process

• 8.1. Research Process
  • 8.1.1. Data Mining
  • 8.1.2. Analysis
  • 8.1.3. Market Estimation
  • 8.1.4. Validation
  • 8.1.5. Publishing
• 8.2. Research Attributes