시장보고서
상품코드
1908970

의료보험자 네트워크 관리 시장(2026-2030년)

Global Healthcare Payer Network Management Market 2026-2030

발행일: | 리서치사: TechNavio | 페이지 정보: 영문 283 Pages | 배송안내 : 즉시배송

    
    
    




※ 본 상품은 영문 자료로 한글과 영문 목차에 불일치하는 내용이 있을 경우 영문을 우선합니다. 정확한 검토를 위해 영문 목차를 참고해주시기 바랍니다.

세계의 의료보험자 네트워크 관리 시장은 2025-2030년 53억 7,830만 달러 증가하고, 예측 기간 중 연평균 복합 성장률(CAGR)은 15.1%를 보일 것으로 예측됩니다. 본 보고서에서는 세계의 의료보험자 네트워크 관리 시장에 관한 종합적 분석, 시장 규모와 예측, 동향, 성장요인, 과제에 가세해 약 25개사 벤더 분석을 제공합니다.

본 보고서는 현재 시장 상황, 최신 동향 및 성장요인, 시장 환경 전반에 대한 최신 분석을 제공합니다. 시장 성장 요인으로는 비용 절감 및 부정행위 방지를 위한 AI 도입, 가치 기반 의료 및 상환 모델로의 전환, 디렉토리 정확성에 대한 규제 압력 증가 등을 꼽을 수 있습니다.

본 조사는 업계 주요 관계자들의 정보를 포함한 1차 정보와 2차 정보를 객관적으로 조합하여 실시되었습니다. 이 보고서에는 주요 기업 분석과 함께 종합적인 시장 규모 데이터, 지역별 분석과 함께 부문 및 공급업체 현황이 포함되어 있습니다. 보고서에는 과거 데이터와 예측 데이터가 포함되어 있습니다.

시장 범위
기준 연도 2026년
종료 연도 2030년
예측 기간 2026-2030년
성장 모멘텀 가속
YOY 2026 14.5%
CAGR 15.1%
증가액 53억 7,830만 달러

이 보고서는 향후 몇 년 동안 세계 의료 보험사 네트워크 관리 시장의 성장을 주도할 주요 요인 중 하나로 네트워크 최적화를 위한 머신러닝의 통합을 꼽았습니다. 또한, 가격 투명성을 실현하는 소비자 중심의 디지털 플랫폼과 가상 우선 및 하이브리드형 의료 제공업체 네트워크의 확대는 시장에서 상당한 수요를 창출할 것으로 예측됩니다.

목차

제1장 주요 요약

  • 시장 개요

제2장 Technavio 분석

  • 가격, 수명주기, 고객 구입 바스켓, 채택 비율, 구입 기준 분석
  • 인풋의 중요성과 차별화 요인
  • 혼란 요인
  • 성장 촉진요인과 과제의 영향

제3장 시장 구도

  • 시장 생태계
  • 시장 특징
  • 밸류체인 분석

제4장 시장 규모

  • 시장의 정의
  • 시장 부문 분석
  • 시장 규모 2025
  • 시장 전망 2025-2030

제5장 시장 규모 실적

  • 세계의 의료보험자 네트워크 관리 시장 2020-2024
  • 부품 부문 분석 2020-2024
  • 제공 형태별 부문 분석 2020-2024
  • 최종사용자 부문 분석 2020-2024
  • 지역별 부문 분석 2020-2024
  • 국가별 부문 분석 2020-2024

제6장 정성 분석

  • AI가 세계의 의료보험자 네트워크 관리 시장

제7장 Five Forces 분석

  • Five Forces 요약
  • 바이어의 교섭력
  • 공급 기업의 교섭력
  • 신규 진출업체의 위협
  • 대체품의 위협
  • 경쟁 위협
  • 시장 현황

제8장 시장 세분화 : 컴포넌트별

  • 시장 부문
  • 비교 : 컴포넌트별
  • 플랫폼 및 소프트웨어 : 시장 규모와 예측 2025-2030
  • 서비스 : 시장 규모와 예측 2025-2030
  • 시장 기회 : 컴포넌트별

제9장 시장 세분화 : 배송 방법별

  • 시장 부문
  • 비교 : 배송 방법별
  • 클라우드 : 시장 규모와 예측 2025-2030
  • On-Premise : 시장 규모와 예측 2025-2030
  • 시장 기회 : 배송 방법별

제10장 시장 세분화 : 최종사용자별

  • 시장 부문
  • 비교 : 최종사용자별
  • 공중보건 보험 : 시장 규모와 예측 2025-2030
  • 민간 의료보험 : 시장 규모와 예측 2025-2030
  • 시장 기회 : 최종사용자별

제11장 고객 상황

  • 고객 상황 개요

제12장 지역별 상황

  • 지역별 세분화
  • 지역별 비교
  • 북미 : 시장 규모와 예측 2025-2030
  • 유럽 : 시장 규모와 예측 2025-2030
  • 아시아 : 시장 규모와 예측 2025-2030
  • 세계 기타 지역 : 시장 규모와 예측 2025-2030
  • 시장 기회 : 지역별

제13장 촉진요인, 과제 및 기회

  • 시장 성장 촉진요인
  • 시장이 해결해야 할 과제
  • 성장 촉진요인과 과제의 영향
  • 시장 기회

제14장 경쟁 구도

  • 개요
  • 경쟁 구도
  • 파괴적 혁신 상황
  • 업계 리스크

제15장 경쟁 분석

  • 기업 개요
  • 기업 순위 지표
  • 기업의 시장 포지셔닝
  • Availity
  • Cognizant Technology Solution
  • Cotiviti Inc.
  • Gainwell Technologies LLC
  • HealthEdge Software Inc.
  • Innovaccer Inc.
  • LexisNexis Risk Solutions.
  • Mphasis Ltd.
  • Optum Inc.
  • Oracle Corp.
  • Quest Analytics LLC
  • Salesforce Inc.
  • SS and C Technologies Inc.
  • Symplr
  • Zelis

제16장 부록

LSH

The global healthcare payer network management market is forecasted to grow by USD 5378.3 mn during 2025-2030, accelerating at a CAGR of 15.1% during the forecast period. The report on the global healthcare payer network management market provides a holistic analysis, market size and forecast, trends, growth drivers, and challenges, as well as vendor analysis covering around 25 vendors.

The report offers an up-to-date analysis regarding the current market scenario, the latest trends and drivers, and the overall market environment. The market is driven by adoption of AI for cost containment and fraud prevention, transition toward value-based care and reimbursement models, escalating regulatory pressures for directory accuracy.

The study was conducted using an objective combination of primary and secondary information including inputs from key participants in the industry. The report contains a comprehensive market size data, segment with regional analysis and vendor landscape in addition to an analysis of the key companies. Reports have historic and forecast data.

Market Scope
Base Year2026
End Year2030
Series Year2026-2030
Growth MomentumAccelerate
YOY 202614.5%
CAGR15.1%
Incremental Value$5378.3 mn

Technavio's global healthcare payer network management market is segmented as below:

By Component

  • Platform and software
  • Services

By Delivery Mode

  • Cloud
  • On-premises

By End-User

  • Public health insurance
  • Private health insurance

Geography

  • North America
    • US
    • Canada
    • Mexico
  • Europe
    • Germany
    • UK
    • France
    • The Netherlands
    • Italy
    • Spain
    • Russia
  • Asia
  • Rest of World (ROW)
  • Rest of World (ROW)

This study identifies the integration of machine learning for network optimization as one of the prime reasons driving the global healthcare payer network management market growth during the next few years. Also, consumer-centric digital platforms for price transparency and expansion of virtual-first and hybrid provider networks will lead to sizable demand in the market.

The report on the global healthcare payer network management market covers the following areas:

  • Global healthcare payer network management market sizing
  • Global healthcare payer network management market forecast
  • Global healthcare payer network management market industry analysis

The robust vendor analysis is designed to help clients improve their market position, and in line with this, this report provides a detailed analysis of several leading global healthcare payer network management market vendors that include Availity, Cedar Gate Technologies, Cognizant Technology Solution, Cotiviti Inc., Gainwell Technologies LLC, HealthEdge Software Inc., Infosys Ltd., Innovaccer Inc., LexisNexis Risk Solutions., Mphasis Ltd., Optum Inc., Oracle Corp., Quest Analytics LLC, Salesforce Inc., SS and C Technologies Inc., Symplr, Verisys, Zelis. Also, the global healthcare payer network management market analysis report includes information on upcoming trends and challenges that will influence market growth. This is to help companies strategize and leverage all forthcoming growth opportunities.

The publisher presents a detailed picture of the market by the way of study, synthesis, and summation of data from multiple sources by an analysis of key parameters such as profit, pricing, competition, and promotions. It presents various market facets by identifying the key industry influencers. The data presented is comprehensive, reliable, and a result of extensive primary and secondary research. The market research reports provide a complete competitive landscape and an in-depth vendor selection methodology and analysis using qualitative and quantitative research to forecast accurate market growth.

Table of Contents

1 Executive Summary

  • 1.1 Market overview
    • Executive Summary - Chart on Market Overview
    • Executive Summary - Data Table on Market Overview
    • Executive Summary - Chart on Global Market Characteristics
    • Executive Summary - Chart on Market by Geography
    • Executive Summary - Chart on Market Segmentation by Component
    • Executive Summary - Chart on Market Segmentation by Delivery Mode
    • Executive Summary - Chart on Market Segmentation by End-user
    • Executive Summary - Chart on Incremental Growth
    • Executive Summary - Data Table on Incremental Growth
    • Executive Summary - Chart on Company Market Positioning

2 Technavio Analysis

  • 2.1 Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
    • Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
  • 2.2 Criticality of inputs and Factors of differentiation
    • Chart on Overview on criticality of inputs and factors of differentiation
  • 2.3 Factors of disruption
    • Chart on Overview on factors of disruption
  • 2.4 Impact of drivers and challenges
    • Chart on Impact of drivers and challenges in 2025 and 2030

3 Market Landscape

  • 3.1 Market ecosystem
    • Chart on Parent Market
    • Data Table on - Parent Market
  • 3.2 Market characteristics
    • Chart on Market characteristics analysis
  • 3.3 Value chain analysis
    • Chart on Value chain analysis

4 Market Sizing

  • 4.1 Market definition
    • Data Table on Offerings of companies included in the market definition
  • 4.2 Market segment analysis
    • Market segments
  • 4.3 Market size 2025
  • 4.4 Market outlook: Forecast for 2025-2030
    • Chart on Global - Market size and forecast 2025-2030 ($ million)
    • Data Table on Global - Market size and forecast 2025-2030 ($ million)
    • Chart on Global Market: Year-over-year growth 2025-2030 (%)
    • Data Table on Global Market: Year-over-year growth 2025-2030 (%)

5 Historic Market Size

  • 5.1 Global Healthcare Payer Network Management Market 2020 - 2024
    • Historic Market Size - Data Table on Global Healthcare Payer Network Management Market 2020 - 2024 ($ million)
  • 5.2 Component segment analysis 2020 - 2024
    • Historic Market Size - Component Segment 2020 - 2024 ($ million)
  • 5.3 Delivery Mode segment analysis 2020 - 2024
    • Historic Market Size - Delivery Mode Segment 2020 - 2024 ($ million)
  • 5.4 End-user segment analysis 2020 - 2024
    • Historic Market Size - End-user Segment 2020 - 2024 ($ million)
  • 5.5 Geography segment analysis 2020 - 2024
    • Historic Market Size - Geography Segment 2020 - 2024 ($ million)
  • 5.6 Country segment analysis 2020 - 2024
    • Historic Market Size - Country Segment 2020 - 2024 ($ million)

6 Qualitative Analysis

  • 6.1 Impact of AI on the Global Healthcare Payer Network Management Market

7 Five Forces Analysis

  • 7.1 Five forces summary
    • Five forces analysis - Comparison between 2025 and 2030
  • 7.2 Bargaining power of buyers
    • Bargaining power of buyers - Impact of key factors 2025 and 2030
  • 7.3 Bargaining power of suppliers
    • Bargaining power of suppliers - Impact of key factors in 2025 and 2030
  • 7.4 Threat of new entrants
    • Threat of new entrants - Impact of key factors in 2025 and 2030
  • 7.5 Threat of substitutes
    • Threat of substitutes - Impact of key factors in 2025 and 2030
  • 7.6 Threat of rivalry
    • Threat of rivalry - Impact of key factors in 2025 and 2030
  • 7.7 Market condition
    • Chart on Market condition - Five forces 2025 and 2030

8 Market Segmentation by Component

  • 8.1 Market segments
    • Chart on Component - Market share 2025-2030 (%)
    • Data Table on Component - Market share 2025-2030 (%)
  • 8.2 Comparison by Component
    • Chart on Comparison by Component
    • Data Table on Comparison by Component
  • 8.3 Platform and software - Market size and forecast 2025-2030
    • Chart on Platform and software - Market size and forecast 2025-2030 ($ million)
    • Data Table on Platform and software - Market size and forecast 2025-2030 ($ million)
    • Chart on Platform and software - Year-over-year growth 2025-2030 (%)
    • Data Table on Platform and software - Year-over-year growth 2025-2030 (%)
  • 8.4 Services - Market size and forecast 2025-2030
    • Chart on Services - Market size and forecast 2025-2030 ($ million)
    • Data Table on Services - Market size and forecast 2025-2030 ($ million)
    • Chart on Services - Year-over-year growth 2025-2030 (%)
    • Data Table on Services - Year-over-year growth 2025-2030 (%)
  • 8.5 Market opportunity by Component
    • Market opportunity by Component ($ million)
    • Data Table on Market opportunity by Component ($ million)

9 Market Segmentation by Delivery Mode

  • 9.1 Market segments
    • Chart on Delivery Mode - Market share 2025-2030 (%)
    • Data Table on Delivery Mode - Market share 2025-2030 (%)
  • 9.2 Comparison by Delivery Mode
    • Chart on Comparison by Delivery Mode
    • Data Table on Comparison by Delivery Mode
  • 9.3 Cloud - Market size and forecast 2025-2030
    • Chart on Cloud - Market size and forecast 2025-2030 ($ million)
    • Data Table on Cloud - Market size and forecast 2025-2030 ($ million)
    • Chart on Cloud - Year-over-year growth 2025-2030 (%)
    • Data Table on Cloud - Year-over-year growth 2025-2030 (%)
  • 9.4 On-premises - Market size and forecast 2025-2030
    • Chart on On-premises - Market size and forecast 2025-2030 ($ million)
    • Data Table on On-premises - Market size and forecast 2025-2030 ($ million)
    • Chart on On-premises - Year-over-year growth 2025-2030 (%)
    • Data Table on On-premises - Year-over-year growth 2025-2030 (%)
  • 9.5 Market opportunity by Delivery Mode
    • Market opportunity by Delivery Mode ($ million)
    • Data Table on Market opportunity by Delivery Mode ($ million)

10 Market Segmentation by End-user

  • 10.1 Market segments
    • Chart on End-user - Market share 2025-2030 (%)
    • Data Table on End-user - Market share 2025-2030 (%)
  • 10.2 Comparison by End-user
    • Chart on Comparison by End-user
    • Data Table on Comparison by End-user
  • 10.3 Public health insurance - Market size and forecast 2025-2030
    • Chart on Public health insurance - Market size and forecast 2025-2030 ($ million)
    • Data Table on Public health insurance - Market size and forecast 2025-2030 ($ million)
    • Chart on Public health insurance - Year-over-year growth 2025-2030 (%)
    • Data Table on Public health insurance - Year-over-year growth 2025-2030 (%)
  • 10.4 Private health insurance - Market size and forecast 2025-2030
    • Chart on Private health insurance - Market size and forecast 2025-2030 ($ million)
    • Data Table on Private health insurance - Market size and forecast 2025-2030 ($ million)
    • Chart on Private health insurance - Year-over-year growth 2025-2030 (%)
    • Data Table on Private health insurance - Year-over-year growth 2025-2030 (%)
  • 10.5 Market opportunity by End-user
    • Market opportunity by End-user ($ million)
    • Data Table on Market opportunity by End-user ($ million)

11 Customer Landscape

  • 11.1 Customer landscape overview
    • Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria

12 Geographic Landscape

  • 12.1 Geographic segmentation
    • Chart on Market share by geography 2025-2030 (%)
    • Data Table on Market share by geography 2025-2030 (%)
  • 12.2 Geographic comparison
    • Chart on Geographic comparison
    • Data Table on Geographic comparison
  • 12.3 North America - Market size and forecast 2025-2030
    • Chart on North America - Market size and forecast 2025-2030 ($ million)
    • Data Table on North America - Market size and forecast 2025-2030 ($ million)
    • Chart on North America - Year-over-year growth 2025-2030 (%)
    • Data Table on North America - Year-over-year growth 2025-2030 (%)
    • Chart on Regional Comparison - North America
    • Data Table on Regional Comparison - North America
    • 12.3.1 US - Market size and forecast 2025-2030
      • Chart on US - Market size and forecast 2025-2030 ($ million)
      • Data Table on US - Market size and forecast 2025-2030 ($ million)
      • Chart on US - Year-over-year growth 2025-2030 (%)
      • Data Table on US - Year-over-year growth 2025-2030 (%)
    • 12.3.2 Canada - Market size and forecast 2025-2030
      • Chart on Canada - Market size and forecast 2025-2030 ($ million)
      • Data Table on Canada - Market size and forecast 2025-2030 ($ million)
      • Chart on Canada - Year-over-year growth 2025-2030 (%)
      • Data Table on Canada - Year-over-year growth 2025-2030 (%)
    • 12.3.3 Mexico - Market size and forecast 2025-2030
      • Chart on Mexico - Market size and forecast 2025-2030 ($ million)
      • Data Table on Mexico - Market size and forecast 2025-2030 ($ million)
      • Chart on Mexico - Year-over-year growth 2025-2030 (%)
      • Data Table on Mexico - Year-over-year growth 2025-2030 (%)
  • 12.4 Europe - Market size and forecast 2025-2030
    • Chart on Europe - Market size and forecast 2025-2030 ($ million)
    • Data Table on Europe - Market size and forecast 2025-2030 ($ million)
    • Chart on Europe - Year-over-year growth 2025-2030 (%)
    • Data Table on Europe - Year-over-year growth 2025-2030 (%)
    • Chart on Regional Comparison - Europe
    • Data Table on Regional Comparison - Europe
    • 12.4.1 Germany - Market size and forecast 2025-2030
      • Chart on Germany - Market size and forecast 2025-2030 ($ million)
      • Data Table on Germany - Market size and forecast 2025-2030 ($ million)
      • Chart on Germany - Year-over-year growth 2025-2030 (%)
      • Data Table on Germany - Year-over-year growth 2025-2030 (%)
    • 12.4.2 UK - Market size and forecast 2025-2030
      • Chart on UK - Market size and forecast 2025-2030 ($ million)
      • Data Table on UK - Market size and forecast 2025-2030 ($ million)
      • Chart on UK - Year-over-year growth 2025-2030 (%)
      • Data Table on UK - Year-over-year growth 2025-2030 (%)
    • 12.4.3 France - Market size and forecast 2025-2030
      • Chart on France - Market size and forecast 2025-2030 ($ million)
      • Data Table on France - Market size and forecast 2025-2030 ($ million)
      • Chart on France - Year-over-year growth 2025-2030 (%)
      • Data Table on France - Year-over-year growth 2025-2030 (%)
    • 12.4.4 The Netherlands - Market size and forecast 2025-2030
      • Chart on The Netherlands - Market size and forecast 2025-2030 ($ million)
      • Data Table on The Netherlands - Market size and forecast 2025-2030 ($ million)
      • Chart on The Netherlands - Year-over-year growth 2025-2030 (%)
      • Data Table on The Netherlands - Year-over-year growth 2025-2030 (%)
    • 12.4.5 Italy - Market size and forecast 2025-2030
      • Chart on Italy - Market size and forecast 2025-2030 ($ million)
      • Data Table on Italy - Market size and forecast 2025-2030 ($ million)
      • Chart on Italy - Year-over-year growth 2025-2030 (%)
      • Data Table on Italy - Year-over-year growth 2025-2030 (%)
    • 12.4.6 Spain - Market size and forecast 2025-2030
      • Chart on Spain - Market size and forecast 2025-2030 ($ million)
      • Data Table on Spain - Market size and forecast 2025-2030 ($ million)
      • Chart on Spain - Year-over-year growth 2025-2030 (%)
      • Data Table on Spain - Year-over-year growth 2025-2030 (%)
    • 12.4.7 Russia - Market size and forecast 2025-2030
    • Chart on Russia - Market size and forecast 2025-2030 ($ million)
    • Data Table on Russia - Market size and forecast 2025-2030 ($ million)
    • Chart on Russia - Year-over-year growth 2025-2030 (%)
    • Data Table on Russia - Year-over-year growth 2025-2030 (%)
  • 12.5 Asia - Market size and forecast 2025-2030
    • Chart on Asia - Market size and forecast 2025-2030 ($ million)
    • Data Table on Asia - Market size and forecast 2025-2030 ($ million)
    • Chart on Asia - Year-over-year growth 2025-2030 (%)
    • Data Table on Asia - Year-over-year growth 2025-2030 (%)
    • Chart on Regional Comparison - Asia
    • Data Table on Regional Comparison - Asia
    • 12.5.1 China - Market size and forecast 2025-2030
      • Chart on China - Market size and forecast 2025-2030 ($ million)
      • Data Table on China - Market size and forecast 2025-2030 ($ million)
      • Chart on China - Year-over-year growth 2025-2030 (%)
      • Data Table on China - Year-over-year growth 2025-2030 (%)
    • 12.5.2 Japan - Market size and forecast 2025-2030
      • Chart on Japan - Market size and forecast 2025-2030 ($ million)
      • Data Table on Japan - Market size and forecast 2025-2030 ($ million)
      • Chart on Japan - Year-over-year growth 2025-2030 (%)
      • Data Table on Japan - Year-over-year growth 2025-2030 (%)
    • 12.5.3 India - Market size and forecast 2025-2030
      • Chart on India - Market size and forecast 2025-2030 ($ million)
      • Data Table on India - Market size and forecast 2025-2030 ($ million)
      • Chart on India - Year-over-year growth 2025-2030 (%)
      • Data Table on India - Year-over-year growth 2025-2030 (%)
    • 12.5.4 South Korea - Market size and forecast 2025-2030
      • Chart on South Korea - Market size and forecast 2025-2030 ($ million)
      • Data Table on South Korea - Market size and forecast 2025-2030 ($ million)
      • Chart on South Korea - Year-over-year growth 2025-2030 (%)
      • Data Table on South Korea - Year-over-year growth 2025-2030 (%)
    • 12.5.5 Indonesia - Market size and forecast 2025-2030
      • Chart on Indonesia - Market size and forecast 2025-2030 ($ million)
      • Data Table on Indonesia - Market size and forecast 2025-2030 ($ million)
      • Chart on Indonesia - Year-over-year growth 2025-2030 (%)
      • Data Table on Indonesia - Year-over-year growth 2025-2030 (%)
    • 12.5.6 Thailand - Market size and forecast 2025-2030
    • Chart on Thailand - Market size and forecast 2025-2030 ($ million)
    • Data Table on Thailand - Market size and forecast 2025-2030 ($ million)
    • Chart on Thailand - Year-over-year growth 2025-2030 (%)
    • Data Table on Thailand - Year-over-year growth 2025-2030 (%)
    • 12.5.7 Singapore - Market size and forecast 2025-2030
    • Chart on Singapore - Market size and forecast 2025-2030 ($ million)
    • Data Table on Singapore - Market size and forecast 2025-2030 ($ million)
    • Chart on Singapore - Year-over-year growth 2025-2030 (%)
    • Data Table on Singapore - Year-over-year growth 2025-2030 (%)
  • 12.6 Rest of World (ROW) - Market size and forecast 2025-2030
    • Chart on Rest of World (ROW) - Market size and forecast 2025-2030 ($ million)
    • Data Table on Rest of World (ROW) - Market size and forecast 2025-2030 ($ million)
    • Chart on Rest of World (ROW) - Year-over-year growth 2025-2030 (%)
    • Data Table on Rest of World (ROW) - Year-over-year growth 2025-2030 (%)
    • Chart on Regional Comparison - Rest of World (ROW)
    • Data Table on Regional Comparison - Rest of World (ROW)
    • 12.6.1 Australia - Market size and forecast 2025-2030
      • Chart on Australia - Market size and forecast 2025-2030 ($ million)
      • Data Table on Australia - Market size and forecast 2025-2030 ($ million)
      • Chart on Australia - Year-over-year growth 2025-2030 (%)
      • Data Table on Australia - Year-over-year growth 2025-2030 (%)
    • 12.6.2 Brazil - Market size and forecast 2025-2030
      • Chart on Brazil - Market size and forecast 2025-2030 ($ million)
      • Data Table on Brazil - Market size and forecast 2025-2030 ($ million)
      • Chart on Brazil - Year-over-year growth 2025-2030 (%)
      • Data Table on Brazil - Year-over-year growth 2025-2030 (%)
    • 12.6.3 UAE - Market size and forecast 2025-2030
      • Chart on UAE - Market size and forecast 2025-2030 ($ million)
      • Data Table on UAE - Market size and forecast 2025-2030 ($ million)
      • Chart on UAE - Year-over-year growth 2025-2030 (%)
      • Data Table on UAE - Year-over-year growth 2025-2030 (%)
    • 12.6.4 Saudi Arabia - Market size and forecast 2025-2030
      • Chart on Saudi Arabia - Market size and forecast 2025-2030 ($ million)
      • Data Table on Saudi Arabia - Market size and forecast 2025-2030 ($ million)
      • Chart on Saudi Arabia - Year-over-year growth 2025-2030 (%)
      • Data Table on Saudi Arabia - Year-over-year growth 2025-2030 (%)
    • 12.6.5 South Africa - Market size and forecast 2025-2030
      • Chart on South Africa - Market size and forecast 2025-2030 ($ million)
      • Data Table on South Africa - Market size and forecast 2025-2030 ($ million)
      • Chart on South Africa - Year-over-year growth 2025-2030 (%)
      • Data Table on South Africa - Year-over-year growth 2025-2030 (%)
    • 12.6.6 Turkey - Market size and forecast 2025-2030
      • Chart on Turkey - Market size and forecast 2025-2030 ($ million)
      • Data Table on Turkey - Market size and forecast 2025-2030 ($ million)
      • Chart on Turkey - Year-over-year growth 2025-2030 (%)
      • Data Table on Turkey - Year-over-year growth 2025-2030 (%)
  • 12.7 Market opportunity by geography
    • Market opportunity by geography ($ million)
    • Data Tables on Market opportunity by geography ($ million)

13 Drivers, Challenges, and Opportunity

  • 13.1 Market drivers
    • Adoption of AI for cost containment and fraud prevention
    • Transition toward value-based care and reimbursement models
    • Escalating regulatory pressures for directory accuracy
  • 13.2 Market challenges
    • Cybersecurity threats and data privacy compliance
    • Integration with legacy systems and interoperability issues
    • Managing provider relationships and network adequacy
  • 13.3 Impact of drivers and challenges
    • Impact of drivers and challenges in 2025 and 2030
  • 13.4 Market opportunities
    • Integration of machine learning for network optimization
    • Consumer-centric digital platforms for price transparency
    • Expansion of virtual-first and hybrid provider networks

14 Competitive Landscape

  • 14.1 Overview
  • 14.2 Competitive Landscape
    • Overview on criticality of inputs and factors of differentiation
  • 14.3 Landscape disruption
    • Overview on factors of disruption
  • 14.4 Industry risks
    • Impact of key risks on business

15 Competitive Analysis

  • 15.1 Companies profiled
    • Companies covered
  • 15.2 Company ranking index
    • Company ranking index
  • 15.3 Market positioning of companies
    • Matrix on companies position and classification
  • 15.4 Availity
    • Availity - Overview
    • Availity - Product / Service
    • Availity - Key offerings
    • SWOT
  • 15.5 Cognizant Technology Solution
    • Cognizant Technology Solution - Overview
    • Cognizant Technology Solution - Business segments
    • Cognizant Technology Solution - Key news
    • Cognizant Technology Solution - Key offerings
    • Cognizant Technology Solution - Segment focus
    • SWOT
  • 15.6 Cotiviti Inc.
    • Cotiviti Inc. - Overview
    • Cotiviti Inc. - Product / Service
    • Cotiviti Inc. - Key offerings
    • SWOT
  • 15.7 Gainwell Technologies LLC
    • Gainwell Technologies LLC - Overview
    • Gainwell Technologies LLC - Product / Service
    • Gainwell Technologies LLC - Key offerings
    • SWOT
  • 15.8 HealthEdge Software Inc.
    • HealthEdge Software Inc. - Overview
    • HealthEdge Software Inc. - Product / Service
    • HealthEdge Software Inc. - Key offerings
    • SWOT
  • 15.9 Innovaccer Inc.
    • Innovaccer Inc. - Overview
    • Innovaccer Inc. - Product / Service
    • Innovaccer Inc. - Key offerings
    • SWOT
  • 15.10 LexisNexis Risk Solutions.
    • LexisNexis Risk Solutions. - Overview
    • LexisNexis Risk Solutions. - Product / Service
    • LexisNexis Risk Solutions. - Key offerings
    • SWOT
  • 15.11 Mphasis Ltd.
    • Mphasis Ltd. - Overview
    • Mphasis Ltd. - Product / Service
    • Mphasis Ltd. - Key news
    • Mphasis Ltd. - Key offerings
    • SWOT
  • 15.12 Optum Inc.
    • Optum Inc. - Overview
    • Optum Inc. - Product / Service
    • Optum Inc. - Key offerings
    • SWOT
  • 15.13 Oracle Corp.
    • Oracle Corp. - Overview
    • Oracle Corp. - Business segments
    • Oracle Corp. - Key news
    • Oracle Corp. - Key offerings
    • Oracle Corp. - Segment focus
    • SWOT
  • 15.14 Quest Analytics LLC
    • Quest Analytics LLC - Overview
    • Quest Analytics LLC - Product / Service
    • Quest Analytics LLC - Key offerings
    • SWOT
  • 15.15 Salesforce Inc.
    • Salesforce Inc. - Overview
    • Salesforce Inc. - Product / Service
    • Salesforce Inc. - Key news
    • Salesforce Inc. - Key offerings
    • SWOT
  • 15.16 SS and C Technologies Inc.
    • SS and C Technologies Inc. - Overview
    • SS and C Technologies Inc. - Product / Service
    • SS and C Technologies Inc. - Key news
    • SS and C Technologies Inc. - Key offerings
    • SWOT
  • 15.17 Symplr
    • Symplr - Overview
    • Symplr - Product / Service
    • Symplr - Key offerings
    • SWOT
  • 15.18 Zelis
    • Zelis - Overview
    • Zelis - Product / Service
    • Zelis - Key offerings
    • SWOT

16 Appendix

  • 16.1 Scope of the report
    • Market definition
    • Objectives
    • Notes and caveats
  • 16.2 Inclusions and exclusions checklist
    • Inclusions checklist
    • Exclusions checklist
  • 16.3 Currency conversion rates for US$
    • Currency conversion rates for US$
  • 16.4 Research methodology
    • Research methodology
  • 16.5 Data procurement
    • Information sources
  • 16.6 Data validation
    • Data validation
  • 16.7 Validation techniques employed for market sizing
    • Validation techniques employed for market sizing
  • 16.8 Data synthesis
    • Data synthesis
  • 16.9 360 degree market analysis
    • 360 degree market analysis
  • 16.10 List of abbreviations
    • List of abbreviations
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