의료비 지불자 서비스 시장 규모, 점유율 및 동향 분석 보고서 : 서비스별(비즈니스 프로세스 아웃소싱, IT 아웃소싱 서비스, 지식 프로세스 아웃소싱 서비스), 용도별, 최종 용도별, 지역별, 부문별 예측(2023-2032년)

The global healthcare payer services market size is expected to reach USD 186.35 billion by 2032, according to a new study by Polaris Market Research. The report "Healthcare Payer Services Market Size, Share & Trends Analysis Report By Services (Business Process Outsourcing, IT Outsourcing Services, Knowledge Process Outsourcing Services); By Application; By End Use; By Region; And Segment Forecasts, 2023 - 2032" gives a detailed insight into current market dynamics and provides analysis on future market growth.

The Healthcare supply chain business is contracting out the healthcare supply chain administration to outside service providers (BPO). The demand for improved supply chain management (SCM) techniques and the increase in the necessity for cost-effective operations are both factors contributing to the growth of this industry.

The healthcare supply chain market is predicted to grow throughout the scheduled time. Moreover, inventory management is a key factor in the growing demand for healthcare supply chain companies and is anticipated to support market expansion over the forecast period. Furthermore, elements like the deployment of ICD-10 codes, the expiration of pharmaceutical patents, and the decrease in healthcare delivery costs are anticipated to have a beneficial influence on the development of the healthcare supply chain BPO industry.

Adopting cutting-edge technology like AI, analytics, and a cloud-based service portfolio fuels strong market competition. For the healthcare supply chain, for instance, Accenture's cloud-based solutions reduce logistics costs, boost service income, and expand the availability of services. As a result, the market is anticipated to grow significantly for this reason. Over the forecast period, technological innovation and the integration of outsourced operations with SCM are expected to continue the market drivers.

Healthcare payers had difficulties as a result of the COVID-19 pandemic. Some health insurers fared better financially during the epidemic due to reduced healthcare funding. Healthcare providers have received substantial assistance from the payers. They have established community programs for health equity, broadened eligibility to allow patients to keep their medical treatments, provided advance payments, and constructed web portals that deliver quick and accurate information about the epidemic. Strategic alliances are being formed between the main participants for upcoming initiatives to address systemic health differences.

The healthcare supply chain market is expected to develop throughout the anticipated period due to the rising demand for IT services. Healthcare supply chain outsourcing is projected to become more popular due to changing regulatory environments and mounting pressure on the healthcare sector to reduce service costs. As a result, the regional market is anticipated to increase significantly over the forecast period.

Healthcare Payer Services Market Report Highlights

• The healthcare payer services market has been significantly affected by the COVID-19 pandemic, resulting in a surge in demand for specific services such as customer service and claims processing.

• The Information Technology Outsourcing (ITO) services segment has emerged as the largest dominant player in the market, accounting for a substantial share of the revenue. ITO services involve delegating IT-related functions and services to third-party service providers.

• The claims management services segment has emerged as the top healthcare payer services market leader. Claims management is a crucial function in the healthcare payer industry, as it directly impacts the revenue and profitability of healthcare payers.

• The private payer segment has been the largest dominating force in the healthcare payer services market. Their size and scale have allowed them to invest in technology and innovation, important to improved services and a competitive edge over their peers.

• The North American region holds the largest healthcare payer market share for healthcare payer services. This can be attributed to a large patient population, substantial healthcare spending, and numerous private and public payers.

Polaris Market Research has segmented the Healthcare Payer Services Market report based on services, application, end use, and region:

Healthcare Payer Services Market, Services Outlook (Revenue - USD Billion, 2019 - 2032)

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

Healthcare Payer Services Market, Application Outlook (Revenue - USD Billion, 2019 - 2032)

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

Healthcare Payer Services Market, End Use Outlook (Revenue - USD Billion, 2019- 2032)

• Public Payers
• Private Payers

Healthcare Payer Services Market, Regional Outlook (Revenue - USD Billion, 2019 - 2032)

• North America
• U.S.
• Canada
• Europe
• Germany
• UK
• France
• Italy
• Spain
• Russia
• Netherlands
• Asia Pacific
• China
• India
• Japan
• South Korea
• Indonesia
• Malaysia
• Latin America
• Argentina
• Brazil
• Mexico
• Middle East & Africa
• UAE
• Saudi Arabia
• Israel
• South Africa

Table of Contents

1. Introduction

• 1.1. Report Description
  • 1.1.1. Objectives of the Study
  • 1.1.2. Market Scope
  • 1.1.3. Assumptions
• 1.2. Stakeholders

2. Executive Summary

• 2.1. Market Highlights

3. Research Methodology

• 3.1. Overview
  • 3.1.1. Data Mining
• 3.2. Data Sources
  • 3.2.1. Primary Sources
  • 3.2.2. Secondary Sources

4. Global Healthcare Payer Services Market Insights

• 4.1. Healthcare Payer Services Market - End Use Snapshot
• 4.2. Healthcare Payer Services Market Dynamics
  • 4.2.1. Drivers and Opportunities
    • 4.2.1.1. Increasing Adoption Of Health Insurance Policies
    • 4.2.1.2. Growing Disease Burden
  • 4.2.2. Restraints and Challenges
    • 4.2.2.1. Increasing Legal And Regulatory Constraints For Offshore Outsourcing
• 4.3. Porter's Five Forces Analysis
  • 4.3.1. Bargaining Power of Suppliers (Moderate)
  • 4.3.2. Threats of New Entrants: (Low)
  • 4.3.3. Bargaining Power of Buyers (Moderate)
  • 4.3.4. Threat of Substitute (Moderate)
  • 4.3.5. Rivalry among existing firms (High)
• 4.4. PESTEL Analysis
• 4.5. Healthcare Payer Services Market End Use Trends
• 4.6. Value Chain Analysis
• 4.7. COVID-19 Impact Analysis

5. Global Healthcare Payer Services Market, by Services

• 5.1. Key Findings
• 5.2. Introduction
  • 5.2.1. Global Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
• 5.3. Business Process Outsourcing
  • 5.3.1. Global Healthcare Payer Services Market, by Business Process Outsourcing, by Region, 2019-2032 (USD Billion)
• 5.4. ITO Services
  • 5.4.1. Global Healthcare Payer Services Market, by ITO Services, by Region, 2019-2032 (USD Billion)
• 5.5. Knowledge Process Outsourcing Services
  • 5.5.1. Global Healthcare Payer Services Market, by Knowledge Process Outsourcing Services, by Region, 2019-2032 (USD Billion)

6. Global Healthcare Payer Services Market, by Application

• 6.1. Key Findings
• 6.2. Introduction
  • 6.2.1. Global Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
• 6.3. Claims management services
  • 6.3.1. Global Healthcare Payer Services Market, by Claims management services, by Region, 2019-2032 (USD Billion)
• 6.4. Integrated Front Office Service and Back Office Operations
  • 6.4.1. Global Healthcare Payer Services Market, by Integrated Front Office Service and Back Office Operations, by Region, 2019-2032 (USD Billion)
• 6.5. Member Management Services
  • 6.5.1. Global Healthcare Payer Services Market, by Member Management Services, by Region, 2019-2032 (USD Billion)
• 6.6. Provider Management Services
  • 6.6.1. Global Healthcare Payer Services Market, by Provider Management Services, by Region, 2019-2032 (USD Billion)
• 6.7. Billing And Accounts Management Services
  • 6.7.1. Global Healthcare Payer Services Market, by Billing And Accounts Management Services, by Region, 2019-2032 (USD Billion)
• 6.8. Analytics And Fraud Management Services
  • 6.8.1. Global Healthcare Payer Services Market, by Analytics And Fraud Management Services, by Region, 2019-2032 (USD Billion)
• 6.9. HR Services
  • 6.9.1. Global Healthcare Payer Services Market, by HR Services, by Region, 2019-2032 (USD Billion)

7. Global Healthcare Payer Services Market, by End Use

• 7.1. Key Findings
• 7.2. Introduction
  • 7.2.1. Global Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
• 7.3. Public Payers
  • 7.3.1. Global Healthcare Payer Services Market, by Public Payers, By Region, 2019-2032 (USD Billion)
• 7.4. Private Payers
  • 7.4.1. Global Healthcare Payer Services Market, by Private Payers, By Region, 2019-2032 (USD Billion)

8. Global Healthcare Payer Services Market, by Geography

• 8.1. Key findings
• 8.2. Introduction
  • 8.2.1. Healthcare Payer Services Market Assessment, By Geography, 2019-2032 (USD Billion)
• 8.3. Healthcare Payer Services Market - North America
  • 8.3.1. North America: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
  • 8.3.2. North America: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
  • 8.3.3. North America: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.3.4. Healthcare Payer Services Market - U.S.
    • 8.3.4.1. U.S.: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.3.4.2. U.S.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.3.4.3. U.S.: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.3.5. Healthcare Payer Services Market - Canada
    • 8.3.5.1. Canada: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.3.5.2. Canada.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.3.5.3. Canada: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
• 8.4. Healthcare Payer Services Market - Europe
  • 8.4.1. Europe: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
  • 8.4.2. Europe.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
  • 8.4.3. Europe: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.4.4. Healthcare Payer Services Market - UK
    • 8.4.4.1. UK: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.4.4.2. UK.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.4.4.3. UK: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.4.5. Healthcare Payer Services Market - France
    • 8.4.5.1. France: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.4.5.2. France.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.4.5.3. France: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.4.6. Healthcare Payer Services Market - Germany
    • 8.4.6.1. Germany: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.4.6.2. Germany.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.4.6.3. Germany: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.4.7. Healthcare Payer Services Market - Italy
    • 8.4.7.1. Italy: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.4.7.2. Italy.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.4.7.3. Italy: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.4.8. Healthcare Payer Services Market - Spain
    • 8.4.8.1. Spain: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.4.8.2. Spain.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.4.8.3. Spain: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.4.9. Healthcare Payer Services Market - Netherlands
    • 8.4.9.1. Netherlands: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.4.9.2. Netherlands.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.4.9.3. Netherlands: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.4.10. Healthcare Payer Services Market - Russia
    • 8.4.10.1. Russia: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.4.10.2. Russia.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.4.10.3. Russia: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
• 8.5. Healthcare Payer Services Market - Asia Pacific
  • 8.5.1. Asia Pacific: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
  • 8.5.2. Asia Pacific.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
  • 8.5.3. Asia Pacific: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.5.4. Healthcare Payer Services Market - China
    • 8.5.4.1. China: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.5.4.2. China.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.5.4.3. China: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.5.5. Healthcare Payer Services Market - India
    • 8.5.5.1. India: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.5.5.2. India.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.5.5.3. India: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.5.6. Healthcare Payer Services Market - Malaysia
    • 8.5.6.1. Malaysia: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.5.6.2. Malaysia.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.5.6.3. Malaysia: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.5.7. Healthcare Payer Services Market - Japan
    • 8.5.7.1. Japan: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.5.7.2. Japan.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.5.7.3. Japan: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.5.8. Healthcare Payer Services Market - Indonesia
    • 8.5.8.1. Indonesia: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.5.8.2. Indonesia.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.5.8.3. Indonesia: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.5.9. Healthcare Payer Services Market - South Korea
    • 8.5.9.1. South Korea: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.5.9.2. South Korea.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.5.9.3. South Korea: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
• 8.6. Healthcare Payer Services Market - Middle East & Africa
  • 8.6.1. Middle East & Africa: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
  • 8.6.2. Middle East & Africa.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
  • 8.6.3. Middle East & Africa: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.6.4. Healthcare Payer Services Market - Saudi Arabia
    • 8.6.4.1. Saudi Arabia: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.6.4.2. Saudi Arabia.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.6.4.3. Saudi Arabia: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.6.5. Healthcare Payer Services Market - UAE
    • 8.6.5.1. UAE: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.6.5.2. UAE.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.6.5.3. UAE: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.6.6. Healthcare Payer Services Market - Israel
    • 8.6.6.1. Israel: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.6.6.2. Israel.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.6.6.3. Israel: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.6.7. Healthcare Payer Services Market - South Africa
    • 8.6.7.1. South Africa: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.6.7.2. South Africa.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.6.7.3. South Africa: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
• 8.7. Healthcare Payer Services Market - Latin America
  • 8.7.1. Latin America: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
  • 8.7.2. Latin America.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
  • 8.7.3. Latin America: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.7.4. Healthcare Payer Services Market - Mexico
    • 8.7.4.1. Mexico: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.7.4.2. Mexico.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.7.4.3. Mexico: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.7.5. Healthcare Payer Services Market - Brazil
    • 8.7.5.1. Brazil: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.7.5.2. Brazil.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.7.5.3. Brazil: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)
  • 8.7.6. Healthcare Payer Services Market - Argentina
    • 8.7.6.1. Argentina: Healthcare Payer Services Market, by Services, 2019-2032 (USD Billion)
    • 8.7.6.2. Argentina.: Healthcare Payer Services Market, by End Use, 2019-2032 (USD Billion)
    • 8.7.6.3. Argentina: Healthcare Payer Services Market, by Application, 2019-2032 (USD Billion)

9. Competitive Landscape

• 9.1. Expansion and Acquisition Analysis
  • 9.1.1. Expansion
  • 9.1.2. Acquisitions
• 9.2. Partnerships/Collaborations/Agreements/Exhibitions

10. Company Profiles

• 10.1. Cognizant Technology Solutions
  • 10.1.1. Company Overview
  • 10.1.2. Financial Performance
  • 10.1.3. Product Benchmarking
  • 10.1.4. Recent Development
• 10.2. UnitedHealth Group
  • 10.2.1. Company Overview
  • 10.2.2. Financial Performance
  • 10.2.3. Product Benchmarking
  • 10.2.4. Recent Development
• 10.3. Accenture
  • 10.3.1. Company Overview
  • 10.3.2. Financial Performance
  • 10.3.3. Product Benchmarking
  • 10.3.4. Recent Development
• 10.4. McKesson Corporation
  • 10.4.1. Company Overview
  • 10.4.2. Financial Performance
  • 10.4.3. Product Benchmarking
  • 10.4.4. Recent Development
• 10.5. Wipro Limited
  • 10.5.1. Company Overview
  • 10.5.2. Financial Performance
  • 10.5.3. Product Benchmarking
  • 10.5.4. Recent Development
• 10.6. EXL
  • 10.6.1. Company Overview
  • 10.6.2. Financial Performance
  • 10.6.3. Product Benchmarking
  • 10.6.4. Recent Development
• 10.7. Accenture
  • 10.7.1. Company Overview
  • 10.7.2. Financial Performance
  • 10.7.3. Product Benchmarking
  • 10.7.4. Recent Development
• 10.8. Xerox Corporation
  • 10.8.1. Company Overview
  • 10.8.2. Financial Performance
  • 10.8.3. Product Benchmarking
  • 10.8.4. Recent Development
• 10.9. Concentric Corporation
  • 10.9.1. Company Overview
  • 10.9.2. Financial Performance
  • 10.9.3. Product Benchmarking
  • 10.9.4. Recent Development
• 10.10. Genpact
  • 10.10.1. Company Overview
  • 10.10.2. Financial Performance
  • 10.10.3. Product Benchmarking
  • 10.10.4. Recent Development
• 10.11. HCL Technologies
  • 10.11.1. Company Overview
  • 10.11.2. Financial Performance
  • 10.11.3. Product Benchmarking
  • 10.11.4. Recent Development