의료보험자용 서비스 시장 예측 : 산업 규모, 점유율, 동향, 기회, 용도별, 서비스 유형별, 최종 사용자별, 지역별, 경쟁 구도(2021-2031년)

The Global Healthcare Payer Services Market will grow from USD 83.96 Billion in 2025 to USD 151.27 Billion by 2031 at a 10.31% CAGR. Healthcare Payer Services encompass the outsourcing of administrative, clinical, and information technology functions by insurance providers to specialized third-party vendors, covering areas such as claims processing, billing management, and member enrollment.

Key Market Drivers

Accelerating Integration of Artificial Intelligence and Advanced Analytics is fundamentally reshaping the Global Healthcare Payer Services Market by enabling predictive modeling and automated decision-making. Insurance providers are increasingly utilizing these technologies to streamline complex workflows such as claims adjudication and fraud detection, moving beyond digitization toward intelligent automation. This technological shift allows for real-time risk assessment and personalized member engagement, reducing administrative friction and improving accuracy.

Key Market Challenges

The expansion of the Global Healthcare Payer Services Market is significantly obstructed by escalating apprehensions surrounding data security and the protection of patient privacy. As insurance payers increasingly rely on third-party vendors for core functions like claims processing and billing, the necessity to transmit sensitive Protected Health Information outside internal firewalls creates a substantial risk vector. This reliance on external infrastructure amplifies the potential for cyberattacks, causing payers to exercise extreme caution and often delay outsourcing initiatives to avoid the severe legal and reputational repercussions associated with third-party security failures.

Key Market Trends

The Strategic Transition to Value-Based Care and Risk-Sharing Reimbursement Models is fundamentally altering the market as payers move away from fee-for-service structures. Insurance providers are increasingly outsourcing clinical risk management to vendors capable of handling complex population health analytics and provider performance monitoring. This shift requires robust infrastructure to support arrangements where stakeholders share accountability for patient outcomes.

Key Market Players

• Change Healthcare Inc.
• Mckesson Corporation
• Accenture plc
• Cognizant Technology Solutions Corporation
• Dell Technologies Inc.
• Xerox Holdings Corporation
• Elevance Health, Inc.
• Wipro Limited
• Concentrix Corporation
• Centene Corporation
• HCL Technologies Ltd

Report Scope:

In this report, the Global Healthcare Payer Services Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:

Healthcare Payer Services Market, By Application:

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

Healthcare Payer Services Market, By Service Type:

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

Healthcare Payer Services Market, By End User:

• Private Payers
• Public Payers

Healthcare Payer Services Market, By Region:

• North America
• United States
• Canada
• Mexico
• Europe
• France
• United Kingdom
• Italy
• Germany
• Spain
• Asia Pacific
• China
• India
• Japan
• Australia
• South Korea
• South America
• Brazil
• Argentina
• Colombia
• Middle East & Africa
• South Africa
• Saudi Arabia
• UAE

Competitive Landscape

Company Profiles: Detailed analysis of the major companies present in the Global Healthcare Payer Services Market.

Available Customizations:

Global Healthcare Payer Services Market report with the given market data, TechSci Research offers customizations according to a company's specific needs. The following customization options are available for the report:

Company Information

• Detailed analysis and profiling of additional market players (up to five).

Table of Contents

1. Product Overview

• 1.1. Market Definition
• 1.2. Scope of the Market
  • 1.2.1. Markets Covered
  • 1.2.2. Years Considered for Study
  • 1.2.3. Key Market Segmentations

2. Research Methodology

• 2.1. Objective of the Study
• 2.2. Baseline Methodology
• 2.3. Key Industry Partners
• 2.4. Major Association and Secondary Sources
• 2.5. Forecasting Methodology
• 2.6. Data Triangulation & Validation
• 2.7. Assumptions and Limitations

3. Executive Summary

• 3.1. Overview of the Market
• 3.2. Overview of Key Market Segmentations
• 3.3. Overview of Key Market Players
• 3.4. Overview of Key Regions/Countries
• 3.5. Overview of Market Drivers, Challenges, Trends

4. Voice of Customer

5. Global Healthcare Payer Services Market Outlook

• 5.1. Market Size & Forecast
  • 5.1.1. By Value
• 5.2. Market Share & Forecast
  • 5.2.1. By Application (Claims Management Services, Billing & Accounts Management Services, Analytics & Fraud Management Services, Member Management Services, Provider Management Services, Human Resource Services, Integrated Front-Office Service & Back-Office Operations)
  • 5.2.2. By Service Type (Business Process Outsourcing, IT Outsourcing Services, Knowledge Process Outsourcing Services)
  • 5.2.3. By End User (Private Payers, Public Payers)
  • 5.2.4. By Region
  • 5.2.5. By Company (2025)
• 5.3. Market Map

6. North America Healthcare Payer Services Market Outlook

• 6.1. Market Size & Forecast
  • 6.1.1. By Value
• 6.2. Market Share & Forecast
  • 6.2.1. By Application
  • 6.2.2. By Service Type
  • 6.2.3. By End User
  • 6.2.4. By Country
• 6.3. North America: Country Analysis
  • 6.3.1. United States Healthcare Payer Services Market Outlook
    • 6.3.1.1. Market Size & Forecast
      • 6.3.1.1.1. By Value
    • 6.3.1.2. Market Share & Forecast
      • 6.3.1.2.1. By Application
      • 6.3.1.2.2. By Service Type
      • 6.3.1.2.3. By End User
  • 6.3.2. Canada Healthcare Payer Services Market Outlook
    • 6.3.2.1. Market Size & Forecast
      • 6.3.2.1.1. By Value
    • 6.3.2.2. Market Share & Forecast
      • 6.3.2.2.1. By Application
      • 6.3.2.2.2. By Service Type
      • 6.3.2.2.3. By End User
  • 6.3.3. Mexico Healthcare Payer Services Market Outlook
    • 6.3.3.1. Market Size & Forecast
      • 6.3.3.1.1. By Value
    • 6.3.3.2. Market Share & Forecast
      • 6.3.3.2.1. By Application
      • 6.3.3.2.2. By Service Type
      • 6.3.3.2.3. By End User

7. Europe Healthcare Payer Services Market Outlook

• 7.1. Market Size & Forecast
  • 7.1.1. By Value
• 7.2. Market Share & Forecast
  • 7.2.1. By Application
  • 7.2.2. By Service Type
  • 7.2.3. By End User
  • 7.2.4. By Country
• 7.3. Europe: Country Analysis
  • 7.3.1. Germany Healthcare Payer Services Market Outlook
    • 7.3.1.1. Market Size & Forecast
      • 7.3.1.1.1. By Value
    • 7.3.1.2. Market Share & Forecast
      • 7.3.1.2.1. By Application
      • 7.3.1.2.2. By Service Type
      • 7.3.1.2.3. By End User
  • 7.3.2. France Healthcare Payer Services Market Outlook
    • 7.3.2.1. Market Size & Forecast
      • 7.3.2.1.1. By Value
    • 7.3.2.2. Market Share & Forecast
      • 7.3.2.2.1. By Application
      • 7.3.2.2.2. By Service Type
      • 7.3.2.2.3. By End User
  • 7.3.3. United Kingdom Healthcare Payer Services Market Outlook
    • 7.3.3.1. Market Size & Forecast
      • 7.3.3.1.1. By Value
    • 7.3.3.2. Market Share & Forecast
      • 7.3.3.2.1. By Application
      • 7.3.3.2.2. By Service Type
      • 7.3.3.2.3. By End User
  • 7.3.4. Italy Healthcare Payer Services Market Outlook
    • 7.3.4.1. Market Size & Forecast
      • 7.3.4.1.1. By Value
    • 7.3.4.2. Market Share & Forecast
      • 7.3.4.2.1. By Application
      • 7.3.4.2.2. By Service Type
      • 7.3.4.2.3. By End User
  • 7.3.5. Spain Healthcare Payer Services Market Outlook
    • 7.3.5.1. Market Size & Forecast
      • 7.3.5.1.1. By Value
    • 7.3.5.2. Market Share & Forecast
      • 7.3.5.2.1. By Application
      • 7.3.5.2.2. By Service Type
      • 7.3.5.2.3. By End User

8. Asia Pacific Healthcare Payer Services Market Outlook

• 8.1. Market Size & Forecast
  • 8.1.1. By Value
• 8.2. Market Share & Forecast
  • 8.2.1. By Application
  • 8.2.2. By Service Type
  • 8.2.3. By End User
  • 8.2.4. By Country
• 8.3. Asia Pacific: Country Analysis
  • 8.3.1. China Healthcare Payer Services Market Outlook
    • 8.3.1.1. Market Size & Forecast
      • 8.3.1.1.1. By Value
    • 8.3.1.2. Market Share & Forecast
      • 8.3.1.2.1. By Application
      • 8.3.1.2.2. By Service Type
      • 8.3.1.2.3. By End User
  • 8.3.2. India Healthcare Payer Services Market Outlook
    • 8.3.2.1. Market Size & Forecast
      • 8.3.2.1.1. By Value
    • 8.3.2.2. Market Share & Forecast
      • 8.3.2.2.1. By Application
      • 8.3.2.2.2. By Service Type
      • 8.3.2.2.3. By End User
  • 8.3.3. Japan Healthcare Payer Services Market Outlook
    • 8.3.3.1. Market Size & Forecast
      • 8.3.3.1.1. By Value
    • 8.3.3.2. Market Share & Forecast
      • 8.3.3.2.1. By Application
      • 8.3.3.2.2. By Service Type
      • 8.3.3.2.3. By End User
  • 8.3.4. South Korea Healthcare Payer Services Market Outlook
    • 8.3.4.1. Market Size & Forecast
      • 8.3.4.1.1. By Value
    • 8.3.4.2. Market Share & Forecast
      • 8.3.4.2.1. By Application
      • 8.3.4.2.2. By Service Type
      • 8.3.4.2.3. By End User
  • 8.3.5. Australia Healthcare Payer Services Market Outlook
    • 8.3.5.1. Market Size & Forecast
      • 8.3.5.1.1. By Value
    • 8.3.5.2. Market Share & Forecast
      • 8.3.5.2.1. By Application
      • 8.3.5.2.2. By Service Type
      • 8.3.5.2.3. By End User

9. Middle East & Africa Healthcare Payer Services Market Outlook

• 9.1. Market Size & Forecast
  • 9.1.1. By Value
• 9.2. Market Share & Forecast
  • 9.2.1. By Application
  • 9.2.2. By Service Type
  • 9.2.3. By End User
  • 9.2.4. By Country
• 9.3. Middle East & Africa: Country Analysis
  • 9.3.1. Saudi Arabia Healthcare Payer Services Market Outlook
    • 9.3.1.1. Market Size & Forecast
      • 9.3.1.1.1. By Value
    • 9.3.1.2. Market Share & Forecast
      • 9.3.1.2.1. By Application
      • 9.3.1.2.2. By Service Type
      • 9.3.1.2.3. By End User
  • 9.3.2. UAE Healthcare Payer Services Market Outlook
    • 9.3.2.1. Market Size & Forecast
      • 9.3.2.1.1. By Value
    • 9.3.2.2. Market Share & Forecast
      • 9.3.2.2.1. By Application
      • 9.3.2.2.2. By Service Type
      • 9.3.2.2.3. By End User
  • 9.3.3. South Africa Healthcare Payer Services Market Outlook
    • 9.3.3.1. Market Size & Forecast
      • 9.3.3.1.1. By Value
    • 9.3.3.2. Market Share & Forecast
      • 9.3.3.2.1. By Application
      • 9.3.3.2.2. By Service Type
      • 9.3.3.2.3. By End User

10. South America Healthcare Payer Services Market Outlook

• 10.1. Market Size & Forecast
  • 10.1.1. By Value
• 10.2. Market Share & Forecast
  • 10.2.1. By Application
  • 10.2.2. By Service Type
  • 10.2.3. By End User
  • 10.2.4. By Country
• 10.3. South America: Country Analysis
  • 10.3.1. Brazil Healthcare Payer Services Market Outlook
    • 10.3.1.1. Market Size & Forecast
      • 10.3.1.1.1. By Value
    • 10.3.1.2. Market Share & Forecast
      • 10.3.1.2.1. By Application
      • 10.3.1.2.2. By Service Type
      • 10.3.1.2.3. By End User
  • 10.3.2. Colombia Healthcare Payer Services Market Outlook
    • 10.3.2.1. Market Size & Forecast
      • 10.3.2.1.1. By Value
    • 10.3.2.2. Market Share & Forecast
      • 10.3.2.2.1. By Application
      • 10.3.2.2.2. By Service Type
      • 10.3.2.2.3. By End User
  • 10.3.3. Argentina Healthcare Payer Services Market Outlook
    • 10.3.3.1. Market Size & Forecast
      • 10.3.3.1.1. By Value
    • 10.3.3.2. Market Share & Forecast
      • 10.3.3.2.1. By Application
      • 10.3.3.2.2. By Service Type
      • 10.3.3.2.3. By End User

11. Market Dynamics

• 11.1. Drivers
• 11.2. Challenges

12. Market Trends & Developments

• 12.1. Merger & Acquisition (If Any)
• 12.2. Product Launches (If Any)
• 12.3. Recent Developments

13. Global Healthcare Payer Services Market: SWOT Analysis

14. Porter's Five Forces Analysis

• 14.1. Competition in the Industry
• 14.2. Potential of New Entrants
• 14.3. Power of Suppliers
• 14.4. Power of Customers
• 14.5. Threat of Substitute Products

15. Competitive Landscape

• 15.1. Change Healthcare Inc.
  • 15.1.1. Business Overview
  • 15.1.2. Products & Services
  • 15.1.3. Recent Developments
  • 15.1.4. Key Personnel
  • 15.1.5. SWOT Analysis
• 15.2. Mckesson Corporation
• 15.3. Accenture plc
• 15.4. Cognizant Technology Solutions Corporation
• 15.5. Dell Technologies Inc.
• 15.6. Xerox Holdings Corporation
• 15.7. Elevance Health, Inc.
• 15.8. Wipro Limited
• 15.9. Concentrix Corporation
• 15.10. Centene Corporation
• 15.11. HCL Technologies Ltd

16. Strategic Recommendations

17. About Us & Disclaimer