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市場調查報告書
商品編碼
1705676

醫療保健付款人服務市場：按服務類型、應用程式、最終用戶和地區

Healthcare Payer Services Market, By Service Type, By Application, By End User, By Geography
出版日期: | 出版商: Coherent Market Insights | 英文 160 Pages | 商品交期: 2-3個工作天內

價格
簡介目錄

預計到 2025 年全球醫療保健支付服務市場規模將達到 833.6 億美元，到 2032 年預計將達到 1,584.5 億美元，2025 年至 2032 年的複合年成長率為 9.6%。

報告範圍 報告詳細資訊
基準年 2024 2025年的市場規模 833.6億美元
效能數據 2020-2024 預測期 2025-2032
預測期：2025-2032年複合年成長率： 9.60% 2032年價值預測 1584.5億美元
數字。醫療保健支付服務市場佔有率（%）（按地區，2025 年）
醫療保健付款人服務市場-IMG1

全球醫療保健支付服務市場的成長是由醫療保健支付方和提供者越來越關注提高其收益週期業務的整體效率所驅動的。醫療保健支付者專注於改善客戶服務和參與度以獲得競爭優勢。此外，醫療保險計劃的使用率提高和自付醫療費用的增加也推動了對高效支付服務的需求。服務提供者正在開發和部署領先的解決方案，以幫助付款人管理不斷變化的收益來源、最佳化索賠處理、簡化管理工作流程並降低成本。

市場動態：

全球醫療保健支付服務市場的成長受到人們對控制不斷上漲的醫療保健成本和提高盈利日益成長的關注的推動。為了降低成本，付款人擴大將非核心業務外包給第三方律師（TPA）和其他服務提供者。此外，慢性病的激增，加上需要醫療保險的老年人口的增加，推動了對高效索賠處理和管理的需求。然而，處理敏感患者資料相關的安全問題以及舊有系統與新解決方案整合的困難可能會阻礙市場成長。雲端基礎的平台的日益普及以及人工智慧等先進技術的出現很可能在不久的將來為市場參與者提供豐厚的機會。

本研究的主要特點

  • 本報告對全球醫療保健支付服務市場進行了詳細分析，並以 2024 年為基準年，展示了預測期（2025-2032 年）的市場規模（以十億美元為單位）和年複合成長率（CAGR%）。
  • 它還強調了各個領域的潛在商機，並說明了該市場的有吸引力的投資提案矩陣。
  • 它還提供了有關市場促進因素、限制因素、機會、新產品發布和核准、市場趨勢、區域前景和主要企業採用的競爭策略的重要見解。
  • 它根據公司亮點、產品系列、關鍵亮點、財務表現和策略等參數，介紹了全球醫療保健支付服務市場中的主要企業概況。
  • 本報告的見解將使負責人和企業經營團隊能夠就未來的產品發布、新興趨勢、市場擴張和行銷策略做出明智的決策。
  • 全球醫療保健支付服務市場報告迎合了該行業的各個相關人員，例如投資者、供應商、產品製造商、經銷商、新進業者和金融分析師。
  • 相關人員可以透過用於分析全球醫療保健支付服務市場的各種策略矩陣來促進他們的決策。

目錄

第1章 調查目的與前提條件

  • 研究目標
  • 先決條件
  • 簡稱

第2章 市場展望

  • 報告描述
    • 市場定義和範圍
  • 執行摘要
  • Coherent Opportunity Map（COM）

第3章市場動態、法規與趨勢分析

  • 市場動態
    • 驅動程式
    • 限制因素
    • 機會
  • 影響分析
  • 市場趨勢
  • 主要進展
  • 監管情景
  • 收購與合作場景
  • 資金籌措與投資
  • PEST分析
  • 波特分析

4. 全球醫療保健支付服務市場-冠狀病毒（COVID-19）大流行的影響

  • 整體影響
  • 政府舉措
  • COVID-19 市場影響

5. 全球醫療保健支付服務市場（依服務類型），2021 年至 2032 年

  • 業務流程外包
  • 資訊科技外包
  • 知識流程外包

6. 全球醫療保健支付服務市場（按應用分類），2021 年至 2032 年

  • 索賠管理服務
  • 整合前台和後勤部門業務
  • 會員管理服務
  • 供應商管理服務
  • 計費和帳戶管理服務
  • 分析和欺詐管理服務
  • 人力資源服務
  • 支付管理服務
  • 審核與分析系統

7. 全球醫療保健支付服務市場（按最終用戶分類），2021 年至 2032 年

  • 私人保險公司
  • 公共付款人

8. 全球醫療保健支付服務市場（按地區分類），2021 年至 2032 年

  • 北美洲
  • 拉丁美洲
  • 歐洲
  • 亞太地區
  • 中東
  • 非洲

第9章競爭格局

  • 公司簡介
    • Accenture PLC
    • Institute BCN Esthetics SL
    • Hewlett-Packard
    • Dell, Inc.
    • Zeomega
    • Verisk Analytics, Inc.
    • UNITEDHEALTH GROUP
    • NXGN Management, LLC
    • MCKESSON CORPORATION
    • IBM Corporation
    • Epic Systems Corporation
    • eClinicalWorks
    • Cerner Corporation
    • Allscripts Healthcare Solutions, Inc.
    • Aetna, Inc.
    • Cognizant
    • Accenture
    • DXC Technology Company
    • Wipro

第 10 章分析師建議

  • 命運之輪
  • 分析師觀點
  • 一致的機會圖

第 11 章參考文獻與調查方法

  • 參考
  • 調查方法
簡介目錄
Product Code: CMI7178

Global Healthcare Payer Services Market is estimated to be valued at USD 83.36 Bn in 2025 and is expected to reach USD 158.45 Bn by 2032, growing at a compound annual growth rate (CAGR) of 9.6% from 2025 to 2032.

Report Coverage Report Details
Base Year: 2024 Market Size in 2025: USD 83.36 Bn
Historical Data for: 2020 To 2024 Forecast Period: 2025 To 2032
Forecast Period 2025 to 2032 CAGR: 9.60% 2032 Value Projection: USD 158.45 Bn
Figure. Healthcare Payer Services Market Share (%), By Region 2025
Healthcare Payer Services Market - IMG1

Global healthcare payer services market growth is driven by increasing focus of healthcare payers and providers on improving the overall efficiency of revenue cycle operations. Healthcare payers are emphasizing on offering improved customer services and engagement to gain a competitive edge. Moreover, growing utilization of healthcare insurance schemes and rising out-of-pocket medical expenses boosts demand for efficient payer services. Various service providers are developing and deploying advanced solutions to help payers manage shifting revenue streams, optimize claims processing, streamline administration workflows, and reduce costs.

Market Dynamics:

Global healthcare payer services market growth is driven by growing focus on curbing rising healthcare costs and improving profitability. Payers are increasingly outsourcing non-core operations to Third Party Administrators (TPAs) and other service providers to reduce expenses. Furthermore, proliferation of chronic illnesses along with rising geriatric population requiring medical insurance can boost demand for efficient claims processing and management. However, security concerns related to handling sensitive patient data and difficulties in integrating legacy systems with new solutions can hamper the market growth. Increasing uptake of cloud-based platforms and the emergence of advanced technologies, such as artificial intelligence, can offer lucrative opportunities for market players in the near future.

Key Features of the Study:

  • This report provides in-depth analysis of the global healthcare payer services market, and provides market size (USD Billion) and compound annual growth rate (CAGR%) for the forecast period (2025-2032), considering 2024 as the base year
  • It elucidates potential revenue opportunities across different segments and explains attractive investment proposition matrices for this market
  • This study also provides key insights about market drivers, restraints, opportunities, new product launches or approval, market trends, regional outlook, and competitive strategies adopted by key players
  • It profiles key players in the global healthcare payer services market based on the following parameters - company highlights, products portfolio, key highlights, financial performance, and strategies
  • Key companies covered as a part of this study include UnitedHealth Group, Anthem, Inc., Aetna Inc., Humana Inc., Centene Corporation
  • Insights from this report would allow marketers and the management authorities of the companies to make informed decisions regarding their future product launches, type up-gradation, market expansion, and marketing tactics
  • Global healthcare payer services market report caters to various stakeholders in this industry including investors, suppliers, product manufacturers, distributors, new entrants, and financial analysts
  • Stakeholders would have ease in decision-making through various strategy matrices used in analyzing the global healthcare payer services market

Detailed Segmentation-

  • By Service Type
    • Business Process Outsourcing
    • Information Technology Outsourcing
    • Knowledge Process Outsourcing
  • By Application
    • 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
    • Payment Management Services
    • Audit and Analysis Systems
  • By End User
    • Private Payers
    • Public Payers
  • By Region
    • North America
    • Europe
    • Asia Pacific
    • Latin America
    • Middle East
    • Africa
  • Company Profiles:
    • Accenture PLC
    • Institute BCN Esthetics S.L.
    • Hewlett-Packard
    • Dell, Inc.
    • Zeomega
    • Verisk Analytics, Inc.
    • UNITEDHEALTH GROUP
    • NXGN Management, LLC
    • MCKESSON CORPORATION
    • IBM Corporation
    • Epic Systems Corporation
    • eClinicalWorks
    • Cerner Corporation
    • Allscripts Healthcare Solutions, Inc.
    • Aetna, Inc.
    • Cognizant
    • Accenture
    • DXC Technology Company
    • Wipro

Table of Contents

1. Research Objectives and Assumptions

  • Research Objectives
  • Assumptions
  • Abbreviations

2. Market Purview

  • Report Description
    • Market Definition and Scope
  • Executive Summary
    • Market Snapshot, By Service Type
    • Market Snapshot, By Application
    • Market Snapshot, By End User
    • Market Snapshot, By Region
  • Coherent Opportunity Map (COM)

3. Market Dynamics, Regulations, and Trends Analysis

  • Market Dynamics
    • Drivers
    • Restraints
    • Opportunities
  • Impact Analysis
  • Market Trends
  • Key Developments
  • Regulatory Scenario
  • Acquisitions and Partnerships Scenario
  • Funding and Investments
  • PEST Analysis
  • Porter's Analysis

4. Global Healthcare Payer Services Market - Impact of Coronavirus (COVID-19) Pandemic

  • Overall Impact
  • Government Initiatives
  • COVID-19 Impact on the Market

5. Global Healthcare Payer Services Market, By Service Type, 2021 - 2032, (USD Bn)

  • Overview
    • Market Share Analysis, 2025 and 2032 (%)
    • Y-o-Y Growth Analysis, 2021 - 2032
    • Segment Trends
  • Business Process Outsourcing
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Information Technology Outsourcing
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Knowledge Process Outsourcing
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)

6. Global Healthcare Payer Services Market, By Application, 2021 - 2032, (USD Bn)

  • Overview
    • Market Share Analysis, 2025 and 2032 (%)
    • Y-o-Y Growth Analysis, 2021 - 2032
    • Segment Trends
  • Claims Management Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Integrated Front Office Service and Back Office Operations
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Member Management Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Provider Management Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Billing and Accounts Management Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Analytics and Fraud Management Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • HR Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Payment Management Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Audit and Analysis Systems
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)

7. Global Healthcare Payer Services Market, By End User, 2021 - 2032, (USD Bn)

  • Overview
    • Market Share Analysis, 2025 and 2032 (%)
    • Y-o-Y Growth Analysis, 2021 - 2032
    • Segment Trends
  • Private Payers
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Public Payers
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)

8. Global Healthcare Payer Services Market, By Region, 2021 - 2032, (USD Bn)

  • Introduction
    • Market Share Analysis, By Region, 2025 and 2032 (%)
    • Y-o-Y Growth Analysis, For Region, 2020-2032
    • Regional Trends
  • North America
    • Introduction
    • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Application, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By End User, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Country, 2021 - 2032, (USD Bn)
      • U.S.
      • Canada
  • Latin America
    • Introduction
    • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Application, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By End User, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Country, 2021 - 2032, (USD Bn)
      • Brazil
      • Mexico
      • Argentina
      • Rest of Latin America
  • Europe
    • Introduction
    • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Application, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By End User, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Country, 2021 - 2032, (USD Bn)
      • U.K.
      • Germany
      • Italy
      • France
      • Spain
      • Russia
      • Rest of Europe
  • Asia Pacific
    • Introduction
    • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Application, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By End User, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Country, 2021 - 2032, (USD Bn)
      • China
      • India
      • Japan
      • ASEAN
      • Australia
      • South Korea
      • Rest of Asia Pacific
  • Middle East
    • Introduction
    • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Application, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By End User, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Country, 2021 - 2032, (USD Bn)
      • GCC Countries
      • Israel
      • Rest of Middle East
  • Africa
    • Introduction
    • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Application, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By End User, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Country/Region, 2021 - 2032, (USD Bn)
      • North Africa
      • Central Africa
      • South Africa

9. Competitive Landscape

  • Company Profiles
    • Accenture PLC
      • Company Highlights
      • Product Portfolio
      • Key Highlights
      • Financial Performance
      • Market Strategies
    • Institute BCN Esthetics S.L.
    • Hewlett-Packard
    • Dell, Inc.
    • Zeomega
    • Verisk Analytics, Inc.
    • UNITEDHEALTH GROUP
    • NXGN Management, LLC
    • MCKESSON CORPORATION
    • IBM Corporation
    • Epic Systems Corporation
    • eClinicalWorks
    • Cerner Corporation
    • Allscripts Healthcare Solutions, Inc.
    • Aetna, Inc.
    • Cognizant
    • Accenture
    • DXC Technology Company
    • Wipro

10. Analyst Recommendations

  • Wheel of Fortune
  • Analyst View
  • Coherent Opportunity Map

11. References and Research Methodology

  • References
  • Research Methodology
  • About us and Sales Contact