醫療保健付款人網路管理市場（按解決方案類型、部署方法、最終用戶和地區）

Healthcare Payer Network Management Market, By Solution Type, By Deployment Mode, By End User, By Geography

出版日期: 2025年03月27日 | 出版商:

Coherent Market Insights | 英文 135 Pages | 商品交期: 2-3個工作天內

價格

簡介目錄

預計到 2025 年醫療保健支付者網路管理市場規模將達到 63.5 億美元，到 2032 年將達到 116.1 億美元，2025 年至 2032 年的年複合成長率為 9%。

分析範圍		分析詳細資訊
基準年	2024	市場規模（2025年）	63.5億美元
效能數據	2020-2024	預測期	2025-2032
預測期內的年複合成長率（2025-2032）	9.00%	預計金額（2032年）	116.1億美元

醫療保健支付方網路管理是指對醫療服務提供者進行入職、資格認證和簽約，以服務支付方成員群體的過程。這項關鍵職能需要高效率的流程、精簡的數據和強大的溝通工具。然而，許多支付方難以滿足這一需求，因為他們仍在使用過時的、自行開發的系統，並且缺乏協調。

市場動態：

預計在預測期內，向「價值型醫療保健」的轉變、醫療成本的上漲以及消費者預期的提升將推動全球醫療保健支付方網路管理市場的成長。此外，人口醫療保健管理也預計在預測期內推動全球醫療保健支付方網路管理市場的成長。技術整合與自動化、遠端醫療和遠距服務、基於價值的護理模式以及數據分析與洞察預計將在預測期內推動全球醫療保健支付方網路管理市場的成長機會。

然而，預計監管複雜性、互通性挑戰以及變革阻力將在預測期內阻礙醫療保健支付者網路管理市場的成長。

本報告的主要特點

本報告對全球醫療保健支付者網路管理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）的市場規模和年複合成長率。
它還強調了每個細分市場的潛在商機，並解釋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、限制因素和機會、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。
全球醫療保健支付網路管理市場的主要企業會根據以下參數進行分析，例如公司概況、產品系列、主要亮點、財務績效和策略。
透過本報告的見解，負責人和企業經營團隊可以就未來的產品發布、合作夥伴關係、市場擴張和行銷策略做出明智的決策。
「全球醫療保健支付網路管理市場」報告涉及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、新進業者和財務分析師。
相關人員可以透過用於分析全球醫療保健支付者網路管理市場的各種策略矩陣來簡化決策。

Report Coverage	Report Details
Base Year:	2024	Market Size in 2025:	USD 6.35 Bn
Historical Data for:	2020 To 2024	Forecast Period:	2025 To 2032
Forecast Period 2025 to 2032 CAGR:	9.00%	2032 Value Projection:	USD 11.61 Bn

Healthcare payer network management is the process of onboarding, credentialing, and contracting providers to serve a payer's member population. It is a crucial function that requires effective processes, streamlined data, and robust communication tools. But many payers are struggling to meet this need, as they use outdated homegrown systems and experience a lack of collaboration.

Market Dynamics:

Transition to value-based care, rising healthcare costs, and consumer expectations are anticipated to drive the growth of the global healthcare payer network management market over the forecast period. Moreover, population health management is also expected to boost the growth of the global healthcare payer network management market over the forecast period. Technological integration and automation, telehealth and remote services, value-based care models, and data analytics and insights are expected to create growth opportunities for the global healthcare payer network management market during the forecast period.

However, regulatory complexity, interoperability challenges, and resistance to change are expected to hamper the growth of the healthcare payer network management market over the forecast period.

Key features of the study:

This report provides an in-depth analysis of the global healthcare payer network management market, and provides market size (US$ Billion) and Compound Annual Growth Rate (CAGR %) for the forecast period 2025-2032, considering 2024 as the base year
It elucidates potential revenue growth 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 approvals, market trends, regional outlook, and competitive strategies adopted by key players
It profiles key players in the global healthcare payer network management 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 Optum, Inc., Infosys Limited, Cognizant, Wipro, Cerner Corporation, NTT DATA Inc., MultiPlan Corporation, Athenahealth, Inovalon, Mphasis, OSP Labs, and LexisNexis Risk Solutions
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
The global healthcare payer network management 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 network management market

Detailed Segmentation:

By Solution Type:
- Software/Platforms
- Services
By Deployment Mode:
- Cloud-based
- On-premises
By End User:
- Payers
- Providers
- Diagnostic Centers
- Others
By Region:
- North America
- Latin America
- Europe
- Asia Pacific
- Middle East
- Africa
Company Profiles:
- Optum, Inc.
- Infosys Limited
- Cognizant
- Wipro
- Cerner Corporation
- NTT DATA Inc.
- MultiPlan Corporation
- Athenahealth
- Inovalon
- Mphasis
- OSP Labs
- LexisNexis Risk Solutions.

1. Research Objectives and Assumptions

Research Objectives
Assumptions
Abbreviations

2. Market Purview

Report Description
- Market Definition and Scope
Executive Summary
- Healthcare Payer Network Management Market, By Solution Type
- Healthcare Payer Network Management Market, By Deployment Mode
- Healthcare Payer Network Management Market, By End User
- Healthcare Payer Network Management Market, By Region
Coherent Opportunity Map (COM)

3. Market Dynamics, Regulations, and Trends Analysis

Market Dynamics
- Drivers
Providers network optimization
Rising healthcare costs
- Restraints
- Opportunities
Impact Analysis
Key Highlights
Regulatory Scenario
Product Launches/Approvals
PEST Analysis
PORTER's Analysis
Merger and Acquisition Scenario

4. Healthcare Payer Network Management Market - Impact of Coronavirus (COVID-19) Pandemic

COVID-19 Epidemiology
Supply Side and Demand Side Analysis
Economic Impact

5. Healthcare Payer Network Management Market, By Solution Type, 2020-2032, (US$ Bn)

Introduction
- Market Share Analysis, 2025 and 2032 (%)
- Y-o-Y Growth Analysis, 2021 - 2032
- Segment Trends
Software/Platforms
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2020-2032,(US$ Bn)
Services
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2020-2032,(US$ Bn)

6. Healthcare Payer Network Management Market, By Deployment Mode, 2020-2032, (US$ Bn)

Introduction
- Market Share Analysis, 2025 and 2032 (%)
- Y-o-Y Growth Analysis, 2021 - 2032
- Segment Trends
Cloud-based
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2020-2032,(US$ Billion)
On-premises
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2020-2032,(US$ Billion)

7. Healthcare Payer Network Management Market, By End User, 2020-2032, (US$ Bn)

Introduction
- Market Share Analysis, 2025 and 2032 (%)
- Y-o-Y Growth Analysis, 2021 - 2032
- Segment Trends
Payers
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2020-2032,(US$ Billion)
Providers
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2020-2032,(US$ Billion)
Diagnostic Centers
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2020-2032,(US$ Billion)
Others
- Introduction
- Market Size and Forecast, and Y-o-Y Growth, 2020-2032,(US$ Billion)

8. Healthcare Payer Network Management Market, By Region, 2020-2032, (US$ Bn)

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

9. Competitive Landscape

Optum, Inc.
- Company Highlights
- Product Portfolio
- Key Developments
- Financial Performance
- Strategies
Infosys Limited
- Company Highlights
- Product Portfolio
- Key Developments
- Financial Performance
- Strategies
Cognizant
- Company Highlights
- Product Portfolio
- Key Developments
- Financial Performance
- Strategies
Wipro
- Company Highlights
- Product Portfolio
- Key Developments
- Financial Performance
- Strategies
Cerner Corporation
- Company Highlights
- Product Portfolio
- Key Developments
- Financial Performance
- Strategies
NTT DATA Inc.
- Company Highlights
- Product Portfolio
- Key Developments
- Financial Performance
- Strategies
MultiPlan Corporation
- Company Highlights
- Product Portfolio
- Key Developments
- Financial Performance
- Strategies
Athenahealth
- Company Highlights
- Product Portfolio
- Key Developments
- Financial Performance
- Strategies
Inovalon
- Company Highlights
- Product Portfolio
- Key Developments
- Financial Performance
- Strategies
Mphasis
- Company Highlights
- Product Portfolio
- Key Developments
- Financial Performance
- Strategies
OSP Labs
- Company Highlights
- Product Portfolio
- Key Developments
- Financial Performance
- Strategies
LexisNexis Risk Solutions.
- Company Highlights
- Product Portfolio
- Key Developments
- Financial Performance
- Strategies
Analyst Views