2026-2030年全球醫療支付方網路管理市場
市場調查報告書
商品編碼
1908970

2026-2030年全球醫療支付方網路管理市場

Global Healthcare Payer Network Management Market 2026-2030

出版日期: | 出版商: TechNavio | 英文 283 Pages | 訂單完成後即時交付

價格
簡介目錄

全球醫療支付方網路管理市場預計在2025年至2030年間成長53.783億美元,預測期內複合年成長率(CAGR)為15.1%。本報告對全球醫療支付方網路管理市場進行了全面分析,包括市場規模和預測、趨勢、成長要素和挑戰,以及對約25家公司的供應商分析。

本報告對當前市場格局、最新趨勢和促進因素以及整體市場環境進行了最新分析。市場成長要素包括:採用人工智慧控制成本和預防詐欺、轉向基於價值的醫療和報銷模式,以及監管機構對目錄準確性的日益重視。

本研究採用客觀的方法,結合一手和二手訊息,包括來自主要行業相關人員的意見。報告包含全面的市場規模數據、區域細分分析、供應商格局以及對主要企業的分析。報告提供歷史數據和預測數據。

市場覆蓋範圍
基準年 2026
年末 2030
預測期 2026-2030
成長勢頭 加速度
2026 年與前一年相比 14.5%
複合年成長率 15.1%
增量 53.783億美元

該研究指出,將機器學習應用於網路最佳化是未來幾年推動全球醫療保健支付方網路管理市場成長的關鍵因素之一,以消費者為中心的數位平台能夠實現價格透明,而虛擬優先和混合型醫療保健提供者網路的興起預計將在市場上產生巨大的需求。

目錄

第1章執行摘要

  • 市場概覽

第2章 Technavio 分析

  • 價格、生命週期、顧客購買籃、採用率和購買標準分析
  • 投入與差異化因素的重要性
  • 混淆來源
  • 促進因素和挑戰的影響

第3章 市場情勢

  • 市場生態系統
  • 市場特徵
  • 價值鏈分析

第4章 市場規模

  • 市場定義
  • 市場區隔分析
  • 2025年市場規模
  • 2025-2030年市場展望

第5章 市場規模表現

  • 2020-2024年全球醫療支付方網路管理市場
  • 零件細分市場分析 2020-2024
  • 2020-2024年按配送方式分類的細分市場分析
  • 2020-2024年最終用戶細分市場分析
  • 2020-2024年區域市場分析
  • 2020-2024年國家細分市場分析

第6章 定性分析

  • 人工智慧驅動全球醫療支付方網路管理市場

第7章五力分析

  • 五力摘要
  • 買方的議價能力
  • 供應商的議價能力
  • 新進入者的威脅
  • 替代品的威脅
  • 競爭威脅
  • 市場狀況

8. 按組件進行市場細分

  • 市場區隔
  • 比較:按組件
  • 平台與軟體:市場規模及預測(2025-2030 年)
  • 服務業:市場規模及預測(2025-2030 年)
  • 按組件分類的市場機會

9. 按交付方式進行市場區隔

  • 市場區隔
  • 比較:依運輸方式
  • 雲端運算:市場規模及預測(2025-2030 年)
  • 本地部署:市場規模及預測(2025-2030 年)
  • 按交付方式分類的市場機會

第10章 按最終用戶進行市場細分

  • 市場區隔
  • 比較:按最終用戶
  • 公共醫療保險:市場規模及預測(2025-2030 年)
  • 私人醫療保險:市場規模及2025-2030年預測
  • 按最終用戶分類的市場機會

第11章 客戶情況

  • 客戶概覽

第12章 區域情勢

  • 區域細分
  • 區域比較
  • 北美:市場規模及預測(2025-2030 年)
  • 歐洲:市場規模及2025-2030年預測
  • 亞洲:市場規模及預測(2025-2030年)
  • 世界其他地區:市場規模及預測(2025-2030年)
  • 各區域的市場機遇

第13章 促進因素、挑戰與機遇

  • 市場促進因素
  • 市場挑戰
  • 促進因素和挑戰的影響
  • 市場機遇

第14章 競爭格局

  • 概述
  • 競爭格局
  • 令人困惑的局面
  • 產業風險

第15章 競爭分析

  • 公司簡介
  • 企業排名指數
  • 公司市場定位
  • 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

第16章附錄

簡介目錄
Product Code: IRTNTR81239

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