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市場調查報告書
商品編碼
1901598

醫療保健支付服務市場－全球產業規模、佔有率、趨勢、機會和預測，按應用程式、服務類型、最終用戶、地區和競爭格局分類，2021-2031年預測

Healthcare Payer Services Market - Global Industry Size, Share, Trends, Opportunity, and Forecast, Segmented By Application, By Service Type, By End User, By Region & Competition, 2021-2031F
出版日期: | 出版商: TechSci Research | 英文 185 Pages | 商品交期: 2-3個工作天內

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簡介目錄

全球醫療保健支付服務市場將從2025年的839.6億美元成長到2031年的1,512.7億美元，複合年成長率為10.31%。醫療保健支付服務包括保險公司將行政、臨床和資訊技術職能外包給專業的第三方供應商，涵蓋理賠處理、帳單管理和會員註冊等領域。

市場概覽
預測期 2027-2031
市場規模：2025年 839.6億美元
市場規模：2031年 1512.7億美元
複合年成長率：2026-2031年 10.31%
成長最快的細分市場 索賠管理服務
最大的市場 亞太地區

主要市場促進因素

人工智慧和高階分析技術的加速融合正在從根本上重塑全球醫療支付服務市場，實現預測建模和自動化決策。保險公司正擴大利用這些技術來簡化複雜的流程，例如理賠審核和詐欺偵測，從而超越數位化，邁向智慧自動化。

主要市場挑戰

全球醫療支付服務市場的擴張受到資料安全和病患隱私保護日益成長的擔憂的顯著阻礙。隨著保險支付方越來越依賴第三方供應商來處理理賠和計費等核心功能，將敏感的受保護健康資訊傳輸到內部防火牆之外的必要性，造成了巨大的風險。

主要市場趨勢

向基於價值的醫療和風險分擔的報銷模式的策略轉型正在從根本上改變市場格局，支付方正逐步摒棄按服務收費的模式。保險公司擴大將臨床風險管理外包給能夠處理複雜的人群健康分析和醫療服務提供者績效監控的供應商。

目錄

第1章：產品概述

第2章：研究方法

第3章：執行概要

第4章：顧客之聲

第5章：全球醫療支付方服務市場展望

  • 市場規模及預測
    • 按價值
  • 市佔率及預測
    • 依應用領域分類（理賠管理服務、帳單及帳戶管理服務、分析及詐欺管理服務、會員管理服務、供應商管理服務、人力資源服務、綜合前台服務及後台營運）
    • 依服務類型（業務流程外包、IT外包服務、知識流程外包服務）
    • 依最終用戶（私人付費者、公共付費者）分類
    • 按地區
    • 按公司（2025 年）
  • 市場地圖

第6章：北美醫療保健支付方服務市場展望

  • 市場規模及預測
  • 市佔率及預測
  • 北美洲：國家分析
    • 美國
    • 加拿大
    • 墨西哥

第7章：歐洲醫療支付方服務市場展望

  • 市場規模及預測
  • 市佔率及預測
  • 歐洲：國家分析
    • 德國
    • 法國
    • 英國
    • 義大利
    • 西班牙

第8章：亞太地區醫療支付服務市場展望

  • 市場規模及預測
  • 市佔率及預測
  • 亞太地區：國家分析
    • 中國
    • 印度
    • 日本
    • 韓國
    • 澳洲

第9章：中東和非洲醫療保健支付服務市場展望

  • 市場規模及預測
  • 市佔率及預測
  • 中東和非洲：國家分析
    • 沙烏地阿拉伯
    • 阿拉伯聯合大公國
    • 南非

第10章：南美洲醫療保健支付服務市場展望

  • 市場規模及預測
  • 市佔率及預測
  • 南美洲：國家分析
    • 巴西
    • 哥倫比亞
    • 阿根廷

第11章：市場動態

  • 促進要素
  • 挑戰

第12章：市場趨勢與發展

  • 併購
  • 產品發布
  • 最新進展

第13章：全球醫療支付服務市場：SWOT分析

第14章：波特五力分析

  • 產業競爭
  • 新進入者的潛力
  • 供應商議價能力
  • 顧客的力量
  • 替代產品的威脅

第15章：競爭格局

  • 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

第16章：策略建議

第17章調查會社について,免責事項

簡介目錄
Product Code: 15789

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.

Market Overview
Forecast Period2027-2031
Market Size 2025USD 83.96 Billion
Market Size 2031USD 151.27 Billion
CAGR 2026-203110.31%
Fastest Growing SegmentClaims Management Services
Largest MarketAsia Pacific

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