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> Medical Devices> Healthcare Payer Services Market
Medical Devices MD0173 January 2020 Share

Healthcare Payer Services Market

The Healthcare Payer Services Market is expected to grow from USD 20.38 billion in 2019 to USD 47.95 billion by 2026 at a CAGR of 13% from 2020 to 2026.

Healthcare payer services are facilities that are subcontracted by healthcare insurance payers and providers. The shifting dynamics of the healthcare sector are compelling payers to rethink business models and processes to an arrangement with the competition in the market while providing better quality patient care by streamlining the process, reducing costs, and improving customer communication. These are the major concerns for healthcare payers and to overcome the obstacles, healthcare payers are currently outsourcing this service to healthcare payers service providers. The market is anticipated to rise owing to increasing number of healthcare payer service providers and the growing pressure of cost-cutting. The cost of outsourcing healthcare payer service is less compared to in-house payer services. The global market is segregated on the basis of Application as Integrated Front-End Services, Member Management Services, Provider Management Services, Billing and Accounts Management Services, Analytics and Fraud Management Services, Hr Services, and Claims Management Services. Based on Service Type the market is segmented in Knowledge Process Outsourcing Services, Business Process Outsourcing Services, and Information Technology Outsourcing Services. Based on End User the market is segmented in Public Payers and Private Payers.

The global market report provides geographical analysis covering regions, such as Europe, North America, Asia Pacific, and the Rest of The World. The market for each region is further segmented for major countries including the U.S., Canada, Germany, the U.K., France, Italy, China, India, Japan, Brazil, South Africa, and others.

Competitive Rivalry

Hinduja Global Solutions Limited, Xerox Corporation, Dell, Inc, Genpact Limited, HCL Technologies Ltd, Cognizant Technology Solutions, Accenture PLC, Exlservice Holdings, Inc, Concentrix Corporation, Hewlett-Packard, and others are among the major players in the market. The companies studied in terms of product strategy and various n several growths and expansion strategies to gain a competitive edge in the market. The major players not only follow value chain integration with business operations in multiple stages of the value chain.

The global Healthcare Payer Services market has been segmented as below:

By Application

  • Integrated Front-End Services
  • Member Management Services
  • Provider Management Services
  • Billing and Accounts Management Services
  • Analytics and Fraud Management Services
  • Hr Services
  • Claims Management Services
    • Claims Repricing
    • Claims Investigation Services
    • Claims Indexing Services
    • Litigation Management
    • Claims Adjudication Services
    • Claims Settlement
    • Information Management Services

By Service Type

  • Knowledge Process Outsourcing Services
  • Business Process Outsourcing Services
  • Information Technology Outsourcing Services

By End-User

  • Public Payers
  • Private Payers

By Region

  • Europe
  • North America
  • Asia Pacific
  • Rest of The World

By Company

  • Hinduja Global Solutions Limited
  • Xerox Corporation
  • Dell, Inc
  • Genpact Limited
  • HCL Technologies Ltd
  • Cognizant Technology Solutions
  • Accenture PLC
  • Exlservice Holdings, Inc
  • Concentrix Corporation
  • Hewlett-Packard

The report covers the below scope:

  • Global market sizes from 2019 to 2026, along with CAGR for 2020-2026
  • Market size comparison for 2020 vs 2026, with actual data for 2020, estimates for 2021 and forecast from 2021 to 2026
  • Global market trends, covering a comprehensive range of consumer trends & manufacturer trends
  • Value chain analysis covering participants from raw material suppliers to the downstream buyer in the market
  • Major market opportunities and challenges in forecast timeframe to be focused
  • Competitive landscape with analysis of competition pattern, portfolio comparisons, development trends, and strategic management
  • Comprehensive company profiles of the key industry players

The years considered for the study are as follows:

  • Base year - 2019
  • Estimated year - 2020
  • Projected year - 2021
  • Forecast period - 2021 to 2026

Report Scope:

The global market report scope includes a detailed study covering underlying factors influencing the industry trends. The report covers the analysis of regional and country-level market dynamics. The scope also covers competitive overview providing company market shares along with company profiles for major revenue contributing companies. The report scope includes a detailed competitive outlook covering market shares and profiles key participants in the market share. Major industry players with significant revenue share include Hinduja Global Solutions Limited, Xerox Corporation, Dell, Inc, Genpact Limited, HCL Technologies Ltd, Cognizant Technology Solutions, Accenture PLC, Exlservice Holdings, Inc, Concentrix Corporation, Hewlett-Packard, and others.

Why to Buy this Report:

  • Gain detailed insights on the Healthcare Payer Services industry trends
  • Find a complete analysis of the market status
  • Identify the market opportunities and growth segments
  • Analyze competitive dynamics by evaluating business segments & product portfolios
  • Facilitate strategy planning and industry dynamics to enhance decision making

Target Audience:

The report targeted the existing players in the industry is as follows:

  • Market Manufacturers/Service Providers
  • Market Wholesale/Traders
  • Investment and Financial Institutions

Free and Paid Customization based on the requirement

Report Content

  1. Introduction

            1.1 Key Insights

            1.2 Report Overview

            1.3 Markets Covered

            1.4 Stakeholders

  1. Research Methodology

            2.1 Research Scope

            2.2 Market Research Process

            2.3 Research Data Analysis

                        2.4.1 Secondary Research

                        2.4.2 Primary Research

                        2.4.3 Models for Estimation

            2.5 Market Size Estimation

                        2.5.1 Bottom-Up Approach - Segmental Market Analysis

                        2.5.2 Top-Down Approach - Parent Market Analysis

  1. Executive Summary
  2. Market Overview

            4.1 Introduction

                        4.2.1 Drivers

                        4.2.2 Restraints

                        4.2.3 Opportunities

                        4.2.4 Challenges

            4.2 Porter's Five Force Analysis

  1. Healthcare Payer Services Market, By Application

            5.1 Introduction

            5.2 Integrated Front-End Services

                        5.2.1 Market Overview

                        5.2.2 Market Size and Forecast

            5.3 Member Management Services

                        5.3.1 Market Overview

                        5.3.2 Market Size and Forecast

            5.4 Provider Management Services

                        5.4.1 Market Overview

                        5.4.2 Market Size and Forecast

            5.5 Billing and Accounts Management Services

                        5.5.1 Market Overview

                        5.5.2 Market Size and Forecast

            5.6 Analytics and Fraud Management Services

                        5.6.1 Market Overview

                        5.6.2 Market Size and Forecast

            5.7 Hr Services

                        5.7.1 Market Overview

                        5.7.2 Market Size and Forecast

            5.8 Claims Management Services

                        5.8.1 Market Overview

                        5.8.2 Market Size and Forecast

  1. Healthcare Payer Services Market, By Service Type

            6.1 Introduction

            6.2 Knowledge Process Outsourcing Services

                        6.2.1 Market Overview

                        6.2.2 Market Size and Forecast

            6.3 Business Process Outsourcing Services

                        6.3.1 Market Overview

                        6.3.2 Market Size and Forecast

            6.4 Information Technology Outsourcing Services

                        6.4.1 Market Overview

                        6.4.2 Market Size and Forecast

  1. Healthcare Payer Services Market, By End User

            7.1 Introduction

            7.2 Public Payers

                        7.2.1 Market Overview

                        7.2.2 Market Size and Forecast

            7.3 Private Payers

                        7.3.1 Market Overview

                        7.3.2 Market Size and Forecast

  1. Healthcare Payer Services Market, By Geography

            8.1 Introduction

            8.2 Europe

                        8.2.1 Europe Market, By Application

                        8.2.2 Europe Market, By Service Type

                        8.2.3 Europe Market, By End User

            8.3 North America

                        8.3.1 North America Market, By Application

                        8.3.2 North America Market, By Service Type

                        8.3.3 North America Market, By End User

            8.4 Asia Pacific

                        8.4.1 Asia Pacific Market, By Application

                        8.4.2 Asia Pacific Market, By Service Type

                        8.4.3 Asia Pacific Market, By End User

            8.5 Rest of The World

                        8.5.1 Rest of The World Market, By Application

                        8.5.2 Rest of The World Market, By Service Type

                        8.5.3 Rest of The World Market, By End User

  1. Competitive Insights

            9.1 Key Insights

            9.2 Company Market Share Analysis

            9.3 Strategic Outlook

                        9.3.1 Mergers & Acquisitions

                        9.3.2 New Product Development

                        9.3.3 Portfolio/Production Capacity Expansions

                        9.3.4 Joint Ventures, Collaborations, Partnerships & Agreements

                        9.3.5 Others

  1. Company Profiles

            10.1 Hinduja Global Solutions Limited

                        10.1.1 Company Overview

                        10.1.2 Product/Service Landscape

                        10.1.3 Financial Overview

                        10.1.4 Recent Developments

            10.2 Xerox Corporation

                        10.2.1 Company Overview

                        10.2.2 Product/Service Landscape

                        10.2.3 Financial Overview

                        10.2.4 Recent Developments

            10.3 Dell, Inc

                        10.3.1 Company Overview

                        10.3.2 Product/Service Landscape

                        10.3.3 Financial Overview

                        10.3.4 Recent Developments

            10.4 Genpact Limited

                        10.4.1 Company Overview

                        10.4.2 Product/Service Landscape

                        10.4.3 Financial Overview

                        10.4.4 Recent Developments

            10.5 HCL Technologies Ltd

                        10.5.1 Company Overview

                        10.5.2 Product/Service Landscape

                        10.5.3 Financial Overview

                        10.5.4 Recent Developments

            10.6 Cognizant Technology Solutions

                        10.6.1 Company Overview

                        10.6.2 Product/Service Landscape

                        10.6.3 Financial Overview

                        10.6.4 Recent Developments

            10.7 Accenture PLC

                        10.7.1 Company Overview

                        10.7.2 Product/Service Landscape

                        10.7.3 Financial Overview

                        10.7.4 Recent Developments

            10.8 Exlservice Holdings, Inc

                        10.8.1 Company Overview

                        10.8.2 Product/Service Landscape

                        10.8.3 Financial Overview

                        10.8.4 Recent Developments

            10.9 Concentrix Corporation

                        10.9.1 Company Overview

                        10.9.2 Product/Service Landscape

                        10.9.3 Financial Overview

                        10.9.4 Recent Developments

            10.10 Hewlett-Packard

                        10.10.1 Company Overview

                        10.10.2 Product/Service Landscape

                        10.10.3 Financial Overview

                        10.10.4 Recent Developments

               10.11 Wipro Limited

                        10.11.1 Company Overview

                        10.11.2 Product/Service Landscape

                        10.11.3 Financial Overview

                        10.11.4 Recent Developments

The global Healthcare Payer Services market has been segmented as below:

By Application

  • Integrated Front-End Services
  • Member Management Services
  • Provider Management Services
  • Billing and Accounts Management Services
  • Analytics and Fraud Management Services
  • Hr Services
  • Claims Management Services
    • Claims Repricing
    • Claims Investigation Services
    • Claims Indexing Services
    • Litigation Management
    • Claims Adjudication Services
    • Claims Settlement
    • Information Management Services

By Service Type

  • Knowledge Process Outsourcing Services
  • Business Process Outsourcing Services
  • Information Technology Outsourcing Services

By End-User

  • Public Payers
  • Private Payers

By Region

  • Europe
  • North America
  • Asia Pacific
  • Rest of The World

Healthcare Payer Services Market, By Company

  • Hinduja Global Solutions Limited
  • Xerox Corporation
  • Dell, Inc
  • Genpact Limited
  • HCL Technologies Ltd
  • Cognizant Technology Solutions
  • Accenture PLC
  • Exlservice Holdings, Inc
  • Concentrix Corporation
  • Hewlett-Packard

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