Healthcare payer services market is anticipated to grow at a CAGR of 7.8% during the forecast period (2023-2030). The growth of this market is attributed to the rising need for cost-effective operations and the growth in demand for advanced supply chain management (SCM) practices, minimizing the overall cost of healthcare supply chain BPO services is likely to boost market growth during the forecast period. Moreover, health insurance enrollments triggered by PPACA, rising federal healthcare mandates, rising incidences of chronic diseases, and growing cases of healthcare fraud are factors driving market growth. In June 2023, the Centers for Medicare & Medicaid Services (CMS) released the latest enrollment figures for Medicare. As of March 2023, there were 65,748,297 people are enrolled in Medicare, an increase of almost 100,000 since the last report in September. Of those, 33,948,778 were enrolled in Original Medicare. There were 31,799,519 are enrolled in Medicare Advantage or other health plans. This includes enrollment in Medicare Advantage plans with and without prescription drug coverage. There were 51,591,776 are enrolled in Medicare Part D. This includes enrollment in stand-alone prescription drug plans as well as Medicare Advantage plans that offer prescription drug coverage. In addition, the rising chronic diseases further bolster way for health insurance, leading to the adoption of healthcare payer services and fueling the market growth. According to the International Diabetic Federation 2021, around 537 million persons aged 20 to 79 affected by diabetes. Diabetes was responsible for over 6.7 million deaths. By 2030, the overall number of diabetics is expected to reach 643 million, and by 2045, it will reach 783 million. Additionally, according to Globocan 2020, estimated 19.3 million new cases, and 10 million cancer deaths. Such a huge burden of chronic diseases will lead to increased adoption of ethical medication, driving the market growth significantly.
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The global healthcare payer services market is segmented based on technology, and end-use. Based on the technology, the market is sub-segmented into BPO services, KPO services, and ITO services. Further, based on end-use, the market is sub-segmented into private payers, and public payers. Among the end-use, the private payers sub-segment is anticipated to hold a largest market share during the forecast period. The large share of this segment is credited to the lower costs, higher efficiency, and ability to focus on essential business operations provided by BPO services. This greatly attributes to the fact that BPO services offer administration in important administrative domains.
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- Market Coverage
- Market number available for – 2023-2029
- Base year- 2022
- Forecast period- 2023-2029
- Segment Covered- By Source, By Product Type, By Applications
- Competitive Landscape- Archer Daniels Midland Co., Ingredion Inc., Kerry Group Plc, Cargill
- , and others
Market Segmentation
Global Healthcare Payer Services Market by Services
- Business Process Outsourcing (BPO) Services
- Knowledge Process Outsourcing (KPO) Services
- Information Technology Outsourcing (ITO) Services
Global Healthcare Payer Services Market by End-Use
- Private Payers
- Public Payers
Regional Analysis
- North America
- United States
- Canada
- Europe
- UK
- Germany
- Italy
- Spain
- France
- Rest of Europe
- Asia-Pacific
- China
- India
- Japan
- South Korea
- Rest of Asia-Pacific
- Rest of the World
Company Profiles
- Allscripts Healthcare, LLC
- Cognizant Technology Solutions Corp.
- Concentric Corp.
- Conduent Inc.
- Conifer Health Solutions, LLC
- EXL Service Holdings, Inc.
- Firstsource Solutions Ltd.
- Genpact
- HCL Technologies Ltd.
- Hewlett-Packard
- Hinduja Global Solution Ltd.
- IBM Corp.
- Infosys Ltd.
- Inovalon
- IQVIA Inc.
- Mphasis Corp.
- NTT DATA GROUP Corp.
- OMH HealthEdge Holdings, LLC
- Parexel International Corp.
- R1 RCM, Inc.
- SAS Institute Inc.
- Tata consultancy services Ltd.
- UnitedHealth Group, Inc.
- Wipro Ltd.
- WNS (Holdings) Ltd.
The Report Covers
- Market value data analysis of 2022 and forecast to 2030.
- Annualized market revenues ($ million) for each market segment.
- Country-wise analysis of major geographical regions.
- Key companies operating in the global healthcare payer services market. Based on the availability of data, information related to new product launches, and relevant news is also available in the report.
- Analysis of business strategies by identifying the key market segments positioned for strong growth in the future.
- Analysis of market-entry and market expansion strategies.
- Competitive strategies by identifying ‘who-stands-where’ in the market.
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