Market Overview:
The global healthcare payer services market is expected to grow at a CAGR of 10.8% from 2018 to 2030. The market growth is attributed to the increasing demand for integrated front office service and back office operations, member management services, provider management services, billing and accounts management services, analytics and fraud management services, and HR services. Additionally, the growing trend of cashless payments is also contributing to the growth of this market. However, lack of standardization across geographies may restrain the growth of this market during the forecast period. On the basis of type, the healthcare payer services market can be segmented into pay by credit card payment mode,,pay online payment mode,,and cash payment mode. The pay by credit card segment is expected to grow at a CAGR of 11% from 2018 to 2030 due to its ease-of-use and convenience offered to customers.
Product Definition:
Healthcare payer services are a type of business process outsourcing (BPO) service that helps healthcare providers manage their payments and billing. Payer services can help healthcare providers reduce costs, improve efficiency, and increase revenue.
Pay by Credit Card:
Pay by credit card is a payment method wherein the payer company sends the bill to the healthcare provider and patient signs it and pays it with a credit or debit card. This system has many advantages over other payment methods such as immediate billing, no need for interest or fees, easy to use, etc. The major factor that propels growth in this market is its ease of usage resulting into high adoption rate among patients & providers.
Pay Online:
Pay online is a method of paying bills electronically. It has been gaining popularity over the past few years and is expected to witness significant growth in near future. The major drivers for this market are increasing adoption rate of internet, smartphones & tablets coupled with rising awareness about e-billing services among consumers.
Application Insights:
The integrated front office and back office operations segment dominated the global healthcare payer services market in 2017. This can be attributed to factors such as increasing demand for cost-effective payment solutions, growing need to manage patient flow and complexity, and an increase in number of claims being processed. The member management services segment is expected to witness lucrative growth over the forecast period owing to a rise in awareness about benefits offered by these services along with rising adoption of health plans across various geographies.
The analytics and fraud management services are also expected to witness significant growth over the forecast period due largelyto increased penetration of electronic medical records systems coupled with rising demand for data analysis tools that help providers identify patterns related to disease outbreaks or trends pertaining care delivery at a population level.
Regional Analysis:
North America dominated the global healthcare payer services market in 2017. The presence of well-established players, favorable government policies and increasing demand for efficient healthcare management are some of the factors contributing to its growth. Moreover, rising awareness regarding EHR implementation is also expected to drive regional growth over the forecast period.
Asia Pacific is anticipated to witness lucrative CAGR during the forecast period owing to improving economic conditions and growing penetration of insurance companies in this region coupled with regulatory support for medical reimbursement schemes that enable easy access to quality healthcare services for patients across this region will boost its growth further. Furthermore, increasing investments by governments as a part of their economic development strategies are also expected fuel regional demand during the forecast period (2018 - 2030).
Growth Factors:
- Increasing demand for quality healthcare services
- Rising prevalence of chronic diseases and other health conditions
- Growing number of private healthcare providers and hospitals
- Rapid expansion of the insurance sector in developing countries
- Proliferation of new technologies and innovative treatments
Scope Of The Report
Report Attributes
Report Details
Report Title
Healthcare Payer Services Market Research Report
By Type
Pay by Credit Card, Pay Online, Cash Payment
By Application
Claims Management Services, Integrated Front Office Service And Back Office Operations, Member Management Services, Provider Management Services, Billing And Accounts Management Services, Analytics And Fraud Management Services, HR Services
By Companies
United HealthCare Services, Anthem, Aetna, Accenture, Cognizant, Xerox, Genpact
Regions Covered
North America, Europe, APAC, Latin America, MEA
Base Year
2021
Historical Year
2019 to 2020 (Data from 2010 can be provided as per availability)
Forecast Year
2030
Number of Pages
162
Number of Tables & Figures
114
Customization Available
Yes, the report can be customized as per your need.
Global Healthcare Payer Services Market Report Segments:
The global Healthcare Payer Services market is segmented on the basis of:
Types
Pay by Credit Card, Pay Online, Cash Payment
The product segment provides information about the market share of each product and the respective CAGR during the forecast period. It lays out information about the product pricing parameters, trends, and profits that provides in-depth insights of the market. Furthermore, it discusses latest product developments & innovation in the market.
Applications
Claims Management Services, Integrated Front Office Service And Back Office Operations, Member Management Services, Provider Management Services, Billing And Accounts Management Services, Analytics And Fraud Management Services, HR Services
The application segment fragments various applications of the product and provides information on the market share and growth rate of each application segment. It discusses the potential future applications of the products and driving and restraining factors of each application segment.
Some of the companies that are profiled in this report are:
- United HealthCare Services
- Anthem
- Aetna
- Accenture
- Cognizant
- Xerox
- Genpact
Highlights of The Healthcare Payer Services Market Report:
- The market structure and projections for the coming years.
- Drivers, restraints, opportunities, and current trends of market.
- Historical data and forecast.
- Estimations for the forecast period 2030.
- Developments and trends in the market.
- By Type:
- Pay by Credit Card
- Pay Online
- Cash Payment
- By Application:
- Claims Management Services
- Integrated Front Office Service And Back Office Operations
- Member Management Services
- Provider Management Services
- Billing And Accounts Management Services
- Analytics And Fraud Management Services
- HR Services
- Market scenario by region, sub-region, and country.
- Market share of the market players, company profiles, product specifications, SWOT analysis, and competitive landscape.
- Analysis regarding upstream raw materials, downstream demand, and current market dynamics.
- Government Policies, Macro & Micro economic factors are also included in the report.
We have studied the Healthcare Payer Services Market in 360 degrees via. both primary & secondary research methodologies. This helped us in building an understanding of the current market dynamics, supply-demand gap, pricing trends, product preferences, consumer patterns & so on. The findings were further validated through primary research with industry experts & opinion leaders across countries. The data is further compiled & validated through various market estimation & data validation methodologies. Further, we also have our in-house data forecasting model to predict market growth up to 2030.
Regional Analysis
- North America
- Europe
- Asia Pacific
- Middle East & Africa
- Latin America
Note: A country of choice can be added in the report at no extra cost. If more than one country needs to be added, the research quote will vary accordingly.
The geographical analysis part of the report provides information about the product sales in terms of volume and revenue in regions. It lays out potential opportunities for the new entrants, emerging players, and major players in the region. The regional analysis is done after considering the socio-economic factors and government regulations of the countries in the regions.
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8 Reasons to Buy This Report
- Includes a Chapter on the Impact of COVID-19 Pandemic On the Market
- Report Prepared After Conducting Interviews with Industry Experts & Top Designates of the Companies in the Market
- Implemented Robust Methodology to Prepare the Report
- Includes Graphs, Statistics, Flowcharts, and Infographics to Save Time
- Industry Growth Insights Provides 24/5 Assistance Regarding the Doubts in the Report
- Provides Information About the Top-winning Strategies Implemented by Industry Players.
- In-depth Insights On the Market Drivers, Restraints, Opportunities, and Threats
- Customization of the Report Available
Frequently Asked Questions?
Healthcare Payer Services is a company that provides billing and collections services for healthcare providers. They provide these services to both individual healthcare providers and large health systems. Healthcare Payer Services helps to ensure that payments are made to healthcare providers for the services they provide, as well as helping to collect payments from patients who have not paid their bills.
Some of the major companies in the healthcare payer services market are United HealthCare Services, Anthem, Aetna, Accenture, Cognizant, Xerox, Genpact.
The healthcare payer services market is expected to grow at a compound annual growth rate of 10.8%.
Chapter 1 Executive Summary
Chapter 2 Assumptions and Acronyms Used
Chapter 3 Research Methodology
Chapter 4 Healthcare Payer Services Market Overview
4.1 Introduction
4.1.1 Market Taxonomy
4.1.2 Market Definition
4.1.3 Macro-Economic Factors Impacting the Market Growth
4.2 Healthcare Payer Services Market Dynamics
4.2.1 Market Drivers
4.2.2 Market Restraints
4.2.3 Market Opportunity
4.3 Healthcare Payer Services Market - Supply Chain Analysis
4.3.1 List of Key Suppliers
4.3.2 List of Key Distributors
4.3.3 List of Key Consumers
4.4 Key Forces Shaping the Healthcare Payer Services Market
4.4.1 Bargaining Power of Suppliers
4.4.2 Bargaining Power of Buyers
4.4.3 Threat of Substitution
4.4.4 Threat of New Entrants
4.4.5 Competitive Rivalry
4.5 Global Healthcare Payer Services Market Size & Forecast, 2020-2028
4.5.1 Healthcare Payer Services Market Size and Y-o-Y Growth
4.5.2 Healthcare Payer Services Market Absolute $ Opportunity
Chapter 5 Global Market Analysis and Forecast by Type
5.1 Introduction
5.1.1 Key Market Trends & Growth Opportunities by Type
5.1.2 Basis Point Share (BPS) Analysis by Type
5.1.3 Absolute $ Opportunity Assessment by Type
5.2 Market Size Forecast by Type
5.2.1 Pay by Credit Card
5.2.2 Pay Online
5.2.3 Cash Payment
5.3 Market Attractiveness Analysis by Type
Chapter 6 Global Market Analysis and Forecast by Applications
6.1 Introduction
6.1.1 Key Market Trends & Growth Opportunities by Applications
6.1.2 Basis Point Share (BPS) Analysis by Applications
6.1.3 Absolute $ Opportunity Assessment by Applications
6.2 Market Size Forecast by Applications
6.2.1 Claims Management Services
6.2.2 Integrated Front Office Service And Back Office Operations
6.2.3 Member Management Services
6.2.4 Provider Management Services
6.2.5 Billing And Accounts Management Services
6.2.6 Analytics And Fraud Management Services
6.2.7 HR Services
6.3 Market Attractiveness Analysis by Applications
Chapter 7 Global Healthcare Payer Services Market Analysis and Forecast by Region
7.1 Introduction
7.1.1 Key Market Trends & Growth Opportunities by Region
7.1.2 Basis Point Share (BPS) Analysis by Region
7.1.3 Absolute $ Opportunity Assessment by Region
7.2 Healthcare Payer Services Market Size Forecast by Region
7.2.1 North America
7.2.2 Europe
7.2.3 Asia Pacific
7.2.4 Latin America
7.2.5 Middle East & Africa (MEA)
7.3 Market Attractiveness Analysis by Region
Chapter 8 Coronavirus Disease (COVID-19) Impact
8.1 Introduction
8.2 Current & Future Impact Analysis
8.3 Economic Impact Analysis
8.4 Government Policies
8.5 Investment Scenario
Chapter 9 North America Analysis and Forecast
9.1 Introduction
9.2 North America Market Size Forecast by Country
9.2.1 U.S.
9.2.2 Canada
9.3 Basis Point Share (BPS) Analysis by Country
9.4 Absolute $ Opportunity Assessment by Country
9.5 Market Attractiveness Analysis by Country
9.6 North America Market Size Forecast by Type
9.6.1 Pay by Credit Card
9.6.2 Pay Online
9.6.3 Cash Payment
9.7 Basis Point Share (BPS) Analysis by Type
9.8 Absolute $ Opportunity Assessment by Type
9.9 Market Attractiveness Analysis by Type
9.10 North America Market Size Forecast by Applications
9.10.1 Claims Management Services
9.10.2 Integrated Front Office Service And Back Office Operations
9.10.3 Member Management Services
9.10.4 Provider Management Services
9.10.5 Billing And Accounts Management Services
9.10.6 Analytics And Fraud Management Services
9.10.7 HR Services
9.11 Basis Point Share (BPS) Analysis by Applications
9.12 Absolute $ Opportunity Assessment by Applications
9.13 Market Attractiveness Analysis by Applications
Chapter 10 Europe Analysis and Forecast
10.1 Introduction
10.2 Europe Market Size Forecast by Country
10.2.1 Germany
10.2.2 France
10.2.3 Italy
10.2.4 U.K.
10.2.5 Spain
10.2.6 Russia
10.2.7 Rest of Europe
10.3 Basis Point Share (BPS) Analysis by Country
10.4 Absolute $ Opportunity Assessment by Country
10.5 Market Attractiveness Analysis by Country
10.6 Europe Market Size Forecast by Type
10.6.1 Pay by Credit Card
10.6.2 Pay Online
10.6.3 Cash Payment
10.7 Basis Point Share (BPS) Analysis by Type
10.8 Absolute $ Opportunity Assessment by Type
10.9 Market Attractiveness Analysis by Type
10.10 Europe Market Size Forecast by Applications
10.10.1 Claims Management Services
10.10.2 Integrated Front Office Service And Back Office Operations
10.10.3 Member Management Services
10.10.4 Provider Management Services
10.10.5 Billing And Accounts Management Services
10.10.6 Analytics And Fraud Management Services
10.10.7 HR Services
10.11 Basis Point Share (BPS) Analysis by Applications
10.12 Absolute $ Opportunity Assessment by Applications
10.13 Market Attractiveness Analysis by Applications
Chapter 11 Asia Pacific Analysis and Forecast
11.1 Introduction
11.2 Asia Pacific Market Size Forecast by Country
11.2.1 China
11.2.2 Japan
11.2.3 South Korea
11.2.4 India
11.2.5 Australia
11.2.6 South East Asia (SEA)
11.2.7 Rest of Asia Pacific (APAC)
11.3 Basis Point Share (BPS) Analysis by Country
11.4 Absolute $ Opportunity Assessment by Country
11.5 Market Attractiveness Analysis by Country
11.6 Asia Pacific Market Size Forecast by Type
11.6.1 Pay by Credit Card
11.6.2 Pay Online
11.6.3 Cash Payment
11.7 Basis Point Share (BPS) Analysis by Type
11.8 Absolute $ Opportunity Assessment by Type
11.9 Market Attractiveness Analysis by Type
11.10 Asia Pacific Market Size Forecast by Applications
11.10.1 Claims Management Services
11.10.2 Integrated Front Office Service And Back Office Operations
11.10.3 Member Management Services
11.10.4 Provider Management Services
11.10.5 Billing And Accounts Management Services
11.10.6 Analytics And Fraud Management Services
11.10.7 HR Services
11.11 Basis Point Share (BPS) Analysis by Applications
11.12 Absolute $ Opportunity Assessment by Applications
11.13 Market Attractiveness Analysis by Applications
Chapter 12 Latin America Analysis and Forecast
12.1 Introduction
12.2 Latin America Market Size Forecast by Country
12.2.1 Brazil
12.2.2 Mexico
12.2.3 Rest of Latin America (LATAM)
12.3 Basis Point Share (BPS) Analysis by Country
12.4 Absolute $ Opportunity Assessment by Country
12.5 Market Attractiveness Analysis by Country
12.6 Latin America Market Size Forecast by Type
12.6.1 Pay by Credit Card
12.6.2 Pay Online
12.6.3 Cash Payment
12.7 Basis Point Share (BPS) Analysis by Type
12.8 Absolute $ Opportunity Assessment by Type
12.9 Market Attractiveness Analysis by Type
12.10 Latin America Market Size Forecast by Applications
12.10.1 Claims Management Services
12.10.2 Integrated Front Office Service And Back Office Operations
12.10.3 Member Management Services
12.10.4 Provider Management Services
12.10.5 Billing And Accounts Management Services
12.10.6 Analytics And Fraud Management Services
12.10.7 HR Services
12.11 Basis Point Share (BPS) Analysis by Applications
12.12 Absolute $ Opportunity Assessment by Applications
12.13 Market Attractiveness Analysis by Applications
Chapter 13 Middle East & Africa (MEA) Analysis and Forecast
13.1 Introduction
13.2 Middle East & Africa (MEA) Market Size Forecast by Country
13.2.1 Saudi Arabia
13.2.2 South Africa
13.2.3 UAE
13.2.4 Rest of Middle East & Africa (MEA)
13.3 Basis Point Share (BPS) Analysis by Country
13.4 Absolute $ Opportunity Assessment by Country
13.5 Market Attractiveness Analysis by Country
13.6 Middle East & Africa (MEA) Market Size Forecast by Type
13.6.1 Pay by Credit Card
13.6.2 Pay Online
13.6.3 Cash Payment
13.7 Basis Point Share (BPS) Analysis by Type
13.8 Absolute $ Opportunity Assessment by Type
13.9 Market Attractiveness Analysis by Type
13.10 Middle East & Africa (MEA) Market Size Forecast by Applications
13.10.1 Claims Management Services
13.10.2 Integrated Front Office Service And Back Office Operations
13.10.3 Member Management Services
13.10.4 Provider Management Services
13.10.5 Billing And Accounts Management Services
13.10.6 Analytics And Fraud Management Services
13.10.7 HR Services
13.11 Basis Point Share (BPS) Analysis by Applications
13.12 Absolute $ Opportunity Assessment by Applications
13.13 Market Attractiveness Analysis by Applications
Chapter 14 Competition Landscape
14.1 Healthcare Payer Services Market: Competitive Dashboard
14.2 Global Healthcare Payer Services Market: Market Share Analysis, 2019
14.3 Company Profiles (Details – Overview, Financials, Developments, Strategy)
14.3.1 United HealthCare Services
14.3.2 Anthem
14.3.3 Aetna
14.3.4 Accenture
14.3.5 Cognizant
14.3.6 Xerox
14.3.7 Genpact
