Market Overview:
The global healthcare payers' core administrative processing solutions software market is expected to grow at a CAGR of 10.8% during the forecast period from 2018 to 2030. The market growth can be attributed to the increasing demand for cloud-based solutions and the need for streamlining administrative processes across hospitals, specialty clinics, and other healthcare organizations. North America is expected to lead the market in terms of revenue due to the presence of a large number of healthcare payers and rising adoption of cloud-based solutions in this region. Asia Pacific is projected to be the fastest growing region during the forecast period owing to increasing investments by private players in this region and rising demand for improved patient care services.
Product Definition:
Healthcare payers' core administrative processing solutions software is used to manage and process payer administrative data. This software is important because it allows healthcare payers to efficiently and effectively manage their operations.
On-premise:
On-premise software is a type of software that is installed and used directly by the end-users or consumers. The on-premise solutions are mostly used for core administrative processing in healthcare payers’ organizations such as insurance companies, health plans sponsor (employers/government), and third party administrators. On-premise solutions do not require an internet connection; hence it can be installed at any place without hampering the functioning of other systems in the organization.
Cloud-based:
Cloud-based administrative processing solutions software is a web-based application that helps in reducing the cost of healthcare payers' core administrative processes. It offers payer organizations with an opportunity to improve their operational efficiency and provides better patient care by automating tasks, which are currently being done manually. Cloud-based solutions offer payer organizations with real-time data analysis and help them make quick decisions for enhancing the quality of services provided to patients as well as providers.
Application Insights:
The others application segment held the largest share of over 30.0% in 2017. The segment includes home healthcare, urgent care clinics, and walk-in clinics. These facilities are generally owned by non-profit organizations or government agencies that provide medical services to the general public for free or at a reduced cost as compared to private health facilities or commercial insurance companies.
Hospitals were estimated to be the largest revenue generating centers in 2017 owing to factors such as increasing investments by governments in hospitals and rising prevalence of chronic diseases such as cancer and diabetes which require high levels of patient monitoring & treatment which result in higher usage rates for healthcare processing applications within hospitals thus resulting in increased market share for hospital based CPAS solutions across regions globally.
Regional Analysis:
North America accounted for the largest revenue share in 2017. The region is expected to maintain its lead over the forecast period owing to factors such as increasing adoption of EHRs, high healthcare expenditure and growing need for improving reimbursement processes. Moreover, presence of a large number of players in this region increases the availability of COS software solutions thereby driving market growth.
Asia Pacific is anticipated to be one of the fastest-growing regions during the forecast period owing to factors such as rising government initiatives and investments coupled with increasing awareness regarding quality healthcare services leading to demand for payment systems that can improve reimbursement procedures & manage costs efficiently.
The Latin American market also presents lucrative opportunities due both primarily.
Growth Factors:
- Increased demand for healthcare services and the corresponding growth in the number of payers and payer organizations
- The need to improve operational efficiency and contain costs
- The shift from volume-based reimbursement to value-based reimbursement models
- Greater focus on data analytics and population health management
- Emergence of new technologies, such as cloud computing, that can help improve administrative processing efficiency
Scope Of The Report
Report Attributes
Report Details
Report Title
Healthcare Payers' Core Administrative Processing Solutions Software Market Research Report
By Type
On-premise, Cloud-based
By Application
Hospitals, Speciality Clinics, Others
By Companies
NantHealth, EviCore healthcare, Optum, Cognizant, Accenture, Marketware, ABILITY Network, Change Healthcare, Cerner, Zebu Compliance Solutions, SS&C Technologies, TechDynamics, Citra Health Solutions, Health Portal Solutions, Health Catalyst
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
216
Number of Tables & Figures
152
Customization Available
Yes, the report can be customized as per your need.
Global Healthcare Payers' Core Administrative Processing Solutions Software Market Report Segments:
The global Healthcare Payers' Core Administrative Processing Solutions Software market is segmented on the basis of:
Types
On-premise, Cloud-based
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
Hospitals, Speciality Clinics, Others
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:
- NantHealth
- EviCore healthcare
- Optum
- Cognizant
- Accenture
- Marketware
- ABILITY Network
- Change Healthcare
- Cerner
- Zebu Compliance Solutions
- SS&C Technologies
- TechDynamics
- Citra Health Solutions
- Health Portal Solutions
- Health Catalyst
Highlights of The Healthcare Payers' Core Administrative Processing Solutions Software 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:
- On-premise
- Cloud-based
- By Application:
- Hospitals
- Speciality Clinics
- Others
- 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 Payers' Core Administrative Processing Solutions Software 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 Payers' Core Administrative Processing Solutions Software is a software application that helps healthcare organizations manage their administrative processes. This includes tasks such as billing, patient care records, and financial management.
Some of the major companies in the healthcare payers' core administrative processing solutions software market are NantHealth, EviCore healthcare, Optum, Cognizant, Accenture, Marketware, ABILITY Network, Change Healthcare, Cerner, Zebu Compliance Solutions, SS&C Technologies, TechDynamics, Citra Health Solutions, Health Portal Solutions, Health Catalyst.
The healthcare payers' core administrative processing solutions software 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 Payers' Core Administrative Processing Solutions Software 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 Payers' Core Administrative Processing Solutions Software Market Dynamics
4.2.1 Market Drivers
4.2.2 Market Restraints
4.2.3 Market Opportunity
4.3 Healthcare Payers' Core Administrative Processing Solutions Software 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 Payers' Core Administrative Processing Solutions Software 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 Payers' Core Administrative Processing Solutions Software Market Size & Forecast, 2018-2028
4.5.1 Healthcare Payers' Core Administrative Processing Solutions Software Market Size and Y-o-Y Growth
4.5.2 Healthcare Payers' Core Administrative Processing Solutions Software Market Absolute $ Opportunity
Chapter 5 Global Healthcare Payers' Core Administrative Processing Solutions Software 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 Healthcare Payers' Core Administrative Processing Solutions Software Market Size Forecast by Type
5.2.1 On-premise
5.2.2 Cloud-based
5.3 Market Attractiveness Analysis by Type
Chapter 6 Global Healthcare Payers' Core Administrative Processing Solutions Software 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 Healthcare Payers' Core Administrative Processing Solutions Software Market Size Forecast by Applications
6.2.1 Hospitals
6.2.2 Speciality Clinics
6.2.3 Others
6.3 Market Attractiveness Analysis by Applications
Chapter 7 Global Healthcare Payers' Core Administrative Processing Solutions Software 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 Payers' Core Administrative Processing Solutions Software 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 Healthcare Payers' Core Administrative Processing Solutions Software Analysis and Forecast
9.1 Introduction
9.2 North America Healthcare Payers' Core Administrative Processing Solutions Software 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 Healthcare Payers' Core Administrative Processing Solutions Software Market Size Forecast by Type
9.6.1 On-premise
9.6.2 Cloud-based
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 Healthcare Payers' Core Administrative Processing Solutions Software Market Size Forecast by Applications
9.10.1 Hospitals
9.10.2 Speciality Clinics
9.10.3 Others
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 Healthcare Payers' Core Administrative Processing Solutions Software Analysis and Forecast
10.1 Introduction
10.2 Europe Healthcare Payers' Core Administrative Processing Solutions Software 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 Healthcare Payers' Core Administrative Processing Solutions Software Market Size Forecast by Type
10.6.1 On-premise
10.6.2 Cloud-based
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 Healthcare Payers' Core Administrative Processing Solutions Software Market Size Forecast by Applications
10.10.1 Hospitals
10.10.2 Speciality Clinics
10.10.3 Others
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 Healthcare Payers' Core Administrative Processing Solutions Software Analysis and Forecast
11.1 Introduction
11.2 Asia Pacific Healthcare Payers' Core Administrative Processing Solutions Software 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 Healthcare Payers' Core Administrative Processing Solutions Software Market Size Forecast by Type
11.6.1 On-premise
11.6.2 Cloud-based
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 Healthcare Payers' Core Administrative Processing Solutions Software Market Size Forecast by Applications
11.10.1 Hospitals
11.10.2 Speciality Clinics
11.10.3 Others
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 Healthcare Payers' Core Administrative Processing Solutions Software Analysis and Forecast
12.1 Introduction
12.2 Latin America Healthcare Payers' Core Administrative Processing Solutions Software 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 Healthcare Payers' Core Administrative Processing Solutions Software Market Size Forecast by Type
12.6.1 On-premise
12.6.2 Cloud-based
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 Healthcare Payers' Core Administrative Processing Solutions Software Market Size Forecast by Applications
12.10.1 Hospitals
12.10.2 Speciality Clinics
12.10.3 Others
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) Healthcare Payers' Core Administrative Processing Solutions Software Analysis and Forecast
13.1 Introduction
13.2 Middle East & Africa (MEA) Healthcare Payers' Core Administrative Processing Solutions Software 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) Healthcare Payers' Core Administrative Processing Solutions Software Market Size Forecast by Type
13.6.1 On-premise
13.6.2 Cloud-based
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) Healthcare Payers' Core Administrative Processing Solutions Software Market Size Forecast by Applications
13.10.1 Hospitals
13.10.2 Speciality Clinics
13.10.3 Others
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 Payers' Core Administrative Processing Solutions Software Market: Competitive Dashboard
14.2 Global Healthcare Payers' Core Administrative Processing Solutions Software Market: Market Share Analysis, 2019
14.3 Company Profiles (Details – Overview, Financials, Developments, Strategy)
14.3.1 NantHealth
14.3.2 EviCore healthcare
14.3.3 Optum
14.3.4 Cognizant
14.3.5 Accenture
14.3.6 Marketware
14.3.7 ABILITY Network
14.3.8 Change Healthcare
14.3.9 Cerner
14.3.10 Zebu Compliance Solutions
14.3.11 SS&C Technologies
14.3.12 TechDynamics
14.3.13 Citra Health Solutions
14.3.14 Health Portal Solutions
14.3.15 Health Catalyst
