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Global AI for Healthcare Payer Market 2025-2029
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The AI for healthcare payer market is forecasted to grow by USD 1,147.3 mn during 2024-2029, accelerating at a CAGR of 9.4% during the forecast period. The report on the AI for healthcare payer market provides a holistic analysis, market size and forecast, trends, growth drivers, and challenges, as well as vendor analysis covering around 25 vendors.

The report offers an up-to-date analysis regarding the current market scenario, the latest trends and drivers, and the overall market environment. The market is driven by escalating imperative to mitigate soaring healthcare costs and combat fraud, waste, and abuse, industry wide transition to value based care and rising demand for personalized member engagement, and rapid technological advancements in AI, especially generative AI, coupled with expanding data interoperability.

Market Scope
Base Year2025
End Year2029
Series Year2025-2029
Growth MomentumAccelerate
YOY 20259.2%
CAGR9.4%
Incremental Value$1,147.3 mn

The study was conducted using an objective combination of primary and secondary information including inputs from key participants in the industry. The report contains a comprehensive market size data, segment with regional analysis and vendor landscape in addition to an analysis of the key companies. Reports have historic and forecast data.

Technavio's AI for healthcare payer market is segmented as below:

By Component

By Deployment

By Application

By Geographical Landscape

This study identifies the ascendancy of generative AI in member engagement and administrative process reengineering as one of the prime reasons driving the AI for healthcare payer market growth during the next few years. Also, proactive fraud, waste, and abuse mitigation through advanced predictive analytics and AI as a cornerstone for value-based care enablement and population health strategy will lead to sizable demand in the market.

The report on the AI for healthcare payer market covers the following areas:

The robust vendor analysis is designed to help clients improve their market position, and in line with this, this report provides a detailed analysis of several leading AI for healthcare payer market vendors that include Accenture PLC, Airo Digital Labs, CareCloud Inc., Codoxo, Cognizant Technology Solutions Corp., Hexaware Technologies Ltd., Innovaccer Inc., MST Solutions L.L.C., Nuance Communications Inc., Optum Inc., Oracle Corp., Quantiphi Inc., R1 RCM Inc., Softheon Inc., and SoundHound AI Inc.. Also, the AI for healthcare payer market analysis report includes information on upcoming trends and challenges that will influence market growth. This is to help companies strategize and leverage all forthcoming growth opportunities.

The publisher presents a detailed picture of the market by the way of study, synthesis, and summation of data from multiple sources by an analysis of key parameters such as profit, pricing, competition, and promotions. It presents various market facets by identifying the key industry influencers. The data presented is comprehensive, reliable, and a result of extensive primary and secondary research. The market research reports provide a complete competitive landscape and an in-depth vendor selection methodology and analysis using qualitative and quantitative research to forecast accurate market growth.

Table of Contents

1 Executive Summary

2 Technavio Analysis

3 Market Landscape

4 Market Sizing

5 Historic Market Size

6 Five Forces Analysis

7 Market Segmentation by Component

8 Market Segmentation by Deployment

9 Market Segmentation by Application

10 Customer Landscape

11 Geographic Landscape

12 Drivers, Challenges, and Opportunity/Restraints

13 Competitive Landscape

14 Competitive Analysis

15 Appendix

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