Global Healthcare Payer Service Market Research Report Information by Service Type by Application, by End User, by Region Forecast to 2032
의료보험자 서비스 시장 규모는 2022년 693억 2,000만 달러, 2023년 730억 1,000만 달러에서 예측 기간 동안 8.81%의 연평균 복합 성장률(CAGR)을 나타내고, 2032년 1,560억 4,000만 달러 규모로 성장할 것으로 예측됩니다.
의료보험 가입은 신흥국의 고령화, 의료비 상승, 고용주 부담 의료보험 변경 등 다양한 요인으로 인해 증가하고 있으며, Assistant Secretary for Planning and Evaluation에 따르면 미국에서는 2020년 하반기부터 2021년 상반기까지 약 3,100만 명이 의료보험에 가입할 것으로 예상됩니다.년상반기까지 약 3,100만 명이 의료보험에 가입했습니다. 또한 2022년과 2023년 초에는 4,020만 명 이상의 미국인이 Marketplace와 Medicaid의 확장된 보험에 가입했습니다.
지역별 인사이트
북미 의료보험자 서비스 시장은 2022년 가장 큰 시장 점유율을 차지할 것으로 예상됩니다. 이는 이 지역의 선진화된 의료 시스템, 의료 정책의 도입 증가, 기존 기업의 존재감 등에 기인한 것으로 분석됩니다.
아시아태평양의 의료 보험자 서비스 시장은 2023년부터 2032년까지 큰 폭으로 성장할 것으로 예측됩니다. 그 배경에는 중국의 의료 인프라 현대화를 위한 투자 및 개혁 증가, 일본의 새로운 ICT 가이드라인 도입, 아시아태평양의 암, 정형외과, 심혈관계 질환 등 만성질환 환자 인구 증가 등이 있습니다.
세계 의료보험자 서비스 시장을 조사했으며, 시장 정의와 개요, 시장 성장에 영향을 미치는 각종 영향요인 분석, 시장 규모 추이 및 예측, 각종 부문별/지역별/주요 국가별 분석, 경쟁 환경, 주요 기업 프로파일 등의 정보를 정리하여 전해드립니다.
목차
제1장 주요 요약
제2장 시장 개요
제3장 조사 방법
제4장 시장 역학
제5장 시장 요인 분석
- 밸류체인 분석
- Porter의 Five Forces 분석
- COVID-19의 영향 분석
- '의료보험자와 연구기관 또는 약국간 의료 거래 프로세스 워크플로우 갭 평가'에 관한 정성적 개요
제6장 세계의 의료보험자 서비스 시장 : 서비스 유형별
- 개요
- 비즈니스 프로세스 아웃소싱 서비스
- IT 아웃소싱 서비스
- 지식 프로세스 아웃소싱 서비스
제7장 세계의 의료보험자용 서비스 시장 : 용도별
- 개요
- 청구 관리
- 프론트오피스 및 백오피스 통합 업무
- 멤버 관리
- 프로바이더 관리
- 빌링 및 어카운트 관리
- 애널리틱스 및 부정 관리
- 인재
- 임상적 의사결정
- 환자 참여
- 기타
제8장 세계의 의료보험자용 서비스 시장 : 최종사용자별
제9장 세계의 의료보험자용 서비스 시장 : 지역별
제10장 경쟁 구도
- 시장 점유율 분석
- 경쟁 대시보드
- 공개 기업 주식 개요
- 비교 분석 : 주요 기업의 재무 동향
- 주요 전개와 성장 전략
제11장 기업 개요
- ORACLE CORPORATION
- IQVIA HOLDING, INC.
- HCL TECHNOLOGIES LIMITED
- ACCENTURE
- COGNIZANT
- DELL INC.
- GENPACT
- OMEGA HEALTHCARE MANAGEMENT SERVICES
- INFOSYS LIMITED
- NTT DATA, INC
LSH
Global Healthcare Payer Service Market Research Report Information by Service Type (Business Process Outsourcing Services, IT Outsourcing Services, and Knowledge Process Outsourcing Services) by Application (Claims Management, Integrated Front Office and Back Office Operations, Member Management, Provider Management, Billing and Accounts Management, Analytics and Fraud Management, Human Resource, Clinical Decision-Making, Patient Engagement, and Others), by End User (Private Payers and Public Payers), by Region Forecast to 2032
Market Overview
The Healthcare Payer Service Market was valued at USD 69.32 billion in 2022. The Healthcare Payer Service Market is expected to increase from USD 73.01 billion in 2023 to USD 156.04 billion by 2032, with a compound yearly growth rate (CAGR) of 8.81% over the forecast period (2023-2032).
Healthcare insurance enrollments are increasing due to a variety of factors, including an aging population in emerging countries, rising healthcare costs, and changes in employer-sponsored health insurance. According to the Assistant Secretary for Planning and Evaluation, there were around 31 million persons enrolled in late 2020 and early 2021 in America. Furthermore, more than 40.2 million Americans signed up for Marketplace and Medicaid expansion coverage in 2022 and early 2023.
Furthermore, according to secondary research, there has been a significant increase in health insurance enrollment in low- and middle-income countries as a result of increased awareness of the benefits of health insurance adoption, lower costs of health insurance products, and the government providing individuals with opportunities to try health insurance at a reduced cost. As a result, increased health insurance knowledge and enrollment are driving the growth of the healthcare payer services market.
Market Segment insights
The Healthcare Payer Service Market is segmented by service type, which includes business process outsourcing, IT outsourcing, and knowledge process outsourcing services.
The Healthcare Payer Service Market is segmented by applications such as claims management, integrated front and back-office operations, member management, provider management, billing and accounts management, analytics and fraud management, human resources, clinical decision-making, patient engagement, and others.
The Healthcare Payer Service Market is segmented based on end users, which comprise both private and public payers.
Regional insights
The study divides the market into four regions: North America, Europe, Asia-Pacific, and the rest of the world. The North American healthcare payer service market held the biggest market share in 2022. This is due to the advanced healthcare system in this region, the increasing adoption of healthcare policies, and the established presence of significant market participants.
The Asia-Pacific healthcare payer service market is predicted to increase significantly between 2023 and 2032. This is due to increased investments and reforms to modernize China's healthcare infrastructure, the implementation of new ICT guidelines in Japan, and the Asia-Pacific region's growing patient population suffering from chronic diseases such as cancer, orthopedics, and cardiovascular disease.
The rest of the world is divided into three regions: the Middle East, Africa, and Latin America. The healthcare payer service market in the regions is expected to expand because to technology advancements and increased investment in healthcare infrastructure in the region.
Major Players
Oracle Corporation (US), IQVIA Holdings, Inc (US), HCL Technologies Limited (India), Accenture (Ireland), Cognizant (US), Dell Inc (US), Genpact (US), Omega Healthcare Management Services (India), Infosys Limited (India), and NTT DATA, Inc (Japan) are among the key players in the Healthcare Payer Service Market.
TABLE OF CONTENTS
1 EXECUTIVE SUMMARY
2 MARKET INTRODUCTION
- 2.1 DEFINITION
- 2.2 SCOPE OF THE STUDY
- 2.3 RESEARCH OBJECTIVE
- 2.4 MARKET STRUCTURE
3 RESEARCH METHODOLOGY
- 3.1 OVERVIEW
- 3.2 DATA FLOW
- 3.2.1 DATA MINING PROCESS
- 3.3 PURCHASED DATABASE:
- 3.4 SECONDARY SOURCES:
- 3.4.1 SECONDARY RESEARCH DATA FLOW:
- 3.5 PRIMARY RESEARCH:
- 3.5.1 PRIMARY RESEARCH DATA FLOW:
- 3.5.2 PRIMARY RESEARCH: NUMBER OF INTERVIEWS CONDUCTED
- 3.5.3 PRIMARY RESEARCH: REGIONAL COVERAGE
- 3.6 APPROACHES FOR MARKET SIZE ESTIMATION:
- 3.6.1 REVENUE ANALYSIS APPROACH
- 3.7 DATA FORECASTING
- 3.7.1 DATA FORECASTING TECHNIQUE
- 3.8 DATA FORMULATIONLING
- 3.8.1 MICROECONOMIC FACTOR ANALYSIS:
- 3.8.2 DATA FORMULATIONLING:
- 3.9 TEAMS AND ANALYST CONTRIBUTION
4 MARKET DYNAMICS
- 4.1 INTRODUCTION
- 4.2 DRIVERS
- 4.2.1 INCREASING NUMBER OF HEALTHCARE INSURANCE ENROLLMENTS
- 4.2.2 RISING CASES OF HEALTHCARE FRAUD
- 4.3 RESTRAINTS
- 4.3.1 HIGH RISK OF DATA BREACHES AND LOSS OF CONFIDENTIALITY
- 4.4 OPPORTUNITY
- 4.4.1 INCREASING ADOPTION OF ADVANCED DATA ANALYTICS
5 MARKET FACTOR ANALYSIS
- 5.1 VALUE CHAIN ANALYSIS
- 5.1.1 CUSTOMER ACQUISITION (PREPURCHASE QUERY)
- 5.1.2 SERVICE CUSTOMIZATION
- 5.1.3 CUSTOMER PURCHASE SUPPORT
- 5.1.4 CUSTOMER FULFILMENT & POST-PURCHASE SUPPORT
- 5.2 PORTER'S FIVE FORCES MODEL
- 5.2.1 THREAT OF NEW ENTRANTS
- 5.2.2 BARGAINING POWER OF SUPPLIERS
- 5.2.3 THREAT OF SUBSTITUTES
- 5.2.4 BARGAINING POWER OF BUYERS
- 5.2.5 INTENSITY OF RIVALRY
- 5.3 COVID-19 IMPACT ANALYSIS
- 5.3.1 DEMAND-SUPPLY ANALYSIS
- 5.3.2 PRICING ANALYSIS
- 5.3.3 IMPACT ON KEY PLAYERS
- 5.4 QUALITATIVE OVERVIEW ON "EVALUATING WORKFLOW GAPS IN HEALTHCARE TRANSACTIONAL PROCESSES BETWEEN MEDICAL INSURANCE PAYERS AND LABORATORIES OR PHARMACIES
6 GLOBAL HEALTHCARE PAYER SERVICES MARKET, BY SERVICE TYPE
- 6.1 OVERVIEW
- 6.2 BUSINESS PROCESS OUTSOURCING SERVICES
- 6.3 IT OUTSOURCING SERVICES
- 6.4 KNOWLEDGE PROCESS OUTSOURCING SERVICES
7 GLOBAL HEALTHCARE PAYER SERVICES MARKET, BY APPLICATION
- 7.1 OVERVIEW
- 7.2 CLAIMS MANAGEMENT
- 7.3 INTEGRATED FRONT OFFICE AND BACK OFFICE OPERATIONS
- 7.4 MEMBER MANAGEMENT
- 7.5 PROVIDER MANAGEMENT
- 7.6 BILLING AND ACCOUNTS MANAGEMENT
- 7.7 ANALYTICS AND FRAUD MANAGEMENT
- 7.8 HUMAN RESOURCE
- 7.9 CLINICAL DECISION-MAKING
- 7.10 PATIENT ENGAGEMENT
- 7.11 OTHERS
8 GLOBAL HEALTHCARE PAYER SERVICES MARKET, BY END USER
- 8.1 OVERVIEW
- 8.2 PRIVATE PAYERS
- 8.3 PUBLIC PAYERS
9 GLOBAL HEALTHCARE PAYER SERVICES MARKET, BY REGION
- 9.1 OVERVIEW
- 9.2 NORTH AMERICA
- 9.3 EUROPE
- 9.3.1 GERMANY
- 9.3.2 FRANCE
- 9.3.3 UK
- 9.3.4 ITALY
- 9.3.5 SPAIN
- 9.3.6 REST OF EUROPE
- 9.4 ASIA-PACIFIC
- 9.4.1 CHINA
- 9.4.2 INDIA
- 9.4.3 JAPAN
- 9.4.4 SOUTH KOREA
- 9.4.5 AUSTRALIA
- 9.4.6 REST OF ASIA-PACIFIC
- 9.5 REST OF THE WORLD
- 9.5.1 MIDDLE EAST & AFRICA
- 9.5.2 SOUTH AMERICA
10 COMPETITIVE LANDSCAPE
- 10.1 INTRODUCTION
- 10.2 MARKET SHARE ANALYSIS, 2022
- 10.3 COMPETITOR DASHBOARD
- 10.4 PUBLIC PLAYERS STOCK SUMMARY
- 10.5 COMPARATIVE ANALYSIS: KEY PLAYERS FINANICAL
- 10.6 KEY DEVELOPMENTS & GROWTH STRATEGIES
- 10.6.1 ACQUISITION
- 10.6.2 COLLABORATION
11 COMPANY PROFILES
- 11.1 ORACLE CORPORATION
- 11.1.1 COMPANY OVERVIEW
- 11.1.2 FINANCIAL OVERVIEW
- 11.1.3 SERVICES OFFERED
- 11.1.4 KEY DEVELOPMENTS
- 11.1.5 SWOT ANALYSIS
- 11.1.6 KEY STRATEGIES
- 11.2 IQVIA HOLDING, INC.
- 11.2.1 COMPANY OVERVIEW
- 11.2.2 FINANCIAL OVERVIEW
- 11.2.3 SERVICES OFFERED
- 11.2.4 KEY DEVELOPMENTS
- 11.2.5 SWOT ANALYSIS
- 11.2.6 KEY STRATEGIES
- 11.3 HCL TECHNOLOGIES LIMITED
- 11.3.1 COMPANY OVERVIEW
- 11.3.2 FINANCIAL OVERVIEW
- 11.3.3 SERVICES/SOLUTIONS OFFERED
- 11.3.4 KEY DEVELOPMENTS
- 11.3.5 SWOT ANALYSIS
- 11.3.6 KEY STRATEGIES
- 11.4 ACCENTURE
- 11.4.1 COMPANY OVERVIEW
- 11.4.2 FINANCIAL OVERVIEW
- 11.4.3 PRODUCTS OFFERED
- 11.4.4 KEY DEVELOPMENTS
- 11.4.5 KEY STRATEGIES
- 11.5 COGNIZANT
- 11.5.1 COMPANY OVERVIEW
- 11.5.2 FINANCIAL OVERVIEW
- 11.5.3 PRODUCTS OFFERED
- 11.5.4 KEY DEVELOPMENTS
- 11.5.5 SWOT ANALYSIS
- 11.5.6 KEY STRATEGIES
- 11.6 DELL INC.
- 11.6.1 COMPANY OVERVIEW
- 11.6.2 FINANCIAL OVERVIEW
- 11.6.3 PRODUCTS OFFERED
- 11.6.4 KEY DEVELOPMENTS
- 11.6.5 KEY STRATEGIES
- 11.7 GENPACT
- 11.7.1 COMPANY OVERVIEW
- 11.7.2 FINANCIAL OVERVIEW
- 11.7.3 PRODUCTS OFFERED
- 11.7.4 KEY DEVELOPMENTS
- 11.7.5 KEY STRATEGIES
- 11.8 OMEGA HEALTHCARE MANAGEMENT SERVICES
- 11.8.1 COMPANY OVERVIEW
- 11.8.2 FINANCIAL OVERVIEW
- 11.8.3 SERVICES OFFERED
- 11.8.4 KEY DEVELOPMENTS
- 11.8.5 KEY STRATEGIES
- 11.9 INFOSYS LIMITED
- 11.9.1 COMPANY OVERVIEW
- 11.9.2 FINANCIAL OVERVIEW
- 11.9.3 SERVICES OFFERED
- 11.9.4 KEY DEVELOPMENTS
- 11.9.5 SWOT ANALYSIS
- 11.9.6 KEY STRATEGIES
- 11.10 NTT DATA, INC
- 11.10.1 COMPANY OVERVIEW
- 11.10.2 FINANCIAL OVERVIEW
- 11.10.3 SERVICES OFFERED
- 11.10.4 KEY DEVELOPMENTS
- 11.10.5 KEY STRATEGIES
