의료보험자용 서비스 시장 예측 : 산업 규모, 점유율, 동향, 기회, 용도별, 서비스 유형별, 최종 사용자별, 지역별, 경쟁 구도(2021-2031년)
Healthcare Payer Services Market - Global Industry Size, Share, Trends, Opportunity, and Forecast, Segmented By Application, By Service Type, By End User, By Region & Competition, 2021-2031F
상품코드:1901598
리서치사:TechSci Research
발행일:2026년 01월
페이지 정보:영문 185 Pages
라이선스 & 가격 (부가세 별도)
ㅁ Add-on 가능: 고객의 요청에 따라 일정한 범위 내에서 Customization이 가능합니다. 자세한 사항은 문의해 주시기 바랍니다.
한글목차
세계 의료보험자용 서비스 시장은 2025년 839억 6,000만 달러, 2031년까지 1,512억 7,000만 달러에 달하고, CAGR 10.31%로 성장할 것으로 예측됩니다.
의료보험자용 서비스란, 보험사가 전문의 제3자 벤더에 위탁하는 관리 업무, 임상 업무, 정보 기술 업무를 가리키고, 청구 처리, 청구 관리, 가입자 등록 등의 분야를 커버합니다.
시장 개요
예측 기간
2027-2031년
시장 규모 : 2025년
839억 6,000만 달러
시장 규모 : 2031년
1,512억 7,000만 달러
CAGR : 2026-2031년
10.31%
가장 빠르게 성장하는 부문
보험금 청구 관리 서비스
가장 큰 시장
아시아태평양
주요 시장 성장 촉진요인
인공지능(AI)과 고급 분석기술의 통합이 가속화됨에 따라 예측 모델링과 자동화된 의사결정이 가능해지며, 세계의 의료보험자용 서비스 시장은 근본적으로 변화하고 있습니다. 보험 회사는 청구 심사 및 사기 감지와 같은 복잡한 워크 플로우를 효율화하기 위해 이러한 기술을 점점 더 활용하고 있으며 디지털화에서 지능형 자동화로 전환하고 있습니다.
주요 시장 과제
세계 의료보험자용 서비스 시장의 확대는 데이터 보안과 환자 개인정보 보호에 대한 우려가 커짐에 따라 크게 저해되고 있습니다. 보험 지불자가 청구 처리 및 청구 업무 등의 핵심 기능을 제3자 공급업체에 의존하게 됨에 따라 기밀성이 높은 보호 대상 의료 정보(PHI)를 내부 방화벽 밖으로 전송할 필요성이 심각한 위험 요인을 창출하고 있습니다.
주요 시장 동향
가치 기반 의료(Value-Based Care) 및 위험 분담형 상환 모델로의 전략적 전환은 보험 지불 기관이 종량제 보상 체계에서 벗어나는 동안 시장을 근본적으로 변화시키고 있습니다. 보험 제공업체는 복잡한 집단 건강 분석 및 의료 제공업체의 성능 모니터링을 처리할 수 있는 벤더에게 임상 위험 관리를 점점 외부 위탁하는 경향이 있습니다.
목차
제1장 개요
제2장 조사 방법
제3장 주요 요약
제4장 고객의 목소리
제5장 세계의 의료보험자용 서비스 시장 전망
시장 규모 및 예측
금액별
시장 점유율 및 예측
용도별(청구 관리 서비스, 청구 및 계정 관리 서비스, 분석 및 사기 관리 서비스, 회원 관리 서비스, 프로바이더 관리 서비스, 인사 서비스, 통합 프론트 오피스 서비스 및 백오피스 운영)
서비스 유형별(비즈니스 프로세스 아웃소싱, IT 아웃소싱 서비스, 지식 프로세스 아웃소싱 서비스)
최종사용자별(민간보험자, 공적보험자)
지역별
기업별(2025)
시장 맵
제6장 북미의 의료보험자용 서비스 시장 전망
시장 규모 및 예측
시장 점유율 및 예측
북미 : 국가별 분석
미국
캐나다
멕시코
제7장 유럽의 의료보험자용 서비스 시장 전망
시장 규모 및 예측
시장 점유율 및 예측
유럽 : 국가별 분석
독일
프랑스
영국
이탈리아
스페인
제8장 아시아태평양의 의료보험자용 서비스 시장 전망
시장 규모 및 예측
시장 점유율 및 예측
아시아태평양 : 국가별 분석
중국
인도
일본
한국
호주
제9장 중동 및 아프리카의 의료보험자용 서비스 시장 전망
시장 규모 및 예측
시장 점유율 및 예측
중동 및 아프리카 : 국가별 분석
사우디아라비아
아랍에미리트(UAE)
남아프리카
제10장 남미의 의료보험자용 서비스 시장 전망
시장 규모 및 예측
시장 점유율 및 예측
남미 : 국가별 분석
브라질
콜롬비아
아르헨티나
제11장 시장 역학
성장 촉진요인
과제
제12장 시장 동향과 발전
합병 및 인수
제품 출시
최근 동향
제13장 세계의 의료보험자용 서비스 시장 : SWOT 분석
제14장 Porter's Five Forces 분석
업계 내 경쟁
신규 진입의 가능성
공급자의 힘
고객의 힘
대체품의 위협
제15장 경쟁 구도
Change Healthcare Inc.
Mckesson Corporation
Accenture plc
Cognizant Technology Solutions Corporation
Dell Technologies Inc.
Xerox Holdings Corporation
Elevance Health, Inc.
Wipro Limited
Concentrix Corporation
Centene Corporation
HCL Technologies Ltd
제16장 전략적 제안
제17장 기업 소개와 면책사항
SHW
영문 목차
영문목차
The Global Healthcare Payer Services Market will grow from USD 83.96 Billion in 2025 to USD 151.27 Billion by 2031 at a 10.31% CAGR. Healthcare Payer Services encompass the outsourcing of administrative, clinical, and information technology functions by insurance providers to specialized third-party vendors, covering areas such as claims processing, billing management, and member enrollment.
Market Overview
Forecast Period
2027-2031
Market Size 2025
USD 83.96 Billion
Market Size 2031
USD 151.27 Billion
CAGR 2026-2031
10.31%
Fastest Growing Segment
Claims Management Services
Largest Market
Asia Pacific
Key Market Drivers
Accelerating Integration of Artificial Intelligence and Advanced Analytics is fundamentally reshaping the Global Healthcare Payer Services Market by enabling predictive modeling and automated decision-making. Insurance providers are increasingly utilizing these technologies to streamline complex workflows such as claims adjudication and fraud detection, moving beyond digitization toward intelligent automation. This technological shift allows for real-time risk assessment and personalized member engagement, reducing administrative friction and improving accuracy.
Key Market Challenges
The expansion of the Global Healthcare Payer Services Market is significantly obstructed by escalating apprehensions surrounding data security and the protection of patient privacy. As insurance payers increasingly rely on third-party vendors for core functions like claims processing and billing, the necessity to transmit sensitive Protected Health Information outside internal firewalls creates a substantial risk vector. This reliance on external infrastructure amplifies the potential for cyberattacks, causing payers to exercise extreme caution and often delay outsourcing initiatives to avoid the severe legal and reputational repercussions associated with third-party security failures.
Key Market Trends
The Strategic Transition to Value-Based Care and Risk-Sharing Reimbursement Models is fundamentally altering the market as payers move away from fee-for-service structures. Insurance providers are increasingly outsourcing clinical risk management to vendors capable of handling complex population health analytics and provider performance monitoring. This shift requires robust infrastructure to support arrangements where stakeholders share accountability for patient outcomes.
Key Market Players
Change Healthcare Inc.
Mckesson Corporation
Accenture plc
Cognizant Technology Solutions Corporation
Dell Technologies Inc.
Xerox Holdings Corporation
Elevance Health, Inc.
Wipro Limited
Concentrix Corporation
Centene Corporation
HCL Technologies Ltd
Report Scope:
In this report, the Global Healthcare Payer Services Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:
Healthcare Payer Services Market, By Application:
Claims Management Services
Billing & Accounts Management Services
Analytics & Fraud Management Services
Member Management Services
Provider Management Services
Human Resource Services
Integrated Front-Office Service & Back-Office Operations
Healthcare Payer Services Market, By Service Type:
Business Process Outsourcing
IT Outsourcing Services
Knowledge Process Outsourcing Services
Healthcare Payer Services Market, By End User:
Private Payers
Public Payers
Healthcare Payer Services Market, By Region:
North America
United States
Canada
Mexico
Europe
France
United Kingdom
Italy
Germany
Spain
Asia Pacific
China
India
Japan
Australia
South Korea
South America
Brazil
Argentina
Colombia
Middle East & Africa
South Africa
Saudi Arabia
UAE
Competitive Landscape
Company Profiles: Detailed analysis of the major companies present in the Global Healthcare Payer Services Market.
Available Customizations:
Global Healthcare Payer Services Market report with the given market data, TechSci Research offers customizations according to a company's specific needs. The following customization options are available for the report:
Company Information
Detailed analysis and profiling of additional market players (up to five).
Table of Contents
1. Product Overview
1.1. Market Definition
1.2. Scope of the Market
1.2.1. Markets Covered
1.2.2. Years Considered for Study
1.2.3. Key Market Segmentations
2. Research Methodology
2.1. Objective of the Study
2.2. Baseline Methodology
2.3. Key Industry Partners
2.4. Major Association and Secondary Sources
2.5. Forecasting Methodology
2.6. Data Triangulation & Validation
2.7. Assumptions and Limitations
3. Executive Summary
3.1. Overview of the Market
3.2. Overview of Key Market Segmentations
3.3. Overview of Key Market Players
3.4. Overview of Key Regions/Countries
3.5. Overview of Market Drivers, Challenges, Trends
4. Voice of Customer
5. Global Healthcare Payer Services Market Outlook
5.1. Market Size & Forecast
5.1.1. By Value
5.2. Market Share & Forecast
5.2.1. By Application (Claims Management Services, Billing & Accounts Management Services, Analytics & Fraud Management Services, Member Management Services, Provider Management Services, Human Resource Services, Integrated Front-Office Service & Back-Office Operations)
5.2.2. By Service Type (Business Process Outsourcing, IT Outsourcing Services, Knowledge Process Outsourcing Services)
5.2.3. By End User (Private Payers, Public Payers)
5.2.4. By Region
5.2.5. By Company (2025)
5.3. Market Map
6. North America Healthcare Payer Services Market Outlook
6.1. Market Size & Forecast
6.1.1. By Value
6.2. Market Share & Forecast
6.2.1. By Application
6.2.2. By Service Type
6.2.3. By End User
6.2.4. By Country
6.3. North America: Country Analysis
6.3.1. United States Healthcare Payer Services Market Outlook
6.3.1.1. Market Size & Forecast
6.3.1.1.1. By Value
6.3.1.2. Market Share & Forecast
6.3.1.2.1. By Application
6.3.1.2.2. By Service Type
6.3.1.2.3. By End User
6.3.2. Canada Healthcare Payer Services Market Outlook
6.3.2.1. Market Size & Forecast
6.3.2.1.1. By Value
6.3.2.2. Market Share & Forecast
6.3.2.2.1. By Application
6.3.2.2.2. By Service Type
6.3.2.2.3. By End User
6.3.3. Mexico Healthcare Payer Services Market Outlook
6.3.3.1. Market Size & Forecast
6.3.3.1.1. By Value
6.3.3.2. Market Share & Forecast
6.3.3.2.1. By Application
6.3.3.2.2. By Service Type
6.3.3.2.3. By End User
7. Europe Healthcare Payer Services Market Outlook
7.1. Market Size & Forecast
7.1.1. By Value
7.2. Market Share & Forecast
7.2.1. By Application
7.2.2. By Service Type
7.2.3. By End User
7.2.4. By Country
7.3. Europe: Country Analysis
7.3.1. Germany Healthcare Payer Services Market Outlook
7.3.1.1. Market Size & Forecast
7.3.1.1.1. By Value
7.3.1.2. Market Share & Forecast
7.3.1.2.1. By Application
7.3.1.2.2. By Service Type
7.3.1.2.3. By End User
7.3.2. France Healthcare Payer Services Market Outlook
7.3.2.1. Market Size & Forecast
7.3.2.1.1. By Value
7.3.2.2. Market Share & Forecast
7.3.2.2.1. By Application
7.3.2.2.2. By Service Type
7.3.2.2.3. By End User
7.3.3. United Kingdom Healthcare Payer Services Market Outlook
7.3.3.1. Market Size & Forecast
7.3.3.1.1. By Value
7.3.3.2. Market Share & Forecast
7.3.3.2.1. By Application
7.3.3.2.2. By Service Type
7.3.3.2.3. By End User
7.3.4. Italy Healthcare Payer Services Market Outlook
7.3.4.1. Market Size & Forecast
7.3.4.1.1. By Value
7.3.4.2. Market Share & Forecast
7.3.4.2.1. By Application
7.3.4.2.2. By Service Type
7.3.4.2.3. By End User
7.3.5. Spain Healthcare Payer Services Market Outlook
7.3.5.1. Market Size & Forecast
7.3.5.1.1. By Value
7.3.5.2. Market Share & Forecast
7.3.5.2.1. By Application
7.3.5.2.2. By Service Type
7.3.5.2.3. By End User
8. Asia Pacific Healthcare Payer Services Market Outlook
8.1. Market Size & Forecast
8.1.1. By Value
8.2. Market Share & Forecast
8.2.1. By Application
8.2.2. By Service Type
8.2.3. By End User
8.2.4. By Country
8.3. Asia Pacific: Country Analysis
8.3.1. China Healthcare Payer Services Market Outlook
8.3.1.1. Market Size & Forecast
8.3.1.1.1. By Value
8.3.1.2. Market Share & Forecast
8.3.1.2.1. By Application
8.3.1.2.2. By Service Type
8.3.1.2.3. By End User
8.3.2. India Healthcare Payer Services Market Outlook
8.3.2.1. Market Size & Forecast
8.3.2.1.1. By Value
8.3.2.2. Market Share & Forecast
8.3.2.2.1. By Application
8.3.2.2.2. By Service Type
8.3.2.2.3. By End User
8.3.3. Japan Healthcare Payer Services Market Outlook
8.3.3.1. Market Size & Forecast
8.3.3.1.1. By Value
8.3.3.2. Market Share & Forecast
8.3.3.2.1. By Application
8.3.3.2.2. By Service Type
8.3.3.2.3. By End User
8.3.4. South Korea Healthcare Payer Services Market Outlook
8.3.4.1. Market Size & Forecast
8.3.4.1.1. By Value
8.3.4.2. Market Share & Forecast
8.3.4.2.1. By Application
8.3.4.2.2. By Service Type
8.3.4.2.3. By End User
8.3.5. Australia Healthcare Payer Services Market Outlook
8.3.5.1. Market Size & Forecast
8.3.5.1.1. By Value
8.3.5.2. Market Share & Forecast
8.3.5.2.1. By Application
8.3.5.2.2. By Service Type
8.3.5.2.3. By End User
9. Middle East & Africa Healthcare Payer Services Market Outlook
9.1. Market Size & Forecast
9.1.1. By Value
9.2. Market Share & Forecast
9.2.1. By Application
9.2.2. By Service Type
9.2.3. By End User
9.2.4. By Country
9.3. Middle East & Africa: Country Analysis
9.3.1. Saudi Arabia Healthcare Payer Services Market Outlook
9.3.1.1. Market Size & Forecast
9.3.1.1.1. By Value
9.3.1.2. Market Share & Forecast
9.3.1.2.1. By Application
9.3.1.2.2. By Service Type
9.3.1.2.3. By End User
9.3.2. UAE Healthcare Payer Services Market Outlook
9.3.2.1. Market Size & Forecast
9.3.2.1.1. By Value
9.3.2.2. Market Share & Forecast
9.3.2.2.1. By Application
9.3.2.2.2. By Service Type
9.3.2.2.3. By End User
9.3.3. South Africa Healthcare Payer Services Market Outlook
9.3.3.1. Market Size & Forecast
9.3.3.1.1. By Value
9.3.3.2. Market Share & Forecast
9.3.3.2.1. By Application
9.3.3.2.2. By Service Type
9.3.3.2.3. By End User
10. South America Healthcare Payer Services Market Outlook
10.1. Market Size & Forecast
10.1.1. By Value
10.2. Market Share & Forecast
10.2.1. By Application
10.2.2. By Service Type
10.2.3. By End User
10.2.4. By Country
10.3. South America: Country Analysis
10.3.1. Brazil Healthcare Payer Services Market Outlook
10.3.1.1. Market Size & Forecast
10.3.1.1.1. By Value
10.3.1.2. Market Share & Forecast
10.3.1.2.1. By Application
10.3.1.2.2. By Service Type
10.3.1.2.3. By End User
10.3.2. Colombia Healthcare Payer Services Market Outlook
10.3.2.1. Market Size & Forecast
10.3.2.1.1. By Value
10.3.2.2. Market Share & Forecast
10.3.2.2.1. By Application
10.3.2.2.2. By Service Type
10.3.2.2.3. By End User
10.3.3. Argentina Healthcare Payer Services Market Outlook
10.3.3.1. Market Size & Forecast
10.3.3.1.1. By Value
10.3.3.2. Market Share & Forecast
10.3.3.2.1. By Application
10.3.3.2.2. By Service Type
10.3.3.2.3. By End User
11. Market Dynamics
11.1. Drivers
11.2. Challenges
12. Market Trends & Developments
12.1. Merger & Acquisition (If Any)
12.2. Product Launches (If Any)
12.3. Recent Developments
13. Global Healthcare Payer Services Market: SWOT Analysis
