Global healthcare payer solutions market is forecast to grow from an estimated $ 39 billion in 2020 to $ 50 billion by 2025. The global healthcare payer solutions market is driven by the increasing cases of frauds in the healthcare industry and rising awareness towards health insurance across the globe. Additionally, healthcare payer solutions help in managing costs and provide better outcomes by collaborating with the providers, thereby positively impacting the market. Furthermore, associated benefits such as better care coordination, network management, risk analysis, affordability, among others are anticipated to spur the growth of market during forecast period.

The global healthcare payer solutions market is segmented based on service type, application, end user, and region. Based on service type, the market can be categorized into BPO, ITO and KPO. Among these, the BPO segment is expected to dominate the market during forecast period. This can be ascribed to the growing number of people enrolling different insurance plans and increasing pressure to bend the healthcare cost curve. Additionally, growing implementation of ICD-10 codes is further anticipated to drive the growth of the segment, globally.

Regionally, the global healthcare payer solutions market has been segmented into Asia-Pacific, North America, South America, Europe, and Middle East & Africa. Among these, North America is expected to register significant growth in the overall healthcare payer solutions market during forecast period owing to the stringent government regulations and presence of skilled workforce to provide high end process services such as software and application development and maintenance in the region.

Major players operating in the global healthcare payer solutions market include Cognizant Technology Solutions, Accenture plc, Concentrix Corporation, ExlService Holdings, Inc., Xerox Corporation, Genpact Limited, Hewlett-Packard, Hexaware Technologies Limited, FirstSource Solutions Limited, HCL Technologies Ltd. and others. The companies are developing advanced technologies and launching new services in order to stay competitive in the market. Other competitive strategies include mergers & acquisitions and new service developments.
Years considered for this report:

  • Historical Years: 2015-2018
  • Base Year: 2019
  • Estimated Year: 2020
  • Forecast Period: 2021–2025

Objective of the Study:

  • To analyze and estimate the market size of global healthcare payer solutions market from 2015 to 2018.
  • To estimate and forecast the market size of global healthcare payer solutions market from 2019 to 2025.
  • To classify and forecast global healthcare payer solutions market based on service type, application, end user, company and regional distribution.
  • To identify dominant region or segment in the global healthcare payer solutions market.
  • To identify drivers and challenges for global healthcare payer solutions market.
  • To examine competitive developments such as expansions, new service launches, mergers & acquisitions, etc., in global healthcare payer solutions market.
  • To identify and analyze the profile of leading players operating in the global healthcare payer solutions market.
  • To identify key sustainable strategies adopted by market players in global healthcare payer solutions market.


Key Target Audience:

  • Healthcare payer solutions service providers, vendors and other stakeholders
  • Government bodies such as regulating authorities and policy makers
  • Organizations, forums and alliances related to healthcare payer solutions
  • Market research and consulting firms


The study is useful in providing answers to several critical questions that are important for the industry stakeholders such as service providers, partners, end users, etc., besides allowing them in strategizing investments and capitalizing on market opportunities.

Report Scope:
In this report, global healthcare payer solutions market has been segmented into following categories, in addition to the industry trends which have also been detailed below:

Global Healthcare Payer Solutions Market, By Service Type:
  • BPO
  • ITO
  • KPO
Global Healthcare Payer Solutions Market, By Application:
  • Claims Management Service
  • Provider Management Service
  • Member Management Service
  • HR Services
  • Analytics & Fraud Management Service
  • Billing & Accounts Management Service
  • Others
Global Healthcare Payer Solutions Market, By End User:
  • Public
  • Private
Global Healthcare Payer Solutions Market, By Region:

North America

  • United States
  • Canada
  • Mexico
Europe
  • United Kingdom
  • France
  • Germany
  • Italy

Asia-Pacific

  • China
  • Japan
  • India
  • Australia

Middle East & Africa

  • UAE
  • Saudi Arabia
  • South Africa
  • Qatar

South America

  • Brazil
  • Chile
  • Colombia