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
Overview of the Market
In 2022, the healthcare payer services market was estimated to be worth USD 69.32 billion. According to projections, the Healthcare Payer Service Market will expand at a compound annual growth rate (CAGR) of 8.81% from 2023 to 2032, from USD 73.01 billion to USD 156.04 billion.
Several variables, including the aging of the population in emerging nations, the rising expense of healthcare, and modifications to employer-sponsored health insurance, are contributing to the rise in enrollment in healthcare insurance. About 31 million Americans were enrolled in late 2020 and early 2021, according to the Assistant Secretary for Planning and Evaluation. Additionally, in 2022 and early 2023, approximately 40.2 million Americans signed up for Marketplace and Medicaid expansion coverage.
Additionally, secondary research indicates that increasing awareness of the advantages of adopting health insurance, lowering the cost of health insurance products, and the government providing opportunities for people to try health insurance at a subsidized rate are the main reasons for the high increase in health insurance enrollment in low- and middle-income countries. As a result, the market for healthcare payer services is expanding due to growing health insurance enrollment and awareness.
Perspectives on Market Segments
Business process outsourcing, IT outsourcing, and knowledge process outsourcing are among the service types that are included in the Healthcare Payer Service Market segmentation.
Applications such as claims management, integrated front office and back-office operations, member and provider management, billing and accounts management, analytics and fraud management, human resources, clinical decision-making, patient engagement, and others are the basis for the segmentation of the healthcare payer service market.
Both public and private payers are included in the end-user segmentation of the healthcare payer service market.
Regional Perspectives
The market is divided into four regions by the study: North America, Europe, Asia-Pacific, and the Rest of the World. In 2022, the biggest market share was held by the healthcare payer services market in North America. This is because of the region’s sophisticated healthcare system, the expanding adherence to healthcare regulations, and the well-established presence of significant market participants.
From 2023 to 2032, the Asia-Pacific healthcare payer services market is anticipated to expand at a substantial rate. This is a result of increased investments and reforms aimed at modernizing China’s healthcare system, the introduction of new ICT regulations in Japan, and the growing number of patients in the Asia-Pacific area afflicted with chronic conditions like cancer, orthopedic disorders, and cardiovascular diseases.
Africa, Latin America, and the Middle East make up the rest of the world. The market for healthcare payer services in the aforementioned regions is anticipated to expand as a result of regional investments in healthcare infrastructure and technology advancements.
Key Players
Oracle Corporation (US), IQVIA Holding, 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 important players in the healthcare payer services market.