Global Healthcare Payer Services Market Research Report Insights, Opportunity Analysis, Market Shares and Forecast, 2017 - 2023

  • ID: 4390951
  • Report
  • Region: Global
  • 190 Pages
  • Occams Business Research and Consulting
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Healthcare Payer Services Market is Expected to Grow at CAGR of 12.2% During 2016-2023.

FEATURED COMPANIES

  • Accenture Plc
  • Cigna, Corp
  • Dell, Inc
  • Genpact Limited
  • Hewlett-Packard
  • Wipro Limited
  • MORE

The global healthcare payer services market is expected to grow with a CAGR of 12.2% during the forecast period 2016-2023. The healthcare payer services has expanded its applications to various fields such as fraud management services, member management services, provider management services and billing and accounts management services. The global healthcare payer services market is mainly driven by rising healthcare frauds, dynamic nature of healthcare benefits plan designs, in-house shortage of skilled personnel, rising outsourcing activities and federal mandates in US increasing payer workload. Moreover, key restraints for the global healthcare payer services market are unforeseen cost associated with outsourcing, loss of managerial control and rising incidences of data breaches and loss of confidentiality. Apart from this, global healthcare payer services market face challenges such as mitigation from legacy system and cultural differences and language barriers. The major opportunities of the healthcare payer services market are service portfolio expansion and advanced data analytics which will drive the growth of market in forecasted period.

Global healthcare payer services market report covers segmentation analysis of service type, application and end-user. Report covers further segments of its service type which are business process outsourcing services, information technology outsourcing services and knowledge process outsourcing services. The market further segmented by its applications such as claim management services, integrated front-end and back office operations, member management services, provider management services, billing and account management services, analytics and fraud management services and HR services. Further, the global healthcare payer services market by end-user is further segmented into private payer and public payers.

North America accounts dominates the market in terms of revenues due to lack of low-cost skilled professionals, rising demand for integrated healthcare system and rising insurance enrollment and these factors are the key driving factors in this region. Moreover, Asia-pacific is the fastest growing region in the healthcare payer services market due to the presence of skilled workers to provide high-end process services and it is assumed to be dominating factor of growth in this region.

The key vendors of the Global healthcare payer services market are Cognizant Technology Solutions, Accenture PLC, Exlservice Holdings, Inc, Concentrix Corporation, Hewlett-Packard, Hinduja Global Solutions Limited, Xerox Corporation, Dell, Inc. Genpact Limited, Wipro Limited and HCL Technologies Ltd. These companies are using various strategies such as merger & acquisitions, collaboration, partnership and product launch. Whereas, merger and acquisition and product launch is the key strategy adopted by the companies in the global healthcare payer services market.



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FEATURED COMPANIES

  • Accenture Plc
  • Cigna, Corp
  • Dell, Inc
  • Genpact Limited
  • Hewlett-Packard
  • Wipro Limited
  • MORE

1. Introduction
1.1. Executive Summary
1.2. Estimation Methodology
 
2. Market Overview
2.1. Global Healthcare Payer Services Market: Evolution & Transition
2.2. Market Definition And Scope
2.3. Industry Structure
2.4. Regulatory Framework
2.5. Total Market Analysis
2.5.1. Top 5 Findings
2.5.2. Top 5 Opportunity Markets
2.5.3. Top 5 Companies
2.5.4. Top 3 Competitive Strategies
2.6. Estimation Analysis
2.7. Strategic Analysis
2.7.1. Investment Vs. Adoption Model
2.7.2. 360 Degree Industry Analysis
2.7.3. Porters 5 Force Model
2.7.4. See-Saw Analysis
2.7.5. Pricing Analysis
2.7.6. Consumer Analysis And Key Buying Criteria
2.8. Competitive Analysis
2.8.1. Key Strategies And Analysis
2.8.2. Market Share & Top Company Analysis
2.9. Strategic Recommendations & Key Conclusions
2.9.1. Investment Opportunities By Regions
2.9.2. Opportunities in Emerging Applications
2.9.3. Investment Opportunity in Fastest Growing Segment
 
3. Market Determinants
3.1. Market Drivers
3.1.1. In-House Shortage of Skilled Personnel 
3.1.2. Rising Healthcare Fraud 
3.1.3. Dynamic Nature of Health Benefit Plan Designs
3.1.4. Federal Mandates in the Us Increasing Payer Workload
3.1.5. Outsourcing: a Cost- Effective Solution for Healthcare Payer
3.2. Market Restraints
3.2.1. Loss of Managerial Control
3.2.2. Increasing Incidences of Data Breaches And Loss of Confidentiality
3.2.3. Unforeseen Costs Associated With Outsourcing
3.3. Market Opportunities
3.3.1. Advanced Data Analytics
3.3.2. Service Portfolio Expansion
3.3.3. Switching to Lcd-10 Standards
3.4.   Market Challenges
3.4.1. Cultural Differences And Language Barriers
3.4.2. Mitigation from Legacy Systems
 
4. Market Segmentation
4.1. Global Healthcare Payer Services Market By Type
4.1.1. Market Definition And Scope
4.1.2. Decision Support Database & Estimation Methodology
4.1.3. Comparative Analysis Across Market Segments
4.1.4. Opportunity Matrix
4.1.5. Market Segmentation
4.1.5.1. Global Business Process Outsourcing Services Market
4.1.5.1.1. Applications
4.1.5.1.2. Adoption Scenario & Market Determinants
4.1.5.1.3. Market Estimations And Forecast 2014-2023 ($ Million)
4.1.5.1.4. Top Players & Key Products
4.1.5.1.5. Key Conclusions
4.1.5.2. Global Information Technology Outsourcing Services Market
4.1.5.2.1. Applications
4.1.5.2.2. Adoption Scenario & Market Determinants
4.1.5.2.3. Market Estimations And Forecast 2014-2023 ($ Million)
4.1.5.2.4. Top Players & Key Products
4.1.5.2.5. Key Conclusions
4.1.5.3. Global Knowledge Process Outsourcing Services Market
4.1.5.3.1. Applications
4.1.5.3.2. Adoption Scenario & Market Determinants
4.1.5.3.3. Market Estimations And Forecast 2014-2023 ($ Million)
4.1.5.3.4. Top Players & Key Products
4.1.5.3.5. Key Conclusions
4.2. Global Healthcare Payer Services Market By Application
4.2.1. Market Definition And Scope
4.2.2. Decision Support Database & Estimation Methodology
4.2.3. Comparative Analysis Across Market Segments
4.2.4. Opportunity Matrix
4.2.5. Market Segmentation
4.2.5.1. Global Claims Management Services Market
4.2.5.1.1. Applications
4.2.5.1.2. Adoption Scenario & Market Determinants
4.2.5.1.3. Market Estimations And Forecast 2014-2023 ($ Million)
4.2.5.1.4. Top Players & Key Products
4.2.5.1.5. Key Conclusions
4.2.5.2. Global Integrated Front-End Services And Back-Office Operations Market 
4.2.5.2.1. Applications
4.2.5.2.2. Adoption Scenario & Market Determinants
4.2.5.2.3. Market Estimations And Forecast 2014-2023 ($ Million)
4.2.5.2.4. Top Players & Key Products
4.2.5.2.5. Key Conclusions
4.2.5.3. Global Member Management Services Market
4.2.5.3.1. Applications
4.2.5.3.2. Adoption Scenario & Market Determinants
4.2.5.3.3. Market Estimations And Forecast 2014-2023 ($ Million)
4.2.5.3.4. Top Players & Key Products
4.2.5.3.5. Key Conclusions
4.2.5.4. Global Provider Management Services Market
4.2.5.4.1. Applications
4.2.5.4.2. Adoption Scenario & Market Determinants
4.2.5.4.3. Market Estimations And Forecast 2014-2023 ($ Million)
4.2.5.4.4. Top Players & Key Products
4.2.5.4.5. Key Conclusions
4.2.5.5. Global Billing And Account Management Services Market
4.2.5.5.1. Applications
4.2.5.5.2. Adoption Scenario & Market Determinants
4.2.5.5.3. Market Estimations And Forecast 2014-2023 ($ Million)
4.2.5.5.4. Top Players & Key Products
4.2.5.5.5. Key Conclusions
4.2.5.6. Global Analytics And Fraud Management Services Market
4.2.5.6.1. Applications
4.2.5.6.2. Adoption Scenario & Market Determinants
4.2.5.6.3. Market Estimations And Forecast 2014-2023 ($ Million)
4.2.5.6.4. Top Players & Key Products
4.2.5.6.5. Key Conclusions
4.2.5.7. Global Hr Services Market
4.2.5.7.1. Applications
4.2.5.7.2. Adoption Scenario & Market Determinants
4.2.5.7.3. Market Estimations And Forecast 2014-2023 ($ Million)
4.2.5.7.4. Top Players & Key Products
4.2.5.7.5. Key Conclusions
4.3. Globl Healthcare Payer Services Market By End User
4.3.1. Market Definition And Scope
4.3.2. Decision Support Database & Estimation Methodology
4.3.3. Comparative Analysis Across Market Segments
4.3.4. Opportunity Matrix
4.3.5. Market Segmentation
4.3.5.1. Global Private Payers Market
4.3.5.1.1. Applications
4.3.5.1.2. Adoption Scenario & Market Determinants
4.3.5.1.3. Market Estimations And Forecast 2014-2023 ($ Million)
4.3.5.1.4. Top Players & Key Products
4.3.5.1.5. Key Conclusions
4.3.5.2. Global Public Payers Market
4.3.5.2.1. Applications
4.3.5.2.2. Adoption Scenario & Market Determinants
4.3.5.2.3. Market Estimations And Forecast 2014-2023 ($ Million)
4.3.5.2.4. Top Players & Key Products
4.3.5.2.5. Key Conclusions
 
5. Competitive Landscape
5.1. Key Strategies
5.1.1. List of Mergers & Acquisition
5.1.2. List of Joint Ventures
5.1.3. List of Product Launches
5.1.4. List of Partnerships
 
6. Global Healthcare Payer Services Market By Region
6.1. Decision Support Database & Estimation Methodology
6.2. Comparative Analysis Across Market Segments
6.3. Opportunity Matrix
6.4.  Geographic Segmentation
6.4.1. North America
6.4.1.1. Industry Application Analysis
6.4.1.2. Top Country Analysis
6.4.1.2.1. U.S.
6.4.1.2.1.1. Market Estimations And Forecast 2014-2023($ Million)
6.4.1.2.1.2. Top Players & Key Products
6.4.1.2.1.3. Key Conclusions
6.4.1.2.2. Canada
6.4.1.2.2.1. Market Estimations And Forecast 2014-2
6.4.1.2.2.2. Top Players & Key Products
6.4.1.2.2.3. Key Conclusions
6.4.2. Europe
6.4.2.1. Industry Application Analysis
6.4.2.2. Top Country Analysis
6.4.2.2.1. Uk
6.4.2.2.1.1. Market Estimations And Forecast 2014-2
6.4.2.2.1.2. Top Players & Key Products
6.4.2.2.1.3. Key Conclusions
6.4.2.2.2. France
6.4.2.2.2.1. Market Estimations And Forecast 2014-2
6.4.2.2.2.2. Top Players & Key Products
6.4.2.2.2.3. Key Conclusions
6.4.2.2.3. Germany
6.4.2.2.3.1. Market Estimations And Forecast 2014-2
6.4.2.2.3.2. Top Players & Key Products
6.4.2.2.3.3. Key Conclusions
6.4.2.2.4. Spain
6.4.2.2.4.1. Market Estimations And Forecast 2014-2
6.4.2.2.4.2. Top Players & Key Products
6.4.2.2.4.3. Key Conclusions
6.4.2.2.5. Italy
6.4.2.2.5.1. Market Estimations And Forecast 2014-2
6.4.2.2.5.2. Top Players & Key Products
6.4.2.2.5.3. Key Conclusions
6.4.2.2.6. Rest of Europe
6.4.2.2.6.1. Market Estimations And Forecast 2014-2
6.4.2.2.6.2. Top Players & Key Products
6.4.2.2.6.3. Key Conclusions
6.4.3. Asia Pacific
6.4.3.1. Industry Application Analysis
6.4.3.2. Top Country Analysis
6.4.3.2.1. China
6.4.3.2.1.1. Market Estimations And Forecast 2014-2
6.4.3.2.1.2. Top Players & Key Products
6.4.3.2.1.3. Key Conclusions
6.4.3.2.2. India
6.4.3.2.2.1. Market Estimations And Forecast 2014-2
6.4.3.2.2.2. Top Players & Key Products
6.4.3.2.2.3. Key Conclusions
6.4.3.2.3. Japan
6.4.3.2.3.1. Market Estimations And Forecast 2014-2
6.4.3.2.3.2. Top Players & Key Products
6.4.3.2.3.3. Key Conclusions
6.4.3.2.4. South Korea
6.4.3.2.4.1. Market Estimations And Forecast 2014-2
6.4.3.2.4.2. Top Players & Key Products
6.4.3.2.4.3. Key Conclusions
6.4.3.2.5. Australia
6.4.3.2.5.1. Market Estimations And Forecast 2014-2
6.4.3.2.5.2. Top Players & Key Products
6.4.3.2.5.3. Key Conclusions
6.4.3.2.6. Rest of Asia Pacific
6.4.3.2.6.1. Market Estimations And Forecast 2014-2
6.4.3.2.6.2. Top Players & Key Products
6.4.3.2.6.3. Key Conclusions
6.4.4. Row
6.4.4.1. Industry Application Analysis
6.4.4.2. Top Country Analysis
6.4.4.2.1. Latin America
6.4.4.2.1.1. Market Estimations And Forecast 2014-2
6.4.4.2.1.2. Top Players & Key Products
6.4.4.2.1.3. Key Conclusions
6.4.4.2.2. Middle East & Africa
6.4.4.2.2.1. Market Estimations And Forecast 2014-2
6.4.4.2.2.2. Top Players & Key Products
6.4.4.2.2.3. Key Conclusions
 
7. Company Profiles
7.1. Cognizant Technology Solutions
7.1.1. Overview
7.1.2. Product Portfolio
7.1.3. Strategic Initiatives
7.1.4. Scot Analysis
7.2.  Accenture Plc
7.2.1. Overview
7.2.2. Product Portfolio
7.2.3. Strategic Initiatives
7.2.4. Scot Analysis
7.3.  Exlservice Holding, Inc
7.3.1. Overview
7.3.2. Product Portfolio
7.3.3. Strategic Initiatives
7.3.4. Scot Analysis
7.4.  Cocentrix Corporation
7.4.1. Overview
7.4.2. Product Portfolio
7.4.3. Strategic Initiatives
7.4.4. Scot Analysis
7.5.  Hewlett-Packard
7.5.1. Overview
7.5.2. Product Portfolio
7.5.3. Strategic Initiatives
7.5.4. Scot Analysis
7.6.  Hinduja Global Solutions Limited
7.6.1. Overview
7.6.2. Product Portfolio
7.6.3. Strategic Initiatives
7.6.4. Scot Analysis
7.7. Xerox Corporation
7.7.1. Overview
7.7.2. Product Portfolio
7.7.3. Strategic Initiatives
7.7.4. Scot Analysis
7.8.  Dell, Inc
7.8.1. Overview
7.8.2. Product Portfolio
7.8.3. Strategic Initiatives
7.8.4. Scot Analysis
7.9.  Genpact Limited
7.9.1. Overview
7.9.2. Product Portfolio
7.9.3. Strategic Initiatives
7.9.4. Scot Analysis
7.10. Wipro Limited
7.10.1. Overview
7.10.2. Product Portfolio
7.10.3. Strategic Initiatives
7.10.4. Scot Analysis
7.11. Hcl Technologies Ltd
7.11.1. Overview
7.11.2. Product Portfolio
7.11.3. Strategic Initiatives
7.11.4. Scot Analysis
7.12.  United Healthcare
7.12.1. Overview
7.12.2. Product Portfolio
7.12.3. Strategic Initiatives
7.12.4. Scot Analysis
7.13.  Aetna, Inc
7.13.1. Overview
7.13.2. Product Portfolio
7.13.3. Strategic Initiatives
7.13.4. Scot Analysis
7.14.  Cigna, Corp
7.14.1. Overview
7.14.2. Product Portfolio
7.14.3. Strategic Initiatives
7.14.4. Scot Analysis
7.15. Hp Development Company L.P.
7.15.1. Overview
7.15.2. Product Portfolio
7.15.3. Strategic Initiatives
7.15.4. Scot Analysis
 
List of Tables:
1. Global Healthcare Payer Services Market By Service Type  2014-2023 ($ Million)
2.  Global Business Process Outsourcing Services By Geography 2014-2023 ($ Million)
3. Global Information Technology Outsourcing Services By Geography 2014-2023 ($ Million)
4. Global Knowledge Process Outsourcing Services By Geography 2014-2023 ($ Million)
5. Global Healthcare Payer Services Market By Application  2014-2023 ($ Million)
6. Global Claim Management Services By Geography 2014-2023 ($ Million)
7. Global Integrated Front-End Services And Back-Office Operations By  Geography 2014-2023 ($ Million)
8. Global Member Mangement Services By Geography 2014-2023 ($ Million)
9. Global Provider Management Services By Geography 2014-2023($ Million)
10. Global Billing And Accounts Management Services By Geography 2014-2023($ Million)
11. Global Analytics And Fraud Mangement Services By Geography 2014-2023($ Million)
12. Global Hr Services   By Geography 2014-2023($ Million)
13. Globl Healthcare Payer Services Market By End User  2014-2023 ($ Million)
14. Global Private Payers By Geography 2014-2023($ Million)
15. Global Public Payers By Geography 2014-2023($ Million)
 
List of Figures:
1. Global Healthcare Payer Services Market By Business Process Outsourcing Services  2014-2023 ($ Million)
2. Global Healthcare Payer Services Market By Information Technology Outsourcing Services  2014-2023 ($ Million)
3. Global Healthcare Payer Services Market By Knowledge Process Outsourcing Services  2014-2023 ($ Million)
4. Global Healthcare Payer Services Market By Claim Mangement Services 2014-2023 ($ Million)
5. Global Healthcare Payer Services Market By Integrated Front-End Services And Back-Office Operations  2014-2023 ($ Million)
6. Global Healthcare Payer Services Market By Member Management Services  2014-2023 ($ Million)
7. Global Healthcare Payer Services Market By Provider Mangement Services  2014-2023 ($ Million)
8. Global Healthcare Payer Services Market By Billing And Acounts Mangement Services  2014-2023 ($ Million)
9. Global Healthcare Payer Services Market By Analytics And Fraud Management Services 2014-2023 ($ Million)
10. Global Healthcare Payer Services Market By Hr Services  2014-2023 ($ Million)
11. Global Healthcare Payer Services Market By Private Payers 2014-2023 ($ Million)
12. Global Healthcare Payer Services Market By Public Payers 2014-2023 ($ Million)
13. United States (U.S.) Healthcare Payer Services Market 2014-2023 ($ Million)
14. Canada Healthcare Payer Services Market 2014-2023 ($ Million)
15. United Kingdom (Uk) Healthcare Payer Services Market 2014-2023 ($ Million)
16. France Healthcare Payer Services Market 2014-2023 ($ Million)
17. Germany Healthcare Payer Services Market 2014-2023 ($ Million)
18. Spain Healthcare Payer Services Market 2014-2023 ($ Million)
19. Italy Healthcare Payer Services Market 2014-2023 ($ Million)
20. Roe Healthcare Payer Services Market 2014-2023 ($ Million)
21. India Healthcare Payer Services Market 2014-2023 ($ Million)
22. China Healthcare Payer Services Market 2014-2023 ($ Million)
23. Japan Healthcare Payer Services Market 2014-2023 ($ Million)
24. Korea Healthcare Payer Services Market 2014-2023 ($ Million)
25. Australia Healthcare Payer Services Market 2014-2023 ($ Million)
26. Row Apac Healthcare Payer Services Market 2014-2023 ($ Million)
27. Latin America Healthcare Payer Services Market 2014-2023 ($ Million)
28. Mena Healthcare Payer Services Market 2014-2023 ($ Million)

Note: Product cover images may vary from those shown
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  • Accenture Plc
  • Aetna, Inc
  • Cigna, Corp
  • Cocentrix Corporation
  • Cognizant Technology Solutions
  • Dell, Inc
  • Exlservice Holding, Inc
  • Genpact Limited
  • HCL Technologies Ltd
  • Hewlett-Packard
  • Hinduja Global Solutions Limited
  • Hp Development Company L.P.
  • United Healthcare
  • Wipro Limited
  • Xerox Corporation
Note: Product cover images may vary from those shown
5 of 4
Note: Product cover images may vary from those shown
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