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AI For Healthcare Payer Market 2025-2029

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    Report

  • 237 Pages
  • August 2025
  • Region: Global
  • TechNavio
  • ID: 6156378
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The AI for healthcare payer market is forecasted to grow by USD 1.14 billion during 2024-2029, accelerating at a CAGR of 9.4% during the forecast period. The report on the AI for healthcare payer market provides a holistic analysis, market size and forecast, trends, growth drivers, and challenges, as well as vendor analysis covering around 25 vendors.

The report offers an up-to-date analysis regarding the current market scenario, the latest trends and drivers, and the overall market environment. The market is driven by escalating imperative to mitigate soaring healthcare costs and combat fraud, waste, and abuse, industry wide transition to value based care and rising demand for personalized member engagement, and rapid technological advancements in AI, especially generative AI, coupled with expanding data interoperability.

The study was conducted using an objective combination of primary and secondary information including inputs from key participants in the industry. The report contains a comprehensive market size data, segment with regional analysis and vendor landscape in addition to an analysis of the key companies. Reports have historic and forecast data.

The AI for healthcare payer market is segmented as below:

By Component

  • Software
  • Services

By Deployment

  • On premises
  • Cloud based

By Application

  • Claims processing optimization
  • Fraud detection and prevention
  • Revenue management and billing
  • Member engagement and personalization
  • Others

By Geographical Landscape

  • North America
  • Europe
  • APAC
  • South America
  • Middle East and Africa
This study identifies the ascendancy of generative AI in member engagement and administrative process reengineering as one of the prime reasons driving the AI for healthcare payer market growth during the next few years. Also, proactive fraud, waste, and abuse mitigation through advanced predictive analytics and AI as a cornerstone for value-based care enablement and population health strategy will lead to sizable demand in the market.

The report on the AI for healthcare payer market covers the following areas:

  • AI For Healthcare Payer Market sizing
  • AI For Healthcare Payer Market forecast
  • AI For Healthcare Payer Market industry analysis
A robust vendor analysis within the report is designed to help clients improve their market position, and in line with this, this report provides a detailed analysis of several leading AI for healthcare payer market vendors that include Accenture PLC, Airo Digital Labs, CareCloud Inc., Codoxo, Cognizant Technology Solutions Corp., Hexaware Technologies Ltd., Innovaccer Inc., MST Solutions L.L.C., Nuance Communications Inc., Optum Inc., Oracle Corp., Quantiphi Inc., R1 RCM Inc., Softheon Inc., and SoundHound AI Inc. Also, the AI for healthcare payer market analysis report includes information on upcoming trends and challenges that will influence market growth. This is to help companies strategize and leverage all forthcoming growth opportunities.

The report presents a detailed picture of the market by the way of study, synthesis, and summation of data from multiple sources by an analysis of key parameters such as profit, pricing, competition, and promotions. It presents various market facets by identifying the key industry influencers. The data presented is comprehensive, reliable, and a result of extensive primary and secondary research. The market research reports provide a complete competitive landscape and an in-depth vendor selection methodology and analysis using qualitative and quantitative research to forecast accurate market growth.

Table of Contents

1 Executive Summary
1.1 Market overview
Executive Summary - Chart on Market Overview
Executive Summary - Data Table on Market Overview
Executive Summary - Chart on Global Market Characteristics
Executive Summary - Chart on Market By Geographical Landscape
Executive Summary - Chart on Market Segmentation by Component
Executive Summary - Chart on Market Segmentation by Deployment
Executive Summary - Chart on Market Segmentation by Application
Executive Summary - Chart on Incremental Growth
Executive Summary - Data Table on Incremental Growth
Executive Summary - Chart on Company Market Positioning
2 Market Analysis
2.1 Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
2.2 Criticality of inputs and Factors of differentiation
Overview on criticality of inputs and factors of differentiation
2.3 Factors of disruption
Overview on factors of disruption
2.4 Impact of drivers and challenges
Impact of drivers and challenges in 2024 and 2029
3 Market Landscape
3.1 Market ecosystem
Parent Market
Data Table on - Parent Market
3.2 Market characteristics
Market characteristics analysis
3.3 Value chain analysis
Value chain analysis
4 Market Sizing
4.1 Market definition
Offerings of companies included in the market definition
4.2 Market segment analysis
Market segments
4.3 Market size 2024
4.4 Market outlook: Forecast for 2024-2029
Chart on Global - Market size and forecast 2024-2029 ($ million)
Data Table on Global - Market size and forecast 2024-2029 ($ million)
Chart on Global Market: Year-over-year growth 2024-2029 (%)
Data Table on Global Market: Year-over-year growth 2024-2029 (%)
5 Historic Market Size
5.1 Global AI For Healthcare Payer Market 2019 - 2023
Historic Market Size - Data Table on Global AI For Healthcare Payer Market 2019 - 2023 ($ million)
5.2 Component segment analysis 2019 - 2023
Historic Market Size - Component Segment 2019 - 2023 ($ million)
5.3 Deployment segment analysis 2019 - 2023
Historic Market Size - Deployment Segment 2019 - 2023 ($ million)
5.4 Application segment analysis 2019 - 2023
Historic Market Size - Application Segment 2019 - 2023 ($ million)
5.5 Geography segment analysis 2019 - 2023
Historic Market Size - Geography Segment 2019 - 2023 ($ million)
5.6 Country segment analysis 2019 - 2023
Historic Market Size - Country Segment 2019 - 2023 ($ million)
6 Five Forces Analysis
6.1 Five forces summary
Five forces analysis - Comparison between 2024 and 2029
6.2 Bargaining power of buyers
Bargaining power of buyers - Impact of key factors 2024 and 2029
6.3 Bargaining power of suppliers
Bargaining power of suppliers - Impact of key factors in 2024 and 2029
6.4 Threat of new entrants
Threat of new entrants - Impact of key factors in 2024 and 2029
6.5 Threat of substitutes
Threat of substitutes - Impact of key factors in 2024 and 2029
6.6 Threat of rivalry
Threat of rivalry - Impact of key factors in 2024 and 2029
6.7 Market condition
Chart on Market condition - Five forces 2024 and 2029
7 Market Segmentation by Component
7.1 Market segments
Chart on Component - Market share 2024-2029 (%)
Data Table on Component - Market share 2024-2029 (%)
7.2 Comparison by Component
Chart on Comparison by Component
Data Table on Comparison by Component
7.3 Software - Market size and forecast 2024-2029
Chart on Software - Market size and forecast 2024-2029 ($ million)
Data Table on Software - Market size and forecast 2024-2029 ($ million)
Chart on Software - Year-over-year growth 2024-2029 (%)
Data Table on Software - Year-over-year growth 2024-2029 (%)
7.4 Services - Market size and forecast 2024-2029
Chart on Services - Market size and forecast 2024-2029 ($ million)
Data Table on Services - Market size and forecast 2024-2029 ($ million)
Chart on Services - Year-over-year growth 2024-2029 (%)
Data Table on Services - Year-over-year growth 2024-2029 (%)
7.5 Market opportunity by Component
Market opportunity by Component ($ million)
Data Table on Market opportunity by Component ($ million)
8 Market Segmentation by Deployment
8.1 Market segments
Chart on Deployment - Market share 2024-2029 (%)
Data Table on Deployment - Market share 2024-2029 (%)
8.2 Comparison by Deployment
Chart on Comparison by Deployment
Data Table on Comparison by Deployment
8.3 On premises - Market size and forecast 2024-2029
Chart on On premises - Market size and forecast 2024-2029 ($ million)
Data Table on On premises - Market size and forecast 2024-2029 ($ million)
Chart on On premises - Year-over-year growth 2024-2029 (%)
Data Table on On premises - Year-over-year growth 2024-2029 (%)
8.4 Cloud based - Market size and forecast 2024-2029
Chart on Cloud based - Market size and forecast 2024-2029 ($ million)
Data Table on Cloud based - Market size and forecast 2024-2029 ($ million)
Chart on Cloud based - Year-over-year growth 2024-2029 (%)
Data Table on Cloud based - Year-over-year growth 2024-2029 (%)
8.5 Market opportunity by Deployment
Market opportunity by Deployment ($ million)
Data Table on Market opportunity by Deployment ($ million)
9 Market Segmentation by Application
9.1 Market segments
Chart on Application - Market share 2024-2029 (%)
Data Table on Application - Market share 2024-2029 (%)
9.2 Comparison by Application
Chart on Comparison by Application
Data Table on Comparison by Application
9.3 Claims processing optimization - Market size and forecast 2024-2029
Chart on Claims processing optimization - Market size and forecast 2024-2029 ($ million)
Data Table on Claims processing optimization - Market size and forecast 2024-2029 ($ million)
Chart on Claims processing optimization - Year-over-year growth 2024-2029 (%)
Data Table on Claims processing optimization - Year-over-year growth 2024-2029 (%)
9.4 Fraud detection and prevention - Market size and forecast 2024-2029
Chart on Fraud detection and prevention - Market size and forecast 2024-2029 ($ million)
Data Table on Fraud detection and prevention - Market size and forecast 2024-2029 ($ million)
Chart on Fraud detection and prevention - Year-over-year growth 2024-2029 (%)
Data Table on Fraud detection and prevention - Year-over-year growth 2024-2029 (%)
9.5 Revenue management and billing - Market size and forecast 2024-2029
Chart on Revenue management and billing - Market size and forecast 2024-2029 ($ million)
Data Table on Revenue management and billing - Market size and forecast 2024-2029 ($ million)
Chart on Revenue management and billing - Year-over-year growth 2024-2029 (%)
Data Table on Revenue management and billing - Year-over-year growth 2024-2029 (%)
9.6 Member engagement and personalization - Market size and forecast 2024-2029
Chart on Member engagement and personalization - Market size and forecast 2024-2029 ($ million)
Data Table on Member engagement and personalization - Market size and forecast 2024-2029 ($ million)
Chart on Member engagement and personalization - Year-over-year growth 2024-2029 (%)
Data Table on Member engagement and personalization - Year-over-year growth 2024-2029 (%)
9.7 Others - Market size and forecast 2024-2029
Chart on Others - Market size and forecast 2024-2029 ($ million)
Data Table on Others - Market size and forecast 2024-2029 ($ million)
Chart on Others - Year-over-year growth 2024-2029 (%)
Data Table on Others - Year-over-year growth 2024-2029 (%)
9.8 Market opportunity by Application
Market opportunity by Application ($ million)
Data Table on Market opportunity by Application ($ million)
10 Customer Landscape
10.1 Customer landscape overview
Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
11 Geographic Landscape
11.1 Geographic segmentation
Chart on Market share By Geographical Landscape 2024-2029 (%)
Data Table on Market share By Geographical Landscape 2024-2029 (%)
11.2 Geographic comparison
Chart on Geographic comparison
Data Table on Geographic comparison
11.3 North America - Market size and forecast 2024-2029
Chart on North America - Market size and forecast 2024-2029 ($ million)
Data Table on North America - Market size and forecast 2024-2029 ($ million)
Chart on North America - Year-over-year growth 2024-2029 (%)
Data Table on North America - Year-over-year growth 2024-2029 (%)
11.4 Europe - Market size and forecast 2024-2029
Chart on Europe - Market size and forecast 2024-2029 ($ million)
Data Table on Europe - Market size and forecast 2024-2029 ($ million)
Chart on Europe - Year-over-year growth 2024-2029 (%)
Data Table on Europe - Year-over-year growth 2024-2029 (%)
11.5 APAC - Market size and forecast 2024-2029
Chart on APAC - Market size and forecast 2024-2029 ($ million)
Data Table on APAC - Market size and forecast 2024-2029 ($ million)
Chart on APAC - Year-over-year growth 2024-2029 (%)
Data Table on APAC - Year-over-year growth 2024-2029 (%)
11.6 South America - Market size and forecast 2024-2029
Chart on South America - Market size and forecast 2024-2029 ($ million)
Data Table on South America - Market size and forecast 2024-2029 ($ million)
Chart on South America - Year-over-year growth 2024-2029 (%)
Data Table on South America - Year-over-year growth 2024-2029 (%)
11.7 Middle East and Africa - Market size and forecast 2024-2029
Chart on Middle East and Africa - Market size and forecast 2024-2029 ($ million)
Data Table on Middle East and Africa - Market size and forecast 2024-2029 ($ million)
Chart on Middle East and Africa - Year-over-year growth 2024-2029 (%)
Data Table on Middle East and Africa - Year-over-year growth 2024-2029 (%)
11.8 US - Market size and forecast 2024-2029
Chart on US - Market size and forecast 2024-2029 ($ million)
Data Table on US - Market size and forecast 2024-2029 ($ million)
Chart on US - Year-over-year growth 2024-2029 (%)
Data Table on US - Year-over-year growth 2024-2029 (%)
11.9 China - Market size and forecast 2024-2029
Chart on China - Market size and forecast 2024-2029 ($ million)
Data Table on China - Market size and forecast 2024-2029 ($ million)
Chart on China - Year-over-year growth 2024-2029 (%)
Data Table on China - Year-over-year growth 2024-2029 (%)
11.10 UK - Market size and forecast 2024-2029
Chart on UK - Market size and forecast 2024-2029 ($ million)
Data Table on UK - Market size and forecast 2024-2029 ($ million)
Chart on UK - Year-over-year growth 2024-2029 (%)
Data Table on UK - Year-over-year growth 2024-2029 (%)
11.11 Germany - Market size and forecast 2024-2029
Chart on Germany - Market size and forecast 2024-2029 ($ million)
Data Table on Germany - Market size and forecast 2024-2029 ($ million)
Chart on Germany - Year-over-year growth 2024-2029 (%)
Data Table on Germany - Year-over-year growth 2024-2029 (%)
11.12 Canada - Market size and forecast 2024-2029
Chart on Canada - Market size and forecast 2024-2029 ($ million)
Data Table on Canada - Market size and forecast 2024-2029 ($ million)
Chart on Canada - Year-over-year growth 2024-2029 (%)
Data Table on Canada - Year-over-year growth 2024-2029 (%)
11.13 India - Market size and forecast 2024-2029
Chart on India - Market size and forecast 2024-2029 ($ million)
Data Table on India - Market size and forecast 2024-2029 ($ million)
Chart on India - Year-over-year growth 2024-2029 (%)
Data Table on India - Year-over-year growth 2024-2029 (%)
11.14 France - Market size and forecast 2024-2029
Chart on France - Market size and forecast 2024-2029 ($ million)
Data Table on France - Market size and forecast 2024-2029 ($ million)
Chart on France - Year-over-year growth 2024-2029 (%)
Data Table on France - Year-over-year growth 2024-2029 (%)
11.15 Japan - Market size and forecast 2024-2029
Chart on Japan - Market size and forecast 2024-2029 ($ million)
Data Table on Japan - Market size and forecast 2024-2029 ($ million)
Chart on Japan - Year-over-year growth 2024-2029 (%)
Data Table on Japan - Year-over-year growth 2024-2029 (%)
11.16 Brazil - Market size and forecast 2024-2029
Chart on Brazil - Market size and forecast 2024-2029 ($ million)
Data Table on Brazil - Market size and forecast 2024-2029 ($ million)
Chart on Brazil - Year-over-year growth 2024-2029 (%)
Data Table on Brazil - Year-over-year growth 2024-2029 (%)
11.17 Australia - Market size and forecast 2024-2029
Chart on Australia - Market size and forecast 2024-2029 ($ million)
Data Table on Australia - Market size and forecast 2024-2029 ($ million)
Chart on Australia - Year-over-year growth 2024-2029 (%)
Data Table on Australia - Year-over-year growth 2024-2029 (%)
11.18 Market opportunity By Geographical Landscape
Market opportunity By Geographical Landscape ($ million)
Data Tables on Market opportunity By Geographical Landscape ($ million)
12 Drivers, Challenges, and Opportunity/Restraints
12.1 Market drivers
12.2 Market challenges
12.3 Impact of drivers and challenges
Impact of drivers and challenges in 2024 and 2029
12.4 Market opportunities/restraints
13 Competitive Landscape
13.1 Overview
13.2 Competitive Landscape
Overview on criticality of inputs and factors of differentiation
13.3 Landscape disruption
Overview on factors of disruption
13.4 Industry risks
Impact of key risks on business
14 Competitive Analysis
14.1 Companies profiled
Companies covered
14.2 Company ranking index
Company ranking index
14.3 Market positioning of companies
Matrix on companies position and classification
14.4 Accenture PLC
Accenture PLC - Overview
Accenture PLC - Business segments
Accenture PLC - Key news
Accenture PLC - Key offerings
Accenture PLC - Segment focus
SWOT
14.5 Airo Digital Labs
Airo Digital Labs - Overview
Airo Digital Labs - Product / Service
Airo Digital Labs - Key offerings
SWOT
14.6 CareCloud Inc.
CareCloud Inc. - Overview
CareCloud Inc. - Business segments
CareCloud Inc. - Key news
CareCloud Inc. - Key offerings
CareCloud Inc. - Segment focus
SWOT
14.7 Codoxo
Codoxo - Overview
Codoxo - Product / Service
Codoxo - Key offerings
SWOT
14.8 Cognizant Technology Solutions Corp.
Cognizant Technology Solutions Corp. - Overview
Cognizant Technology Solutions Corp. - Business segments
Cognizant Technology Solutions Corp. - Key news
Cognizant Technology Solutions Corp. - Key offerings
Cognizant Technology Solutions Corp. - Segment focus
SWOT
14.9 Hexaware Technologies Ltd.
Hexaware Technologies Ltd. - Overview
Hexaware Technologies Ltd. - Product / Service
Hexaware Technologies Ltd. - Key offerings
SWOT
14.10 Innovaccer Inc.
Innovaccer Inc. - Overview
Innovaccer Inc. - Product / Service
Innovaccer Inc. - Key offerings
SWOT
14.11 MST Solutions L.L.C.
MST Solutions L.L.C. - Overview
MST Solutions L.L.C. - Product / Service
MST Solutions L.L.C. - Key offerings
SWOT
14.12 Nuance Communications Inc.
Nuance Communications Inc. - Overview
Nuance Communications Inc. - Product / Service
Nuance Communications Inc. - Key offerings
SWOT
14.13 Optum Inc.
Optum Inc. - Overview
Optum Inc. - Product / Service
Optum Inc. - Key offerings
SWOT
14.14 Oracle Corp.
Oracle Corp. - Overview
Oracle Corp. - Business segments
Oracle Corp. - Key news
Oracle Corp. - Key offerings
Oracle Corp. - Segment focus
SWOT
14.15 Quantiphi Inc.
Quantiphi Inc. - Overview
Quantiphi Inc. - Product / Service
Quantiphi Inc. - Key offerings
SWOT
14.16 R1 RCM Inc.
R1 RCM Inc. - Overview
R1 RCM Inc. - Product / Service
R1 RCM Inc. - Key offerings
SWOT
14.17 Softheon Inc.
Softheon Inc. - Overview
Softheon Inc. - Product / Service
Softheon Inc. - Key offerings
SWOT
14.18 SoundHound AI Inc.
SoundHound AI Inc. - Overview
SoundHound AI Inc. - Product / Service
SoundHound AI Inc. - Key offerings
SWOT
15 Appendix
15.1 Scope of the report
15.2 Inclusions and exclusions checklist
Inclusions checklist
Exclusions checklist
15.3 Currency conversion rates for US$
Currency conversion rates for US$
15.4 Research methodology
Research methodology
15.5 Data procurement
Information sources
15.6 Data validation
Data validation
15.7 Validation techniques employed for market sizing
Validation techniques employed for market sizing
15.8 Data synthesis
Data synthesis
15.9 360 degree market analysis
360 degree market analysis
15.10 List of abbreviations
List of abbreviations
List of Exhibits
Exhibits 1: Executive Summary - Chart on Market Overview
Exhibits 2: Executive Summary - Data Table on Market Overview
Exhibits 3: Executive Summary - Chart on Global Market Characteristics
Exhibits 4: Executive Summary - Chart on Market By Geographical Landscape
Exhibits 5: Executive Summary - Chart on Market Segmentation by Component
Exhibits 6: Executive Summary - Chart on Market Segmentation by Deployment
Exhibits 7: Executive Summary - Chart on Market Segmentation by Application
Exhibits 8: Executive Summary - Chart on Incremental Growth
Exhibits 9: Executive Summary - Data Table on Incremental Growth
Exhibits 10: Executive Summary - Chart on Company Market Positioning
Exhibits 11: Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
Exhibits 12: Overview on criticality of inputs and factors of differentiation
Exhibits 13: Overview on factors of disruption
Exhibits 14: Impact of drivers and challenges in 2024 and 2029
Exhibits 15: Parent Market
Exhibits 16: Data Table on - Parent Market
Exhibits 17: Market characteristics analysis
Exhibits 18: Value chain analysis
Exhibits 19: Offerings of companies included in the market definition
Exhibits 20: Market segments
Exhibits 21: Chart on Global - Market size and forecast 2024-2029 ($ million)
Exhibits 22: Data Table on Global - Market size and forecast 2024-2029 ($ million)
Exhibits 23: Chart on Global Market: Year-over-year growth 2024-2029 (%)
Exhibits 24: Data Table on Global Market: Year-over-year growth 2024-2029 (%)
Exhibits 25: Historic Market Size - Data Table on Global AI For Healthcare Payer Market 2019 - 2023 ($ million)
Exhibits 26: Historic Market Size - Component Segment 2019 - 2023 ($ million)
Exhibits 27: Historic Market Size - Deployment Segment 2019 - 2023 ($ million)
Exhibits 28: Historic Market Size - Application Segment 2019 - 2023 ($ million)
Exhibits 29: Historic Market Size - Geography Segment 2019 - 2023 ($ million)
Exhibits 30: Historic Market Size - Country Segment 2019 - 2023 ($ million)
Exhibits 31: Five forces analysis - Comparison between 2024 and 2029
Exhibits 32: Bargaining power of buyers - Impact of key factors 2024 and 2029
Exhibits 33: Bargaining power of suppliers - Impact of key factors in 2024 and 2029
Exhibits 34: Threat of new entrants - Impact of key factors in 2024 and 2029
Exhibits 35: Threat of substitutes - Impact of key factors in 2024 and 2029
Exhibits 36: Threat of rivalry - Impact of key factors in 2024 and 2029
Exhibits 37: Chart on Market condition - Five forces 2024 and 2029
Exhibits 38: Chart on Component - Market share 2024-2029 (%)
Exhibits 39: Data Table on Component - Market share 2024-2029 (%)
Exhibits 40: Chart on Comparison by Component
Exhibits 41: Data Table on Comparison by Component
Exhibits 42: Chart on Software - Market size and forecast 2024-2029 ($ million)
Exhibits 43: Data Table on Software - Market size and forecast 2024-2029 ($ million)
Exhibits 44: Chart on Software - Year-over-year growth 2024-2029 (%)
Exhibits 45: Data Table on Software - Year-over-year growth 2024-2029 (%)
Exhibits 46: Chart on Services - Market size and forecast 2024-2029 ($ million)
Exhibits 47: Data Table on Services - Market size and forecast 2024-2029 ($ million)
Exhibits 48: Chart on Services - Year-over-year growth 2024-2029 (%)
Exhibits 49: Data Table on Services - Year-over-year growth 2024-2029 (%)
Exhibits 50: Market opportunity by Component ($ million)
Exhibits 51: Data Table on Market opportunity by Component ($ million)
Exhibits 52: Chart on Deployment - Market share 2024-2029 (%)
Exhibits 53: Data Table on Deployment - Market share 2024-2029 (%)
Exhibits 54: Chart on Comparison by Deployment
Exhibits 55: Data Table on Comparison by Deployment
Exhibits 56: Chart on On premises - Market size and forecast 2024-2029 ($ million)
Exhibits 57: Data Table on On premises - Market size and forecast 2024-2029 ($ million)
Exhibits 58: Chart on On premises - Year-over-year growth 2024-2029 (%)
Exhibits 59: Data Table on On premises - Year-over-year growth 2024-2029 (%)
Exhibits 60: Chart on Cloud based - Market size and forecast 2024-2029 ($ million)
Exhibits 61: Data Table on Cloud based - Market size and forecast 2024-2029 ($ million)
Exhibits 62: Chart on Cloud based - Year-over-year growth 2024-2029 (%)
Exhibits 63: Data Table on Cloud based - Year-over-year growth 2024-2029 (%)
Exhibits 64: Market opportunity by Deployment ($ million)
Exhibits 65: Data Table on Market opportunity by Deployment ($ million)
Exhibits 66: Chart on Application - Market share 2024-2029 (%)
Exhibits 67: Data Table on Application - Market share 2024-2029 (%)
Exhibits 68: Chart on Comparison by Application
Exhibits 69: Data Table on Comparison by Application
Exhibits 70: Chart on Claims processing optimization - Market size and forecast 2024-2029 ($ million)
Exhibits 71: Data Table on Claims processing optimization - Market size and forecast 2024-2029 ($ million)
Exhibits 72: Chart on Claims processing optimization - Year-over-year growth 2024-2029 (%)
Exhibits 73: Data Table on Claims processing optimization - Year-over-year growth 2024-2029 (%)
Exhibits 74: Chart on Fraud detection and prevention - Market size and forecast 2024-2029 ($ million)
Exhibits 75: Data Table on Fraud detection and prevention - Market size and forecast 2024-2029 ($ million)
Exhibits 76: Chart on Fraud detection and prevention - Year-over-year growth 2024-2029 (%)
Exhibits 77: Data Table on Fraud detection and prevention - Year-over-year growth 2024-2029 (%)
Exhibits 78: Chart on Revenue management and billing - Market size and forecast 2024-2029 ($ million)
Exhibits 79: Data Table on Revenue management and billing - Market size and forecast 2024-2029 ($ million)
Exhibits 80: Chart on Revenue management and billing - Year-over-year growth 2024-2029 (%)
Exhibits 81: Data Table on Revenue management and billing - Year-over-year growth 2024-2029 (%)
Exhibits 82: Chart on Member engagement and personalization - Market size and forecast 2024-2029 ($ million)
Exhibits 83: Data Table on Member engagement and personalization - Market size and forecast 2024-2029 ($ million)
Exhibits 84: Chart on Member engagement and personalization - Year-over-year growth 2024-2029 (%)
Exhibits 85: Data Table on Member engagement and personalization - Year-over-year growth 2024-2029 (%)
Exhibits 86: Chart on Others - Market size and forecast 2024-2029 ($ million)
Exhibits 87: Data Table on Others - Market size and forecast 2024-2029 ($ million)
Exhibits 88: Chart on Others - Year-over-year growth 2024-2029 (%)
Exhibits 89: Data Table on Others - Year-over-year growth 2024-2029 (%)
Exhibits 90: Market opportunity by Application ($ million)
Exhibits 91: Data Table on Market opportunity by Application ($ million)
Exhibits 92: Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
Exhibits 93: Chart on Market share By Geographical Landscape 2024-2029 (%)
Exhibits 94: Data Table on Market share By Geographical Landscape 2024-2029 (%)
Exhibits 95: Chart on Geographic comparison
Exhibits 96: Data Table on Geographic comparison
Exhibits 97: Chart on North America - Market size and forecast 2024-2029 ($ million)
Exhibits 98: Data Table on North America - Market size and forecast 2024-2029 ($ million)
Exhibits 99: Chart on North America - Year-over-year growth 2024-2029 (%)
Exhibits 100: Data Table on North America - Year-over-year growth 2024-2029 (%)
Exhibits 101: Chart on Europe - Market size and forecast 2024-2029 ($ million)
Exhibits 102: Data Table on Europe - Market size and forecast 2024-2029 ($ million)
Exhibits 103: Chart on Europe - Year-over-year growth 2024-2029 (%)
Exhibits 104: Data Table on Europe - Year-over-year growth 2024-2029 (%)
Exhibits 105: Chart on APAC - Market size and forecast 2024-2029 ($ million)
Exhibits 106: Data Table on APAC - Market size and forecast 2024-2029 ($ million)
Exhibits 107: Chart on APAC - Year-over-year growth 2024-2029 (%)
Exhibits 108: Data Table on APAC - Year-over-year growth 2024-2029 (%)
Exhibits 109: Chart on South America - Market size and forecast 2024-2029 ($ million)
Exhibits 110: Data Table on South America - Market size and forecast 2024-2029 ($ million)
Exhibits 111: Chart on South America - Year-over-year growth 2024-2029 (%)
Exhibits 112: Data Table on South America - Year-over-year growth 2024-2029 (%)
Exhibits 113: Chart on Middle East and Africa - Market size and forecast 2024-2029 ($ million)
Exhibits 114: Data Table on Middle East and Africa - Market size and forecast 2024-2029 ($ million)
Exhibits 115: Chart on Middle East and Africa - Year-over-year growth 2024-2029 (%)
Exhibits 116: Data Table on Middle East and Africa - Year-over-year growth 2024-2029 (%)
Exhibits 117: Chart on US - Market size and forecast 2024-2029 ($ million)
Exhibits 118: Data Table on US - Market size and forecast 2024-2029 ($ million)
Exhibits 119: Chart on US - Year-over-year growth 2024-2029 (%)
Exhibits 120: Data Table on US - Year-over-year growth 2024-2029 (%)
Exhibits 121: Chart on China - Market size and forecast 2024-2029 ($ million)
Exhibits 122: Data Table on China - Market size and forecast 2024-2029 ($ million)
Exhibits 123: Chart on China - Year-over-year growth 2024-2029 (%)
Exhibits 124: Data Table on China - Year-over-year growth 2024-2029 (%)
Exhibits 125: Chart on UK - Market size and forecast 2024-2029 ($ million)
Exhibits 126: Data Table on UK - Market size and forecast 2024-2029 ($ million)
Exhibits 127: Chart on UK - Year-over-year growth 2024-2029 (%)
Exhibits 128: Data Table on UK - Year-over-year growth 2024-2029 (%)
Exhibits 129: Chart on Germany - Market size and forecast 2024-2029 ($ million)
Exhibits 130: Data Table on Germany - Market size and forecast 2024-2029 ($ million)
Exhibits 131: Chart on Germany - Year-over-year growth 2024-2029 (%)
Exhibits 132: Data Table on Germany - Year-over-year growth 2024-2029 (%)
Exhibits 133: Chart on Canada - Market size and forecast 2024-2029 ($ million)
Exhibits 134: Data Table on Canada - Market size and forecast 2024-2029 ($ million)
Exhibits 135: Chart on Canada - Year-over-year growth 2024-2029 (%)
Exhibits 136: Data Table on Canada - Year-over-year growth 2024-2029 (%)
Exhibits 137: Chart on India - Market size and forecast 2024-2029 ($ million)
Exhibits 138: Data Table on India - Market size and forecast 2024-2029 ($ million)
Exhibits 139: Chart on India - Year-over-year growth 2024-2029 (%)
Exhibits 140: Data Table on India - Year-over-year growth 2024-2029 (%)
Exhibits 141: Chart on France - Market size and forecast 2024-2029 ($ million)
Exhibits 142: Data Table on France - Market size and forecast 2024-2029 ($ million)
Exhibits 143: Chart on France - Year-over-year growth 2024-2029 (%)
Exhibits 144: Data Table on France - Year-over-year growth 2024-2029 (%)
Exhibits 145: Chart on Japan - Market size and forecast 2024-2029 ($ million)
Exhibits 146: Data Table on Japan - Market size and forecast 2024-2029 ($ million)
Exhibits 147: Chart on Japan - Year-over-year growth 2024-2029 (%)
Exhibits 148: Data Table on Japan - Year-over-year growth 2024-2029 (%)
Exhibits 149: Chart on Brazil - Market size and forecast 2024-2029 ($ million)
Exhibits 150: Data Table on Brazil - Market size and forecast 2024-2029 ($ million)
Exhibits 151: Chart on Brazil - Year-over-year growth 2024-2029 (%)
Exhibits 152: Data Table on Brazil - Year-over-year growth 2024-2029 (%)
Exhibits 153: Chart on Australia - Market size and forecast 2024-2029 ($ million)
Exhibits 154: Data Table on Australia - Market size and forecast 2024-2029 ($ million)
Exhibits 155: Chart on Australia - Year-over-year growth 2024-2029 (%)
Exhibits 156: Data Table on Australia - Year-over-year growth 2024-2029 (%)
Exhibits 157: Market opportunity By Geographical Landscape ($ million)
Exhibits 158: Data Tables on Market opportunity By Geographical Landscape ($ million)
Exhibits 159: Impact of drivers and challenges in 2024 and 2029
Exhibits 160: Overview on criticality of inputs and factors of differentiation
Exhibits 161: Overview on factors of disruption
Exhibits 162: Impact of key risks on business
Exhibits 163: Companies covered
Exhibits 164: Company ranking index
Exhibits 165: Matrix on companies position and classification
Exhibits 166: Accenture PLC - Overview
Exhibits 167: Accenture PLC - Business segments
Exhibits 168: Accenture PLC - Key news
Exhibits 169: Accenture PLC - Key offerings
Exhibits 170: Accenture PLC - Segment focus
Exhibits 171: SWOT
Exhibits 172: Airo Digital Labs - Overview
Exhibits 173: Airo Digital Labs - Product / Service
Exhibits 174: Airo Digital Labs - Key offerings
Exhibits 175: SWOT
Exhibits 176: CareCloud Inc. - Overview
Exhibits 177: CareCloud Inc. - Business segments
Exhibits 178: CareCloud Inc. - Key news
Exhibits 179: CareCloud Inc. - Key offerings
Exhibits 180: CareCloud Inc. - Segment focus
Exhibits 181: SWOT
Exhibits 182: Codoxo - Overview
Exhibits 183: Codoxo - Product / Service
Exhibits 184: Codoxo - Key offerings
Exhibits 185: SWOT
Exhibits 186: Cognizant Technology Solutions Corp. - Overview
Exhibits 187: Cognizant Technology Solutions Corp. - Business segments
Exhibits 188: Cognizant Technology Solutions Corp. - Key news
Exhibits 189: Cognizant Technology Solutions Corp. - Key offerings
Exhibits 190: Cognizant Technology Solutions Corp. - Segment focus
Exhibits 191: SWOT
Exhibits 192: Hexaware Technologies Ltd. - Overview
Exhibits 193: Hexaware Technologies Ltd. - Product / Service
Exhibits 194: Hexaware Technologies Ltd. - Key offerings
Exhibits 195: SWOT
Exhibits 196: Innovaccer Inc. - Overview
Exhibits 197: Innovaccer Inc. - Product / Service
Exhibits 198: Innovaccer Inc. - Key offerings
Exhibits 199: SWOT
Exhibits 200: MST Solutions L.L.C. - Overview
Exhibits 201: MST Solutions L.L.C. - Product / Service
Exhibits 202: MST Solutions L.L.C. - Key offerings
Exhibits 203: SWOT
Exhibits 204: Nuance Communications Inc. - Overview
Exhibits 205: Nuance Communications Inc. - Product / Service
Exhibits 206: Nuance Communications Inc. - Key offerings
Exhibits 207: SWOT
Exhibits 208: Optum Inc. - Overview
Exhibits 209: Optum Inc. - Product / Service
Exhibits 210: Optum Inc. - Key offerings
Exhibits 211: SWOT
Exhibits 212: Oracle Corp. - Overview
Exhibits 213: Oracle Corp. - Business segments
Exhibits 214: Oracle Corp. - Key news
Exhibits 215: Oracle Corp. - Key offerings
Exhibits 216: Oracle Corp. - Segment focus
Exhibits 217: SWOT
Exhibits 218: Quantiphi Inc. - Overview
Exhibits 219: Quantiphi Inc. - Product / Service
Exhibits 220: Quantiphi Inc. - Key offerings
Exhibits 221: SWOT
Exhibits 222: R1 RCM Inc. - Overview
Exhibits 223: R1 RCM Inc. - Product / Service
Exhibits 224: R1 RCM Inc. - Key offerings
Exhibits 225: SWOT
Exhibits 226: Softheon Inc. - Overview
Exhibits 227: Softheon Inc. - Product / Service
Exhibits 228: Softheon Inc. - Key offerings
Exhibits 229: SWOT
Exhibits 230: SoundHound AI Inc. - Overview
Exhibits 231: SoundHound AI Inc. - Product / Service
Exhibits 232: SoundHound AI Inc. - Key offerings
Exhibits 233: SWOT
Exhibits 234: Inclusions checklist
Exhibits 235: Exclusions checklist
Exhibits 236: Currency conversion rates for US$
Exhibits 237: Research methodology
Exhibits 238: Information sources
Exhibits 239: Data validation
Exhibits 240: Validation techniques employed for market sizing
Exhibits 241: Data synthesis
Exhibits 242: 360 degree market analysis
Exhibits 243: List of abbreviations

Executive Summary

The following companies are recognized as the key players in the global AI for healthcare payer market: Accenture PLC, Airo Digital Labs, CareCloud Inc., Codoxo, Cognizant Technology Solutions Corp., Hexaware Technologies Ltd., Innovaccer Inc., MST Solutions L.L.C., Nuance Communications Inc., Optum Inc., Oracle Corp., Quantiphi Inc., R1 RCM Inc., Softheon Inc., and SoundHound AI Inc..

Commenting on the report, an analyst from the research team said: "The latest trend gaining momentum in the market is ascendancy of generative AI in member engagement and administrative process reengineering."

According to the report, one of the major drivers for this market is the escalating imperative to mitigate soaring healthcare costs and combat fraud, waste, and abuse.

The study was conducted using an objective combination of primary and secondary information including inputs from key participants in the industry. The report contains a comprehensive market and vendor landscape in addition to a SWOT analysis of the key vendors.

Companies Mentioned (Partial List)

A selection of companies mentioned in this report includes, but is not limited to:

  • Accenture PLC
  • Airo Digital Labs
  • CareCloud Inc.
  • Codoxo
  • Cognizant Technology Solutions Corp.
  • Hexaware Technologies Ltd.
  • Innovaccer Inc.
  • MST Solutions L.L.C.
  • Nuance Communications Inc.
  • Optum Inc.
  • Oracle Corp.
  • Quantiphi Inc.
  • R1 RCM Inc.
  • Softheon Inc.
  • SoundHound AI Inc.