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The global healthcare payer network management market is forecasted to grow by USD 5.37 billion during 2025-2030, accelerating at a CAGR of 15.1% during the forecast period. The report on the global healthcare payer network management market provides a holistic analysis, market size and forecast, trends, growth drivers, and challenges, as well as vendor analysis covering around 25 vendors.Speak directly to the analyst to clarify any post sales queries you may have.
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 adoption of ai for cost containment and fraud prevention, transition toward value-based care and reimbursement models, escalating regulatory pressures for directory accuracy.
The study identifies the integration of machine learning for network optimization as one of the prime reasons driving the global healthcare payer network management market growth during the next few years. Also, consumer-centric digital platforms for price transparency and expansion of virtual-first and hybrid provider networks will lead to sizable demand in the market.
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 global healthcare payer network management market is segmented as below:
By Component
- Platform and software
- Services
By Delivery Mode
- Cloud
- On-premises
By End-User
- Public health insurance
- Private health insurance
By Region
- North America
- Europe
- Asia
- Rest of World (RoW)
- Rest of World (RoW)
The report covers the following areas:
- Global healthcare payer network management market sizing
- Global healthcare payer network management market forecast
- Global healthcare payer network management market industry analysis
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
2 Market Analysis
3 Market Landscape
4 Market Sizing
5 Historic Market Size
6 Qualitative Analysis
7 Five Forces Analysis
8 Market Segmentation by Component
9 Market Segmentation by Delivery Mode
10 Market Segmentation by End-user
11 Customer Landscape
12 Geographic Landscape
13 Drivers, Challenges, and Opportunity
14 Competitive Landscape
15 Competitive Analysis
16 Appendix
List of Exhibits
Executive Summary
The following companies are recognized as the key players in the global global healthcare payer network management market: Availity, Cedar Gate Technologies, Cognizant Technology Solution, Cotiviti Inc., Gainwell Technologies LLC, HealthEdge Software Inc., Infosys Ltd., Innovaccer Inc., LexisNexis Risk Solutions., Mphasis Ltd., Optum Inc., Oracle Corp., Quest Analytics LLC, Salesforce Inc., SS and C Technologies Inc., Symplr, Verisys, Zelis.Commenting on the report, an analyst from the research team said: "The latest trend gaining momentum in the market is integration of machine learning for network optimization."
According to the report, one of the major drivers for this market is the adoption of ai for cost containment and fraud prevention.
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:
- Availity
- Cedar Gate Technologies
- Cognizant Technology Solution
- Cotiviti Inc.
- Gainwell Technologies LLC
- HealthEdge Software Inc.
- Infosys Ltd.
- Innovaccer Inc.
- LexisNexis Risk Solutions.
- Mphasis Ltd.
- Optum Inc.
- Oracle Corp.
- Quest Analytics LLC
- Salesforce Inc.
- SS and C Technologies Inc.
- Symplr
- Verisys
- Zelis
