Global Healthcare Payer Services Market

Healthcare Payer Services Market Size, Share, Growth Analysis, By Service(BPO Services, ITO Services, and KPO Services), By Application(Claims Management Services, Integrated Front Office Service and Back Office Operations, Member Management Services, Provider Management Services), By End-use(Private Payers, and Public Payers), By Region - Industry Forecast 2024-2031


Report ID: SQMIG35A2352 | Region: Global | Published Date: February, 2024
Pages: 157 | Tables: 93 | Figures: 76

Healthcare Payer Services Market Insights

Healthcare Payer Services Market size was valued at USD 61.90 Billion in 2022 and is poised to grow from USD 66.66 Billion in 2023 to USD 120.67 Billion by 2031, at a CAGR of 7.7% during the forecast period (2024-2031).

The global healthcare payer services market is expected to witness new growth opportunities in the coming years due to the overall cost of the healthcare supply chain business process outsourcing falling. Additionally, as a result of inventory control, there is an increasing requirement for the healthcare supply chain outsourcing of business processes. As a result, it is predicted that the market would grow throughout the projection period. The healthcare supply chain BPO business is growing as a result of a decrease in healthcare delivery costs, the implementation of ICD-10 codes, and the patent cliffs that pharmaceutical companies have to deal against.

The resulting firms' adoption of cutting-edge technology like AI, analytics, and a cloud-based service portfolio fuels fierce market competition. Accenture's cloud-based solutions, for instance, for the healthcare supply chain save logistics costs, increase service revenue, and increase service accessibility. As a result, it is anticipated that the market will expand significantly for this reason. During the forecast period, technological development and the integration of outsourced procedures with SCM are anticipated to continue to be the primary market drivers.

The COVID-19 epidemic caused issues for healthcare payers. Numerous health insurers fared better financially during the epidemic as a result of the reduction in healthcare funding. The payers have been quite supportive of the healthcare providers. They have created web portals that give real-time and accurate information about the epidemic, launched community programmes for health equity, expanded eligibility to let patients continue receiving medical care, and provided advance payments. The important parties are participating in strategic alliances for upcoming initiatives that address systemic health disparities.

US Healthcare Payer Services Market is poised to grow at a sustainable CAGR for the next forecast year.

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Healthcare Payer Services Market size was valued at USD 61.90 Billion in 2022 and is poised to grow from USD 66.66 Billion in 2023 to USD 120.67 Billion by 2031, at a CAGR of 7.7% during the forecast period (2024-2031).

In order to introduce technologically improved products and acquire a competitive edge, businesses are putting a lot of effort into research and development. Companies are also forming alliances, merging, and buying other businesses in an effort to broaden their product offerings, increase their manufacturing capabilities, and create competitive difference. For instance, in 2021, Holy Cross Health, Memory Healthcare System, and Oscar worked up to offer the Medicare Advantage plan, which offers cheap, virtual care from a connected care team and a dependable doctor. 'UnitedHealth Group', 'Anthem, Inc.', 'Cigna Corporation', 'CVS Health', 'Aetna Inc. (a subsidiary of CVS Health)', 'Humana Inc.', 'Centene Corporation', 'Molina Healthcare, Inc.', 'WellCare Health Plans, Inc. (now part of Centene Corporation)', 'Optum (part of UnitedHealth Group)', 'Blue Cross Blue Shield Association (BCBS)', 'Kaiser Permanente', 'Magellan Health, Inc.', 'Change Healthcare', 'HMS Holdings Corp.', 'MultiPlan, Inc.', 'Evolent Health', 'Health Net, Inc. (a subsidiary of Centene Corporation)', 'Medecision Inc.', 'Conduent Inc.'

Payer organizations face complex challenges related to claims processing, member enrollment, billing, and customer service. Payer services providers offer specialized expertise, technology solutions, and operational support to address these complexities and enhance efficiency.

Shift towards Value-Based Care: There is a growing trend towards value-based care models, which focus on improving patient outcomes and cost-efficiency. Payer services providers are aligning their offerings to support value-based payment models, care coordination, and population health management.

North America led the market and took home 76.1% of the total revenue in 2022. Due to the growing demand for health IT services, the market for outsourcing business processes in the healthcare supply chain is anticipated to grow throughout the forecast period. The demand for healthcare supply chain outsourcing of business processes is projected to rise as a result of evolving regulatory environments and mounting pressure on the healthcare sector to reduce service costs. Consequently, it is predicted that the regional market will significantly expand during the projection period.

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Global Healthcare Payer Services Market

Report ID: SQMIG35A2352

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