Global Healthcare Payer Solutions

Healthcare Payer Solutions Comprehensive Study by Type (Claims Management Solutions, Payment Management Solutions, Provider Network Management Solutions, Others), Application (Claims Management Services, Integrated Front Office Service and Back-Office Operations, Member Management Services, Provider Management Services, Billing and Accounts Management Services, Others), End-User (Private Payers, Public Payers), Service Type (BPO Services, ITO Services, KPO Services) Players and Region - Global Market Outlook to 2030

Healthcare Payer Solutions Market by XX Submarkets | Forecast Years 2024-2030 | CAGR: 20.3%  

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  • Summary
  • Market Segments
  • Table of Content
  • List of Table & Figures
  • Players Profiled
Healthcare Payer Solutions Market Scope
The healthcare industry continues to focus on initiatives to achieve value-based care. Many companies rely on analytics to improve patient outcomes while reducing costs. Companies work together universally on drug development. Doctors are revolutionizing portals and consumers on their mobile devices for information about medication, diagnostics more. Providers keep health records online and clinicians collect data through web-based applications from research institutions. Health care costs through a variety of mechanisms including assessment, planning, relief, care coordination, and assessment. This offers multiple options and services to precisely meet the health needs of individuals and families with high quality, low-cost results. A payer is a company that pays for a managed medical service. The insurance company is mostly a common type of payer. A payer is responsible for processing patient eligibility, registration, claims, and payment. Healthcare Payer's solutions generally aim to fully automate claims handling and provide faster access to customer information without compromising the security of private medical information. Automation helps reduce the costs associated with processing claims, use a single platform for all data sources, workflows for routing claims for review and approval and increasing the accuracy and timeliness of payments.

AttributesDetails
Study Period2018-2030
Base Year2023
UnitValue (USD Million)
Key Companies ProfiledEpic Systems Corporation (United States), Aetna, Inc. (United States), Cerner Corporation (United States), Allscripts Healthcare Solutions, Inc. (United States), Mckesson Corporation (United States), ZeOmega, Inc. (United States), IBM Corporation (United States) and Verisk Health (United States)
CAGR20.3%


The companies are now exploring the market by adopting mergers & acquisitions, expansions, investments, new developments in existing products, and collaborations as their preferred strategies. The players are also exploring new geographies and industries through expansions and acquisitions so as to avail a competitive advantage through combined synergies. Research Analyst at AMA estimates that United States Players will contribute to the maximum growth of Global Healthcare Payer Solutions market throughout the predicted period.

Epic Systems Corporation (United States), Aetna, Inc. (United States), Cerner Corporation (United States), Allscripts Healthcare Solutions, Inc. (United States), Mckesson Corporation (United States), ZeOmega, Inc. (United States), IBM Corporation (United States) and Verisk Health (United States) are some of the key players that are part of study coverage. Additionally, the Players which are also part of the research are NextGen Healthcare (United States) and UnitedHealth Group (United States).

About Approach
The research aims to propose a patent-based approach in searching for potential technology partners as a supporting tool for enabling open innovation. The study also proposes a systematic searching process of technology partners as a preliminary step to select the emerging and key players that are involved in implementing market estimations. While patent analysis is employed to overcome the aforementioned data- and process-related limitations, as expenses occurred in that technology allows us to estimate the market size by evolving segments as target market from the total available market.

Segmentation Overview
The study have segmented the market of Global Healthcare Payer Solutions market by Type , by Application (Claims Management Services, Integrated Front Office Service and Back-Office Operations, Member Management Services, Provider Management Services, Billing and Accounts Management Services and Others) and Region with country level break-up.

On the basis of geography, the market of Healthcare Payer Solutions has been segmented into South America (Brazil, Argentina, Rest of South America), Asia Pacific (China, Japan, India, South Korea, Taiwan, Australia, Rest of Asia-Pacific), Europe (Germany, France, Italy, United Kingdom, Netherlands, Rest of Europe), MEA (Middle East, Africa), North America (United States, Canada, Mexico). region held largest market share in the year 2023.

Market Leaders and their expansionary development strategies
In acquire Nordcloud, which is a European leader in cloud implementation, application transformation as well as managed services. The news further advances IBM's cloud migration and transformation capabilities, which is an important aspect of its hybrid cloud platform growth strategy.
In November 2022, Wolters Kluwer, Health today launched Digital Health Architect Consumer Education Suite and EmmiGuide. These solutions, which are debuting at the 2022 HLTH conference, combine digital tools with unprecedented access to expert-vetted content the same content that powers widely used solutions such as UpToDate, Lexicomp and Emmi, to help virtual care vendors and payers provide consistent, evidence-based information to patients and members and improve care wherever


Influencing Trend:
A Surge in Demand for Health Coverage in Emerging Markets Due To the Covid-19 Pandemic and Increase in Health Insurance Awareness among Previously Uninsured Patients

Market Growth Drivers:
Rise in Cost of Healthcare System and Urge to Decrease Wasteful Spending, Increase in Healthcare Frauds and Notable Rise in Health Insurance Enrolment

Challenges:
Loss of Confidentiality and Cultural & Language Barriers

Restraints:
Surge In Incidence of Data Breaches

Opportunities:
Increase In Use of Healthcare IT Solutions and Implementation of Various Healthcare Reforms and Increase in Adoption of AI & Analytics

Key Target Audience
Providers of Healthcare Payer Solutions, End-Users, Potential Investors, Market Research Firms, Regulatory Bodies and Others

Report Objectives / Segmentation Covered

By Type
  • Claims Management Solutions
  • Payment Management Solutions
  • Provider Network Management Solutions
  • Others
By Application
  • Claims Management Services
  • Integrated Front Office Service and Back-Office Operations
  • Member Management Services
  • Provider Management Services
  • Billing and Accounts Management Services
  • Others
By End-User
  • Private Payers
  • Public Payers

By Service Type
  • BPO Services
  • ITO Services
  • KPO Services

By Regions
  • South America
    • Brazil
    • Argentina
    • Rest of South America
  • Asia Pacific
    • China
    • Japan
    • India
    • South Korea
    • Taiwan
    • Australia
    • Rest of Asia-Pacific
  • Europe
    • Germany
    • France
    • Italy
    • United Kingdom
    • Netherlands
    • Rest of Europe
  • MEA
    • Middle East
    • Africa
  • North America
    • United States
    • Canada
    • Mexico
  • 1. Market Overview
    • 1.1. Introduction
    • 1.2. Scope/Objective of the Study
      • 1.2.1. Research Objective
  • 2. Executive Summary
    • 2.1. Introduction
  • 3. Market Dynamics
    • 3.1. Introduction
    • 3.2. Market Drivers
      • 3.2.1. Rise in Cost of Healthcare System and Urge to Decrease Wasteful Spending
      • 3.2.2. Increase in Healthcare Frauds
      • 3.2.3. Notable Rise in Health Insurance Enrolment
    • 3.3. Market Challenges
      • 3.3.1. Loss of Confidentiality and Cultural & Language Barriers
    • 3.4. Market Trends
      • 3.4.1. A Surge in Demand for Health Coverage in Emerging Markets Due To the Covid-19 Pandemic
      • 3.4.2. Increase in Health Insurance Awareness among Previously Uninsured Patients
  • 4. Market Factor Analysis
    • 4.1. Porters Five Forces
    • 4.2. Supply/Value Chain
    • 4.3. PESTEL analysis
    • 4.4. Market Entropy
    • 4.5. Patent/Trademark Analysis
  • 5. Global Healthcare Payer Solutions, by Type, Application, End-User, Service Type and Region (value and price ) (2018-2023)
    • 5.1. Introduction
    • 5.2. Global Healthcare Payer Solutions (Value)
      • 5.2.1. Global Healthcare Payer Solutions by: Type (Value)
        • 5.2.1.1. Claims Management Solutions
        • 5.2.1.2. Payment Management Solutions
        • 5.2.1.3. Provider Network Management Solutions
        • 5.2.1.4. Others
      • 5.2.2. Global Healthcare Payer Solutions by: Application (Value)
        • 5.2.2.1. Claims Management Services
        • 5.2.2.2. Integrated Front Office Service and Back-Office Operations
        • 5.2.2.3. Member Management Services
        • 5.2.2.4. Provider Management Services
        • 5.2.2.5. Billing and Accounts Management Services
        • 5.2.2.6. Others
      • 5.2.3. Global Healthcare Payer Solutions by: End-User (Value)
        • 5.2.3.1. Private Payers
        • 5.2.3.2. Public Payers
      • 5.2.4. Global Healthcare Payer Solutions by: Service Type (Value)
        • 5.2.4.1. BPO Services
        • 5.2.4.2. ITO Services
        • 5.2.4.3. KPO Services
      • 5.2.5. Global Healthcare Payer Solutions Region
        • 5.2.5.1. South America
          • 5.2.5.1.1. Brazil
          • 5.2.5.1.2. Argentina
          • 5.2.5.1.3. Rest of South America
        • 5.2.5.2. Asia Pacific
          • 5.2.5.2.1. China
          • 5.2.5.2.2. Japan
          • 5.2.5.2.3. India
          • 5.2.5.2.4. South Korea
          • 5.2.5.2.5. Taiwan
          • 5.2.5.2.6. Australia
          • 5.2.5.2.7. Rest of Asia-Pacific
        • 5.2.5.3. Europe
          • 5.2.5.3.1. Germany
          • 5.2.5.3.2. France
          • 5.2.5.3.3. Italy
          • 5.2.5.3.4. United Kingdom
          • 5.2.5.3.5. Netherlands
          • 5.2.5.3.6. Rest of Europe
        • 5.2.5.4. MEA
          • 5.2.5.4.1. Middle East
          • 5.2.5.4.2. Africa
        • 5.2.5.5. North America
          • 5.2.5.5.1. United States
          • 5.2.5.5.2. Canada
          • 5.2.5.5.3. Mexico
    • 5.3. Global Healthcare Payer Solutions (Price)
      • 5.3.1. Global Healthcare Payer Solutions by: Type (Price)
  • 6. Healthcare Payer Solutions: Manufacturers/Players Analysis
    • 6.1. Competitive Landscape
      • 6.1.1. Market Share Analysis
        • 6.1.1.1. Top 3
        • 6.1.1.2. Top 5
    • 6.2. Peer Group Analysis (2023)
    • 6.3. BCG Matrix
    • 6.4. Company Profile
      • 6.4.1. Epic Systems Corporation (United States)
        • 6.4.1.1. Business Overview
        • 6.4.1.2. Products/Services Offerings
        • 6.4.1.3. Financial Analysis
        • 6.4.1.4. SWOT Analysis
      • 6.4.2. Aetna, Inc. (United States)
        • 6.4.2.1. Business Overview
        • 6.4.2.2. Products/Services Offerings
        • 6.4.2.3. Financial Analysis
        • 6.4.2.4. SWOT Analysis
      • 6.4.3. Cerner Corporation (United States)
        • 6.4.3.1. Business Overview
        • 6.4.3.2. Products/Services Offerings
        • 6.4.3.3. Financial Analysis
        • 6.4.3.4. SWOT Analysis
      • 6.4.4. Allscripts Healthcare Solutions, Inc. (United States)
        • 6.4.4.1. Business Overview
        • 6.4.4.2. Products/Services Offerings
        • 6.4.4.3. Financial Analysis
        • 6.4.4.4. SWOT Analysis
      • 6.4.5. Mckesson Corporation (United States)
        • 6.4.5.1. Business Overview
        • 6.4.5.2. Products/Services Offerings
        • 6.4.5.3. Financial Analysis
        • 6.4.5.4. SWOT Analysis
      • 6.4.6. ZeOmega, Inc. (United States)
        • 6.4.6.1. Business Overview
        • 6.4.6.2. Products/Services Offerings
        • 6.4.6.3. Financial Analysis
        • 6.4.6.4. SWOT Analysis
      • 6.4.7. IBM Corporation (United States)
        • 6.4.7.1. Business Overview
        • 6.4.7.2. Products/Services Offerings
        • 6.4.7.3. Financial Analysis
        • 6.4.7.4. SWOT Analysis
      • 6.4.8. Verisk Health (United States)
        • 6.4.8.1. Business Overview
        • 6.4.8.2. Products/Services Offerings
        • 6.4.8.3. Financial Analysis
        • 6.4.8.4. SWOT Analysis
  • 7. Global Healthcare Payer Solutions Sale, by Type, Application, End-User, Service Type and Region (value and price ) (2025-2030)
    • 7.1. Introduction
    • 7.2. Global Healthcare Payer Solutions (Value)
      • 7.2.1. Global Healthcare Payer Solutions by: Type (Value)
        • 7.2.1.1. Claims Management Solutions
        • 7.2.1.2. Payment Management Solutions
        • 7.2.1.3. Provider Network Management Solutions
        • 7.2.1.4. Others
      • 7.2.2. Global Healthcare Payer Solutions by: Application (Value)
        • 7.2.2.1. Claims Management Services
        • 7.2.2.2. Integrated Front Office Service and Back-Office Operations
        • 7.2.2.3. Member Management Services
        • 7.2.2.4. Provider Management Services
        • 7.2.2.5. Billing and Accounts Management Services
        • 7.2.2.6. Others
      • 7.2.3. Global Healthcare Payer Solutions by: End-User (Value)
        • 7.2.3.1. Private Payers
        • 7.2.3.2. Public Payers
      • 7.2.4. Global Healthcare Payer Solutions by: Service Type (Value)
        • 7.2.4.1. BPO Services
        • 7.2.4.2. ITO Services
        • 7.2.4.3. KPO Services
      • 7.2.5. Global Healthcare Payer Solutions Region
        • 7.2.5.1. South America
          • 7.2.5.1.1. Brazil
          • 7.2.5.1.2. Argentina
          • 7.2.5.1.3. Rest of South America
        • 7.2.5.2. Asia Pacific
          • 7.2.5.2.1. China
          • 7.2.5.2.2. Japan
          • 7.2.5.2.3. India
          • 7.2.5.2.4. South Korea
          • 7.2.5.2.5. Taiwan
          • 7.2.5.2.6. Australia
          • 7.2.5.2.7. Rest of Asia-Pacific
        • 7.2.5.3. Europe
          • 7.2.5.3.1. Germany
          • 7.2.5.3.2. France
          • 7.2.5.3.3. Italy
          • 7.2.5.3.4. United Kingdom
          • 7.2.5.3.5. Netherlands
          • 7.2.5.3.6. Rest of Europe
        • 7.2.5.4. MEA
          • 7.2.5.4.1. Middle East
          • 7.2.5.4.2. Africa
        • 7.2.5.5. North America
          • 7.2.5.5.1. United States
          • 7.2.5.5.2. Canada
          • 7.2.5.5.3. Mexico
    • 7.3. Global Healthcare Payer Solutions (Price)
      • 7.3.1. Global Healthcare Payer Solutions by: Type (Price)
  • 8. Appendix
    • 8.1. Acronyms
  • 9. Methodology and Data Source
    • 9.1. Methodology/Research Approach
      • 9.1.1. Research Programs/Design
      • 9.1.2. Market Size Estimation
      • 9.1.3. Market Breakdown and Data Triangulation
    • 9.2. Data Source
      • 9.2.1. Secondary Sources
      • 9.2.2. Primary Sources
    • 9.3. Disclaimer
List of Tables
  • Table 1. Healthcare Payer Solutions: by Type(USD Million)
  • Table 2. Healthcare Payer Solutions Claims Management Solutions , by Region USD Million (2018-2023)
  • Table 3. Healthcare Payer Solutions Payment Management Solutions , by Region USD Million (2018-2023)
  • Table 4. Healthcare Payer Solutions Provider Network Management Solutions , by Region USD Million (2018-2023)
  • Table 5. Healthcare Payer Solutions Others , by Region USD Million (2018-2023)
  • Table 6. Healthcare Payer Solutions: by Application(USD Million)
  • Table 7. Healthcare Payer Solutions Claims Management Services , by Region USD Million (2018-2023)
  • Table 8. Healthcare Payer Solutions Integrated Front Office Service and Back-Office Operations , by Region USD Million (2018-2023)
  • Table 9. Healthcare Payer Solutions Member Management Services , by Region USD Million (2018-2023)
  • Table 10. Healthcare Payer Solutions Provider Management Services , by Region USD Million (2018-2023)
  • Table 11. Healthcare Payer Solutions Billing and Accounts Management Services , by Region USD Million (2018-2023)
  • Table 12. Healthcare Payer Solutions Others , by Region USD Million (2018-2023)
  • Table 13. Healthcare Payer Solutions: by End-User(USD Million)
  • Table 14. Healthcare Payer Solutions Private Payers , by Region USD Million (2018-2023)
  • Table 15. Healthcare Payer Solutions Public Payers , by Region USD Million (2018-2023)
  • Table 16. Healthcare Payer Solutions: by Service Type(USD Million)
  • Table 17. Healthcare Payer Solutions BPO Services , by Region USD Million (2018-2023)
  • Table 18. Healthcare Payer Solutions ITO Services , by Region USD Million (2018-2023)
  • Table 19. Healthcare Payer Solutions KPO Services , by Region USD Million (2018-2023)
  • Table 20. South America Healthcare Payer Solutions, by Country USD Million (2018-2023)
  • Table 21. South America Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 22. South America Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 23. South America Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 24. South America Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 25. Brazil Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 26. Brazil Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 27. Brazil Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 28. Brazil Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 29. Argentina Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 30. Argentina Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 31. Argentina Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 32. Argentina Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 33. Rest of South America Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 34. Rest of South America Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 35. Rest of South America Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 36. Rest of South America Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 37. Asia Pacific Healthcare Payer Solutions, by Country USD Million (2018-2023)
  • Table 38. Asia Pacific Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 39. Asia Pacific Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 40. Asia Pacific Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 41. Asia Pacific Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 42. China Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 43. China Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 44. China Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 45. China Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 46. Japan Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 47. Japan Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 48. Japan Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 49. Japan Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 50. India Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 51. India Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 52. India Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 53. India Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 54. South Korea Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 55. South Korea Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 56. South Korea Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 57. South Korea Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 58. Taiwan Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 59. Taiwan Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 60. Taiwan Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 61. Taiwan Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 62. Australia Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 63. Australia Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 64. Australia Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 65. Australia Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 66. Rest of Asia-Pacific Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 67. Rest of Asia-Pacific Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 68. Rest of Asia-Pacific Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 69. Rest of Asia-Pacific Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 70. Europe Healthcare Payer Solutions, by Country USD Million (2018-2023)
  • Table 71. Europe Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 72. Europe Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 73. Europe Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 74. Europe Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 75. Germany Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 76. Germany Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 77. Germany Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 78. Germany Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 79. France Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 80. France Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 81. France Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 82. France Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 83. Italy Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 84. Italy Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 85. Italy Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 86. Italy Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 87. United Kingdom Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 88. United Kingdom Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 89. United Kingdom Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 90. United Kingdom Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 91. Netherlands Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 92. Netherlands Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 93. Netherlands Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 94. Netherlands Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 95. Rest of Europe Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 96. Rest of Europe Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 97. Rest of Europe Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 98. Rest of Europe Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 99. MEA Healthcare Payer Solutions, by Country USD Million (2018-2023)
  • Table 100. MEA Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 101. MEA Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 102. MEA Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 103. MEA Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 104. Middle East Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 105. Middle East Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 106. Middle East Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 107. Middle East Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 108. Africa Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 109. Africa Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 110. Africa Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 111. Africa Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 112. North America Healthcare Payer Solutions, by Country USD Million (2018-2023)
  • Table 113. North America Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 114. North America Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 115. North America Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 116. North America Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 117. United States Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 118. United States Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 119. United States Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 120. United States Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 121. Canada Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 122. Canada Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 123. Canada Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 124. Canada Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 125. Mexico Healthcare Payer Solutions, by Type USD Million (2018-2023)
  • Table 126. Mexico Healthcare Payer Solutions, by Application USD Million (2018-2023)
  • Table 127. Mexico Healthcare Payer Solutions, by End-User USD Million (2018-2023)
  • Table 128. Mexico Healthcare Payer Solutions, by Service Type USD Million (2018-2023)
  • Table 129. Healthcare Payer Solutions: by Type(USD/Units)
  • Table 130. Company Basic Information, Sales Area and Its Competitors
  • Table 131. Company Basic Information, Sales Area and Its Competitors
  • Table 132. Company Basic Information, Sales Area and Its Competitors
  • Table 133. Company Basic Information, Sales Area and Its Competitors
  • Table 134. Company Basic Information, Sales Area and Its Competitors
  • Table 135. Company Basic Information, Sales Area and Its Competitors
  • Table 136. Company Basic Information, Sales Area and Its Competitors
  • Table 137. Company Basic Information, Sales Area and Its Competitors
  • Table 138. Healthcare Payer Solutions: by Type(USD Million)
  • Table 139. Healthcare Payer Solutions Claims Management Solutions , by Region USD Million (2025-2030)
  • Table 140. Healthcare Payer Solutions Payment Management Solutions , by Region USD Million (2025-2030)
  • Table 141. Healthcare Payer Solutions Provider Network Management Solutions , by Region USD Million (2025-2030)
  • Table 142. Healthcare Payer Solutions Others , by Region USD Million (2025-2030)
  • Table 143. Healthcare Payer Solutions: by Application(USD Million)
  • Table 144. Healthcare Payer Solutions Claims Management Services , by Region USD Million (2025-2030)
  • Table 145. Healthcare Payer Solutions Integrated Front Office Service and Back-Office Operations , by Region USD Million (2025-2030)
  • Table 146. Healthcare Payer Solutions Member Management Services , by Region USD Million (2025-2030)
  • Table 147. Healthcare Payer Solutions Provider Management Services , by Region USD Million (2025-2030)
  • Table 148. Healthcare Payer Solutions Billing and Accounts Management Services , by Region USD Million (2025-2030)
  • Table 149. Healthcare Payer Solutions Others , by Region USD Million (2025-2030)
  • Table 150. Healthcare Payer Solutions: by End-User(USD Million)
  • Table 151. Healthcare Payer Solutions Private Payers , by Region USD Million (2025-2030)
  • Table 152. Healthcare Payer Solutions Public Payers , by Region USD Million (2025-2030)
  • Table 153. Healthcare Payer Solutions: by Service Type(USD Million)
  • Table 154. Healthcare Payer Solutions BPO Services , by Region USD Million (2025-2030)
  • Table 155. Healthcare Payer Solutions ITO Services , by Region USD Million (2025-2030)
  • Table 156. Healthcare Payer Solutions KPO Services , by Region USD Million (2025-2030)
  • Table 157. South America Healthcare Payer Solutions, by Country USD Million (2025-2030)
  • Table 158. South America Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 159. South America Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 160. South America Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 161. South America Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 162. Brazil Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 163. Brazil Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 164. Brazil Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 165. Brazil Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 166. Argentina Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 167. Argentina Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 168. Argentina Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 169. Argentina Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 170. Rest of South America Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 171. Rest of South America Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 172. Rest of South America Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 173. Rest of South America Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 174. Asia Pacific Healthcare Payer Solutions, by Country USD Million (2025-2030)
  • Table 175. Asia Pacific Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 176. Asia Pacific Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 177. Asia Pacific Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 178. Asia Pacific Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 179. China Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 180. China Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 181. China Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 182. China Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 183. Japan Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 184. Japan Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 185. Japan Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 186. Japan Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 187. India Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 188. India Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 189. India Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 190. India Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 191. South Korea Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 192. South Korea Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 193. South Korea Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 194. South Korea Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 195. Taiwan Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 196. Taiwan Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 197. Taiwan Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 198. Taiwan Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 199. Australia Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 200. Australia Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 201. Australia Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 202. Australia Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 203. Rest of Asia-Pacific Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 204. Rest of Asia-Pacific Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 205. Rest of Asia-Pacific Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 206. Rest of Asia-Pacific Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 207. Europe Healthcare Payer Solutions, by Country USD Million (2025-2030)
  • Table 208. Europe Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 209. Europe Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 210. Europe Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 211. Europe Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 212. Germany Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 213. Germany Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 214. Germany Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 215. Germany Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 216. France Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 217. France Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 218. France Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 219. France Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 220. Italy Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 221. Italy Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 222. Italy Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 223. Italy Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 224. United Kingdom Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 225. United Kingdom Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 226. United Kingdom Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 227. United Kingdom Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 228. Netherlands Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 229. Netherlands Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 230. Netherlands Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 231. Netherlands Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 232. Rest of Europe Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 233. Rest of Europe Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 234. Rest of Europe Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 235. Rest of Europe Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 236. MEA Healthcare Payer Solutions, by Country USD Million (2025-2030)
  • Table 237. MEA Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 238. MEA Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 239. MEA Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 240. MEA Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 241. Middle East Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 242. Middle East Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 243. Middle East Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 244. Middle East Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 245. Africa Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 246. Africa Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 247. Africa Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 248. Africa Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 249. North America Healthcare Payer Solutions, by Country USD Million (2025-2030)
  • Table 250. North America Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 251. North America Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 252. North America Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 253. North America Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 254. United States Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 255. United States Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 256. United States Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 257. United States Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 258. Canada Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 259. Canada Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 260. Canada Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 261. Canada Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 262. Mexico Healthcare Payer Solutions, by Type USD Million (2025-2030)
  • Table 263. Mexico Healthcare Payer Solutions, by Application USD Million (2025-2030)
  • Table 264. Mexico Healthcare Payer Solutions, by End-User USD Million (2025-2030)
  • Table 265. Mexico Healthcare Payer Solutions, by Service Type USD Million (2025-2030)
  • Table 266. Healthcare Payer Solutions: by Type(USD/Units)
  • Table 267. Research Programs/Design for This Report
  • Table 268. Key Data Information from Secondary Sources
  • Table 269. Key Data Information from Primary Sources
List of Figures
  • Figure 1. Porters Five Forces
  • Figure 2. Supply/Value Chain
  • Figure 3. PESTEL analysis
  • Figure 4. Global Healthcare Payer Solutions: by Type USD Million (2018-2023)
  • Figure 5. Global Healthcare Payer Solutions: by Application USD Million (2018-2023)
  • Figure 6. Global Healthcare Payer Solutions: by End-User USD Million (2018-2023)
  • Figure 7. Global Healthcare Payer Solutions: by Service Type USD Million (2018-2023)
  • Figure 8. South America Healthcare Payer Solutions Share (%), by Country
  • Figure 9. Asia Pacific Healthcare Payer Solutions Share (%), by Country
  • Figure 10. Europe Healthcare Payer Solutions Share (%), by Country
  • Figure 11. MEA Healthcare Payer Solutions Share (%), by Country
  • Figure 12. North America Healthcare Payer Solutions Share (%), by Country
  • Figure 13. Global Healthcare Payer Solutions: by Type USD/Units (2018-2023)
  • Figure 14. Global Healthcare Payer Solutions share by Players 2023 (%)
  • Figure 15. Global Healthcare Payer Solutions share by Players (Top 3) 2023(%)
  • Figure 16. Global Healthcare Payer Solutions share by Players (Top 5) 2023(%)
  • Figure 17. BCG Matrix for key Companies
  • Figure 18. Epic Systems Corporation (United States) Revenue, Net Income and Gross profit
  • Figure 19. Epic Systems Corporation (United States) Revenue: by Geography 2023
  • Figure 20. Aetna, Inc. (United States) Revenue, Net Income and Gross profit
  • Figure 21. Aetna, Inc. (United States) Revenue: by Geography 2023
  • Figure 22. Cerner Corporation (United States) Revenue, Net Income and Gross profit
  • Figure 23. Cerner Corporation (United States) Revenue: by Geography 2023
  • Figure 24. Allscripts Healthcare Solutions, Inc. (United States) Revenue, Net Income and Gross profit
  • Figure 25. Allscripts Healthcare Solutions, Inc. (United States) Revenue: by Geography 2023
  • Figure 26. Mckesson Corporation (United States) Revenue, Net Income and Gross profit
  • Figure 27. Mckesson Corporation (United States) Revenue: by Geography 2023
  • Figure 28. ZeOmega, Inc. (United States) Revenue, Net Income and Gross profit
  • Figure 29. ZeOmega, Inc. (United States) Revenue: by Geography 2023
  • Figure 30. IBM Corporation (United States) Revenue, Net Income and Gross profit
  • Figure 31. IBM Corporation (United States) Revenue: by Geography 2023
  • Figure 32. Verisk Health (United States) Revenue, Net Income and Gross profit
  • Figure 33. Verisk Health (United States) Revenue: by Geography 2023
  • Figure 34. Global Healthcare Payer Solutions: by Type USD Million (2025-2030)
  • Figure 35. Global Healthcare Payer Solutions: by Application USD Million (2025-2030)
  • Figure 36. Global Healthcare Payer Solutions: by End-User USD Million (2025-2030)
  • Figure 37. Global Healthcare Payer Solutions: by Service Type USD Million (2025-2030)
  • Figure 38. South America Healthcare Payer Solutions Share (%), by Country
  • Figure 39. Asia Pacific Healthcare Payer Solutions Share (%), by Country
  • Figure 40. Europe Healthcare Payer Solutions Share (%), by Country
  • Figure 41. MEA Healthcare Payer Solutions Share (%), by Country
  • Figure 42. North America Healthcare Payer Solutions Share (%), by Country
  • Figure 43. Global Healthcare Payer Solutions: by Type USD/Units (2025-2030)
List of companies from research coverage that are profiled in the study
  • Epic Systems Corporation (United States)
  • Aetna, Inc. (United States)
  • Cerner Corporation (United States)
  • Allscripts Healthcare Solutions, Inc. (United States)
  • Mckesson Corporation (United States)
  • ZeOmega, Inc. (United States)
  • IBM Corporation (United States)
  • Verisk Health (United States)
Additional players considered in the study are as follows:
NextGen Healthcare (United States) , UnitedHealth Group (United States)
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Key Highlights of Report


Mar 2024 239 Pages 69 Tables Base Year: 2023 Coverage: 15+ Companies; 18 Countries

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Global Healthcare Payer Solutions Quantitative research analysis
Global Healthcare Payer Solutions Qualitative Industry Analysis
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Frequently Asked Questions (FAQ):

The key segments that are playing vital role in Healthcare Payer Solutions Market are by type [Claims Management Solutions, Payment Management Solutions, Provider Network Management Solutions and Others], by end use application [Claims Management Services, Integrated Front Office Service and Back-Office Operations, Member Management Services, Provider Management Services, Billing and Accounts Management Services and Others].
The Healthcare Payer Solutions Market is gaining popularity and expected to see strong valuation by 2030.
  • Rise in Cost of Healthcare System and Urge to Decrease Wasteful Spending
  • Increase in Healthcare Frauds
  • Notable Rise in Health Insurance Enrolment

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