ヘルスケアペイヤーサービス市場- 世界の市場規模、シェア、動向分析、機会、予測レポート、2019-2029年

ヘルスケアペイヤーサービスの世界市場規模は2029年までに1,250億米ドルに達する勢い

世界のヘルスケアペイヤーサービス市場は、技術進歩の採用増加、効率性の向上、サービスのアウトソーシングによるコスト削減により活況を呈しています。

戦略コンサルティングと市場調査の大手企業であるBlueWeave Consultingは、最近の調査で、2022年の世界のヘルスケアペイヤーサービス市場規模を725億6,000万米ドルと推定しました。2023年から2029年までの予測期間中、BlueWeaveは世界のヘルスケアペイヤーサービス市場規模が12.31%の大幅なCAGRで成長し、2029年には1,248億9,000万米ドルに達すると予測しています。世界のヘルスケアペイヤーサービス市場の主な成長促進要因には、ヘルスケア支出の増加、デジタル技術の採用拡大、効率的なヘルスケア管理とコスト抑制に対する需要の高まりなどがあります。BPOサービスに対する需要の高まりは、効率的な在庫管理の実践に起因しています。ヘルスケア提供コストの減少、ICD-10コードの導入、製薬会社が直面する特許切れなどの要因も市場拡大に寄与しています。市場の主要プレーヤーは、人工知能（AI）、アナリティクス、クラウドベースのサービスなどの先進技術を導入しており、激しい競争を招いています。例えばアクセンチュアは、ヘルスケアサプライチェーンにおける物流コストの削減、サービス収益の向上、サービス可用性の改善を効果的に実現するクラウドベースのソリューションを提供しています。その結果、同市場は大幅な成長が見込まれています。技術の進歩とアウトソーシング・プロセスとサプライチェーン・マネジメント（SCM）の統合は、予測期間を通じて主要な市場促進要因になると予想されます。しかし、データ漏洩や機密性の喪失は、分析期間中の市場全体の成長を抑制する可能性があります。

本レポートの詳細な分析により、世界のヘルスケアペイヤーサービス市場の成長可能性、今後の動向、統計に関する情報を提供します。また、総市場規模の予測を促進する要因も取り上げています。当レポートは、世界のヘルスケアペイヤーサービス市場の最新技術動向や、意思決定者が健全な戦略的意思決定を行うための業界洞察を提供することをお約束します。さらに、市場の成長促進要因・課題・競争力についても分析しています。

目次

第1章 調査の枠組み

第2章 エグゼクティブサマリー

第3章 世界のヘルスケアペイヤーサービス市場に関する洞察

• 業界のバリューチェーン分析
• DROC分析
  • 成長促進要因
    • コストを削減し効率を高めるためのサービスのアウトソーシング
    • 技術の進歩
  • 抑制要因
    • データ侵害と機密性の喪失
  • 機会
    • 高度なデータ分析の導入
  • 課題
    • レガシーシステムからの移行
• 技術の進歩/最近の開発
• 規制の枠組み
• ポーターのファイブフォース分析

第4章 世界のヘルスケアペイヤーサービス市場概要

• 市場規模と予測、2019～2029年
  • 金額別
• 市場シェアと予測
  • サービス別
    • BPOサービス
    • ITOサービス
    • KPOサービス
  • 用途別
    • クレーム管理サービス
    • 統合されたフロントオフィスサービスとバックオフィスオペレーション
    • 会員管理サービス
    • プロバイダー管理サービス
    • 請求およびアカウント管理サービス
    • 分析および不正管理サービス
    • 人事サービス
  • 最終用途別
    • 民間の支払者
    • 公的支払者
  • 地域別
    • 北米
    • 欧州
    • アジア太平洋（APAC）
    • ラテンアメリカ（LATAM）
    • 中東およびアフリカ（MEA）

第5章 北米のヘルスケアペイヤーサービス市場

• 市場規模と予測、2019～2029年
  • 金額別
• 市場シェアと予測
  • サービス別
  • 用途別
  • 最終用途別
  • 国別
    • 米国
    • カナダ

第6章 欧州のヘルスケアペイヤーサービス市場

• 市場規模と予測、2019～2029年
  • 金額別
• 市場シェアと予測
  • サービス別
  • 用途別
  • 最終用途別
  • 国別
    • ドイツ
    • 英国
    • イタリア
    • フランス
    • スペイン
    • ベルギー
    • ロシア
    • オランダ
    • その他欧州

第7章 アジア太平洋のヘルスケアペイヤーサービス市場

• 市場規模と予測、2019～2029年
  • 金額別
• 市場シェアと予測
  • サービス別
  • 用途別
  • 最終用途別
  • 国別
    • 中国
    • インド
    • 日本
    • 韓国
    • オーストラリアとニュージーランド
    • インドネシア
    • マレーシア
    • シンガポール
    • ベトナム
    • APACのその他の地域

第8章 ラテンアメリカのヘルスケアペイヤーサービス市場

• 市場規模と予測、2019～2029年
  • 金額別
• 市場シェアと予測
  • サービス別
  • 用途別
  • 最終用途別
  • 国別
    • ブラジル
    • メキシコ
    • アルゼンチン
    • ペルー
    • 中南米のその他の地域

第9章 中東およびアフリカのヘルスケアペイヤーサービス市場

• 市場規模と予測、2019～2029年
  • 金額別
• 市場シェアと予測
  • サービス別
  • 用途別
  • 最終用途別
  • 国別
    • サウジアラビア
    • アラブ首長国連邦
    • カタール
    • クウェート
    • 南アフリカ
    • ナイジェリア
    • アルジェリア
    • MEAのその他の地域

第10章 競合情勢

• 主要企業とその製品のリスト
• 世界のヘルスケアペイヤーサービス企業の市場シェア分析、2022年
• 動作パラメータによる競合ベンチマーキング
• 主要な戦略的展開（合併、買収、パートナーシップなど）

第11章 世界のヘルスケアペイヤーサービス市場に対するCOVID-19の影響

第12章 企業プロファイル（会社概要、財務マトリックス、競合情勢、主要な人材、主要な競合、連絡先住所、戦略的展望、 SWOT分析）

• Cognizant
• TCS
• WNS
• NTT Data Corporation
• IQVIA Inc.
• Mphasis
• EXL
• HGS Ltd.
• Accenture
• Xerox Corporation
• Concentric Corporation
• Genpact
• WIPRO Ltd.
• HCL Technologies
• Other Prominent Players

第13章 主要な戦略的推奨事項

第14章 調査手法

• 定性的調査
  • 一次および2次調査
• 定量的調査
• 市場内訳とデータの三角測量
  • 2次調査
  • 1次調査
• 1次調査回答者の地域別内訳
• 前提と制限

Global Healthcare Payer Services Market Size Booming to Touch USD 125 Billion by 2029.

Global healthcare payer services market is flourishing because of increasing adoption of technological advancements, growing efficiency, and reducing the cost by outsourcing the services.

BlueWeave Consulting, a leading strategic consulting and market research firm, in its recent study, estimated global healthcare payer services market size at USD 72.56 billion in 2022. During the forecast period between 2023 and 2029, BlueWeave expects global healthcare payer services market size to grow at a significant CAGR of 12.31% reaching a value of USD 124.89 billion by 2029. Major growth drivers for the global healthcare payer services market include increasing healthcare expenditures, the growing adoption of digital technologies, and the rising demand for efficient healthcare administration and cost containment. The increasing demand for BPO services is attributed to efficient inventory management practices. Factors like decreased healthcare delivery costs, the implementation of ICD-10 codes, and patent expirations faced by pharmaceutical companies also contribute to market expansion. Key market players are introducing advanced technologies such as artificial intelligence (AI), analytics, and cloud-based services, leading to intense competition. Accenture, for instance, offers cloud-based solutions that effectively reduce logistics costs, enhance service revenue, and improve service availability in the healthcare supply chain. Consequently, the market is expected to exhibit significant growth. Technological advancements and the integration of outsourcing processes with supply chain management (SCM) are expected to serve as major market drivers throughout the forecast period. However, data breaches and loss of confidentiality may restrain the overall market growth during the period in analysis.

Global Healthcare Payer Services Market - Overview:

The global healthcare payer services market refers to the industry that encompasses various administrative and support services provided to healthcare payers. Healthcare payers include insurance companies, government agencies, and managed care organizations responsible for managing healthcare plans and financing. Payer services are designed to assist and streamline payer operations, including claims processing, member enrollment and eligibility verification, provider network management, premium billing and payment, customer service, and data analytics and reporting. These services aim to ensure efficient administration, accurate claims processing, cost containment, and enhanced member and provider satisfaction. The healthcare payer services market plays a crucial role in supporting the overall functioning of the healthcare system by facilitating smooth interactions between payers, providers, and members while managing administrative complexities and improving operational efficiencies.

Impact of COVID-19 on Global Healthcare Payer Services Market:

COVID-19 pandemic adversely affected the global healthcare payer services market. The healthcare industry as a whole faced unprecedented challenge due to the surge in healthcare demands and disruptions in service delivery. Payers had to adapt quickly to address the evolving needs and ensure continued support to healthcare providers and members. The pandemic accelerated the adoption of digital technologies, telehealth services, and remote work arrangements. Payers focused on enhancing their digital capabilities, implementing virtual customer service solutions, and streamlining claims processing to support the influx of COVID-19 related claims. The pandemic highlighted the importance of efficient healthcare administration and the need for agile payer services, driving the market's transformation and growth.

Global Healthcare Payer Services Market - By Application:

Based on application, the global healthcare payer services market is divided into Claims Management Services, Integrated Front Office Service & Back Office Operations, Member Management Services, Provider Management Services, Billing & Accounts Management Services, Analytics & Fraud Management Services, and HR Services segments. The claims management services segment held the highest market share in 2022 by application. The Affordable Care Act (ACA) and the overall growth in healthcare expenditures have contributed to an increase in the number of members enrolled in the Centers for Medicare and Medicaid Services. Among various payer services, claims processing services hold prominence as they involve handling substantial amounts of data and constitute a substantial portion of payer workload. Providers' submitted claims are carefully evaluated for eligibility, authenticity, and the accurate reimbursement amount. With the advancement of the digital era, this process has become more efficient, resulting in improved turnaround times and streamlined operations.

Competitive Landscape:

Major players operating in the global healthcare payer services market include: Cognizant, TCS, WNS, NTT Data Corporation, IQVIA Inc., Mphasis, EXL, HGS Ltd., Accenture, Xerox Corporation, Concentric Corporation, Genpact, WIPRO Ltd, and HCL Technologies. To further enhance their market share, these companies employ various strategies, including mergers and acquisitions, partnerships, joint ventures, license agreements, and new product launches.

The in-depth analysis of the report provides information about growth potential, upcoming trends, and statistics of Global Healthcare Payer Services Market. It also highlights the factors driving forecasts of total market size. The report promises to provide recent technology trends in Global Healthcare Payer Services Market and industry insights to help decision-makers make sound strategic decisions. Furthermore, the report also analyzes the growth drivers, challenges, and competitive dynamics of the market.

Table of Contents

1. Research Framework

• 1.1. Research Objective
• 1.2. Product Overview
• 1.3. Market Segmentation

2. Executive Summary

3. Global Healthcare Payer Services Market Insights

• 3.1. Industry Value Chain Analysis
• 3.2. DROC Analysis
  • 3.2.1. Growth Drivers
    • 3.2.1.1. Outsourcing of services to reduce cost and increase efficiency
    • 3.2.1.2. Advancement in technology
  • 3.2.2. Restraints
    • 3.2.2.1. Data breaches and loss of confidentiality
  • 3.2.3. Opportunities
    • 3.2.3.1. Adoption of advanced data analytics
  • 3.2.4. Challenges
    • 3.2.4.1. Migration from legacy systems
• 3.3. Technology Advancements/Recent Developments
• 3.4. Regulatory Framework
• 3.5. Porter's Five Forces Analysis
  • 3.5.1. Bargaining Power of Suppliers
  • 3.5.2. Bargaining Power of Buyers
  • 3.5.3. Threat of New Entrants
  • 3.5.4. Threat of Substitutes
  • 3.5.5. Intensity of Rivalry

4. Global Healthcare Payer Services Market Overview

• 4.1. Market Size & Forecast, 2019-2029
  • 4.1.1. By Value (USD Million)
• 4.2. Market Share & Forecast
  • 4.2.1. By Service
    • 4.2.1.1. BPO Services
    • 4.2.1.2. ITO Services
    • 4.2.1.3. KPO Services
  • 4.2.2. By Application
    • 4.2.2.1. Claims Management Services
    • 4.2.2.2. Integrated Front Office Service & Back Office Operations
    • 4.2.2.3. Member Management Services
    • 4.2.2.4. Provider Management Services
    • 4.2.2.5. Billing & Accounts Management Services
    • 4.2.2.6. Analytics & Fraud Management Services
    • 4.2.2.7. HR Services
  • 4.2.3. By End Use
    • 4.2.3.1. Private Payers
    • 4.2.3.2. Public Payers
  • 4.2.4. By Region
    • 4.2.4.1. North America
    • 4.2.4.2. Europe
    • 4.2.4.3. Asia Pacific (APAC)
    • 4.2.4.4. Latin America (LATAM)
    • 4.2.4.5. Middle East and Africa (MEA)

5. North America Healthcare Payer Services Market

• 5.1. Market Size & Forecast, 2019-2029
  • 5.1.1. By Value (USD Million)
• 5.2. Market Share & Forecast
  • 5.2.1. By Service
  • 5.2.2. By Application
  • 5.2.3. By End Use
  • 5.2.4. By Country
    • 5.2.4.1. United States
    • 5.2.4.1.1. By Service
    • 5.2.4.1.2. By Application
    • 5.2.4.1.3. By End Use
    • 5.2.4.2. Canada
    • 5.2.4.2.1. By Service
    • 5.2.4.2.2. By Application
    • 5.2.4.2.3. By End Use

6. Europe Healthcare Payer Services Market

• 6.1. Market Size & Forecast, 2019-2029
  • 6.1.1. By Value (USD Million)
• 6.2. Market Share & Forecast
  • 6.2.1. By Service
  • 6.2.2. By Application
  • 6.2.3. By End Use
  • 6.2.4. By Country
    • 6.2.4.1. Germany
    • 6.2.4.1.1. By Service
    • 6.2.4.1.2. By Application
    • 6.2.4.1.3. By End Use
    • 6.2.4.2. United Kingdom
    • 6.2.4.2.1. By Service
    • 6.2.4.2.2. By Application
    • 6.2.4.2.3. By End Use
    • 6.2.4.3. Italy
    • 6.2.4.3.1. By Service
    • 6.2.4.3.2. By Application
    • 6.2.4.3.3. By End Use
    • 6.2.4.4. France
    • 6.2.4.4.1. By Service
    • 6.2.4.4.2. By Application
    • 6.2.4.4.3. By End Use
    • 6.2.4.5. Spain
    • 6.2.4.5.1. By Service
    • 6.2.4.5.2. By Application
    • 6.2.4.5.3. By End Use
    • 6.2.4.6. Belgium
    • 6.2.4.6.1. By Service
    • 6.2.4.6.2. By Application
    • 6.2.4.6.3. By End Use
    • 6.2.4.7. Russia
    • 6.2.4.7.1. By Service
    • 6.2.4.7.2. By Application
    • 6.2.4.7.3. By End Use
    • 6.2.4.8. The Netherlands
    • 6.2.4.8.1. By Service
    • 6.2.4.8.2. By Application
    • 6.2.4.8.3. By End Use
    • 6.2.4.9. Rest of Europe
    • 6.2.4.9.1. By Service
    • 6.2.4.9.2. By Application
    • 6.2.4.9.3. By End Use

7. Asia-Pacific Healthcare Payer Services Market

• 7.1. Market Size & Forecast, 2019-2029
  • 7.1.1. By Value (USD Million)
• 7.2. Market Share & Forecast
  • 7.2.1. By Service
  • 7.2.2. By Application
  • 7.2.3. By End Use
  • 7.2.4. By Country
    • 7.2.4.1. China
    • 7.2.4.1.1. By Service
    • 7.2.4.1.2. By Application
    • 7.2.4.1.3. By End Use
    • 7.2.4.2. India
    • 7.2.4.2.1. By Service
    • 7.2.4.2.2. By Application
    • 7.2.4.2.3. By End Use
    • 7.2.4.3. Japan
    • 7.2.4.3.1. By Service
    • 7.2.4.3.2. By Application
    • 7.2.4.3.3. By End Use
    • 7.2.4.4. South Korea
    • 7.2.4.4.1. By Service
    • 7.2.4.4.2. By Application
    • 7.2.4.4.3. By End Use
    • 7.2.4.5. Australia & New Zealand
    • 7.2.4.5.1. By Service
    • 7.2.4.5.2. By Application
    • 7.2.4.5.3. By End Use
    • 7.2.4.6. Indonesia
    • 7.2.4.6.1. By Service
    • 7.2.4.6.2. By Application
    • 7.2.4.6.3. By End Use
    • 7.2.4.7. Malaysia
    • 7.2.4.7.1. By Service
    • 7.2.4.7.2. By Application
    • 7.2.4.7.3. By End Use
    • 7.2.4.8. Singapore
    • 7.2.4.8.1. By Service
    • 7.2.4.8.2. By Application
    • 7.2.4.8.3. By End Use
    • 7.2.4.9. Vietnam
    • 7.2.4.9.1. By Service
    • 7.2.4.9.2. By Application
    • 7.2.4.9.3. By End Use
    • 7.2.4.10. Rest of APAC
    • 7.2.4.10.1. By Service
    • 7.2.4.10.2. By Application
    • 7.2.4.10.3. By End Use

8. Latin America Healthcare Payer Services Market

• 8.1. Market Size & Forecast, 2019-2029
  • 8.1.1. By Value (USD Million)
• 8.2. Market Share & Forecast
  • 8.2.1. By Service
  • 8.2.2. By Application
  • 8.2.3. By End Use
  • 8.2.4. By Country
    • 8.2.4.1. Brazil
    • 8.2.4.1.1. By Service
    • 8.2.4.1.2. By Application
    • 8.2.4.1.3. By End Use
    • 8.2.4.2. Mexico
    • 8.2.4.2.1. By Service
    • 8.2.4.2.2. By Application
    • 8.2.4.2.3. By End Use
    • 8.2.4.3. Argentina
    • 8.2.4.3.1. By Service
    • 8.2.4.3.2. By Application
    • 8.2.4.3.3. By End Use
    • 8.2.4.4. Peru
    • 8.2.4.4.1. By Service
    • 8.2.4.4.2. By Application
    • 8.2.4.4.3. By End Use
    • 8.2.4.5. Rest of LATAM
    • 8.2.4.5.1. By Service
    • 8.2.4.5.2. By Application
    • 8.2.4.5.3. By End Use

9. Middle East & Africa Healthcare Payer Services Market

• 9.1. Market Size & Forecast, 2019-2029
  • 9.1.1. By Value (USD Million)
• 9.2. Market Share & Forecast
  • 9.2.1. By Service
  • 9.2.2. By Application
  • 9.2.3. By End Use
  • 9.2.4. By Country
    • 9.2.4.1. Saudi Arabia
    • 9.2.4.1.1. By Service
    • 9.2.4.1.2. By Application
    • 9.2.4.1.3. By End Use
    • 9.2.4.2. UAE
    • 9.2.4.2.1. By Service
    • 9.2.4.2.2. By Application
    • 9.2.4.2.3. By End Use
    • 9.2.4.3. Qatar
    • 9.2.4.3.1. By Service
    • 9.2.4.3.2. By Application
    • 9.2.4.3.3. By End Use
    • 9.2.4.4. Kuwait
    • 9.2.4.4.1. By Service
    • 9.2.4.4.2. By Application
    • 9.2.4.4.3. By End Use
    • 9.2.4.5. South Africa
    • 9.2.4.5.1. By Service
    • 9.2.4.5.2. By Application
    • 9.2.4.5.3. By End Use
    • 9.2.4.6. Nigeria
    • 9.2.4.6.1. By Service
    • 9.2.4.6.2. By Application
    • 9.2.4.6.3. By End Use
    • 9.2.4.7. Algeria
    • 9.2.4.7.1. By Service
    • 9.2.4.7.2. By Application
    • 9.2.4.7.3. By End Use
    • 9.2.4.8. Rest of MEA
    • 9.2.4.8.1. By Service
    • 9.2.4.8.2. By Application
    • 9.2.4.8.3. By End Use

10. Competitive Landscape

• 10.1. List of Key Players and Their Offerings
• 10.2. Global Healthcare Payer Services Company Market Share Analysis, 2022
• 10.3. Competitive Benchmarking, By Operating Parameters
• 10.4. Key Strategic Developments (Mergers, Acquisitions, Partnerships, etc.)

11. Impact of Covid-19 on Global Healthcare Payer Services Market

12. Company Profile (Company Overview, Financial Matrix, Competitive Landscape, Key Personnel, Key Competitors, Contact Address, Strategic Outlook, SWOT Analysis)

• 12.1. Cognizant
• 12.2. TCS
• 12.3. WNS
• 12.4. NTT Data Corporation
• 12.5. IQVIA Inc.
• 12.6. Mphasis
• 12.7. EXL
• 12.8. HGS Ltd.
• 12.9. Accenture
• 12.10. Xerox Corporation
• 12.11. Concentric Corporation
• 12.12. Genpact
• 12.13. WIPRO Ltd.
• 12.14. HCL Technologies
• 12.15. Other Prominent Players

13. Key Strategic Recommendations

14. Research Methodology

• 14.1. Qualitative Research
  • 14.1.1. Primary & Secondary Research
• 14.2. Quantitative Research
• 14.3. Market Breakdown & Data Triangulation
  • 14.3.1. Secondary Research
  • 14.3.2. Primary Research
• 14.4. Breakdown of Primary Research Respondents, By Region
• 14.5. Assumptions & Limitations