ヘルスケアペイヤーサービス市場：サービスタイプ別、用途別、エンドユーザー別、地域別

世界のヘルスケアペイヤーサービス市場は、2024年には760億5,000万米ドルと推定され、2031年には1,430億6,000万米ドルに達すると予測され、2024～2031年のCAGRは9.4%です。

図.ヘルスケアペイヤーサービス市場シェア（%）（2024年、地域別）

ヘルスケアペイヤーサービス市場の世界の成長は、収益サイクル業務の全体的な効率改善にヘルスケアペイヤーとプロバイダーがますます注力するようになったことが原動力となっています。ヘルスケアペイヤーは、競争優位性を獲得するために、顧客サービスの向上とエンゲージメントの提供を重視しています。さらに、医療保険制度の利用が増加し、医療費の自己負担が増加していることも、効率的な支払サービスの需要を押し上げています。さまざまなサービス・プロバイダーが先進的なソリューションを開発・導入しており、支払者が移り変わる収益の流れを管理し、請求処理を最適化し、管理ワークフローを合理化し、コストを削減できるよう支援しています。

市場力学：

世界のヘルスケアペイヤーサービス市場の成長を牽引しているのは、医療費上昇の抑制と収益性の向上に対する関心の高まりです。支払者は経費削減のため、非中核業務を第三者機関（TPA）やその他のサービスプロバイダーにアウトソーシングする傾向が強まっています。さらに、医療保険を必要とする高齢者人口の増加とともに慢性疾患が急増し、効率的な請求処理・管理の需要が高まっています。しかし、機密性の高い患者データの取り扱いに関連するセキュリティ上の懸念や、レガシーシステムと新しいソリューションとの統合の難しさが、市場の成長を妨げる可能性があります。クラウドベースプラットフォームの利用増加や人工知能などの先端技術の出現は、近い将来、市場参入企業に有利な機会を提供する可能性があります。

本調査の主要特徴

• 本レポートでは、世界のヘルスケアペイヤーサービス市場を詳細に分析し、2023年を基準年とした予測期間（2024～2031年）の市場規模（10億米ドル）と年間平均成長率（CAGR%）を掲載しています。
• また、さまざまなセグメントにわたる潜在的な収益機会を明らかにし、この市場の魅力的な投資提案マトリクスについて解説しています。
• また、市場促進要因、抑制要因、機会、新製品の上市や承認、市場動向、地域別の展望、主要企業が採用する競争戦略などに関する重要な考察も提供しています。
• 企業ハイライト、製品ポートフォリオ、主要なハイライト、財務実績、戦略などのパラメータに基づいて、世界のヘルスケアペイヤーサービス市場の主要企業プロファイルを掲載しています。
• 本レポートから洞察により、マーケティング担当者や企業の経営陣は、将来の製品発売、タイプアップ、市場拡大、マーケティング戦術に関する情報に基づいた意思決定を行うことができます。
• 世界のヘルスケアペイヤーサービス市場レポートは、投資家、サプライヤー、製品メーカー、流通業者、新規参入者、財務アナリストなど、この業界の様々な利害関係者に対応しています。
• 利害関係者は、世界のヘルスケアペイヤーサービス市場分析に使用される様々な戦略マトリックスを通じて、意思決定を容易にすることができます。

目次

第1章 調査の目的と前提条件

• 調査目的
• 前提条件
• 略語

第2章 市場展望

• レポートの説明
  • 市場の定義と範囲
• エグゼクティブ概要
• 一貫型機会マップ（COM）

第3章 市場力学、規制、動向分析

• 市場力学
  • 促進要因
  • 抑制要因
  • 機会
• 影響分析
• 市場動向
• 規制シナリオ
• 買収と提携のシナリオ
• 資金調達と投資
• PEST分析
• ポーターの分析

第4章 世界のヘルスケアペイヤーサービス市場-コロナウイルス（COVID-19）パンデミックの影響

• 全体的な影響
• 政府の取り組み
• COVID-19による市場への影響

第5章 世界のヘルスケアペイヤーサービス市場、サービスタイプ別、2019～2031年（10億米ドル）

• イントロダクション
• ビジネスプロセスアウトソーシング
• 情報技術アウトソーシング
• ナレッジプロセスアウトソーシング

第6章 世界のヘルスケアペイヤーサービス市場、用途別、2019～2031年（10億米ドル）

• イントロダクション
• 請求管理サービス
• 統合フロントオフィスサービスとバックオフィス業務
• 会員管理サービス
• プロバイダー管理サービス
• 請求と口座管理サービス
• 分析と不正管理サービス
• 人事サービス
• 決済管理サービス
• 監査と分析システム

第7章 世界のヘルスケアペイヤーサービス市場、エンドユーザー別、2019～2031年（10億米ドル）

• イントロダクション
• 民間ペイヤー
• 公的ペイヤー

第8章 世界のヘルスケアペイヤーサービス市場、地域別、2019～2031年（10億米ドル）

• イントロダクション
• ラテンアメリカ
• 欧州
• アジア太平洋
• 中東

第9章 競合情勢

• 企業プロファイル
  • Accenture PLC
  • Institute BCN Esthetics SL
  • Hewlett-Packard
  • Dell, Inc.
  • Zeomega
  • Verisk Analytics, Inc.
  • UNITEDHEALTH GROUP
  • NXGN Management, LLC
  • MCKESSON CORPORATION
  • IBM Corporation
  • Epic Systems Corporation
  • eClinicalWorks
  • Cerner Corporation
  • Allscripts Healthcare Solutions, Inc.
  • Aetna, Inc.
  • Cognizant
  • Accenture
  • DXC Technology Company
  • Wipro

第10章 アナリストの推奨事項

• 隆盛と衰退
• 一貫型機会マップ

第11章 参考文献と調査手法

• 参考文献
• 調査手法

Global healthcare payer services market is estimated to be valued at USD 76.05 Bn in 2024 and is expected to reach USD 143.06 Bn by 2031, exhibiting a compound annual growth rate (CAGR) of 9.4% from 2024 to 2031.

Figure. Healthcare Payer Services Market Share (%), By Region 2024

Global healthcare payer services market growth is driven by increasing focus of healthcare payers and providers on improving the overall efficiency of revenue cycle operations. Healthcare payers are emphasizing on offering improved customer services and engagement to gain a competitive edge. Moreover, growing utilization of healthcare insurance schemes and rising out-of-pocket medical expenses boosts demand for efficient payer services. Various service providers are developing and deploying advanced solutions to help payers manage shifting revenue streams, optimize claims processing, streamline administration workflows, and reduce costs.

Market Dynamics:

Global healthcare payer services market growth is driven by growing focus on curbing rising healthcare costs and improving profitability. Payers are increasingly outsourcing non-core operations to Third Party Administrators (TPAs) and other service providers to reduce expenses. Furthermore, proliferation of chronic illnesses along with rising geriatric population requiring medical insurance can boost demand for efficient claims processing and management. However, security concerns related to handling sensitive patient data and difficulties in integrating legacy systems with new solutions can hamper the market growth. Increasing uptake of cloud-based platforms and the emergence of advanced technologies, such as artificial intelligence, can offer lucrative opportunities for market players in the near future.

Key Features of the Study:

• This report provides in-depth analysis of the global healthcare payer services market, and provides market size (USD Billion) and compound annual growth rate (CAGR%) for the forecast period (2024-2031), considering 2023 as the base year
• It elucidates potential revenue opportunities across different segments and explains attractive investment proposition matrices for this market
• This study also provides key insights about market drivers, restraints, opportunities, new product launches or approval, market trends, regional outlook, and competitive strategies adopted by key players
• It profiles key players in the global healthcare payer services market based on the following parameters - company highlights, products portfolio, key highlights, financial performance, and strategies
• Key companies covered as a part of this study include UnitedHealth Group, Anthem, Inc., Aetna Inc., Humana Inc., Centene Corporation
• Insights from this report would allow marketers and the management authorities of the companies to make informed decisions regarding their future product launches, type up-gradation, market expansion, and marketing tactics
• Global healthcare payer services market report caters to various stakeholders in this industry including investors, suppliers, product manufacturers, distributors, new entrants, and financial analysts
• Stakeholders would have ease in decision-making through various strategy matrices used in analyzing the global healthcare payer services market

Detailed Segmentation-

• By Service Type
  • Business Process Outsourcing
  • Information Technology Outsourcing
  • Knowledge Process Outsourcing
• By Application
  • Claims Management Services
  • Integrated Front Office Service and Back Office Operations
  • Member Management Services
  • Provider Management Services
  • Billing and Accounts Management Services
  • Analytics and Fraud Management Services
  • HR Services
  • Payment Management Services
  • Audit and Analysis Systems
• By End User
  • Private Payers
  • Public Payers
• By Region
  • North America
  • Europe
  • Asia Pacific
  • Latin America
  • Middle East
  • Africa
• Company Profiles:
  • Accenture PLC
  • Institute BCN Esthetics S.L.
  • Hewlett-Packard
  • Dell, Inc.
  • Zeomega
  • Verisk Analytics, Inc.
  • UNITEDHEALTH GROUP
  • NXGN Management, LLC
  • MCKESSON CORPORATION
  • IBM Corporation
  • Epic Systems Corporation
  • eClinicalWorks
  • Cerner Corporation
  • Allscripts Healthcare Solutions, Inc.
  • Aetna, Inc.
  • Cognizant
  • Accenture
  • DXC Technology Company
  • Wipro

Table of Contents

1. Research Objectives and Assumptions

• Research Objectives
• Assumptions
• Abbreviations

2. Market Purview

• Report Description
  • Market Definition and Scope
• Executive Summary
  • Market Snapshot, By Service Type
  • Market Snapshot, By Application
  • Market Snapshot, By End User
  • Market Snapshot, By Region
• Coherent Opportunity Map (COM)

3. Market Dynamics, Regulations, and Trends Analysis

• Market Dynamics
  • Drivers
  • Restraints
  • Opportunities
• Impact Analysis
• Market Trends
• Key Developments
• Regulatory Scenario
• Acquisitions and Partnerships Scenario
• Funding and Investments
• PEST Analysis
• Porter's Analysis

4. Global Healthcare Payer Services Market - Impact of Coronavirus (COVID-19) Pandemic

• Overall Impact
• Government Initiatives
• COVID-19 Impact on the Market

5. Global Healthcare Payer Services Market, By Service Type, 2019 - 2031, (USD Bn)

• Overview
  • Market Share Analysis, 2024 and 2031 (%)
  • Y-o-Y Growth Analysis, 2019 - 2031
  • Segment Trends
• Business Process Outsourcing
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)
• Information Technology Outsourcing
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)
• Knowledge Process Outsourcing
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)

6. Global Healthcare Payer Services Market, By Application, 2019 - 2031, (USD Bn)

• Overview
  • Market Share Analysis, 2024 and 2031 (%)
  • Y-o-Y Growth Analysis, 2019 - 2031
  • Segment Trends
• Claims Management Services
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)
• Integrated Front Office Service and Back Office Operations
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)
• Member Management Services
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)
• Provider Management Services
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)
• Billing and Accounts Management Services
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)
• Analytics and Fraud Management Services
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)
• HR Services
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)
• Payment Management Services
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)
• Audit and Analysis Systems
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)

7. Global Healthcare Payer Services Market, By End User, 2019 - 2031, (USD Bn)

• Overview
  • Market Share Analysis, 2024 and 2031 (%)
  • Y-o-Y Growth Analysis, 2019 - 2031
  • Segment Trends
• Private Payers
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)
• Public Payers
  • Overview
  • Market Size and Forecast, and Y-o-Y Growth, 2019-2031, (USD Bn)

8. Global Healthcare Payer Services Market, By Region, 2019 - 2031, (USD Bn)

• Introduction
  • Market Share Analysis, By Region, 2024 and 2031 (%)
  • Y-o-Y Growth Analysis, For Region, 2019-2031
  • Regional Trends
    • North America
  • Introduction
  • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By Application, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By End User, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 - 2031, (USD Bn)
    • U.S.
    • Canada
• Latin America
  • Introduction
  • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By Application, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By End User, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 - 2031, (USD Bn)
    • Brazil
    • Mexico
    • Argentina
    • Rest of Latin America
• Europe
  • Introduction
  • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By Application, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By End User, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 - 2031, (USD Bn)
    • U.K.
    • Germany
    • Italy
    • France
    • Spain
    • Russia
    • Rest of Europe
• Asia Pacific
  • Introduction
  • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By Application, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By End User, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 - 2031, (USD Bn)
    • China
    • India
    • Japan
    • ASEAN
    • Australia
    • South Korea
    • Rest of Asia Pacific
• Middle East
  • Introduction
  • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By Application, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By End User, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By Country, 2019 - 2031, (USD Bn)
    • GCC Countries
    • Israel
    • Rest of Middle East
    • Africa
  • Introduction
  • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By Application, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By End User, 2019 - 2031, (USD Bn)
  • Market Size and Forecast, and Y-o-Y Growth, By Country/Region, 2019 - 2031, (USD Bn)
    • North Africa
    • Central Africa
    • South Africa

9. Competitive Landscape

• Company Profiles
  • Accenture PLC
    • Company Highlights
    • Product Portfolio
    • Key Highlights
    • Financial Performance
    • Market Strategies
  • Institute BCN Esthetics S.L.
    • Company Highlights
    • Product Portfolio
    • Key Highlights
    • Financial Performance
    • Market Strategies
  • Hewlett-Packard
    • Company Highlights
    • Product Portfolio
    • Key Highlights
    • Financial Performance
    • Market Strategies
  • Dell, Inc.
    • Company Highlights
    • Product Portfolio
    • Key Highlights
    • Financial Performance
    • Market Strategies
  • Zeomega
    • Company Highlights
    • Product Portfolio
    • Key Highlights
    • Financial Performance
    • Market Strategies
  • Verisk Analytics, Inc.
    • Company Highlights
    • Product Portfolio
    • Key Highlights
    • Financial Performance
    • Market Strategies
  • UNITEDHEALTH GROUP
    • Company Highlights
    • Product Portfolio
    • Key Highlights
    • Financial Performance
    • Market Strategies
  • NXGN Management, LLC
  • MCKESSON CORPORATION
  • IBM Corporation
  • Epic Systems Corporation
  • eClinicalWorks
  • Cerner Corporation
  • Allscripts Healthcare Solutions, Inc.
  • Aetna, Inc.
  • Cognizant
  • Accenture
  • DXC Technology Company
  • Wipro

10. Analyst Recommendations

• Wheel of Fortune
• Analyst View
• Coherent Opportunity Map

11. References and Research Methodology

• References
• Research Methodology
• About us and Sales Contact