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医療費支払者のための人工知能の世界市場

Artificial Intelligence for Healthcare Payers

出版日
ページ情報
英文 157 Pages
納期
即日から翌営業日
適宜更新あり
価格
価格表記: USDを日本円(税抜)に換算
本日の銀行送金レート: 1USD=146.99円
医療費支払者のための人工知能の世界市場
出版日: 2025年01月27日
発行: Global Industry Analysts, Inc.
ページ情報: 英文 157 Pages
納期: 即日から翌営業日
GIIご利用のメリット
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  • 概要
  • 目次
概要

医療費支払者のための人工知能の世界市場は2030年までに37億米ドルに達する

2024年に23億米ドルと推定される医療費支払者のための人工知能の世界市場は、2024年から2030年にかけてCAGR 8.3％で成長し、2030年には37億米ドルに達すると予測されます。本レポートで分析したセグメントの1つである医療費支払者AIソフトウェアは、CAGR 7.7%を記録し、分析期間終了までに21億米ドルに達すると予測されます。医療費支払者AIサービスセグメントの成長率は、分析期間でCAGR 9.1%と推定されます。

米国市場は6億550万米ドルと推定、中国はCAGR8.1％で成長予測

米国の医療費支払者のための人工知能市場は、2024年に6億550万米ドルと推定されます。世界第2位の経済大国である中国は、分析期間2024-2030年のCAGRを8.1%として、2030年までに5億9,490万米ドルの市場規模に達すると予測されています。その他の注目すべき地域別市場としては、日本とカナダがあり、分析期間中のCAGRはそれぞれ7.6%と7.1%と予測されています。欧州では、ドイツがCAGR約6.8%で成長すると予測されています。

世界の医療費支払者のための人工知能市場- 主要動向と促進要因まとめ

AIは医療費支払者の業務をどのように変革しているか？

人工知能（AI）は、管理プロセスの自動化、意思決定の改善、コスト管理の強化により、医療費支払者の業務に革命をもたらしています。保険会社やマネージドケア組織などの医療費支払者は、請求処理、不正検出、会員サービスなどの複雑なワークフローに対応しています。AIを活用したシステムは、反復的な作業を自動化し、処理時間を短縮し、人的ミスを最小限に抑えることで、こうした業務を合理化します。例えば、AIアルゴリズムはリアルタイムで保険金請求を分析し、不正確さや矛盾を特定することで、より迅速な裁定と効率の向上を実現します。

AIはまた、高度な分析と予測モデリングを通じて、医療費支払者がパーソナライズされたサービスを提供することを可能にしています。人口統計、病歴、行動パターンなどの会員データを分析することで、AIシステムはリスクプロファイルや健康動向に関する洞察を提供します。これらの洞察は、支払者がターゲットを絞ったウェルネス・プログラムを設計し、ベネフィット・プランを最適化し、会員エンゲージメントを向上させるのに役立ちます。プロアクティブでパーソナライズされたケアへのシフトは、会員の満足度を向上させるだけでなく、医療費全体を削減し、AIを医療費支払者のエコシステムに変革をもたらす力にしています。

医療費支払者によるAI導入の促進要因とは？

ヘルスケアシステムの複雑化とコスト抑制の要求の高まりが、医療費支払者によるAI導入の主な促進要因となっています。高齢化と慢性疾患の蔓延による医療費の増加は、支払者にコストを効果的に管理する革新的なソリューションを求めるよう促しています。AIを搭載したツールにより、支払者は高リスク集団を特定し、疾病の進行を予測し、予防措置を実施することが可能になり、制度の財政的負担を軽減することができます。

規制の圧力や、HIPAA（医療保険の相互運用性と説明責任に関する法律）などの基準を遵守する必要性が、AIの採用をさらに後押ししています。AIシステムは、業界規制へのコンプライアンスを確保しながら、データのセキュリティとプライバシーを強化します。さらに、サービスよりもアウトカムを重視する価値ベースのケアモデルの台頭が、ケアの質を測定し最適化できるAIソリューションの必要性を高めています。このような動向は、データの相互運用性やクラウドベースのプラットフォームの進歩と相まって、医療費支払者の業務へのAIの統合を加速させています。

AIは不正行為と闘い、請求管理を改善するのに役立つか？

AIは不正行為に対抗し、医療費支払者の請求管理を強化する上で重要なツールであることが証明されつつあります。不正請求は医療業界に年間数十億の損害を与えており、不正検知は最優先事項となっています。AIを搭載したシステムは、機械学習アルゴリズムを使用して請求データのパターンを分析し、不正、無駄、または乱用を示す可能性のある異常にフラグを立てます。これらのシステムは継続的に学習・改善されるため、支払者は進化する不正の手口を先取りし、金銭的損失を最小限に抑えることができます。

不正検知に加え、AIは複雑なプロセスを自動化し、正確性を確保することで、請求管理を変革しています。自然言語処理（NLP）ツールは、カルテや請求書などの非構造化文書からデータを抽出・解釈し、手作業を減らして請求承認を迅速化します。また、予測分析ツールは、否認される可能性の高い請求を特定し、支払者は問題にプロアクティブに対処し、払い戻しのタイムラインを改善することができます。これらの機能により、業務効率が向上し、支払者と医療提供者の信頼関係が構築されています。

医療費支払者向けAI市場の成長を牽引しているのは？

医療費支払者のための人工知能市場の成長は、現代の複雑なヘルスケアをナビゲートする高度なツールに対するニーズの高まりを反映した、いくつかの重要な要因によって牽引されています。電子カルテ（EHR）、ウェアラブル、その他のデジタルソースから生成されるヘルスケアデータの増加は、AIシステムが実用的な洞察を提供するための豊富な基盤を提供しています。このようなデータを分析し、リアルタイムの意思決定をサポートするAIの能力は、効率と患者のアウトカムの改善を目指す支払者にとって大きな価値を生み出しています。

より迅速で透明性の高いサービスを求める消費者の期待も、AIへの投資を後押ししています。会員は、シームレスな対話、パーソナライズされた体験、迅速な解決を期待しており、AIシステムはワークフローを自動化し、積極的なコミュニケーションを可能にすることでこれを実現します。説明責任とコストの透明性に関する規制上の要件は、報告とコンプライアンスを強化するAIソリューションの採用を医療費支払者にさらに促しています。これらの要因に加えて、AIアルゴリズムとクラウドコンピューティングの継続的な進歩が市場の着実な成長に拍車をかけており、AIは業務の最適化とより良いケアの提供を目指す医療費支払者にとって不可欠な資産となっています。

セグメント

コンポーネント（ソフトウェア・コンポーネント、サービス・コンポーネント）、デプロイメント（クラウドベース・デプロイメント、オンプレミス・デプロイメント）、アプリケーション（クレーム処理最適化アプリケーション、不正検出・防止アプリケーション、収益管理・請求アプリケーション、会員エンゲージメント・パーソナライゼーションアプリケーション、その他アプリケーション）

調査対象企業の例（注目の25社）

  • Accenture Plc
  • AiRo Digital Labs
  • CareCloud, Inc.
  • Cognizant Technology Solutions Corporation
  • Innovaccer, Inc.
  • Optum, Inc.
  • Oracle Corporation
  • Quantiphi, Inc.
  • Softheon

目次

第1章 調査手法

第2章 エグゼクティブサマリー

  • 市場概要
  • 主要企業
  • 市場動向と促進要因
  • 世界市場の見通し

第3章 市場分析

  • 米国
  • カナダ
  • 日本
  • 中国
  • 欧州
  • フランス
  • ドイツ
  • イタリア
  • 英国
  • その他欧州
  • アジア太平洋
  • その他の地域

第4章 競合

目次
Product Code: MCP29246

Global Artificial Intelligence for Healthcare Payers Market to Reach US$3.7 Billion by 2030

The global market for Artificial Intelligence for Healthcare Payers estimated at US$2.3 Billion in the year 2024, is expected to reach US$3.7 Billion by 2030, growing at a CAGR of 8.3% over the analysis period 2024-2030. Healthcare Payers AI Software, one of the segments analyzed in the report, is expected to record a 7.7% CAGR and reach US$2.1 Billion by the end of the analysis period. Growth in the Healthcare Payers AI Services segment is estimated at 9.1% CAGR over the analysis period.

The U.S. Market is Estimated at US$605.5 Million While China is Forecast to Grow at 8.1% CAGR

The Artificial Intelligence for Healthcare Payers market in the U.S. is estimated at US$605.5 Million in the year 2024. China, the world's second largest economy, is forecast to reach a projected market size of US$594.9 Million by the year 2030 trailing a CAGR of 8.1% over the analysis period 2024-2030. Among the other noteworthy geographic markets are Japan and Canada, each forecast to grow at a CAGR of 7.6% and 7.1% respectively over the analysis period. Within Europe, Germany is forecast to grow at approximately 6.8% CAGR.

Global Artificial Intelligence for Healthcare Payers Market - Key Trends & Drivers Summarized

How Is AI Transforming Healthcare Payer Operations?

Artificial Intelligence (AI) is revolutionizing the operations of healthcare payers by automating administrative processes, improving decision-making, and enhancing cost management. Healthcare payers, such as insurance companies and managed care organizations, deal with complex workflows involving claims processing, fraud detection, and member services. AI-powered systems streamline these operations by automating repetitive tasks, reducing processing times, and minimizing human errors. For example, AI algorithms analyze claims in real time to identify inaccuracies or inconsistencies, ensuring faster adjudication and improved efficiency.

AI is also enabling healthcare payers to offer personalized services through advanced analytics and predictive modeling. By analyzing member data, including demographics, medical history, and behavioral patterns, AI systems provide insights into risk profiles and health trends. These insights help payers design targeted wellness programs, optimize benefit plans, and improve member engagement. This shift toward proactive and personalized care is not only improving member satisfaction but also reducing overall healthcare costs, making AI a transformative force in the healthcare payer ecosystem.

What Drives the Adoption of AI by Healthcare Payers?

The growing complexity of healthcare systems and the increasing demand for cost containment are major drivers of AI adoption by healthcare payers. Rising healthcare expenditures, driven by an aging population and the prevalence of chronic diseases, are prompting payers to seek innovative solutions to manage costs effectively. AI-powered tools enable payers to identify high-risk populations, predict disease progression, and implement preventive measures, reducing the financial burden on the system.

Regulatory pressures and the need for compliance with standards such as HIPAA (Health Insurance Portability and Accountability Act) are further encouraging the adoption of AI. AI systems enhance data security and privacy while ensuring compliance with industry regulations. Additionally, the rise of value-based care models, which emphasize outcomes over services, is driving the need for AI solutions that can measure and optimize care quality. These trends, coupled with advancements in data interoperability and cloud-based platforms, are accelerating the integration of AI into healthcare payer operations.

Can AI Help Combat Fraud and Improve Claims Management?

AI is proving to be a critical tool in combating fraud and enhancing claims management for healthcare payers. Fraudulent claims cost the healthcare industry billions annually, making fraud detection a top priority. AI-powered systems use machine learning algorithms to analyze patterns in claims data, flagging anomalies that may indicate fraud, waste, or abuse. These systems continuously learn and improve, enabling payers to stay ahead of evolving fraud tactics and minimize financial losses.

In addition to fraud detection, AI is transforming claims management by automating complex processes and ensuring accuracy. Natural language processing (NLP) tools extract and interpret data from unstructured documents, such as medical records and invoices, reducing manual intervention and speeding up claim approvals. Predictive analytics tools also identify claims likely to be denied, allowing payers to address issues proactively and improve reimbursement timelines. These capabilities are enhancing operational efficiency and building trust between payers and providers.

What’s Driving the Growth of the AI for Healthcare Payers Market?

The growth in the Artificial Intelligence for Healthcare Payers market is driven by several critical factors, reflecting the increasing need for advanced tools to navigate the complexities of modern healthcare. The rise in healthcare data, generated from electronic health records (EHRs), wearables, and other digital sources, is providing a rich foundation for AI systems to deliver actionable insights. AI’s ability to analyze this data and support real-time decision-making is creating significant value for payers seeking to improve efficiency and member outcomes.

Consumer expectations for faster, more transparent services are also driving investments in AI. Members expect seamless interactions, personalized experiences, and quick resolutions, which AI systems deliver by automating workflows and enabling proactive communication. Regulatory requirements for accountability and cost transparency are further pushing healthcare payers to adopt AI solutions that enhance reporting and compliance. These factors, along with continuous advancements in AI algorithms and cloud computing, are fueling the market’s steady growth, establishing AI as an indispensable asset for healthcare payers aiming to optimize operations and deliver better care.

SCOPE OF STUDY:

The report analyzes the Artificial Intelligence for Healthcare Payers market in terms of units by the following Segments, and Geographic Regions/Countries:

Segments:

Component (Software Component, Services Component); Deployment (Cloud-based Deployment, On-Premise Deployment); Application (Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application, Other Applications)

Geographic Regions/Countries:

World; United States; Canada; Japan; China; Europe (France; Germany; Italy; United Kingdom; and Rest of Europe); Asia-Pacific; Rest of World.

Select Competitors (Total 25 Featured) -

  • Accenture Plc
  • AiRo Digital Labs
  • CareCloud, Inc.
  • Cognizant Technology Solutions Corporation
  • Innovaccer, Inc.
  • Optum, Inc.
  • Oracle Corporation
  • Quantiphi, Inc.
  • Softheon

TABLE OF CONTENTS

I. METHODOLOGY

II. EXECUTIVE SUMMARY

  • 1. MARKET OVERVIEW
    • Influencer Market Insights
    • World Market Trajectories
    • Economic Frontiers: Trends, Trials & Transformations
    • Artificial Intelligence for Healthcare Payers - Global Key Competitors Percentage Market Share in 2024 (E)
    • Competitive Market Presence - Strong/Active/Niche/Trivial for Players Worldwide in 2024 (E)
  • 2. FOCUS ON SELECT PLAYERS
  • 3. MARKET TRENDS & DRIVERS
    • AI Adoption Spurs Growth by Enhancing Claims Management and Fraud Detection
    • Predictive AI Tools Propel Growth in Chronic Disease Management Programs
    • AI-Enabled Cost Optimization Solutions Drive Efficiency in Payer Operations
    • Demand for AI in Population Health Management Sets the Stage for Market Growth
    • AI-Powered Payment Automation Bodes Well for Reducing Administrative Overhead
    • Healthcare Payers Embrace AI for Value-Based Care Initiatives, Driving Adoption
    • Real-Time AI Insights Spur Demand for Fraud Prevention in Insurance Processing
    • Integration of AI in Telehealth Solutions Spurs Growth in Member Access Services
    • Growing Need for Real-Time AI Analytics in Care Coordination Drives Innovation
  • 4. GLOBAL MARKET PERSPECTIVE
    • TABLE 1: World Artificial Intelligence for Healthcare Payers Market Analysis of Annual Sales in US$ Million for Years 2015 through 2030
    • TABLE 2: World Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 3: World 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets for Years 2025 & 2030
    • TABLE 4: World Recent Past, Current & Future Analysis for Software Component by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 5: World 6-Year Perspective for Software Component by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 6: World Recent Past, Current & Future Analysis for Services Component by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 7: World 6-Year Perspective for Services Component by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 8: World Recent Past, Current & Future Analysis for Cloud-based Deployment by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 9: World 6-Year Perspective for Cloud-based Deployment by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 10: World Recent Past, Current & Future Analysis for On-Premise Deployment by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 11: World 6-Year Perspective for On-Premise Deployment by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 12: World Recent Past, Current & Future Analysis for Claims Processing Optimization Application by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 13: World 6-Year Perspective for Claims Processing Optimization Application by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 14: World Recent Past, Current & Future Analysis for Fraud Detection & Prevention Application by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 15: World 6-Year Perspective for Fraud Detection & Prevention Application by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 16: World Recent Past, Current & Future Analysis for Revenue Management & Billing Application by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 17: World 6-Year Perspective for Revenue Management & Billing Application by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 18: World Recent Past, Current & Future Analysis for Member Engagement & Personalization Application by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 19: World 6-Year Perspective for Member Engagement & Personalization Application by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030
    • TABLE 20: World Recent Past, Current & Future Analysis for Other Applications by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 21: World 6-Year Perspective for Other Applications by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2025 & 2030

III. MARKET ANALYSIS

  • UNITED STATES
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in the United States for 2025 (E)
    • TABLE 22: USA Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 23: USA 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 24: USA Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 25: USA 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 26: USA Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 27: USA 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • CANADA
    • TABLE 28: Canada Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 29: Canada 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 30: Canada Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 31: Canada 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 32: Canada Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 33: Canada 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • JAPAN
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Japan for 2025 (E)
    • TABLE 34: Japan Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 35: Japan 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 36: Japan Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 37: Japan 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 38: Japan Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 39: Japan 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • CHINA
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in China for 2025 (E)
    • TABLE 40: China Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 41: China 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 42: China Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 43: China 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 44: China Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 45: China 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • EUROPE
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Europe for 2025 (E)
    • TABLE 46: Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Geographic Region - France, Germany, Italy, UK and Rest of Europe Markets - Independent Analysis of Annual Sales in US$ Million for Years 2024 through 2030 and % CAGR
    • TABLE 47: Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Geographic Region - Percentage Breakdown of Value Sales for France, Germany, Italy, UK and Rest of Europe Markets for Years 2025 & 2030
    • TABLE 48: Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 49: Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 50: Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 51: Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 52: Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 53: Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • FRANCE
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in France for 2025 (E)
    • TABLE 54: France Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 55: France 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 56: France Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 57: France 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 58: France Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 59: France 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • GERMANY
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Germany for 2025 (E)
    • TABLE 60: Germany Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 61: Germany 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 62: Germany Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 63: Germany 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 64: Germany Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 65: Germany 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • ITALY
    • TABLE 66: Italy Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 67: Italy 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 68: Italy Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 69: Italy 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 70: Italy Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 71: Italy 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • UNITED KINGDOM
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in the United Kingdom for 2025 (E)
    • TABLE 72: UK Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 73: UK 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 74: UK Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 75: UK 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 76: UK Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 77: UK 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • REST OF EUROPE
    • TABLE 78: Rest of Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 79: Rest of Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 80: Rest of Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 81: Rest of Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 82: Rest of Europe Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 83: Rest of Europe 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • ASIA-PACIFIC
    • Artificial Intelligence for Healthcare Payers Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Asia-Pacific for 2025 (E)
    • TABLE 84: Asia-Pacific Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 85: Asia-Pacific 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 86: Asia-Pacific Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 87: Asia-Pacific 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 88: Asia-Pacific Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 89: Asia-Pacific 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030
  • REST OF WORLD
    • TABLE 90: Rest of World Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Component - Software Component and Services Component - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 91: Rest of World 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Component - Percentage Breakdown of Value Sales for Software Component and Services Component for the Years 2025 & 2030
    • TABLE 92: Rest of World Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Deployment - Cloud-based Deployment and On-Premise Deployment - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 93: Rest of World 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Deployment - Percentage Breakdown of Value Sales for Cloud-based Deployment and On-Premise Deployment for the Years 2025 & 2030
    • TABLE 94: Rest of World Recent Past, Current & Future Analysis for Artificial Intelligence for Healthcare Payers by Application - Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications - Independent Analysis of Annual Sales in US$ Million for the Years 2024 through 2030 and % CAGR
    • TABLE 95: Rest of World 6-Year Perspective for Artificial Intelligence for Healthcare Payers by Application - Percentage Breakdown of Value Sales for Claims Processing Optimization Application, Fraud Detection & Prevention Application, Revenue Management & Billing Application, Member Engagement & Personalization Application and Other Applications for the Years 2025 & 2030

IV. COMPETITION