ヘルスケアペイヤー向けAIの市場規模、シェア、動向分析レポート：コンポーネント別、展開別、用途別、地域別、セグメント別予測、2024年～2030年

ヘルスケアペイヤー向けAI市場の成長と動向：

Grand View Research, Inc.の最新レポートによると、世界のヘルスケアペイヤー向けAI市場規模は2030年までに35億8,000万米ドルに達すると予測され、2024年から2030年までのCAGRは9.40％で成長すると予測されています。

急速に進化するヘルスケアの状況において、人工知能（AI）はヘルスケアペイヤー市場において変革の力として台頭しています。保険会社やその他のヘルスケアペイヤーが業務効率の向上、コスト削減、患者転帰の改善に努める中、AIの役割はますます重要になってきています。

ヘルスケア業界は、コストの上昇、患者の期待の高まり、より質の高いケアへの要求といった複雑な課題に直面しています。患者、医療提供者、利害関係者の交差点に位置するヘルスケア支払者は、財政を管理し、必要不可欠なサービスへのアクセスを保証します。これらの事業体は、ジェネレーティブAIのような先進技術を活用して、業務効率を高め、意思決定を改善し、優れた価値を提供しています。

ヘルスケアの請求処理は、しばしば支払者にとって大きなボトルネックとなり、遅延、エラー、非効率が蔓延しています。2024年4月に発表されたQuantiphiの記事によると、米国医師会（AMA）の報告によると、医療保険会社の平均請求エラー率は19.3％で、回避可能な管理コストが年間約170億米ドル発生しています。このような非効率性はヘルスケアシステムに負担をかけ、遅延や追加的な管理作業によって患者や医師に不満を与えています。ジェネレーティブAIのような技術は、過去のデータを分析してパターンを特定し、請求プロセスを合理化してエラーを減らし、業務効率を高めることで解決策を提供します。この技術により、ヘルスケア支払者は生産性を向上させ、利害関係者のニーズをよりよく満たすことができ、最終的には関係者全員の転帰を改善することができます。

自動判定率の向上に対する要求の高まりは、管理コストの削減と業務効率の改善の必要性と相まって、ヘルスケア支払者の間でAIソリューションの採用を促進しています。HealthEdge Software, Inc.が2024年1月に実施した調査によると、支払者の69%は、請求の20%以上が自動判定されていないことを経験しています。この不足分は大量の請求につながり、手作業による処理や二次編集ソリューションが必要となります。機械学習と自然言語処理を活用することで、AIは請求を正確に処理し、手作業の必要性を減らし、エラーを最小限に抑えることができます。これにより、管理コストが削減され、クレーム処理サイクルが加速し、全体的な効率と顧客満足度が向上します。

AIを活用した保険金請求管理および保険契約編集ソリューションを提供する企業は、このような需要を取り込むのに有利な立場にあり、自動化の強化とコスト削減を通じて支払者に大きな価値を提供します。その結果、こうした非効率性と高コストに対処することが、ヘルスケアペイヤー市場におけるAI技術の成長と採用の重要な促進要因となっています。

ヘルスケアペイヤー向けAI市場レポートハイライト

• コンポーネント別では、ソフトウェア分野が2023年に58.0%超の最大市場シェアを占めました。このセグメントは、請求処理、不正検出、パーソナライズされた会員エンゲージメントにおける自動化需要の増加により、予測期間中に最も速いCAGRで成長すると予想されます。これらの進歩は業務効率を高め、コストを削減し、意思決定を改善します。
• 展開に基づくと、クラウド分野は2023年に最大の収益シェアを占め、予測期間中に最も速いCAGRで成長すると予想されます。これは、ヘルスケア業界でクラウドベースの技術の採用が拡大しているためです。
• 用途別では、クレーム処理最適化分野が2023年に最大の収益シェアを占めました。これは、請求処理の複雑化、ヘルスケア支払者業務の効率化と精度向上に対する需要に起因しています。
• 2023年、北米がヘルスケア支払者向けAIの世界産業で最大の収益シェアを占めました。この成長は、医療費の増加、先進技術の採用、ヘルスケアインフラの近代化に起因しています。アジア太平洋地域は、予測期間中に最も速いCAGRで成長すると予想されています。

目次

第1章 調査手法と範囲

第2章 エグゼクティブサマリー

第3章 ヘルスケアペイヤー向けAI市場の変数、動向、範囲

• 市場系統の見通し
  • 親市場の見通し
  • 関連/付随市場の見通し
• 市場力学
  • 市場牽引要因分析
  • 市場抑制要因分析
• ヘルスケア保険市場分析ツール向けAI
  • 業界分析- ポーターのファイブフォース分析
  • PESTEL分析

第4章 ヘルスケアペイヤー向けAI市場：コンポーネント別推定・動向分析

• 定義と範囲
• セグメントダッシュボード
• ヘルスケアペイヤー向けAI市場変動分析
• ヘルスケアペイヤー向けAI市場規模と動向分析（コンポーネント別、2018～2030年）

第5章 ヘルスケアペイヤー向けAI市場：展開別推定・動向分析

• 定義と範囲
• セグメントダッシュボード
• ヘルスケアペイヤー向けAI市場変動分析
• ヘルスケアペイヤー向けAI市場規模と動向分析（展開別、2018～2030年）

第6章 ヘルスケアペイヤー向けAI市場：用途別推定・動向分析

• 定義と範囲
• セグメントダッシュボード
• ヘルスケアペイヤー向けAI市場変動分析
• ヘルスケアペイヤー向けAI市場規模と動向分析（用途別、2018～2030年）

第7章 ヘルスケアペイヤー向けAI市場：コンポーネント、展開、アプリケーション別の地域推定・動向分析

• 地域市場ダッシュボード
• 世界地域市場スナップショット
• 市場規模と予測動向分析、2018年から2030年
• 北米
• 欧州
• アジア太平洋地域
• ラテンアメリカ
• 中東・アフリカ

第8章 競合情勢

• 主要市場参入企業による最近の動向と影響分析
• 企業/競合の分類
  • イノベーター
• ベンダー情勢
  • 主要ディストリビューターおよびチャネルパートナーのリスト
  • 主要顧客
  • 主要企業の市場シェア分析、2023年
  • 企業プロファイル
  • Nuance Communications (Microsoft)
  • AiRo Digital Labs
  • Accenture
  • Cognizant
  • Codoxo
  • CareCloud, Inc.
  • Hexaware Technologies Limited
  • Oracle
  • MST Solutions, L.L.C.
  • Innovaccer, Inc.
  • Amelia US LLC
  • R1 RCM Inc
  • Optum
  • Quantiphi
  • Softheon

List of Tables

• Table 1 List of Abbreviations
• Table 2 North America AI for Healthcare Payer Market, By Region, 2018 - 2030 (USD Million)
• Table 3 North America AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 4 North America AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 5 North America AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 6 U.S. AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 7 U.S. AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 8 U.S. AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 9 Canada AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 10 Canada AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 11 Canada AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 12 Europe AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 13 Europe AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 14 Europe AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 15 UK AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 16 UK AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 17 UK AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 18 Germany AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 19 Germany AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 20 Germany AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 21 France AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 22 France AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 23 France AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 24 Italy AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 25 Italy AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 26 Italy AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 27 Spain AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 28 Spain AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 29 Spain AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 30 Sweden AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 31 Sweden AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 32 Sweden AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 33 Denmark AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 34 Denmark AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 35 Denmark AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 36 Norway AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 37 Norway AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 38 Norway AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 39 Asia Pacific AI for Healthcare Payer Market, By Region, 2018 - 2030 (USD Million)
• Table 40 Asia Pacific AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 41 Asia Pacific AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 42 Asia Pacific AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 43 Japan AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 44 Japan AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 45 Japan AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 46 China AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 47 China AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 48 China AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 49 India AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 50 India AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 51 India AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 52 Australia AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 53 Australia AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 54 Australia AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 55 Thailand AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 56 Thailand AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 57 Thailand AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 58 South Korea AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 59 South Korea AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 60 South Korea AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 61 Latin America AI for Healthcare Payer Market, By Region, 2018 - 2030 (USD Million)
• Table 62 Latin America AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 63 Latin America AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 64 Latin America AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 65 Brazil AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 66 Brazil AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 67 Brazil AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 68 Mexico AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 69 Mexico AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 70 Mexico AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 71 Argentina AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 72 Argentina AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 73 Argentina AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 74 MEA AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 75 MEA AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 76 MEA AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 77 Saudi Arabia AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 78 Saudi Arabia AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 79 Saudi Arabia AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 80 South Africa AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 81 South Africa AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 82 South Africa AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 83 UAE AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 84 UAE AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 85 UAE AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)
• Table 86 Kuwait AI for Healthcare Payer Market, By Component 2018 - 2030 (USD Million)
• Table 87 Kuwait AI for Healthcare Payer Market, By Deployment 2018 - 2030 (USD Million)
• Table 88 Kuwait AI for Healthcare Payer Market, By Application 2018 - 2030 (USD Million)

List of Figures

• Fig. 1 Market research process
• Fig. 2 Data triangulation techniques
• Fig. 3 Primary research pattern
• Fig. 4 Market research approaches
• Fig. 5 Value-chain-based sizing & forecasting
• Fig. 6 QFD modeling for market share assessment
• Fig. 7 Market formulation & validation
• Fig. 8 AI for Healthcare payer: market outlook
• Fig. 9 AI for Healthcare payer competitive insights
• Fig. 10 Parent market outlook
• Fig. 11 Related/ancillary market outlook
• Fig. 12 Penetration and growth prospect mapping
• Fig. 13 Industry value chain analysis
• Fig. 14 AI for healthcare payer market driver impact
• Fig. 15 AI for healthcare payer market restraint impact
• Fig. 16 AI for healthcare payer market strategic initiatives analysis
• Fig. 17 AI for healthcare payer market: Component movement analysis
• Fig. 18 AI for healthcare payer market: Component outlook and key takeaways
• Fig. 19 Software market estimates and forecasts, 2018 - 2030
• Fig. 20 Services market estimates and forecasts, 2018 - 2030
• Fig. 21 AI for healthcare payer market: Deployment mode movement analysis
• Fig. 22 AI for healthcare payer market: Deployment mode outlook and key takeaways
• Fig. 23 Cloud market estimates and forecasts, 2018 - 2030
• Fig. 24 On-premise market estimates and forecasts, 2018 - 2030
• Fig. 25 AI for healthcare payer market: Application movement analysis
• Fig. 26 AI for healthcare payer market: Application outlook and key takeaways
• Fig. 27 Claims processing optimization market estimates and forecasts, 2018 - 2030
• Fig. 28 Fraud detection and prevention market estimates and forecasts, 2018 - 2030
• Fig. 29 Revenue management and billing market estimates and forecasts, 2018 - 2030
• Fig. 30 Member engagement and personalization market estimates and forecasts, 2018 - 2030
• Fig. 31 Others market estimates and forecasts, 2018 - 2030
• Fig. 32 Global AI for healthcare payer market: Regional movement analysis
• Fig. 33 Global AI for healthcare payer market: Regional outlook and key takeaways
• Fig. 34 North America market estimates and forecasts, 2018 - 2030
• Fig. 35 U.S. market estimates and forecasts, 2018 - 2030
• Fig. 36 Canada market estimates and forecasts, 2018 - 2030
• Fig. 37 Mexico market estimates and forecasts, 2018 - 2030
• Fig. 38 Europe market estimates and forecasts, 2018 - 2030
• Fig. 39 U.K. market estimates and forecasts, 2018 - 2030
• Fig. 40 Germany market estimates and forecasts, 2018 - 2030
• Fig. 41 France market estimates and forecasts, 2018 - 2030
• Fig. 42 Italy market estimates and forecasts, 2018 - 2030
• Fig. 43 Spain market estimates and forecasts, 2018 - 2030
• Fig. 44 Denmark market estimates and forecasts, 2018 - 2030
• Fig. 45 Sweden market estimates and forecasts, 2018 - 2030
• Fig. 46 Norway market estimates and forecasts, 2018 - 2030
• Fig. 47 Asia Pacific market estimates and forecasts, 2018 - 2030
• Fig. 48 Japan market estimates and forecasts, 2018 - 2030
• Fig. 49 China market estimates and forecasts, 2018 - 2030
• Fig. 50 India market estimates and forecasts, 2018 - 2030
• Fig. 51 Australia market estimates and forecasts, 2018 - 2030
• Fig. 52 Thailand market estimates and forecasts, 2018 - 2030
• Fig. 53 South Korea market estimates and forecasts, 2018 - 2030
• Fig. 54 Latin America market estimates and forecasts, 2018 - 2030
• Fig. 55 Brazil market estimates and forecasts, 2018 - 2030
• Fig. 56 Argentina market estimates and forecasts, 2018 - 2030
• Fig. 57 Middle East and Africa market estimates and forecasts, 2018 - 2030
• Fig. 58 South Africa market estimates and forecasts, 2018 - 2030
• Fig. 59 Saudi Arabia market estimates and forecasts, 2018 - 2030
• Fig. 60 UAE market estimates and forecasts, 2018 - 2030
• Fig. 61 Kuwait market estimates and forecasts, 2018 - 2030

AI For Healthcare Payer Market Growth & Trends:

The global AI for healthcare payer market size is expected to reach USD 3.58 billion by 2030 and is projected to grow at a CAGR of 9.40% from 2024 to 2030, according to a new report by Grand View Research, Inc. In the rapidly evolving landscape of healthcare, Artificial Intelligence (AI) is emerging as a transformative force within the healthcare payer market. As insurers and other healthcare payers strive to enhance operational efficiency, reduce costs, and improve patient outcomes, AI's role is becoming increasingly pivotal.

The healthcare industry faces complex challenges such as rising costs, increasing patient expectations, and the demand for higher-quality care. Healthcare payers, situated at the intersection of patients, providers, and stakeholders, manage finances and ensure access to essential services. These entities are leveraging advanced technologies like generative AI to enhance operational efficiency, improve decision-making, and deliver superior value.

Handling healthcare claims often creates significant bottlenecks for payers, with delays, errors, and inefficiencies prevalent. According to a Quantiphi article published in April 2024, the American Medical Association (AMA) reports that the average claim error rate among health insurers is 19.3%, resulting in approximately USD 17 billion in avoidable administrative costs annually. These inefficiencies burden the healthcare system and cause frustration for patients and physicians due to delays and additional administrative work. Technologies such as generative AI offer a solution by analyzing historical data to identify patterns, streamlining the claims process, reducing errors, and enhancing operational efficiency. This technology enables healthcare payers to increase productivity and better meet stakeholders' needs, ultimately improving outcomes for all involved.

The increasing demand for higher auto-adjudication rates, coupled with the need to reduce administrative costs and improve operational efficiency, is driving the adoption of AI solutions among healthcare payers. According to a survey conducted by HealthEdge Software, Inc. in January 2024, 69% of payers experience over 20% of their claims not being auto-adjudicated. This shortfall results in a high volume of claims, necessitating manual processing and secondary editing solutions. By leveraging machine learning and natural language processing, AI can accurately process claims, reduce the need for manual intervention, and minimize errors. This lowers administrative costs and accelerates the claims processing cycle, improving overall efficiency and customer satisfaction.

Companies providing AI-powered claims management and policy editing solutions are well-positioned to capitalize on this demand, offering significant value to payers through enhanced automation and cost savings. Consequently, addressing these inefficiencies and high costs is a critical driver for the growth and adoption of AI technologies in the healthcare payer market.

AI For Healthcare Payer Market Report Highlights:

• Based on component, the software segment held the largest market share of over 58.0% in 2023. This segment is expected to grow at the fastest CAGR during the forecast period, driven by the increasing demand for automation in claims processing, fraud detection, and personalized member engagement. These advancements enhance operational efficiency, reduce costs, and improve decision-making.
• Based on deployment, the cloud segment held the largest revenue share in 2023 and is expected to grow at the fastest CAGR over the forecast period. This can be attributed to the growing adoption of cloud-based technologies within the healthcare industry.
• Based on application, the claims processing optimization segment held the largest revenue share in 2023. This can be attributed to the increasing complexity of claim processing and the demand for efficiency and improved accuracy in healthcare payer operations.
• In 2023, North America dominated the global AI for healthcare payer industry with the largest revenue share. This growth can be attributed to rising healthcare expenditures, adoption of advanced technologies, and modernization of healthcare infrastructure. The Asia Pacific region is expected to grow at the fastest CAGR over the forecast period.

Table of Contents

Chapter 1. Methodology and Scope

• 1.1. Market Segmentation & Scope
• 1.2. Research Methodology
• 1.3. Information Procurement
  • 1.3.1. Purchased database
  • 1.3.2. GVR's internal database
  • 1.3.3. Secondary sources
  • 1.3.4. Primary research
  • 1.3.5. Details of primary research
    • 1.3.5.1. Data for primary interviews in North America
    • 1.3.5.2. Data for primary interviews in Europe
    • 1.3.5.3. Data for primary interviews in Asia Pacific
    • 1.3.5.4. Data for primary interviews in Latin America
    • 1.3.5.5. Data for Primary interviews in MEA
• 1.4. Information or Data Analysis
  • 1.4.1. Data analysis models
• 1.5. Market Formulation & Data Validation
• 1.6. Model Details
  • 1.6.1. Commodity flow analysis (Model 1)
  • 1.6.2. Approach 1: Commodity flow approach
  • 1.6.3. Volume price analysis (Model 2)
  • 1.6.4. Approach 2: Volume price analysis
• 1.7. List of Secondary Sources
• 1.8. List of Primary Sources
• 1.9. Objectives

Chapter 2. Executive Summary

• 2.1. Market Outlook
• 2.2. Segment Outlook
  • 2.2.1. Component outlook
  • 2.2.2. Deployment outlook
  • 2.2.3. Application outlook
  • 2.2.4. Regional outlook
• 2.3. Competitive Insights

Chapter 3. AI for Healthcare Payer Market Variables, Trends & Scope

• 3.1. Market Lineage Outlook
  • 3.1.1. Parent market outlook
  • 3.1.2. Related/ancillary market outlook
• 3.2. Market Dynamics
  • 3.2.1. Market driver analysis
    • 3.2.1.1. Increasing focus on enhanced patient care
    • 3.2.1.2. Increasing healthcare claim cost
    • 3.2.1.3. Technological advancements
  • 3.2.2. Market restraint analysis
    • 3.2.2.1. Regulatory Compliance Challenges
    • 3.2.2.2. Data Quality and Standardization Issues
• 3.3. AI for Healthcare Payer Market Analysis Tools
  • 3.3.1. Industry Analysis - Porter's
    • 3.3.1.1. Supplier power
    • 3.3.1.2. Buyer power
    • 3.3.1.3. Substitution threat
    • 3.3.1.4. Threat of new entrant
    • 3.3.1.5. Competitive rivalry
  • 3.3.2. PESTEL Analysis
    • 3.3.2.1. Political landscape
    • 3.3.2.2. Technological landscape
    • 3.3.2.3. Economic landscape
    • 3.3.2.4. Social landscape
    • 3.3.2.5. Legal landscape

Chapter 4. AI for Healthcare Payer Market: Offering Estimates & Trend Analysis

• 4.1. Definitions and Scope
• 4.2. Segment Dashboard
• 4.3. AI for Healthcare Payer Market Movement Analysis
• 4.4. AI for Healthcare Payer Market Size & Trend Analysis, by Component, 2018 to 2030 (USD Million)
  • 4.4.1. Software
    • 4.4.1.1. Market estimates and forecast 2018 to 2030 (USD Million)
  • 4.4.2. Services
    • 4.4.2.1. Market estimates and forecast 2018 to 2030 (USD Million)

Chapter 5. AI for Healthcare Payer Market: Deployment Estimates & Trend Analysis

• 5.1. Definitions and Scope
• 5.2. Segment Dashboard
• 5.3. AI for Healthcare Payer Market Movement Analysis
• 5.4. AI for Healthcare Payer Market Size & Trend Analyses, by Deployment, 2018 to 2030 (USD Million)
  • 5.4.1. Cloud
    • 5.4.1.1. Market estimates and forecast 2018 to 2030 (USD Million)
  • 5.4.2. On-Premise
    • 5.4.2.1. Market estimates and forecast 2018 to 2030 (USD Million)

Chapter 6. AI for Healthcare Payer Market: Application Estimates & Trend Analysis

• 6.1. Definitions and Scope
• 6.2. Segment Dashboard
• 6.3. AI for Healthcare Payer Market Movement Analysis
• 6.4. AI for Healthcare Payer Market Size & Trend Analyses, by End-User, 2018 to 2030 (USD Million)
  • 6.4.1. Claims Processing Optimization
    • 6.4.1.1. Market estimates and forecast 2018 to 2030 (USD Million)
  • 6.4.2. Fraud Detection and Prevention
    • 6.4.2.1. Market estimates and forecast 2018 to 2030 (USD Million)
  • 6.4.3. Revenue Management and Billing
    • 6.4.3.1. Market estimates and forecast 2018 to 2030 (USD Million)
  • 6.4.4. Member Engagement and Personalization
    • 6.4.4.1. Market estimates and forecast 2018 to 2030 (USD Million)
  • 6.4.5. Others
    • 6.4.5.1. Market estimates and forecast 2018 to 2030 (USD Million

Chapter 7. AI for Healthcare Payer Market: Regional Estimates & Trend Analysis by Component, Deployment, & Application

• 7.1. Regional Market Dashboard
• 7.2. Global Regional Market Snapshot
• 7.3. Market Size, & Forecasts Trend Analysis, 2018 to 2030
• 7.4. North America
  • 7.4.1. Market estimates and forecasts 2018 to 2030 (USD Million)
  • 7.4.2. U.S.
    • 7.4.2.1. U.S. country dynamics
    • 7.4.2.2. U.S. market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.4.3. Canada
    • 7.4.3.1. Canada country dynamics
    • 7.4.3.2. Canada market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.4.4. Mexico
    • 7.4.4.1. Mexico
    • 7.4.4.2. Mexico market estimates and forecast, 2018 - 2030 (USD Million)
• 7.5. Europe
  • 7.5.1. Market estimates and forecasts 2018 to 2030 (USD Million)
  • 7.5.2. UK
    • 7.5.2.1. UK country dynamics
    • 7.5.2.2. UK market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.5.3. Germany
    • 7.5.3.1. Germany country dynamics
    • 7.5.3.2. Germany market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.5.4. France
    • 7.5.4.1. France country dynamics
    • 7.5.4.2. France market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.5.5. Italy
    • 7.5.5.1. Italy country dynamics
    • 7.5.5.2. Italy market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.5.6. Spain
    • 7.5.6.1. Spain country dynamics
    • 7.5.6.2. Spain market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.5.7. Norway
    • 7.5.7.1. Norway country dynamics
    • 7.5.7.2. Norway market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.5.8. Sweden
    • 7.5.8.1. Sweden
    • 7.5.8.2. Sweden market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.5.9. Denmark
    • 7.5.9.1. Denmark
    • 7.5.9.2. Denmark market estimates and forecast, 2018 - 2030 (USD Million)
• 7.6. Asia Pacific
  • 7.6.1. Market estimates and forecasts 2018 to 2030 (USD Million)
  • 7.6.2. Japan
    • 7.6.2.1. Japan country dynamics
    • 7.6.2.2. Japan market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.6.3. China
    • 7.6.3.1. China country dynamics
    • 7.6.3.2. China market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.6.4. India
    • 7.6.4.1. India country dynamics
    • 7.6.4.2. India market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.6.5. Australia
    • 7.6.5.1. Australia country dynamics
    • 7.6.5.2. Australia market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.6.6. South Korea
    • 7.6.6.1. South Korea
    • 7.6.6.2. South Korea market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.6.7. Thailand
    • 7.6.7.1. Thailand
    • 7.6.7.2. Thailand market estimates and forecast, 2018 - 2030 (USD Million)
• 7.7. Latin America
  • 7.7.1. Market estimates and forecasts 2018 to 2030 (USD Million)
  • 7.7.2. Brazil
    • 7.7.2.1. Brazil
    • 7.7.2.2. Brazil market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.7.3. Argentina
    • 7.7.3.1. Argentina country dynamics
    • 7.7.3.2. Argentina market estimates and forecast, 2018 - 2030 (USD Million)
• 7.8. MEA
  • 7.8.1. Market estimates and forecasts 2018 to 2030 (USD Million)
  • 7.8.2. South Africa
    • 7.8.2.1. South Africa country dynamics
    • 7.8.2.2. South Africa market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.8.3. Saudi Arabia
    • 7.8.3.1. Saudi Arabia country dynamics
    • 7.8.3.2. Saudi Arabia market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.8.4. UAE
    • 7.8.4.1. UAE country dynamics
    • 7.8.4.2. UAE market estimates and forecast, 2018 - 2030 (USD Million)
  • 7.8.5. Kuwait
    • 7.8.5.1. Kuwait country dynamics
    • 7.8.5.2. Kuwait market estimates and forecast, 2018 - 2030 (USD Million)

Chapter 8. Competitive Landscape

• 8.1. Recent Developments & Impact Analysis, By Key Market Participants
• 8.2. Company/Competition Categorization
  • 8.2.1. Innovators
• 8.3. Vendor Landscape
  • 8.3.1. List of key distributors and channel partners
  • 8.3.2. Key customers
  • 8.3.3. Key company market share analysis, 2023
  • 8.3.4. Company Profiles
    • 8.3.4.1. Nuance Communications (Microsoft)
    • 8.3.4.1.1. Company overview
    • 8.3.4.1.2. Financial performance
    • 8.3.4.1.3. Product benchmarking
    • 8.3.4.1.4. Strategic initiatives
    • 8.3.4.2. AiRo Digital Labs
    • 8.3.4.2.1. Company overview
    • 8.3.4.2.2. Financial performance
    • 8.3.4.2.3. Product benchmarking
    • 8.3.4.2.4. Strategic initiatives
    • 8.3.4.3. Accenture
    • 8.3.4.3.1. Company overview
    • 8.3.4.3.2. Financial performance
    • 8.3.4.3.3. Product benchmarking
    • 8.3.4.3.4. Strategic initiatives
    • 8.3.4.4. Cognizant
    • 8.3.4.4.1. Company overview
    • 8.3.4.4.2. Financial performance
    • 8.3.4.4.3. Product benchmarking
    • 8.3.4.4.4. Strategic initiatives
    • 8.3.4.5. Codoxo
    • 8.3.4.5.1. Company overview
    • 8.3.4.5.2. Financial performance
    • 8.3.4.5.3. Product benchmarking
    • 8.3.4.5.4. Strategic initiatives
    • 8.3.4.6. CareCloud, Inc.
    • 8.3.4.6.1. Company overview
    • 8.3.4.6.2. Financial performance
    • 8.3.4.6.3. Product benchmarking
    • 8.3.4.6.4. Strategic initiatives
    • 8.3.4.7. Hexaware Technologies Limited
    • 8.3.4.7.1. Company overview
    • 8.3.4.7.2. Financial performance
    • 8.3.4.7.3. Product benchmarking
    • 8.3.4.7.4. Strategic initiatives
    • 8.3.4.8. Oracle
    • 8.3.4.8.1. Company overview
    • 8.3.4.8.2. Financial performance
    • 8.3.4.8.3. Product benchmarking
    • 8.3.4.8.4. Strategic initiatives
    • 8.3.4.9. MST Solutions, L.L.C.
    • 8.3.4.9.1. Company overview
    • 8.3.4.9.2. Financial performance
    • 8.3.4.9.3. Product benchmarking
    • 8.3.4.9.4. Strategic initiatives
    • 8.3.4.10. Innovaccer, Inc.
    • 8.3.4.10.1. Company overview
    • 8.3.4.10.2. Financial performance
    • 8.3.4.10.3. Product benchmarking
    • 8.3.4.10.4. Strategic initiatives
    • 8.3.4.11. Amelia US LLC
    • 8.3.4.11.1. Company overview
    • 8.3.4.11.2. Financial performance
    • 8.3.4.11.3. Product benchmarking
    • 8.3.4.11.4. Strategic initiatives
    • 8.3.4.12. R1 RCM Inc
    • 8.3.4.12.1. Company overview
    • 8.3.4.12.2. Financial performance
    • 8.3.4.12.3. Product benchmarking
    • 8.3.4.12.4. Strategic initiatives
    • 8.3.4.13. Optum
    • 8.3.4.13.1. Company overview
    • 8.3.4.13.2. Financial performance
    • 8.3.4.13.3. Product benchmarking
    • 8.3.4.13.4. Strategic initiatives
    • 8.3.4.14. Quantiphi
    • 8.3.4.14.1. Company overview
    • 8.3.4.14.2. Financial performance
    • 8.3.4.14.3. Product benchmarking
    • 8.3.4.14.4. Strategic initiatives
    • 8.3.4.15. Softheon
    • 8.3.4.15.1. Company overview
    • 8.3.4.15.2. Financial performance
    • 8.3.4.15.3. Product benchmarking
    • 8.3.4.15.4. Strategic initiatives