Report cover image

Healthcare Payer Network Management Market

Publisher Coherent Market Insights
Published Aug 22, 2023
Length 135 Pages
SKU # CMI18163238

Description

Healthcare Payer Network Management Market, By Solution Type, By Deployment Mode, By End Users, By Component, By Organization Size, By Use Case, By Organization Size, By Technology, By Integration, By Payer Type, By geography (North America, Latin America, Europe, Asia Pacific, Middle East & Africa)-Size, Share, Outlook, and Opportunity Analysis, 2023 - 2030


Healthcare Payer Network Management is the process of onboarding, credentialing and contracting providers to serve a payer's member population. It's a crucial function that requires effective processes, streamlined data and robust communication tools. But many payers are struggling to meet this need, as they use outdated homegrown systems and experience a lack of collaboration.

Market Dynamics:

Transition to value-based care, rising healthcare costs, and consumer expectations is anticipated to drive growth of the global healthcare payer network Management Market over the forecast period. Moreover, population health management is also expected to boost the growth of the global healthcare payer network management market over the forecast period. Technology integration and automation, telehealth and remote services, value-based care models, and data analytics and insights are expected to create growth opportunities for the global Healthcare Payer Network Management Market during the forecast period.

However, regulatory complexity, interoperability challenges, and resistance to change are expected to hamper growth of the healthcare payer network management market over the forecast period.

Key features of the study:
  • This report provides in-depth analysis of the global Healthcare Payer Network Management Market, and provides market size (US$ Billion) and compound annual growth rate (CAGR %) for the forecast period (2023–2030), considering 2022 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 Network Management 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 Change Healthcare (Now part of Optum, UnitedHealth Group), Cognizant, McKesson Corporation, Cerner Corporation, OptumInsight (UnitedHealth Group), TriZetto (A Cognizant Company), NTT DATA Corporation, MultiPlan, Athenahealth (Now part of Veritas Capital), Allscripts Healthcare Solutions, Experian Health, eClinicalWorks, Inovalon, Mphasis, Wipro
  • 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
  • The global Healthcare Payer Network Management 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 Network Management Market
Detailed Segmentation:
  • Global Healthcare Payer Network Management Market, By Solution Type:
  • Provider Network Contracting
  • Provider Credentialing
  • Provider Directory Management
  • Claims Management
  • Analytics and Reporting
  • Others
  • Global Healthcare Payer Network Management Market, By Deployment Mode:
  • Cloud-based
  • On-premises
  • Healthcare Payer Network Management Market, By End users:
  • Health Insurance Companies
  • Third-Party Administrators (TPAs)
  • Government Payers
  • Self-insured Employers
  • Global Healthcare Payer Network Management Market, By Component:
  • Software
  • Services
  • Consulting and Implementation
  • Support and Maintenance
  • Training and Education
  • Global Healthcare Payer Network Management Market, By Organization Size:
  • Large Enterprises
  • Small and Medium-sized Enterprises (SMEs)
  • Global Healthcare Payer Network Management Market, By Use Case:
  • Network Expansion and Optimization
  • Claims Management and Processing
  • Provider Data Management
  • Provider Performance Monitoring
  • Fraud Detection and Prevention
  • Global Healthcare Payer Network Management Market, By Technology:
  • Artificial Intelligence (AI)
  • Machine Learning (ML)
  • Big Data Analytics
  • Blockchain
  • Global Healthcare Payer Network Management Market, By Integration:
  • Integrated Payer Systems
  • Standalone Network Management Platforms
  • Global Healthcare Payer Network Management Market, By Payer Type:
  • Commercial Payers
  • Medicare Payers
  • Medicaid Payers
  • Global Healthcare Payer Network Management Market, By Region:
  • North America
  • Europe
  • Asia Pacific
  • Latin America
  • Middle East and Africa
  • Company Profiles:
  • Change Healthcare (Now part of Optum, UnitedHealth Group)
  • Cognizant
  • McKesson Corporation
  • Cerner Corporation
  • OptumInsight (UnitedHealth Group)
  • TriZetto (A Cognizant Company)
  • NTT DATA Corporation
  • MultiPlan
  • Athenahealth (Now part of Veritas Capital)
  • Allscripts Healthcare Solutions
  • Experian Health
  • eClinicalWorks
  • Inovalon
  • Mphasis
  • Wipro

Table of Contents

135 Pages
1. Research Objectives and Assumptions
Research Objectives
Assumptions
Abbreviations
2. Market Purview
Report Description
Market Definition and Scope
Executive Summary
Market Snapshot, By Solution Type
Market Snapshot, By Deployment Mode
Market Snapshot, By End users
Market Snapshot, By Component
Market Snapshot, By Organization Size
Market Snapshot, By Use Case
Market Snapshot, By Technology
Market Snapshot, By Integration
Market Snapshot, By Payer Type
Market Snapshot, By Region
Coherent Opportunity Map (COM)
3. Market Dynamics, Regulations, and Trends Analysis
Market Dynamics
Drivers
Transition to Value-Based Care
Rising Healthcare Costs
Consumer Expectations
Restraints
Regulatory Complexity
Interoperability Challenges
Resistance to Change
Opportunities
Technology Integration and Automation
Telehealth and Remote Services
Value-Based Care Models
Impact Analysis
Key Highlights
Regulatory Scenario
Product launch/Approvals
PEST Analysis
PORTER’s Analysis
Merger and Acquisition Scenario
4. Global Healthcare Payer Network Management Market – Impact of Coronavirus (COVID-19) Pandemic
COVID-19 Epidemiology
Supply Side and Demand Side Analysis
Economic Impact
5. Global Healthcare Payer Network Management Market , By Solution Type, 2023-2030, (US$ Bn)
Introduction
Market Share Analysis, 2023 and 2030 (%)
Y-o-Y Growth Analysis, 2018 – 2030
Segment Trends
Provider Network Contracting
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Bn)
Provider Credentialing
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Bn)
Provider Directory Management
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Bn)
Claims Management
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Bn)
Analytics and Reporting
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Bn)
Others
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Bn)
6. Global Healthcare Payer Network Management Market , By Deployment Mode, 2023-2030, (US$ Bn)
Introduction
Market Share Analysis, 2023 and 2030 (%)
Y-o-Y Growth Analysis, 2018 – 2030
Segment Trends
Cloud-based
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
On-premises
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
7. Global Healthcare Payer Network Management Market, By End users, 2023-2030, (US$ Bn)
Introduction
Market Share Analysis, 2023 and 2030 (%)
Y-o-Y Growth Analysis, 2018 – 2030
Segment Trends
Health Insurance Companies
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Third-Party Administrators (TPAs)
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Government Payers
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Self-insured Employers
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
8. Global Healthcare Payer Network Management Market , By Component, 2023-2030, (US$ Bn)
Introduction
Market Share Analysis, 2023 and 2030 (%)
Y-o-Y Growth Analysis, 2018 – 2030
Segment Trends
Software
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Services
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Consulting and Implementation
Support and Maintenance
Training and Education
9. Global Healthcare Payer Network Management Market, By Organization Size, 2023-2030, (US$ Bn)
Introduction
Market Share Analysis, 2023 and 2030 (%)
Y-o-Y Growth Analysis, 2018 – 2030
Segment Trends
Large Enterprises
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Small and Medium-sized Enterprises (SMEs)
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
10. Global Healthcare Payer Network Management Market, By Use Case, 2023-2030, (US$ Bn)
Introduction
Market Share Analysis, 2023 and 2030 (%)
Y-o-Y Growth Analysis, 2018 – 2030
Segment Trends
Network Expansion and Optimization
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Claims Management and Processing
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Provider Data Management
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Provider Performance Monitoring
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Fraud Detection and Prevention
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
11. Global Healthcare Payer Network Management Market, By Technology, 2023-2030, (US$ Bn)
Introduction
Market Share Analysis, 2023 and 2030 (%)
Y-o-Y Growth Analysis, 2018 – 2030
Segment Trends
Artificial Intelligence (AI)
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Machine Learning (ML)
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Big Data Analytics
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Blockchain
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
12. Global Healthcare Payer Network Management Market , By Integration, 2023-2030, (US$ Bn)
Introduction
Market Share Analysis, 2023 and 2030 (%)
Y-o-Y Growth Analysis, 2018 – 2030
Segment Trends
Integrated Payer Systems
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Standalone Network Management Platforms
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
13. Global Healthcare Payer Network Management Market , By Payer Type, 2023-2030, (US$ Bn)
Introduction
Market Share Analysis, 2023 and 2030 (%)
Y-o-Y Growth Analysis, 2018 – 2030
Segment Trends
Commercial Payers
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Medicare Payers
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
Medicaid Payers
Introduction
Market Size and Forecast, and Y-o-Y Growth, 2023-2030,(US$ Billion)
14. Global Healthcare Payer Network Management Market , By Region, 2023-2030, (US$ Bn)
Introduction
Market Share Analysis, By Country, 2023 and 2030 (%)
Y-o-Y Growth Analysis, For Country 2018 –2030
Country Trends
North America
Introduction
Market Size and Forecast, and Y-o-Y Growth, By Solution Type, 2023-2030,(US$ Bn)
Market Size and Forecast, and Y-o-Y Growth, By Deployment Mode Industry, 2023-2030,(US$ Bn)
Market Size and Forecast, and Y-o-Y Growth, By End users, 2023-2030,(US$ Bn)
Market Size and Forecast, and Y-o-Y Growth, By Component, 2023-2030,(US$ Bn)
Market Size and Forecast, and Y-o-Y Growth, By Organization Size, 2023-2030,(US$ Bn)
Market Size and Forecast, and Y-o-Y Growth, By Use Case, 2023-2030,(US$ Bn)
Market Size and Forecast, and Y-o-Y Growth, By Technology, 2023-2030,(US$ Bn)
Market Size and Forecast, and Y-o-Y Growth, By Integration, 2023-2030,(US$ Bn)
Market Size and Forecast, and Y-o-Y Growth, By Payer Type, 2023-2030,(US$ Bn)
Europe
Size and Forecast, and Y-o-Y Growth, By Payer Type, 2023-2030,(US$ Bn)
Asia-Pacific
Latin America
Middle East & Africa
15. Competitive Landscape
Change Healthcare (Now part of Optum, UnitedHealth Group)
Company Highlights
Product Portfolio
Key Developments
Financial Performance
Strategies
Cognizant
McKesson Corporation
Cerner Corporation
OptumInsight (UnitedHealth Group)
TriZetto (A Cognizant Company)
NTT DATA Corporation
MultiPlan
Athenahealth (Now part of Veritas Capital)
Allscripts Healthcare Solutions
Experian Health
eClinicalWorks
Inovalon
Mphasis
Wipro
16. Section
Research Methodology
About us
*Browse 24 market data tables and 28 figures on "Global Healthcare Payer Network Management Market” - Global forecast to 2030

Pricing

Currency Rates
How Do Licenses Work?

How Do Licenses Work?

The primary function of a report license is to define how many people within a company are authorized to use the purchased report. This is separate to how a report might be delivered. Unless specifically identified otherwise, the purchase option is Single User. Below is a helpful description of that license, along with a sampling of others most commonly offered.

  • This license allows only one user to have access to and to use/read the report. It is not one user at a time or one user group; it is an individual who will be reading and utilizing the report.

  • This license allows for the entire purchasing company to read and use the report. This is the license level that would allow for a report to be placed on an internal company shared drive for access by all employees of that direct company. This license does not extend to parent or sister company use.

  • This license is designed to allow an entire department within a company full access to a report. The departmental license is a great option for companies that have more than one location and the department is spread out all over the country/world

  • This license is for companies that have one location where they want the report to be accessible by all employees within that physical location.

  • This is the most flexible of the licensing options. Some publishers will allow you to get a license for a preset number of people (typically 5). These licenses are ideal for small work groups.

License options are at the discretion of each publisher. As such, not all licenses indicated above are available for every product. If you are uncertain of the best license for your needs or would like a license that is not proactively available, please contact us and we will be happy to assist.

Head shot

Questions or Comments?

Our team has the ability to search within reports to verify it suits your needs. We can also help maximize your budget by finding sections of reports you can purchase.
Chat Now
Contact Us