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Healthcare Payer Services Market Report and Forecast 2025-2034

Publisher Expert Market Research
Published Jul 27, 2025
Length 350 Pages
SKU # EMAR20319740

Description

The global healthcare payer services market size was valued at USD 60.50 Billion in 2024, driven by the advancements in healthcare technology, telemedicine, and digital health across the globe. The market is expected to grow at a CAGR of 10.40% during the forecast period of 2025-2034, with the values likely to rise from USD 66.8 Billion in 2034 to USD 162.72 Billion by 2034.

Healthcare Payer Services: Introduction

Healthcare payer services refers to a bunch of functions performed by organisations, responsible for managing and financing healthcare expenses. It includes functions like claims processing, premium collection, and enrolment. Payers work at negotiating prices with healthcare providers to regulate expenses. Such services encompass insurance companies, government programs (like Medicare and Medicaid), and other entities that facilitate the payment of medical bills.

Global Healthcare Payer Services Market Analysis

The sudden outbreak of COVID-19 has highlighted the significance of having a practical and convenient healthcare coverage. Given the current economic scenario, healthcare costs have witnessed a substantial increase. With the expense hike, employers and individuals have started seeking insurance and payer services, leading to high healthcare payer services market demand.

With the convergence of artificial intelligence and data analytical tools into the healthcare ecosystem, companies have started modifying their tools to offer cost effective, rapid, and efficient services to the customers. Recently, Medicare has announced the new Medicare Advantage plan which focuses on prioritising senior healthcare. Similarly, UnitedHealthcare has also expanded their coverage area to reach 96 percent of the Medicare beneficiaries. All the latest plans prioritise customer feedback and aim at valuing their demands. Such initiatives are set to drive the healthcare payer services market growth in the future as well.

With a larger ageing population, the requirement for healthcare services is continuously evolving. As the elderly tend to have complex medical needs, prominent companies are entering as well as acquiring existing companies. India, being the world’s most populous country is observing some positive changes. In August 2023, Jio Financial Services announced their entry into the healthcare insurance segment.

Global Healthcare Payer Services Market Segmentation

Healthcare Payer Services Market Report and Forecast 2025-2034 offers a detailed analysis of the market based on the following segments:

Market Breakup by Type
  • BPO  
  
  • Claims

    •   
  • Front end

    •   
  • Provider

    •   
  • Product

    •   
  • Development

    •   
  • Care Management

    •   
  • Billing

    •   
  • HR
    • ITO 
      
  • Provider Network

    •   
  • Accounts

    •   
  • Analytics

    •   
  • Fraud
    • KPO
    Market Breakup by End User
    • Private
    • Public
    Market Breakup by Region
    • North America
    • Europe
    • Asia Pacific
    • Latin America
    • Middle East and Africa
    Global Healthcare Payer Services Market Overview

    With increasing adoption of digital services into the healthcare industry, the market has flourished with telehealth services, and mobile apps for policy management and claim filings. The World Health Organisation has initiated a Universal Health Coverage initiative which plans to offer a range of health services to people at any hour without any financial burden. Such initiatives will contribute to the healthcare payer services market value positively in the forecast period.

    There is a shift towards preventive care and personalised treatment plans for patients. The United States having a set of well-informed patients demands more comprehensive and improved customer services. The region being home to prominent healthcare insurance companies like Medicare and Medicaid help catering the needs effectively.

    Europe is also expected to lead the healthcare payer services market share in the future. Along with a significant private healthcare system, the government healthcare system is highly efficient and active at proving services to the patients. The Asia Pacific region is anticipated to grow substantially with increasing investments and developments in the medical ecosystem.

    Global Healthcare Payer Services Market: Competitor Landscape

    The key features of the market report include patent analysis, grants analysis, clinical trials analysis, funding and investment analysis, partnerships, and collaborations analysis by the leading key players. The major companies in the market are as follows:
    • Accenture
    • Cognizant
    • Tata Consultancy Services
    • NTT Data Corporations
    • IQVIA Inc.
    • Mphasis
    • FIrstsource Solutions
    • IBM Corporation
    • HCL Technologies
    • First Source Solutions
    *Please Note:* The report will take 5 business days to complete, after order confirmation.

    Table of Contents

    350 Pages
    1 Preface
    1.1 Objectives of the Study
    1.2 Key Assumptions
    1.3 Report Coverage – Key Segmentation and Scope
    1.4 Research Methodology
    2 Executive Summary
    3 Global Healthcare Payer Services Market Overview
    3.1 Global Healthcare Payer Services Market Historical Value (2018-2024)
    3.2 Global Healthcare Payer Services Market Forecast Value (2025-2034)
    4 Global Healthcare Payer Services Market Landscape
    4.1 Global Healthcare Payer Services: Developers Landscape
    4.1.1 Analysis by Year of Establishment
    4.1.2 Analysis by Company Size
    4.1.3 Analysis by Region
    4.2 Global Healthcare Payer Services: Product Landscape
    4.2.1 Analysis by Type
    4.2.2 Analysis by Applications
    5 Global Healthcare Payer Services Market Dynamics
    5.1 Market Drivers and Constraints
    5.2 SWOT Analysis
    5.3 Porter’s Five Forces Model
    5.4 Key Demand Indicators
    5.5 Key Price Indicators
    5.6 Industry Events, Initiatives, and Trends
    5.7 Value Chain Analysis
    6 Global Healthcare Payer Services Market Segmentation
    6.1 Global Healthcare Payer Services Market by Type
    6.1.1 Market Overview
    6.1.2 BPO
    6.1.2.1 Claims
    6.1.2.2 Front end
    6.1.2.3 Provider
    6.1.2.4 Product
    6.1.2.5 Development
    6.1.2.6 Care Management
    6.1.2.7 Billing
    6.1.2.8 HR
    6.1.3 ITO
    6.1.3.1 Provider Network
    6.1.3.2 Accounts
    6.1.3.3 Analytics
    6.1.3.4 Fraud
    6.1.4 KPO
    6.2 Global Healthcare Payer Services Market by End User
    6.2.1 Market Overview
    6.2.2 Private
    6.2.3 Public
    6.3 Global Healthcare Payer Services Market by Region
    6.3.1 Market Overview
    6.3.2 North America
    6.3.3 Europe
    6.3.4 Asia Pacific
    6.3.5 Latin America
    6.3.6 Middle East and Africa
    7 North America Healthcare Payer Services Market
    7.1 Market Share by Country
    7.2 United States of America
    7.3 Canada
    8 Europe Healthcare Payer Services Market
    8.1 Market Share by Country
    8.2 United Kingdom
    8.3 Germany
    8.4 France
    8.5 Italy
    8.6 Others
    9 Asia Pacific Healthcare Payer Services Market
    9.1 Market Share by Country
    9.2 China
    9.3 Japan
    9.4 India
    9.5 ASEAN
    9.6 Australia
    9.7 Others
    10 Latin America Healthcare Payer Services Market
    10.1 Market Share by Country
    10.2 Brazil
    10.3 Argentina
    10.4 Mexico
    10.5 Others
    11 Middle East and Africa Healthcare Payer Services Market
    11.1 Market Share by Country
    11.2 Saudi Arabia
    11.3 United Arab Emirates
    11.4 Nigeria
    11.5 South Africa
    11.6 Others
    12 Regulatory Framework
    12.1 Regulatory Overview
    12.1.1 US FDA
    12.1.2 EU EMA
    12.1.3 INDIA CDSCO
    12.1.4 JAPAN PMDA
    12.1.5 Others
    13 Supplier Landscape
    13.1 Accenture
    13.1.1 Financial Analysis
    13.1.2 Product Portfolio
    13.1.3 Demographic Reach and Achievements
    13.1.4 Mergers and Acquisitions
    13.1.5 Certifications
    13.2 Cognizant
    13.2.1 Financial Analysis
    13.2.2 Product Portfolio
    13.2.3 Demographic Reach and Achievements
    13.2.4 Mergers and Acquisitions
    13.2.5 Certifications
    13.3 Tata Consultancy Services
    13.3.1 Financial Analysis
    13.3.2 Product Portfolio
    13.3.3 Demographic Reach and Achievements
    13.3.4 Mergers and Acquisitions
    13.3.5 Certifications
    13.4 NTT Data Corporations
    13.4.1 Product Portfolio
    13.4.2 Demographic Reach and Achievements
    13.4.3 Mergers and Acquisitions
    13.4.4 Certifications
    13.5 IQVIA Inc.
    13.5.1 Financial Analysis
    13.5.2 Product Portfolio
    13.5.3 Demographic Reach and Achievements
    13.5.4 Mergers and Acquisitions
    13.5.5 Certifications
    13.6 Mphasis
    13.6.1 Financial Analysis
    13.6.2 Product Portfolio
    13.6.3 Demographic Reach and Achievements
    13.6.4 Mergers and Acquisitions
    13.6.5 Certifications
    13.7 FIrstsource Solutions
    13.7.1 Product Portfolio
    13.7.2 Demographic Reach and Achievements
    13.7.3 Mergers and Acquisitions
    13.7.4 Certifications
    13.8 IBM Corporation
    13.8.1 Financial Analysis
    13.8.2 Product Portfolio
    13.8.3 Demographic Reach and Achievements
    13.8.4 Mergers and Acquisitions
    13.8.5 Certifications
    13.9 HCL Technologies
    13.9.1 Financial Analysis
    13.9.2 Product Portfolio
    13.9.3 Demographic Reach and Achievements
    13.9.4 Mergers and Acquisitions
    13.9.5 Certifications
    13.10 First Source Solutions
    13.10.1 Financial Analysis
    13.10.2 Product Portfolio
    13.10.3 Demographic Reach and Achievements
    13.10.4 Mergers and Acquisitions
    13.10.5 Certifications
    14 Key Opinion Leaders (KOL) Insights (Additional Insight)
    15 Company Competitiveness Analysis (Additional Insight)
    15.1 Very Small Companies
    15.2 Small Companies
    15.3 Mid-Sized Companies
    15.4 Large Companies
    15.5 Very Large Companies
    16 Payment Methods (Additional Insight)
    16.1 Government Funded
    16.2 Private Insurance
    16.3 Out-of-Pocket

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