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Healthcare Payer Services Market by Service Type (BPO, ITO, KPO), By Application (Claims, Provider, Member management, HR services, Analytics & Fraud, Billing & Accounts) & by End Users (Public & Private Payers) - Analysis and Global Forecast to 2020

Healthcare Payer Services Market by Service Type (BPO, ITO, KPO), By Application (Claims, Provider, Member management, HR services, Analytics & Fraud, Billing & Accounts) & by End Users (Public & Private Payers) - Analysis and Global Forecast to 2020

Over the years, outsourcing of services in the healthcare payer arena has witnessed increasing popularity and players are adopting the trend to ensure and provide better and speedy services to the customers.

In 2015, the BPO services segment is expected to account for the largest share of the global healthcare payer services (outsourcing) market, by service type, while the claims management services segment is expected to account for the largest share of the healthcare payer services (outsourcing) market, by application. Private payers are expected to dominate the market, by end user.

In 2015, North America is expected to account for the largest share of the healthcare payer services (outsourcing) market, followed by Europe, Asia-Pacific, and the Rest of the World (RoW). In the coming years, the healthcare payer services (outsourcing) market is expected to witness the highest growth rate in the North American region. The rising insurance enrolments, federal healthcare mandates in the U.S., and the need to curb rising healthcare costs are expected to drive the market in the region.

The healthcare payer services (outsourcing) market witnesses’ high competitive intensity as there are several big and many small firms with similar service offerings. These companies adopt various growth strategies (agreements, partnerships, joint ventures, geographic expansions, new product launches, and acquisitions) to establish a strong foothold in the global market.

Reasons to Buy the Report:

The report will enrich both established firms as well as new entrants/smaller firms to gauge the pulse of the market, which in turn helps firms strengthen their market position. Firms purchasing the report could use any one or a combination of the below-mentioned five strategies (market penetration, product development/innovation, market development, market diversification, and competitive assessment) for strengthening their market positions.

The report provides insights on the following pointers:

Market Penetration: Comprehensive information on the services portfolios offered by the key players in the healthcare payer services market. The report analyzes the healthcare payer services market, by service type, application, end users, and region.

Product Development/Innovation: Detailed insights on the new services launches and various service up gradations in the healthcare payer services market
Market Development: Comprehensive information on lucrative emerging markets. The report analyzes the markets for various healthcare payer services across regions
Market Diversification: Exhaustive information on new services, untapped regions, recent developments, and investments in the healthcare payer services market
Competitive Assessment: In-depth assessment of strategies, services, and distribution networks capabilities of the leading players in the healthcare payer services market


  • INTRODUCTION
    • OBJECTIVES OF THE STUDY
    • MARKET DEFINITION
    • MARKET SCOPE
      • MARKETS COVERED
      • YEARS CONSIDERED FOR THE STUDY
    • CURRENCY
    • LIMITATIONS
    • STAKEHOLDERS
  • RESEARCH METHODOLOGY
    • RESEARCH METHODOLOGY STEPS
    • SECONDARY AND PRIMARY RESEARCH METHODOLOGY
      • SECONDARY RESEARCH
    • KEY DATA FROM SECONDARY SOURCES
      • PRIMARY RESEARCH
      • KEY INDUSTRY INSIGHTS
    • KEY DATA FROM PRIMARY SOURCES
    • KEY INSIGHTS FROM PRIMARY SOURCES
    • MARKET SIZE ESTIMATION METHODOLOGY
    • MARKET FORECAST METHODOLOGY
    • MARKET DATA VALIDATION AND TRIANGULATION
    • ASSUMPTIONS
  • EXECUTIVE SUMMARY
    • INTRODUCTION
    • CURRENT SCENARIO
    • FUTURE OUTLOOK
    • CONCLUSION
  • PREMIUM INSIGHTS
    • GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET
    • HEALTHCARE PAYER OUTSOURCING MARKET, BY SERVICE TYPE AND REGION
    • HEALTHCARE PAYER OUTSOURCING MARKET, BY SERVICE TYPE (2015 VS. 2020)
  • MARKET OVERVIEW
    • INTRODUCTION
    • MARKET SEGMENTATION
    • MARKET DYNAMICS
      • DRIVERS
        • Table INCREASING HEALTHCARE COSTS DRIVING MARKET GROWTH
      • RESTRAINTS
        • Table RISING INCIDENCES OF DATA BREACH LIMITING THE ADOPTION OF OUTSOURCING
      • OPPORTUNITIES
        • Table DATA ANALYTICS SHOWCASES GROWTH OPPORTUNITIES FOR THE HEALTHCARE PAYER OUTSOURCING MARKET
      • CHALLENGES
        • Table MIGRATION FROM LEGACY SYSTEMS A MAJOR CHALLENGE IN THE HEALTHCARE PAYER OUTSOURCING MARKET
  • HEALTHCARE PAYER OUTSOURCING MARKET, BY SERVICE TYPE
    • INTRODUCTION
      • Table GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION)
    • BUSINESS PROCESS OUTSOURCING SERVICES
      • Table HEALTHCARE PAYER BPO SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
    • INFORMATION TECHNOLOGY OUTSOURCING SERVICES
      • Table HEALTHCARE PAYER ITO SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
    • KNOWLEDGE PROCESS OUTSOURCING SERVICES
      • Table HEALTHCARE PAYER KPO SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
  • HEALTHCARE PAYER OUTSOURCING MARKET, BY APPLICATION
    • INTRODUCTION
      • Table GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION)
    • CLAIMS MANAGEMENT SERVICES
      • Table CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION)
      • Table CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
      • CLAIMS ADJUDICATION SERVICES
        • Table CLAIMS ADJUDICATION SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
      • CLAIMS SETTLEMENT
        • Table CLAIMS SETTLEMENT SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
      • INFORMATION MANAGEMENT SERVICES
        • Table INFORMATION MANAGEMENT SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
      • CLAIMS REPRICING
        • Table CLAIMS REPRICING MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
      • CLAIMS INVESTIGATION SERVICES
        • Table CLAIMS INVESTIGATION SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
      • CLAIMS INDEXING SERVICES
        • Table CLAIMS INDEXING SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
      • LITIGATION MANAGEMENT
        • Table LITIGATION MANAGEMENT MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
    • INTEGRATED FRONT-END SERVICES AND BACK-OFFICE OPERATIONS
      • Table INTEGRATED FRONT-END SERVICES AND BACK-OFFICE OPERATIONS MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
    • MEMBER MANAGEMENT SERVICES
      • Table MEMBER MANAGEMENT SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
    • PROVIDER MANAGEMENT SERVICES
      • Table PROVIDER MANAGEMENT SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
    • BILLING AND ACCOUNTS MANAGEMENT SERVICES
      • Table BILLING AND ACCOUNTS MANAGEMENT SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
    • ANALYTICS AND FRAUD MANAGEMENT SERVICES
      • Table ANALYTICS AND FRAUD MANAGEMENT SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
    • HR SERVICES
      • Table HR SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
  • HEALTHCARE PAYER OUTSOURCING MARKET, BY END USER
    • INTRODUCTION
      • Table HEALTHCARE SPENDING RATIOS BY MAJOR SOURCES OF FUNDING
      • Table GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION)
    • PRIVATE PAYERS
      • Table PRIVATE PAYER OUTSOURCING MARKET SIZE, BY GEOGRAPHY, 2013-2020 (USD MILLION)
      • Table PRIVATE PAYER OUTSOURCING MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
    • PUBLIC PAYERS
      • Table PUBLIC PAYER OUTSOURCING MARKET SIZE, BY GEOGRAPHY, 2013-2020 (USD MILLION)
      • Table PUBLIC PAYER OUTSOURCING MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
  • GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET, BY REGION
    • INTRODUCTION
      • Table HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
    • NORTH AMERICA
      • Table NORTH AMERICA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY COUNTRY, 2013-2020 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION)
      • Table NORTH AMERICA: CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION)
      • U.S.
        • Table MACROECONOMIC INDICATORS FOR THE HEALTHCARE MARKET IN THE U.S.
        • Table U.S.: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION)
        • Table U.S.: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION)
        • Table U.S.: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION)
        • Table U.S.: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USERS, 2013-2020 (USD MILLION)
      • CANADA
        • Table MACROECONOMIC INDICATORS FOR THE HEALTHCARE MARKET IN CANADA
        • Table CANADA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION)
        • Table CANADA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION)
        • Table CANADA: CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION)
        • Table CANADA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION)
    • EUROPE
      • Table EUROPE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)
      • Table EUROPE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION)
      • Table EUROPE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION)
      • Table EUROPE: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION)
      • Table EUROPE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION)
      • EUROPEAN UNION FIVE (EU5)
        • Table EU5: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION)
        • Table EU5: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION)
        • Table EU5: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION)
        • Table EU5: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION)
      • REST OF EUROPE
        • Table ROE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION)
        • Table ROE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION)
        • Table ROE: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION)
        • Table ROE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION)
    • ASIA-PACIFIC
      • Table ASIA-PACIFIC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY COUNTRY, 2013-2020 (USD MILLION)
      • Table ASIA-PACIFIC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION)
      • Table ASIA-PACIFIC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION)
      • Table ASIA-PACIFIC: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION)
      • Table ASIA-PACIFIC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION)
      • INDIA
        • Table INDIA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION)
        • Table INDIA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION)
        • Table INDIA: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION)
        • Table INDIA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION)
      • REST OF APAC
        • Table REST OF APAC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION)
        • Table REST OF APAC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION)
        • Table REST OF APAC: CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION)
        • Table REST OF APAC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION)
    • REST OF THE WORLD
      • INITIATIVES BY MARKET PLAYERS TO ENTER EMERGING MARKETS SUCH AS BRAZIL & COLOMBIA
        • Table ROW: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION)
        • Table ROW: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION)
        • Table ROW: CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION)
        • Table ROW: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION)
  • COMPETITIVE LANDSCAPE
    • OVERVIEW
    • COMPETITIVE SITUATION AND TRENDS
      • EXPANSION
        • Table EXPANSIONS, 2012-2015
      • AGREEMENTS/COLLABORATIONS/PARTNERSHIPS/JOINT VENTURES/ALLIANCES
        • Table AGREEMENTS/JOINT VENTURES/PARTNERSHIPS/COLLABORATIONS/ALLIANCES, 2012-2015
      • ACQUISITIONS/MERGERS
        • Table ACQUISITIONS, 2012-2015
      • NEW PRODUCT LAUNCHES
        • Table NEW PRODUCT LAUNCHES, 2012-2015
      • OTHERS
        • Table OTHER STRATEGIES, 2012-2015
  • COMPANY PROFILES
    • INTRODUCTION
    • COGNIZANT TECHNOLOGY SOLUTIONS
      • BUSINESS OVERVIEW
      • COGNIZANT TECHNOLOGY SOLUTIONS: COMPANY SNAPSHOT
      • SERVICE OFFERINGS
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • ACCENTURE PLC
      • BUSINESS OVERVIEW
      • ACCENTURE PLC: COMPANY SNAPSHOT
      • SERVICE OFFERINGS
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • EXLSERVICE HOLDINGS, INC.
      • BUSINESS OVERVIEW
      • EXLSERVICE HOLDINGS, INC.: COMPANY SNAPSHOT
      • SERVICE OFFERINGS
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • CONCENTRIX CORPORATION (A SUBSIDIARY OF SYNNEX CORPORATION)
      • BUSINESS OVERVIEW
      • SYNNEX CORPORATION (PARENT COMPANY OF CONCENTRIX CORPORATION): COMPANY SNAPSHOT
      • SERVICE OFFERINGS
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • HEWLETT-PACKARD
      • BUSINESS OVERVIEW
      • HEWLETT-PACKARD: COMPANY SNAPSHOT
      • SERVICES OFFERINGS
      • RECENT DEVELOPMENTS
    • HINDUJA GLOBAL SOLUTIONS LIMITED
      • BUSINESS OVERVIEW
      • HINDUJA GLOBAL SOLUTIONS LIMITED: COMPANY SNAPSHOT
      • SERVICE OFFERINGS
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • XEROX CORPORATION
      • BUSINESS OVERVIEW
      • XEROX CORPORATION: COMPANY SNAPSHOT
      • SERVICE OFFERINGS
      • RECENT DEVELOPMENTS
    • DELL, INC.
      • BUSINESS OVERVIEW
      • DELL, INC.: COMPANY SNAPSHOT
      • SERVICE OFFERINGS
      • RECENT DEVELOPMENTS
    • GENPACT LIMITED
      • BUSINESS OVERVIEW
      • GENPACT LIMITED: COMPANY SNAPSHOT
      • SERVICE OFFERINGS
      • RECENT DEVELOPMENTS
    • HCL TECHNOLOGIES LTD.
      • BUSINESS OVERVIEW
      • HCL TECHNOLOGIES: COMPANY SNAPSHOT
      • SERVICE OFFERINGS
      • RECENT DEVELOPMENTS
    • WIPRO LIMITED
      • BUSINESS OVERVIEW
      • WIPRO LIMITED: COMPANY SNAPSHOT
      • SERVICE OFFERINGS
      • RECENT DEVELOPMENTS
  • APPENDIX
    • DISCUSSION GUIDE
    • COMPANY DEVELOPMENTS (2012-2015)
      • COGNIZANT TECHNOLOGY SOLUTIONS
      • ACCENTURE PLC
      • EXLSERVICE HOLDINGS, INC.
      • CONCENTRIX CORPORATION
      • HINDUJA GLOBAL SOLUTIONS LIMITED
      • XEROX CORPORATION
      • HCL TECHNOLOGIES LTD.
      • WIPRO LIMITED
    • INTRODUCING RT: REAL-TIME MARKET INTELLIGENCE
    • AVAILABLE CUSTOMIZATIONS
    • RELATED REPORTS

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