Global healthcare payer solution market was valued at US$ 20.40 billion in 2020 and is expected to reach US$ 43.82 billion by 2029, growing at a CAGR of 9.2% over the forecast period. Increased number of people opting for insurances because of awareness about its benefits is one of the major factors that have been driving the healthcare payer solution market. This awareness has been created by surge in the number of insurance companies, who have been trying to lure major chunk of consumers with the help of advertisements. With the number of people enrolling for insurance going upwards, the healthcare payers have been facing the heat and this is where healthcare payer solution providers are proving as a boon for them.

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Majority of the payers are now outsourcing various tasks like computation of claim amount and verification of medical documents. This is helping them save time and costs, which automatically results in higher profitability.

On the other hand, the adoption of new outsourcing business models also invites some unwanted threats like the health data security. The breach not only impacts the reputation of the organization in a longer run but also likely to bring some serious financial losses. This is likely to prove hindrance in the growth of the healthcare payer solution market.

Despite the threats like cyber security and data breach, the healthcare payer solution market is expected to grow in coming future.

The detailed research study provides qualitative and quantitative analysis of healthcare payer solution market. The market has been analyzed from demand as well as supply side. The demand side analysis covers market revenue across regions and further across all the major countries. The supply side analysis covers the major market players and their regional and global presence and strategies. The geographical analysis done emphasizes on each of the major countries across North America, Europe, Asia Pacific, Middle East & Africa and Latin America.

Key Findings of the Report:

  • The healthcare payer solution market in the United States accounts for highest revenue share mainly because of the presence of important players and strict federation regulations related to insurance
  • The rising use of technology and surging demand for bringing costs is likely to provide impetus to the growth of the healthcare payer solution market
  • Claim management and fraud management are most sought after services in the healthcare payer solution market
  • The recent COVID-19 situation is pushing more people to enroll for insurance services
  • Some of the major players operating in the healthcare payer solution market include Change Healthcare Inc., Conduent Inc., HMS Holdings Corp, McKesson Corporation, PLEXIS Healthcare Systems and UnitedHealth Group amongst others.

Healthcare Payer Solution Market

  • By Offering
    • Solution
    • Services
  • By Users
    • Health Plans
    • Government
    • Commercial Managed Risk Payers such as IPAs, MSOs, and ACOs.
    • Specialty Groups
    • TPAS
    • International
    • Others
  • By End User
    • Private
    • Public
  • By Application
    • Pharmacy Audit and Analysis Systems and Claims Management Services
    • Healthcare Plan Administration and Care Management Solutions
    • Fraud Management Services
    • Member Eligibility Management Services
    • Provider Network Management Services
    • Payment Integrity and Recovery Solutions
    • Customer Relationship Management Services
    • Medical Document Management Services
    • General Ledger and Payroll Management
    • Credit Balance Solutions
    • Others
  • By Region
    • North America
    • Europe
    • Asia Pacific
    • Middle East & Africa
    • Latin America

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