Global Healthcare Payer Solution Market Report By Services (Business Process Outsourcing Services, Information Technology Outsourcing Services, Knowledge Process Outsourcing Services), By Application (Pharmacy Audit & Analysis Systems, Claims Management Services, Fraud Management Services, Computer-assisted Coding (CAC) Systems, Member Eligibility Management Services, Provider Network Management Services, Payment Management Services, Customer Relationship Management Services, Medical Document Management Services, General Ledger & Payroll Management), By End User (Private Provider, Public Provider) And By Regions - Industry Trends, Size, Share, Growth, Estimation and Forecast, 2019-2026

ID:VMR11213487

October 2020

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Description
Table Of Content

The global demand for Healthcare Payer Solution Market is presumed to reach the valuation of nearly USD XXX MN by 2026 from USD XXX MN in 2019 with a CAGR of X.XX% under the study period of 2020 - 2026.

Healthcare payer solution is a software service that enables the processing of a patient's eligibility, benefits, claims, enrollment, or payment for any availed healthcare procedure. A health care payer solution encompasses several services like claims management, member management, provider management, integrated front office & back-office operations, billing & accounts management, analytics & fraud management, HR services to deliver higher rates of profit. Using an automated payer solution can reduce the total cost of care, enhance the quality of care received, improve health and wellness, and simplify the health care experience.

Market Dynamics

The key factors driving this market are the increasing adoption of cost-effective strategies for streamlined business operations and better customer services in the healthcare sector. Emerging advanced technologies and digitization to deliver economic health care services will prove beneficial to market growth. A growing number of people with insurance coverage and increasing demand for accurate claim resolution, reduced fraud incidence, and an integrated healthcare system will boost market growth. Increased focus on consumerism and advocacy of stringent healthcare regulatory policies by government organizations will further propel market growth. The restraints threatening the development of this market are the security and privacy of the data of consumers.

The report covers Porter’s Five Forces Model, Market Attractiveness Analysis and Value Chain analysis. These tools help to get a clear picture of the industry’s structure and evaluate the competition attractiveness at a global level.

Additionally, these tools also give inclusive assessment of each application/product segment in the global market of healthcare payer solution.

Market Segmentation

The entire healthcare payer solution market has been sub-categorized into services, application and end-user. The report provides an analysis of these subsets with respect to the geographical segmentation. This research study will keep marketer informed and helps to identify the target demographics for a product or service.

By Services

Business Process Outsourcing Services
Information Technology Outsourcing Services
Knowledge Process Outsourcing Services

By Application

Pharmacy Audit & Analysis Systems
Claims Management Services
Fraud Management Services
Computer-assisted Coding (CAC) Systems
Member Eligibility Management Services
Provider Network Management Services
Payment Management Services
Customer Relationship Management Services
Medical Document Management Services
General Ledger & Payroll Management

By End User

Private Provider
Public Provider

Regional Analysis

This section covers regional segmentation which accentuates on current and future demand for healthcare payer solution market across North America, Europe, Asia-Pacific, Latin America, and Middle East & Africa. Further, the report focuses on demand for individual application segment across all the prominent regions.

Europe Healthcare Payer Solution Market By Revenue (USD MN)

The research report also covers the comprehensive profiles of the key players in the market and an in-depth view of the competitive landscape worldwide. The major players in the healthcare payer solution market include UnitedHealth Group Incorporated, McKesson Corporation, HMS Holdings Corp., International Business Machines Corporation, Change Healthcare, Inc., Accenture plc, Cognizant Technology Solutions Corporation, Hinduja Global Solutions Limited, Inovalon Holdings, Inc., Wipro Limited. This section includes a holistic view of the competitive landscape that includes various strategic developments such as key mergers & acquisitions, future capacities, partnerships, financial overviews, collaborations, new product developments, new product launches, and other developments.

METHODOLOGY:

This market research report has been produced by gathering information on the basis of primary and secondary research. Secondary research has been done by using various sources which include (but not limited to) Company Websites, Paid Data Sources, Technical Journals, Financial Reports, SEC Filings, and other different industry publications.

If specific information is required which is not currently within the scope of the report, it can be provided as a part of customization.

1 . PREFACE
       1.1. Report Description
           1.1.1. Objective
           1.1.2. Target Audience
           1.1.3. Unique Selling Proposition (USP) & offerings
       1.2. Research Scope
       1.3. Research Methodology
           1.3.1. Market Research Process
           1.3.2. Market Research Methodology

2 . EXECUTIVE SUMMARY
       2.1. Highlights of Healthcare Payer Solution Market
       2.2. Global Healthcare Payer Solution Market Snapshot

3 . HEALTHCARE PAYER SOLUTION – INDUSTRY ANALYSIS
       3.1. Introduction
       3.2. Market Drivers of Healthcare Payer Solution Market
       3.3. Market Restraints of Healthcare Payer Solution Market
       3.4. Opportunities of Healthcare Payer Solution Market
       3.5. Trends of Healthcare Payer Solution Market
       3.6. Porter’s Five Force Analysis of Healthcare Payer Solution Market
       3.7. Healthcare Payer Solution Market Attractiveness Analysis
           3.7.1 Market Attractive Analysis by Services
           3.7.2 Market Attractive Analysis by Application
           3.7.3 Market Attractive Analysis by End User
           3.7.4 Market Attractive Analysis by Region

4 . VALUE CHAIN ANALYSIS
       4.1. Healthcare Payer Solution Value Chain Analysis
       4.2. Healthcare Payer Solution Raw Material Analysis
           4.2.1. List of Raw Materials
           4.2.2. Healthcare Payer Solution Raw Material Manufactures List
           4.2.3. Price Trend of Healthcare Payer Solution Key Raw Materials
       4.3. List of Potential Buyers
       4.4. Marketing Channel
           4.4.1. Direct Marketing
           4.4.2. Indirect Marketing
           4.4.3. Marketing Channel Development Trend

5 IMPACT ANALYSIS OF COVID-19 OUTBREAK
       5.1. Impact Analysis of Covid-19 Outbreak on Healthcare Payer Solution Market
           5.1.1. Direct Impact on Production
           5.1.2. Supply Chain and Market Disruption
           5.1.3. Financial Impact on Firms and Financial Markets
       5.2. COVID-19 Impact Analysis by Production, Import, Export and Demand
       5.3. Healthcare Payer Solution Market: Pre V/S Post COVID-19
       5.4. Estimated Impact of the Coronavirus (COVID-19) Epidemic on the Healthcare Payer Solution Market Size in 2020, by Scenario
       5.5. COVID-19: Micro and Macro Factor Analysis on Healthcare Payer Solution Market

6 . GLOBAL HEALTHCARE PAYER SOLUTION MARKET ANALYSIS BY SERVICES
       6.1 Overview by Services
       6.2 Historical Data 2015-2018
       6.3 Global Healthcare Payer Solution Market Analysis by Services
       6.4 Market Analysis of Business Process Outsourcing Services by Regions
       6.6 Market Analysis of Information Technology Outsourcing Services by Regions
       6.5 Market Analysis of Knowledge Process Outsourcing Services by Regions

7 . GLOBAL HEALTHCARE PAYER SOLUTION MARKET ANALYSIS BY APPLICATION
       7.1 Overview by Application
       7.2 Historical Data 2015-2018
       7.3 Global Healthcare Payer Solution Market Analysis by Application
       7.4 Market Analysis of Pharmacy Audit & Analysis Systems by Regions
       7.5 Market Analysis of Claims Management Services by Regions
       7.6 Market Analysis of Fraud Management Services by Regions
       7.7 Market Analysis of Computer-assisted Coding (CAC) Systems by Regions
       7.8 Market Analysis of Member Eligibility Management Services by Regions
       7.9 Market Analysis of Provider Network Management Services by Regions
       7.10. Market Analysis of Payment Management Services by Regions
       7.11 Market Analysis of Customer Relationship Management Services by Regions
       7.12 Market Analysis of Medical Document Management Services by Regions
       7.13 Market Analysis of General Ledger & Payroll Management by Regions

8 . GLOBAL HEALTHCARE PAYER SOLUTION MARKET ANALYSIS BY END USER
       8.1 Overview by End User
       8.2 Historical Data 2015-2018
       8.3 Global Healthcare Payer Solution Market Analysis by End User
       8.4 Market Analysis of Private Provider by Regions
       8.5 Market Analysis of Public Provider by Regions

9 . GLOBAL HEALTHCARE PAYER SOLUTION MARKET ANALYSIS BY GEOGRAPHY
       9.1. Regional Outlook
       9.2. Introduction
       9.3. North America
           9.3.1. Overview and Historic Data
           9.3.2. North America Healthcare Payer Solution Market Estimate By Market Segment
           9.3.3. North America Healthcare Payer Solution Market Estimate By Country
           9.3.4. United State
           9.3.5. Canada
           9.3.6. Mexico
       9.4. Europe
           9.4.1. Overview and Historic Data
           9.4.2. Europe Healthcare Payer Solution Market Estimate by Market Segment
           9.4.3. Europe Healthcare Payer Solution Market Estimate by Country
           9.4.4. United Kingdom
           9.4.5. France
           9.4.6. Germany
           9.4.7. Italy
           9.4.8. Russia
           9.4.9. Rest Of Europe
       9.5. Asia Pacific
           9.5.1. Overview and Historic Data
           9.5.2. Asia Pacific Healthcare Payer Solution Market Estimate by Market Segment
           9.5.3. Asia Pacific Healthcare Payer Solution Market Estimate by Country
           9.5.4. China
           9.5.5. India
           9.5.6. Japan
           9.5.7. South Korea
           9.5.8. Australia
           9.5.9. Rest Of Asia Pacific
       9.6. Latin America
           9.6.1. Overview and Historic Data
           9.6.2. Latin America Healthcare Payer Solution Market Estimate by Market Segment
           9.6.3. Latin America Healthcare Payer Solution Market Estimate by Country
           9.6.4. Brazil
           9.6.5. Argentina
           9.6.6. Peru
           9.6.7. Chile
           9.6.8. Rest of Latin America
       9.7. Middle East & Africa
           9.7.1. Overview and Historic Data
           9.7.2. Middle East & Africa Healthcare Payer Solution Market Estimate by Market Segment
           9.7.3. Middle East & Africa Healthcare Payer Solution Market Estimate by Country
           9.7.4. Saudi Arabia
           9.7.5. UAE
           9.7.6. Israel
           9.7.7. South Africa
           9.7.8. Rest Of Middle East And Africa

10 . COMPETITIVE LANDSCAPE OF THE HEALTHCARE PAYER SOLUTION COMPANIES
       10.1. Healthcare Payer Solution Market Competition
       10.2. Partnership/Collaboration/Agreement
       10.3. Merger And Acquisitions
       10.4. New Product Launch
       10.5. Other Developments

11 . COMPANY PROFILES OF HEALTHCARE PAYER SOLUTION INDUSTRY
       11.1. Company Share Analysis
       11.2. Market Concentration Rate
       11.3. UnitedHealth Group Incorporated
           11.3.1. Company Overview
           11.3.2. Financials
           11.3.3. Products
           11.3.4. Recent Developments
       11.4. McKesson Corporation
           11.4.1. Company Overview
           11.4.2. Financials
           11.4.3. Products
           11.4.4. Recent Developments
       11.5. HMS Holdings Corp.
           11.5.1. Company Overview
           11.5.2. Financials
           11.5.3. Products
           11.5.4. Recent Developments
       11.6. International Business Machines Corporation
           11.6.1. Company Overview
           11.6.2. Financials
           11.6.3. Products
           11.6.4. Recent Developments
       11.7. Change Healthcare, Inc.
           11.7.1. Company Overview
           11.7.2. Financials
           11.7.3. Products
           11.7.4. Recent Developments
       11.8. Accenture plc
           11.8.1. Company Overview
           11.8.2. Financials
           11.8.3. Products
           11.8.4. Recent Developments
       11.9. Cognizant Technology Solutions Corporation
           11.9.1. Company Overview
           11.9.2. Financials
           11.9.3. Products
           11.9.4. Recent Developments
       11.10. Hinduja Global Solutions Limited
           11.10.1. Company Overview
           11.10.2. Financials
           11.10.3. Products
           11.10.4. Recent Developments
       11.11. Inovalon Holdings, Inc.
           11.11.1. Company Overview
           11.11.2. Financials
           11.11.3. Products
           11.11.4. Recent Developments
       11.12. Wipro Limited
           11.12.1. Company Overview
           11.12.2. Financials
           11.12.3. Products
           11.12.4. Recent Developments

*Note - In company profiling, financial details and recent development are subject to availability or might not be covered in case of private companies

LIST OF TABLES

LIST OF FIGURES

* Kindly note that the above listed are the basic tables and figures of the report and are not limited to the TOC.

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Objectives of Study

Define and measure the global market
Volume or revenue forecast of the global market and its various sub-segments with respect to main geographies
Analyze and identify major market trends along with the factors driving or inhibiting the market growth
Study the company profiles of the major market players with their market share
Analyze competitive developments

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ID:VMR11213487

October 2020

Report Formats:

Choose your Buying Option

Choose your Buying Option

Objectives of Study

Buy Chapters or Sections

Why Choose Us

Client First Policy

Excellent Quality

Robust After Sales Support

24/7 Email Support

Clients

Testimonials

Vincenzo Baydar – Head Planning, Leading Food Chain, US

Mia Tang, Director - Business Strategy, Steel Industry, Germany

Jo Chin, Owner of a Manufacturing Plant in Taiwan

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Need specific market information?

ID:VMR11213487

October 2020

Report Formats:

Choose your Buying Option

Choose your Buying Option

Objectives of Study

Buy Chapters or Sections

Why Choose Us

Client First Policy

Excellent Quality

Robust After Sales Support

24/7 Email Support

Clients

Testimonials

Vincenzo Baydar – Head Planning, Leading Food Chain, US

Mia Tang, Director - Business Strategy, Steel Industry, Germany

Jo Chin, Owner of a Manufacturing Plant in Taiwan

Key questions answered by the report

Need specific market information?

Important: Covid19 pandemic market impact