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Global Healthcare Payer Solution Market By Service Type (Business Process Outsourcing (BPO) Services, Information Technology Outsourcing (ITO) Services, and Knowledge Process Outsourcing (KPO) Services), Application (Claims Management Services, Member Management Services, Provider Management Services, Integrated Front Office Services & Back Office Operations, Billing & Accounts Management Services, Analytics & Fraud Management Services, and HR Services), and End User (Private Payers and Public Payers) - Opportunity Analysis and Industry Forecast, 2017-2023

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Jan 2019 | 1073 Views
 
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Healthcare payer solution is a strategic systematic plan that offers a broad range of innovative and cost-effective healthcare solutions to improve operational efficiency and to reach the ultimate goal of health care transformations.
The key factors that drive the market include the increasing demand for streamlined business processes, increase in healthcare fraud due to outsourcing, better customer services due to the adoption of cost-effective solutions for healthcare payers, and progression of health benefit plan designs.

However, administrative control breakdown and loss of confidentiality may restrain the market growth. On the other hand, due to advanced data analytics, expansion of service portfolio, and usage of Icd-10 standards there will be a further increase in opportunities that will positively impact the market growth.

The global healthcare payer solution market is segmented on the basis of service type, application, end user, and region. Based on service type, the market is segmented into business process outsourcing (BPO) services, information technology outsourcing (ITO) services, and knowledge process outsourcing (KPO) services. Based on application, the market is segmented into claims management services, member management services, provider management services, integrated front office services & back office operations, billing & accounts management services, analytics & fraud management services, and HR services.

By end user, the market is segmented into private payers and public payers. Geographically the market has been analyzed across North America (the U.S., Canada, and Mexico), Europe (Germany, UK, France, Italy, Spain, and rest of Europe), Asia-Pacific (Japan, China, India, Australia, South Korea, and rest of Asia-Pacific), and LAMEA (Brazil, Saudi Arabia, South Africa, and rest of LAMEA).

Cognizant Technology Solutions, Accenture plc, Concentrix Corporation, ExlService Holdings, Inc., Xerox Corporation, Genpact Limited, Hewlett-Packard, Hexaware Technologies Limited, First Source Solutions Limited. HCL Technologies Ltd., Teleperformance Group, Hinduja Global Solutions Ltd., SourceHOV, Sutherland Global Services, and Wipro Limited are some of the key players involved in providing healthcare payer solutions worldwide.

Key Benefits

  • The study provides an in-depth analysis of the market with current trends and future estimations to elucidate imminent investment pockets.
  • It offers a quantitative analysis from 2016 to 2023, which is expected to enable stakeholders to capitalize on prevailing market opportunities.
  • Extensive analysis by product helps understand the various types of solutions used in the healthcare payer solutions market.
  • Comprehensive analysis of all geographical regions has been provided, which helps determine prevailing opportunities.
  • Key players have been profiled and their strategies thoroughly analyzed, which helps understand the competitive outlook of the global market.

Global Healthcare Payer Solution Market Key Segment:

By Service Type

  • Business Process Outsourcing (BPO) services
  • Information Technology Outsourcing (ITO) services
  • Knowledge Process Outsourcing (KPO) services

By Application

  • Claims management services
  • Integrated front office service and back office operations
  • Member management services
  • Provider management services
  • Billing and accounts management services
  • Analytics and fraud management services
  • HR Services

By End User

  • Private Payers
  • Public Payers

By Region

  • North America
    • U.S.
    • Canada
    • Mexico
  • Europe
    • Germany
    • UK
    • France
    • Italy
    • Spain
    • Rest of Europe
  • Asia-Pacific
    • Japan
    • China
    • India
    • Australia
    • South Korea
    • Rest of Asia-Pacific
  • LAMEA
    • Brazil
    • South Africa
    • Saudi Arabia
    • Rest of LAMEA
 

Chapter: 1 INTRODUCTION

1.1. REPORT DESCRIPTION
1.2. KEY BENEFITS
1.3. KEY MARKET SEGMENTS
1.4. RESEARCH METHODOLOGY
1.4.1. Secondary research
1.4.2. Primary research
1.4.3. Analyst tools & models

Chapter: 2 EXECUTIVE SUMMARY

2.1. CXO PERSPECTIVE

Chapter: 3 MARKET OVERVIEW

3.1. MARKET DEFINITION AND SCOPE
3.2. KEY FINDINGS
3.2.1. Top investment pockets
3.2.2. Top winning strategies
3.3. TOP PLAYER POSITIONING/MARKET SHARE ANALYSIS, 2016
3.4. MARKET DYNAMICS
3.4.1. Drivers
3.4.2. Restraints
3.4.3. Opportunities

Chapter: 4 HEALTHCARE PAYER SOLUTION MARKET, BY SERVICE TYPE

4.1. OVERVIEW
4.1.1. Market size and forecast
4.2. BUSINESS PROCESS OUTSOURCING (BPO) SERVICES
4.2.1. Key market trends, growth factors and opportunities
4.2.2. Market size and forecast, by region
4.2.3. Market analysis, by country
4.3. BUSINESS PROCESS OUTSOURCING (BPO) SERVICES
4.3.1. Key market trends, growth factors and opportunities
4.3.2. Market size and forecast, by region
4.3.3. Market analysis, by country
4.4. KNOWLEDGE PROCESS OUTSOURCING (KPO) SERVICES
4.4.1. Key market trends, growth factors and opportunities
4.4.2. Market size and forecast, by region
4.4.3. Market analysis, by country

Chapter: 5 HEALTHCARE PAYER SOLUTION MARKET, BY APPLICATION

5.1. OVERVIEW
5.1.1. Market size and forecast
5.2. CLAIMS MANAGEMENT SERVICES
5.2.1. Market size and forecast, by region
5.2.2. Market analysis, by country
5.3. INTEGRATED FRONT OFFICE SERVICE AND BACK OFFICE OPERATIONS
5.3.1. Market size and forecast, by region
5.3.2. Market analysis, by country
5.4. MEMBER MANAGEMENT SERVICES
5.4.1. Market size and forecast, by region
5.4.2. Market analysis, by country
5.5. PROVIDER MANAGEMENT SERVICES
5.5.1. Market size and forecast, by region
5.5.2. Market analysis, by country
5.6. BILLINGS AND ACCOUNTS MANAGEMENT SERVICES
5.6.1. Market size and forecast, by region
5.6.2. Market analysis, by country
5.7. ANALYTICAL AND FRAUD MANAGEMENT SERVICES
5.7.1. Market size and forecast, by region
5.7.2. Market analysis, by country
5.8. HR SERVICES/POLICIES
5.8.1. Market size and forecast, by region
5.8.2. Market analysis, by country

Chapter: 6 HEALTHCARE PAYER SOLUTION MARKET, BY END USER

6.1. OVERVIEW
6.1.1. Market size and forecast
6.2. PRIVATE PAYERS
6.2.1. Market size and forecast, by region
6.2.2. Market analysis, by country
6.3. PUBLIC PAYERS
6.3.1. Market size and forecast, by region
6.3.2. Market analysis, by country

Chapter: 7 HEALTHCARE PAYER SOLUTION MARKET, BY REGION

7.1. OVERVIEW
7.2. NORTH AMERICA
7.2.1. Key market trends, growth factors and opportunities
7.2.2. North America healthcare payer solution market, by country
7.2.2.1. U.S. healthcare payer solution market
7.2.2.1.1. U.S. market, by service type
7.2.2.1.2. U.S. market, by application
7.2.2.1.3. U.S. market, by end user
7.2.2.2. Canada healthcare payer solution market
7.2.2.2.1. Canada market, by service type
7.2.2.2.2. Canada market, by application
7.2.2.2.3. Canada market, by end user
7.2.2.3. Mexico healthcare payer solution market
7.2.2.3.1. Mexico market, by service type
7.2.2.3.2. Mexico market, by application
7.2.2.3.3. Mexico market, by end user
7.2.3. North America healthcare payer solution market, by service type
7.2.4. North America healthcare payer solution market, by application
7.2.5. North America healthcare payer solution market, by end user
7.3. EUROPE
7.3.1. Key market trends, growth factors and opportunities
7.3.2. Europe healthcare payer solution market, by country
7.3.2.1. Germany healthcare payer solution market
7.3.2.1.1. Germany market, by service type
7.3.2.1.2. Germany market, by application
7.3.2.1.3. Germany market, by end user
7.3.2.2. France healthcare payer solution market
7.3.2.2.1. France market, by service type
7.3.2.2.2. France market, by application
7.3.2.2.3. France market, by end user
7.3.2.3. UK healthcare payer solution market
7.3.2.3.1. UK market, by service type
7.3.2.3.2. UK market, by application
7.3.2.3.3. UK market, by end user
7.3.2.4. Italy healthcare payer solution market
7.3.2.4.1. Italy market, by service type
7.3.2.4.2. Italy market, by application
7.3.2.4.3. Italy market, by end user
7.3.2.5. Spain healthcare payer solution market
7.3.2.5.1. Spain market, by service type
7.3.2.5.2. Spain market, by application
7.3.2.5.3. Spain market, by end user
7.3.2.6. Rest of Europe healthcare payer solution market
7.3.2.6.1. Rest of Europe market, by service type
7.3.2.6.2. Rest of Europe market, by application
7.3.2.6.3. Rest of Europe market, by end user
7.3.3. Europe healthcare payer solution market, by service type
7.3.4. Europe healthcare payer solution market, by application
7.3.5. Europe healthcare payer solution market, by end user
7.4. ASIA-PACIFIC
7.4.1. Key market trends, growth factors and opportunities
7.4.2. Asia-Pacific healthcare payer solution market, by country
7.4.2.1. Japan healthcare payer solution market
7.4.2.1.1. Japan market, by service type
7.4.2.1.2. Japan market, by application
7.4.2.1.3. Japan market, by end user
7.4.2.2. China healthcare payer solution market
7.4.2.2.1. China market, by service type
7.4.2.2.2. China market, by application
7.4.2.2.3. China market, by end user
7.4.2.3. Australia healthcare payer solution market
7.4.2.3.1. Australia market, by service type
7.4.2.3.2. Australia market, by application
7.4.2.3.3. Australia market, by end user
7.4.2.4. India healthcare payer solution market
7.4.2.4.1. India market, by service type
7.4.2.4.2. India market, by application
7.4.2.4.3. India market, by end user
7.4.2.5. South Korea healthcare payer solution market
7.4.2.5.1. South Korea market, by service type
7.4.2.5.2. South Korea market, by application
7.4.2.5.3. South Korea market, by end user
7.4.2.6. Rest of Asia-Pacific healthcare payer solution market
7.4.2.6.1. Rest of Asia-Pacific market, by service type
7.4.2.6.2. Rest of Asia-Pacific market, by application
7.4.2.6.3. Rest of Asia-Pacific market, by end user
7.4.3. Asia-Pacific healthcare payer solution market, by service type
7.4.4. Asia-Pacific healthcare payer solution market, by application
7.4.5. Asia-Pacific healthcare payer solution market, by end user
7.5. LAMEA
7.5.1. Key market trends, growth factors and opportunities
7.5.2. LAMEA healthcare payer solution market, by country
7.5.2.1. Brazil healthcare payer solution market
7.5.2.1.1. Brazil market, by service type
7.5.2.1.2. Brazil market, by application
7.5.2.1.3. Brazil market, by end user
7.5.2.2. Saudi Arabia healthcare payer solution market
7.5.2.2.1. Saudi Arabia market, by service type
7.5.2.2.2. Saudi Arabia market, by application
7.5.2.2.3. Saudi Arabia market, by end user
7.5.2.3. South Africa healthcare payer solution market
7.5.2.3.1. South Africa market, by service type
7.5.2.3.2. South Africa market, by application
7.5.2.3.3. South Africa market, by end user
7.5.2.4. Rest of LAMEA healthcare payer solution market
7.5.2.4.1. Rest of LAMEA market, by service type
7.5.2.4.2. Rest of LAMEA market, by application
7.5.2.4.3. Rest of LAMEA market, by end user
7.5.3. LAMEA healthcare payer solution market, by service type
7.5.4. LAMEA healthcare payer solution market, by application
7.5.5. LAMEA healthcare payer solution market, by end user

Chapter: 8 COMPANY PROFILES

8.1. COGNIZANT TECHNOLOGY SOLUTIONS
8.1.1. Operating business segments
8.1.2. Business performance
8.1.3. Key strategic moves and developments
8.2. ACCENTURE PLC
8.2.1. Operating business segments
8.2.2. Business performance
8.2.3. Key strategic moves and developments
8.3. CONCENTRIX CORPORATION
8.3.1. Operating business segments
8.3.2. Business performance
8.3.3. Key strategic moves and developments
8.4. EXLSERVICE HOLDINGS, INC.
8.4.1. Operating business segments
8.4.2. Business performance
8.4.3. Key strategic moves and developments
8.5. XEROX CORPORATION
8.5.1. Operating business segments
8.5.2. Business performance
8.5.3. Key strategic moves and developments
8.6. HEWLETT-PACKARD
8.6.1. Operating business segments
8.6.2. Business performance
8.6.3. Key strategic moves and developments
8.7. HEXAWARE TECHNOLOGIES LIMITED
8.7.1. Operating business segments
8.7.2. Business performance
8.7.3. Key strategic moves and developments
8.8. FIRST SOURCE SOLUTIONS LIMITED
8.8.1. Operating business segments
8.8.2. Business performance
8.8.3. Key strategic moves and developments
8.9. HCL TECHNOLOGIES LTD.
8.9.1. Operating business segments
8.9.2. Business performance
8.9.3. Key strategic moves and developments
8.10. WIPRO LIMITED
8.10.1. Operating business segments
8.10.2. Business performance
8.10.3. Key strategic moves and developments

 
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