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Healthcare Payer Solution Market Importance of Competitive Intelligence Understanding Your Industry and Competitors | International Business Machines Corporation Technology

Healthcare Payer Solution Market Importance of Competitive Intelligence Understanding Your Industry and Competitors | International Business Machines Corporation Technology

Report Ocean has published a new report on the “Healthcare Payer Solution Market ” in diverse regions to produce a report with more than 250+pages. This market report is an excellent fusion of qualitative and quantitative data emphasize Healthcare Payer Solution Market .

The global healthcare payer services market was valued at $19,409.52 million in 2019, and is projected to reach $41,906.64 million by 2027, registering a CAGR of 10.6% from 2020 to 2027. The growth of the global healthcare payer solution market is majorly driven by rise in cost of healthcare systems and urge to decrease wasteful spending. Moreover, surge in risk of healthcare frauds and increase in demand for streamlined business processes drive the growth of the healthcare payer solution market. Furthermore, rise in health insurance enrolment, increase in adoption of healthcare IT solutions, and implementation of various healthcare reforms such as Patient Protection and Affordable Care Act fuel the growth of the healthcare payer solution market.

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Healthcare payer refers Preferred Provider Organizations (PPOs), Health Maintenance Organizations (HMOs), healthcare service contracts, state insurance agencies, and claim handlers. Healthcare payer solution providers help such public and private payers as well as healthcare insurers to manage the claims, member engagement, audits, medical documents, and customer relations. These businesses have dedicated units that help to improve overall health system performance through optimizing care quality; reducing costs & improving consumer experience & care provider performance; and leveraging distinctive capabilities in data & analytics, pharmacy care services, population health, healthcare delivery, & healthcare operations. Through all these services, healthcare payer solution providers help their clients to improve their operational efficiency and reduce their operational cost.

However, surge in incidence of data breaches and loss of confidentiality and cultural & language barriers are anticipated to restrict the growth of the market. On the contrary, high growth potential offered by emerging economies and increase in adoption of AI & analytics are expected to offer lucrative opportunities for the market expansion during the forecast period.

The global healthcare payer solution market is segmented into service, application, end user, and region. On the basis of service, the market is fragmented into business process outsourcing (BPO) services, information technology outsourcing (ITO) services, and knowledge process outsourcing (KPO) services. By application, it is categorized into 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, and general ledger & payroll management. Depending on end user, it is differentiated into private and public end user. Region wise, it is analyzed across North America (U.S., Canada, and Mexico), Europe (Germany, the UK, Italy, Spain, France, and rest of Europe), Asia-Pacific (Japan, China, India, and rest of Asia-Pacific), and LAMEA (Brazil, South Africa, Saudi Arabia, and rest of LAMEA).

The healthcare sector is vital to both national economies and people all across the world. One of the industries with the fastest growth rates is this one. There is a correlation between income levels and healthcare spending across nations because healthcare spending accounts for more than 10% of the GDP of the majority of developed countries. According to the Centers for Medicare and Medicaid Services, US healthcare spending increased by 4.6% in 2019 to reach US$ 3.8 trillion, or US$ 11,582 per person and represented 17.7% of GDP. Additionally, households paid for 28.4% of all health expenditures, followed by the federal government for 29.0%. 16.1% of all healthcare costs were paid for by state and municipal governments, while 7.5% came from other private sources.

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Due to advancements spurred by AI/ML, the impact of digital health technology will grow. Data from the Department for Promotion of Industry and Internal Trade show that FDI in the medicines and medication sector totaled US$19.12 billion (DPIIT).

– This report entails a detailed quantitative analysis of the current market trends from 2019 to 2027 to identify the prevailing opportunities along with strategic assessment of the global healthcare payer solution market.
– Market size and estimations are based on a comprehensive analysis of the end users, developments, and services in the industry.
– An in-depth analysis based on region assists to understand the regional market and facilitate the strategic business planning.
– The development strategies adopted by the key market players are enlisted to understand the competitive scenario of the market.

List of key players profiled in the report
– Accenture Plc.
– Change Healthcare, Inc.
– Cognizant Technology Solutions Corporation
– Hinduja Global Solutions Limited
– HMS Holdings Corp.
– Inovalon Holdings, Inc.
– International Business Machines Corporation Technology
– McKesson Corporation
– UnitedHealth Group Incorporated
– Wipro Limited
– HCL Technologies Limited
– Synnex Corporation (Concentrix Corporation)
– Genpact Ltd.
– Sutherland Global Services
– Hexaware Technologies Limited

Key Market Segments
– By Services
o Business Process Outsourcing Services
o Information Technology Outsourcing Services
o Knowledge Process Outsourcing Services

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

– By End User
o Private Provider
o Public Provider

– By Region
o North America
? U.S.
? Canada
? Mexico
o Europe
? Germany
? UK
? Italy
? Spain
? France
? Rest of Europe
o Asia-Pacific
? Japan
? China
? India
? Rest of Asia-Pacific
? Brazil
? Saudi Arabia
? South Africa
? Rest of Middle East

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Table of Contents:

  • Introduction and Scope
    • Definition and Forecast Parameters
    • Methodology and Forecast Parameters
    • Information Sources
  • Latest Trends Summary
    • Regional Trends
    • Product Trends
    • End-Use Trends
    • Business Trends
  • Industry Insights
    • Industry Fragmentation
    • Industry Landscape
    • Vendor Matrix
    • Technological and Innovative Landscape
  • Market by Region
    • North America
    • Latin America
    • Europe
    • Asia Pacific
    • Middle East and Africa
  • Company Profiles
    • Company Overview
    • Financial Elements
    • Product Landscape
    • SWOT Analysis
    • Systematic Outlook

Some of the Key Questions Answered in this Report:

  • What is the Market dimension at the regional and country-level?
  • What are the key drivers, restraints, opportunities, and challenges of the Market, and how they are anticipated to influence the market?
  • What is the international (North America, Europe, Asia-Pacific, South America, Middle East and Africa) income value, manufacturing value, consumption value, import and export of Market?
  • Who are the world key producers of the Market Industry? How is their working state of affairs (capacity, production, sales, price, cost, gross, and revenue)?
  • What are the Market possibilities and threats confronted via the carriers in the world Market Industry?
  • Which application/end-user or product kind may also be seeking for incremental boom prospects? What is the market share of every kind and application?
  • What targeted method and constraints are keeping the Market?
  • What are the distinct sales, marketing, and distribution channels in the world industry?
  • What are the upstream uncooked substances and manufacturing gear of Market alongside with the manufacturing technique of Market?
  • What are the key market tendencies impacting the increase of the Market?
  • Economic have an impact on the Market enterprise and improvement vogue of the Market industry.

Reasons to Buy this Report:

  • Access to date records compiled by using our researchers. These supply you with historic and forecast data, which is analyzed to inform you why your market is set to change
  • This allows you to assume market adjustments to stay in advance of your competitors
  • You will be in a position to replica facts from the Excel spreadsheet straight into your advertising plans, enterprise presentations, or different strategic documents
  • The concise analysis, clear graph, and desk structure will allow you to pinpoint the statistics you require quickly
  • Provision of market cost (USD Billion) records for every section and sub-segment
  • Indicates the place and phase that is predicted to witness the quickest increase as properly as to dominate the market
  • Analysis via geography highlighting the consumption of the product/service in the location as properly as indicating the elements that are affecting the market inside every region
  • Competitive panorama which accommodates the market rating of the most important players, alongside with new service/product launches, partnerships, enterprise expansions, and acquisitions in the previous 5 years of businesses profiled
  • Extensive agency profiles comprising of employer overview, organization insights, product bench marking, and SWOT evaluation for the essential market players
  • The cutting-edge as nicely as the future market outlook of the enterprise regarding latest traits which contain increase possibilities and drivers as nicely as challenges and restraints of each rising as nicely as developed regions
  • Includes in-depth evaluation of the market from quite a number perspectives thru Porter’s 5 forces analysis
  • Provides perception into the market via Value Chain
  • Market dynamics scenario, alongside with boom possibilities of the market in the years to come
  • 1-Year post-sales analyst support

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