Healthcare Payer Services Market: Scope by Service Type (BPO, ITO, KPO), By Application (Claims, Provider, Member management, HR services, Analytics & Fraud, Billing & Accounts) & by End Users

Healthcare Payer Services Market research report aids accomplish the needs of businesses for which it analyses the market from top to bottom by considering plentiful parameters. A strong research methodology used here consists of data models that include market overview and guide, vendor positioning grid, market timeline analysis, company positioning grid, company market share analysis, standards of measurement, top to bottom analysis and vendor share analysis. The Healthcare Payer Services Market report first introduces the market basics like definitions, classifications, applications, and industry chain overview, and then industry policies and plans, product specifications, manufacturing processes, cost structures and so on.

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Healthcare Payer Services Market report covers many business strategies such as new product launches, expansions, agreements, partnerships, joint ventures, acquisitions, and others that help to amplify their footprints in the market. This global market report additionally encompasses predictions utilizing a practical arrangement of suspicions and techniques. Depending on the client’s demand, a huge amount of business, product, and market-related information has been brought together via this report that eventually helps businesses create better strategies. Healthcare Payer Services Market is the finest market research report which is the result of a proficient team and their potential capabilities.

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.

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.

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

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Table of Contents

1 Introduction
1.1 Objectives of the Study
1.2 Market Definition
1.3 Market Scope
1.3.1 Markets Covered
1.3.2 Years Considered for the Study
1.4 Currency
1.5 Limitations
1.6 Stakeholders

2 Research Methodology
2.1 Research Methodology Steps
2.2 Secondary and Primary Research Methodology
2.2.1 Secondary Research
2.3 Key Data From Secondary Sources
2.3.1 Primary Research
2.3.2 Key Industry Insights
2.4 Key Data From Primary Sources
2.5 Key Insights From Primary Sources
2.6 Market Size Estimation Methodology
2.7 Market Forecast Methodology
2.8 Market Data Validation and Triangulation
2.9 Assumptions

3 Executive Summary
3.1 Introduction
3.2 Current Scenario
3.3 Future Outlook
3.4 Conclusion

4 Premium Insights
4.1 Global Healthcare Payer Outsourcing Market
4.2 Healthcare Payer Outsourcing Market, By Service Type and Region
4.3 Healthcare Payer Outsourcing Market, By Service Type (2015 vs 2020)

5 Market Overview
5.1 Introduction
5.2 Market Segmentation
5.3 Market Dynamics
5.3.1 Drivers
5.3.1.1 Outsourcing: A Cost-Effective Solution for Healthcare Payers
5.3.1.2 Federal Mandates in the U.S. Increasing Payer Workload
5.3.1.3 Increasing Healthcare Fraud
5.3.1.4 Dynamic Nature of Health Benefit Plan Designs
5.3.1.5 In-House Shortage of Skilled Personnel
5.3.2 Restraints
5.3.2.1 Rising Incidences of Data Breaches and Loss of Confidentiality
5.3.2.2 Unforeseen Costs Associated With Outsourcing
5.3.2.3 Loss of Managerial Control
5.3.3 Opportunities
5.3.3.1 Advanced Data Analytics
5.3.3.2 Switching to Icd-10 Standards
5.3.3.3 Service Portfolio Expansion
5.3.4 Challenges
5.3.4.1 Migration From Legacy Systems
5.3.4.2 Cultural Differences and Language Barriers

6 Healthcare Payer Outsourcing Market, By Service Type
6.1 Introduction
6.2 Business Process Outsourcing Services
6.3 Information Technology Outsourcing Services
6.4 Knowledge Process Outsourcing Services

7 Healthcare Payer Outsourcing Market, By Application
7.1 Introduction
7.2 Claims Management Services
7.2.1 Claims Adjudication Services
7.2.2 Claims Settlement
7.2.3 Information Management Services
7.2.4 Claims Repricing
7.2.5 Claims Investigation Services
7.2.6 Claims Indexing Services
7.2.7 Litigation Management
7.3 Integrated Front-End Services and Back-Office Operations
7.4 Member Management Services
7.5 Provider Management Services
7.6 Billing and Accounts Management Services
7.7 Analytics and Fraud Management Services
7.8 Hr Services

8 Healthcare Payer Outsourcing Market, By End User
8.1 Introduction
8.2 Private Payers
8.3 Public Payers

9 Global Healthcare Payer Outsourcing Market, By Region
9.1 Introduction
9.2 North America
9.2.1 U.S.
9.2.1.1 Rise in Insurance Enrolments Triggered By the Patient Protection and Affordable Care Act (PPACA)
9.2.1.2 Federal Healthcare Mandates Driving the Demand for Outsourcing Among Payers
9.2.1.3 Rising Need to Curtail Escalating Healthcare Costs
9.2.2 Canada
9.2.2.1 Outsourcing, A Strategic Solution to Curtail Healthcare Costs in Canada
9.3 Europe
9.3.1 European Union Five (EU5)
9.3.1.1 Insurance Fraud Amounting to Rising Healthcare Costs in Germany and the U.K.
9.3.1.2 Lack of Skilled Personnel in Germany
9.3.2 Rest of Europe
9.3.2.1 Increased Focus of Major Players
9.4 Asia-Pacific
9.4.1 India
9.4.1.1 India, A Low-Cost Destination Coupled With Availability of Highly Skilled It Labor
9.4.2 Rest of APAC
9.4.2.1 High Growth Opportunities and Increased Focus of Major Players in the Philippines
9.4.2.2 Emerging Role of China in Global Outsourcing
9.4.2.3 Rise in the Aging Population in Japan, A Major Workload for Payers
9.5 Rest of the World
9.5.1 Initiatives By Market Players to Enter Emerging Markets Such as Brazil & Colombia

10 Competitive Landscape
10.1 Overview
10.2 Competitive Situation and Trends
10.2.1 Expansion
10.2.2 Agreements/Collaborations/Partnerships/Joint Ventures/Alliances
10.2.3 Acquisitions/Mergers
10.2.4 New Product Launches
10.2.5 Others

11 Company Profiles
11.1 Introduction
11.2 Cognizant Technology Solutions
11.2.1 Business Overview
11.2.2 Cognizant Technology Solutions: Company Snapshot
11.2.3 Service Offerings
11.2.4 Recent Developments
11.2.5 MnM View
11.3 Accenture PLC
11.3.1 Business Overview
11.3.2 Accenture PLC: Company Snapshot
11.3.3 Service Offerings
11.3.4 Recent Developments
11.3.5 MnM View
11.4 Exlservice Holdings, Inc.
11.4.1 Business Overview
11.4.2 Exlservice Holdings, Inc.: Company Snapshot
11.4.3 Service Offerings
11.4.4 Recent Developments
11.4.5 MnM View
11.5 Concentrix Corporation (A Subsidiary of Synnex Corporation)
11.5.1 Business Overview
11.5.2 Synnex Corporation (Parent Company of Concentrix Corporation): Company Snapshot
11.5.3 Service Offerings
11.5.4 Recent Developments
11.5.5 MnM View
11.6 Hewlett-Packard
11.6.1 Business Overview
11.6.2 Hewlett-Packard: Company Snapshot
11.6.3 Services Offerings
11.6.4 Recent Developments
11.7 Hinduja Global Solutions Limited
11.7.1 Business Overview
11.7.2 Hinduja Global Solutions Limited: Company Snapshot
11.7.3 Service Offerings
11.7.4 Recent Developments
11.7.5 MnM View
11.8 Xerox Corporation
11.8.1 Business Overview
11.8.2 Xerox Corporation: Company Snapshot
11.8.3 Service Offerings
11.8.4 Recent Developments
11.9 Dell, Inc.
11.9.1 Business Overview
11.9.2 Dell, Inc.: Company Snapshot
11.9.3 Service Offerings
11.9.4 Recent Developments
11.10 Genpact Limited
11.10.1 Business Overview
11.10.2 Genpact Limited: Company Snapshot
11.10.3 Service Offerings
11.10.4 Recent Developments
11.11 HCL Technologies Ltd.
11.11.1 Business Overview
11.11.2 HCL Technologies: Company Snapshot
11.11.3 Service Offerings
11.11.4 Recent Developments
11.12 Wipro Limited
11.12.1 Business Overview
11.12.2 Wipro Limited: Company Snapshot
11.12.3 Service Offerings
11.12.4 Recent Developments

12 Appendix
12.1 Discussion Guide
12.2 Company Developments (2012-2015)
12.2.1 Cognizant Technology Solutions
12.2.2 Accenture PLC
12.2.3 Exlservice Holdings, Inc.
12.2.4 Concentrix Corporation
12.2.5 Hinduja Global Solutions Limited
12.2.6 Xerox Corporation
12.2.7 HCL Technologies Ltd.
12.2.8 Wipro Limited
12.3 Introducing RT: Real-Time Market Intelligence
12.4 Available Customizations
12.5 Related Reports

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