Global Healthcare Payer BPO Market Outlook To 2026: In-Depth Market Overview, Key Service Categories(Claims Processing Services, Member Services, HR Services, Finance, And Accounts), Regional Segmentation, Pricing Analysis, Pipeline Analysis, Competitive Dynamics, M&A Insights, Segment Forecast, And Conclusion

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The Healthcare Payer BPO Market was valued at $18,000Million in 2018 and is forecast to grow at a modest12.0 % CAGR between2018 and 2025, culminating in 2026 global sales of $38.20Billion.

 

 

Healthcare Payer BPO is an Outsourcing vendor, which provide the 24 hours customer support such as Patients, providers, and shareholders. It delivers service like least cost administration and increasing patient satisfaction. Because of the maximum number of a healthcare professional, comfortable cost of living, decreased time & cost of recruitment, and the large patient pool are anticipated to propel the market growth. These segment demand for those graduates belongs from Life Science with a specialization of microbiology, biology, biochemistry, nursing, and physical therapy for medical coding support. Due to the shifting of ICD-9 to ICD-10 all the healthcare industry, coders, insurance carriers, and government agencies use ICD codes and provides proper clinical data with health records. Increasing of geriatric population is anticipated to grow the segment with different types of health condition like Cancer, Cardiovascular disease, Respiratory disease, eye care problem, and orthopedic problems in the coming future.Rising occurrences of such diseases created a huge workload for the insurance companies. So, to control the various patient records, a maximum number of claim records, and to get a quick result, the payer companies need to invest their assets in infrastructure, technology, skilled manpower, and their processing cost will move the market in coming future. According to WHO there are 950,000 healthcare providerspaid USD 72 Billion for medical services and USD 17 Billion for a drugs operation.

Healthcare payer bpo market

 

Pricing Analysis

 

“Optimal Price Point (OPP) for Global Healthcare Payer BPO”

 

Estimated Average product/ service cost – $ xx globally. However, with improving access and availability of options, OPP and range of acceptable Prices (RAP) are going to change. We at Ameri Research continuously track these prices with our proprietary pricing model.

 

Due to the wide array of products available in the market, pricing, positioning, and sales channel optimization play a vital role in the success of a product. On average, India Healthcare Payer BPOservicesare available at USD xxx- USD xxxx. However, high-end products are available at much higher prices. The prices in emerging countries and developed countries vary significantly due to the difference in purchasing power and availability of latest products.

 

Global Healthcare Payer BPO Market by “Key Service Categories”

 

We have segmented the Global Healthcare Payer BPO market based on Key Service are Claims Processing Services, Member Services, HR Services, Finance, And Accounts.

We have observed that Healthcare Payer BPO market dominated worldwide by the Claim Processing Service with the largest revenue share of 55.4% in the market 2014. The rising perforation of insurance coverage and inexpensive care can drive the healthcare payer BPO market.

According to Obama Care and CMS, there are 8 Million people joined by the market place in 2013 and 11.7 Million people joined in 2015. Somehow, the positive sign of the people is projected to boost the healthcare payer market over the forecast period.

The main factors are enhancing customer service necessity, need for value-added service, and customer relationship competition and customer loyalty is expected to the largest growing sectors over the forecast period.

 

Regional Segmentation

 

North America and the Asia Pacific accounted for the maximum revenue share of over xx% in 2018 due to increased demand of Global Healthcare Payer BPOservices followed by EU- Top 5 countries contribute $X.6 Billion in 2018 and expected to reach $x.5 Billion by 2026.

The rapid growth of the healthcare expenditure and availability of Global Healthcare Payer BPO materials option, create an impact in developing countries for the demand for insurance service and implementation of healthcare policies.

 

“Competitive Landscape” and “Merger& Acquisition Insights”

 

The key market participants includeCognizant Technology Solutions, Xerox Corporation, Accenture Wipro Limited, Hinduja Global Solutions, Exlservice Holdings Inc., Hewlett-Packard, HCL Technologies Ltd., and Genpact Limited.are a few major players in Global Healthcare Payer BPO markets. TheGlobal Healthcare Payer BPO market is fragmented with a large number of global & local players. Merger &Acquisitions, collaborations & new products launch are some of the major strategies adopted by key market players. Apart from this innovation& new product development are a major focus area for dominant companies.

 

Market Segmentation

 

Global Healthcare Payer BPO Market by Key Service Categories(Revenue, Million, 2018 – 2026)

  • Claims Processing Services
  • Member Services
  • HR Services
  • Finance
  • Accounts

 

 

Global Healthcare Payer BPO Market Regional Outlook (Revenue, USD Million, 2018-2026)

  • North America
    • U.S.
    • Canada
  • Europe
    • UK
    • Germany
    • France
    • Italy
    • Spain
  • Asia Pacific
    • Japan
    • China
    • India
    • Australia
  • Latin America
    • Brazil
    • Mexico
    • Columbia
  • Middle East and Africa
    • South Africa
    • Saudi Arabia

 

Global Healthcare Payer BPO Market, Global Healthcare Payer BPO Market Analytics, Global Healthcare Payer BPO Market Share, Global Healthcare Payer BPO Market Research, Global Healthcare Payer BPO Market Forecast, Global Healthcare Payer BPO Market Research Report Global Healthcare Payer BPO Market Insight,Global Healthcare Payer BPO Market Trend,Global Healthcare Payer BPO Market Value, Global Healthcare Payer BPO Market Size,Global Healthcare Payer BPO Market Analysis,Global Healthcare Payer BPO Market Survey,

Chapter 1 Methodology and Scope

  • Research Methodology
  • Research Scope & Assumptions
  • List of Data Sources

Chapter 2 Executive Summary

Chapter 3 Healthcare Payer BPO Market Overview

  • Market Ecosystem
  • Key Stakeholders
  • Industry Trends & Analysis

Chapter 4 Healthcare Payer BPO Trend Outlook

  • Market Overview
  • Market Segmentation
  • Market Size and Growth Prospects
  • Leading Brand Dynamics
  • Key Market Drivers
    • Increase in geriatric Population
    • Impact of U.S. federal policies
    • Increasing penetration of health insurance in emerging economies
  • Key Market Challenges
    • Data security and privacy concerns
    • Presence of complex regulatory framework
  • Key Opportunities Prioritized
  • Industry Analysis - Porter’s
  • Healthcare Payer BPO Market-PESTEL Analysis

Chapter 5: -Healthcare Payer BPO Market by “Key Service Categories” (USD Million)

Healthcare Payer BPO Market Landscape by Key Service Categories - 2018-2026
  • Claims Processing Services
    • Market Landscape Analysis, 2018-2026
  • Member Service
    • Market Landscape Analysis, 2018-2026
  • HR Service
    • Market Landscape Analysis, 2018-2026
  • Finance
    • Market Landscape Analysis, 2018-2026
  • Accounts
    • Market Landscape Analysis, 2018-2026

Chapter 8: Regional Market Outlook

Healthcare Payer BPO Market Landscape by Region- 2018
  • North America Market Landscape Analysis, 2018-2026 (USD Mn)
    • U.S. Market Landscape Analysis, 2018-2026
    • Canada Market Landscape Analysis-2018-2026
  • Europe Market Landscape Analysis, 2018-2026 (USD Mn)
    • UK Market Landscape Analysis, 2018-2026
    • Germany Market Landscape Analysis, 2018-2026
    • France Market Landscape Analysis, 2018-2026
    • Italy Market Landscape Analysis, 2018-2026
    • Spain Market Landscape Analysis, 2018-2026
  • Latin America Market Landscape Analysis, 2018-2026 (USD Mn)
    • Brazil Market Landscape Analysis, 2018-2026
    • Mexico Market Landscape Analysis, 2018-2026
    • Colombia Market Landscape Analysis, 2018-2026
  • Asia Pacific Market Landscape Analysis, 2018-2026 (USD Mn)
    • Japan Market Landscape Analysis, 2018-2026
    • China Market Landscape Analysis, 2018-2026
    • India Market Landscape Analysis, 2018-2026
  • Middle East & Africa Market Landscape Analysis, 2018-2026 (USD Mn)
    • Saudi Arabia Market Landscape Analysis, 2018-2026
    • South Africa Market Landscape Analysis, 2018-2026

Chapter 9: Pricing Analysis

Optimal Price Points (OPP), Indifference price points (IPP) and Range of Acceptable Prices and (RAP) of leading brands by Region- 2018
  • North America Pricing Analysis (OPP, IPP, and RAP - 2018)
    • U.S. Pricing Analysis-2018
    • Canada Pricing Analysis-2018
  • Europe Pricing Analysis (OPP, IPP, and RAP - 2018)
    • UK Pricing Analysis-2018
    • Germany Pricing Analysis-2018
    • France Pricing Analysis-2018
    • Italy Pricing Analysis-2018
    • Spain Pricing Analysis-2018
  • Latin America Pricing Analysis (OPP, IPP, and RAP - 2018)
    • Brazil Pricing Analysis-2018
    • Mexico Pricing Analysis-2018
    • Colombia Pricing Analysis-2018
  • Asia Pacific Pricing Analysis (OPP, IPP, and RAP - 2018)
    • Japan Pricing Analysis-2018
    • China Pricing Analysis-2018
    • India Pricing Analysis-2018
  • Middle East Pricing Analysis (OPP, IPP, and RAP - 2018)
    • Saudi Arabia Pricing Analysis-2018
    • South Africa Pricing Analysis-2018

Chapter 10: Healthcare Payer BPO Pipeline Analysis

  • Executive Summary
  • Late Stage Pipeline analysis
  • Key R&D trends

Chapter 11: Healthcare Payer BPO Merger &Acquisition Outlook

  • Factors driving M&A in Healthcare Payer BPO market
  • Key trends and future outlook

Chapter 12: Competitive Landscape

  • Cognizant Technology Solutions
    • Company Overview
    • Financial Performance
    • Key Decision Maker
    • Product Pipeline
    • Strategic Initiative
  • Xerox Corporation
    • Company Overview
    • Financial Performance
    • Key Decision Maker
    • Product Pipeline
    • Strategic Initiative
  • Accenture Wipro Limited
    • Company Overview
    • Financial Performance
    • Key Decision Maker
    • Product Pipeline
    • Strategic Initiative
  • Hinduja Global Solutions
    • Company Overview
    • Financial Performance
    • Key Decision Maker
    • Product Pipeline
    • Strategic Initiative
  • Exlservice Holdings Inc
    • Company Overview
    • Financial Performance
    • Key Decision Maker
    • Product Pipeline
    • Strategic Initiative
  • Hewlett-Packard
    • Company Overview
    • Financial Performance
    • Key Decision Maker
    • Product Pipeline
    • Strategic Initiative
  • HCL Technologies Ltd.
    • Company Overview
    • Financial Performance
    • Key Decision Maker
    • Product Pipeline
    • Strategic Initiative
 

List of Tables

 
  • TABLE 1 Healthcare Payer BPO Market - Industry Snapshot & Key Buying Criteria, 2018 - 2026
  • TABLE 2 Global Healthcare Payer BPO Market, 2018 – 2026
  • TABLE 3 Global Healthcare Payer BPO Market Analysis by Product-2018
  • TABLE 4 Global Healthcare Payer BPO Market Analysis by Technology-2018
  • TABLE 5 Global Healthcare Payer BPO Market Analysis by Application-2018
  • TABLE 7 Global Healthcare Payer BPO Market Analysis by Geography-2018
  • TABLE 8 Global Healthcare Payer BPO Market Analysis by Leading Brands-2018
  • TABLE 9 Healthcare Payer BPO Market - Key market driver analysis
  • TABLE 10 Healthcare Payer BPO Market - Key market restraint analysis
  • TABLE 11 North America Market Healthcare Payer BPO Landscape Analysis, 2018-2026 (USD Mn)
  • TABLE 12U.S. Healthcare Payer BPO Market Landscape Analysis, 2018-2026
  • TABLE 13Canada Healthcare Payer BPO Market Landscape Analysis, 2018-2026
  • TABLE 14Europe Healthcare Payer BPO Market Landscape Analysis, 2018-2026 (USD Mn)
  • TABLE 15U.K Healthcare Payer BPO Market Landscape Analysis, 2018-2026
  • TABLE 16 Germany Healthcare Payer BPO Market Landscape Analysis, 2018-2026
  • TABLE 17 France Healthcare Payer BPO Market Landscape Analysis, 2018-2026
  • TABLE 18 Italy Healthcare Payer BPO Market Landscape Analysis, 2018-2026
  • TABLE 19 Spain Healthcare Payer BPO Market Landscape Analysis, 2018-2026
  • TABLE 20Latin America Healthcare Payer BPO Market Landscape Analysis, 2018-2026 (USD Mn)
  • TABLE 21 Brazil Healthcare Payer BPO Market Landscape Analysis, 2018-2026
  • TABLE 22 Mexico Healthcare Payer BPO Market Landscape Analysis, 2018-2026
  • TABLE 20 Colombia Healthcare Payer BPO Market Landscape Analysis, 2018-2026
  • TABLE 21 Asia Pacific Healthcare Payer BPO Market Landscape Analysis, 2018-2026 (USD Mn)
  • TABLE 22Japan Healthcare Payer BPO Market Landscape Analysis, 2018-2026
  • TABLE 23China Healthcare Payer BPO Market Landscape Analysis, 2018-2026
  • TABLE 24 India Healthcare Payer BPO Market Landscape Analysis, 2018-2026
  • TABLE 25North America Pricing Analysis
  • TABLE 26 North America Pricing Analysis (OPP, IPP, and RAP- 2018)
  • TABLE 27 U.S. Pricing Analysis-2018
  • TABLE 28 Canada Pricing Analysis-2018
  • TABLE 29 Europe Pricing Analysis (OPP, IPP, and RAP- 2018)
  • TABLE 30 U.K Pricing Analysis-2018
  • TABLE 31 Germany Pricing Analysis-2018
  • TABLE 32 France Pricing Analysis-2018
  • TABLE 33 Italy Pricing Analysis-2018
  • TABLE 34 Spain Pricing Analysis-2018
  • TABLE 35 Latin America Pricing Analysis (OPP, IPP, and RAP- 2018)
  • TABLE 36 Brazil Pricing Analysis-2018
  • TABLE 37 Mexico Pricing Analysis-2018
  • TABLE 38 Colombia Pricing Analysis-2018
  • TABLE 39 Asia Pacific Pricing Analysis (OPP, IPP, and RAP- 2018)
  • TABLE 40 Japan Pricing Analysis-2018
  • TABLE 41 China Pricing Analysis-2018
  • TABLE 42 India Pricing Analysis-2018
  • TABLE 43 Middle East Pricing Analysis (OPP, IPP, and RAP- 2018)
  • TABLE 44 Saudi Arabia Pricing Analysis-2018
  • TABLE 45 South Africa Pricing Analysis-2018
  List of Figures  
  • 1 Healthcare Payer BPO Market Segmentation
  • 2 Market Size & Growth Prospects
  • 3 Leading Brand Dynamics
  • 4 Penetration & Growth Prospects
  • 5 Industry Analysis – Porter’s
  • 6 Healthcare Payer BPO Market – PESTEL Analysis
  • 7Healthcare Payer BPO Market Share by Product Type, 2018-2026
  • 8 Healthcare Payer BPO Market Share by Cell Type, 2018-2026
  • 9 Healthcare Payer BPO Market Share by Technique, 2018-2026
  • 10 Healthcare Payer BPO Market Share by Application, 2018-2026
  • 11 Healthcare Payer BPO Market Share by End-Use, 2018-2026
  • 12 Healthcare Payer BPO Market Share by Region, 2018-2026

Key Insights Addressed:  

  • Defining market size from 2018 to 2026.
  • Estimating market growth till 2026 and consequence market forecast.
  • Identifying market drivers, restraints & future opportunities and allowing decision-maker with a range of possible outcomes and the probabilities that will occur for any choice of action.
  • Market segments and regions that will drive or lead market growth.
  • Defining Optimal Price Point (OPP) which will be accepted and recommended by maximum customers.
  • A bird’s-eye view of the competitive landscape and the key market players.
  • Key strategic growth driver adopted by market players. In-depth analysis of their strategies and implication on competition & growth.
    Key Findings:  
  • The Healthcare Payer BPO Market was valued at $18,000 Million in 2018 and is forecast to grow at a modest 12.0 % CAGR between 2018 and 2025, culminating in 2026 global sales of $38.20 Billion.
  • Healthcare Payer BPO is an Outsourcing vendor, which provide the 24 hours customer support such as Patients, providers, and shareholders. Service Like it deliver the least cost administration and increasing patient satisfaction, Also provides in a wide range of Insurance carriers, to make simpler for the BPO process. Because of the maximum number of a healthcare professional, comfortable cost of living, decreased time & cost of recruitment, and the large patient pool are anticipated to propel the market growth.
  • We have segmented the Global Healthcare Payer BPO market based on Key Service are Claims Processing Services, Member Services, HR Services, Finance, And Accounts.
  • The key market participants includeCognizant Technology Solutions, Xerox Corporation, Accenture Wipro Limited, Hinduja Global Solutions, Exlservice Holdings Inc., Hewlett-Packard, HCL Technologies Ltd., and Genpact Limited.

Ameri Research implies a unique methodology of published information and primary research to bring key insights to customer decision making process. Our analytics model helps us to understand the structured and unstructured information from various sources. Key steps involve in the process are as below-

  1. Analyzing Published Information- Access to large pool of paid and unpaid published information via different sources and analyzing market trend.
  2. Setting Foundation- Input from analysis of secondary sources set our foundation to market analysis and helps in setting the scope for further research. Setting the scope involves Ameri Research proprietary statistical model, discussion with industry leaders, internal brainstorming, key discussion pointers from various forums etc.
  3. Need Gap Analysis- Defining the gap between our scope and availability of information.
  4. KOL Panel Discussion- Focused Group Discussion with a structured discussion guide to fine tune the gap and deriving the factors driving/restraining the market trend.
  5. Quantitative Research- Sampling large number of industry players, Education/Research Institutes, Government bodies, NGOs, Individual acclaimed researchers and conducting the primary interview with a structured questionnaire.
  6. Data Triangulation- We apply bottom-up demand approach or top-down estimation or a combined approach to triangulate the data points.
  7. Analyst Comment- Each of our analysts carries large pool of experience from domain perspective and add their value which is directional in nature
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Description

The Healthcare Payer BPO Market was valued at $18,000Million in 2018 and is forecast to grow at a modest12.0 % CAGR between2018 and 2025, culminating in 2026 global sales of $38.20Billion.

 

 

Healthcare Payer BPO is an Outsourcing vendor, which provide the 24 hours customer support such as Patients, providers, and shareholders. It delivers service like least cost administration and increasing patient satisfaction. Because of the maximum number of a healthcare professional, comfortable cost of living, decreased time & cost of recruitment, and the large patient pool are anticipated to propel the market growth. These segment demand for those graduates belongs from Life Science with a specialization of microbiology, biology, biochemistry, nursing, and physical therapy for medical coding support. Due to the shifting of ICD-9 to ICD-10 all the healthcare industry, coders, insurance carriers, and government agencies use ICD codes and provides proper clinical data with health records. Increasing of geriatric population is anticipated to grow the segment with different types of health condition like Cancer, Cardiovascular disease, Respiratory disease, eye care problem, and orthopedic problems in the coming future.Rising occurrences of such diseases created a huge workload for the insurance companies. So, to control the various patient records, a maximum number of claim records, and to get a quick result, the payer companies need to invest their assets in infrastructure, technology, skilled manpower, and their processing cost will move the market in coming future. According to WHO there are 950,000 healthcare providerspaid USD 72 Billion for medical services and USD 17 Billion for a drugs operation.

Healthcare payer bpo market

 

Pricing Analysis

 

“Optimal Price Point (OPP) for Global Healthcare Payer BPO”

 

Estimated Average product/ service cost – $ xx globally. However, with improving access and availability of options, OPP and range of acceptable Prices (RAP) are going to change. We at Ameri Research continuously track these prices with our proprietary pricing model.

 

Due to the wide array of products available in the market, pricing, positioning, and sales channel optimization play a vital role in the success of a product. On average, India Healthcare Payer BPOservicesare available at USD xxx- USD xxxx. However, high-end products are available at much higher prices. The prices in emerging countries and developed countries vary significantly due to the difference in purchasing power and availability of latest products.

 

Global Healthcare Payer BPO Market by “Key Service Categories”

 

We have segmented the Global Healthcare Payer BPO market based on Key Service are Claims Processing Services, Member Services, HR Services, Finance, And Accounts.

We have observed that Healthcare Payer BPO market dominated worldwide by the Claim Processing Service with the largest revenue share of 55.4% in the market 2014. The rising perforation of insurance coverage and inexpensive care can drive the healthcare payer BPO market.

According to Obama Care and CMS, there are 8 Million people joined by the market place in 2013 and 11.7 Million people joined in 2015. Somehow, the positive sign of the people is projected to boost the healthcare payer market over the forecast period.

The main factors are enhancing customer service necessity, need for value-added service, and customer relationship competition and customer loyalty is expected to the largest growing sectors over the forecast period.

 

Regional Segmentation

 

North America and the Asia Pacific accounted for the maximum revenue share of over xx% in 2018 due to increased demand of Global Healthcare Payer BPOservices followed by EU- Top 5 countries contribute $X.6 Billion in 2018 and expected to reach $x.5 Billion by 2026.

The rapid growth of the healthcare expenditure and availability of Global Healthcare Payer BPO materials option, create an impact in developing countries for the demand for insurance service and implementation of healthcare policies.

 

“Competitive Landscape” and “Merger& Acquisition Insights”

 

The key market participants includeCognizant Technology Solutions, Xerox Corporation, Accenture Wipro Limited, Hinduja Global Solutions, Exlservice Holdings Inc., Hewlett-Packard, HCL Technologies Ltd., and Genpact Limited.are a few major players in Global Healthcare Payer BPO markets. TheGlobal Healthcare Payer BPO market is fragmented with a large number of global & local players. Merger &Acquisitions, collaborations & new products launch are some of the major strategies adopted by key market players. Apart from this innovation& new product development are a major focus area for dominant companies.

 

Market Segmentation

 

Global Healthcare Payer BPO Market by Key Service Categories(Revenue, Million, 2018 – 2026)

  • Claims Processing Services
  • Member Services
  • HR Services
  • Finance
  • Accounts

 

 

Global Healthcare Payer BPO Market Regional Outlook (Revenue, USD Million, 2018-2026)

  • North America
    • U.S.
    • Canada
  • Europe
    • UK
    • Germany
    • France
    • Italy
    • Spain
  • Asia Pacific
    • Japan
    • China
    • India
    • Australia
  • Latin America
    • Brazil
    • Mexico
    • Columbia
  • Middle East and Africa
    • South Africa
    • Saudi Arabia

 

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