LONDON, April 4, 2023 /PRNewswire/ — The Global Healthcare Payer Services Market is reckoned to expand at a CAGR of +6% over the assessment timeframe of 2022-2029.



Healthcare payer services pertain to an array of administrative and pecuniary functions presented by institutions that compensate for healthcare amenities, like insurance corporations, government programs, and employer-based health schemes.

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Global Healthcare Payer Services Market Outlook (2022-2029)

The aforementioned amenities typically encompass supervising claims processing, establishing coverage and repayment for medical services and procedures, bargaining contracts with healthcare providers, managing benefit arrangements, and coordinating care amidst sundry providers and establishments. Payer services may likewise encompass managing patient health statistics and employing analytics to detect inclinations and boost care outcomes. The conclusive objective of payer services is to guarantee that patients obtain proper and excellent care while diminishing expenses for both the payer and the patient.

Technological advancements in healthcare payer services along with the escalating demand for health insurance and related services are primarily augmenting the outlook of this business vertical.

Alongside, increasing prevalence of chronic diseases and rise in healthcare spending are creating lucrative opportunities for this marketplace to prosper.

Furthermore, government initiatives to promote healthcare coverage and emergence of value-based care models are adding momentum to the progression of this industry sphere.

Besides, surge in the geriatric population base and rise in healthcare consumerism are propelling the growth of this market.

Moreover, increasing need for cost containment and operational efficiency, widespread adoption of cloud computing and big data analytics, coupled with the rapid advancements in artificial intelligence and machine learning are spurring market expansion.

Growing integration of telemedicine in healthcare payer services and increasing focus on patient-centered care are further leading to the overall development of the Global Healthcare Payer Services Market.

Also, the booming healthcare outsourcing industry and the accelerating demand for personalized healthcare services are adding significant traction to the growth of this industry vertical.

On the contrary, increasing instances of cyberattacks is hindering the remuneration scope of this market.

Competitive Hierarchy

The prominent players characterizing the competitive terrain of the Global Healthcare Payer Services Market are Cognizant, EXL, HGS Ltd., Accenture, Xerox Corporation, Concentric Corporation, Genpact, WIPRO Ltd., and HCL Technologies.

Segmental Outlook

By Service

  • BPO Services

  • ITO Services

  • 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-use

  • Private Payers

  • Public Payers

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Region-Wise Outlook

Which is the leading region in the Global Healthcare Payer  Services Market?

North America is presently leading the market in terms of volume share. This is ascribed to the increasing healthcare expenditure and escalating demand for efficient healthcare among the masses.

Category-Wise Outlook

Which is the fastest growing service segment in this industry?

The BPO segment has emerged as one of the fastest growing service segments in this marketplace. This is attributed to the affordability and efficiency of BPO services.

Which is the most dominant end use segment in this business sphere?

The private payer segment is currently dominating the industry in terms of revenue share. This is due to the escalating demand for private health insurance and increasing healthcare costs.

Comparing the historical outlook and ongoing trends of this market

This industry sphere has been gaining significant momentum to the development of this business sphere.

The amalgamation of advanced technology in healthcare payer services has transformed the landscape of the healthcare industry. This has resulted in the streamlining of administrative tasks and has vastly improved operational efficiency. The utilization of cutting-edge technological advancements such as cloud computing, big data analytics, and artificial intelligence has allowed healthcare payers to efficiently manage patient health data, which has led to an improvement in claims processing and a reduction in healthcare costs. The integration of telemedicine in healthcare payer services has further facilitated the provision of convenient and accessible healthcare services, particularly in remote or underserved areas.

As the healthcare industry evolves, there is a rise in healthcare consumerism, which denotes patients actively participating in their own healthcare decision-making process. Informed and empowered patients now demand greater transparency and convenience in healthcare services, leading to the emergence of value-based care models that prioritize providing high-quality healthcare while keeping costs low. Healthcare payers are adapting to this trend by offering personalized healthcare services and equipping patients with tools that enable them to make informed decisions about their health.

On Special Requirement Healthcare Payer Services Market Report is also available for below region:

North America


  • Germany, France, U.K., Italy, Spain, Sweden, Netherland, Turkey, Switzerland, Belgium, Rest of Europe


  • South Korea, Japan, China, India, Australia, Philippines, Singapore, Malaysia, Thailand, Indonesia, Rest Of APAC

Latin America

  • Mexico, Colombia, Brazil, Argentina, Peru, Rest of Latin America

Middle East and Africa

  • Saudi Arabia, UAE, Egypt, South Africa, Rest Of MEA

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Major Developments

In March 2021, Centene Corporation announced its acquisition of Magellan Health for $2.2 billion. Magellan Health provides behavioural health services, specialty healthcare management, and pharmacy benefits management services.

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