The Healthcare Payer Solution by The Business Research Company provides market overview across 60+ geographies in the seven regions - Asia-Pacific, Western Europe, Eastern Europe, North America, South America, the Middle East, and Africa, encompassing 27 major global industries. The report presents a comprehensive analysis over a ten-year historic period (2010-2021) and extends its insights into a ten-year forecast period (2023-2033).


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According to The Business Research Company’s Healthcare Payer Solution, The healthcare payer solution market size has grown rapidly in recent years. It will grow from $40.94 billion in 2023 to $45.06 billion in 2024 at a compound annual growth rate (CAGR) of 10.1%. The growth in the historic period can be attributed to introduction of managed care, regulatory changes (hipaa, aca, etc.), emphasis on data analytics, focus on member engagement and experience, transition towards interoperability..

The healthcare payer solution market size is expected to see strong growth in the next few years. It will grow to $65.66 billion in 2028 at a compound annual growth rate (CAGR) of 9.9%. The growth in the forecast period can be attributed to shift towards patient-centric care, rise in telemedicine and remote care, increased emphasis on data security, value-based payment models.. Major trends in the forecast period include financial transparency and cost management, risk stratification and population health management, data interoperability and exchange, rise of value-based care models, integration of ai and predictive analytics..

Rising insurance enrolments are expected to propel the growth of the healthcare payer solutions market going forward. Insurance enrolment is the procedure through which a qualified applicant registers with the insurance provider and becomes a member of the plan. Healthcare payer solutions in the insurance market provide solid enterprise core administration and claim management platform solutions that enable and inspire expansion, innovation, and cost savings for payer organizations across a wide range of business lines. For instance, according to Centers for Medicare & Medicaid Services, a US-based Department of Health and Human Services that provides health coverage to people through Medicare, and Medicaid, in the USA, more than 13.6 million Americans signed up for health insurance coverage for 2022 through HealthCare.gov and State-based Marketplaces marking 92% of those who registered for plans until December 15, 2021. Therefore, the rising insurance enrolments are driving the demand for the healthcare payer solutions market.

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The healthcare payer solution market covered in this report is segmented –

1) By Services: Business Process Outsourcing Services, Information Technology Outsourcing Services, Knowledge Process Outsourcing Services
2) By Application: Pharmacy Audit And 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, General Ledger And Payroll Management
3) By End User: Private Provider, Public Provider

Product innovations are a key trend gaining popularity in the healthcare payer solutions market. Major companies operating in the healthcare payer solutions market are focused on developing innovative solutions to strengthen their business position. For instance, in March 2022, IMAT Solutions, a US-based delivering innovative, real-time, healthcare data management and population health reporting solutions, launched a new product that tackles the gathering, aggregation, dissemination, and reporting of healthcare data. The new technologies and services will enable payers, statewide organizations, and HIEs to benefit from IMAT's new clustering and SaaS-based solutions, in addition to the company's new NCQA Data Aggregator Validation (DAV) designation.

The healthcare payer solution market report table of contents includes:

1. Executive Summary

2. Healthcare Payer Solution Market Characteristics

3. Healthcare Payer Solution Market Trends And Strategies

4. Healthcare Payer Solution Market - Macro Economic Scenario

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31. Global Healthcare Payer Solution Market Competitive Benchmarking

32. Global Healthcare Payer Solution Market Competitive Dashboard

33. Key Mergers And Acquisitions In The Healthcare Payer Solution Market

34. Healthcare Payer Solution Market Future Outlook and Potential Analysis


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