AABP EP Awards 728x90

Health care payer services market is expected to reach $118.2 billion

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The health care payer services industry is expected to experience significant growth in the near future, according to a recent report. The growth is attributed to the increasing demand for managed care services, the expanding use of digital health services, and the growing need for data analytics and predictive modeling. The industry will require providers to leverage technology and improve customer service to remain competitive, while ensuring compliance with health care regulations. The market is driven by factors such as increasing health insurance enrollments, rising incidences of health care fraud, federal mandates, and rising cases of chronic diseases. However, the risk of data breaches, a loss of managerial control, cultural and language barriers, and high costs associated with outsourcing are likely to restrain market growth. The health care payer services market is segmented into ITO services, BPO services and KPO services. The BPO services segment accounted for the largest market share in 2021, while the private payers segment is expected to account for the largest share of the market during the forecast period. North America accounted for the largest market share, followed by Asia Pacific in 2021. The market in Asia Pacific is projected to grow at the highest compound annual rate during the forecast period. Key players in the market include Accenture, Cognizant, Tata Consultancy Services, Xerox and NTT Data Corp. Challenges facing the industry include consolidation of health care providers, rising costs of medical services, increased regulatory compliance requirements, growing demand for transparency, cybersecurity and the emergence of new technologies.