sample

HEALTHCARE PAYER SERVICES MARKET

BY SERVICE TYPE (BPO, ITO, KPO), BY APPLICATION (CLAIMS,

PROVIDER, MEMBER MANAGEMENT, HR SERVICES, ANALYTICS &

FRAUD, BILLING & ACCOUNTS) & BY END USERS (PUBLIC &

PRIVATE PAYERS)

ANALYSIS & GLOBAL FORECAST TO 2020

It’s all about markets

MARKETSANDMARKETS

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Healthcare Payer Services Market - Analysis & Global Forecast to 2020

MarketsandMarkets is a global market research and consulting company. It is World’s No. 2 in terms of premium market research studies published annually. Serving as a business intelligence partner to Fortune

500 companies across the world, it provides multi-client reports, company profiles, databases, and custom research services.

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All Rights Reserved. This document contains highly confidential information and is the sole property of

MarketsandMarkets. No part of it may be circulated, copied, quoted, or otherwise reproduced without the written approval of MarketsandMarkets.

2

© MarketsandMarkets


TABLE OF CONTENTS

1 INTRODUCTION ........................................................................................................ 16

1.1

1.2

1.3

1.4

1.5

1.6

OBJECTIVES OF THE STUDY ........................................................................................................... 16

MARKET DEFINITION ..................................................................................................................... 16

MARKET SCOPE ............................................................................................................................ 16

1.3.1

MARKETS COVERED ....................................................................................................... 17

1.3.2

YEARS CONSIDERED FOR THE STUDY .............................................................................. 18

CURRENCY ................................................................................................................................... 18

LIMITATIONS ................................................................................................................................ 18

STAKEHOLDERS ........................................................................................................................... 18

2 RESEARCH METHODOLOGY ...................................................................................... 19

2.1

2.2

2.3

2.4

2.5

2.6

2.7

2.8

2.9

RESEARCH METHODOLOGY STEPS ................................................................................................ 19

SECONDARY AND PRIMARY RESEARCH METHODOLOGY ................................................................ 20

2.2.1

SECONDARY RESEARCH ................................................................................................. 20

KEY DATA FROM SECONDARY SOURCES ....................................................................................... 20

2.3.1

2.3.2

PRIMARY RESEARCH ...................................................................................................... 21

KEY INDUSTRY INSIGHTS ................................................................................................ 22

KEY DATA FROM PRIMARY SOURCES ............................................................................................ 23

KEY INSIGHTS FROM PRIMARY SOURCES ...................................................................................... 24

MARKET SIZE ESTIMATION METHODOLOGY ................................................................................... 24

MARKET FORECAST METHODOLOGY ............................................................................................. 26

MARKET DATA VALIDATION AND TRIANGULATION .......................................................................... 27

ASSUMPTIONS ............................................................................................................................. 27

3 EXECUTIVE SUMMARY .............................................................................................. 28

3.1

3.2

3.3

3.4

INTRODUCTION ............................................................................................................................ 28

CURRENT SCENARIO .................................................................................................................... 28

FUTURE OUTLOOK ........................................................................................................................ 30

CONCLUSION ............................................................................................................................... 31

4 PREMIUM INSIGHTS ................................................................................................ 32

4.1

4.2

4.3

GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET .................................................................. 32

HEALTHCARE PAYER OUTSOURCING MARKET, BY SERVICE TYPE AND REGION ............................... 33

HEALTHCARE PAYER OUTSOURCING MARKET, BY SERVICE TYPE (2015 VS. 2020) ......................... 35

5 MARKET OVERVIEW .................................................................................................. 36

5.1

5.2

INTRODUCTION ............................................................................................................................ 37

MARKET SEGMENTATION .............................................................................................................. 38

3



5.3

MARKET DYNAMICS...................................................................................................................... 39

5.3.1

DRIVERS ........................................................................................................................ 39

5.3.1.1

5.3.1.2

Outsourcing: a cost-effective solution for healthcare payers ................................ 39

Federal mandates in the U.S. increasing payer workload..................................... 40

5.3.2

5.3.3

5.3.1.3

5.3.1.4

5.3.1.5

Increasing healthcare fraud ............................................................................... 40

Dynamic nature of health benefit plan designs ................................................... 41

In-house shortage of skilled personnel ............................................................... 41

RESTRAINTS ................................................................................................................... 43

5.3.2.1

Rising incidences of data breaches and loss of confidentiality ............................ 43

5.3.2.2

5.3.2.3

Unforeseen costs associated with outsourcing ................................................... 44

Loss of managerial control ................................................................................. 44

OPPORTUNITIES ............................................................................................................. 45

5.3.3.1

Advanced data analytics .................................................................................... 45

5.3.3.2

5.3.3.3

Switching to ICD-10 standards .......................................................................... 45

Service portfolio expansion ................................................................................ 46

5.3.4

CHALLENGES ................................................................................................................. 46

5.3.4.1

Migration from legacy systems ........................................................................... 46

5.3.4.2

Cultural differences and language barriers ......................................................... 47

6 HEALTHCARE PAYER OUTSOURCING MARKET, BY SERVICE TYPE ............................... 48

6.1

6.2

6.3

6.4

INTRODUCTION ............................................................................................................................ 49

BUSINESS PROCESS OUTSOURCING SERVICES ............................................................................ 51

INFORMATION TECHNOLOGY OUTSOURCING SERVICES ................................................................ 52

KNOWLEDGE PROCESS OUTSOURCING SERVICES ........................................................................ 53

7 HEALTHCARE PAYER OUTSOURCING MARKET, BY APPLICATION ................................ 55

7.1

7.2

7.3

7.4

7.5

7.6

7.7

7.8

INTRODUCTION ............................................................................................................................ 56

CLAIMS MANAGEMENT SERVICES ................................................................................................ 57

7.2.1

7.2.2

CLAIMS ADJUDICATION SERVICES .................................................................................. 59

CLAIMS SETTLEMENT ..................................................................................................... 60

7.2.3

7.2.4

INFORMATION MANAGEMENT SERVICES ........................................................................ 61

CLAIMS REPRICING ........................................................................................................ 61

7.2.5

7.2.6

CLAIMS INVESTIGATION SERVICES ................................................................................. 62

CLAIMS INDEXING SERVICES.......................................................................................... 63

7.2.7

LITIGATION MANAGEMENT ............................................................................................. 64

INTEGRATED FRONT-END SERVICES AND BACK-OFFICE OPERATIONS ............................................ 65

MEMBER MANAGEMENT SERVICES .............................................................................................. 66

PROVIDER MANAGEMENT SERVICES ............................................................................................ 68

BILLING AND ACCOUNTS MANAGEMENT SERVICES ....................................................................... 69

ANALYTICS AND FRAUD MANAGEMENT SERVICES ......................................................................... 70

HR SERVICES ............................................................................................................................... 71

4



8 HEALTHCARE PAYER OUTSOURCING MARKET, BY END USER ..................................... 73

8.1

8.2

8.3

INTRODUCTION ............................................................................................................................ 74

PRIVATE PAYERS .......................................................................................................................... 76

PUBLIC PAYERS ............................................................................................................................ 77

9 GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET, BY REGION ........................... 80

9.1

9.2

9.3

9.4

9.5

INTRODUCTION ............................................................................................................................ 81

NORTH AMERICA .......................................................................................................................... 83

9.2.1

U.S. ............................................................................................................................... 87

9.2.2

9.2.1.1

9.2.1.2

Rise in insurance enrolments triggered by the Patient Protection and

Affordable Care Act (PPACA) .............................................................................. 87

Federal healthcare mandates driving the demand for outsourcing among payers.................................................................................................... 87

9.2.1.3

Rising need to curtail escalating healthcare costs .............................................. 88

CANADA ......................................................................................................................... 91

9.2.2.1

Outsourcing, a strategic solution to curtail healthcare costs in

Canada ............................................................................................................. 91

EUROPE ....................................................................................................................................... 94

9.3.1

EUROPEAN UNION FIVE (EU5) ......................................................................................... 98

9.3.1.1

Insurance fraud amounting to rising healthcare costs in Germany and the U.K. ............................................................................................................. 98

9.3.1.2

Lack of skilled personnel in Germany ................................................................. 98

REST OF EUROPE ......................................................................................................... 101 9.3.2

9.3.2.1

Increased focus of major players ...................................................................... 101

ASIA-PACIFIC .............................................................................................................................103

9.4.1

INDIA ........................................................................................................................... 107

9.4.1.1

India, a low-cost destination coupled with availability of highly skilled

IT labor ............................................................................................................ 107

9.4.2

REST OF APAC .............................................................................................................. 109

9.4.2.1

High growth opportunities and increased focus of major players in the

Philippines ...................................................................................................... 109

9.4.2.2

Emerging role of China in global outsourcing .................................................... 110

9.4.2.3

Rise in the aging population in Japan, a major workload for payers ................... 110

REST OF THE WORLD ..................................................................................................................113

9.5.1

INITIATIVES BY MARKET PLAYERS TO ENTER EMERGING MARKETS SUCH AS

BRAZIL & COLOMBIA .................................................................................................... 114

10 COMPETITIVE LANDSCAPE ..................................................................................... 117

10.1

OVERVIEW ..................................................................................................................................117

10.2

COMPETITIVE SITUATION AND TRENDS ........................................................................................118

10.2.1

EXPANSION .................................................................................................................. 118

10.2.2

10.2.3

AGREEMENTS/COLLABORATIONS/PARTNERSHIPS/JOINT

VENTURES/ALLIANCES ................................................................................................ 119

ACQUISITIONS/MERGERS ............................................................................................ 121

5



10.2.4

10.2.5

NEW PRODUCT LAUNCHES ........................................................................................... 122

OTHERS ....................................................................................................................... 123

11 COMPANY PROFILES .............................................................................................. 125

11.1

INTRODUCTION ..........................................................................................................................125

11.2

COGNIZANT TECHNOLOGY SOLUTIONS ........................................................................................126

11.3

ACCENTURE PLC ........................................................................................................................129

11.4

EXLSERVICE HOLDINGS, INC. ......................................................................................................133

11.5

CONCENTRIX CORPORATION (A SUBSIDIARY OF SYNNEX CORPORATION) ....................................136

11.6

HEWLETT-PACKARD ....................................................................................................................138

11.7

HINDUJA GLOBAL SOLUTIONS LIMITED .......................................................................................141

11.8

XEROX CORPORATION ................................................................................................................144

11.9

DELL, INC. ..................................................................................................................................148

11.10

GENPACT LIMITED ......................................................................................................................150

11.11

HCL TECHNOLOGIES LTD. ...........................................................................................................152

11.12

WIPRO LIMITED ..........................................................................................................................155

*Details On Financials, Products & Services, Key Strategy, & Recent Developments Might Not Be Captured In Case Of Unlisted

Companies.

12 APPENDIX .............................................................................................................. 157

12.1

DISCUSSION GUIDE ...................................................................................................................157

12.2

COMPANY DEVELOPMENTS (2012-2015) ...................................................................................162

12.2.1

12.2.2

12.2.3

12.2.4

12.2.5

12.2.6

12.2.7

12.2.8

COGNIZANT TECHNOLOGY SOLUTIONS .......................................................................... 162

ACCENTURE PLC .......................................................................................................... 162

EXLSERVICE HOLDINGS, INC. ....................................................................................... 163

CONCENTRIX CORPORATION ........................................................................................ 164

HINDUJA GLOBAL SOLUTIONS LIMITED ......................................................................... 164

XEROX CORPORATION .................................................................................................. 165

HCL TECHNOLOGIES LTD. ............................................................................................. 166

WIPRO LIMITED ............................................................................................................ 166

12.3

INTRODUCING RT: REAL-TIME MARKET INTELLIGENCE .................................................................167

12.4

AVAILABLE CUSTOMIZATIONS .....................................................................................................168

12.5

RELATED REPORTS .....................................................................................................................169

6



UU

LIST OF TABLES

TABLE 1

TABLE 2

TABLE 3

TABLE 4

TABLE 5

TABLE 6

TABLE 7

TABLE 8

TABLE 9

TABLE 10

TABLE 11

TABLE 12

TABLE 13

TABLE 14

TABLE 15

TABLE 16

TABLE 17

TABLE 18

TABLE 19

TABLE 20

TABLE 21

TABLE 22

TABLE 23

TABLE 24

INCREASING HEALTHCARE COSTS DRIVING MARKET GROWTH

RISING INCIDENCES OF DATA BREACH LIMITING THE ADOPTION OF OUTSOURCING

DATA ANALYTICS SHOWCASES GROWTH OPPORTUNITIES FOR THE HEALTHCARE

PAYER OUTSOURCING MARKET

MIGRATION FROM LEGACY SYSTEMS A MAJOR CHALLENGE IN THE HEALTHCARE

PAYER OUTSOURCING MARKET

GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE,

2013–2020 (USD MILLION)

HEALTHCARE PAYER BPO SERVICES MARKET SIZE, BY REGION,


HEALTHCARE PAYER ITO SERVICES MARKET SIZE, BY REGION,


HEALTHCARE PAYER KPO SERVICES MARKET SIZE, BY REGION,


GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION,


CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY TYPE,


CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY REGION,


CLAIMS ADJUDICATION SERVICES MARKET SIZE, BY REGION,


CLAIMS SETTLEMENT SERVICES MARKET SIZE, BY REGION,


INFORMATION MANAGEMENT SERVICES MARKET SIZE, BY REGION,


CLAIMS REPRICING MARKET SIZE, BY REGION, 2013–2020 (USD MILLION)

CLAIMS INVESTIGATION SERVICES MARKET SIZE, BY REGION,


CLAIMS INDEXING SERVICES MARKET SIZE, BY REGION,


LITIGATION MANAGEMENT MARKET SIZE, BY REGION, 2013–2020 (USD MILLION)

INTEGRATED FRONT-END SERVICES AND BACK-OFFICE OPERATIONS MARKET

SIZE, BY REGION, 2013–2020 (USD MILLION)

MEMBER MANAGEMENT SERVICES MARKET SIZE, BY REGION,


PROVIDER MANAGEMENT SERVICES MARKET SIZE, BY REGION,


BILLING AND ACCOUNTS MANAGEMENT SERVICES MARKET SIZE, BY REGION,


ANALYTICS AND FRAUD MANAGEMENT SERVICES MARKET SIZE, BY REGION,


HR SERVICES MARKET SIZE, BY REGION, 2013–2020 (USD MILLION)

59

60

64

65

66

67

61

62

63

69

70

71

72

54

57

58

58

47

50

52

53

42

44

46

7



TABLE 40

TABLE 41

TABLE 42

TABLE 43

TABLE 44

TABLE 45

TABLE 46

TABLE 47

TABLE 48

TABLE 49

TABLE 25

TABLE 26

TABLE 27

TABLE 28

TABLE 29

TABLE 30

TABLE 31

TABLE 32

TABLE 33

TABLE 34

TABLE 35

TABLE 36

TABLE 37

TABLE 38

TABLE 39

HEALTHCARE SPENDING RATIOS BY MAJOR SOURCES OF FUNDING

GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,


PRIVATE PAYER OUTSOURCING MARKET SIZE, BY GEOGRAPHY,


PRIVATE PAYER OUTSOURCING MARKET SIZE, BY REGION,


PUBLIC PAYER OUTSOURCING MARKET SIZE, BY GEOGRAPHY,


PUBLIC PAYER OUTSOURCING MARKET SIZE, BY REGION,


HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY REGION,


NORTH AMERICA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE,

BY COUNTRY, 2013–2020 (USD MILLION)


BY SERVICE TYPE, 2013–2020 (USD MILLION)


BY APPLICATION, 2013–2020 (USD MILLION)

NORTH AMERICA: CLAIMS MANAGEMENT SERVICES MARKET SIZE,

BY TYPE, 2013–2020 (USD MILLION)


BY END USER, 2013–2020 (USD MILLION)

MACROECONOMIC INDICATORS FOR THE HEALTHCARE MARKET IN THE U.S.

U.S.: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE,


U.S.: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013–

2020 (USD MILLION)

U.S.: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE,


U.S.: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USERS,


MACROECONOMIC INDICATORS FOR THE HEALTHCARE MARKET IN CANADA

CANADA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE,


CANADA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION,


CANADA: CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY TYPE,


CANADA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,


EUROPE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY REGION,


EUROPE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE,


EUROPE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION,


89

90

90

91

91

92

78

79

81

83

74

75

76

77

85

85

86

86

88

92

93

93

94

96

96

8



TABLE 57

TABLE 58

TABLE 59

TABLE 60

TABLE 61

TABLE 62

TABLE 63

TABLE 64

TABLE 65

TABLE 66

TABLE 50

TABLE 51

TABLE 52

TABLE 53

TABLE 54

TABLE 55

TABLE 56

TABLE 67

TABLE 68

TABLE 69

TABLE 70

TABLE 71

TABLE 72

TABLE 73

EUROPE: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE,


EUROPE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,


EU5: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE,


EU5: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION,


EU5: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE,


EU5: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,


ROE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE,


ROE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION,


ROE: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE,


ROE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,


ASIA-PACIFIC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY COUNTRY,


ASIA-PACIFIC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE

TYPE, 2013–2020 (USD MILLION)

ASIA-PACIFIC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION,


ASIA-PACIFIC: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE,

BY TYPE, 2013–2020 (USD MILLION)

ASIA-PACIFIC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,


INDIA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE,


INDIA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION,


INDIA: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE,


INDIA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,


REST OF APAC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE

TYPE, 2013–2020 (USD MILLION)

REST OF APAC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY

APPLICATION, 2013–2020 (USD MILLION)

REST OF APAC: CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY TYPE,


REST OF APAC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,


ROW: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE,


108

109

110

111

111

112

114

106

106

107

108

100

100

101

102

97

97

99

99

102

103

103

105

105

9



TABLE 74

TABLE 75

TABLE 76

TABLE 77

TABLE 78

TABLE 79

TABLE 80

TABLE 81

ROW: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION,


ROW: CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY TYPE,


ROW: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,


EXPANSIONS, 2012–2015

AGREEMENTS/JOINT VENTURES/PARTNERSHIPS/COLLABORATIONS/ALLIANCES,

2012–2015

ACQUISITIONS, 2012–2015

NEW PRODUCT LAUNCHES, 2012–2015

OTHER STRATEGIES, 2012–2015

115

115

116

119

120

121

123

124


10


LIST OF FIGURES

FIGURE 1

FIGURE 2

FIGURE 3

FIGURE 4

FIGURE 5

FIGURE 6

FIGURE 7

FIGURE 8

FIGURE 9

GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET: RESEARCH METHODOLOGY

STEPS

SAMPLING FRAME: PRIMARY RESEARCH

BREAKDOWN OF PRIMARY INTERVIEWS: BY COMPANY TYPE, DESIGNATION,

AND REGION

MARKET SIZE ESTIMATION METHODOLOGY: BOTTOM-UP APPROACH

MARKET SIZE ESTIMATION METHODOLOGY: TOP-DOWN APPROACH

MARKET FORECAST METHODOLOGY

DATA TRIANGULATION METHODOLOGY

NORTH AMERICA DOMINATES THE GLOBAL HEALTHCARE PAYER OUTSOURCING

MARKET IN 2015

ANALYTICS AND FRAUD MANAGEMENT MARKET TO WITNESS THE HIGHEST

GROWTH RATE FROM 2015 TO 2020

FIGURE 10 NORTH AMERICA IS EXPECTED TO GROW AT THE HIGHEST CAGR DURING THE

FORECAST PERIOD

FIGURE 11 RISING INSURANCE ENROLMENT DRIVING THE MARKET

FIGURE 12 NORTH AMERICA DOMINATED THE HEALTHCARE PAYER OUTSOURCING MARKET

IN 2015

FIGURE 13 NORTH AMERICA TO GROW AT THE HIGHEST RATE DURING THE FORECAST PERIOD

FIGURE 14 BPO SERVICES COMMANDED THE LARGEST MARKET SHARE

FIGURE 15 HEALTHCARE PAYER OUTSOURCING MARKET SEGMENTATION

FIGURE 16 DRIVERS, RESTRAINTS, OPPORTUNITIES, & CHALLENGES

FIGURE 17 BPO SERVICES SEGMENT TO ACCOUNT FOR THE LARGEST SHARE OF HEALTHCARE

PAYER OUTSOURCING MARKET, IN 2015

FIGURE 18 THE CLAIMS MANAGEMENT SERVICES SEGMENT IS EXPECTED TO CONTINUE TO

ACCOUNT FOR THE HIGHEST SHARE OF THE MARKET DURING THE FORECAST

PERIOD

FIGURE 19 PRIVATE PAYERS SEGMENT TO ACCOUNT FOR THE LARGEST MARKET SHARE

DURING THE FORECAST PERIOD

FIGURE 20 NORTH AMERICA IS EXPECTED TO COMMAND THE LARGEST SHARE OF THE

GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET IN 2015

FIGURE 21 THE U.S. TO WITNESS THE HIGHEST GROWTH IN THE HEALTHCARE PAYER

OUTSOURCING MARKET IN NORTH AMERICA

FIGURE 22 BPO SERVICES TO DOMINATE THE EUROPEAN HEALTHCARE PAYER OUTSOURCING

MARKET

FIGURE 23 REST OF APAC TO DOMINATE THE ASIA PACIFIC HEALTHCARE PAYER

OUTSOURCING MARKET

FIGURE 24 CLAIMS MANAGEMENT SERVICES TO DOMINATE THE ROW HEALTHCARE PAYER

OUTSOURCING MARKET

FIGURE 25 EXPANSION WAS THE KEY GROWTH STRATEGY FOR MARKET PLAYERS

FIGURE 26 BATTLE FOR MARKET SHARE: EXPANSION WAS THE KEY STRATEGY

FIGURE 27 KEY PLAYERS FOCUSING ON EXPANSION, 2012-2015


11

29

30

31

32

33

34

35

38

39

50

19

22

23

25

25

26

27

95

104

113

117

118

118

56

75

82

84


FIGURE 28 KEY PLAYERS FOCUSING ON AGREEMENTS/COLLABORATIONS/JOINT

VENTURES/ALLIANCES/PARTNERSHIPS, 2012-2015

FIGURE 29 KEY PLAYERS FOCUSING ON ACQUISITIONS/MERGERS, 2012-2015

FIGURE 30 KEY PLAYERS FOCUSING ON NEW PRODUCT LAUNCHES, 2012-2015

FIGURE 31 KEY PLAYERS FOCUSING ON OTHER STRATEGIES, 2012-2015

FIGURE 32 GEOGRAPHIC REVENUE MIX OF TOP MARKET PLAYERS

119

121

122

123

125


12


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sample

HEALTHCARE PAYER SERVICES MARKET

BY SERVICE TYPE (BPO, ITO, KPO), BY APPLICATION (CLAIMS,

PROVIDER, MEMBER MANAGEMENT, HR SERVICES, ANALYTICS &

FRAUD, BILLING & ACCOUNTS) & BY END USERS (PUBLIC &

PRIVATE PAYERS)

ANALYSIS & GLOBAL FORECAST TO 2020

It’s all about markets

MARKETSANDMARKETS

TABLE OF CONTENTS

LIST OF TABLES

LIST OF FIGURES

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sample

HEALTHCARE PAYER SERVICES MARKET

BY SERVICE TYPE (BPO, ITO, KPO), BY APPLICATION (CLAIMS,

PROVIDER, MEMBER MANAGEMENT, HR SERVICES, ANALYTICS &

FRAUD, BILLING & ACCOUNTS) & BY END USERS (PUBLIC &

PRIVATE PAYERS)

ANALYSIS & GLOBAL FORECAST TO 2020

It’s all about markets

MARKETSANDMARKETS

TABLE OF CONTENTS

LIST OF TABLES

LIST OF FIGURES

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