"Healthcare Payer Network Management is fastest growing segment fueling the growth of Healthcare Payer Network Management Market"

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posted on 9 months ago — updated on 2 seconds ago

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"Healthcare Payer Network Management is fastest growing segment fueling the growth of Healthcare Payer Network Management Market"

Healthcare payer network management solutions help in reducing costs and administrative complexities for payers by efficiently managing provider networks.

The global Healthcare Payer Network Management Market is estimated to be valued at US$ 5.35 Bn in 2023 and is expected to exhibit a b over the forecast period 2023 to 2030, as highlighted in a new report published by Coherent Market Insights.

Market Overview:
Healthcare payer network management solutions help in reducing costs and administrative complexities for payers by efficiently managing provider networks. These solutions allow payers to offer optimized provider networks to customers while maintaining compliance.

Market key trends:
The rising adoption of value-based care models is driving the growth of the healthcare payer network management market. Value-based care aims to improve patient outcomes and lower healthcare costs by linking provider reimbursements to quality and efficiency measures. This necessitates the need for payers to build high-performance provider networks and optimize resource utilization in order to manage costs and boost profitability under value-based contracts. Healthcare payer network management solutions help payers in activities such as evaluating provider performance, monitoring utilization patterns, and identifying over-treated or high-risk conditions which allows for improved management of value-based contracts.

Segment Analysis
The global healthcare payer network management market is segmented into service, delivery mode, end user, and region. Based on service, the eligibility and benefit services segment dominated the market in 2022 due to the need to verify member eligibility and manage healthcare benefits accurately and efficiently. Based on delivery mode, the on-premise segment accounted for the largest share owing to data privacy and security concerns among healthcare payers.

Key Takeaways
The Global Healthcare Payer Network Management Market Size is expected to reach US$ 9.15 Bn by 2030, expanding at a CAGR of 9.0% over the forecast period.

Regional analysis: North America dominated the global market in 2022 and is expected to continue its dominance over the forecast period. This is attributed to presence of leading payers in the region and growing awareness regarding network management benefits.

Key players: Key players operating in the healthcare payer network management market are Change Healthcare (Now part of Optum, UnitedHealth Group), Cognizant, McKesson Corporation, Cerner Corporation, OptumInsight (UnitedHealth Group), TriZetto (A Cognizant Company), NTT DATA Corporation, MultiPlan, Athenahealth (Now part of Veritas Capital), Allscripts Healthcare Solutions, Experian Health, eClinicalWorks, Inovalon, Mphasis, Wipro.