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  4. > Healthcare Payer Services Market by Service Type, By Application & by End Users - Analysis and Global Forecast to 2020

Over the years, outsourcing of services in the healthcare payer arena has witnessed increasing popularity and players are adopting the trend to ensure and provide better and speedy services to the customers.

In 2015, the BPO services segment is expected to account for the largest share of the global healthcare payer services (outsourcing) market, by service type, while the claims management services segment is expected to account for the largest share of the healthcare payer services (outsourcing) market, by application. Private payers are expected to dominate the market, by end user.

In 2015, North America is expected to account for the largest share of the healthcare payer services (outsourcing) market, followed by Europe, Asia-Pacific, and the Rest of the World (RoW). In the coming years, the healthcare payer services (outsourcing) market is expected to witness the highest growth rate in the North American region. The rising insurance enrolments, federal healthcare mandates in the U.S., and the need to curb rising healthcare costs are expected to drive the market in the region.

The healthcare payer services (outsourcing) market witnesses’ high competitive intensity as there are several big and many small firms with similar service offerings. These companies adopt various growth strategies (agreements, partnerships, joint ventures, geographic expansions, new product launches, and acquisitions) to establish a strong foothold in the global market.

Reasons to Buy the Report:

The report will enrich both established firms as well as new entrants/smaller firms to gauge the pulse of the market, which in turn helps firms strengthen their market position. Firms purchasing the report could use any one or a combination of the below-mentioned five strategies (market penetration, product development/innovation, market development, market diversification, and competitive assessment) for strengthening their market positions.

The report provides insights on the following pointers:

- Market Penetration: Comprehensive information on the services portfolios offered by the key players in the healthcare payer services market. The report analyzes the healthcare payer services market, by service type, application, end users, and region.
- Product Development/Innovation: Detailed insights on the new services launches and various service up gradations in the healthcare payer services market
- Market Development: Comprehensive information on lucrative emerging markets. The report analyzes the markets for various healthcare payer services across regions
- Market Diversification: Exhaustive information on new services, untapped regions, recent developments, and investments in the healthcare payer services market
- Competitive Assessment: In-depth assessment of strategies, services, and distribution networks capabilities of the leading players in the healthcare payer services market

Table Of Contents

Healthcare Payer Services Market by Service Type, By Application and by End Users - Analysis and Global Forecast to 2020
TABLE OF CONTENTS

1 INTRODUCTION 16
1.1 OBJECTIVES OF THE STUDY 16
1.2 MARKET DEFINITION 16
1.3 MARKET SCOPE 16
1.3.1 MARKETS COVERED 17
1.3.2 YEARS CONSIDERED FOR THE STUDY 18
1.4 CURRENCY 18
1.5 LIMITATIONS 18
1.6 STAKEHOLDERS 18
2 RESEARCH METHODOLOGY 19
2.1 RESEARCH METHODOLOGY STEPS 19
2.2 SECONDARY AND PRIMARY RESEARCH METHODOLOGY 20
2.2.1 SECONDARY RESEARCH 20
2.3 KEY DATA FROM SECONDARY SOURCES 20
2.3.1 PRIMARY RESEARCH 21
2.3.2 KEY INDUSTRY INSIGHTS 22
2.4 KEY DATA FROM PRIMARY SOURCES 23
2.5 KEY INSIGHTS FROM PRIMARY SOURCES 24
2.6 MARKET SIZE ESTIMATION METHODOLOGY 24
2.7 MARKET FORECAST METHODOLOGY 26
2.8 MARKET DATA VALIDATION AND TRIANGULATION 27
2.9 ASSUMPTIONS 27
3 EXECUTIVE SUMMARY 28
3.1 INTRODUCTION 28
3.2 CURRENT SCENARIO 28
3.3 FUTURE OUTLOOK 30
3.4 CONCLUSION 31
4 PREMIUM INSIGHTS 32
4.1 GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET 32
4.2 HEALTHCARE PAYER OUTSOURCING MARKET, BY SERVICE TYPE AND REGION 33
4.3 HEALTHCARE PAYER OUTSOURCING MARKET, BY SERVICE TYPE (2015 VS. 2020) 35
5 MARKET OVERVIEW 36
5.1 INTRODUCTION 37
5.2 MARKET SEGMENTATION 38
5.3 MARKET DYNAMICS 39
5.3.1 DRIVERS 39
5.3.1.1 Outsourcing: a cost-effective solution for healthcare payers 39
5.3.1.2 Federal mandates in the U.S. increasing payer workload 40
5.3.1.3 Increasing healthcare fraud 40
5.3.1.4 Dynamic nature of health benefit plan designs 41
5.3.1.5 In-house shortage of skilled personnel 41
5.3.2 RESTRAINTS 43
5.3.2.1 Rising incidences of data breaches and loss of confidentiality 43
5.3.2.2 Unforeseen costs associated with outsourcing 44
5.3.2.3 Loss of managerial control 44
5.3.3 OPPORTUNITIES 45
5.3.3.1 Advanced data analytics 45
5.3.3.2 Switching to ICD-10 standards 45
5.3.3.3 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 INTRODUCTION 49
6.2 BUSINESS PROCESS OUTSOURCING SERVICES 51
6.3 INFORMATION TECHNOLOGY OUTSOURCING SERVICES 52
6.4 KNOWLEDGE PROCESS OUTSOURCING SERVICES 53
7 HEALTHCARE PAYER OUTSOURCING MARKET, BY APPLICATION 55
7.1 INTRODUCTION 56
7.2 CLAIMS MANAGEMENT SERVICES 57
7.2.1 CLAIMS ADJUDICATION SERVICES 59
7.2.2 CLAIMS SETTLEMENT 60
7.2.3 INFORMATION MANAGEMENT SERVICES 61
7.2.4 CLAIMS REPRICING 61
7.2.5 CLAIMS INVESTIGATION SERVICES 62
7.2.6 CLAIMS INDEXING SERVICES 63
7.2.7 LITIGATION MANAGEMENT 64
7.3 INTEGRATED FRONT-END SERVICES AND BACK-OFFICE OPERATIONS 65
7.4 MEMBER MANAGEMENT SERVICES 66
7.5 PROVIDER MANAGEMENT SERVICES 68
7.6 BILLING AND ACCOUNTS MANAGEMENT SERVICES 69
7.7 ANALYTICS AND FRAUD MANAGEMENT SERVICES 70
7.8 HR SERVICES 71
8 HEALTHCARE PAYER OUTSOURCING MARKET, BY END USER 73
8.1 INTRODUCTION 74
8.2 PRIVATE PAYERS 76
8.3 PUBLIC PAYERS 77
9 GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET, BY REGION 80
9.1 INTRODUCTION 81
9.2 NORTH AMERICA 83
9.2.1 U.S. 87
9.2.1.1 Rise in insurance enrolments triggered by the Patient Protection and Affordable Care Act (PPACA) 87
9.2.1.2 Federal healthcare mandates driving the demand for outsourcing among payers 87
9.2.1.3 Rising need to curtail escalating healthcare costs 88
9.2.2 CANADA 91
9.2.2.1 Outsourcing, a strategic solution to curtail healthcare costs in Canada 91
9.3 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
9.3.2 REST OF EUROPE 101
9.3.2.1 Increased focus of major players 101
9.4 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
9.5 REST OF THE WORLD 113
9.5.1 INITIATIVES BY MARKET PLAYERS TO ENTER EMERGING MARKETS SUCH AS BRAZIL and 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 AGREEMENTS/COLLABORATIONS/PARTNERSHIPS/JOINT VENTURES/ALLIANCES 119
10.2.3 ACQUISITIONS/MERGERS 121
10.2.4 NEW PRODUCT LAUNCHES 122
10.2.5 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 and Services, Key Strategy, and 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 COGNIZANT TECHNOLOGY SOLUTIONS 162
12.2.2 ACCENTURE PLC 162
12.2.3 EXLSERVICE HOLDINGS, INC. 163
12.2.4 CONCENTRIX CORPORATION 164
12.2.5 HINDUJA GLOBAL SOLUTIONS LIMITED 164
12.2.6 XEROX CORPORATION 165
12.2.7 HCL TECHNOLOGIES LTD. 166
12.2.8 WIPRO LIMITED 166
12.3 INTRODUCING RT: REAL-TIME MARKET INTELLIGENCE 167
12.4 AVAILABLE CUSTOMIZATIONS 168
12.5 RELATED REPORTS 169


LIST OF TABLES

TABLE 1 INCREASING HEALTHCARE COSTS DRIVING MARKET GROWTH 42
TABLE 2 RISING INCIDENCES OF DATA BREACH LIMITING THE ADOPTION OF OUTSOURCING 44
TABLE 3 DATA ANALYTICS SHOWCASES GROWTH OPPORTUNITIES FOR THE HEALTHCARE PAYER OUTSOURCING MARKET 46
TABLE 4 MIGRATION FROM LEGACY SYSTEMS A MAJOR CHALLENGE IN THE HEALTHCARE PAYER OUTSOURCING MARKET 47
TABLE 5 GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION) 50
TABLE 6 HEALTHCARE PAYER BPO SERVICES MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 52
TABLE 7 HEALTHCARE PAYER ITO SERVICES MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 53
TABLE 8 HEALTHCARE PAYER KPO SERVICES MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 54
TABLE 9 GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION) 57
TABLE 10 CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY TYPE,
2013-2020 (USD MILLION) 58
TABLE 11 CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 58
TABLE 12 CLAIMS ADJUDICATION SERVICES MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 59
TABLE 13 CLAIMS SETTLEMENT SERVICES MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 60
TABLE 14 INFORMATION MANAGEMENT SERVICES MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 61
TABLE 15 CLAIMS REPRICING MARKET SIZE, BY REGION, 2013-2020 (USD MILLION) 62
TABLE 16 CLAIMS INVESTIGATION SERVICES MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 63
TABLE 17 CLAIMS INDEXING SERVICES MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 64
TABLE 18 LITIGATION MANAGEMENT MARKET SIZE, BY REGION, 2013-2020 (USD MILLION) 65
TABLE 19 INTEGRATED FRONT-END SERVICES AND BACK-OFFICE OPERATIONS MARKET SIZE, BY REGION, 2013-2020 (USD MILLION) 66
TABLE 20 MEMBER MANAGEMENT SERVICES MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 67
TABLE 21 PROVIDER MANAGEMENT SERVICES MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 69
TABLE 22 BILLING AND ACCOUNTS MANAGEMENT SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION) 70
TABLE 23 ANALYTICS AND FRAUD MANAGEMENT SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION) 71
TABLE 24 HR SERVICES MARKET SIZE, BY REGION, 2013-2020 (USD MILLION) 72

TABLE 25 HEALTHCARE SPENDING RATIOS BY MAJOR SOURCES OF FUNDING 74
TABLE 26 GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,
2013-2020 (USD MILLION) 75
TABLE 27 PRIVATE PAYER OUTSOURCING MARKET SIZE, BY GEOGRAPHY,
2013-2020 (USD MILLION) 76
TABLE 28 PRIVATE PAYER OUTSOURCING MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 77
TABLE 29 PUBLIC PAYER OUTSOURCING MARKET SIZE, BY GEOGRAPHY,
2013-2020 (USD MILLION) 78
TABLE 30 PUBLIC PAYER OUTSOURCING MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 79
TABLE 31 HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 81
TABLE 32 NORTH AMERICA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE,
BY COUNTRY, 2013-2020 (USD MILLION) 83
TABLE 33 NORTH AMERICA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE,
BY SERVICE TYPE, 2013-2020 (USD MILLION) 85
TABLE 34 NORTH AMERICA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE,
BY APPLICATION, 2013-2020 (USD MILLION) 85
TABLE 35 NORTH AMERICA: CLAIMS MANAGEMENT SERVICES MARKET SIZE,
BY TYPE, 2013-2020 (USD MILLION) 86
TABLE 36 NORTH AMERICA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE,
BY END USER, 2013-2020 (USD MILLION) 86
TABLE 37 MACROECONOMIC INDICATORS FOR THE HEALTHCARE MARKET IN THE U.S. 88
TABLE 38 U.S.: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE,
2013-2020 (USD MILLION) 89
TABLE 39 U.S.: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION) 90
TABLE 40 U.S.: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION) 90
TABLE 41 U.S.: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USERS,
2013-2020 (USD MILLION) 91
TABLE 42 MACROECONOMIC INDICATORS FOR THE HEALTHCARE MARKET IN CANADA 91
TABLE 43 CANADA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION) 92
TABLE 44 CANADA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION) 92
TABLE 45 CANADA: CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY TYPE,
2013-2020 (USD MILLION) 93
TABLE 46 CANADA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION) 93
TABLE 47 EUROPE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY REGION,
2013-2020 (USD MILLION) 94
TABLE 48 EUROPE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION) 96
TABLE 49 EUROPE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION) 96

TABLE 50 EUROPE: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION) 97
TABLE 51 EUROPE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION) 97
TABLE 52 EU5: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE,
2013-2020 (USD MILLION) 99
TABLE 53 EU5: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION,
2013-2020 (USD MILLION) 99
TABLE 54 EU5: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION) 100
TABLE 55 EU5: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,
2013-2020 (USD MILLION) 100
TABLE 56 ROE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE,
2013-2020 (USD MILLION) 101
TABLE 57 ROE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION,
2013-2020 (USD MILLION) 102
TABLE 58 ROE: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION) 102
TABLE 59 ROE: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,
2013-2020 (USD MILLION) 103
TABLE 60 ASIA-PACIFIC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY COUNTRY, 2013-2020 (USD MILLION) 103
TABLE 61 ASIA-PACIFIC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION) 105
TABLE 62 ASIA-PACIFIC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION) 105
TABLE 63 ASIA-PACIFIC: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE,
BY TYPE, 2013-2020 (USD MILLION) 106
TABLE 64 ASIA-PACIFIC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION) 106
TABLE 65 INDIA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION) 107
TABLE 66 INDIA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION) 108
TABLE 67 INDIA: CLAIMS MANAGEMENT SERVICES OUTSOURCING MARKET SIZE, BY TYPE, 2013-2020 (USD MILLION) 108
TABLE 68 INDIA: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,
2013-2020 (USD MILLION) 109
TABLE 69 REST OF APAC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION) 110
TABLE 70 REST OF APAC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION, 2013-2020 (USD MILLION) 111
TABLE 71 REST OF APAC: CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY TYPE,
2013-2020 (USD MILLION) 111
TABLE 72 REST OF APAC: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER, 2013-2020 (USD MILLION) 112
TABLE 73 ROW: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY SERVICE TYPE, 2013-2020 (USD MILLION) 114

TABLE 74 ROW: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY APPLICATION,
2013-2020 (USD MILLION) 115
TABLE 75 ROW: CLAIMS MANAGEMENT SERVICES MARKET SIZE, BY TYPE,
2013-2020 (USD MILLION) 115
TABLE 76 ROW: HEALTHCARE PAYER OUTSOURCING MARKET SIZE, BY END USER,
2013-2020 (USD MILLION) 116
TABLE 77 EXPANSIONS, 2012-2015 119
TABLE 78 AGREEMENTS/JOINT VENTURES/PARTNERSHIPS/COLLABORATIONS/ALLIANCES, 2012-2015 120
TABLE 79 ACQUISITIONS, 2012-2015 121
TABLE 80 NEW PRODUCT LAUNCHES, 2012-2015 123
TABLE 81 OTHER STRATEGIES, 2012-2015 124


LIST OF FIGURES

FIGURE 1 GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET: RESEARCH METHODOLOGY STEPS 19
FIGURE 2 SAMPLING FRAME: PRIMARY RESEARCH 22
FIGURE 3 BREAKDOWN OF PRIMARY INTERVIEWS: BY COMPANY TYPE, DESIGNATION,
AND REGION 23
FIGURE 4 MARKET SIZE ESTIMATION METHODOLOGY: BOTTOM-UP APPROACH 25
FIGURE 5 MARKET SIZE ESTIMATION METHODOLOGY: TOP-DOWN APPROACH 25
FIGURE 6 MARKET FORECAST METHODOLOGY 26
FIGURE 7 DATA TRIANGULATION METHODOLOGY 27
FIGURE 8 NORTH AMERICA DOMINATES THE GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET IN 2015 29
FIGURE 9 ANALYTICS AND FRAUD MANAGEMENT MARKET TO WITNESS THE HIGHEST GROWTH RATE FROM 2015 TO 2020 30
FIGURE 10 NORTH AMERICA IS EXPECTED TO GROW AT THE HIGHEST CAGR DURING THE FORECAST PERIOD 31
FIGURE 11 RISING INSURANCE ENROLMENT DRIVING THE MARKET 32
FIGURE 12 NORTH AMERICA DOMINATED THE HEALTHCARE PAYER OUTSOURCING MARKET
IN 2015 33
FIGURE 13 NORTH AMERICA TO GROW AT THE HIGHEST RATE DURING THE FORECAST PERIOD 34
FIGURE 14 BPO SERVICES COMMANDED THE LARGEST MARKET SHARE 35
FIGURE 15 HEALTHCARE PAYER OUTSOURCING MARKET SEGMENTATION 38
FIGURE 16 DRIVERS, RESTRAINTS, OPPORTUNITIES, and CHALLENGES 39
FIGURE 17 BPO SERVICES SEGMENT TO ACCOUNT FOR THE LARGEST SHARE OF HEALTHCARE PAYER OUTSOURCING MARKET, IN 2015 50
FIGURE 18 THE CLAIMS MANAGEMENT SERVICES SEGMENT IS EXPECTED TO CONTINUE TO ACCOUNT FOR THE HIGHEST SHARE OF THE MARKET DURING THE FORECAST PERIOD 56
FIGURE 19 PRIVATE PAYERS SEGMENT TO ACCOUNT FOR THE LARGEST MARKET SHARE DURING THE FORECAST PERIOD 75
FIGURE 20 NORTH AMERICA IS EXPECTED TO COMMAND THE LARGEST SHARE OF THE GLOBAL HEALTHCARE PAYER OUTSOURCING MARKET IN 2015 82
FIGURE 21 THE U.S. TO WITNESS THE HIGHEST GROWTH IN THE HEALTHCARE PAYER OUTSOURCING MARKET IN NORTH AMERICA 84
FIGURE 22 BPO SERVICES TO DOMINATE THE EUROPEAN HEALTHCARE PAYER OUTSOURCING MARKET 95
FIGURE 23 REST OF APAC TO DOMINATE THE ASIA PACIFIC HEALTHCARE PAYER OUTSOURCING MARKET 104
FIGURE 24 CLAIMS MANAGEMENT SERVICES TO DOMINATE THE ROW HEALTHCARE PAYER OUTSOURCING MARKET 113
FIGURE 25 EXPANSION WAS THE KEY GROWTH STRATEGY FOR MARKET PLAYERS 117
FIGURE 26 BATTLE FOR MARKET SHARE: EXPANSION WAS THE KEY STRATEGY 118
FIGURE 27 KEY PLAYERS FOCUSING ON EXPANSION, 2012-2015 118


FIGURE 28 KEY PLAYERS FOCUSING ON AGREEMENTS/COLLABORATIONS/JOINT VENTURES/ALLIANCES/PARTNERSHIPS, 2012-2015 119
FIGURE 29 KEY PLAYERS FOCUSING ON ACQUISITIONS/MERGERS, 2012-2015 121
FIGURE 30 KEY PLAYERS FOCUSING ON NEW PRODUCT LAUNCHES, 2012-2015 122
FIGURE 31 KEY PLAYERS FOCUSING ON OTHER STRATEGIES, 2012-2015 123
FIGURE 32 GEOGRAPHIC REVENUE MIX OF TOP MARKET PLAYERS 125

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