The global healthcare payer network management market size is calculated at USD 5.72 billion in 2025 and is forecasted to reach around USD 17.98 billion by 2034, accelerating at a CAGR of 13.56% from 2025 to 2034. The North America market size surpassed USD 3.32 billion in 2024 and is expanding at a CAGR of 13.68% during the forecast period. The market sizing and forecasts are revenue-based (USD Million/Billion), with 2024 as the base year.
1.1. Research Objective
1.2. Scope of the Study
1.3. Definition
2.1. Research Approach
2.2. Data Sources
2.3. Assumptions & Limitations
3.1. Market Snapshot
4.1. Introduction
4.2. Market Classification and Scope
4.3. Industry Value Chain Analysis
4.3.1. Raw Material Procurement Analysis
4.3.2. Sales and Distribution Channel Analysis
4.3.3. Downstream Buyer Analysis
5.1. COVID-19 Landscape: Healthcare Payer Network Management Industry Impact
5.2. COVID 19 - Impact Assessment for the Industry
5.3. COVID 19 Impact: Global Major Government Policy
5.4. Market Trends and Opportunities in the COVID-19 Landscape
6.1. Market Dynamics
6.1.1. Market Drivers
6.1.2. Market Restraints
6.1.3. Market Opportunities
6.2. Porter’s Five Forces Analysis
6.2.1. Bargaining power of suppliers
6.2.2. Bargaining power of buyers
6.2.3. Threat of substitute
6.2.4. Threat of new entrants
6.2.5. Degree of competition
7.1.1. Company Market Share/Positioning Analysis
7.1.2. Key Strategies Adopted by Players
7.1.3. Vendor Landscape
7.1.3.1. List of Suppliers
7.1.3.2. List of Buyers
8.1. Healthcare Payer Network Management Market, by Component
8.1.1. Software Platforms
8.1.1.1. Market Revenue and Forecast
8.1.2. Services
8.1.2.1. Market Revenue and Forecast
9.1. Healthcare Payer Network Management Market, by Deployment Mode
9.1.1. On-premise
9.1.1.1. Market Revenue and Forecast
9.1.2. Cloud-based
9.1.2.1. Market Revenue and Forecast
10.1. Healthcare Payer Network Management Market, by Functionality
10.1.1. Provider Onboarding & Credentialing
10.1.1.1. Market Revenue and Forecast
10.1.2. Provider Contracting & Compliance
10.1.2.1. Market Revenue and Forecast
10.1.3. Provider Data Management
10.1.3.1. Market Revenue and Forecast
10.1.4. Claims Management
10.1.4.1. Market Revenue and Forecast
10.1.5. Network Design & Optimization
10.1.5.1. Market Revenue and Forecast
10.1.6. Patient Access & Engagement
10.1.6.1. Market Revenue and Forecast
11.1. Healthcare Payer Network Management Market, by End User
11.1.1. Private Payers / Insurance Companies
11.1.1.1. Market Revenue and Forecast
11.1.2. Public/Government Payers
11.1.2.1. Market Revenue and Forecast
11.1.3. Managed Care Organizations (MCOs)
11.1.3.1. Market Revenue and Forecast
11.1.4. Third-Party Administrators (TPAs)
11.1.4.1. Market Revenue and Forecast
12.1. North America
12.1.1. Market Revenue and Forecast, by Component
12.1.2. Market Revenue and Forecast, by Deployment Mode
12.1.3. Market Revenue and Forecast, by Functionality
12.1.4. Market Revenue and Forecast, by End User
12.1.5. U.S.
12.1.5.1. Market Revenue and Forecast, by Component
12.1.5.2. Market Revenue and Forecast, by Deployment Mode
12.1.5.3. Market Revenue and Forecast, by Functionality
12.1.5.4. Market Revenue and Forecast, by End User
12.1.6. Rest of North America
12.1.6.1. Market Revenue and Forecast, by Component
12.1.6.2. Market Revenue and Forecast, by Deployment Mode
12.1.6.3. Market Revenue and Forecast, by Functionality
12.1.6.4. Market Revenue and Forecast, by End User
12.2. Europe
12.2.1. Market Revenue and Forecast, by Component
12.2.2. Market Revenue and Forecast, by Deployment Mode
12.2.3. Market Revenue and Forecast, by Functionality
12.2.4. Market Revenue and Forecast, by End User
12.2.5. UK
12.2.5.1. Market Revenue and Forecast, by Component
12.2.5.2. Market Revenue and Forecast, by Deployment Mode
12.2.5.3. Market Revenue and Forecast, by Functionality
12.2.5.4. Market Revenue and Forecast, by End User
12.2.6. Germany
12.2.6.1. Market Revenue and Forecast, by Component
12.2.6.2. Market Revenue and Forecast, by Deployment Mode
12.2.6.3. Market Revenue and Forecast, by Functionality
12.2.6.4. Market Revenue and Forecast, by End User
12.2.7. France
12.2.7.1. Market Revenue and Forecast, by Component
12.2.7.2. Market Revenue and Forecast, by Deployment Mode
12.2.7.3. Market Revenue and Forecast, by Functionality
12.2.7.4. Market Revenue and Forecast, by End User
12.2.8. Rest of Europe
12.2.8.1. Market Revenue and Forecast, by Component
12.2.8.2. Market Revenue and Forecast, by Deployment Mode
12.2.8.3. Market Revenue and Forecast, by Functionality
12.2.8.4. Market Revenue and Forecast, by End User
12.3. APAC
12.3.1. Market Revenue and Forecast, by Component
12.3.2. Market Revenue and Forecast, by Deployment Mode
12.3.3. Market Revenue and Forecast, by Functionality
12.3.4. Market Revenue and Forecast, by End User
12.3.5. India
12.3.5.1. Market Revenue and Forecast, by Component
12.3.5.2. Market Revenue and Forecast, by Deployment Mode
12.3.5.3. Market Revenue and Forecast, by Functionality
12.3.5.4. Market Revenue and Forecast, by End User
12.3.6. China
12.3.6.1. Market Revenue and Forecast, by Component
12.3.6.2. Market Revenue and Forecast, by Deployment Mode
12.3.6.3. Market Revenue and Forecast, by Functionality
12.3.6.4. Market Revenue and Forecast, by End User
12.3.7. Japan
12.3.7.1. Market Revenue and Forecast, by Component
12.3.7.2. Market Revenue and Forecast, by Deployment Mode
12.3.7.3. Market Revenue and Forecast, by Functionality
12.3.7.4. Market Revenue and Forecast, by End User
12.3.8. Rest of APAC
12.3.8.1. Market Revenue and Forecast, by Component
12.3.8.2. Market Revenue and Forecast, by Deployment Mode
12.3.8.3. Market Revenue and Forecast, by Functionality
12.3.8.4. Market Revenue and Forecast, by End User
12.4. MEA
12.4.1. Market Revenue and Forecast, by Component
12.4.2. Market Revenue and Forecast, by Deployment Mode
12.4.3. Market Revenue and Forecast, by Functionality
12.4.4. Market Revenue and Forecast, by End User
12.4.5. GCC
12.4.5.1. Market Revenue and Forecast, by Component
12.4.5.2. Market Revenue and Forecast, by Deployment Mode
12.4.5.3. Market Revenue and Forecast, by Functionality
12.4.5.4. Market Revenue and Forecast, by End User
12.4.6. North Africa
12.4.6.1. Market Revenue and Forecast, by Component
12.4.6.2. Market Revenue and Forecast, by Deployment Mode
12.4.6.3. Market Revenue and Forecast, by Functionality
12.4.6.4. Market Revenue and Forecast, by End User
12.4.7. South Africa
12.4.7.1. Market Revenue and Forecast, by Component
12.4.7.2. Market Revenue and Forecast, by Deployment Mode
12.4.7.3. Market Revenue and Forecast, by Functionality
12.4.7.4. Market Revenue and Forecast, by End User
12.4.8. Rest of MEA
12.4.8.1. Market Revenue and Forecast, by Component
12.4.8.2. Market Revenue and Forecast, by Deployment Mode
12.4.8.3. Market Revenue and Forecast, by Functionality
12.4.8.4. Market Revenue and Forecast, by End User
12.5. Latin America
12.5.1. Market Revenue and Forecast, by Component
12.5.2. Market Revenue and Forecast, by Deployment Mode
12.5.3. Market Revenue and Forecast, by Functionality
12.5.4. Market Revenue and Forecast, by End User
12.5.5. Brazil
12.5.5.1. Market Revenue and Forecast, by Component
12.5.5.2. Market Revenue and Forecast, by Deployment Mode
12.5.5.3. Market Revenue and Forecast, by Functionality
12.5.5.4. Market Revenue and Forecast, by End User
12.5.6. Rest of LATAM
12.5.6.1. Market Revenue and Forecast, by Component
12.5.6.2. Market Revenue and Forecast, by Deployment Mode
12.5.6.3. Market Revenue and Forecast, by Functionality
12.5.6.4. Market Revenue and Forecast, by End User
13.1. Accenture Plc
13.1.1. Company Overview
13.1.2. Product Offerings
13.1.3. Financial Performance
13.1.4. Recent Initiatives
13.2. Aetna (CVS Health)
13.2.1. Company Overview
13.2.2. Product Offerings
13.2.3. Financial Performance
13.2.4. Recent Initiatives
13.3. Availity LLC
13.3.1. Company Overview
13.3.2. Product Offerings
13.3.3. Financial Performance
13.3.4. Recent Initiatives
13.4. Change Healthcare (Optum Insight)
13.4.1. Company Overview
13.4.2. Product Offerings
13.4.3. Financial Performance
13.4.4. Recent Initiatives
13.5. Cognizant Technology Solutions
13.5.1. Company Overview
13.5.2. Product Offerings
13.5.3. Financial Performance
13.5.4. Recent Initiatives
13.6. Genpact Limited
13.6.1. Company Overview
13.6.2. Product Offerings
13.6.3. Financial Performance
13.6.4. Recent Initiatives
13.7. HealthEdge Software Inc.
13.7.1. Company Overview
13.7.2. Product Offerings
13.7.3. Financial Performance
13.7.4. Recent Initiatives
13.8. IBM Corporation
13.8.1. Company Overview
13.8.2. Product Offerings
13.8.3. Financial Performance
13.8.4. Recent Initiatives
13.9. Infosys Limited
13.9.1. Company Overview
13.9.2. Product Offerings
13.9.3. Financial Performance
13.9.4. Recent Initiatives
13.10. Inovalon Holdings Inc.
13.10.1. Company Overview
13.10.2. Product Offerings
13.10.3. Financial Performance
13.10.4. Recent Initiatives
14.1. Primary Research
14.2. Secondary Research
14.3. Assumptions
15.1. About Us
15.2. Glossary of Terms
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