Healthcare Payer State of the Market – Trends, Service Provider Performance in 2019, and Outlook for 2020

20 Feb 2020
by Nitish Mittal, Chunky Satija, Kanika Gupta, Abdul Shaikh

Major healthcare payers have experienced an increase in their revenues over the past year owing to an increase in enrollment rates even though the industry has been battling many hurdles. The payer industry has continued to adopt value-based care as a consequence of rising costs and changing regulatory policies. Payers are now widening their role in the healthcare industry through collaborations and partnerships with health systems and providers and redefining their relationships with independent pharmacy benefit managers. Through all of this, it has become imperative to adopt digital technologies to tackle internal inefficiencies and unconventional external challenges. BigTechs are aiming to become leaders in the healthcare payer industry by leveraging their core business strengths to develop member-centric solutions.

In 2020, we expect service providers to exhibit an increasingly digital-centric focus, which aims to tackle enterprise challenges and improve business outcomes by helping ramp up their digital capabilities centered around cloud adoption for better control over healthcare data, newer models of core administration platforms, and initiatives to improve customer experience. This report examines the global 2019 healthcare ITS service provider landscape and covers themes expected to garner greater interest in 2020. It focuses on the key global healthcare market trends in the healthcare payer space and provides a snapshot of all the healthcare service provider Peak Matrix® assessments carried out in 2019.


Geography: global (with a focus on the US market)

Service providers assessed: Accenture, Atos, Burgess, Capgemini, CGI, Change healthcare, CitiusTech, ClarisHealth, Cognizant, Conduent, Cotiviti (Verscend), Deloitte, DXC Technology, Emids, EPAM, EXL (Scio), Fico, FraudLens, Fujitsu, GAVS Technologies, HCL Technologies, Hexaware, HMS, HTC Global Services, IBM, Infosys, LexisNexis, Mphasis, NTT DATA, Optum, TCS, Tech Mahindra, Truven (IBM), Unisys, UST Global, Virtusa, and Wipro


The report is structured into four sections:

  • US healthcare payer market trends
  • Demand overview
  • List of healthcare PEAK Matrix® assessments published in 2019
  • Outlook for 2020


Healthcare IT Services (ITS)


Page Count: 42