The healthcare payer outsourcing market is rapidly evolving as payers strive to enhance efficiency, control costs, meet member expectations, and navigate complex regulations. With a growing focus on member-centricity and streamlined core administrative processes, Business Process as a Service (BPaaS) has emerged as a key strategic solution. Payers now demand modular, contextualized, and scalable solutions tailored to specific business lines, such as Medicare or Medicaid. In response, providers are innovating with Line-of-Business (LoB)-specific solutions, robust platform partnerships, and comprehensive consulting capabilities to support payers on their BPaaS transformation journeys.

In this report, we provide comprehensive, fact-based snapshots of 14 healthcare payer BPaaS solution providers. The report examines the providers’ revenue scale, client base, deployment models, revenue split by offerings, value chain coverage, plan sizes, plan types, key clients, and proprietary solutions and tools. This research enables healthcare payers to identify suitable providers to transform their business processes and achieve differentiation.

Scope

• Industry: healthcare
• Geography: US

Contents

In this report, we examine 14 healthcare payer BPaaS solutions providers based on their:

• Scale of operations including revenue, client base, deployment model, revenue split by offerings, value chain, plan size, and plan type
• Key clients and proprietary solutions and tools offered

Membership(s)

Healthcare Payer and Provider Business Process

Sourcing and Vendor Management