Global Health Insurance Third Party Overview
Managed care is the latest trend across the globe that gave a substantial push to third party administrators (TPAs) in the health insurance industry. However, TPAs are not technically managed care organizations but play an important role in health insurance markets. In the United States, managed care organizations came into existence, to contain the cost of healthcare under the insurance system and hence, address the issues of the dysfunctional fragmented services. Within managed care, health insurance companies build linkages with the various healthcare providers and, in turn, assume accountability and responsibility for the resources they use in providing the required healthcare services.
Global Health Insurance Third Party Drivers & Restraints
Health insurance is complex and there are various market failure problems. Thus the various TPAs are looking forward to fool-proof methods to meet the growing market demand and serve consumer needs. Increased disposable income and growing health consciousness drive the growth of the global health insurance third party administrators market. The growing need for managed care, with the rising health hazards, and worsening milieu resulting in increasing health awareness globally, resulting in higher demand for efficient healthcare. Furthermore, changing demographics and the higher amount of healthcare costs being passed on to the consumers are some of another key factor boosting growth for the third party administrators market in health insurance. Moreover, an increasing number of funds and insurance carriers are outsourcing administrative duties to result in increased demand for third-party administrative services. However, the major factors hampering the growth of the target market are the ability to implement the ever-rising regulatory changes and compliance oversight, necessitated by the various statutory and regulatory bodies across regions, whilst still being able to deliver advanced healthcare service at the competitive rates with any sort of margin. Nevertheless, augmented utilization of the digitization trends, such as machine learning and big data, which are implemented in the claims processing services of the industry, provide immense opportunity for the target market growth.
Global Health Insurance Third Party Segmentations & Regional Insights
Health insurance third party administrators market is segmented based on region.
Based on the region the health insurance third party administrators market is segmented into North America, Europe, Asia Pacific, Latin America, and Middle East & Africa. Europe is among the leading emerging regions that are utilizing third-party administrator services in the health insurance industry. In the U.K, TPAs are efficient and more popular than PMI providers. Also, they can be more responsive to the company requirements in the coverage of the healthcare needs of the people.
Health Insurance Third Party Administrators Market, By Region:
- North America
- Middle East & Africa
- Middle East & Africa Health Insurance Third Party Administrators Market, By Country
- GCC
- Israel
- South Africa
- Rest of Middle East & Africa
- Middle East & Africa Health Insurance Third Party Administrators Market, By Country
- Latin America
- Latin America Health Insurance Third Party Administrators Market, By Country
- Brazil
- Mexico
- Rest of Latin America
- Latin America Health Insurance Third Party Administrators Market, By Country
- Asia Pacific
- Asia Pacific Health Insurance Third Party Administrators Market, By Country
- China
- India
- Japan
- South Korea
- Rest of Asia Pacific
- Asia Pacific Health Insurance Third Party Administrators Market, By Country
- Europe
- Europe Health Insurance Third Party Administrators Market, By Country
- Germany
- UK
- France
- Russia
- Italy
- Rest of Europe
- Europe Health Insurance Third Party Administrators Market, By Country
- North America Health Insurance Third Party Administrators Market, By Country
- U.S.
- Canada
- Middle East & Africa
Global Health Insurance Third Party Competitive Landscape & Key Players
The key players operating the health insurance third party administrators market includes MSH International, Crawford & Company, CVS Health Corporation, Cigna Corporation, Sedgwick, NEXtCARE, GlobeMed Ltd., Healix International Group Ltd., MHC Asia Group, and Denos Health Management. Prominent players operating in the target market are focusing on strategic partnerships as well as the launching of the products to gain a competitive edge in the target market. For instance, in February 2019, Sedgwick developed a new AI-powered flooring validation and recognition service. By taking a photograph of the flooring, Sedgwick utilizes advanced computer vision technology. The technology is known as FLoRA and developed in partnership with Typhoon8, uses deep learning-based artificial intelligence (AI).
Global Health Insurance Third Party Company Profile
- MSH International
- Company Overview
- Product Portfolio
- Key Highlights
- Financial Performance
- Business Strategies
- Crawford & Company
- CVS Health Corporation
- Cigna Corporation
- Sedgwick
- NEXtCARE
- GlobeMed Ltd.
- Healix International Group Ltd.
- MHC Asia Group
- Denos Health Management.
“*” marked represents similar segmentation in other categories in the respective section