U.S. Healthcare Payer Technology Market: Growth Outlook Through 2030

The global technology solutions in the U.S. healthcare payer market was valued at USD 7.8 billion in 2023 and is projected to reach USD 12.6 billion by 2030, growing at a compound annual growth rate (CAGR) of 7.3% from 2024 to 2030. This growth is primarily fueled by the ongoing modernization of core processes such as enrollment and billing, a rise in strategic acquisitions by key market players, growing interest from investors and venture capitalists, and the rapid integration of transformative technologies across the healthcare landscape.

Modernization initiatives have become crucial as healthcare payers seek to enhance efficiency, accuracy, and customer experience. One notable example is the strategic acquisition carried out in July 2021, when CitiusTech expanded its payer services by acquiring SDLC Partners. The acquisition allowed CitiusTech to leverage SDLC’s specialized capabilities and experienced workforce, known for delivering high-impact technology-driven solutions in healthcare.

Moreover, the post-COVID-19 era has seen a sharp uptick in strategic acquisitions as healthcare payer organizations look to broaden their service portfolios, expand market presence, and strengthen their technological capabilities. A prime example is the October 2022 acquisition by UnitedHealth Group’s Optum, which acquired Change Healthcare in a USD 13 billion deal. This move aimed to integrate Change Healthcare into the OptumInsight division, thereby enhancing offerings in revenue cycle management, healthcare data analytics, advisory services, and technology-enabled solutions to improve operational efficiency and patient outcomes.

Another major driver shaping the market is the increasing adoption of artificial intelligence (AI). Healthcare payer organizations are incorporating AI-enabled technologies to streamline administrative workflows, reduce costs, and improve service delivery. For instance, in August 2022, Codoxo launched ClaimPilot, a generative AI solution designed to significantly improve the efficiency of cost containment and payment integrity programs. This innovation addresses pressing challenges related to workforce constraints and rising healthcare costs, particularly in payer and pharmacy benefit manager (PBM) operations.


Key Market Trends & Insights

  • By application, the claims management segment held the dominant market share of 32.2% in 2023. The demand for efficient claims processing and fraud detection continues to drive investments in this area.
  • By solution type, the integrated solutions segment led the market in 2023 and is projected to experience the fastest growth during the forecast period. Integrated solutions offer the advantage of streamlined operations and improved data interoperability across payer systems.
  • By payer type, the commercial segment accounted for the largest share of the market in 2023. It is also expected to grow at the highest pace over the coming years, driven by the expansion of private insurance offerings and innovations tailored to employer-sponsored healthcare plans.

 

Order a free sample PDF of the Technology Solutions In The U.S. Healthcare Payer Market Intelligence Study, published by Grand View Research.

 

Market Size & Forecast

  • 2023 Market Size: USD 8 Billion
  • 2030 Projected Market Size: USD 6 Billion
  • CAGR (2024-2030): 3%

 

Browse Horizon Databook on Global Technology Solutions In The U.S. Healthcare Payer Market Size & Outlook


Conclusion

The U.S. healthcare payer technology solutions market is poised for sustained growth through 2030, underpinned by technological advancement, strategic consolidation, and the increasing need for efficiency in administrative and claims management processes. As payer organizations seek to meet the rising demands of a dynamic healthcare ecosystem, investments in AI, integrated platforms, and digital transformation will play a central role. Market players that prioritize innovation, scalability, and customer-centric solutions are well-positioned to lead in this evolving landscape.

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