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Health Insurance Exchange Market Size, Share & Growth [2031]

Health Insurance Exchange Market

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Segments - by Components (Hardware, Services, and Software), Types (Public Exchange and Private Exchange), End-users (Brokerage Firms, Government Agencies, Health Players, and Third Parties), Phases (Pre-implementation Phase, Implementation Phase, Program Management, and Independent Validation & Verification [Operations & Maintenance and Quality Assurance]), and Regions (Asia Pacific, North America, Latin America, Europe, and Middle East & Africa) - Global Industry Analysis, Growth, Share, Size, Trends, and Forecast 2023 – 2031

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Author :

Swarup Sahu

Fact-checked by :

Vineet Pandey

Editor :

Ranjit Pankhade

Report Description

The global health insurance exchange market sizewas valued at USD XX Billion in 2022 and is projected to reach USD XX Billion by 2031, expanding at a CAGR of XX% during the forecast period, 2023-2031. The growth of the market is attributed to the federal health insurance mandates, policies, and numerous funding sources from government bodies worldwide.

Health insurance exchange (HIX) or health insurance marketplace is a service accessible in every state that helps small businesses, individuals, shops, and for families to enroll in affordable medical insurance. The HIX is accessible through call centers, website, and in-person assistance. In HIX consumer can compare insurance plans, get answers about health insurance plan, and can buy insurance according to need.

Consumer can buy health insurance coverage that is in compilation with the Patient Protection and Affordable Care Act (ACA) at ACA health exchanges, where they can select from a range of standardized and government-regulated health care plans offered by the private and public insurers companies in the exchange.

The COVID-19 pandemic outbreak had positive impact on the market. During the pandemic, need of health insurance among individuals in increased due to significant rise in medical cost and awareness about benefits of policy. Additionally, the global health care crisis resulted in rise in hospitalization of patient and need of better medical care facility, which is leading to the increased demand of HIX for purchasing health insurance.

Market Trends, Drivers, Restraints, and Opportunities

Rising integration of IT in healthcare sector is one of the key factors driving the market growth.
Growing trend towards contributed model for affordable healthcare services is projected to boost the market during the forecast period.
Increasing concern related to data privacy and security issues acts as a major challenge that can restrict the market growth in the coming years.
Lack of awareness about HIX especially in developing countries is expected to hamper the market growth during the projected timeline.
Escalating use of cloud-based technology for HIX service is anticipated to create significant growth opportunities for the market.

Scope of the Report

The report on the global health insurance exchange market includes an assessment of the market, trends, segments, and regional markets. Overview and dynamics have also been included in the report.

Attributes	Details
Report Title	Health Insurance Exchange Market - Global Industry Analysis, Growth, Share, Size, Trends, and Forecast
Base Year	2022
Historic Data	2016–2021
Forecast Period	2023–2031
Segmentation	Components (Hardware, Services, and Software), Types (Public Exchange and Private Exchange), End-users (Brokerage Firms, Government Agencies, Health Players, and Third Parties), and Phases (Pre-implementation Phase, Implementation Phase, Program Management, and Independent Validation & Verification [Operations & Maintenance and Quality Assurance])
Regional Scope	Asia Pacific, North America, Latin America, Europe, and Middle East & Africa
Report Coverage	Company Share, Market Analysis and Size, Competitive Landscape, Growth Factors, and Trends, and Revenue Forecast
Key Players Covered in the Report	CGI Inc.; IBM Corp.; MAXIMUS, Inc.; Xerox Corp. Ltd.; Cognosante, LLC; Hexaware Technologies; KPMG; Noridian Healthcare Solutions, LLC; Wipro Ltd.; Accenture; Deloitte Touche Tohmatsu Ltd.; Infosys Ltd.; Oracle Corp.; Connecture, Inc.; hCentive, Inc.; HP, Innovation Inc.; Microsoft Corp.; and Tata Consultancy Services

Market Segment Insights

Software segment to expand at robust growth rate

In terms of components, the global health insurance exchange market is segmented into hardware, services, and software. The software segment is estimated to expand at robust growth rate during the forecast period due to it lowers the operational cost, provide flexibility in exchange, and helps in data storage and management.

However, the services segment is anticipated to expand at a substantial CAGR in the coming years attributed to the need of periodic or routine upgrades of different functions and modules of the software components.

Private health exchange segment to register a high CAGR

On the basis of types, the market is bifurcated into public exchange and private exchange. The private health exchange segment is projected to register at high CAGR in the projected timeline owing to as it provides more insurance choice, offer help in making informed decision, and design suitable plans. Additionally, private exchange offer benefits in terms of cost, administration, and consumer retention is major driver of the segment.

On the other hand, the public exchange segment is anticipated to register a substantial CAGR during the forecast period attributed to the suitable for consumer with lower income and subsidize the cost of premium health insurances.

Outsourcing drives the third parties segment

Based on end-users, the global health insurance exchange market is divided into brokerage firms, government agencies, health players, and third parties. The third parties segment is expected to grow at a rapid pace during the forecast period due to the surge in outsourcing of insurance services to the third party administrators for smooth operation.

However, the brokerage firms segment is anticipated to expand at a substantial CAGR in the coming years owing to benefits offer by it, such as quick access to support, customized recommendations, and provide specialized health insurance knowledge.

Increased adoption expand the implementation segment growth rate

On the basis of phases, the market is fragmented into pre-implementation phase, implementation phase, program management, and independent validation & verification (IV & V). The independent validation & verification segment is further bifurcated into operations & maintenance and quality assurance.

The implementation segment is projected to expand at substantial growth rate during the forecast period owing to increased adoption of HIX and surge in government initiatives for implementation of health insurance program.

On the other hand, the independent validation & verification segment is anticipated to grow at robust growth rate in the near future attributed to need of post implementation services, such as hardware upgrade, store management, network operations, facility support, and trouble reporting.

North America is to constitute a key market share

In terms of region, the global health insurance exchange market is classified as Asia Pacific, North America, Latin America, Europe, and Middle East & Africa. North America is anticipated to constitute a key share of the market during the projected period owing to the increasing awareness among consumers about HIX and increased adoption of private health exchanges in the region.

However, the market of Asia Pacific is anticipated to grow at a rapid pace during the forecast period due to the rising adoption of HIX and healthcare information technology coupled with increasing outsourcing to private exchange in the region.

Segments

The global health insurance exchange market has been segmented on the basis of

Components

Hardware
Services
Software

Types

Public Exchange
Private Exchange

End-users

Brokerage Firms
Government Agencies
Health Players
Third Parties

Phases

Pre-implementation Phase
Implementation Phase
Program Management
Independent Validation & Verification
- Operations & Maintenance
- Quality Assurance

Regions

Asia Pacific
North America
Latin America
Europe
Middle East & Africa

Key Players

CGI Inc.
IBM Corp.
MAXIMUS, Inc.
Xerox Corp. Ltd.
Cognosante, LLC
Hexaware Technologies
KPMG
Noridian Healthcare Solutions, LLC
Wipro Ltd.
Accenture
Deloitte Touche Tohmatsu Ltd.
Infosys Ltd.
Oracle Corp.
Connecture, Inc.
hCentive, Inc.
HP, Innovation Inc.
Microsoft Corp.
Tata Consultancy Services

Competitive Landscape

Key players competing in the global health insurance exchange market are CGI Inc.; IBM Corp.; MAXIMUS, Inc.; Xerox Corp. Ltd.; Cognosante, LLC; Hexaware Technologies; KPMG; Noridian Healthcare Solutions, LLC; Wipro Ltd.; Accenture; Deloitte Touche Tohmatsu Ltd.; Infosys Ltd.; Oracle Corp.; Connecture, Inc.; hCentive, Inc.; HP, Innovation Inc.; Microsoft Corp.; and Tata Consultancy Services.

Companies are focusing on product improvement to maintain their competitive position in the market. Furthermore, companies have been widely engaged in strategic partnership, merger & acquisition, new product launch, and collaborations to boost their market share and acquiring new buyers.

Table Of Content

1. Executive Summary
2. Assumptions and Acronyms Used
3. Research Methodology
4. Health Insurance Exchange Market Overview
  4.1. Introduction
     4.1.1. Market Taxonomy
     4.1.2. Market Definition
  4.2. Macro-Economic Factors
     4.2.1. Industry Outlook
  4.3. Health Insurance Exchange Market Dynamics
     4.3.1. Market Drivers
     4.3.2. Market Restraints
     4.3.3. Opportunity
     4.3.4. Market Trends
  4.4. Health Insurance Exchange Market - Supply Chain
  4.5. Global Health Insurance Exchange Market Forecast
     4.5.1. Health Insurance Exchange Market Size (US$ Mn) and Y-o-Y Growth
     4.5.2. Health Insurance Exchange Market Size (000â€™ Units) and Y-o-Y Growth
     4.5.3. Health Insurance Exchange Market Absolute $ Opportunity
5. Global Health Insurance Exchange Market Analysis and Forecast by Types
  5.1. Market Trends
  5.2. Introduction
     5.2.1. Basis Point Share (BPS) Analysis by Types
     5.2.2. Y-o-Y Growth Projections by Types
  5.3. Health Insurance Exchange Market Size and Volume Forecast by Types
     5.3.1. Public Exchange Private Exchange
  5.4. Absolute $ Opportunity Assessment by Types
  5.5. Market Attractiveness/Growth Potential Analysis by Types
6. Global Health Insurance Exchange Market Analysis and Forecast by End Users
  6.1. Market Trends
  6.2. Introduction
     6.2.1. Basis Point Share (BPS) Analysis by End Users
     6.2.2. Y-o-Y Growth Projections by End Users
  6.3. Health Insurance Exchange Market Size and Volume Forecast by End Users
     6.3.1. Brokerage Firms Government Agencies Health Players Third Parties
  6.4. Absolute $ Opportunity Assessment by End Users
  6.5. Market Attractiveness/Growth Potential Analysis by End Users
7. Global Health Insurance Exchange Market Analysis and Forecast by Region
  7.1. Market Trends
  7.2. Introduction
     7.2.1. Basis Point Share (BPS) Analysis by Region
     7.2.2. Y-o-Y Growth Projections by Region
  7.3. Health Insurance Exchange Market Size and Volume Forecast by Region
     7.3.1. North America
     7.3.2. Latin America
     7.3.3. Europe
     7.3.4. Asia Pacific
     7.3.5. Middle East and Africa (MEA)
  7.4. Absolute $ Opportunity Assessment by Region
  7.5. Market Attractiveness/Growth Potential Analysis by Region
  7.6. Global Health Insurance Exchange Demand Share Forecast, 2019-2026
8. North America Health Insurance Exchange Market Analysis and Forecast
  8.1. Introduction
     8.1.1. Basis Point Share (BPS) Analysis by Country
     8.1.2. Y-o-Y Growth Projections by Country
  8.2. North America Health Insurance Exchange Market Size and Volume Forecast by Country
     8.2.1. U.S.
     8.2.2. Canada
  8.3. Absolute $ Opportunity Assessment by Country
  8.4. North America Health Insurance Exchange Market Size and Volume Forecast by Types
     8.4.1. Public Exchange Private Exchange
  8.5. Basis Point Share (BPS) Analysis by Types
  8.6. Y-o-Y Growth Projections by Types
  8.7. North America Health Insurance Exchange Market Size and Volume Forecast by End Users
     8.7.1. Brokerage Firms Government Agencies Health Players Third Parties
  8.8. Basis Point Share (BPS) Analysis by End Users
  8.9. Y-o-Y Growth Projections by End Users
  8.10. Market Attractiveness/Growth Potential Analysis
     8.10.1. By Country
     8.10.2. By Product Type
     8.10.3. By Application
  8.11. North America Health Insurance Exchange Demand Share Forecast, 2019-2026
9. Latin America Health Insurance Exchange Market Analysis and Forecast
  9.1. Introduction
     9.1.1. Basis Point Share (BPS) Analysis by Country
     9.1.2. Y-o-Y Growth Projections by Country
     9.1.3. Latin America Average Pricing Analysis
  9.2. Latin America Health Insurance Exchange Market Size and Volume Forecast by Country
      9.2.1. Brazil
      9.2.2. Mexico
      9.2.3. Rest of Latin America
   9.3. Absolute $ Opportunity Assessment by Country
  9.4. Latin America Health Insurance Exchange Market Size and Volume Forecast by Types
     9.4.1. Public Exchange Private Exchange
  9.5. Basis Point Share (BPS) Analysis by Types
  9.6. Y-o-Y Growth Projections by Types
  9.7. Latin America Health Insurance Exchange Market Size and Volume Forecast by End Users
     9.7.1. Brokerage Firms Government Agencies Health Players Third Parties
  9.8. Basis Point Share (BPS) Analysis by End Users
  9.9. Y-o-Y Growth Projections by End Users
  9.10. Market Attractiveness/Growth Potential Analysis
     9.10.1. By Country
     9.10.2. By Product Type
     9.10.3. By Application
  9.11. Latin America Health Insurance Exchange Demand Share Forecast, 2019-2026
10. Europe Health Insurance Exchange Market Analysis and Forecast
  10.1. Introduction
     10.1.1. Basis Point Share (BPS) Analysis by Country
     10.1.2. Y-o-Y Growth Projections by Country
     10.1.3. Europe Average Pricing Analysis
  10.2. Europe Health Insurance Exchange Market Size and Volume Forecast by Country
     10.2.1. Germany
     10.2.2. France
     10.2.3. Italy
     10.2.4. U.K.
     10.2.5. Spain
     10.2.6. Russia
     10.2.7. Rest of Europe
  10.3. Absolute $ Opportunity Assessment by Country
  10.4. Europe Health Insurance Exchange Market Size and Volume Forecast by Types
     10.4.1. Public Exchange Private Exchange
  10.5. Basis Point Share (BPS) Analysis by Types
  10.6. Y-o-Y Growth Projections by Types
  10.7. Europe Health Insurance Exchange Market Size and Volume Forecast by End Users
     10.7.1. Brokerage Firms Government Agencies Health Players Third Parties
  10.8. Basis Point Share (BPS) Analysis by End Users
  10.9. Y-o-Y Growth Projections by End Users
  10.10. Market Attractiveness/Growth Potential Analysis
     10.10.1. By Country
     10.10.2. By Product Type
     10.10.3. By Application
  10.11. Europe Health Insurance Exchange Demand Share Forecast, 2019-2026
11. Asia Pacific Health Insurance Exchange Market Analysis and Forecast
  11.1. Introduction
     11.1.1. Basis Point Share (BPS) Analysis by Country
     11.1.2. Y-o-Y Growth Projections by Country
     11.1.3. Asia Pacific Average Pricing Analysis
  11.2. Asia Pacific Health Insurance Exchange Market Size and Volume Forecast by Country
     11.2.1. China
     11.2.2. Japan
     11.2.3. South Korea
     11.2.4. India
     11.2.5. Australia
     11.2.6. Rest of Asia Pacific (APAC)
  11.3. Absolute $ Opportunity Assessment by Country
  11.4. Asia Pacific Health Insurance Exchange Market Size and Volume Forecast by Types
     11.4.1. Public Exchange Private Exchange
  11.5. Basis Point Share (BPS) Analysis by Types
  11.6. Y-o-Y Growth Projections by Types
  11.7. Asia Pacific Health Insurance Exchange Market Size and Volume Forecast by End Users
     11.7.1. Brokerage Firms Government Agencies Health Players Third Parties
  11.8. Basis Point Share (BPS) Analysis by End Users
  11.9. Y-o-Y Growth Projections by End Users
  11.10. Market Attractiveness/Growth Potential Analysis
     11.10.1. By Country
     11.10.2. By Product Type
     11.10.3. By Application
  11.11. Asia Pacific Health Insurance Exchange Demand Share Forecast, 2019-2026
12. Middle East & Africa Health Insurance Exchange Market Analysis and Forecast
  12.1. Introduction
     12.1.1. Basis Point Share (BPS) Analysis by Country
     12.1.2. Y-o-Y Growth Projections by Country
     12.1.3. Middle East & Africa Average Pricing Analysis
  12.2. Middle East & Africa Health Insurance Exchange Market Size and Volume Forecast by Country
     12.2.1. Saudi Arabia
     12.2.2. South Africa
     12.2.3. UAE
     12.2.4. Rest of Middle East & Africa (MEA)
  12.3. Absolute $ Opportunity Assessment by Country
  12.4. Middle East & Africa Health Insurance Exchange Market Size and Volume Forecast by Types
     12.4.1. Public Exchange Private Exchange
  12.5. Basis Point Share (BPS) Analysis by Types
  12.6. Y-o-Y Growth Projections by Types
  12.7. Middle East & Africa Health Insurance Exchange Market Size and Volume Forecast by End Users
     12.7.1. Brokerage Firms Government Agencies Health Players Third Parties
  12.8. Basis Point Share (BPS) Analysis by End Users
  12.9. Y-o-Y Growth Projections by End Users
  12.10. Market Attractiveness/Growth Potential Analysis
     12.10.1. By Country
     12.10.2. By Product Type
     12.10.3. By Application
  12.11. Middle East & Africa Health Insurance Exchange Demand Share Forecast, 2019-2026
13. Competition Landscape
  13.1. Global Health Insurance Exchange Market: Market Share Analysis
  13.2. Health Insurance Exchange Distributors and Customers
  13.3. Health Insurance Exchange Market: Competitive Dashboard
  13.4. Company Profiles (Details: Overview, Financials, Developments, Strategy)
     13.4.1. CGI Inc. IBM Corp. MAXIMUS, Inc. Xerox Corp. Ltd. Cognosante, LLC Hexaware Technologies

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