Dublin, January 9, 2026 (GLOBE NEWSWIRE) — The “Global Artificial Intelligence for Healthcare Payers Market Report 2025” was added to ResearchAndMarkets.com offer.
The artificial intelligence (AI) market for healthcare payers is experiencing impressive growth, with size expected to increase from $2.43 billion in 2024 to $2.89 billion in 2025, maintaining a compound annual growth rate (CAGR) of 19.1%. This growth has been catalyzed by increasing volumes of health data, increasing adoption of digital health platforms, and the growing need for cost-effective health solutions. This expansion is also driven by the growing use of predictive analytics, increased focus on fraud detection and prevention, and growing demand for personalized healthcare services.
Looking ahead, the market is expected to reach $5.74 billion by 2029, with a slightly reduced but strong CAGR of 18.7%. This expected growth stems from increased emphasis on value-based care models, an uptick in healthcare spending, thriving payer-provider collaborations, and a focus on improving member engagement. Notable trends include advanced natural language processing, the development of AI-driven claims automation, and innovations in predictive risk modeling and explainable AI.
The rise of healthcare data is a key growth driver, enabling AI technologies to improve decision-making through data-driven insights, optimizing fraud detection, risk assessment and claims management. For example, the UK’s NHS aims to achieve 100% adoption of electronic health records by 2025, reflecting the wave of digitalization sweeping across the healthcare sector.
Key companies in this market, such as CVS Health Corporation, are innovating with AI-powered tools to streamline patient navigation and improve the member experience. In a notable move, Cohere Health Inc. recently acquired ZignaAI Inc., a payment integrity and revenue optimization specialist, signaling the market’s shift toward operational efficiency through AI.
Major players include industry giants like Amazon Web Services Inc., Google LLC, Microsoft Corporation, and Accenture plc., among others, who are driving innovations in this field. North America is currently the largest market region, while Asia Pacific is expected to witness the fastest growth, reflecting global changes and investments in healthcare technologies.
The industry is adapting to rapid economic and business changes, although challenges such as U.S. tariffs and trade tensions in 2025 have impacted costs and supply chains for critical medical devices and pharmaceuticals. In response, the industry is diversifying its sourcing strategies and advocating for pricing exemptions to mitigate disruptions to healthcare delivery.
This market overview provides crucial insights into current and future scenarios of AI among healthcare payers, analyzing industry size, regional dynamics, competitive landscapes, and strategic opportunities. The evolution of AI applications in administrative, financial and clinical areas marks an era of transformation, improving claims processing, fraud detection, member engagement and cost management through innovative solutions.
Key attributes:
| Report attribute | Details |
| Number of pages | 250 |
| Forecast period | 2025 – 2029 |
| Estimated market value (USD) in 2025 | $2.89 billion |
| Projected Market Value (USD) by 2029 | $5.74 billion |
| Compound annual growth rate | 18.7% |
| Regions covered | Global |
Scope of the report:
Markets covered:
- Component: Software; Services
- Technology: machine learning (ML); Natural language processing (NLP); Other technologies
- Deployment: Cloud; on site
- Application: Optimization of claims processing; Fraud detection and prevention; Revenue management; Member engagement; Risk adjustment; Workflow automation; Other apps
Sub-segments:
- Software: predictive analytics platforms; Claims management solutions; Fraud detection systems; Risk assessment tools; Member Engagement Solutions
- Services: Implementation and integration services; Consulting services; Support and maintenance services; Training and education services; Managed Services
Featured Companies
- Amazon Web Services Inc.
- Google SARL
- Microsoft Company
- Accenture SA.
- Oracle Company
- Cognizant technology solutions company
- Wipro Limited
- SAS Institute Inc.
- Hexaware Technologies Limited
- Firstsource Solutions Limited
- Innovaccer Incorporated
- Cohere Health Incorporated
- Softhéon
- MST Solutions LLC
- Lyric AI incorporated
- Inovaare Corporation
- Codox
- Iatros Health Incorporated
- Alaffia Health Incorporated
For more information on this report, visit https://www.researchandmarkets.com/r/ttrho6
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