GITNUX MARKETDATA REPORT 2024

Tpa Industry Statistics

TPA (Third Party Administration) industry statistics provide insights into trends, growth, and performance of third-party administrators in managing services for various organizations.

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Highlights: Tpa Industry Statistics

  • The global Third-Party Administrator (TPA) market size is projected to reach USD 11470 million by 2026, from USD 8810 million in 2021, at a CAGR of 5.5% during the forecast period.
  • As of 2019, North America accounted for the most substantial TPA market share and will continue dominating the market in the upcoming years.
  • The APAC region is forecast to be the fastest-growing for the TPA industry over the period 2021-2026.
  • At the end of 2020, the Health Insurance TPA business segment accounted for approximately 34% of the total market share.
  • In 2021, Property and Casualty TPA business was expected to grow at a CAGR of 6.8%.
  • The third-party administrator industry, in total, administers around 17% of retirement assets in the United States.
  • By the end of 2026, the benefits administration segment of the TPA market is expected to reach value around USD 60 billion globally.
  • Third-party administrators can manage up to 50% of an insurer’s claims costs in personal lines.
  • Almost 57% of private sector workers were covered by employer self-insured health plans managed by TPAs in 2016.
  • As of Q1 2021, nearly 60% of insurers are planning to increase their use of third-party administrators.
  • The TPA market share is anticipated to grow by about 19% CAGR due to high demand for digital operations in healthcare over the period of 2020-2025.
  • About 22% of health plans that utilize TPAs are for medium-sized businesses (100-499 employees).
  • Among India’s TPAs, Vidal Health TPA holds the biggest market share, with a 22.23% share of the overall gross earned premium.
  • About 28% of TPAs in North America use artificial intelligence (AI) in their claims process, and the number is expected to rise.
  • The global TPA market was valued at $72.17 billion in 2018, which is a significant 60% increase from 2014 ($45.1 billion).
  • TPAs are expected to save businesses an estimated $70 billion over the next decade with their services.

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The Latest Tpa Industry Statistics Explained

The global Third-Party Administrator (TPA) market size is projected to reach USD 11470 million by 2026, from USD 8810 million in 2021, at a CAGR of 5.5% during the forecast period.

This statistic indicates the anticipated growth in the global Third-Party Administrator (TPA) market from USD 8810 million in 2021 to an estimated USD 11470 million by the year 2026, representing a Compound Annual Growth Rate (CAGR) of 5.5% over the forecast period. This projection suggests a positive trend in the TPA market, indicating a steady increase in market value over time. The CAGR of 5.5% reflects the average annual growth rate at which the market is expected to expand, highlighting potential opportunities for businesses operating within the TPA industry to capitalize on this growth and potentially benefit from the expanding market size.

As of 2019, North America accounted for the most substantial TPA market share and will continue dominating the market in the upcoming years.

The statistic suggests that as of 2019, North America held the largest market share in terms of total addressable market (TPA) and is expected to maintain its dominance in the TPA market in the foreseeable future. This indicates that North America has a significant influence and presence in the TPA industry, potentially due to factors such as a strong economy, technological advancements, market maturity, or favorable regulatory environment. The projection of North America continuing to lead the TPA market suggests stability and growth opportunities for businesses operating in this region, as well as potential challenges for competitors trying to enter or expand their presence in the market.

The APAC region is forecast to be the fastest-growing for the TPA industry over the period 2021-2026.

The statistic that the APAC region is forecast to be the fastest-growing for the Third-Party Logistics (TPA) industry over the period 2021-2026 indicates that the market for TPA services in the Asia-Pacific region is expected to experience significant expansion compared to other regions during this time frame. This forecast suggests a positive outlook for the TPA industry in APAC, driven by factors such as increasing globalization, rising e-commerce activities, and the growing adoption of outsourcing logistics functions by companies in the region. The growth in the APAC TPA industry is likely to present opportunities for providers to expand their operations, invest in infrastructure, and develop tailored solutions to meet the evolving needs of clients in the region.

At the end of 2020, the Health Insurance TPA business segment accounted for approximately 34% of the total market share.

The statistic indicates that at the end of 2020, the Health Insurance Third Party Administrator (TPA) business segment held a significant market share of approximately 34%. This suggests that the Health Insurance TPA business is a major player in the industry, capturing a sizeable portion of the market compared to other competitors. The high market share could reflect the effectiveness or popularity of the services offered by Health Insurance TPAs, suggesting that they are trusted by a large number of individuals or organizations for managing health insurance claims and related services. This statistic is important for understanding the competitive landscape within the health insurance industry and the dominance of the Health Insurance TPA business segment in the market.

In 2021, Property and Casualty TPA business was expected to grow at a CAGR of 6.8%.

This statistic indicates that the Property and Casualty Third-Party Administrator (TPA) business was projected to experience a Compound Annual Growth Rate (CAGR) of 6.8% in 2021. A CAGR of 6.8% implies that the revenue or size of the Property and Casualty TPA business was anticipated to increase by an average of 6.8% each year from the baseline year to the end of 2021. This growth rate suggests a positive outlook for the industry, indicating a steady expansion over the specified period. This data can be valuable for stakeholders in the Property and Casualty TPA sector to anticipate trends, make informed decisions, and strategize for the future based on the expected growth rate.

The third-party administrator industry, in total, administers around 17% of retirement assets in the United States.

The statistic states that the third-party administrator industry collectively manages approximately 17% of retirement assets in the United States. Third-party administrators are external entities that provide administrative services for retirement plans, such as recordkeeping, compliance monitoring, and participant communications. The fact that they handle a significant portion of retirement assets highlights their crucial role in managing and safeguarding individuals’ savings for their post-retirement years. This statistic suggests that a substantial portion of retirement planning and management in the US is entrusted to third-party administrators, underscoring their importance in the overall landscape of retirement assets management.

By the end of 2026, the benefits administration segment of the TPA market is expected to reach value around USD 60 billion globally.

This statistic forecasts that the benefits administration segment within the Third-Party Administrator (TPA) market is anticipated to grow significantly, reaching a global value of USD 60 billion by the end of 2026. This suggests a substantial increase in demand for services related to managing employee benefits, such as healthcare, retirement plans, and other perks provided by employers. The projected growth in this segment highlights the increasing complexity and importance of benefit administration in the workplace, driven by factors such as evolving regulations, technological advancements, and shifting employee expectations. This statistic signals a lucrative and expanding market opportunity for businesses operating in the benefits administration space, with potential for significant revenue and market share gains in the coming years.

Third-party administrators can manage up to 50% of an insurer’s claims costs in personal lines.

The statistic suggests that third-party administrators (TPAs) have the potential to significantly influence an insurance company’s claims costs in personal lines insurance. TPAs are hired by insurers to handle various aspects of the claims process on their behalf, such as processing claims, investigating losses, and managing claim payments. By effectively managing these functions, TPAs can impact costs by helping to reduce claim processing times, identifying and preventing fraud, and ensuring accurate claim settlements. The statistic indicates that TPAs have the capability to influence up to half of an insurer’s claims costs in personal lines insurance, highlighting the important role they play in managing and controlling expenses for insurance companies in this specific sector.

Almost 57% of private sector workers were covered by employer self-insured health plans managed by TPAs in 2016.

In 2016, nearly 57% of private sector workers were enrolled in health insurance plans that were self-insured by their employers and managed by third party administrators (TPAs). Self-insured health plans are those in which the employer assumes the financial risk of providing healthcare benefits to their employees, rather than purchasing traditional insurance coverage. By opting for self-insurance and utilizing TPAs to administer the plans, employers have more flexibility in customizing benefits packages and managing costs, potentially offering more tailored healthcare options to their employees. This statistic highlights the prevalence of self-insurance in the private sector workforce, indicating a significant trend towards this type of healthcare coverage arrangement among employers.

As of Q1 2021, nearly 60% of insurers are planning to increase their use of third-party administrators.

The statistic indicates that as of the first quarter of 2021, approximately 60% of insurers are intending to expand their reliance on third-party administrators (TPAs). This suggests a growing trend within the insurance industry where companies are looking to outsource certain functions such as claims processing, policy administration, and customer service to specialized third-party entities. By increasing their utilization of TPAs, insurers may be seeking to improve efficiency, reduce costs, and enhance their overall operational effectiveness. It also suggests a shift towards more strategic partnerships within the industry as insurers recognize the benefits of leveraging external expertise and resources to streamline their operations and meet evolving customer demands.

The TPA market share is anticipated to grow by about 19% CAGR due to high demand for digital operations in healthcare over the period of 2020-2025.

This statistic suggests that the Third-Party Administrator (TPA) market share is projected to increase at a Compound Annual Growth Rate (CAGR) of approximately 19% from 2020 to 2025. This growth is attributed to the significant demand for digital operations within the healthcare industry. TPAs play a crucial role in managing administrative tasks for healthcare organizations, such as claims processing and provider network management. The rising adoption of digital technologies in healthcare, including telemedicine and electronic health records, is driving the need for efficient and streamlined administrative processes, leading to the expected expansion of the TPA market share at a rapid pace over the specified period.

About 22% of health plans that utilize TPAs are for medium-sized businesses (100-499 employees).

This statistic indicates that approximately 22% of health plans managed by Third-Party Administrators (TPAs) are allocated for medium-sized businesses with employee counts ranging from 100 to 499. This suggests that a significant portion of the health plans handled by TPAs cater to businesses within this size range. Understanding the distribution of health plans across different business sizes can provide valuable insights into the market dynamics and preferences of employers when it comes to outsourcing their healthcare administration. This data point can assist TPAs in targeting their services and offerings more effectively towards the needs and demands of medium-sized businesses in providing healthcare benefits to their employees.

Among India’s TPAs, Vidal Health TPA holds the biggest market share, with a 22.23% share of the overall gross earned premium.

The statistic indicates that among third-party administrators (TPAs) in India, Vidal Health TPA has the largest market share in terms of the overall gross earned premium. Specifically, Vidal Health TPA accounts for 22.23% of the total premium earned in the market, making it the leading player in the industry. This suggests that Vidal Health TPA has a significant presence and influence in the Indian healthcare sector, serving as a key intermediary in managing health insurance claims and providing administrative services to policyholders. The substantial market share held by Vidal Health TPA highlights its competitive positioning and the trust it has garnered from insurers and healthcare providers in the Indian market.

About 28% of TPAs in North America use artificial intelligence (AI) in their claims process, and the number is expected to rise.

The statistic indicates that approximately 28% of third-party administrators (TPAs) in North America currently incorporate artificial intelligence (AI) into their claims processing activities. This suggests that a growing number of TPAs are leveraging AI technology to streamline claim handling, improve efficiency, and enhance accuracy in their operations. With the increasing adoption of AI in the insurance industry and its proven benefits in automating routine tasks, reducing errors, and providing data-driven insights, it is anticipated that more TPAs will follow suit and integrate AI further into their claims processes to stay competitive and optimize their operations in the future.

The global TPA market was valued at $72.17 billion in 2018, which is a significant 60% increase from 2014 ($45.1 billion).

The statistic indicates that the global Total Parenteral Nutrition Additives (TPA) market experienced substantial growth between 2014 and 2018, with its value increasing from $45.1 billion to $72.17 billion. This represents a noteworthy 60% growth rate over the four-year period. Such rapid expansion could be attributed to various factors such as increasing healthcare expenditures, advancements in medical technology, rising prevalence of chronic diseases, and a growing aging population in many countries. The significant increase in market value reflects a growing demand for TPA products, highlighting the importance of these additives in providing essential nutrients to patients who are unable to consume food orally. The growth trend suggests a promising market outlook for TPA manufacturers and healthcare providers as they cater to the evolving needs of patients worldwide.

TPAs are expected to save businesses an estimated $70 billion over the next decade with their services.

The statistic highlights that third-party administrators (TPAs) are anticipated to generate cost savings of around $70 billion for businesses over the upcoming ten years through the provision of their services. TPAs serve as intermediaries that handle various administrative tasks for businesses, such as managing employee benefits, processing claims, and monitoring compliance with regulations. By outsourcing these functions to TPAs, companies can benefit from improved efficiency, reduced operational costs, and enhanced expertise in managing complex administrative processes. The projected savings of $70 billion underscore the significant impact that TPAs can have on the financial performance and operational effectiveness of businesses in the foreseeable future.

References

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How we write our statistic reports:

We have not conducted any studies ourselves. Our article provides a summary of all the statistics and studies available at the time of writing. We are solely presenting a summary, not expressing our own opinion. We have collected all statistics within our internal database. In some cases, we use Artificial Intelligence for formulating the statistics. The articles are updated regularly.

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