Healthcare BPO Market
Healthcare BPO Market Size, Share & Trends Analysis Report Payer Services (Analytics and Fraud Management Services, Billing and Accounts Management Services, Claims Management Services, HR Services, Integrated Front-End Services and Back Office Operations, Member Management Services, Provider Management Services, Care Management Service, and Product Development & Acquisition Services), by Life Sciences Services (Manufacturing Services, Non-Clinical Services, Research and Development), and by Provider Services (Revenue Cycle Management, Patient Enrollment, and Patient Care) Forecast Period (2024-2031)
Healthcare BPO market is anticipated to grow at a significant CAGR of 9.3% during the forecast period (2024-2031). Healthcare BPO includes outsourced business activity or process that provides support (admin or otherwise) to medical institutions, staff, and organizations. Implementation of the Patient Protection and Affordable Care Act (PPACA) and patent expiration of the blockbuster drugs are the major factors that augment the demand of the market. A patent cliff is a reduction in revenues of the medical organization due to the patent expiry of one or more leading products. Patent cliffs have created losses for traditional pharmaceuticals and provide a portal for smaller companies to emerge with generics. This presents a growing opportunity for generic drug manufacturers.
Market Dynamics
Growing Demand for Medical Billing Service
Medical billing and coding systems play a crucial role in the healthcare industry by organizing patient information, filing reimbursement claims, and managing healthcare data. The demand for medical billing services is expected to grow in the coming years due to several factors, including increasing demand for healthcare services, growing middle class, and increasing adoption of EHRs (Electronic Health Records). In December 2023, the NHS UK has committed £2 billion ($2.4 billion) of funding to support establishing EHRs in all NHS (National Health Service) trusts. Fundings are driving momentum behind these projects, thus, the next few years will certainly be significant in reshaping the patient experience. Such funding is aiding the demand for the healthcare BPO market.
Rapid Increase in Clinical Process Outsourcing (CPO)
The rapid increase in the CPO to reduce healthcare costs is a key factor driving the growth of the global healthcare BPO market. Medical outsourcing services?maintain and protect firms' business records perfectly in the digital universe. By outsourcing certain tasks, businesses can focus on providing quality care to patients and developing their business. They will get more time and financial resources to explore new expertise and implement more services.
Market Segmentation
- Based on the payer services, the market is segmented into analytics and fraud management services, billing and accounts management services, claims management services, hr services, integrated front-end services and back-office operations, member management services, care management services, product development and acquisition services, and provider management services. Claim management services are further segmented into claim adjudication services, claim settlement services, information management services, claim repricing, claim investigation services, claim indexing services, and fraud detection & management.
- Based on the life sciences services, the market is segmented into manufacturing services, non-clinical services, and research and development. The non-clinical services are further segmented into sales & marketing, supply chain management & logistics, and others.
- Based on the provider services, the market is segmented into revenue cycle management, patient enrollment, and patient care. Patient care is further segmented into medical transcriptions, device monitoring, and medical imaging.
Claims Management Holds Prominent Share in the Global Healthcare BPO Market
Claims management services are estimated to account for a major share in the global healthcare business process outsourcing market owing to the improvement of efficiencies and reduction in the cost of claim processing. More healthcare companies are turning towards outsourcing, to improve the efficiency of processes for the administration of claims. Insurance claim management through outsourcing offers several benefits including fraudulent claim management, greater accuracy in settlements of claims, high-quality customer service despite business volume fluctuation, and reduction in operation costs. Claim management services include setup of insurance claims, settlement of accounts, disbursement, auditing and support of claims, estimation, and eligibility for insurance claims, legacy application modernization, imaging of claim documents, adjudication on a fast track, adjudication of full claims, and other related services. All these services reduce overall administration expenses, reduce the cost of claim processing, and achieve financial and procedural accuracy.
Regional Outlook
The global healthcare BPO market is further segmented based on geography including North America (the US, and Canada), Europe (the UK, Italy, Spain, Germany, France, and the Rest of Europe), Asia-Pacific (India, China, Japan, South Korea, and Rest of Asia-Pacific), and the Rest of the World (the Middle East & Africa, and Latin America).
Global Healthcare BPO Market Growth by Region 2024-2031
North America Holds a Significant Share in the Global Market
North America holds a significant share in the global market owing to high healthcare expenditure in the region. Further, increasing pressure to reduce healthcare costs and implementation of PPACA (Patient Protection and Affordable Care Act) and ICD-10 Codes (International Classification of Diseases) are also backing the regional market growth. Rising healthcare costs and increasing penetration of health insurance coverage have augmented the growth of healthcare BPO services in North America. Especially in countries such as the US, outsourcing in the healthcare industry is escalating majorly due to the high cost of healthcare, the low availability of manpower, and the presence of healthcare reforms introduced by the PPACA to provide affordable medical insurance to low-to-middle income Americans.
Market Players Outlook
*Note: Major Players Sorted in No Particular Order.
The major companies serving the global healthcare BPO market include Accenture Plc., GeBBS Healthcare Solutions, Inc., IBM Corp., Allscripts Healthcare, LLC, and Capgemini Services SAS among others. The market players are increasingly focusing on business expansion and product development by applying strategies such as collaborations, mergers and acquisitions to stay competitive in the market.
Recent Development
- In December 2023, Teleperformance, a player in the BPO industry, finalized the acquisition of Majorel, marking a new chapter of expanded services and global reach.
The Report Covers
- Market value data analysis of 2023 and forecast to 2031.
- Annualized market revenues ($ million) for each market segment.
- Country-wise analysis of major geographical regions.
- Key companies operating in the global healthcare BPO market. Based on the availability of data, information related to new products, and relevant news is also available in the report.
- Analysis of business strategies by identifying the key market segments positioned for strong growth in the future.
- Analysis of market-entry and market expansion strategies.
- Competitive strategies by identifying ‘who-stands-where’ in the market.
1. Report Summary
• Current Industry Analysis and Growth Potential Outlook
1.1. Research Methods and Tools
1.2. Market Breakdown
1.2.1. By Segments
1.2.2. By Region
2. Market Overview and Insights
2.1. Scope of the Report
2.2. Analyst Insight & Current Market Trends
2.2.1. Key Market Trends
2.2.2. Recommendations
2.2.3. Conclusion
3. Competitive Landscape
3.1. Key company analysis
3.1.1. Accenture Plc
3.1.1.1. Overview
3.1.1.2. Financial Analysis
3.1.1.3. SWOT Analysis
3.1.1.4. Recent Developments
3.1.2. GeBBS Healthcare Solutions, Inc.
3.1.2.1. Overview
3.1.2.2. Financial Analysis
3.1.2.3. SWOT Analysis
3.1.2.4. Recent Developments
3.1.3. IBM Corp.
3.1.3.1. Overview
3.1.3.2. Financial Analysis
3.1.3.3. SWOT Analysis
3.1.3.4. Recent Developments
3.2. Key Strategy Analysis
4. Market Segmentation
4.1. Global Healthcare BPO Market by Payer Services
4.1.1. Analytics and Fraud Management Services
4.1.2. Billing and Accounts Management Services
4.1.3. Claims Management Services
4.1.3.1. Claim Adjudication Services
4.1.3.2. Claim Settlement Services
4.1.3.3. Information Management Services
4.1.3.4. Claim Repricing
4.1.3.5. Claim Investigation Services
4.1.3.6. Claim Indexing Services
4.1.3.7. Fraud Detection & Management
4.1.4. HR Services
4.1.5. Integrated Front-End Services and Back-Office Operations
4.1.6. Member Management Services
4.1.7. Provider Management Services
4.1.8. Care Management Services
4.1.9. Product Development & Business Acquisition Services
4.2. Global Healthcare BPO Market by Life Science Services
4.2.1. Manufacturing Services
4.2.2. Non-Clinical Services
4.2.2.1. Sales & Marketing
4.2.2.2. Supply Chain Management & Logistics
4.2.3. Research & Development
4.3. Global Healthcare BPO Market by Provider Services
4.3.1. Revenue Cycle Management
4.3.2. Patient Enrollment
4.3.3. Patient Care
4.3.3.1. Medical Transcriptions
4.3.3.2. Device Monitoring
4.3.3.3. Medical Imaging
5. Regional Analysis
5.1. North America
5.1.1. United States
5.1.2. Canada
5.2. Europe
5.2.1. UK
5.2.2. Germany
5.2.3. Italy
5.2.4. Spain
5.2.5. France
5.2.6. Rest of Europe
5.3. Asia-Pacific
5.3.1. China
5.3.2. India
5.3.3. Japan
5.3.4. South Korea
5.3.5. Rest of Asia-Pacific
5.4. Rest of the World
5.4.1. Middle East & Africa
5.4.2. Latin America
6. Company Profiles
6.1. Allscripts Healthcare, LLC
6.2. Capgemini Services SAS
6.3. Cognizant Technology Solutions Corp.
6.4. Dynamic Healthcare Systems, Inc.
6.5. Genpact Ltd.
6.6. Infosys Ltd.
6.7. Lonza Group Ltd.
6.8. Parexel International Corp.
6.9. IQVIA Inc.
6.10. Sutherland Global Services, Inc.
6.11. Tata Consultancy Services
6.12. United Health Group
6.13. Wipro Ltd.
6.14. Xerox Holdings Corp.
1. Global Healthcare BPO Market Research And Analysis By Payer Services, 2023-2031 ($ Million)
2. Global Healthcare BPO For Analytics and Fraud Management Services Market Research And Analysis By Region, 2023-2031 ($ Million)
3. Global Healthcare BPO For Billing and Accounts Management Services Market Research And Analysis By Region, 2023-2031 ($ Million)
4. Global Healthcare BPO For Claims Management Services Market Research And Analysis By Region, 2023-2031 ($ Million)
5. Global Healthcare BPO For HR Services Market Research And Analysis By Region, 2023-2031 ($ Million)
6. Global Healthcare BPO For Integrated Front-End Services and Back Office Operations Market Research And Analysis By Region, 2023-2031 ($ Million)
7. Global Healthcare BPO For Member Management Services Market Research And Analysis By Region, 2023-2031 ($ Million)
8. Global Healthcare BPO For Provider Services Market Research And Analysis By Region, 2023-2031 ($ Million)
9. Global Healthcare BPO For Care Management Services Market Research And Analysis By Region, 2023-2031 ($ Million)
10. Global Healthcare BPO For Product Development & Business Acquisition Services (PDBA) Market Research And Analysis By Region, 2023-2031 ($ Million)
11. Global Healthcare BPO Market Research And Analysis By Life Science Services, 2023-2031 ($ Million)
12. Global Healthcare BPO For Manufacturing Services Market Research And Analysis By Region, 2023-2031 ($ Million)
13. Global Healthcare BPO For Non-Clinical Services Market Research And Analysis By Region, 2023-2031 ($ Million)
14. Global Healthcare BPO For Research & Development Market Research And Analysis By Region, 2023-2031 ($ Million)
15. Global Healthcare BPO Market Research And Analysis By Provider Services, 2023-2031 ($ Million)
16. Global Healthcare BPO For Revenue Cycle Management Market Research And Analysis By Region, 2023-2031 ($ Million)
17. Global Healthcare BPO For Patient Enrollment Market Research And Analysis By Region, 2023-2031 ($ Million)
18. Global Healthcare BPO For Patient Care Market Research And Analysis By Region, 2023-2031 ($ Million)
19. Global Healthcare BPO For Medical Transcription Market Research And Analysis By Region, 2023-2031 ($ Million)
20. Global Healthcare BPO Market Research And Analysis By Geography, 2023-2031 ($ Million)
21. North America Healthcare BPO Market Research And Analysis By Country, 2023-2031 ($ Million)
22. North American Healthcare BPO Market Research And Analysis By Payer Services, 2023-2031 ($ Million)
23. North American Healthcare BPO Market Research And Analysis By Life Science Services, 2023-2031 ($ Million)
24. North American Healthcare BPO Market Research And Analysis By Provider Services, 2023-2031 ($ Million)
25. European Healthcare BPO Market Research And Analysis By Country, 2023-2031 ($ Million)
26. European Healthcare BPO Market Research And Analysis By Payer Services, 2023-2031 ($ Million)
27. European Healthcare BPO Market Research And Analysis By Life Science Services, 2023-2031 ($ Million)
28. European Healthcare BPO Market Research And Analysis By Provider Services, 2023-2031 ($ Million)
29. Asia-Pacific Healthcare BPO Market Research And Analysis By Country, 2023-2031 ($ Million)
30. Asia-Pacific Healthcare BPO Market Research And Analysis By Payer Services, 2023-2031 ($ Million)
31. Asia-Pacific Healthcare BPO Market Research And Analysis By Life Science Services, 2023-2031 ($ Million)
32. Asia-Pacific Healthcare BPO Market Research And Analysis By Provider Services, 2023-2031 ($ Million)
33. Rest Of The World Healthcare BPO Market Research And Analysis By Payer Services, 2023-2031 ($ Million)
34. Rest Of The World Healthcare BPO Market Research And Analysis By Life Science Services, 2023-2031 ($ Million)
35. Rest Of The World Healthcare BPO Market Research And Analysis By Provider Services, 2023-2031 ($ Million)
1. Global Healthcare BPO Market Share By Payer Services, 2023 Vs 2031(%)
2. Global Healthcare BPO For Analytics & Fraud Management System Services Market Share By Geography, 2023 Vs 2031(%)
3. Global Healthcare BPO For Billing and Accounts Management Services Market Share By Geography, 2023 Vs 2031(%)
4. Global Healthcare BPO For Claims Management Services Market Share By Geography, 2023 Vs 2031(%)
5. Global Healthcare BPO For HR Services Market Share By Geography, 2023 Vs 2031(%)
6. Global Healthcare BPO For Integrated Front-End Services and Back Office Operations Market Share By Geography, 2023 Vs 2031(%)
7. Global Healthcare BPO For Member Management Services Market Share By Geography, 2023 Vs 2031(%)
8. Global Healthcare BPO For Provider Management Services Market Share By Geography, 2023 Vs 2031(%)
9. Global Healthcare BPO For Care Management Services Market Share By Geography, 2023 Vs 2031(%)
10. Global Healthcare BPO For Product Development & Business Acquisition Services (PDBA) Market Share By Geography, 2023 Vs 2031(%)
11. Global Healthcare BPO Market Share By Life Science Services, 2023 Vs 2031(%)
12. Global Healthcare BPO For Manufacturing Services Market Share By Geography, 2023 Vs 2031(%)
13. Global Healthcare BPO For Non-Clinical Services Market Share By Geography, 2023 Vs 2031(%)
14. Global Healthcare BPO For Research & Development Market Share By Geography, 2023 Vs 2031(%)
15. Global Healthcare BPO Market Share By Provider Services, 2023 Vs 2031(%)
16. Global Healthcare BPO For Revenue Cycle Management Market Share By Geography, 2023 Vs 2031(%)
17. Global Healthcare BPO For Patient Enrollment Market Share By Geography, 2023 Vs 2031(%)
18. Global Healthcare BPO For Patient Care Market Share By Geography, 2023 Vs 2031(%)
19. Global Healthcare BPO For Medical Transcription Market Share By Geography, 2023 Vs 2031(%)
20. Global Healthcare BPO Market Share By Geography, 2023 Vs 2031(%)
21. US Healthcare BPO Market Size, 2023-2031 ($ Million)
22. Canada Healthcare BPO Market Size, 2023-2031 ($ Million)
23. UK Healthcare BPO Market Size, 2023-2031 ($ Million)
24. France Healthcare BPO Market Size, 2023-2031 ($ Million)
25. Germany Healthcare BPO Market Size, 2023-2031 ($ Million)
26. Italy Healthcare BPO Market Size, 2023-2031 ($ Million)
27. Spain Healthcare BPO Market Size, 2023-2031 ($ Million)
28. Rest Of Europe Healthcare BPO Market Size, 2023-2031 ($ Million)
29. India Healthcare BPO Market Size, 2023-2031 ($ Million)
30. China Healthcare BPO Market Size, 2023-2031 ($ Million)
31. Japan Healthcare BPO Market Size, 2023-2031 ($ Million)
32. South Korea Healthcare BPO Market Size, 2023-2031 ($ Million)
33. Rest Of Asia-Pacific Healthcare BPO Market Size, 2023-2031 ($ Million)
34. Latin America Healthcare BPO Market Size, 2023-2031 ($ Million)
35. Middle East And Africa Healthcare BPO Market Size, 2023-2031 ($ Million)
