Healthcare BPO Market Size, Share and Forecast 2019-2026

SKU: DHC271 | Last Updated On: Dec 04 2019 | No. of Pages: 192 | Available Formats

Healthcare BPO Market by Outsourcing Approaches, Pharmaceutical (R&D, Manufacturing, Sales and Marketing Services (Performance Reporting, Forecasting)), Provider (Patient Care, RCM), Payer (Claims Repricing), Models (Multisourcing) - Global Forecasts to 2026

Market Overview

Healthcare Business Process Outsourcing (BPO) is a procedure that enriches resource allocation, boost financial performance and increase the effectiveness of healthcare providers. Healthcare BPO services allow hospitals and medical professionals to deliver quality patient care. The Global Healthcare BPO Market is expected to grow at a CAGR of 10% during the forecast period (2019-2026)   

 

Healthcare BPO Market

Market Dynamics

Growing demand for high-end healthcare facilities and multi-specialty hospitals, established medical and central lab infrastructure and training centers are contributing to the growth of the healthcare and life sciences industry thereby fuelling the demand for medical process outsourcing. Factors that are responsible for the growth of the market include a rapid increase in clinical process outsourcing (CPO), implementation of PPACA compelled healthcare players to move toward outsourcing, and fewer errors in several non-critical functions, like finance and accounting, customer care services, etc.

 

In addition, developments in digital technologies leading to a shift from electronic records to telemedicine are further allowing many healthcare providers to deliver services in innovative ways. A Medical Transcription (MT) service is one of the services with voice notes being recorded and translated into various languages. The digitization of data by skilled personnel saves time for doctors while examining patients. In addition, the implementation of robotic process automation, big data, and artificial intelligence (AI) are expected to boost the market further by assisting in the collection of patient data. For instance, HGS handles the enrollment process of patients looking for insurance. The company uses bots for auto-filling information in the right fields and saving time.

 

The cloud-based BPO is also a growing trend in the market, which is developing business outsourcing processes, helping healthcare organizations to reduce cost by using global delivery models and secures data access. Cloud BPO or Business-Process-as-a-Service (BPaaS) is a business model to scale the processes with low expenditure costs. For instance, Infosys is the reputed partner of Aetna Inc., a pharmaceutical major in the U.S. It provided knowledge training to its personnel for handling queries of patients effectively thereby saving costs for the company. In addition, it developed a management information system (MIS) for compiling a database of patients and their respective health-related data for easy access in case of claims. Hence, the adoption of cloud-based BPO services is increasing due to its several benefits which is expected to contribute to the growth of the healthcare BPO market during the forecast period.

 

Market Segmentation

On the basis of provider service, the healthcare BPO market is segmented into patient enrollment and strategic planning, revenue cycle management, and patient care service. Among these, revenue cycle management is expected to grow at the highest CAGR during the forecast period, due to several factors such as increasing initiatives taken by governments for implementing RCM solutions, decreasing reimbursements in the healthcare industry, and rising expenditure by the healthcare IT industry. Several hospitals are dependent on third-party providers for denial management service, due to the lack of expert knowledge and time to manage the reimbursement process. The most common billing errors include lack of specificity, failure to verify insurance, filing an incomplete claim, missing filing deadlines, and coding errors. Most of the care providers are overcoming the challenge by working with third-party medical billing professionals who are expert in the overall revenue cycle management. Thus, the revenue cycle management service providers are increasingly in demand to overcome the revenue loss to hospitals, due to billing errors, which can be prevented by specialty.

 

Healthcare BPO Market Share (%), By Payer Service, 2018

Geographical Analysis

North America holds the dominant market share for healthcare BPO in 2018, and it is expected to maintain the growth over the forecast period, owing to the presence of a large number of US-based companies providing all kinds of healthcare BPO services. Also, growing big data, healthcare IT, cloud computing along with increasing government initiatives, and improvements are some of the factors driving the growth of the healthcare BPO market in this region. The market players are entering into strategies such as collaboration, acquisitions, and others to expand their business. For instance, in September 2018, American BPO Company, Access Healthcare has acquired its Indian rival Pacific BPO, which specializes in providing cost and process optimization solutions to businesses in the healthcare industry.

 

The Asia-Pacific healthcare BPO market is growing at the highest CAGR during the forecast period (2019-2026), owing to rising demand in emerging countries such as India. Factors like a mature pharmaceutical and medical education system, low cost base, large English-speaking population; large talent pool and diverse set of business process outsourcing (BPO) providers including local and multinational BPO companies are driving outsourcing in healthcare in India. India has become the most preferred outsourcing destinations globally with its high-quality and low-cost services. The recent US regulation on the Patient Protection and Affordable Care Act (PPACA) together with the proposed introduction of ICD-10 standards has driven to the Indian medical process outsourcing (MPO) market.

Healthcare BPO Market Share (%), By Geography , 2018

Competitive Landscape

The Healthcare BPO market is a highly competitive and fragmented market. The market has large competition among the major players having a global presence and a substantial market share. Some of the key players include IBM, Accenture, Gebbs Healthcare Solutions, Eli Global, Gebbs, Parexel, United Health Group, Truven Health, IQVIA, Vee Bill, and Invensis Technologies.

 

The key players are adopting various growth strategies such as mergers & acquisitions, partnerships, and collaborations which are contributing to the growth of the healthcare BPO market globally. For instance,

 

In May 2019, MiraMed Global Services, Inc. (MiraMed), a leader in healthcare revenue cycle management (RCM) services and business process outsourcing (BPO) solutions, has completed its merger with Medac, Inc., a leading provider of anesthesia revenue cycle management.

 

In January 2019, Conduent Inc acquired Health Solutions Plus, a major developer of healthcare payor administration solutions. The acquisition enables Conduent to better serve current and prospective commercial and government payer clients with core administration processing technology.

 

In March 2018, Cognizant acquired Bolder Healthcare Solutions, a privately-held provider of revenue cycle management (RCM) solutions to hospitals, physician practices and other specialist healthcare organizations in the United States.

 

Why Purchase the Report?

  • Visualize the composition of the healthcare BPO services highlighting the key commercial assets and players.

  • Identify commercial opportunities in the healthcare BPO market by analyzing trends and co-development deals.

  • Excel data sheet with thousands of data points of healthcare BPO market-level 4/5 segmentation.

  • A PDF report with the most relevant analysis cogently put together after exhaustive qualitative interviews and in-depth market study.

  • Product mapping in excel for the key product of all major market players

 

Target Audience

  • Service Providers/ Buyers

  • Industry Investors/Investment Bankers

  • Education & Research Institutes

  • Research Professionals

  • Emerging Companies

  • Manufacturers

 

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Table of Contents

  1. Global Healthcare BPO Market Methodology and Scope

    1. Research Methodology
    2. Research Objective and Scope of the Report
  2. Global Healthcare BPO Market – Market Definition and Overview

  3. Global Healthcare BPO Market – Executive Summary

    1. Market Snippet by Provider Service
    2. Market Snippet by Payer Service
    3. Market Snippet by Pharmaceutical Service
  4. Global Healthcare BPO Market Dynamics

    1. Market Impacting Factors
      1. Drivers
        1. Rapid Increase in Clinical Process Outsourcing (CPO)
        2. Implementation of PPACA Compelled Healthcare Player to Move toward Outsourcing
      2. Restraints
        1. Complex Regulations
        2. Hidden Costs of Outsourcing
      3. Opportunity
      4. Impact Analysis
  5. Global Healthcare BPO Market – Industry Analysis

    1. Porter's Five Forces Analysis
    2. Regulatory Analysis
    3. Unmet Needs
  6. Global Healthcare BPO Market – By Provider Service

    1. Introduction
    2. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Provider Service Segment
    3. Market Attractiveness Index, By Provider Service Segment
      1. Patient Enrollment and Strategic Planning*
        1. Introduction
        2. Market Size Analysis, US$ Mn, 2016-2025 and Y-o-Y Growth Analysis (%), 2018-2026
      2. Revenue Cycle Management
      3. Patient Care Service
        1. Device Monitoring
        2. Medical Imaging
        3. Medical Transcription
  7. Global Healthcare BPO Market – By Payer Service

    1. Introduction
    2. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Payer Service Segment
    3. Market Attractiveness Index, By Payer Service Segment
      1. Provider Management*
        1. Introduction
        2. Market Size Analysis, US$ Mn, 2016-2025 and Y-o-Y Growth Analysis (%), 2018-2026
      2. Human Resource Management
      3. Claims Management
        1. Claims Repricing
        2. Information Management Services
        3. Fraud Detection and Management
        4. Claims Investigation Services
        5. Claims Settlement Services
        6. Others
      4. Care Management
      5. Customer Relationship Management (CRM)
      6. Operational/Administrative Management
      7. Other Payer Services
  8. Global Healthcare BPO Market – By Pharmaceutical Service

    1. Introduction
    2. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Pharmaceutical Service Segment
    3. Market Attractiveness Index, By Pharmaceutical Service Segment
      1. Research and Development*
        1. Introduction
        2. Market Size Analysis, US$ Mn, 2016-2025 and Y-o-Y Growth Analysis (%), 2018-2026
      2. Manufacturing
      3. Non-clinical Service
        1. Supply Chain Management and Logistics
        2. Sales and Marketing Services
          1. Marketing Services
          2. Research
          3. Analytics
          4. Forecasting
          5. Performance Reporting
        3. Other Non-clinical Services
  9. Global Healthcare BPO Market – By Region

    1. Introduction
      1. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Region
      2. Market Attractiveness Index, By Region
    2. North America
      1. Introduction
      2. Key Region-Specific Dynamics
      3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Provider Service
      4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Payer Service
      5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Pharmaceutical Service
      6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
        1. The U.S.
        2. Canada
        3. Mexico
    3. Europe
      1. Introduction
      2. Key Region-Specific Dynamics
      3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Provider Service
      4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Payer Service
      5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Pharmaceutical Service
      6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
        1. Germany
        2. The U.K.
        3. France
        4. Italy
        5. Spain
        6. Rest of Europe
    4. South America
      1. Introduction
      2. Key Region-Specific Dynamics
      3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Provider Service
      4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Payer Service
      5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Pharmaceutical Service
      6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
        1. Brazil
        2. Argentina
        3. Rest of South America
    5. Asia Pacific
      1. Introduction
      2. Key Region-Specific Dynamics
      3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Provider Service
      4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Payer Service
      5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Pharmaceutical Service
      6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
        1. China
        2. India
        3. Japan
        4. Australia
        5. Rest of Asia Pacific
    6. The Middle East and Africa
      1. Introduction
      2. Key Region-Specific Dynamics
      3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Provider Service
      4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Payer Service
      5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Pharmaceutical Service
  10. Global Healthcare BPO Market – Competitive Landscape

    1. Competitive Scenario
    2. Market Positioning/Share Analysis
    3. Mergers and Acquisitions Analysis
  11. Company Profiles

    1. IBM*
      1. Company Overview
      2. Product Portfolio and Description
      3. Key Highlights
      4. Financial Overview
    2. Accenture 
    3. Cognizant Technology Solutions 
    4. Gebbs Healthcare Solutions
    5. Vee Bill
    6. Invensis Technologies
    7. Eli Global
    8. Gebbs
    9. Parexel
    10. United Health Group
    11. Truven Health
    12. IQVIA

  12. Global Healthcare BPO Market – Premium Insights

  13. Global Healthcare BPO Market – DataM

    1. Appendix
    2. About Us and Services
    3. Contact Us

List of Tables & Figures

List of Tables

Table 1 Global Healthcare BPO Services Market Value, By Provider Service, 2018,2022 & 2026 ($ Million)

Table 2 Global Healthcare BPO Services Market Value, By Payer Service, 2018,2022 & 2026 ($ Million)

Table 3 Global Healthcare BPO Services Market Value, By Pharmaceutical Service, 2018,2022 & 2026 ($ Million)

Table 4 Global Healthcare BPO Services Market Value, By Region, 2018,2022 & 2026 ($ Million)

Table 5 Global Healthcare BPO Services Market Value, By Provider Service, 2018,2022 & 2026 ($ Million)

Table 6 Global Healthcare BPO Services Market Value, By Provider Service, 2017-2026 ($ Million)

Table 7 Global Healthcare BPO Services Market Value, By Payer Service, 2018,2022 & 2026 ($ Million)

Table 8 Global Healthcare BPO Services Market Value, By Payer Service, 2017-2026 ($ Million)

Table 9 Global Healthcare BPO Services Market Value, By Pharmaceutical Service, 2018,2022 & 2026 ($ Million)

Table 10 Global Healthcare BPO Services Market Value, By Pharmaceutical Service, 2017-2026 ($ Million)

Table 11 Global Healthcare BPO Services Market Value, By Region, 2018,2022 & 2026 ($ Million)

Table 12 Global Healthcare BPO Services Market Value, By Region, 2017-2026 ($ Million)

Table 13 North America Healthcare BPO Services Market Value, By Provider Service, 2017-2026 ($ Million)

Table 14 North America Healthcare BPO Services Market Value, By Payer Service, 2017-2026 ($ Million)

Table 15 North America Healthcare BPO Services Market Value, By Pharmaceutical Service, 2017-2026 ($ Million)

Table 16 North America Healthcare BPO Services Market Value, By Country, 2017-2026 ($ Million)

Table 17 South America Healthcare BPO Services Market Value, By Provider Service, 2017-2026 ($ Million)

Table 18 South America Healthcare BPO Services Market Value, By Payer Service, 2017-2026 ($ Million)

Table 19 South America Healthcare BPO Services Market Value, By Pharmaceutical Service, 2017-2026 ($ Million)

Table 20 South America Healthcare BPO Services Market Value, By Country, 2017-2026 ($ Million)

Table 21 Europe Healthcare BPO Services Market Value, By Provider Service, 2017-2026 ($ Million)

Table 22 Europe Healthcare BPO Services Market Value, By Payer Service, 2017-2026 ($ Million)

Table 23 Europe Healthcare BPO Services Market Value, By Pharmaceutical Service, 2017-2026 ($ Million)

Table 24 Europe Healthcare BPO Services Market Value, By Country, 2017-2026 ($ Million)

Table 25 Asia-Pacific Healthcare BPO Services Market Value, By Provider Service, 2017-2026 ($ Million)

Table 26 Asia-Pacific Healthcare BPO Services Market Value, By Payer Service, 2017-2026 ($ Million)

Table 27 Asia-Pacific Healthcare BPO Services Market Value, By Pharmaceutical Service, 2017-2026 ($ Million)

Table 28 Asia-Pacific Healthcare BPO Services Market Value, By Country, 2017-2026 ($ Million)

Table 29 Middle East & Africa Healthcare BPO Services Market Value, By Provider Service, 2017-2026 ($ Million)

Table 30 Middle East & Africa Healthcare BPO Services Market Value, By Payer Service, 2017-2026 ($ Million)

Table 31 Middle East & Africa Healthcare BPO Services Market Value, By Pharmaceutical Service, 2017-2026 ($ Million)

Table 32 IBM : Overview

Table 33 IBM : Product Portfolio

Table 34 IBM : Key Developments

Table 35 Accenture : Overview

Table 36 Accenture : Product Portfolio

Table 37 Accenture : Key Developments

Table 38 Gebbs Healthcare Solutions: Overview

Table 39 Gebbs Healthcare Solutions: Product Portfolio

Table 40 Gebbs Healthcare Solutions: Key Developments

Table 41 Eli Global: Overview

Table 42 Eli Global: Product Portfolio

Table 43 Eli Global: Key Developments

Table 44 Gebbs: Overview

Table 45 Gebbs: Product Portfolio

Table 46 Gebbs: Key Developments

Table 47 Parexel: Overview

Table 48 Parexel: Product Portfolio

Table 49 Parexel: Key Developments

Table 50 United Health Group: Overview

Table 51 United Health Group: Product Portfolio

Table 52 United Health Group: Key Developments

Table 53 Truven Health: Overview

Table 54 Truven Health: Product Portfolio

Table 55 Truven Health: Key Developments

Table 56 IQVIA: Overview

Table 57 IQVIA: Product Portfolio

Table 58 IQVIA: Key Developments

Table 59 Cognizant Technology Solutions : Overview

Table 60 Cognizant Technology Solutions : Product Portfolio

Table 61 Cognizant Technology Solutions : Key Developments

 List of Figures

Figure 1 Global Healthcare BPO Services Market Share, By Provider Service, 2018 & 2026 (%)

Figure 2 Global Healthcare BPO Services Market Share, By Payer Service, 2018 & 2026 (%)

Figure 3 Global Healthcare BPO Services Market Share, By Pharmaceutical Service, 2018 & 2026 (%)

Figure 4 Global Healthcare BPO Services Market Share, By Region, 2018 & 2026 (%)

Figure 5 Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 6 Global Healthcare BPO Services Market Y-o-Y Growth, By Provider Service, 2018-2026 (%)

Figure 7 Patient Enrollment and Strategic Planning: Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 8 Revenue Cycle Management: Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 9 Patient Care Service: Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 10 Global Healthcare BPO Services Market Y-o-Y Growth, By Payer Service, 2018-2026 (%)

Figure 11 Provider Management: Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 12 Human Resource Management: Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 13 Claims Management: Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 14 Care Management: Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 15 Customer Relationship Management (CRM): Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 16 Operational/Administrative Management: Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 17 Other Payer Services: Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 18 Global Healthcare BPO Services Market Y-o-Y Growth, By Pharmaceutical Service, 2018-2026 (%)

Figure 19 Research and Development: Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 20 Manufacturing: Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 21 Non-clinical Service: Global Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 22 Global Healthcare BPO Services Market Y-o-Y Growth, By Region, 2018-2026 (%)

Figure 23 North America Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 24 North America Healthcare BPO Services Market Share, By Provider Service, 2018 & 2026 (%)

Figure 25 North America Healthcare BPO Services Market Share, By Payer Service, 2018 & 2026 (%)

Figure 26 North America Healthcare BPO Services Market Share, By Pharmaceutical Service, 2018 & 2026 (%)

Figure 27 North America Healthcare BPO Services Market Share, By Country, 2018 & 2026 (%)

Figure 28 South America Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 29 South America Healthcare BPO Services Market Share, By Provider Service, 2018 & 2026 (%)

Figure 30 South America Healthcare BPO Services Market Share, By Payer Service, 2018 & 2026 (%)

Figure 31 South America Healthcare BPO Services Market Share, By Pharmaceutical Service, 2018 & 2026 (%)

Figure 32 South America Healthcare BPO Services Market Share, By Country, 2018 & 2026 (%)

Figure 33 Europe Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 34 Europe Healthcare BPO Services Market Share, By Provider Service, 2018 & 2026 (%)

Figure 35 Europe Healthcare BPO Services Market Share, By Payer Service, 2018 & 2026 (%)

Figure 36 Europe Healthcare BPO Services Market Share, By Pharmaceutical Service, 2018 & 2026 (%)

Figure 37 Europe Healthcare BPO Services Market Share, By Country, 2018 & 2026 (%)

Figure 38 Asia-Pacific Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 39 Asia-Pacific Healthcare BPO Services Market Share, By Provider Service, 2018 & 2026 (%)

Figure 40 Asia-Pacific Healthcare BPO Services Market Share, By Payer Service, 2018 & 2026 (%)

Figure 41 Asia-Pacific Healthcare BPO Services Market Share, By Pharmaceutical Service, 2018 & 2026 (%)

Figure 42 Asia-Pacific Healthcare BPO Services Market Share, By Country, 2018 & 2026 (%)

Figure 43 Middle East & Africa Healthcare BPO Services Market Value, 2017-2026 ($ Million)

Figure 44 Middle East & Africa Healthcare BPO Services Market Share, By Provider Service, 2018 & 2026 (%)

Figure 45 Middle East & Africa Healthcare BPO Services Market Share, By Payer Service, 2018 & 2026 (%)

Figure 46 Middle East & Africa Healthcare BPO Services Market Share, By Pharmaceutical Service, 2018 & 2026 (%)

Figure 47 IBM : Financials

Figure 48 Accenture : Financials

Figure 49 Gebbs Healthcare Solutions: Financials

Figure 50 Eli Global: Financials

Figure 51 Gebbs: Financials

Figure 52 Parexel: Financials

Figure 53 United Health Group: Financials

Figure 54 Truven Health: Financials

Figure 55 IQVIA: Financials

Figure 56 Cognizant Technology Solutions : Financials

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