Healthcare BPO Market

Global Healthcare BPO Market Size, Share & Trends Analysis Report by 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), by Pharmaceuticals Services (Manufacturing Services, Non-Clinical Services, Research And Development), and by Provider Services (Finance and Accounts, Medical Billing, Medical Coding, Medical Transcriptions) Forecast Period (2022-2028)

Published: Oct 2019 | Report Code: OMR2026469 | Category : Healthcare Information Technology | Delivery Format: /

The global healthcare BPO market is anticipated to grow at a significant CAGR of 9.3% during the forecast period. Implementation of patient protection and affordable care act (PPACA) and patent expiration of the blockbuster drugs are the major factors that are augmenting the demand of the market. A patent cliff is the reduction in revenues of medical organization due to patent expiry of one or more leading products. Patent cliffs have created losses for traditional pharmaceutical and provide portal for smaller companies to emerge with generics. This presents a growing opportunity for generic drug manufacturers.  For instance, Manufactured in the U.S. by Galen, Adasuve is an inhaled powder used to treat extreme agitation in adults with bipolar I or schizophrenia. Some of its patents expire in October 2021, possibly opening doors for generic versions. Patent cliffs have cut sales revenue of many branded medications and forced drug makers to consider outsourcing manufacturing to enable control production costs.

Impact of COVID-19 Pandemic on Global Healthcare BPO Market

The COVID-19 pandemic has had a significant impact on almost every business and industry. Due to COVID 19 pandemic, healthcare facilities were facing massive pressure to create a well-coordinated environment where all clinical functions are linked internally and where the organization operates in coordination with other healthcare units. This required healthcare organizations to outsource their non-core functions to third parties, which will provide them with more time to focus on offering the patients the quality care. Along with this, BPO companies have also made several technological and digital changes in COVID-19 pandemic to continue to function at the optimal level virtually.

Segmental Outlook 

The global healthcare BPO market is segmented based on the payer services, pharmaceuticals services and provider services. 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, provider management services. Based on, the pharmaceuticals services the market is sub-segmented into the manufacturing services, non-clinical services, research and development. Further, on the basis of provider services, the market is sub-segmented into finance and accounts, medical billing, medical coding, medical transcriptions. Among the provider services segment, the medical billing segment is estimated to be the leading segment in the market owing to increasing medical insurance coverage across globe.

Global Healthcare BPO Market Share by Payer Services, 2021 (%)

Global Healthcare BPO Market Share by Payer Services

The Claims Management Sub-Segment is anticipated to Hold Prominent Share in the Global Healthcare BPO Market

Claims management services are estimated to account for major share in the global healthcare business process outsourcing market owing to the improvement of efficiencies and reduction in cost of claim processing. In order to improve efficiencies of processes for administration of claims, more healthcare companies are turning towards outsourcing. Insurance claim management through outsourcing offers several benefits including fraudulent claim management, greater accuracy in settlements of claims, high quality customer service in spite of 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 enable to reduce overall administration expenses, reduce cost of claim processing, and achieve financial and procedural accuracy.

Regional Outlooks

The global healthcare BPO market is further segmented based on geography including North America (the US, and Canada), Europe (Italy, Spain, Germany, France, and Others), Asia-Pacific (India, China, Japan, South Korea, and Others), and the Rest of the World (the Middle East & Africa, and Latin America).  The market can be analyzed for particular region or country level as per the requirement. Among these, the European regional market is expected to cater considerable growth over the forecast period. The growth of the market is attributed to the supportive government initiatives to trim down the healthcare costs.

Global Healthcare BPO Market Growth, by Region 2022-2028

Global Healthcare BPO Market Growth, by Region

The North American Region is expected to Hold Prominent Share in the Global Healthcare BPO Market

North America is estimated to account for major share in the market owing to growing healthcare expenditure in the region. Further, increasing pressure to reduce the healthcare cost and implementation of PPACA and ICD-10 Codes are also backing the growth of the market in the region. Rising healthcare cost and increasing penetration of health insurance coverage had augmented the growth of healthcare BPO services in North America. Especially in country such as the US, the outsourcing in the health care industry is escalating majorly due to the cost of health care is high, the availability of man power is low and health care reforms are introduced by Patient Protection and Affordable Care Act (PPACA) to provide affordable medical insurance to low-to-middle income Americans.

Market Players Outlook

The major companies serving the global healthcare BPO market include Finance And Accounts, Medical Billing, Medical Coding, Medical Transcriptions, Accenture Plc., GeBBS Healthcare Solutions, Inc., Ibm Corp., Allscripts Healthcare, LLC, Capgemini Services SAS, and others. The market players are considerably contributing to the market growth by the adoption of various strategies including mergers and acquisitions, partnerships, collaborations, funding, and new product launches, to stay competitive in the market. For instance, In 2021, The Competition Commission of India (CCI) approved the acquisition of the worldwide healthcare BPO services of Hinduja Global Solutions(HGS) by Betaine BV.

The Report Covers

  • Market value data analysis of 2021 and forecast to 2028.
  • 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 product launches, 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

Impact of COVID-19 on the Global Healthcare BPO Market

Recovery Scenario of Global Healthcare BPO Market

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 Findings

2.2.2. Recommendations

2.2.3. Conclusion

3. Competitive Landscape

3.1. Key Company Analysis

3.2. Accenture Plc.

3.2.1. Overview

3.2.2. Financial Analysis 

3.2.3. SWOT Analysis

3.2.4. Recent Developments

3.3. GeBBS Healthcare Solutions, Inc.

3.3.1. Overview

3.3.2. Financial Analysis 

3.3.3. SWOT Analysis

3.3.4. Recent Developments

3.4. IBM Corp.

3.4.1. Overview

3.4.2. Financial Analysis 

3.4.3. SWOT Analysis

3.4.4. Recent Developments

3.5. Key Strategy Analysis

3.6. Impact of Covid-19 on Key Players

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

4.1.4. 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

4.2. Global Healthcare BPO Market by Pharmaceuticals Services

4.2.1. Manufacturing Services

4.2.2. Non-Clinical Services

4.2.3. Research and Development

Global Healthcare Business Process Outsourcing Market by Provider Services

4.2.4. Finance and Accounts

4.2.5. Medical Billing

4.2.6. Medical Coding

4.2.7. Medical Transcriptions

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

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 

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, 2021-2028 ($ MILLION)

2. GLOBAL HEALTHCARE BPO BY ANALYTICS AND FRAUD MANAGEMENT SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

3. GLOBAL HEALTHCARE BPO BY BILLING AND ACCOUNTS MANAGEMENT SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

4. GLOBAL HEALTHCARE BPO BY CLAIMS MANAGEMENT SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

5. GLOBAL HEALTHCARE BPO BY HR SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

6. GLOBAL HEALTHCARE BPO BY INTEGRATED FRONT-END SERVICES AND BACK OFFICE OPERATIONS MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

7. GLOBAL HEALTHCARE BPO BY MEMBER MANAGEMENT SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

8. GLOBAL HEALTHCARE BPO BY PROVIDER MANAGEMENT SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

9. GLOBAL HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY PHARMACEUTICALS SERVICES, 2021-2028 ($ MILLION)

10. GLOBAL HEALTHCARE BPO BY MANUFACTURING SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

11. GLOBAL HEALTHCARE BPO BY NON-CLINICAL SERVICES MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

12. GLOBAL HEALTHCARE BPO BY RESEARCH AND DEVELOPMENT MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

13. GLOBAL HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY BY PROVIDER SERVICES, 2021-2028 ($ MILLION)

14. GLOBAL HEALTHCARE BPO BY FINANCE AND ACCOUNTS MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

15. GLOBAL HEALTHCARE BPO BY MEDICAL BILLING MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

16. GLOBAL HEALTHCARE BPO BY MEDICAL CODING MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

17. GLOBAL HEALTHCARE BPO BY MEDICAL TRANSCRIPTIONS MARKET RESEARCH AND ANALYSIS BY REGION, 2021-2028 ($ MILLION)

18. GLOBAL HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY GEOGRAPHY, 2021-2028 ($ MILLION)

19. NORTH AMERICAN HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY COUNTRY, 2021-2028 ($ MILLION)

20. NORTH AMERICAN HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY PAYER SERVICES, 2021-2028 ($ MILLION)

21. NORTH AMERICAN HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY PHARMACEUTICALS SERVICES, 2021-2028 ($ MILLION)

22. NORTH AMERICAN HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY PROVIDER SERVICES, 2021-2028 ($ MILLION)

23. EUROPEAN HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY COUNTRY, 2021-2028 ($ MILLION)

24. EUROPEAN HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY PAYER SERVICES, 2021-2028 ($ MILLION)

25. EUROPEAN HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY PHARMACEUTICALS SERVICES, 2021-2028 ($ MILLION)

26. EUROPEAN HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY PROVIDER SERVICES, 2021-2028 ($ MILLION)

27. ASIA-PACIFIC HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY COUNTRY, 2021-2028 ($ MILLION)

28. ASIA-PACIFIC HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY PAYER SERVICES, 2021-2028 ($ MILLION)

29. ASIA-PACIFIC HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY PHARMACEUTICALS SERVICES, 2021-2028 ($ MILLION)

30. ASIA-PACIFIC HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY PROVIDER SERVICES, 2021-2028 ($ MILLION)

31. REST OF THE WORLD HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY COUNTRY, 2021-2028 ($ MILLION)

32. REST OF THE WORLD HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY PAYER SERVICES, 2021-2028 ($ MILLION)

33. REST OF THE WORLD HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY PHARMACEUTICALS SERVICES, 2021-2028 ($ MILLION)

34. REST OF THE WORLD HEALTHCARE BPO MARKET RESEARCH AND ANALYSIS BY PROVIDER SERVICES, 2021-2028 ($ MILLION)

1. IMPACT OF COVID-19 ON GLOBAL HEALTHCARE BPO MARKET, 2021-2028 ($ MILLION)

2. IMPACT OF COVID-19 ON GLOBAL HEALTHCARE BPO MARKET BY SEGMENT, 2021-2028 ($ MILLION)

3. RECOVERY OF GLOBAL HEALTHCARE BPO MARKET, 2022-2028 (%)

4. GLOBAL HEALTHCARE BPO MARKET SHARE BY PAYER SERVICES, 2021 VS 2028 (%)

5. GLOBAL HEALTHCARE BPO BY ANALYTICS AND FRAUD MANAGEMENT SERVICES MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

6. GLOBAL HEALTHCARE BPO BY BILLING AND ACCOUNTS MANAGEMENT SERVICES MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

7. GLOBAL HEALTHCARE BPO BY CLAIMS MANAGEMENT SERVICES MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

8. GLOBAL HEALTHCARE BPO BY HR SERVICES MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

9. GLOBAL HEALTHCARE BPO BY INTEGRATED FRONT-END SERVICES AND BACK OFFICE OPERATIONS MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

10. GLOBAL HEALTHCARE BPO BY MEMBER MANAGEMENT SERVICES MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

11. GLOBAL HEALTHCARE BPO BY PROVIDER MANAGEMENT SERVICES MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

12. GLOBAL HEALTHCARE BPO MARKET SHARE BY PHARMACEUTICALS SERVICES, 2021 VS 2028 (%)

13. GLOBAL HEALTHCARE BPO BY MANUFACTURING SERVICES MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

14. GLOBAL HEALTHCARE BPO BY NON-CLINICAL SERVICES MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

15. GLOBAL HEALTHCARE BPO BY RESEARCH AND DEVELOPMENT MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

16. GLOBAL HEALTHCARE BPO MARKET SHARE BY PROVIDER SERVICES, 2021 VS 2028 (%)

17. GLOBAL HEALTHCARE BPO BY FINANCE AND ACCOUNTS MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

18. GLOBAL HEALTHCARE BPO BY MEDICAL BILLING MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

19. GLOBAL HEALTHCARE BPO BY MEDICAL CODING MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

20. GLOBAL HEALTHCARE BPO BY MEDICAL TRANSCRIPTIONS MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

21. GLOBAL HEALTHCARE BPO MARKET SHARE BY GEOGRAPHY, 2021 VS 2028 (%)

22. US HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)

23. CANADA HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)

24. UK HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)

25. FRANCE HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)

26. GERMANY HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)

27. ITALY HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)

28. SPAIN HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)

29. REST OF EUROPE HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)

30. INDIA HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)

31. CHINA HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)

32. JAPAN HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)

33. SOUTH KOREA HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)

34. REST OF ASIA-PACIFIC HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)

35. REST OF THE WORLD HEALTHCARE BPO MARKET SIZE, 2021-2028 ($ MILLION)