Healthcare BPO Market - Growth, Trends, COVID-19 Impact, and Forecasts (2021 - 2026)

The Healthcare BPO Market is segmented by Payer Service, Provider Service, Pharmaceutical Service, and Geography.

Market Snapshot

Healthcare BPO Market
Study Period: 2018 - 2026
Base Year: 2020
Fastest Growing Market: Asia Pacific
Largest Market: North America
CAGR: 8 %

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Market Overview

The healthcare BPO market is expected to register a CAGR of 8%, over the forecast period. Factors that are responsible for the growth of the market include rapid increase in clinical process outsourcing (CPO), implementation of PPACA compelled healthcare player to move toward outsourcing, and fewer errors in several non-critical functions, like finance and accounting, customer care services, etc.

Another major driving factor is the rise of near shore outsourcing destinations and access to technology. As near shoring gives companies the advantage of similarity in culture, time zone, and languages, and helps them deliver better-quality services, the companies have started outsourcing their business processes to BPO service providers in the same region. Companies have also started focusing on protecting their outsourced businesses and minimizing the socio-economic risks, through similar currency and regulation systems, which may boost the growth of near shore outsourcing destinations and access to technology. Near shore providers highlight their advantages as having the best of both the worlds, as organizations can work with teams on similar time zones. Cloud-based BPO has revolutionized the business outsourcing processes and helps healthcare organizations reduce the costs, develop the global delivery models, and provide secure data access. Owing to their benefits, an increased number of adoption of cloud-based BPO services is anticipated in the future. Hence, the aforementioned factors have contributed to the growth of the global healthcare BPO market.

Scope of the Report

Business process outsourcing (BPO) is a process that enables healthcare providers to select the most suited third-party vendors for specific business processes. This allows hospitals and medical professionals to spend their valuable time on patient care, over other mundane jobs in the office.

By Payer Service
Human Resource Management
Claims Management
Customer Relationship Management (CRM)
Operational/Administrative Management
Care Management
Provider Management
Other Payer Services
By Provider Service
Patient Enrollment and Strategic Planning
Patient Care Service
Revenue Cycle Management
By Pharmaceutical Service
Research and Development
Manufacturing
Non-clinical Service
Supply Chain Management and Logistics
Sales and Marketing Services
Other Non-clinical Services
Geography
North America
United States
Canada
Mexico
Europe
Germany
United Kingdom
France
Italy
Spain
Rest of Europe
Asia-Pacific
China
Japan
India
Australia
South Korea
Rest of Asia-Pacific
Middle East & Africa
GCC
South Africa
Rest of Middle East & Africa
South America
Brazil
Argentina
Rest of South America

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Key Market Trends

Revenue Cycle Management is Expected to Grow Faster in the Provider Services Segment

The growth of the revenue cycle management (RCM) market is attributed to an increase in government initiatives, to boost the adoption of RCM solutions, increasing revenue loss due to billing errors, and increasing adoption of EHR/EMR. Most hospitals are presently dependent on third-party providers for denial management service, as they lack the expert knowledge and time to manage the reimbursement process. Most common billing errors include failure to verify insurance, filing an incomplete claim, coding errors, lack of specificity, and missing filing deadlines. Most of the care providers are presently addressing the challenge, by working with third-party medical billing professionals who are expert in the overall revenue cycle management. Hence, it can be concluded that the revenue loss to hospitals, due to billing errors, can be prevented by specialty revenue cycle management service providers. Thereby, this factor is expected to drive the market studied over the forecast period.

bpo market 1.png

North America Dominates the Market and is Expected to do Same during the Forecast Period

Currently, North America dominates the market for healthcare BPO and is expected to continue its stronghold for a few more years. In the North America region, the United States holds the largest market share. This can be majorly attributed to the presence of strong reimbursement framework, high public and private healthcare expenditure, and a high percentage of claim records. There are some of the factors driving the growth of the market, in the region.

Healthcare BPO Market geo.png

Competitive Landscape

The healthcare BPO market is moderately competitive and consists of several major players. In terms of the market share, few of the major players currently dominate the market. The rising need for mobile health and advances in healthcare systems are also helping a few other smaller players to enter the market, with a substantial share. Some of the major players of the market are Accenture, Genpact, IQVIA, IBM, and Paraxel, among others.

Table of Contents

  1. 1. INTRODUCTION

    1. 1.1 Study Deliverables

    2. 1.2 Study Assumptions

    3. 1.3 Scope of the Study

  2. 2. RESEARCH METHODOLOGY

  3. 3. EXECUTIVE SUMMARY

  4. 4. MARKET DYNAMICS

    1. 4.1 Market Overview

    2. 4.2 Market Drivers

      1. 4.2.1 Rise of Nearshore Outsourcing Destinations and Access to Technology

      2. 4.2.2 Rapid Increase in Clinical Process Outsourcing (CPO)

      3. 4.2.3 Implementation of PPACA Compelled Healthcare Player to Move toward Outsourcing

      4. 4.2.4 Fewer Errors in Several Non-critical Functions, like Finance and Accounting, Customer Care Services, etc.

    3. 4.3 Market Restraints

      1. 4.3.1 Complex Regulations

      2. 4.3.2 Hidden Costs of Outsourcing

    4. 4.4 Porter's Five Forces Analysis

      1. 4.4.1 Threat of New Entrants

      2. 4.4.2 Bargaining Power of Buyers/Consumers

      3. 4.4.3 Bargaining Power of Suppliers

      4. 4.4.4 Threat of Substitute Products

      5. 4.4.5 Intensity of Competitive Rivalry

  5. 5. MARKET SEGMENTATION

    1. 5.1 By Payer Service

      1. 5.1.1 Human Resource Management

      2. 5.1.2 Claims Management

      3. 5.1.3 Customer Relationship Management (CRM)

      4. 5.1.4 Operational/Administrative Management

      5. 5.1.5 Care Management

      6. 5.1.6 Provider Management

      7. 5.1.7 Other Payer Services

    2. 5.2 By Provider Service

      1. 5.2.1 Patient Enrollment and Strategic Planning

      2. 5.2.2 Patient Care Service

      3. 5.2.3 Revenue Cycle Management

    3. 5.3 By Pharmaceutical Service

      1. 5.3.1 Research and Development

      2. 5.3.2 Manufacturing

      3. 5.3.3 Non-clinical Service

        1. 5.3.3.1 Supply Chain Management and Logistics

        2. 5.3.3.2 Sales and Marketing Services

        3. 5.3.3.3 Other Non-clinical Services

    4. 5.4 Geography

      1. 5.4.1 North America

        1. 5.4.1.1 United States

        2. 5.4.1.2 Canada

        3. 5.4.1.3 Mexico

      2. 5.4.2 Europe

        1. 5.4.2.1 Germany

        2. 5.4.2.2 United Kingdom

        3. 5.4.2.3 France

        4. 5.4.2.4 Italy

        5. 5.4.2.5 Spain

        6. 5.4.2.6 Rest of Europe

      3. 5.4.3 Asia-Pacific

        1. 5.4.3.1 China

        2. 5.4.3.2 Japan

        3. 5.4.3.3 India

        4. 5.4.3.4 Australia

        5. 5.4.3.5 South Korea

        6. 5.4.3.6 Rest of Asia-Pacific

      4. 5.4.4 Middle East & Africa

        1. 5.4.4.1 GCC

        2. 5.4.4.2 South Africa

        3. 5.4.4.3 Rest of Middle East & Africa

      5. 5.4.5 South America

        1. 5.4.5.1 Brazil

        2. 5.4.5.2 Argentina

        3. 5.4.5.3 Rest of South America

  6. 6. COMPETITIVE LANDSCAPE

    1. 6.1 Company Profiles

      1. 6.1.1 Accenture

      2. 6.1.2 Eli Global

      3. 6.1.3 Gebbs

      4. 6.1.4 Genpact

      5. 6.1.5 IBM

      6. 6.1.6 Parexel

      7. 6.1.7 IQVIA

      8. 6.1.8 Sutherland

      9. 6.1.9 Truven Health

      10. 6.1.10 United Health Group

    2. *List Not Exhaustive
  7. 7. MARKET OPPORTUNITIES AND FUTURE TRENDS

**Subject to Availability
**Competitive Landscape Covers - Business Overview, Financials, Products and Strategies, and Recent Developments

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Frequently Asked Questions

The Healthcare BPO Market market is studied from 2018 - 2026.

The Healthcare BPO Market is growing at a CAGR of 8% over the next 5 years.

Asia Pacific is growing at the highest CAGR over 2021- 2026.

North America holds highest share in 2020.

Accenture, Genpact, IQVIA, IBM, Paraxel are the major companies operating in Healthcare BPO Market.

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