Global Healthcare BPO Market by Payer Services, Provider Services (Revenue Cycle Management, Patient Enrolment, Patient Care, and Others), and Pharmaceutical Services Forecast till 2032

Description

List of Tables

Global Healthcare BPO Market by Payer Services (Claims Management Services [Claims Adjudication Services, Claims Settlement Services, Information Management Services, Claims Repricing, Claims Investigation Services, Claims Indexing Services, Fraud Detection and Management], Integrated Front Office and Back Office Operations, Member Management, Product Development and Business Acquisition Services, Provider Management Services, Care Management, Billing and Accounts Management Services,), Provider Services (Revenue Cycle Management, Patient Enrolment, Patient Care (Medical Transcription and Device Monitoring), and Others), and Pharmaceutical Services (Research & Development, Manufacturing, Non-Clinical Services [Supply Chain Management & Logistics and Sales and Marketing Services],) Forecast till 2032

Overview of the Market

In 2023 the size of the healthcare BPO market was USD 0.11 billion. Exhibiting a compound annual growth rate (CAGR) of 10.01%, the Healthcare BPO Market market is expected to rise from USD 0.12 billion in 2024 to USD 0.28 billion by 2032.

Regulatory changes-application of PPACA and HIPAA and pressure to lower growing healthcare costs-are the forces behind the expansion of the worldwide market.

Globalization and the expansion of advantageous commerce among several nations also help to increase market development. Rising BPO consolidation in the healthcare sector should help to drive market expansion. Rising outsourcing operations and intercontinental migration resulting from consolidation of healthcare BPO business help the market to grow by means of these benefits.

Insights in Market Segments

Service-based on payer, provider, and pharmaceutical services the healthcare BPO industry is split. Claims management, integrated front-end services and back-office operations, member management, product development and business acquisition services, provider management services, care management solutions, billing and accounts management services, and others constitute the payer services categories. Claims adjudication services, claims settlement services, information management services, claims repricing, claims investigation services, claims indexing services, and fraud detection and management also comprised the claims management split into. Moreover, the provider services sector is split into revenue cycle management, patient enrollment, patient care, and others; patient care is also split into medical transcription and device monitoring. Furthermore, divided into research and development, manufacturing, non-clinical services, and others, pharmaceutical services category also bifurcated into supply chain management and logistics and sales and marketing services.

Regional Prospectives

North America, Europe, Asia-Pacific, and the Rest of the World constitute the market by region. With well developed technology, high healthcare expenditure, and top players present, North America accounted for the biggest market in 2023. Health consciousness among the people in this area fuels the rising healthcare expenditure.

Thanks to the well-developed technology, high healthcare expenditure, and presence of the top players, Europe accounts for the main portion of the market. The health consciousness of the people in this area fuels the growing healthcare expenditure.

Because of its quickly changing healthcare sector and great chances for the expansion of this business, Asia Pacific is the fastest growing region of the healthcare BPO market. Moreover, expanding healthcare sectors and companies as well as advancing technology have driven market development.

Prominent Participants

Key Companies in the Healthcare BPO Market are Cognizant (US), Infosys Limited (India), NTT DATA, Inc (Japan), Accenture (Ireland), GeBBS (US), Parexel International (US), Veradigm LLC (US), Oracle Corporation (US), IBM (US), and IQVIA Holding, Inc.

Product Code: MRFR/HCIT/0827-CR

1 EXECUTIVE SUMMARY

2 MARKET INTRODUCTION

2.1 DEFINITION
2.2 SCOPE OF THE STUDY
2.3 RESEARCH OBJECTIVE
2.4 MARKET STRUCTURE

3 RESEARCH METHODOLOGY

3.1 OVERVIEW
3.2 DATA FLOW
- 3.2.1 DATA MINING PROCESS
3.3 PURCHASED DATABASE:
3.4 SECONDARY SOURCES:
- 3.4.1 SECONDARY RESEARCH DATA FLOW:
3.5 PRIMARY RESEARCH:
- 3.5.1 PRIMARY RESEARCH DATA FLOW:
- 3.5.2 PRIMARY RESEARCH: NUMBER OF INTERVIEWS CONDUCTED
- 3.5.3 PRIMARY RESEARCH: REGIONAL COVERAGE
3.6 APPROACHES FOR MARKET SIZE ESTIMATION:
- 3.6.1 REVENUE ANALYSIS APPROACH
3.7 DATA FORECASTING
- 3.7.1 DATA FORECASTING TECHNIQUE
3.8 DATA MODELING
- 3.8.1 MICROECONOMIC FACTOR ANALYSIS:
- 3.8.2 DATA MODELING:
3.9 TEAMS AND ANALYST CONTRIBUTION

4 MARKET DYNAMICS

4.1 INTRODUCTION
4.2 DRIVERS
- 4.2.1 REGULATORY CHANGES- IMPLEMENTATION OF PPACA AND HIPAA
- 4.2.2 PRESSURE TO REDUCE RISING HEALTHCARE COSTS
- 4.2.3 INCREASING CONSOLIDATION IN THE HEALTHCARE INDUSTRY
- 4.2.4 ESCALATING ADOPTION OF BPO SERVICES IN HEALTHCARE
4.3 RESTRAINTS
- 4.3.1 HIDDEN COSTS OF OUTSOURCING
- 4.3.2 SECURITY CONCERN
4.4 OPPORTUNITIES
- 4.4.1 ADOPTION OF HEALTHCARE BPO IN EMERGING ECONOMIES
- 4.4.2 HEALTHCARE BPO FOR BACK-OFFICE WORK MANAGEMENT AND OPERATIONS

5 MARKET FACTOR ANALYSIS

5.1 VALUE CHAIN ANALYSIS
- 5.1.1 PRODUCT DEVELOPMENT & BUSINESS ACQUISITION (PDBA)
- 5.1.2 MEMBER MANAGEMENT
- 5.1.3 PROVIDER MANAGEMENT
- 5.1.4 CARE MANAGEMENT
- 5.1.5 CLAIMS MANAGEMENT
5.2 PORTER'S FIVE FORCES MODEL
- 5.2.1 BARGAINING POWER OF SUPPLIERS
- 5.2.2 BARGAINING POWER OF BUYERS
- 5.2.3 THREAT OF NEW ENTRANTS
- 5.2.4 THREAT OF SUBSTITUTES
- 5.2.5 INTENSITY OF RIVALRY
5.3 COVID-19 IMPACT ANALYSIS
- 5.3.1 DEMAND SUPPLY ANALYSIS
- 5.3.2 PRICING ANALYSIS
- 5.3.3 IMPACT ON KEY PLAYERS

6 GLOBAL HEALTHCARE BPO MARKET, BY SERVICE

6.1 OVERVIEW
6.2 PAYER SERVICES
- 6.2.1 CLAIMS MANAGEMENT SERVICES
  - 6.2.1.1 CLAIMS ADJUDICATION SERVICES
  - 6.2.1.2 CLAIMS SETTLEMENT SERVICES
  - 6.2.1.3 INFORMATION MANAGEMENT SERVICES
  - 6.2.1.4 CLAIMS REPRICING
  - 6.2.1.5 CLAIMS INVESTIGATION SERVICES
  - 6.2.1.6 CLAIMS INDEXING SERVICES
  - 6.2.1.7 FRAUD DETECTION AND MANAGEMENT
- 6.2.2 FRAUD DETECTION AND MANAGEMENT
- 6.2.3 INTEGRATED FRONT OFFICE AND BACK OFFICE OPERATIONS
- 6.2.4 MEMBER MANAGEMENT
- 6.2.5 PRODUCT DEVELOPMENT AND BUSINESS ACQUISITION SERVICES
- 6.2.6 PROVIDER MANAGEMENT SERVICES
- 6.2.6 CARE MANAGEMENT
- 6.2.6 BILLING AND ACCOUNTS MANAGEMENT SERVICES
- 6.2.6 OTHERS
6.3 PROVIDER SERVICES
- 6.3.1 REVENUE CYCLE MANAGEMENT
- 6.3.2 PATIENT ENROLLMENT
- 6.3.3 PATIENT CARE
  - 6.3.3.1 MEDICAL TRANSCRIPTION
  - 6.3.3.2 DEVICE MONITORING
- 6.2.4 OTHERS
6.4 PHARMACEUTICAL SERVICES
- 6.4.1 RESEARCH & DEVELOPMENT
- 6.4.2 MANUFACTURING
- 6.4.3 NON-CLINICAL SERVICES
  - 6.4.3.1 SUPPLY CHAIN MANAGEMENT & LOGISTICS
  - 6.4.3.2 SALES AND MARKETING SERVICES
- 6.4.4 OTHERS

7 GLOBAL HEALTHCARE BPO MARKET, BY REGION

7.1 OVERVIEW
7.2 NORTH AMERICA
- 7.2.1 US
- 7.2.2 CANADA
7.3 EUROPE
- 7.3.1 GERMANY
- 7.3.2 FRANCE
- 7.3.3 UK
- 7.3.4 ITALY
- 7.3.5 SPAIN
- 7.3.6 REST OF EUROPE
7.4 ASIA-PACIFIC
- 7.4.1 CHINA
- 7.4.2 INDIA
- 7.4.3 JAPAN
- 7.4.4 SOUTH KOREA
- 7.4.5 AUSTRALIA
- 7.4.6 REST OF ASIA-PACIFIC
7.5 REST OF THE WORLD
- 7.5.1 MIDDLE EAST & AFRICA
- 7.5.2 LATIN AMERICA

8 COMPETITIVE LANDSCAPE

8.1 INTRODUCTION
8.2 MARKET SHARE ANALYSIS,
8.3 COMPETITOR DASHBOARD
8.4 PUBLIC PLAYERS STOCK SUMMARY
8.5 COMPARATIVE ANALYSIS: KEY PLAYERS FINANICAL
8.6 KEY DEVELOPMENTS & GROWTH STRATEGIES
- 8.6.1 ACQUISITION
- 8.6.2 COLLABORATION

9 COMPANY PROFILES

9.1 PAREXEL INTERNATIONAL (MA) CORPORATION
- 9.1.1 COMPANY OVERVIEW
- 9.1.2 FINANCIAL OVERVIEW
- 9.1.3 SERVICES OFFERED
- 9.1.4 KEY DEVELOPMENTS
- 9.1.5 SWOT ANALYSIS
- 9.1.6 KEY STRATEGIES
9.2 VERADIGM LLC
- 9.2.1 COMPANY OVERVIEW
- 9.2.2 FINANCIAL OVERVIEW
- 9.2.3 SOLUTIONS OFFERED
- 9.2.4 KEY DEVELOPMENTS
- 9.2.5 SWOT ANALYSIS
- 9.2.6 KEY STRATEGIES
9.3 ORACLE CORPORATION
- 9.3.1 COMPANY OVERVIEW
- 9.3.2 FINANCIAL OVERVIEW
- 9.3.3 SOLUTIONS OFFERED
- 9.3.4 KEY DEVELOPMENTS
- 9.3.5 KEY STRATEGIES
9.4 IBM
- 9.4.1 COMPANY OVERVIEW
- 9.4.2 FINANCIAL OVERVIEW
- 9.4.3 SOLUTION OFFERED
- 9.4.4 KEY DEVELOPMENTS
- 9.4.5 SWOT ANALYSIS
- 9.4.6 KEY STRATEGIES
9.5 IQVIA HOLDING, INC.
- 9.5.1 COMPANY OVERVIEW
- 9.5.2 FINANCIAL OVERVIEW
- 9.5.3 SOLUTION OFFERED
- 9.5.4 KEY DEVELOPMENTS
- 9.5.5 KEY STRATEGIES
9.6 COGNIZANT
- 9.6.1 COMPANY OVERVIEW
- 9.6.2 FINANCIAL OVERVIEW
- 9.6.3 SERVICES OFFERED
- 9.6.4 KEY DEVELOPMENTS
- 9.6.5 SWOT ANALYSIS
- 9.6.6 KEY STRATEGIES
9.7 INFOSYS LIMITED
- 9.7.1 COMPANY OVERVIEW
- 9.7.2 FINANCIAL OVERVIEW
- 9.7.3 SERVICES OFFERED
- 9.7.4 KEY DEVELOPMENTS
- 9.7.5 SWOT ANALYSIS
- 9.7.6 KEY STRATEGIES
9.8 NTT DATA, INC
- 9.8.1 COMPANY OVERVIEW
- 9.8.2 FINANCIAL OVERVIEW
- 9.8.3 SERVICES OFFERED
- 9.8.4 KEY DEVELOPMENTS
- 9.8.5 KEY STRATEGIES
9.9 ACCENTURE
- 9.9.1 COMPANY OVERVIEW
- 9.9.2 FINANCIAL OVERVIEW
- 9.9.3 SERVICES OFFERED
- 9.9.4 KEY DEVELOPMENTS
- 9.9.5 KEY STRATEGIES
9.10 GEBBS
- 9.10.1 COMPANY OVERVIEW
- 9.10.2 FINANCIAL OVERVIEW
- 9.10.3 SERVICES OFFERED
- 9.10.4 KEY DEVELOPMENTS
- 9.10.5 KEY STRATEGIES