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Global Healthcare BPO Market: Market Estimation, Dynamics, Regional Share, Trends, Competitor Analysis 2012-2016 and Forecast 2017-2023

  • Published Date: 06 Nov 2017
  • Number of Pages: 211
  • Category: Healthcare and Medical
  • Country: Global
Global Healthcare BPO Market:

Global healthcare BPO market estimated to be valued US$ XX Mn in 2017 and poised to grow at CAGR of XX% over 2017-2023. Market for healthcare BPO is projected to reach US$ XX Mn by 2023.

Business Process Outsourcing (BPO) is a process where healthcare providers select the most appropriate third party vendors for some of the specific business procedures. It allows the hospitals and medical professionals to spend their energy and valuable time on patient care rather than doing some paper work in the office. Healthcare BPO is a solution for clients to adopt intelligent approaches that will support the organization to reduce the cost pressures and increase in the overall productivity. Healthcare BPO market provides various solutions, such as front-end services, customer account setup, billing & account receivables, provider network services, enrollment services, claims services, Medicare services, membership services, and pharmacy benefits management.

Healthcare BPO market is primarily driven by a few key factors such as lack of in-house trained professionals for specific processes, cost-effective availability of workforce, and lack of industry knowledge. The pressure to decrease delivery costs healthcare sector, rise in number of insurance seeking patients, pharmaceutical companies facing patent expiries, consolidation of the healthcare systems and implementation of the ICD-10 codes and lower cost of manufacturing in developing countries are the major drivers for the healthcare BPO market. However, with the ongoing trends in the healthcare BPO, customers face challenges in data security & reliability, increasing regulatory compliance, and handling huge amount of healthcare data, fear of losing the control over many outsourced process, probability of decreased quality of services or products, and insecurity for the data are the factors anticipated to hamper the healthcare BPO market growth.

Healthcare BPO market is segmented on the basis of provider services, payer services, pharmaceutical services, end users, and geographical regions.

Healthcare BPO Market by provider services:

Medical Billing
Medical Coding
Medical Transcription
Finance & Accounts

Healthcare BPO Market by payer services:

Integrated Front-end Services and Back-office Operations
Provider Management
Claims Management
Billing and Accounts Management
HR
Analytics and Fraud Management
Member Management

Healthcare BPO Market by pharmaceutical service:

Manufacturing
Research and Development
Non-clinical Services
Sales and Marketing
Supply Chain Management and Logistics
Other Non-clinical Functions
HR
Finance and Accounts
IT

Healthcare BPO Market by end-user:

Hospital
Dental Clinics
Public Service
Others

The major factor that drives the growth of healthcare BPO is increase in development of healthcare IT. Furthermore, new business models & processes and increase in use of digital technologies in healthcare are driving the growth of healthcare BPO market. Globally healthcare BPO market is expected to grow with a significant CAGR from 2016 to 2027. Rise in geriatric population is expected to be major factor, owing to the susceptibility to several health issues which includes respiratory disorders, cardiovascular diseases (CVD), eye care problems, orthopedic disorders, cancers etc. and rise in the prevalence rate of those diseases led to the increased amount of work for insurance companies. Hence, in order to handle that much of data about huge pool of patients and data of the payer companies need to invest in technology, skilled personnel and infrastructure which led to high operational cost which is anticipated to accelerate the healthcare payer BPO market. Shift from the ICD-9 to ICD-10 coding system posed heavy workload for payers in order to up gradation of their systems, training of staff in turn increases the financial burden. The ICD-9 code system had 13,000 codes, while ICD-10 code system has nearly 68,000 codes. This variation augmented need for HR, accounting, medical coding, skilled personnel and technical operations, hence anticipated to propel the growth of the healthcare BPO markets.

Based on geography, the healthcare BPO market can be segmented into five major regions: North America, Europe, Asia-Pacific, Latin America and Middle East & Africa. Currently, North America accounts a leading position in the healthcare BPO market followed by Europe. The major driving factors that have driven the growth of the healthcare BPO market in these regions are steadily increase in changes of regulatory scenario, pressure on healthcare institutions to reduce costs and rising trends for healthcare IT, big data and cloud computing. In the forecast period, Asia-Pacific region is expected to show remarkable growth in the healthcare BPO market as it is developing at a very rapid pace and has shown the emergence of many regional players. The factors that would fuel the growth of healthcare BPO market in Asia-Pacific are increasing awareness regarding various healthcare IT solutions, increase in the number of key players and rapid development in the healthcare infrastructure across the Asian countries.

Some of the top players operating in the healthcare BPO market areIQVIA,HCL Technologies Limited, Accenture, Eli Global, IBM Corporation, Genpact Limited, Parexel, Sutherland, Hewlett-Packard Inc., Truven Health Analytics, United Health Group, Cognizant, Lonza Group Ltd, Accretive Health, Inc., Tata Consultancy Services Ltd, Xerox Corporation, Infosys Limited., and many others.

In March 2017,WNS (Holdings) Limited, acquired. Health Help, which provides benefits management across several key specialty healthcare areas, including Pain Management, Oncology, Cardiology, Orthopaedics Sleep Care and Radiology

In October 2016, IMS Health Holdings, Inc. merged with Quintiles Transnational Holdings Inc. to form Quintiles IMS Holdings

Report Outline:

The report provides granular level information about the market size, regional market share and forecast from 2017-2023
The report covers in-detail insights about the competitors overview, key findings and their key strategies
The report outlines drivers, restraints, challenges, and trends that are currently faced by the industry
The report tracks recent innovations, key developments and startups details that are working in the industry
The report provides plethora of information about market entry strategies, regulatory framework and reimbursement scenario
Publisher Name : Precision Business Insights
1. Executive summary
2. Global Healthcare BPO Market Introduction
2.1. Global Healthcare BPO Market Taxonomy
2.2. Global Healthcare BPO MarketDefinitions
2.2.1. Provider Services
2.2.2. Payer Services
3. Global Healthcare BPO Market Dynamics
3.1. Drivers
3.2. Restraints
3.3. Opportunities/Unmet Needs of the Market
3.4. Trends
3.5. Global Healthcare BPO Market Dynamics Factors Impact Analysis
3.6. Global Healthcare BPO Market Regulations
3.6.1. U.S
3.6.2. Europe
3.6.3. Japan
3.7. Global Healthcare BPO Market Recent Product Launches
4. Global Healthcare BPO Market Analysis, 2012 - 2016 and Forecast, 2017 2023
4.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
4.2. Year-over-Year (Y-o-Y) Growth Analysis (%)
4.3. Market Oppurtunity Analysis
5. Global Healthcare BPO Market, By Provider Services, 2012 - 2016 and Forecast, 2017 - 2023
5.1. Medical Billing
5.1.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
5.1.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
5.1.3. Market Opportunity Analysis
5.2. Medical Coding
5.2.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
5.2.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
5.2.3. Market Opportunity Analysis
5.3. Medical Transcription
5.3.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
5.3.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
5.3.3. Market Opportunity Analysis
5.4. Finance & Accounts
5.4.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
5.4.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
5.4.3. Market Opportunity Analysis
6. Global Healthcare BPO Market Forecast, By Payer Services, 2012 - 2016 and Forecast, 2017 - 2023
6.1. Integrated Front-end Services and Back-office Operations
6.1.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
6.1.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
6.1.3. Market Opportunity Analysis
6.2. Provider Management
6.2.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
6.2.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
6.2.3. Market Opportunity Analysis
6.3. Claims Management
6.3.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
6.3.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
6.3.3. Market Opportunity Analysis
6.4. Billing and Accounts Management
6.4.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
6.4.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
6.4.3. Market Opportunity Analysis
6.5. HR
6.5.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
6.5.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
6.5.3. Market Opportunity Analysis
6.6. Analytics and Fraud Management
6.6.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
6.6.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
6.6.3. Market Opportunity Analysis
6.7. Member Management
6.7.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
6.7.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
6.7.3. Market Opportunity Analysis
7. Global Healthcare BPO Market Forecast, By End User, 2012 - 2016 and Forecast, 2017 - 2023
7.1. Hospitals
7.1.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
7.1.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
7.1.3. Market Opportunity Analysis
7.2. Clinics
7.2.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
7.2.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
7.2.3. Market Opportunity Analysis
7.3. Public Service
7.3.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
7.3.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
7.3.3. Market Opportunity Analysis
7.4. Pharmaceutical Companies
7.4.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
7.4.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
7.4.3. Market Opportunity Analysis
7.5. Others
7.5.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
7.5.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
7.5.3. Market Opportunity Analysis
8. Global Healthcare BPO Market Forecast, By Region, 2012 - 2016 and Forecast, 2017 - 2023
8.1. North America
8.1.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
8.1.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
8.1.3. Market Opportunity Analysis
8.2. Europe
8.2.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
8.2.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
8.2.3. Market Opportunity Analysis
8.3. Asia-Pacific
8.3.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
8.3.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
8.3.3. Market Opportunity Analysis
8.4. Latin America
8.4.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
8.4.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
8.4.3. Market Opportunity Analysis
8.5. Middle East and Africa
8.5.1. Market Analysis, 2012 2016 and Forecast, 2017 2023 (Revenue, USD Mn)
8.5.2. Year-over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%)
8.5.3. Market Opportunity Analysis
8.6. Global Healthcare BPO Market- Opportunity Analysis Index - By Provider Services, By Payer Services, By End User, and Region, 2017 2023
9. North America Healthcare BPO Market Analysis, 2012 - 2016 and Forecast, 2017 - 2023
9.1.1. Provider Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%)
9.1.1.1. Medical Billing
9.1.1.2. Medical Coding
9.1.1.3. Medical Transcription
9.1.1.4. Finance & Accounts
9.1.2. Payer Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
9.1.2.1. Integrated Front-end Services and Back-office Operations
9.1.2.2. Provider Management
9.1.2.3. Claims Management
9.1.2.4. Billing and Accounts Management
9.1.2.5. HR
9.1.2.6. Analytics and Fraud Management
9.1.2.7. Member Management
9.1.3. Pharmaceutical Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
9.1.3.1. Manufacturing
9.1.3.2. Research and Development
9.1.3.3. Non-clinical Services
9.1.4. End User Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
9.1.4.1. Hospital
9.1.4.2. Clinics
9.1.4.3. Public Service
9.1.4.4. Pharmaceutical Companies
9.1.4.5. Others
9.1.5. Country Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn) Y-o-Y Growth (%) and Market Share (%)
9.1.5.1. U.S.
9.1.5.2. Canada
9.1.6. North America Healthcare BPO Market- Opportunity Analysis Index - By Provider Services, By Payer Services, By Pharmaceutical Services, By End User, and Country, 2017 2023
9.1.7. North America Healthcare BPO Market Dynamics Trends
10. Europe Healthcare BPO Market Analysis, 2012 - 2016 and Forecast, 2017 - 2023
10.1.1. Provider Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%)
10.1.1.1. Medical Billing
10.1.1.2. Medical Coding
10.1.1.3. Medical Transcription
10.1.1.4. Finance & Accounts
10.1.2. Payer Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
10.1.2.1. Integrated Front-end Services and Back-office Operations
10.1.2.2. Provider Management
10.1.2.3. Claims Management
10.1.2.4. Billing and Accounts Management
10.1.2.5. HR
10.1.2.6. Analytics and Fraud Management
10.1.2.7. Member Management
10.1.3. Pharmaceutical Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
10.1.3.1. Manufacturing
10.1.3.2. Research and Development
10.1.3.3. Non-clinical Services
10.1.4. End User Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
10.1.4.1. Hospital
10.1.4.2. Clinics
10.1.4.3. Public Service
10.1.4.4. Pharmaceutical Companies
10.1.4.5. Others
10.1.5. Country Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
10.1.5.1. Germany
10.1.5.2. UK
10.1.5.3. France
10.1.5.4. Spain
10.1.5.5. Italy
10.1.5.6. Russia
10.1.5.7. Poland
10.1.5.8. Rest of Europe
10.1.6. Europe Healthcare BPO Market- Opportunity Analysis Index - By Provider Services, By Payer Services Type, By Pharmaceutical Services, By End User, and Country, 2017 2023
10.1.7. Europe Healthcare BPO Market Dynamics Trends
11. Asia-Pacific Healthcare BPO Market Analysis, 2012 - 2016 and Forecast, 2017 - 2023
11.1.1. Provider Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%)
11.1.1.1. Medical Billing
11.1.1.2. Medical Coding
11.1.1.3. Medical Transcription
11.1.1.4. Finance & Accounts
11.1.2. Payer Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
11.1.2.1. Integrated Front-end Services and Back-office Operations
11.1.2.2. Provider Management
11.1.2.3. Claims Management
11.1.2.4. Billing and Accounts Management
11.1.2.5. HR
11.1.2.6. Analytics and Fraud Management
11.1.2.7. Member Management
11.1.3. Pharmaceutical Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
11.1.3.1. Manufacturing
11.1.3.2. Research and Development
11.1.3.3. Non-clinical Services
11.1.4. End User Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
11.1.4.1. Hospital
11.1.4.2. Clinics
11.1.4.3. Public Service
11.1.4.4. Pharmaceutical Companies
11.1.4.5. Others
11.1.5. Country Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn),
Y-o-Y Growth (%), and Market Share (%)
11.1.5.1. Japan
11.1.5.2. China
11.1.5.3. India
11.1.5.4. ASEAN
11.1.5.5. Australia & New Zealand
11.1.5.6. Rest of Asia-Pacific
11.1.6. Asia-Pacific Healthcare BPO Market- Opportunity Analysis Index - By Provider Services, By Payer Services Type, By Pharmaceutical Services, By End User, and Country, 2017 2023
11.1.7. Asia-Pacific Healthcare BPO Market Dynamics Trends
12. Latin America Healthcare BPO Market Analysis, 2012 - 2016 and Forecast, 2017 - 2023
12.1.1. Provider Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%)
12.1.1.1. Medical Billing
12.1.1.2. Medical Coding
12.1.1.3. Medical Transcription
12.1.1.4. Finance & Accounts
12.1.2. Payer Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
12.1.2.1. Integrated Front-end Services and Back-office Operations
12.1.2.2. Provider Management
12.1.2.3. Claims Management
12.1.2.4. Billing and Accounts Management
12.1.2.5. HR
12.1.2.6. Analytics and Fraud Management
12.1.2.7. Member Management
12.1.3. Pharmaceutical Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
12.1.3.1. Manufacturing
12.1.3.2. Research and Development
12.1.3.3. Non-clinical Services
12.1.4. End User Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
12.1.4.1. Hospital
12.1.4.2. Clinics
12.1.4.3. Public Service
12.1.4.4. Pharmaceutical Companies
12.1.4.5. Others
12.1.5. Country Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
12.1.5.1. Brazil
12.1.5.2. Mexico
12.1.5.3. Argentina
12.1.5.4. Venezuela
12.1.5.5. Rest of Latin America
12.1.6. Latin America Healthcare BPO Market- Opportunity Analysis Index - By Provider Services, By Payer Services Type, By Pharmaceutical Services, By End User, and Country, 2017 2023
12.1.7. Latin America Healthcare BPO Market Dynamics Trends
13. Middle East & Africa Healthcare BPO Market Analysis, 2012 - 2016 and Forecast, 2017 - 2023
13.1.1. Provider Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%)
13.1.1.1. Medical Billing
13.1.1.2. Medical Coding
13.1.1.3. Medical Transcription
13.1.1.4. Finance & Accounts
13.1.2. Payer Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
13.1.2.1. Integrated Front-end Services and Back-office Operations
13.1.2.2. Provider Management
13.1.2.3. Claims Management
13.1.2.4. Billing and Accounts Management
13.1.2.5. HR
13.1.2.6. Analytics and Fraud Management
13.1.2.7. Member Management
13.1.3. Pharmaceutical Services Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
13.1.3.1. Manufacturing
13.1.3.2. Research and Development
13.1.3.3. Non-clinical Services
13.1.4. End User Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%) and Market Share (%)
13.1.4.1. Hospital
13.1.4.2. Clinics
13.1.4.3. Public Service
13.1.4.4. Pharmaceutical Companies
13.1.4.5. Others
13.1.5. Country Analysis (2012 2016) and Forecast (2017 2023) by Revenue (USD Mn), Y-o-Y Growth (%), and Market Share (%)
13.1.5.1. Gulf Cooperation Council (GCC) Countries
13.1.5.2. Israel
13.1.5.3. South Africa
13.1.5.4. Rest of MEA
13.1.6. MEA Healthcare BPO Market- Opportunity Analysis Index - By Provider Services, By Payer Services Type, By Pharmaceutical Services, By End User, and Country, 2017 2023
13.1.7. MEA Healthcare BPO Market Dynamics Trends
14. Competition Landscape
14.1. Strategic Dashboard of Top Market Players
14.2. Company Profiles (Introduction, Financial Analysis, Drug & Service Offerings, Key Developments, Strategies, and SWOT Analysis)
14.2.1. IQVIA
14.2.2. HCL Technologies Limited
14.2.3. Accenture
14.2.4. Eli Global
14.2.5. IBM Corporation
14.2.6. Genpact Limited
14.2.7. Parexel, Sutherland
14.2.8. Hewlett-Packard Inc.
14.2.9. Truven Health Analytics
14.2.10. United Health Group
14.2.11. Cognizant
14.2.12. Consultancy Services Ltd
14.2.13. Infosys Limited.
15. Research Methodology
16. Key Assumptions and Acronyms


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