Healthcare BPO Market by Payer Service (Billing and Accounts Management Services, Care Management, Claims Management Services), Pharmaceutical Service (Manufacturing, Non-Clinical Services, Research & Development), Provider Service - Global Forecast 2023-2030
The Healthcare BPO Market size was estimated at USD 253.74 billion in 2022 and expected to reach USD 278.55 billion in 2023, at a CAGR 9.90% to reach USD 540.11 billion by 2030.
Market Segmentation & Coverage:
This research report analyzes various sub-markets, forecasts revenues, and examines emerging trends in each category to provide a comprehensive outlook on the Healthcare BPO Market.
- Based on Payer Service, market is studied across Billing and Accounts Management Services, Care Management, Claims Management Services, HR Services, Integrated Front-End Services and Back-Office Operations, Member Management Services, Product Development and Business Acquisition Services, and Provider Management Services. The Claims Management Services is further studied across Claims Adjudication Services, Claims Indexing Services, Claims Investigation Services, Claims Repricing, Claims Settlement Services, Fraud Detection and Management, and Information Management Services. The Product Development and Business Acquisition Services is projected to witness significant market share during forecast period.
- Based on Pharmaceutical Service, market is studied across Manufacturing, Non-Clinical Services, and Research & Development. The Non-Clinical Services is further studied across Sales and Marketing Services and Supply Chain Management & Logistics. The Sales and Marketing Services is further studied across Analytics, Forecasting, Marketing Services, and Performance Reporting. The Manufacturing is projected to witness significant market share during forecast period.
- Based on Provider Service, market is studied across Patient Care, Patient Enrollment, and Revenue Cycle Management. The Patient Care is further studied across Device Monitoring, Medical Imaging, and Medical Transcription. The Patient Care is projected to witness significant market share during forecast period.
- Based on Region, market is studied across Americas, Asia-Pacific, and Europe, Middle East & Africa. The Americas is further studied across Argentina, Brazil, Canada, Mexico, and United States. The United States is further studied across California, Florida, Illinois, New York, Ohio, Pennsylvania, and Texas. The Asia-Pacific is further studied across Australia, China, India, Indonesia, Japan, Malaysia, Philippines, Singapore, South Korea, Taiwan, Thailand, and Vietnam. The Europe, Middle East & Africa is further studied across Denmark, Egypt, Finland, France, Germany, Israel, Italy, Netherlands, Nigeria, Norway, Poland, Qatar, Russia, Saudi Arabia, South Africa, Spain, Sweden, Switzerland, Turkey, United Arab Emirates, and United Kingdom. The Asia-Pacific is projected to witness significant market share during forecast period.
The report provides market sizing and forecasts across 7 major currencies - USD, EUR, JPY, GBP, AUD, CAD, and CHF; multiple currency support helps organization leaders to make well-informed decisions. In this report, 2018 to 2021 are considered as historical years, 2022 is base year, 2023 is estimated year, and years from 2024 to 2030 are considered as forecast period.
FPNV Positioning Matrix:
The FPNV Positioning Matrix is an indispensable tool for assessing the Healthcare BPO Market. It comprehensively evaluates vendors, analyzing key metrics related to Business Strategy and Product Satisfaction. This enables users to make informed decisions tailored to their specific needs. Through advanced analysis, vendors are categorized into four distinct quadrants, each representing a different level of success: Forefront (F), Pathfinder (P), Niche (N), or Vital (V). Be assured that this insightful framework empowers decision-makers to navigate the market with confidence.
Market Share Analysis:
The Market Share Analysis offers invaluable insights into the vendor landscape Healthcare BPO Market. By evaluating their impact on overall revenue, customer base, and other key metrics, we provide companies with a comprehensive understanding of their performance and the competitive environment they confront. This analysis also uncovers the level of competition in terms of market share acquisition, fragmentation, dominance, and industry consolidation during the study period.
Key Company Profiles:
The report delves into recent significant developments in the Healthcare BPO Market, highlighting leading vendors and their innovative profiles. These include Accenture PLC, Catalent, Inc., Cognizant Technology Solutions Corporation, Concentrix, EXL Service Holdings, Inc., Firstsource Solutions Limited, GeBBS Healthcare Solutions, Inc., Genpact, HCL Technologies Ltd., Hewlett Packard Enterprise Company, Hinduja Global Solutions Limited, Infosys Limited, International Business Machines Corporation, Invensis Inc., IQVIA, Koninklijke DSM N.V., Lonza Group Ltd., OMH HealthEdge Holdings, LLC, R1 RCM, Inc., Sykes Enterprises, Incorporated, Tata Consultancy Services Limited, Teleperformance SE, Wipro Limited, WNS (Holdings) Ltd., and Xerox Corporation.
The report offers valuable insights on the following aspects:
- Market Penetration: It provides comprehensive information about key players' market dynamics and offerings.
- Market Development: In-depth analysis of emerging markets and penetration across mature market segments, highlighting lucrative opportunities.
- Market Diversification: Detailed information about new product launches, untapped geographies, recent developments, and investments.
- Competitive Assessment & Intelligence: Exhaustive assessment of market shares, strategies, products, certifications, regulatory approvals, patent landscape, and manufacturing capabilities of leading players.
- Product Development & Innovation: Intelligent insights on future technologies, R&D activities, and breakthrough product developments.
- What is the market size and forecast for the Healthcare BPO Market?
- Which products, segments, applications, and areas hold the highest investment potential in the Healthcare BPO Market?
- What is the competitive strategic window for identifying opportunities in the Healthcare BPO Market?
- What are the latest technology trends and regulatory frameworks in the Healthcare BPO Market?
- What is the market share of the leading vendors in the Healthcare BPO Market?
- Which modes and strategic moves are suitable for entering the Healthcare BPO Market?
Note: PDF & Excel + Online Access - 1 Year
- 1. Preface
- 1.1. Objectives of the Study
- 1.2. Market Segmentation & Coverage
- 1.3. Years Considered for the Study
- 1.4. Currency & Pricing
- 1.5. Language
- 1.6. Limitations
- 1.7. Assumptions
- 1.8. Stakeholders
- 2. Research Methodology
- 2.1. Define: Research Objective
- 2.2. Determine: Research Design
- 2.3. Prepare: Research Instrument
- 2.4. Collect: Data Source
- 2.5. Analyze: Data Interpretation
- 2.6. Formulate: Data Verification
- 2.7. Publish: Research Report
- 2.8. Repeat: Report Update
- 3. Executive Summary
- 4. Market Overview
- 4.1. Introduction
- 4.2. Healthcare BPO Market, by Region
- 5. Market Insights
- 5.1. Market Dynamics
- 5.1.1. Drivers
- 5.1.1.1. Rising use of electronic health records and need for pharmacovigilance
- 5.1.1.2. Pressure to reduce rising healthcare costs
- 5.1.1.3. Accelerating need for structured processes and documentation in hospitals
- 5.1.2. Restraints
- 5.1.2.1. Hidden cost of outsourcing coupled with inter competition from hospital management companies
- 5.1.3. Opportunities
- 5.1.3.1. Integration of advance IT technologies for enhanced BPO services
- 5.1.3.2. Surge in various government regulations and reforms for healthcare industry
- 5.1.4. Challenges
- 5.1.4.1. Lack of skilled workforce professionals for non-clinical healthcare services
- 5.2. Market Segmentation Analysis
- 5.3. Market Trend Analysis
- 5.4. Cumulative Impact of COVID-19
- 5.5. Cumulative Impact of Russia-Ukraine Conflict
- 5.6. Cumulative Impact of High Inflation
- 5.7. Porter’s Five Forces Analysis
- 5.7.1. Threat of New Entrants
- 5.7.2. Threat of Substitutes
- 5.7.3. Bargaining Power of Customers
- 5.7.4. Bargaining Power of Suppliers
- 5.7.5. Industry Rivalry
- 5.8. Value Chain & Critical Path Analysis
- 5.9. Regulatory Framework
- 5.10. Client Customization
- 6. Healthcare BPO Market, by Payer Service
- 6.1. Introduction
- 6.2. Billing and Accounts Management Services
- 6.3. Care Management
- 6.4. Claims Management Services
- 6.5.1. Claims Adjudication Services
- 6.5.2. Claims Indexing Services
- 6.5.3. Claims Investigation Services
- 6.5.4. Claims Repricing
- 6.5.5. Claims Settlement Services
- 6.5.6. Fraud Detection and Management
- 6.5.7. Information Management Services
- 6.5. HR Services
- 6.6. Integrated Front-End Services and Back-Office Operations
- 6.7. Member Management Services
- 6.8. Product Development and Business Acquisition Services
- 6.9. Provider Management Services
- 7. Healthcare BPO Market, by Pharmaceutical Service
- 7.1. Introduction
- 7.2. Manufacturing
- 7.3. Non-Clinical Services
- 7.4.1. Sales and Marketing Services
- 7.4.2.1. Analytics
- 7.4.2.2. Forecasting
- 7.4.2.3. Marketing Services
- 7.4.2.4. Performance Reporting
- 7.4.2. Supply Chain Management & Logistics
- 7.4. Research & Development
- 8. Healthcare BPO Market, by Provider Service
- 8.1. Introduction
- 8.2. Patient Care
- 8.3.1. Device Monitoring
- 8.3.2. Medical Imaging
- 8.3.3. Medical Transcription
- 8.3. Patient Enrollment
- 8.4. Revenue Cycle Management
- 9. Americas Healthcare BPO Market
- 9.1. Introduction
- 9.2. Argentina
- 9.3. Brazil
- 9.4. Canada
- 9.5. Mexico
- 9.6. United States
- 10. Asia-Pacific Healthcare BPO Market
- 10.1. Introduction
- 10.2. Australia
- 10.3. China
- 10.4. India
- 10.5. Indonesia
- 10.6. Japan
- 10.7. Malaysia
- 10.8. Philippines
- 10.9. Singapore
- 10.10. South Korea
- 10.11. Taiwan
- 10.12. Thailand
- 10.13. Vietnam
- 11. Europe, Middle East & Africa Healthcare BPO Market
- 11.1. Introduction
- 11.2. Denmark
- 11.3. Egypt
- 11.4. Finland
- 11.5. France
- 11.6. Germany
- 11.7. Israel
- 11.8. Italy
- 11.9. Netherlands
- 11.10. Nigeria
- 11.11. Norway
- 11.12. Poland
- 11.13. Qatar
- 11.14. Russia
- 11.15. Saudi Arabia
- 11.16. South Africa
- 11.17. Spain
- 11.18. Sweden
- 11.19. Switzerland
- 11.20. Turkey
- 11.21. United Arab Emirates
- 11.22. United Kingdom
- 12. Competitive Landscape
- 12.1. FPNV Positioning Matrix
- 12.2. Market Share Analysis, By Key Player
- 12.3. Competitive Scenario Analysis, By Key Player
- 13. Competitive Portfolio
- 13.1. Key Company Profiles
- 13.1.1. Accenture PLC
- 13.1.2. Catalent, Inc.
- 13.1.3. Cognizant Technology Solutions Corporation
- 13.1.4. Concentrix
- 13.1.5. EXL Service Holdings, Inc.
- 13.1.6. Firstsource Solutions Limited
- 13.1.7. GeBBS Healthcare Solutions, Inc.
- 13.1.8. Genpact
- 13.1.9. HCL Technologies Ltd.
- 13.1.10. Hewlett Packard Enterprise Company
- 13.1.11. Hinduja Global Solutions Limited
- 13.1.12. Infosys Limited
- 13.1.13. International Business Machines Corporation
- 13.1.14. Invensis Inc.
- 13.1.15. IQVIA
- 13.1.16. Koninklijke DSM N.V.
- 13.1.17. Lonza Group Ltd.
- 13.1.18. OMH HealthEdge Holdings, LLC
- 13.1.19. R1 RCM, Inc.
- 13.1.20. Sykes Enterprises, Incorporated
- 13.1.21. Tata Consultancy Services Limited
- 13.1.22. Teleperformance SE
- 13.1.23. Wipro Limited
- 13.1.24. WNS (Holdings) Ltd.
- 13.1.25. Xerox Corporation
- 13.2. Key Product Portfolio
- 14. Appendix
- 14.1. Discussion Guide
- 14.2. License & Pricing
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