Medical Billing Outsourcing Market Size, Share & Trends Analysis Report By Component (In-house, Outsourced), By Service (Front-End, Middle-End, Back-End), By End-use, By Region, And Segment Forecasts, 2023 - 2030

Medical Billing Outsourcing Market Size, Share & Trends Analysis Report By Component (In-house, Outsourced), By Service (Front-End, Middle-End, Back-End), By End-use, By Region, And Segment Forecasts, 2023 - 2030


Medical Billing Outsourcing Market Growth & Trends


The global medical billing outsourcing market size is expected to reach USD 30.2 billion by 2030, expanding at a CAGR of 12.26% from 2023 to 2030, according to a new report by Grand View Research, Inc. The market is driven primarily by factors such as the increasing importance of regulatory compliance and risk management, the growing need to streamline the medical billing process, and efforts to reduce internal processing costs.

A large amount of clinical code representation for treatment and diagnosis along with the presence of various payers renders medical billing an integral part of any clinical practice. Currently, the healthcare system is witnessing a subsequent rise in the outsourcing of clinical billing services by hospitals and physicians due to the mandatory implementation of complex ICD-11 coding systems, rising healthcare costs, and the federal mandate to deploy EMR to maintain reimbursement levels.

The COVID-19 pandemic had a significant impact on the market, although the healthcare industry was trailing in embracing innovative and digital technologies to improve healthcare. The COVID-19 scenario had put an enormous burden on healthcare providers/organizations to become accustomed to the change. The need for proactive action and the construction of collaborative, comprehensive, adaptable, and scalable digital healthcare infrastructure has been emphasized by the pandemic crisis. Owing to this, many organizations have developed a new strategy that includes digitization and outsourcing non-core functions such as billing and accounting, which has further increased the market growth.

Furthermore, physician offices and clinics are increasingly outsourcing their revenue management to reduce unnecessary costs and avoid the burden of having an administrative team to ensure effective handling of in-house billing functions. In addition, multispecialty healthcare groups are consolidating, requiring EHR integration and resulting in a buildup of large healthcare networks. This integration is expected to create a need for RCM, which will require trained personnel and additional expertise to manage the same. Thus, the consolidation of large healthcare practices is also expected to be one of the factors fueling market growth.

Medical Billing Outsourcing Market Report Highlights

  • Based on the components, the outsourced segment accounted for the maximum market share in 2022 owing to the increasing preference among physicians’ offices, hospitals, and startups for outsourced medical billing services for hassle-free claim management at a low cost
  • The front-end services segment dominated the market in 2022. However, the middle-end services segment is expected to register the highest CAGR during the forecast period due to the growing demand for RCM services offering EHR software
  • North America dominated the market in 2022. The market is expected to grow due to changing healthcare system and introduction of ICD-11 in the U.S. and pressure from the government to incorporate the EMR
  • In February 2023, Ventra Health, a global provider of practice management, RCM, and advisory services announced the acquisition of Deras Global Services, a company based in the Philippines. The acquisition is an important aspect of Ventra Health's strategy for service delivery and workforce development on the international level
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Chapter 1. Methodology and Scope
1.1. Market Segmentation & Scope
1.2. Research Methodology
1.3. Information or Data Analysis
1.4. Market Formulation & Validation
1.5. Model Details
1.6. List of Secondary Sources
1.7. List of Abbreviations
1.8. Objectives
Chapter 2. Executive Summary
2.1. Market Snapshot
2.2. Segment Snapshot
2.3. Competitive Landscape Snapshot
Chapter 3. Market Variables, Trends, & Scope
3.1. Market Segmentation and Scope
3.2. Market Lineage Outlook
3.2.1. Parent Market Outlook
3.2.2. Related/Ancillary Market Outlook
3.3. Market Trends and Outlook
3.3.1. Market Driver Analysis
3.3.2. Market Restraint Analysis
3.4. Business Environment Analysis
3.4.1. PESTLE Analysis
3.4.2. Porter’s Five Forces Analysis
3.5. COVID-19 Impact Analysis
Chapter 4. Medical Billing Outsourcing Market: Component Estimates & Trend Analysis
4.1. Medical Billing Outsourcing Market: Component Movement Analysis and Market share
4.2. Medical Billing Outsourcing Market: Segment Dashboard
4.3. In-house
4.3.1. In-house market, 2018 - 2030 (USD Million)
4.4. Outsourced
4.4.1. Outsourced market, 2018 - 2030 (USD Million)
Chapter 5. Medical Billing Outsourcing Market: Services Estimates & Trend Analysis
5.1. Medical Billing Outsourcing Market: Services Movement Analysis and Market share
5.2. Medical Billing Outsourcing Market: Segment Dashboard
5.3. Front-end Services
5.3.1. Front-end services market, 2018 - 2030 (USD Million)
5.4. Middle-end Services
5.4.1. Middle-end services market, 2018 - 2030 (USD Million)
5.5. Back-end Services
5.5.1. Back-end services market, 2018 - 2030 (USD Million)
Chapter 6. Medical Billing Outsourcing Market: End-Use Estimates & Trend Analysis
6.1. Medical Billing Outsourcing Market: End-Use Movement Analysis and Market share
6.2. Medical Billing Outsourcing Market: Segment Dashboard
6.3. Hospitals
6.3.1. Hospitals market, 2018 - 2030 (USD Million)
6.4. Physician Offices
6.4.1. Physician offices market, 2018 - 2030 (USD Million)
6.5. Others
6.5.1. Others market, 2018 - 2030 (USD Million)
Chapter 7. Regional Business Analysis
7.1. Medical Billing Outsourcing Market Share By Region, 2022 & 2030
7.2. North America
7.2.1. North America Medical Billing Outsourcing Market, 2018 - 2030 (USD Million)
7.2.2. U.S.
7.2.2.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.2.2.2. Competitive Scenario
7.2.2.3. U.S. medical billing outsourcing market, 2018 - 2030 (USD Million)
7.2.3. Canada
7.2.3.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.2.3.2. Competitive Scenario
7.2.3.3. Canada medical billing outsourcing market, 2018 - 2030 (USD Million)
7.3. Europe
7.3.1. Europe Medical Billing Outsourcing Market, 2018 - 2030 (USD Million)
7.3.2. Germany
7.3.2.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.3.2.2. Competitive Scenario
7.3.2.3. Germany medical billing outsourcing market, 2018 - 2030 (USD Million)
7.3.3. UK
7.3.3.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.3.3.2. Competitive Scenario
7.3.3.3. UK medical billing outsourcing market, 2018 - 2030 (USD Million)
7.3.4. France
7.3.4.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.3.4.2. Competitive Scenario
7.3.4.3. France medical billing outsourcing market, 2018 - 2030 (USD Million)
7.3.5. Italy
7.3.5.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.3.5.2. Competitive Scenario
7.3.5.3. Italy medical billing outsourcing market, 2018 - 2030 (USD Million)
7.3.6. Spain
7.3.6.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.3.6.2. Competitive Scenario
7.3.6.3. Spain medical billing outsourcing market, 2018 - 2030 (USD Million)
7.3.7. Denmark
7.3.7.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.3.7.2. Competitive Scenario
7.3.7.3. Denmark medical billing outsourcing market, 2018 - 2030 (USD Million)
7.3.8. Sweden
7.3.8.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.3.8.2. Competitive Scenario
7.3.8.3. Sweden medical billing outsourcing market, 2018 - 2030 (USD Million)
7.3.9. Norway
7.3.9.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.3.9.2. Competitive Scenario
7.3.9.3. Norway medical billing outsourcing market, 2018 - 2030 (USD Million)
7.4. Asia Pacific
7.4.1. Asia Pacific Medical Billing Outsourcing Market, 2018 - 2030 (USD Million)
7.4.2. Japan
7.4.2.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.4.2.2. Competitive Scenario
7.4.2.3. Japan medical billing outsourcing market, 2018 - 2030 (USD Million)
7.4.3. China
7.4.3.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.4.3.2. Competitive Scenario
7.4.3.3. China medical billing outsourcing market, 2018 - 2030 (USD Million)
7.4.4. India
7.4.4.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.4.4.2. Competitive Scenario
7.4.4.3. India medical billing outsourcing market, 2018 - 2030 (USD Million)
7.4.5. South Korea
7.4.5.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.4.5.2. Competitive Scenario
7.4.5.3. South Korea medical billing outsourcing market, 2018 - 2030 (USD Million)
7.4.6. Australia
7.4.6.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.4.6.2. Competitive Scenario
7.4.6.3. Australia medical billing outsourcing market, 2018 - 2030 (USD Million)
7.4.7. Thailand
7.4.7.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.4.7.2. Competitive Scenario
7.4.7.3. Thailand medical billing outsourcing market, 2018 - 2030 (USD Million)
7.5. Latin America
7.5.1. Latin America Medical Billing Outsourcing Market, 2018 - 2030 (USD Million)
7.5.2. Brazil
7.5.2.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.5.2.2. Competitive Scenario
7.5.2.3. Brazil medical billing outsourcing market, 2018 - 2030 (USD Million)
7.5.3. Mexico
7.5.3.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.5.3.2. Competitive Scenario
7.5.3.3. Mexico medical billing outsourcing market, 2018 - 2030 (USD Million)
7.5.4. Argentina
7.5.4.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.5.4.2. Competitive Scenario
7.5.4.3. Argentina medical billing outsourcing market, 2018 - 2030 (USD Million)
7.6. MEA
7.6.1. MEA Medical Billing Outsourcing Market, 2018 - 2030 (USD Million)
7.6.2. South Africa
7.6.2.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.6.2.2. Competitive Scenario
7.6.2.3. South Africa medical billing outsourcing market, 2018 - 2030 (USD Million)
7.6.3. Saudi Arabia
7.6.3.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.6.3.2. Competitive Scenario
7.6.3.3. Saudi Arabia medical billing outsourcing market, 2018 - 2030 (USD Million)
7.6.4. UAE
7.6.4.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.6.4.2. Competitive Scenario
7.6.4.3. UAE medical billing outsourcing market, 2018 - 2030 (USD Million)
7.6.5. Kuwait
7.6.5.1. Import & export scenario for telecommunications, computer, and information services (USD Billion)
7.6.5.2. Competitive Scenario
7.6.5.3. Kuwait medical billing outsourcing market, 2018 - 2030 (USD Million)
Chapter 8. Competitive Landscape
8.1. Participant’s Overview
8.2. Financial Performance
8.3. Company Market Position Analysis
8.4. Strategy Mapping
8.4.1. Merger and Acquisition
8.4.2. Collaborations
8.4.3. New Product Launches
8.4.4. Partnerships
8.4.5. Others
8.5. Participant’s overview
8.5.1. R1RCM Inc.
8.5.1.1. Overview
8.5.1.2. Financial Performance
8.5.1.3. Product Benchmarking
8.5.1.4. Strategic Initiatives
8.5.2. Veradigm, LLC
8.5.2.1. Overview
8.5.2.2. Financial Performance
8.5.2.3. Product Benchmarking
8.5.2.4. Strategic Initiatives
8.5.3. Oracle
8.5.3.1. Overview
8.5.3.2. Financial Performance
8.5.3.3. Product Benchmarking
8.5.3.4. Strategic Initiatives
8.5.4. McKesson Corporation
8.5.4.1. Overview
8.5.4.2. Financial Performance
8.5.4.3. Product Benchmarking
8.5.4.4. Strategic Initiatives
8.5.5. eClinicalWorks
8.5.5.1. Overview
8.5.5.2. Financial Performance
8.5.5.3. Product Benchmarking
8.5.5.4. Strategic Initiatives
8.5.6. Kareo, Inc.
8.5.6.1. Overview
8.5.6.2. Financial Performance
8.5.6.3. Product Benchmarking
8.5.6.4. Strategic Initiatives
8.5.7. Promantra Inc.
8.5.7.1. Overview
8.5.7.2. Financial Performance
8.5.7.3. Product Benchmarking
8.5.7.4. Strategic Initiatives
8.5.8. AdvancedMD, Inc.
8.5.8.1. Overview
8.5.8.2. Financial Performance
8.5.8.3. Product Benchmarking
8.5.8.4. Strategic Initiatives
8.5.9. Quest Diagnostics Incorporated.
8.5.9.1. Overview
8.5.9.2. Financial Performance
8.5.9.3. Product Benchmarking
8.5.9.4. Strategic Initiatives

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