; Healthcare BPO Market Size, Share and Forecast 2032

Healthcare BPO Market

Healthcare BPO Market Size, Share, and Analysis, By Provider Service (Patient Enrollment and Strategic Planning, Patient Care Service, Revenue Cycle Management), By Payer Service (Human Resource Management, Claims Management, Customer Relationship Management [CRM], Operational/Administrative Management, Care Management, Provider Management, Other Payer Services), By Pharmaceutical Service (Manufacturing, Research & Development, Non-Clinical Services and Others) and Regional Forecasts, 2022-2032

Published on: Jul-2023
Report Code: FG HC 01612
No. of Pages: 170-350
Report Format: PDF

Product Overview

Healthcare BPO Market size was USD 315.27 billion in 2021 and projected to grow from USD 375.1 billion in 2023 to USD 829.8 billion by 2032, exhibiting a CAGR of 9.2% during the forecast period.

Healthcare BPO refers to a process or commercial activity that is outsourced and offers administrative or other support to personnel, medical organizations, and institutions. Coding, billing, transcription, and other common outsourcing projects belong to this category. Precisely, businesses in the healthcare industry—from insurers to pharmaceutical firms—are not widely regarded as being the most customer-centric. Businesses should ensure that customers and patients have better experiences with respect to the escalating demand for healthcare services.

Market Highlights

Healthcare BPO Market is expected to project a CAGR of 9.2 % during the forecast period, 2022-2032

Healthcare BPO market is expected to reach USD 829.8 billion, growing at a CAGR of 9.2% during the forecast period owing to the demand for affordable services globally. Medical billing and coding, claims processing, and transcription are just a few of the low-cost services that healthcare providers are progressively shifting to BPO service providers for.

Healthcare BPO Market Segmentation:

Revenue Cycle Management segment is expected to dominate in the forecast period

Healthcare BPO Market is classified based on the Provider Service into Patient Enrollment and Strategic Planning, Patient Care Service, and Revenue Cycle Management. Revenue Cycle Management holds the largest client base in 2021, and is estimated to continue growing throughout the forecasted time period. Growing government efforts to integrate billing and coding systems, declining medical expenses, and increasing healthcare sector spending are the contributing factors to the segment expansion. The supplier gains multiple benefits from using this RCM, including the ability to handle invoices, administrative tasks, and receivables. This state-of-the-art system handles administrative tasks using merchant services, sophisticated accounting, and electronic medical record technology.

Claims Management segment is expected to dominate in the forecast period

Healthcare BPO Market is classified based on the Payer Service into Human Resource Management, Claims Management, Customer Relationship Management (CRM), Operational/Administrative Management, Care Management, Provider Management, and Other Payer Services. In 2021, the claims processing segment held the largest share of the healthcare BPO market, and it is projected to continue its position during the forecast period. Claims management is a tactic for handling grievances while launching projects to cut costs and lower theft while considering client satisfaction. The Healthcare BPO region is dependent on the services that the help measures. Suppliers can help with reimbursement procedures, client onboarding, and quality experiences. The clinical environment has raised the standard of medical advancements.

Market Dynamics:                                           

Growth Drivers

Expansion of Outsourced Clinical Pathways in Healthcare BPO is Expected to Boost the Market Growth

The Healthcare BPO market’s expansion is driven by the increasing rise of clinical routes in the domain and the drop in errors in non-critical operations like financing, accounting, and customer services. The key forces for the development of the medical BPO sector are, in fact, the necessity for protection, the requirement to lower healthcare costs, and the risk of patent mounts for the pharmaceutical business. This puts more pressure on those providing healthcare services.

Efforts to Improve Co-ordination in Healthcare and provide Better Care are Expected to Boost the Market Growth

Medical care has, in fact, been evolving constantly to strike a balance between the many aspects of operating cost control, business profitability, and legislation aimed at better outcomes. Due to the constant requirement to enhance consumer and patient services in the setting of financial and bottom-line constraints, new business concepts have evolved. The ongoing initiatives to enhance care coordination and develop healthier healthcare consumers are driving the growth of the building BPO sector.

Restraint

Threat of Cyber-Attack and Chance of Relinquishing Authority Well on Multiple Activities May Restrain the Market Growth

The market growth is anticipated to be hampered by the threat of a cyber-attack, the potential of losing control over tasks that are delegated, and concerns about customer satisfaction. There appears to be a possibility that the major organization's influence through the operation will be lost due to loss of power.

Recent Developments:

  • To deliver a tailored, end-to-end solution focusing on all facets of payment integrity, Performant Healthcare Solutions, a leading technology-aided payment eligibility, integrity, and related analytics services provider, joined a new strategic collaboration with Priority Health in October 2022.
  • In September 2022, Conductiv awards Surgical Solutions, a top supplier of sterile processing support and on-site operating chamber, a group-purchasing deal for outsourced surgical services. A coalition of providers and buyers came together under the leadership of Conductiv to revolutionize the process of purchasing services.

Healthcare BPO Market Key Players Covered:

Other Prominent Players (Company Overview, Business Strategy, Key Product Offerings, Financial Performance, Key Performance Indicators, Risk Analysis, Recent Development, Regional Presence, SWOT Analysis)

Regional Analysis

Healthcare BPO Market is segmented based on regional analysis into five major regions: North America, Latin America, Europe, Asia Pacific and the Middle East and Africa. The North America dominates the healthcare BPO market among all outsourced source geographies due to the rising need to lower healthcare expenses and the significant expenditures involved with the R&D and manufacturing of medications in the region. The US healthcare BPO market is also being driven by the Patient Protection and Affordable Care Act, which is a legislative reform that aims to provide better and more affordable healthcare. Europe is the outsourcing source location with the fastest growing market share due to the region's growing need for better, more affordable healthcare.

Impact of Covid-19 on Healthcare BPO Market

During the early epidemic, the growth of the healthcare sector was restrained. Due to the mandated lockdowns and shutdowns, research and development came to an end. Hospitals will undoubtedly continue to experience COVID-19 pandemic-related impacts for some time to come. Owing to the collective overload of past years, one of Healthcare BPO's provider services suffered, and it is anticipated that it will suffer again in the next years, having a substantial impact on the industry.

Healthcare BPO Market is further segmented by region into:

  • North America Market Size, Share, Trends, Opportunities, Y-o-Y Growth, CAGR – United States and Canada
  • Latin America Market Size, Share, Trends, Opportunities, Y-o-Y Growth, CAGR – Mexico, Argentina, Brazil and Rest of Latin America
  • Europe Market Size, Share, Trends, Opportunities, Y-o-Y Growth, CAGR – United Kingdom, France, Germany, Italy, Spain, Belgium, Hungary, Luxembourg, Netherlands, Poland, NORDIC, Russia, Turkey and Rest of Europe
  • Asia Pacific Market Size, Share, Trends, Opportunities, Y-o-Y Growth, CAGR – India, China, South Korea, Japan, Malaysia, Indonesia, New Zealand, Australia and Rest of APAC
  • Middle East and Africa Market Size, Share, Trends, Opportunities, Y-o-Y Growth, CAGR – North Africa, Israel, GCC, South Africa and Rest of MENA

Healthcare BPO Market Scope and Segments:

ATTRIBUTE

  DETAILS

Study Period

2018-2032

Base Year

2022

Forecast Period

2022-2032

Historical Period

2019-2021

Growth Rate

CAGR of 9.2% from 2022-2032

Unit

Value (USD Billion)

Segmentation

Main Segments List

Provider Service

  • Patient Enrollment and Strategic Planning
  • Patient Care Service
  • Revenue Cycle Management

Payer Service

  • Human Resource Management
  • Claims Management
  • Customer Relationship Management (CRM)
  • Operational/Administrative Management
  • Care Management
  • Provider Management
  • Other Payer Services

Pharmaceutical Service

  • Manufacturing
  • Research & Development
  • Non-Clinical Services and Others

By Region

  • North America
    • U.S.
    • Canada
  • Europe
    • Germany
    • U.K.
    • France
    • Italy
    • Spain
    • Scandinavia
    • Rest of Europe
  • Asia Pacific
    • China
    • Japan
    • India
    • Australia
    • Southeast Asia
    • Rest of Asia Pacific
  • Latin America
    • Brazil
    • Mexico
    • Rest of Latin America
  • Middle East & Africa
    • GCC
    • South Africa
    • Rest of Middle East & Africa

Frequently Asked Questions (FAQ):

Healthcare BPO Market size was estimated at USD 315.27 billion in 2021 and is expected to reach USD 829.8 billion in 2032.

Healthcare BPO refers to a process or commercial activity that is outsourced and offers administrative or other support to personnel, medical organizations, and institutions. Coding, billing, transcription, and other common outsourcing projects belong to this category.

Revenue Cycle Management and Claims Management segments accounted for the largest Healthcare BPO market share.

Key players: Accenture, Cognizant, Wipro, HCL Technologies, NTT Data Corporation, IQVIA, Sykes Enterprises, WNS (Holdings) Limited, Sutherland Global, Mphasis, Omega Healthcare, Firstsource Solutions, GeBBS Healthcare Solutions, Invensis Technologies, Octopus Tech Solutions, and Other Prominent Players are the key players in the Healthcare BPO Market.

A speedy rise in (CPO) clinical process outsourcing and the increasing strategic activities by top companies like partnerships, product launches, and others are the factors driving the Healthcare BPO market.

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