Healthcare BPO - Global Market Outlook (2018-2027)

Healthcare BPO - Global Market Outlook (2018-2027)

  • Published: September 2019
  • ID: SMRC18587

According to Stratistics MRC, the Global Healthcare BPO Market is accounted for $211.23 billion in 2018 and is expected to reach $576.41 billion by 2027 growing at a CAGR of 11.8% during the forecast period. The rapid increase in clinical process outsourcing (CPO) and the rise of nearshore outsourcing destinations are the factors driving the market. However, the hidden costs of outsourcing, fear of losing visibility and control over the business process are hampering the market growth.

The health care organizations are facing new challenges from an unpredictable global economy, where consumer expectations are growing every day. Business process outsourcing (BPO) process enables healthcare providers to select the most suited third-party vendors for specific business processes. This enables certain job functions, which are done outside a company instead of having an in-house department handling the business operations by healthcare providers, payers, and organizations. 

Based on the payer services, the product development & business acquisition service segment is having a growing prominence during the forecast period due to the factors such as increasing number of people enrolling for health plans, payers find it harder to deal with increases in volume themselves and also the risk related with losses. By geography, North America is likely to have a huge demand and is expected to continue its stronghold for few more years due to the presence of strong reimbursement framework, high public and private healthcare expenditure, and a high percentage of claim records.

Some of the key players in Global Healthcare BPO market include Cognizant Technology Solutions, Gebbs Healthcare Solutions, Accenture, Firstsource Solutions, Genpact, Infosys, Invensis Technologies, IBM, Quintiles IMS Holdings, Omega Healthcare, Tata Consultancy Services, Xerox, R1 RCM, Lonza, WNS (Holdings), and Paraxel.

Payer Services Covered:
• Claims Management Services
• Integrated Front-End Services and Back-Office Operations 
• Member Management Services
• Product Development and Business Acquisition Services
• Provider Management Services 
• Care Management 
• Billing and Accounts Management Services
• Human Resource Management
• Customer Relationship Management (CRM)
• Operational/Administrative Management
• Other Payer Services

Provider Services Covered:
• Finance & Accounts
• Patient Enrollment & Strategic Planning
• Revenue Cycle Management 
• Patient Care Service

Pharmaceutical Services Covered:
• Manufacturing Service
• Research & Development
• Non-Clinical Services

Regions Covered:
• North America
o US
o Canada
o Mexico
• Europe
o Germany
o UK
o Italy
o France
o Spain
o Rest of Europe
• Asia Pacific
o Japan        
o China        
o India        
o Australia  
o New Zealand      
o South Korea       
o Rest of Asia Pacific    
• South America
o Argentina
o Brazil
o Chile
o Rest of South America
• Middle East & Africa 
o Saudi Arabia
o UAE
o Qatar
o South Africa
o Rest of Middle East & Africa

What our report offers:
- Market share assessments for the regional and country-level segments
- Strategic recommendations for the new entrants
- Covers Market data for the years 2017, 2018, 2019, 2023 and 2027
- Market Trends (Drivers, Constraints, Opportunities, Threats, Challenges, Investment Opportunities, and recommendations) 
- Strategic analysis: Drivers and Constraints, Product/Technology Analysis, Porter’s five forces analysis, SWOT analysis etc.
- Strategic recommendations in key business segments based on the market estimations
- Competitive landscaping mapping the key common trends
- Company profiling with detailed strategies, financials, and recent developments
- Supply chain trends mapping the latest technological advancements

Free Customization Offerings:
All the customers of this report will be entitled to receive one of the following free customization options:
• Company Profiling
o Comprehensive profiling of additional market players (up to 3)
o SWOT Analysis of key players (up to 3)
• Regional Segmentation
o Market estimations, Forecasts and CAGR of any prominent country as per the client's interest (Note: Depends on feasibility check)
• Competitive Benchmarking
Benchmarking of key players based on product portfolio, geographical presence, and strategic alliance

1 Executive Summary       
         
2 Preface   
    
 2.1 Abstract       
 2.2 Stake Holders      
 2.3 Research Scope      
 2.4 Research Methodology     
  2.4.1 Data Mining     
  2.4.2 Data Analysis     
  2.4.3 Data Validation     
  2.4.4 Research Approach     
 2.5 Research Sources      
  2.5.1 Primary Research Sources    
  2.5.2 Secondary Research Sources    
  2.5.3 Assumptions     
         
3 Market Trend Analysis      
 3.1 Introduction      
 3.2 Drivers       
 3.3 Restraints      
 3.4 Opportunities      
 3.5 Threats       
 3.6 Emerging Markets      
 3.7 Futuristic Market Scenario     
         
4 Porters Five Force Analysis      
 4.1 Bargaining power of suppliers     
 4.2 Bargaining power of buyers     
 4.3 Threat of substitutes     
 4.4 Threat of new entrants     
 4.5 Competitive rivalry      
         
5 Global Healthcare BPO Market, By Payer Service    

 5.1 Introduction      
 5.2 Claims Management Services     
  5.2.1 Claims Settlement Services    
  5.2.2 Claims Adjudication Services    
  5.2.3 Claims Investigation Services    
  5.2.4 Information Management Services   
  5.2.5 Claims Indexing Services    
  5.2.6 Claims Repricing     
  5.2.7 Claims Administration    
  5.2.8 Fraud Detection and Management   
 5.3 Integrated Front-End Services and Back-Office Operations   
 5.4 Member Management Services    
 5.5 Product Development and Business Acquisition Services  
 5.6 Provider Management Services     
 5.7 Care Management       
 5.8 Billing and Accounts Management Services   
 5.9 Human Resource Management    
 5.10 Customer Relationship Management (CRM)   
 5.11 Operational/Administrative Management   
 5.12 Other Payer Services     
         
6 Global Healthcare BPO Market, By Provider Service    
 6.1 Introduction      
 6.2 Finance & Accounts      
 6.3 Patient Enrollment & Strategic Planning    
 6.4 Revenue Cycle Management      
 6.5 Patient Care Service     
  6.5.1 Device Monitoring     
  6.5.2 Medical Transcription    
  6.5.3 Medical Imaging     
  6.5.4 Medical Coding     
  6.5.5 Medical Billing     
         
7 Global Healthcare BPO Market, By Pharmaceutical Service   
 7.1 Introduction      
 7.2 Manufacturing Service     
 7.3 Research & Development     
 7.4 Non-Clinical Services     
  7.4.1 Supply Chain Management & Logistics   
  7.4.2 Sales and Marketing Services    
   7.4.2.1 Marketing Services    
   7.4.2.2 Analytics     
   7.4.2.3 Research     
   7.4.2.4 Forecasting    
   7.4.2.5 Performance Reporting   
  7.4.3 Other Non-Clinical Services    
         
8 Global Healthcare BPO Market, By Geography    
 8.1 Introduction      
 8.2 North America      
  8.2.1 US      
  8.2.2 Canada      
  8.2.3 Mexico      
 8.3 Europe       
  8.3.1 Germany      
  8.3.2 UK      
  8.3.3 Italy      
  8.3.4 France      
  8.3.5 Spain      
  8.3.6 Rest of Europe     
 8.4 Asia Pacific      
  8.4.1 Japan      
  8.4.2 China      
  8.4.3 India      
  8.4.4 Australia      
  8.4.5 New Zealand     
  8.4.6 South Korea     
  8.4.7 Rest of Asia Pacific     
 8.5 South America      
  8.5.1 Argentina     
  8.5.2 Brazil      
  8.5.3 Chile      
  8.5.4 Rest of South America    
 8.6 Middle East & Africa     
  8.6.1 Saudi Arabia     
  8.6.2 UAE      
  8.6.3 Qatar      
  8.6.4 South Africa     
  8.6.5 Rest of Middle East & Africa    
         
9 Key Developments       
 9.1 Agreements, Partnerships, Collaborations and Joint Ventures  
 9.2 Acquisitions & Mergers     
 9.3 New Product Launch     
 9.4 Expansions      
 9.5 Other Key Strategies     
         
10 Company Profiling       
 10.1 Cognizant Technology Solutions    
 10.2 Gebbs Healthcare Solutions     
 10.3 Accenture      
 10.4 Firstsource Solutions     
 10.5 Genpact       
 10.6 Infosys       
 10.7 Invensis Technologies     
 10.8 IBM       
 10.9 Quintiles IMS Holdings     
 10.10 Omega Healthcare      
 10.11 Tata Consultancy Services     
 10.12 Xerox       
 10.13 R1 RCM        
 10.14 Lonza       
 10.15 WNS (Holdings)      
 10.16 Paraxel       


List of Tables        
1 Global Healthcare BPO Market Outlook, By Region (2017-2027) (US $MN)  
2 Global Healthcare BPO Market Outlook, By Payer Service (2017-2027) (US $MN) 
3 Global Healthcare BPO Market Outlook, By Claims Management Services (2017-2027) (US $MN)
4 Global Healthcare BPO Market Outlook, By Claims Settlement Services (2017-2027) (US $MN)
5 Global Healthcare BPO Market Outlook, By Claims Adjudication Services (2017-2027) (US $MN)
6 Global Healthcare BPO Market Outlook, By Claims Investigation Services (2017-2027) (US $MN)
7 Global Healthcare BPO Market Outlook, By Information Management Services (2017-2027) (US $MN)
8 Global Healthcare BPO Market Outlook, By Claims Indexing Services (2017-2027) (US $MN)
9 Global Healthcare BPO Market Outlook, By Claims Repricing (2017-2027) (US $MN) 
10 Global Healthcare BPO Market Outlook, By Claims Administration (2017-2027) (US $MN)
11 Global Healthcare BPO Market Outlook, By Fraud Detection and Management (2017-2027) (US $MN)
12 Global Healthcare BPO Market Outlook, By Integrated Front-End Services and Back-Office Operations (2017-2027) (US $MN)
13 Global Healthcare BPO Market Outlook, By Member Management Services (2017-2027) (US $MN)
14 Global Healthcare BPO Market Outlook, By Product Development and Business Acquisition Services (2017-2027) (US $MN)
15 Global Healthcare BPO Market Outlook, By Provider Management Services (2017-2027) (US $MN)
16 Global Healthcare BPO Market Outlook, By Care Management (2017-2027) (US $MN)
17 Global Healthcare BPO Market Outlook, By Billing and Accounts Management Services (2017-2027) (US $MN)
18 Global Healthcare BPO Market Outlook, By Human Resource Management (2017-2027) (US $MN)
19 Global Healthcare BPO Market Outlook, By Customer Relationship Management (CRM) (2017-2027) (US $MN)
20 Global Healthcare BPO Market Outlook, By Operational/Administrative Management (2017-2027) (US $MN)
21 Global Healthcare BPO Market Outlook, By Other Payer Services (2017-2027) (US $MN)
22 Global Healthcare BPO Market Outlook, By Provider Service (2017-2027) (US $MN) 
23 Global Healthcare BPO Market Outlook, By Finance & Accounts (2017-2027) (US $MN)
24 Global Healthcare BPO Market Outlook, By Patient Enrollment & Strategic Planning (2017-2027) (US $MN)
25 Global Healthcare BPO Market Outlook, By Revenue Cycle Management (2017-2027) (US $MN)
26 Global Healthcare BPO Market Outlook, By Patient Care Service (2017-2027) (US $MN)
27 Global Healthcare BPO Market Outlook, By Device Monitoring (2017-2027) (US $MN)
28 Global Healthcare BPO Market Outlook, By Medical Transcription (2017-2027) (US $MN)
29 Global Healthcare BPO Market Outlook, By Medical Imaging (2017-2027) (US $MN) 
30 Global Healthcare BPO Market Outlook, By Medical Coding (2017-2027) (US $MN) 
31 Global Healthcare BPO Market Outlook, By Medical Billing (2017-2027) (US $MN) 
32 Global Healthcare BPO Market Outlook, By Pharmaceutical Service (2017-2027) (US $MN)
33 Global Healthcare BPO Market Outlook, By Manufacturing Service (2017-2027) (US $MN)
34 Global Healthcare BPO Market Outlook, By Research & Development (2017-2027) (US $MN)
35 Global Healthcare BPO Market Outlook, By Non-Clinical Services (2017-2027) (US $MN)
36 Global Healthcare BPO Market Outlook, By Supply Chain Management & Logistics (2017-2027) (US $MN)
37 Global Healthcare BPO Market Outlook, By Sales and Marketing Services (2017-2027) (US $MN)
38 Global Healthcare BPO Market Outlook, By Other Non-Clinical Services (2017-2027) (US $MN)
         
NOTE: Tables for North America, Europe, Asia Pacific, South America and Middle East & Africa are represented in the same manner above.

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