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Market Research Report

Medical Billing Outsourcing Market Size, Share & Trends Analysis Report By End Use (Hospitals, Physician Offices), By Service (Front-end, Middle-end, Back-end), By Component (Outsourced, In-House), And Segment Forecasts, 2019 - 2026

Published by Grand View Research, Inc. Product code 447130
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Medical Billing Outsourcing Market Size, Share & Trends Analysis Report By End Use (Hospitals, Physician Offices), By Service (Front-end, Middle-end, Back-end), By Component (Outsourced, In-House), And Segment Forecasts, 2019 - 2026
Published: March 5, 2019 Content info: 100 Pages
Description

The global medical billing outsourcing market size is projected to reach USD 19.7 billion by 2026 expanding at a CAGR of 11.8%, based on a new report by Grand View Research, Inc. Large amount of medical code representation for diagnosis and treatment coupled with the presence of multiple payers renders medical billing an intricate part of any medical practice, posing significant challenges. Currently, the healthcare system is witnessing a subsequent rise in outsourcing of medical billing services by hospitals and physicians due to obligatory implementation of complex ICD-10 coding system, increasing healthcare costs, and federal mandate to implement Electronic Medical Records (EMR) to maintain reimbursement levels.

Furthermore, clinics/physician offices are gradually outsourcing their revenue management to cut unnecessary costs and prevent the burden of managing an administrative team to ensure effective handling of in-house billing functions. In addition, multispecialty medical groups are implementing consolidation requiring EHR integration and building large healthcare networks. This integration creates a need for Revenue Cycle Management (RCM), which, in turn, demands additional expertise and trained personnel to manage the same. Thus, consolidation of large healthcare practices is also expected to be a one of the factors fueling the market growth.

Further key findings from the study suggest:

  • In-house segment accounted for the largest market share in 2018. However, outsourced medical billing is expected to be the largest and fastest-growing segment in future
  • Front-end services led the market in 2018. However, middle-end services segment is expected to register the highest CAGR of 12.4% over the forecast period
  • Hospitals accounted for the largest market share of the medical billing outsourcing market in 2018 and is estimated to maintain the dominance even during the forecast years
  • North America held the largest share of the global market. It is projected to expand further as U.S. has witnessed a change in healthcare system with the implementation of ICD-10 coding and pressure from the government to incorporate EMR management system

Some of the key firms in this industry include: Accretive Health, Inc.; Allscripts; Cerner Corporation; EClinicalWorks; Experian Information Solutions, Inc.; GE Healthcare; Genpact; HCL; Kareo; McKesson Corporation; Quest Diagnostics; and The SSI Group, LLC.

Table of Contents
Product Code: GVR-1-68038-261-7

Table of Content

Chapter 1 Research Methodology

  • 1.1 Information Procurement
  • 1.2 Data Analysis

Chapter 2 Executive Summary

  • 2.1 Market Outlook
  • 2.2 Segment Outlook
  • 2.3 Competitive Insights

Chapter 3 Medical Billing Outsourcing Market Variables, Trends & Scope

  • 3.1 Market Segmentation & Scope
  • 3.2 Parent Market Outlook
  • 3.3 Market Dynamics
    • 3.3.1 Market driver analysis
      • 3.3.1.1 Growing focus on increasing the profitability and revenue generated by the business
      • 3.3.1.2 Federal mandate to implement digital record keeping by healthcare providers
      • 3.3.1.3 Rapidly changing healthcare regulations
    • 3.3.2 Market restraint analysis
      • 3.3.2.1 High threat of data breaching
  • 3.4 Penetration & Growth Prospect Mapping
  • 3.5 Medical Billing Outsourcing Market - PESTLE Analysis, by Factor (Political & Legal, Economic & Technological)
    • 3.6.1 Political landscape
    • 3.6.2 Environmental landscape
    • 3.6.3 Social landscape
    • 3.6.4 Technology landscape
    • 3.6.5 Legal landscape
  • 3.6 Industry Analysis - Porter's
    • 3.7.1 Supplier power
    • 3.7.2 Buyer power
    • 3.7.3 Substitution threat
    • 3.7.4 Threat from new entrant
    • 3.7.5 Competitive rivalry
  • 3.7 Major Deals & Strategic Alliances Analysis
  • 3.8 Market Entry Strategies

Chapter 4 Medical Billing Outsourcing Market _ Competitive Analysis

  • 4.1 Company Categorization (Key Innovators, Market Leaders, Emerging Players)
  • 4.2 Company Market Position Analysis/Heat Map Analysis (Geographic presence, service portfolio, key serviceable industries, key alliances)

Chapter 5 Medical Billing Outsourcing Market: Component Estimates & Trend Analysis

  • 5.1 Medical Billing Outsourcing Market: Component Movement Analysis
  • 5.2 Component Market Share Analysis, 2018 & 2026
  • 5.3 In-House
    • 5.3.1 In-house billing market, 2015 - 2026 (USD Million)
  • 5.4 Outsourced
    • 5.4.1 Outsourced billing market, 2015 - 2026 (USD Million)

Chapter 6 Medical Billing Outsourcing Market: Service Estimates & Trend Analysis

  • 6.1 Medical Billing Outsourcing Market: Service Movement Analysis
  • 6.2 Service Share Analysis, 2018 & 2026
  • 6.3 Front End
    • 6.3.1 Front end services market, 2015 - 2026 (USD Million)
  • 6.4 Middle End
    • 6.4.1 Middle end services market, 2015 - 2026 (USD Million)
  • 6.5 Back End
    • 6.5.1 Back end services market, 2015 - 2026 (USD Million)

Chapter 7 Medical Billing Outsourcing Market: End Use Estimates & Trend Analysis

  • 7.1 Medical Billing Outsourcing Market: End Use Movement Analysis
  • 7.2 End Use Market Share Analysis, 2018 & 2026
  • 7.3 Hospitals
    • 7.3.1 Hospital market, 2015 - 2026 (USD Million)
  • 7.4 Physician Offices
    • 7.4.1 Physician offices market, 2015 - 2026 (USD Million)
  • 7.5 Others
    • 7.5.1 Others market, 2015 - 2026 (USD Million)

Chapter 8 Medical Billing Outsourcing Market: Regional Estimates & Trend Analysis, by Component, Service, and End Use

  • 8.1 Medical Billing Outsourcing Market Share, by Region, 2018 & 2026
  • 8.2 Regional Market Share, 2018 & 2026
  • 8.3 List of Regional Leading Players
    • 8.3.1 North America
    • 8.3.2 Europe
    • 8.3.3 Asia Pacific
    • 8.3.4 Latin America
    • 8.3.5 Middle East & Africa
  • 8.4 SWOT Analysis, by Region
    • 8.4.1 North America
    • 8.4.2 Europe
    • 8.4.3 Asia Pacific
    • 8.4.4 Latin America
    • 8.4.5 Middle East & Africa
  • 8.5 North America
    • 8.5.1 North America medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.5.2 U.S.
      • 8.5.2.1 U.S. medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.5.3 Canada
      • 8.5.3.1 Canada medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • 8.6 Europe
    • 8.6.1 Europe medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.6.2 Germany
      • 8.6.2.1 Germany medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.6.3 U.K.
      • 8.6.3.1 U.K. medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.6.4 Spain
      • 8.6.4.1 Spain medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.6.5 France
      • 8.6.5.1 France medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.6.6 Italy
      • 8.6.6.1 Italy medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • 8.7 Asia Pacific
    • 8.7.1 Asia Pacific medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.7.2 Japan
      • 8.7.2.1 Japan medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.7.3 China
      • 8.7.3.1 China medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.7.4 India
      • 8.7.4.1 India medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • 8.8 Latin America
    • 8.8.1 Latin America medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.8.2 Brazil
      • 8.8.2.1 Brazil medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.8.3 Mexico
      • 8.8.3.1 Mexico medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • 8.9 Middle East & Africa
    • 8.9.1 MEA medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.9.2 South Africa
      • 8.9.2.1 South Africa medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
    • 8.9.3 Saudi Arabia
      • 8.9.3.1 Saudi Arabia. medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)

Chapter 9 Competitive Landscape

  • 9.1 Company Profiles
    • 9.1.1 Experian Information Solutions, Inc.
      • 9.1.1.1 Company overview
      • 9.1.1.2 Financial performance
      • 9.1.1.3 Product benchmarking
      • 9.1.1.4 Strategic initiatives
      • 9.1.1.5 SWOT analysis
    • 9.1.2 GE Healthcare
      • 9.1.2.1 Company overview
      • 9.1.2.2 Financial performance
      • 9.1.2.3 Product benchmarking
      • 9.1.2.4 Strategic initiatives
      • 9.1.2.5 SWOT analysis
    • 9.1.3 R1 RCM, Inc. (Accretive Health)
      • 9.1.3.1 Company overview
      • 9.1.3.2 Financial performance
      • 9.1.3.3 Product benchmarking
      • 9.1.3.4 Strategic initiatives
      • 9.1.3.5 SWOT analysis
    • 9.1.4 Quest Diagnostics
      • 9.1.4.1 Company overview
      • 9.1.4.2 Financial performance
      • 9.1.4.3 Product benchmarking
      • 9.1.4.4 SWOT analysis
    • 9.1.5 Allscripts Healthcare Solutions, Inc.
      • 9.1.5.1 Company overview
      • 9.1.5.2 Financial performance
      • 9.1.5.3 Product benchmarking
      • 9.1.5.4 Strategic initiatives
      • 9.1.5.5 SWOT analysis
    • 9.1.6 Kareo, Inc.
      • 9.1.6.1 Company overview
      • 9.1.6.2 Financial performance
      • 9.1.6.3 Product benchmarking
      • 9.1.6.4 SWOT analysis
    • 9.1.7 Cerner Corporation
      • 9.1.7.1 Company overview
      • 9.1.7.2 Financial performance
      • 9.1.7.3 Product benchmarking
      • 9.1.7.4 Strategic initiatives
      • 9.1.7.5 SWOT analysis
    • 9.1.8 Mckesson Corporation
      • 9.1.8.1 Company overview
      • 9.1.8.2 Financial performance
      • 9.1.8.3 Product benchmarking
      • 9.1.8.4 Strategic initiatives
      • 9.1.8.5 SWOT analysis
    • 9.1.9 Genpact
      • 9.1.9.1 Company overview
      • 9.1.9.2 Financial performance
      • 9.1.9.3 Product benchmarking
      • 9.1.9.4 SWOT analysis
    • 9.1.10 eClinicalWorks, LLC
      • 9.1.10.1 Company overview
      • 9.1.10.2 Financial performance
      • 9.1.10.3 Product benchmarking
      • 9.1.10.4 SWOT analysis
    • 9.1.11 HCL
      • 9.1.11.1 Company overview
      • 9.1.11.2 Financial performance
      • 9.1.11.3 Product benchmarking
      • 9.1.11.4 SWOT analysis

List of Tables

  • TABLE 1 North America medical billing outsourcing market players
  • TABLE 2 Europe medical billing outsourcing market players
  • TABLE 3 Asia Pacific medical billing outsourcing market players
  • TABLE 4 Latin America medical billing outsourcing market players
  • TABLE 5 Middle East & Africa medical billing outsourcing market players
  • TABLE 6 North America medical billing outsourcing market, 2015 - 2026 (USD Million)
  • TABLE 7 North America medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 8 North America medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 9 North America medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 10 U.S. medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 11 U.S. medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 12 U.S. medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 13 Canada medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 14 Canada medical billing outsourcing market, by service 2015 - 2026 (USD Million)
  • TABLE 15 Canada medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 16 Europe medical billing outsourcing market, 2015 - 2026 (USD Million)
  • TABLE 17 Europe medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 18 Europe medical billing outsourcing market, by service 2015 - 2026 (USD Million)
  • TABLE 19 Europe medical billing outsourcing market, by end use 2015 - 2026 (USD Million)
  • TABLE 20 Germany medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 21 Germany medical billing outsourcing market, by service 2015 - 2026 (USD Million)
  • TABLE 22 Germany medical billing outsourcing market, by service 2015 - 2026 (USD Million)
  • TABLE 23 U.K. medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 24 U.K. medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 25 U.K. medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 26 Spain medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 27 Spain medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 28 Spain medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 29 France medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 30 France medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 31 France medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 32 Italy medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 33 Italy medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 34 Italy medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 35 Asia Pacific medical billing outsourcing market, 2015 - 2026 (USD Million)
  • TABLE 36 Asia Pacific medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 37 Asia Pacific medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 38 Asia Pacific medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 39 Japan medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 40 Japan medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 41 Japan medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 42 China medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 43 China medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 44 China medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 45 India medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 46 India medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 47 India medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 48 Latin America medical billing outsourcing market, 2015 - 2026 (USD Million)
  • TABLE 49 Latin America medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 50 Latin America medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 51 Latin America medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 52 Brazil medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 53 Brazil medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 54 Brazil medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 55 Mexico medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 56 Mexico medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 57 Mexico medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 58 Middle East & Africa medical billing outsourcing market, 2015 - 2026 (USD Million)
  • TABLE 59 Middle East & Africa medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 60 Middle East & Africa medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 61 Middle East & Africa medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 62 South Africa medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 63 South Africa medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 64 South Africa medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)
  • TABLE 65 Saudi Arabia medical billing outsourcing market, by component, 2015 - 2026 (USD Million)
  • TABLE 66 Saudi Arabia medical billing outsourcing market, by service, 2015 - 2026 (USD Million)
  • TABLE 67 Saudi Arabia medical billing outsourcing market, by end use, 2015 - 2026 (USD Million)

List of Figures

  • FIG. 1 Market research process
  • FIG. 2 Information procurement
  • FIG. 3 Primary research pattern
  • FIG. 4 Market research approaches
  • FIG. 5 Value-chain-based sizing & forecasting
  • FIG. 6 QFD modelling for market share assessment
  • FIG. 7 Medical Billing Outsourcing: Market Summary (USD Million)
  • FIG. 8 Market trends & outlook
  • FIG. 9 Market segmentation & scope
  • FIG. 10 Market driver relevance analysis (Current & future impact)
  • FIG. 11 Market restraint relevance analysis (Current & future impact)
  • FIG. 12 Penetration & Growth Prospect Mapping
  • FIG. 13 PESTLE analysis, by factor (political & legal, economic and technological)
  • FIG. 14 Medical Billing Outsourcing Market - Porter's Five Forces Analysis
  • FIG. 15 Heat Map Analysis, 2018
  • FIG. 16 Medical billing outsourcing market, by component outlook: Key takeaways (USD Million)
  • FIG. 17 Medical billing outsourcing market: Component movement analysis (USD Million)
  • FIG. 18 Global in-house medical billing market, 2015 - 2026 (USD Million)
  • FIG. 19 Global outsourced medical billing market, 2015 - 2026 (USD Million)
  • FIG. 20 Medical billing outsourcing market, by service type outlook: Key takeaways (USD Million)
  • FIG. 21 Medical billing outsourcing market: Service movement analysis (USD Million)
  • FIG. 22 Medical billing outsourcing market: Service type analysis
  • FIG. 23 Front end service market, 2015 - 2026 (USD Million)
  • FIG. 24 Middle end service market, 2015 - 2026 (USD Million)
  • FIG. 25 Back end service market, 2015 - 2026 (USD Million)
  • FIG. 26 Medical billing outsourcing market, by end use type outlook: Key takeaways (USD Million)
  • FIG. 27 Medical billing outsourcing market: End use movement analysis (USD Million)
  • FIG. 28 Hospital market, 2015 - 2026 (USD Million)
  • FIG. 29 Physician offices market, 2015 - 2026 (USD Million)
  • FIG. 30 Others market, 2015 - 2026 (USD Million)
  • FIG. 31 Regional market place: Key takeaways
  • FIG. 32 Regional outlook, 2018 & 2026 (USD Million)
  • FIG. 33 North America medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 34 U.S. medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 35 Canada medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 36 Europe medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 37 Germany medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 38 U.K. medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 39 Spain medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 40 France medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 41 Italy medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 42 Asia Pacific medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 43 Japan medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 44 China medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 45 India medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 46 Latin America medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 47 Brazil medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 48 Mexico medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 49 MEA medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 50 South Africa medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
  • FIG. 51 Saudi Arabia medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
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