Healthcare BPO - Global Market Outlook (2018-2027)

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
• US
• Canada
• Mexico
• Europe
• Germany
• UK
• Italy
• France
• Spain
• Rest of Europe
• Asia Pacific
• Japan
• China
• India
• Australia
• New Zealand
• South Korea
• Rest of Asia Pacific
• South America
• Argentina
• Brazil
• Chile
• Rest of South America
• Middle East & Africa
• Saudi Arabia
• UAE
• Qatar
• South Africa
• 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
• Market forecasts for a minimum of 9 years of all the mentioned segments, sub-segments and the regional markets
• 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
• Comprehensive profiling of additional market players (up to 3)
• SWOT Analysis of key players (up to 3)
• Regional Segmentation
• 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 alliances

Table of Contents

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

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