PUBLISHER: The Business Research Company | PRODUCT CODE: 1816625
PUBLISHER: The Business Research Company | PRODUCT CODE: 1816625
Healthcare BPO involves the outsourcing of specific business functions by healthcare organizations to external service providers. This practice includes the delegation of non-core business activities to outside vendors by healthcare organizations.
The primary services provided by healthcare BPO are revenue cycle management, patient enrollment and strategic planning, and patient care. Revenue cycle management (RCM) tracks patient care episodes from registration to the final payment of a balance using medical billing software. Payer services include human resource management, claims management, customer relationship management (CRM), operational/administrative management, care management, provider management, and other services used by pharmaceutical companies for research and development, manufacturing, and non-clinical service.
Note that the outlook for this market is being affected by rapid changes in trade relations and tariffs globally. The report will be updated prior to delivery to reflect the latest status, including revised forecasts and quantified impact analysis. The report's Recommendations and Conclusions sections will be updated to give strategies for entities dealing with the fast-moving international environment.
The sharp rise in U.S. tariffs and the resulting trade tensions in spring 2025 are having a notable impact on the services sector, particularly in business services, IT, and professional consulting. The increased costs of imported technology, office equipment, and critical digital infrastructure are driving up operating expenses for service providers, compelling them to either pass these costs on to clients or absorb the financial strain themselves. Outsourcing firms and IT service providers are grappling with higher hardware costs and supply chain delays, which are disrupting project timelines and squeezing profitability. Furthermore, retaliatory tariffs have weakened demand for U.S.-based professional services in key global markets, slowing export-driven revenues. To navigate these challenges, the sector must focus on accelerating digital transformation, optimizing costs, and strengthening domestic client relationships to sustain growth and remain competitive in an increasingly uncertain trade environment.
The healthcare BPO market research report is one of a series of new reports from The Business Research Company that provides healthcare BPO market statistics, including healthcare BPO industry global market size, regional shares, competitors with a healthcare BPO market share, detailed healthcare BPO market segments, market trends and opportunities, and any further data you may need to thrive in the healthcare BPO industry. This healthcare bpo market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenario of the industry.
The healthcare bpo market size has grown strongly in recent years. It will grow from $336.81 billion in 2024 to $370.2 billion in 2025 at a compound annual growth rate (CAGR) of 9.9%. The growth in the historic period can be attributed to data security concerns, globalization of healthcare services, healthcare industry growth, cost pressures in healthcare, regulatory changes in healthcare.
The healthcare bpo market size is expected to see rapid growth in the next few years. It will grow to $641.18 billion in 2029 at a compound annual growth rate (CAGR) of 14.7%. The growth in the forecast period can be attributed to remote patient monitoring, demand for data analytics, AI and automation integration, evolving revenue cycle management, precision medicine support. Major trends in the forecast period include patient experience enhancement, telemedicine and remote healthcare, data security and compliance, population health management, revenue cycle management.
The forecast of 14.7% growth over the next five years reflects a modest reduction of 0.3% from the previous estimate for this market. This reduction is primarily due to the impact of tariffs between the US and other countries. The U.S. may see increased outsourcing costs as clinical coding tools, claims processing platforms, and data encryption solutions sourced from India and the Philippines become more expensive to implement. The effect will also be felt more widely due to reciprocal tariffs and the negative effect on the global economy and trade due to increased trade tensions and restrictions.
The healthcare BPO market is witnessing significant growth due to the rapid increase in clinical process outsourcing. Clinical process outsourcing involves administrative work in the healthcare industry that requires clinical expertise. The rise in clinical trials outsourcing is attributed to the increasing number of drugs entering clinical phases, leading companies to seek Clinical Research Organizations (CROs) to manage their portfolios. According to ClinicalTrials.gov, a total of 437,515 clinical trials were registered in 2022, with 56,561 successfully completed. The increasing reliance on clinical process outsourcing is expected to drive the healthcare BPO market in the coming years.
The healthcare BPO market is expected to experience growth due to the rising healthcare expenditure. Healthcare expenditure refers to the total resources, including financial resources, spent on healthcare services and related activities within a specific period. Healthcare BPO services contribute to cost containment, efficiency improvements, and strategic resource management, positively impacting healthcare expenditure. According to the Canadian Institute for Health Information in November 2022, healthcare expenditure in the United States rose to 0.8%, reaching $331 billion in 2022, compared to 7.6% in 2021. The increasing healthcare expenditure is a driving force for the growth of the healthcare BPO market.
Major players are leveraging technological advancements to increase profitability by developing new cloud-based solutions. Cloud-based solutions in healthcare BPO optimize data and application management by utilizing the capabilities of cloud computing platforms over the internet. For example, in March 2023, Fujitsu Limited, a Japan-based information and communications technology company, introduced an innovative cloud-based platform to revolutionize personalized healthcare and advance drug development. This cloud-centric system aims to gather health information from electronic medical records, wearable gadgets, and various channels, with the integrated data intended to enhance healthcare practices, refine clinical research methodologies, and optimize the drug development process. Fujitsu envisions this platform contributing to the establishment of a fresh health and medical community focused on promoting the overall well-being of individuals.
Major players in the Healthcare BPO market are concentrating on advanced digital solutions like Generative AI and process automation to improve operational efficiency and lower costs for healthcare organizations. Generative AI solutions streamline complex healthcare administrative workflows by automating tasks such as data retrieval, contract management, and appeals processing. This automation reduces manual errors, enhances operational efficiency, and ensures compliance with healthcare regulations. For example, in June 2024, Cognizant Technology Solutions Corporation, a US-based information technology firm, introduced its initial suite of healthcare large language model (LLM) solutions in partnership with Google Cloud, a US-based software company. These solutions target essential administrative workflows within the healthcare sector, aiming to optimize processes like appeals management, contract lifecycle management, and marketing content creation, ultimately improving efficiency and patient experience in healthcare delivery. The healthcare LLM solutions will be incorporated into Cognizant's existing platforms, such as the Cognizant Flowsource platform, to enhance their automation capabilities and user experiences.
In January 2022, Betaine BV, affiliated with Hong Kong-based Baring Private Equity Asia (BPEA), acquired Hinduja Global Solutions (HGS) Limited for a total enterprise value of $1,200 million. This acquisition positions HGS to invest strategically in technology capabilities, supporting its future growth endeavors. HGS, an Indian company specializing in business process management (BPM) and customer experience optimization in healthcare, aligns with Betaine BV's goals.
Major companies operating in the healthcare BPO market include Accenture, Cognizant Technology Solutions, Infosys BPM, WNS Global Services, EXL Service, Tata Consultancy Services, Conduent Inc., HCL Technologies, Genpact, Omega Healthcare, Sutherland Global Services, GeBBS Healthcare Solutions, R1 RCM Inc., IBM Corporation, Allscripts Healthcare Solutions, NTT Data Services, UnitedHealth Group (Optum), TriZetto Healthcare Products, CitiusTech, MedData, Vee Technologies, Capgemini, HGS Healthcare, Flatworld Solutions, Invensis Technologies, Wipro, Tech Mahindra
North America was the largest region in the healthcare BPO market in 2024. Asia-Pacific is expected to be the fastest-growing region in the forecast period. The regions covered in the healthcare bpo market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa.
The countries covered in the healthcare bpo market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA, Canada, Italy, Spain.
The healthcare BPO market includes revenues earned by entities by providing services such as claims processing, data processing services, access to industry experts. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included.
The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified).
The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products.
Healthcare BPO Global Market Report 2025 from The Business Research Company provides strategists, marketers and senior management with the critical information they need to assess the market.
This report focuses on healthcare bpo market which is experiencing strong growth. The report gives a guide to the trends which will be shaping the market over the next ten years and beyond.
Where is the largest and fastest growing market for healthcare bpo ? How does the market relate to the overall economy, demography and other similar markets? What forces will shape the market going forward, including technological disruption, regulatory shifts, and changing consumer preferences? The healthcare bpo market global report from the Business Research Company answers all these questions and many more.
The report covers market characteristics, size and growth, segmentation, regional and country breakdowns, competitive landscape, market shares, trends and strategies for this market. It traces the market's historic and forecast market growth by geography.
The forecasts are made after considering the major factors currently impacting the market. These include the technological advancements such as AI and automation, Russia-Ukraine war, trade tariffs (government-imposed import/export duties), elevated inflation and interest rates.