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Healthcare BPO Market by Services (Revenue cycle management, Patient enrollment, Medical coding, billing and collection services), by facility (Large health systems, Stand-alone hospitals, Ambulatory surgical centers) - Global Industry Trends & Forecasts Upto 2023...

Healthcare BPO Market by Services (Revenue cycle management, Patient enrollment, Medical coding, billing and collection services), by facility (Large health systems, Stand-alone hospitals, Ambulatory surgical centers) - Global Industry Trends & Forecasts Upto 2023

Report code: SDMRHE10590 | Industry: Healthcare | Published On: 3/27/2018

The healthcare BPO market is estimated to reach USD 330 billion by 2023 growing at a CAGR of 11.0 from 2018-2023. The healthcare BPO market is primarily driven by elevating cost-saving factor, growing perception for recovery audits coupled with increasing research and development activities. However, the service reliability issue along with the complications and concerns of data privacy may hamper the growth of this market. In addition, implementation of IT in Healthcare sector serve to be the growing opportunity for healthcare BPO market. The adoption of BPO services is also responsible for propelling the growth of the market.
The healthcare BPO market can be segmented into payer services, provider services, and pharmaceutical services. The payer services can be further segmented into human resource management, claims management, Customer Relationship Management (CRM), operational/administrative management, product development, care management and provider management. The induced pressure to reduce elevating Healthcare expenditures, increasing demand of niche services, increasing demand of ICD-10 over ICD-9, adoption of automation and integrated sourcing strategies and demand and recovery audits are some of the prime factors responsible for propelling the growth of this market.
The provider services of healthcare BPO market provider is further segmented into patient enrollment and strategic planning, medical billing, medical transcription, device monitoring and revenue cycle management. On the basis of provider service, revenue cycle management is expected to grow at a steady pace during the forecast period. The growing revenue cycle management market further counts to the decreasing reimbursements in the healthcare industry, resulting in the reduction of overall Healthcare expenditure coupled with supportive government policies fuels the growth of this segment in Healthcare BPO market.
The Pharmaceutical segment of this market is further classified into manufacturing outsourcing, clinical data management, and pharmacovigilance services. Factors like increasing research and development activities, strict norms, adoption of IT in the healthcare sector, and upsurge demand in RCM plays a significant role in fueling the growth of the market. However, the lack of proper and accurate information and Communication Technology infrastructure coupled with interoperability issues and lack of domain expertise may restrict the growth of the market.
Geographically, the healthcare BPO market segmented into North America, Europe, Asia, and ROW. On the basis of geography, North America dominates this market, accounting to the growing economic growth rate and increasing Healthcare expenditure throughout this region. This further resulted in increasing investments in Technologies responsible for simplifying the healthcare systems and services that further drive the growth of this market. Moreover, the adoption of BPO services in the healthcare industry, increase in medical transcription outsourcing services and adoption of cloud-based BPOs healthcare sector are for the responsible in creating great opportunities for this market. However, the increasing doubts over the quality of services, high attrition rate, and privacy concerns and data security issues may restrict the growth of the market.
The key players operating in this industry are Accenture, Tata Consultancy Services, Genpact, Boehringer Ingelheim GmbH, Cognizant, Charles River Laboratories International Inc., Covance Inc., Infosys Limited, Lonza Group Ltd. and Quintiles Inc.

1  Introduction        
2  Research  Methodology        
3  Executive  summary        
4  Premium  Insights        
5  Market  Overview        
  5.1  Drivers      
  5.2  Restraints      
  5.3  Opportunities      
  5.4  Challenges      
6  Industry  Insights        
7  Healthcare  BPO  Market,  By  Provider  Service        
  7.1  Healtcare  BPO  provider  services,  by  typeof  services      
    7.1.1  Revenue  cycle  management    
    7.1.2  Patient  enrollment    
    7.1.3  Medical  coading,  billing  and  collection  services    
    7.1.4  Medical  claims  processing  services    
    7.1.5  Medical  records  conversion  and  indexing  services    
    7.1.6  Patient  Record  Management  and  EMR    
    7.1.7  Patient  Care   Medical  Transcription  Device  Monitoring  Medical  Imaging  Medical  Animation  Cinical  services  
    7.1.  Other  Services'    
  7.2  Healtcare  BPO  provider  services,  by  type  of  facility      
    7.2.1  Large  health  systems    
    7.2.2  Stand  alone  hospitals    
    7.2.3  Ambulatory  surgical  centers  and    clinics    
    7.2.4  Physician  practices    
    7.2.5  Diagnostic  laboratories    
8  Healthcare  BPO  Market,  By  Payer  Services        
  8.1  Healtchare  BPO  payer  services  market,  by  type  of  services      
    8.1.1  Claims  Management  Services     Claims  Processing  and  Adjudication  Services  Claims  Settlement  Services  Claims  Repricing  Claims  Investigation  Services  Claims  Indexing  Services  Fraud  detection/analytics  and  payment  integrity  services  
    8.1.2    Integrated  Front-End  Services  and  Back-Office  Operations      
    8.1.3    Member  Management  Services      
    8.1.4    Product  Development  and  Business  Acquisition  Services      
    8.1.5  Provider  Data  Management  and  Credentialing    
    8.1.6  Care  Management      
    8.1.7  Billing  and  Accounts  Management  Services      
    8.1.8  HR  Services    
    8.1.9  Member  Enrolment  Billing  and  Eligibility  Services    
    8.1.10  Information  Management  Services    
    8.1.11  Other  Services'    
  8.2  Healtcare  BPO  payer  services,  by  type  of  payer      
    8.2.2  Private  health  insurance  companies    
    8.2.3  public/  government  agencies    
9  Healthcare  BPO  Market,  By  Life  Sciences  services        
  9.1  Healtchare  BPO  life  sciences  services  market,  by  type  of  services      
    9.1.1  Research  &  Development    
    9.1.2    Manufacturing    
    9.1.3  Non-Clinical  Services     Supply  Chain  Management  &  Logistics  Sales  and  Marketing  Services   Analytics  Marketing  Services  Research  Forecasting  Performance  Reporting  Regulatory  compliance  management  Contract  management  Customer  management  
    9.1.4  Other  services    
  9.2  Healtcare  BPO  life  sciences  services,  by    end  user      
    9.2.1  Pharmaceutical  and  biotechnology  companies    
    9.2.2  Research  Centers    
10  Healthcare  Analytics  Market,  By  Region        
  10.2  North  America        
    10.1.1  US    
    10.1.2  Canada    
    10.2.1  Germany    
  10.3  10.2.2  UK    
    10.2.3  France    
    10.2.4  Rest  of  Europe    
    10.3.1  Japan    
  10.4  10.3.2  China    
    10.3.3  India    
    10.3.4  Rest  of  Asia    
  10.5  RoW      
    10.5.1    Pacific  Countries      
    10.5.2    Latin  America      
    10.5.3  Middle  East  and  Africa    
11  Competitive  Landscape          
12  Company  profiles        
13  Appendix    
SDMR employs a three way data triangulation approach to arrive at market estimates. We use primary research, secondary research and data triangulation by top down and bottom up approach


Secondary Research:
Our research methodology involves in-depth desk research using various secondary sources. Data is gathered from association/government publications/databases, company websites, press releases, annual reports/presentations/sec filings, technical papers, journals, research papers, magazines, conferences, tradeshows, and blogs.

Key Data Points through secondary research-
Macro-economic data points
Import Export data
Identification of major market trends across various applications
Primary understanding of the industry for both the regions
Competitors analysis for the production capacities, key production sites, competitive landscape
Key customers
Production Capacity
Pricing Scenario
Cost Margin Analysis

Key Data Points through primary research-
Major factors driving the market and its end application markets
Comparative analysis and customer analysis
Regional presence
Collaborations or tie-ups
Annual Production, and sales
Profit Margins
Average Selling Price

Data Triangulation:
Data triangulation is done using top down and bottom approaches. However, to develop accurate market sizing estimations, both the methodologies are used to accurately arrive at the market size. Insert Image
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