HOME Top Market Reports Healthcare BPO Market by Provider (Billing), Payer (Claims Management), Pharmaceutical (R&D, Non-Clinical (SCM, Sales and Marketing (Forecasting, Analytics))), Outsourcing Approaches (Bundled), & Models (Multisourcing, Captives) - Global Forecasts to 2021

Healthcare BPO Market by Provider (Billing), Payer (Claims Management), Pharmaceutical (R&D, Non-Clinical (SCM, Sales and Marketing (Forecasting, Analytics))), Outsourcing Approaches (Bundled), & Models (Multisourcing, Captives) - Global Forecasts to 2021

By: marketsandmarkets.com
Publishing Date: June 2016
Report Code: HIT 2168

 

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Enactment of PPACA, Patent Cliffs, and Stringent Regulatory Requirements for Drug Approvals Will Boost the Growth of the Healthcare BPO Market

The healthcare BPO market is projected to reach USD 276.79 Billion by 2021 from USD 170.47 Billion in 2016, growing at a CAGR of 10.2% during the forecast period (2016–2021).

The pressure to reduce healthcare delivery costs, increasing number of people seeking insurance, pharmaceutical companies facing patent cliffs, consolidation of healthcare systems and mandatory implementation of ICD-10 codes and lower cost of manufacturing in developing countries are the major drivers for the healthcare BPO market. However, fear of losing control over the outsourced process, probability of reduced service/product quality, and threat to data security are factors expected to restrain the growth of healthcare BPO market.

The healthcare BPO market is broadly segmented on the type of healthcare services outsourced into provider services, payer services, and pharmaceutical services. The provider services segment is further segmented into medical billing, medical coding, medical transcription, and finance and accounts. The medical billing subsegment is expected to account for the largest share of the provider services segment in 2016, owing to an0 increase in the number of people insured.

On the basis of payer services, the healthcare BPO market is categorized into claims management, front-end/back-office operations, member management, provider management, finance and accounts, analytics and fraud management, and HR services. The claims management segment is expected to account for the largest share of the healthcare BPO market in 2016. Factors such as enactment of PPACA and pressure to make healthcare more affordable are driving the growth of this segment.

The pharmaceutical segment of the healthcare BPO market is segmented into R&D, manufacturing, and non-clinical services. The manufacturing segment is estimated to account for the largest share in 2016. The non-clinical services segment is further classified into SCM and logistics, sales and marketing, and other non-clinical services. The sales and marketing subsegment is estimated to account for the largest share in 2016.

The U.S. is expected to account for the largest share of the healthcare BPO market in 2016. It is the prime source for the outsourcing of healthcare services due to the mandatory implementation of ICD-10 codes and enactment of PPACA. Europe is the second-largest source for outsourcing healthcare services; this regional market is driven by the need to minimize healthcare delivery costs.

Major players in the healthcare BPO market include Accenture PLC (U.S.), Cognizant Technology Solutions Corporation (U.S.), Infosys BPO Ltd. (India), Tata Consultancy Services Ltd. (India), and Xerox Corporation (U.S.).

To know about the assumptions considered for the study, download the pdf brochure

Scope of the Report

Particular

Scope

Region

  • U.S.
  • Europe
  • RoW

Historical Years

2014

Base Year

2015

Forecast Period

2016-2021

Revenue Currency

USD ($)

This research report categorizes the healthcare BPO market into the following segments and subsegments:

Healthcare BPO Market, by Provider Service

  • Medical Billing
  • Medical Coding
  • Medical Transcription
  • Finance & Accounts

Healthcare BPO Market, by Payer Service

  • Claims Management
    • Claims Adjudication
    • Claims Settlement
    • Information Management
    • Claims Repricing
    • Claims Investigation
    • Claims Indexing
    • Litigation Management
  • Integrated Front-end Services and Back-office Operations
  • Member Management
  • Provider Management
  • Billing and Accounts Management
  • Analytics and Fraud Management
  • HR

Healthcare BPO Market, by Pharmaceutical Service

  • Research and Development
  • Manufacturing
  • Non-clinical Services
    • Supply Chain Management (SCM) and Logistics
    • Sales and Marketing
      • Performance Reporting
      • Forecasting
      • Research
      • Analytics
      • Marketing
    • Other Non-clinical Functions
      • Finance and Accounts
      • HR
      • IT

Healthcare BPO Market, by Region (Based on Source Region/Country)

  • U.S.
  • Europe
  • Rest of the World

Healthcare BPO Market, by Region (Based on Destination Region/Country)

  • U.S.
  • Europe
  • India
  • Philippines
  • China
  • LATAM
  • Middle East
  • Rest of the World

Available Customizations

With the given market data, MarketsandMarkets offers customizations as per the company’s specific needs. The following customization options are available for the report:

Geographical Analysis

  • Further breakdown of the European healthcare BPO market to Germany, France, the U.K., Italy, and Spain

Company Information

  • Detailed analysis and profiling of additional market players (Up to 5)

Table of Contents

1 Introduction (Page No. - 16)
    1.1 Objectives of the Study
    1.2 Healthcare BPO Market Definition
    1.3 Healthcare BPO Market Scope
           1.3.1 Markets Covered
           1.3.2 Years Considered for the Study
    1.4 Currency
    1.5 Limitations
    1.6 Stakeholders

2 Research Methodology (Page No. - 20)
    2.1 Healthcare BPO Market Size Estimation
    2.2 Healthcare BPO Market Breakdown and Data Triangulation
           2.2.1 Key Data From Secondary Sources
           2.2.2 Key Data From Primary Sources
                    2.2.2.1 Key Industry Insights
           2.2.3 Assumptions for the Study

3 Executive Summary (Page No. - 26)
    3.1 Introduction
    3.2 Current Scenario
    3.3 Future Outlook
    3.4 Conclusion

4 Premium Insights (Page No. - 31)
    4.1 Healthcare BPO: Market Overview
    4.2 Geographical Analysis: Healthcare BPO Market, By Services Outsourced (2016)
    4.3 Geographical Snapshot of the Healthcare BPO Market
    4.4 Healthcare BPO Market, By Service
    4.5 Pharmaceutical Services Market, By Type

5 Market Overview (Page No. - 35)
    5.1 Introduction
    5.2 Healthcare BPO Market Segmentation
    5.3 Healthcare BPO Market Dynamics
           5.3.1 Drivers
                    5.3.1.1 Implementation of Ppaca Stimulating Growth in Healthcare Outsourcing
                    5.3.1.2 Pressure to Reduce Rising Healthcare Costs
                    5.3.1.3 Complex Clinical Trial Protocols and New Reporting Requirements Compel Pharma Companies to Outsource
                    5.3.1.4 Patent Expiry of Blockbuster Drugs
           5.3.2 Restraints
                    5.3.2.1 Hidden Costs of Outsourcing
                    5.3.2.2 Fear of Losing Visibility and Control Over the Business Process
           5.3.3 Opportunities
                    5.3.3.1 Consolidation of the Healthcare System in Developed Countries
                    5.3.3.2 Mandatory Implementation of ICD-10 Codes
           5.3.4 Challenges
                    5.3.4.1 Product/Service Quality Loss
                    5.3.4.2 Data Security and Confidentiality
    5.4 Outsourcing Approaches:
           5.4.1 Bundled Services
           5.4.2 Fee for Service
           5.4.3 Flexible Contracts
           5.4.4 Best-Shore
    5.5 Outsourcing Models
           5.5.1 Multisourcing
           5.5.2 Captive Center
           5.5.3 Hybrid Delivery Model
           5.5.4 Preferred Provider
           5.5.5 Strategic Partnership
           5.5.6 Global Delivery Model

6 Healthcare BPO Market, By Provider Service (Page No. - 47)
    6.1 Introduction
    6.2 Medical Billing
    6.3 Medical Coding
    6.4 Medical Transcription
    6.5 Finance & Accounts

7 Healthcare BPO Market, By Payer Service (Page No. - 58)
    7.1 Introduction
    7.2 Claims Management Services
           7.2.1 Claims Adjudication Services
           7.2.2 Claims Settlement
           7.2.3 Information Management Services
           7.2.4 Claims Repricing
           7.2.5 Claims Investigation Services
           7.2.6 Claims Indexing Services
           7.2.7 Litigation Management
    7.3 Integrated Front-End Services and Back-Office Operations
    7.4 Member Management Services
    7.5 Provider Management Services
    7.6 Billing and Accounts Management Services
    7.7 Analytics and Fraud Management Services
    7.8 HR Services

8 Healthcare BPO Market, By Pharmaceutical Service (Page No. - 85)
    8.1 Introduction
           8.1.1 Research & Development
           8.1.2 Manufacturing
           8.1.3 Non-Clinical Services
                    8.1.3.1 Supply Chain Management & Logistics
                    8.1.3.2 Sales and Marketing Services
                               8.1.3.2.1 Forecasting
                               8.1.3.2.2 Performance Reporting
                               8.1.3.2.3 Analytics
                               8.1.3.2.4 Research
                               8.1.3.2.5 Marketing Services
                    8.1.3.3 Other Non-Clinical Functions

9 Geographic Analysis (Page No. - 108)
    9.1 Source Geography
           9.1.1 U.S.
           9.1.2 Europe
           9.1.3 RoW

10 Competitive Landscape (Page No. - 124)
     10.1 Overview
     10.2 Competitive Situation and Trends
             10.2.1 Agreements, Partnerships, Collaborations, and Contracts
             10.2.2 Acquisitions
             10.2.3 New Service Launches and Enhancements
             10.2.4 Expansions

11 Company Profiles (Page No. - 131)
(Introduction, Products & Services, Strategy, & Analyst Insights, Developments, MnM View)*
     11.1 Introduction
     11.2 Cognizant Technology Solutions Corporation
     11.3 Infosys BPO Limited
     11.4 Accenture PLC
     11.5 Xerox Corporation
     11.6 Tata Consultancy Services Ltd.
     11.7 Accretive Health, Inc.
     11.8 Genpact Limited
     11.9 IBM Corporation
     11.10 Quintiles Transnational Holdings, Inc.
     11.11 Lonza Group Ltd.

*Details on Marketsandmarkets View, Introduction, Product & Services, Strategy, & Analyst Insights, New Developments Might Not Be Captured in Case of Unlisted Companies.

12 Appendix (Page No. - 160)
     12.1 Insights of Industry Experts
     12.2 Discussion Guide
     12.3 Knowledge Store: Marketsandmarkets’ Subscription Portal
     12.4 Introducing RT: Real-Time Market Intelligence
     12.5 Available Customizations
     12.6 Related Reports


List of Tables (93 Tables)

Table 1 Global Healthcare BPO Market Size, By Provider Service, 2014–2021 (USD Billion)
Table 2 Global Healthcare BPO Market Size for Provider Services, By Source Geography, 2014–2021 (USD Billion)
Table 3 Global Healthcare BPO Market Size for Provider Services, By Destination Geography, 2014–2021 (USD Million)
Table 4 Global Medical Billing Outsourcing Market Size, By Source Geography, 2014–2021 (USD Billion)
Table 5 Global Medical Billing Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 6 Global Medical Coding Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 7 Global Medical Coding Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 8 Global Medical Transcription Market Size, By Source Geography, 2014–2021 (USD Million)
Table 9 Global Medical Transcription Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 10 Global Finance & Accounts Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 11 Global Finance & Accounts Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 12 Global Healthcare Payer Outsourcing Market Size, By Payer Service, 2014–2021 (USD Billion)
Table 13 Global Healthcare Payer Outsourcing Market Size, By Source Geography, 2014–2021 (USD Billion)
Table 14 Global Healthcare Payer Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Billion)
Table 15 Global Claims Management Outsourcing Market Size, By Type, 2014–2021 (USD Billion)
Table 16 Global Claims Management Outsourcing Market Size, By Source Geography, 2014–2021 (USD Billion)
Table 17 Global Claims Management Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 18 Global Claims Adjudication Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 19 Global Claims Adjudication Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 20 Global Claims Settlement Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 21 Global Claims Settlement Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 22 Global Information Management Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 23 Global Information Management Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 24 Global Claims Repricing Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 25 Global Claims Repricing Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 26 Global Claims Investigation Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 27 Global Claims Investigation Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 28 Global Claims Indexing Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 29 Global Claims Indexing Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 30 Global Litigation Management Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 31 Global Litigation Management Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 32 Global Integrated Front-End Services and Back-Office Operations Outsourcing Market Size, By Source Geography, 2013–2020 (USD Million)
Table 33 Global Integrated Front-End Services and Back-Office Operations Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 34 Global Member Management Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 35 Global Member Management Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 36 Global Provider Management Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 37 Global Provider Management Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 38 Global Billing and Accounts Management Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 39 Global Billing and Accounts Management Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 40 Global Analytics and Fraud Management Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 41 Global Analytics and Fraud Management Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 42 Global HR Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 43 Global HR Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 44 Global Pharmaceutical Services Outsourcing Market Size, By Type, 2014–2021 (USD Billion)
Table 45 Global Pharmaceutical Services Outsourcing Market Size, By Source Geography, 2014–2021 (USD Billion)
Table 46 Global Pharmaceutical Services Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Billion)
Table 47 Global R&D Outsourcing Market Size, By Source Geography, 2014–2021 (USD Billion)
Table 48 Global R&D Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Billion)
Table 49 Global Manufacturing Services Outsourcing Market Size, By Source Geography, 2014–2021 (USD Billion)
Table 50 Global Manufacturing Services Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Billion)
Table 51 Global Non-Clinical Services Outsourcing Market Size, By Type, 2014–2021 (USD Billion)
Table 52 Global Non-Clinical Services Outsourcing Market Size, By Source Geography, 2014–2021 (USD Billion)
Table 53 Global Non-Clinical Services Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Billion)
Table 54 Global SCM & Logistics Services Outsourcing Market Size, By Source Geography, 2014–2021 (USD Billion)
Table 55 Global SCM & Logistics Services Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 56 Global Sales and Marketing Services Outsourcing Market Size, By Type, 2014–2021 (USD Billion)
Table 57 Global Sales and Marketing Services Outsourcing Market Size, By Source Geography, 2014–2021 (USD Billion)
Table 58 Global Sales and Marketing Services Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 59 Global Forecasting Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 60 Global Forecasting Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 61 Global Performance Reporting Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 62 Global Performance Reporting Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 63 Global Analytics Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 64 Global Analytics Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 65 Global Research Services Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 66 Global Research Services Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 67 Global Marketing Services Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 68 Global Marketing Services Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 69 Global Other Non-Clinical Services Outsourcing Market Size, By Source Geography, 2014–2021 (USD Million)
Table 70 Global Other Non-Clinical Services Outsourcing Market Size, By Destination Geography, 2014–2021 (USD Million)
Table 71 Global Healthcare BPO Market Size, By Source Geography, 2014–2021 (USD Billion)
Table 72 U.S.: Payer Services Outsourcing Market Size, By Type, 2014–2021 (USD Billion)
Table 73 U.S.: Claims Management Services Outsourcing Market Size, By Type, 2014–2021 (USD Million)
Table 74 U.S.: Provider Services Outsourcing Market Size, By Type, 2014–2021 (USD Billion)
Table 75 U.S.: Pharmaceutical Services Outsourcing Market Size, By Type, 2014–2021 (USD Billion)
Table 76 U.S.: Non-Clinical Services Outsourcing Market Size, By Type, 2014–2021 (USD Billion)
Table 77 U.S.: Sales and Marketing Services Outsourcing Market Size, By Type, 2014–2021 (USD Million)
Table 78 Europe: Payer Services Outsourcing Market Size, By Type, 2014–2021 (USD Million)
Table 79 Europe: Claims Management Services Outsourcing Market Size, By Type, 2014–2021 (USD Million)
Table 80 Europe: Provider Services Outsourcing Market Size, By Type, 2014–2021 (USD Million)
Table 81 Europe: Pharmaceutical Services Outsourcing Market Size, By Type, 2014–2021 (USD Billion)
Table 82 Europe: Non-Clinical Services Outsourcing Market Size, By Type, 2014–2021 (USD Billion)
Table 83 Europe: Sales and Marketing Services Outsourcing Market Size, By Type, 2014–2021 (USD Million)
Table 84 RoW: Payer Services Outsourcing Market Size, By Type, 2014–2021 (USD Million)
Table 85 RoW: Claims Management Services Outsourcing Market Size, By Type, 2014–2021 (USD Million)
Table 86 RoW: Provider Services Outsourcing Market Size, By Type, 2014–2021 (USD Million)
Table 87 RoW: Pharmaceutical Services Outsourcing Market Size, By Type, 2014–2021 (USD Billion)
Table 88 RoW: Non-Clinical Services Outsourcing Market Size, By Type, 2014–2021 (USD Billion)
Table 89 RoW: Sales and Marketing Services Outsourcing Market Size, By Type, 2014–2021 (USD Million)
Table 90 Agreements, Partnerships, Collaborations, and Contracts, 2015 & 2016
Table 91 Acquisitions, 2015 & 2016
Table 92 New Service Launches and Enhancements, 2014-2016
Table 93 Expansions, 2013 & 2016


List of Figures (56 Figures)

Figure 1 Research Design: Healthcare BPO Market
Figure 2 Healthcare BPO Market Size Estimation
Figure 3 Breakdown of Primary Interviews: By Company Type, Designation, and Region
Figure 4 Data Triangulation Methodology
Figure 5 Healthcare BPO Market Size, By Type, 2016 vs 2021 (USD Billion)
Figure 6 Healthcare Provider Services Market, By Type, 2016 vs 2021 (USD Billion)
Figure 7 Claims Management Services Market Size, By Application, 2016 vs 2021 (USD Billion)
Figure 8 Pharmaceutical Services Market Size, By Type, 2016 vs 2021 (USD Billion)
Figure 9 Healthcare BPO Market, By Region, 2016 (USD Billion)
Figure 10 Rising Focus on Core Competencies is Driving the Growth of the Healthcare BPO Market
Figure 11 Pharmaceutical Services Outsourcing Segment to Account for the Largest Share in 2016
Figure 12 The U.S. Will Be the Fastest-Growing Market From 2016 to 2021
Figure 13 Pharmaceutical Services to Account for the Largest Share of Healthcare BPO From 2016 to 2021
Figure 14 Manufacturing Services to Dominate the Pharmaceutical Services Market in 2016
Figure 15 Healthcare BPO: Market Segmentation
Figure 16 Global Healthcare BPO Market: Drivers, Restraints, Opportunities, and Challenges
Figure 17 Medical Billing Segment to Dominate the Healthcare Provider Outsourcing Market During the Forecast Period (2016–2021)
Figure 18 U.S. to Account for the Highest Share of the Medical Billing Outsourcing Market During 2016-2021
Figure 19 India, the Most Preferred Destination for Outsourcing Medical Billing, 2016-2021
Figure 20 U.S. to Witness Highest Growth in the Medical Coding Outsourcing Market From 2016 to 2021
Figure 21 India is Expected to Account for Nearly Half the Outsourcing Market for Medical Transcription During the Forecast Period 2016-2021
Figure 22 Claims Management Services Segment to Dominate the Market During 2016–2021
Figure 23 India to Be the Most-Preferred Destination for Payer Outsourcing During the Forecast Period (2016–2021)
Figure 24 U.S. to Account for More Than Half of the Claims Management Outsourcing Market, By Source Geography, 2016
Figure 25 India is Expected to Be the Most-Preferred Destination for Claims Settlement Outsourcing During the Forecast Period (2016-2021)
Figure 26 U.S. to Witness Highest Growth in the Claims Investigation Outsourcing Market During the Forecast Period (2016-2021)
Figure 27 U.S. to Register Highest Growth Rate During the Forecast Period
Figure 28 U.S. to Witness Highest Growth in the Provider Management Outsourcing Market During the Forecast Period (2016-2021)
Figure 29 India to Account for the Largest Share of the Market for Analytics and Fraud Management Outsourcing, By Destination Geography
Figure 30 Manufacturing Services Segment to Dominate the Global Pharmaceutical Services Outsourcing Market During the Forecast Period (2016–2021)
Figure 31 The U.S. Source Segment Accounts for the Largest Share of the R&D Outsourcing Market in 2016
Figure 32 India is Expected to Be the Most Preferred Destination for Outsourcing Manufacturing Services During the Forecast Period
Figure 33 Sales & Marketing Services Segment to Dominate the Non-Clinical Services Outsourcing Market During the Forecast Period (2016–2021)
Figure 34 Analytics Segment to Dominate the Sales and Marketing Outsourcing Market During the Forecast Period (2016–2021)
Figure 35 India Expected to Be the Most Preferred Destination for Outsourcing Sales & Marketing Services During the Forecast Period (2016–2021)
Figure 36 U.S. to Witness Highest Growth in Analytics Outsourcing Services During the Forecast Period (2016–2021)
Figure 37 U.S. to Account for Nearly Half of the Healthcare BPO Market in 2016
Figure 38 The Medical Billing Outsourcing Segment Will Dominate the U.S. Provider Market During the Forecast Period (2016–2021)
Figure 39 Analytics Segment to Witness Highest Growth in the U.S. Sales & Marketing Services Outsourcing Market During the Forecast Period (2016–2021)
Figure 40 Claims Adjudication Segment to Witness Highest Growth in the European Claims Management Services Outsourcing Market During the Forecast Period (2016–2021)
Figure 41 Manufacturing to Contribute More Than Half the European Pharmaceutical Services Outsourcing Market During the Forecast Period (2016–2021)
Figure 42 Claims Management to Account for Nearly Half the Payer Services Outsourcing Market in the Rest of the World Region During the Forecast Period (2016–2021)
Figure 43 Sales & Marketing to Witness Highest Growth in the Non-Clinical Services Outsourcing Market in the Rest of the World Region During the Forecast Period (2016–2021)
Figure 44 Companies Adopted Agreements, Partnerships, Collaborations, and Contracts as Their Key Growth Strategy Between 2013–2016
Figure 45 Battle for Market Share: Agreement, Partnerships, Collaborations and Contracts—Key Growth Strategies Adopted By Players in the Healthcare BPO Market
Figure 46 Geographic Revenue Mix of the Top Five Market Players
Figure 47 Company Snapshot: Cognizant Technology Solutions Corporation
Figure 48 Company Snapshot: Infosys BPO Limited
Figure 49 Company Snapshot: Accenture PLC
Figure 50 Company Snapshot: Xerox Corporation
Figure 51 Company Snapshot: Tata Consultancy Services Ltd.
Figure 52 Company Snapshot: Accretive Health, Inc.
Figure 53 Company Snapshot: Genpact Limited
Figure 54 Company Snapshot: IBM Corporation
Figure 55 Company Snapshot: Quintiles Transnational Holdings, Inc.
Figure 56 Company Snapshot: Lonza Group Ltd.

The healthcare BPO market is projected to reach USD 276.79 Billion by 2021 from USD 170.47 Billion in 2016, growing at a CAGR of 10.2% during the forecast period (2016–2021).

The pressure to reduce healthcare delivery costs, consolidation of healthcare systems, enactment of PPACA, stringent regulatory requirements, and complex clinical trial protocols are the major drivers for the healthcare BPO market. Mandatory implementation of ICD-10 codes in the U.S. and several pharmaceutical companies facing patent cliffs are expected to further drive the growth of the healthcare BPO market. However, fear of losing control over the outsourced process and doubts over service quality will restrain the growth of healthcare BPO market.

The healthcare BPO market is broadly segmented on the type of healthcare services outsourced into provider services, payer services, and pharmaceutical services. The provider services segment is further segmented into medical billing, medical coding, medical transcription, and finance and accounts. The medical billing subsegment is expected to account for the largest share of the provider services segment in 2016.

On the basis of payer services, the healthcare BPO market is categorized into claims management, front-end/back-office operations, member management, provider management, finance and accounts, analytics and fraud management, and HR services. The claims management segment is expected to account for the largest share of the healthcare BPO market in 2016. Factors such as enactment of PPACA and pressure to make healthcare more affordable are driving the growth of this segment.

The pharmaceutical segment of the healthcare BPO market is segmented into R&D, manufacturing, and non-clinical services. The manufacturing segment is estimated to account for the largest share in 2016. The non-clinical services segment is further classified into SCM and logistics, sales and marketing, and other non-clinical services. The sales and marketing subsegment is estimated to account for the largest share in 2016.

The U.S. is expected to account for the largest share of the healthcare BPO market in 2016. It is the prime source for the outsourcing of healthcare services due to the mandatory implementation of ICD-10 codes and enactment of PPACA. Europe is the second-largest source for outsourcing healthcare services; the growth of this regional market is driven by the need to minimize healthcare delivery costs.

Major players in the healthcare BPO market include Accenture PLC (U.S.), Cognizant Technology Solutions Corporation (U.S.), Infosys BPO Ltd. (India), Tata Consultancy Services Ltd. (India), and Xerox Corporation (U.S.).

Healthcare BPO Market

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