United States Healthcare BPO Market 2019-2024: Growth Analysis & Key Influencers - ResearchAndMarkets.com
The "United States Healthcare BPO Market 2019-2024: Growth Analysis & Key Influencers" report has been added to ResearchAndMarkets.com's offering.
The "United
States Healthcare BPO Market 2019-2024: Growth Analysis & Key
Influencers" report has been added to ResearchAndMarkets.com's
offering.
The United States Healthcare BPO Market was valued at USD 109.84 billion
in 2018, and it is expected to reach USD 174.59 million by 2024, with an
anticipated CAGR of 8.11% during the forecast period, 2019-2024.
According to the US federal government reports, around USD 3.65 trillion
was spent on healthcare in 2018, which means that the spending was
around USD 11,212 per person, with 59% of the spending was on hospitals,
clinical services, and doctors.
The National healthcare expenditure (NHE) grew by 4.4% when compared to
2017. As per National Health Expenditure Projections 2018-2027, the
projected growth of the national health spending is around the average
rate of 5.5% per year for 2018-27, which is anticipated to reach nearly
USD 6 trillion by 2027.
The health share of GDP is expected to increase from 17.9% in 2017 to
19.4% by 2027. The healthcare spending by the payer is expected to rise
with faster growth rates, for example, Medicare spending growth was
projected to have an accelerated growth to 5.9% in 2018, from 4.2%, and
Medicaid spending was witnessing growth more slowly in 2018, at 2.2%
from 2.9% in 2017.
A similar trend has been observed in National Health Expenditures by
Sector, prescription drug spending is projected to have grown 3.3%,
hospital spending is projected to have grown 4.4%, and physician and
clinical services spending is projected to have grown more rapidly at
4.9%, in 2018.
With increasing healthcare costs, people seem to be skipping physician
visits, skipping medical care or delaying care ultimately impacts the
quality of care and lead to an increased cost of care. The main function
of healthcare is diagnosing and treating patients, which are achieved by
healthcare organizations by focusing on is increasing staff efficiency
and delivering proper patient care.
There is a need to balance the number of non-care responsibilities a
staff member can handle in a healthcare organization, in order to
improve quality patient care and in turn, the overall cost of the
revisits and re-treatment can be controlled. This can be achieved by
proper implementation of the outsourcing for non-core activities, the
Healthcare BPO can lower the costs through outsourcing the professionals
on behalf of the healthcare company. The money can be saved on both
acquiring additional staff and training them.
Similarly, outsourcing can provide access to specialists, which enhances
the availability of skilled healthcare professionals. Their expertise
and experience can complete a complex task in a short period of time and
save a lot of labor costs.
With increasing regulatory compliance and rise in healthcare costs,
healthcare BPO will witness exponential growth, due to more healthcare
facilities and hospitals outsourcing non-core activities for better
operational benefits, such as improved patient care, predictable cash
flow, and increased net revenue.
Claims Management is Expected to Grow with High CAGR in the
Forecasted Period
The United States healthcare system is a trillion-dollar industry, which
includes pharmacies, pharmaceutical companies, medical equipment
manufacturers, and medical care facilities. This complex infrastructure
in this industry relies on a specialized professional who is overseeing
these operations. One such process is a medical claim. The claim process
is summarized as a dual interaction between two of the largest and the
important parts of the healthcare system, namely healthcare providers
and medical insurance companies.
The relationship between policyholders, healthcare providers, and
insurance companies is essential for understanding the details of
medical billing and coding process. Medical claims management is the
organization, billing, filling and updating, and processing of the
medical claims, related to the patient diagnosis, treatments, and
medications. Many hospitals and medical facilities outsource these tasks
to medical claims management firms as maintaining patient records,
interacting with health insurance agencies, and issuing invoices for
medical services is a time consuming process.
Medical claims management services process electronic and hard-copy data
to determine what the patients owe and what costs insurance companies
cover. These services process billing and send invoices to patients and
insurance agencies to ensure patients have paid their respective
portions of the expenses. In some cases, Medicare, Medicaid, and state
sponsored agencies also pay some of the medical expenses. Claims
management market will augment in the forecast period, as they are
essential part of the healthcare industry in the United States.
Competitive Landscape
The United States Healthcare BPO market is competitive and consists of a
major players and minor players. In terms of market share, these major
players currently dominate the market. Some of the major players of the
market are Accenture plc, Genpact Limited, IBM Corporation, Parexel
International, and Cognizant are among others.
Key Topics Covered
1 INTRODUCTION
1.1 Study Deliverables
1.2 Study Assumptions
1.3 Scope of the Study
2 RESEARCH METHODOLOGY
3 EXECUTIVE SUMMARY
4 MARKET DYNAMICS
4.1 Market Overview
4.2 Market Drivers
4.2.1 Need to Reduce Rising Healthcare Costs
4.2.2 Introduction of Medicare Access and Chip Reauthorization Act of
2015 (Macra) and American Recovery And Reinvestment Act of 2009
4.2.3 Increasing R&D in the Healthcare Industry
4.3 Market Restraints
4.3.1 Data Integrity and Confidentiality
4.4 Porter's Five Force Analysis
5 MARKET SEGMENTATION
5.1 By Payer Service
5.1.1 Human Resource Management
5.1.2 Claims Management
5.1.3 Customer Relationship Management (CRM)
5.1.4 Operational/Administrative Management
5.1.5 Care Management
5.1.6 Provider Management
5.1.7 Other Payer Services
5.2 By Provider Service
5.2.1 Patient Enrollment and Strategic Planning
5.2.2 Patient Care Service
5.2.3 Revenue Cycle Management
5.3 By Pharmaceutical Service
5.3.1 Research and Development
5.3.2 Manufacturing
5.3.3 Non-clinical Services
5.3.3.1 Supply Chain Management and Logistics
5.3.3.2 Sales and Marketing Services
5.3.3.3 Other Non-clinical Services
5.4 By End User
5.4.1 Biotechnology and Pharmaceutical Companies
5.4.2 Academic and Government Research Institutes
5.4.3 Others
6 COMPETITIVE LANDSCAPE
6.1 Company Profiles
6.1.1 Accenture PLC
6.1.2 Capgemini
6.1.3 Cognizant
6.1.4 GeBBs Healthcare Solutions
6.1.5 Genpact Limited
6.1.6 IBM Corporation
6.1.7 IQVIA
6.1.8 Parexel International
6.1.9 Sutherland Healthcare Solutions
6.1.10 UnitedHealth Group Incorporated
7 MARKET OPPORTUNITIES AND FUTURE TRENDS
For more information about this report visit https://www.researchandmarkets.com/r/2kupd5
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