Global Healthcare BPO Market (2020 to 2025) - Growth, Trends, and Forecasts - ResearchAndMarkets.com

Most hospitals are presently dependent on third-party providers for denial management service, as they lack the expert knowledge and time to manage the reimbursement process.

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Business Wire, Inc.Business Wire, Inc.
Retrieved on: 
Wednesday, July 8, 2020
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Professional services, Consulting, Healthcare in the United States, Health insurance in the United States, Medical billing, Revenue Cycle Management
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Summary
Key Points: 
  • Most hospitals are presently dependent on third-party providers for denial management service, as they lack the expert knowledge and time to manage the reimbursement process.
  • Most common billing errors include failure to verify insurance, filing an incomplete claim, coding errors, lack of specificity, and missing filing deadlines.
  • Most of the care providers are presently addressing the challenge, by working with third-party medical billing professionals who are expert in the overall revenue cycle management.
  • Currently, North America dominates the market for healthcare BPO and is expected to continue its stronghold for a few more years.


The "Healthcare BPO Market - Growth, Trends, and Forecasts (2020 - 2025)" report has been added to ResearchAndMarkets.com's offering.

The healthcare BPO market is expected to register a CAGR of 8%, over the forecast period. Factors that are responsible for the growth of the market include rapid increase in clinical process outsourcing (CPO), implementation of PPACA compelled healthcare player to move toward outsourcing, and fewer errors in several non-critical functions, like finance and accounting, customer care services, etc.

Another major driving factor is the rise of near shore outsourcing destinations and access to technology. As near shoring gives companies the advantage of similarity in culture, time zone, and languages, and helps them deliver better-quality services, the companies have started outsourcing their business processes to BPO service providers in the same region. Companies have also started focusing on protecting their outsourced businesses and minimizing the socio-economic risks, through similar currency and regulation systems, which may boost the growth of near shore outsourcing destinations and access to technology.

Companies Mentioned

  • Accenture
  • Eli Global
  • Gebbs
  • Genpact
  • IBM
  • Parexel
  • IQVIA
  • Sutherland
  • Truven Health
  • United Health Group

Key Market Trends

Revenue Cycle Management is Expected to Grow Faster in the Provider Services Segment

The growth of the revenue cycle management (RCM) market is attributed to an increase in government initiatives, to boost the adoption of RCM solutions, increasing revenue loss due to billing errors, and increasing adoption of EHR/EMR. Most hospitals are presently dependent on third-party providers for denial management service, as they lack the expert knowledge and time to manage the reimbursement process. Most common billing errors include failure to verify insurance, filing an incomplete claim, coding errors, lack of specificity, and missing filing deadlines.

Most of the care providers are presently addressing the challenge, by working with third-party medical billing professionals who are expert in the overall revenue cycle management. Hence, it can be concluded that the revenue loss to hospitals, due to billing errors, can be prevented by specialty revenue cycle management service providers. Thereby, this factor is expected to drive the market studied over the forecast period.

North America Dominates the Market and is Expected to do Same during the Forecast Period

Currently, North America dominates the market for healthcare BPO and is expected to continue its stronghold for a few more years. In the North America region, the United States holds the largest market share. This can be majorly attributed to the presence of strong reimbursement framework, high public and private healthcare expenditure, and a high percentage of claim records. There are some of the factors driving the growth of the market, in the region.

Key Topics Covered:

1 INTRODUCTION

2 RESEARCH METHODOLOGY

3 EXECUTIVE SUMMARY

4 MARKET DYNAMICS

4.1 Market Overview

4.2 Market Drivers

4.2.1 Rise of Nearshore Outsourcing Destinations and Access to Technology

4.2.2 Rapid Increase in Clinical Process Outsourcing (CPO)

4.2.3 Implementation of PPACA Compelled Healthcare Player to Move toward Outsourcing

4.2.4 Fewer Errors in Several Non-critical Functions, like Finance and Accounting, Customer Care Services, etc.

4.3 Market Restraints

4.3.1 Complex Regulations

4.3.2 Hidden Costs of Outsourcing

4.4 Porter's Five Forces Analysis

4.4.1 Threat of New Entrants

4.4.2 Bargaining Power of Buyers/Consumers

4.4.3 Bargaining Power of Suppliers

4.4.4 Threat of Substitute Products

4.4.5 Intensity of Competitive Rivalry

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 Service

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 Geography

5.4.1 North America

5.4.2 Europe

5.4.3 Asia-Pacific

5.4.4 Middle East & Africa

5.4.5 South America

6 COMPETITIVE LANDSCAPE

6.1 Company Profiles

7 MARKET OPPORTUNITIES AND FUTURE TRENDS

For more information about this report visit https://www.researchandmarkets.com/r/tx2hqj

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