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Medical Billing Outsourcing Market Size, Share & Trends Analysis Report By End Use (Hospitals, Physician Offices), By Service (Front-end, Middle-end, Back-end), By Component (Outsourced, In-House), And Segment Forecasts, 2019 - 2026

  • ID: 4761220
  • Report
  • 100 pages
  • Grand View Research
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FEATURED COMPANIES

  • Cerner Corporation
  • eClinicalWorks, LLC
  • GE Healthcare
  • Genpact
  • HCL
  • Kareo, Inc.
  • MORE
The global medical billing outsourcing market size is projected to reach USD 19.7 billion by 2026 expanding at a CAGR of 11.8%, based on this report. Large amount of medical code representation for diagnosis and treatment coupled with the presence of multiple payers renders medical billing an intricate part of any medical practice, posing significant challenges. Currently, the healthcare system is witnessing a subsequent rise in outsourcing of medical billing services by hospitals and physicians due to obligatory implementation of complex ICD-10 coding system, increasing healthcare costs, and federal mandate to implement Electronic Medical Records (EMR) to maintain reimbursement levels.

Furthermore, clinics/physician offices are gradually outsourcing their revenue management to cut unnecessary costs and prevent the burden of managing an administrative team to ensure effective handling of in-house billing functions. In addition, multispecialty medical groups are implementing consolidation requiring EHR integration and building large healthcare networks. This integration creates a need for Revenue Cycle Management (RCM), which, in turn, demands additional expertise and trained personnel to manage the same. Thus, consolidation of large healthcare practices is also expected to be a one of the factors fueling the marketgrowth.

Further key findings from the study suggest:
  • In-house segment accounted for the largest market share in 2018. However, outsourced medical billing is expected to be the largest and fastest-growing segment in future
  • Front-end services led the market in 2018. However, middle-end services segment is expected to register the highest CAGR of 12.4% over the forecast period
  • Hospitals accounted for the largest market share of the medical billing outsourcing market in 2018 and is estimated to maintain the dominance even during the forecast years
  • North America held the largest share of the global market. It is projected to expand further as U.S. has witnessed a change in healthcare system with the implementation of ICD-10 coding and pressure from the government to incorporate EMR management system
  • Some of the key firms in this industry include Accretive Health, Inc.; Allscripts; Cerner Corporation; EClinicalWorks; Experian Information Solutions, Inc.; GE Healthcare; Genpact; HCL; Kareo; McKesson Corporation; Quest Diagnostics; and The SSI Group, LLC

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FEATURED COMPANIES

  • Cerner Corporation
  • eClinicalWorks, LLC
  • GE Healthcare
  • Genpact
  • HCL
  • Kareo, Inc.
  • MORE
Chapter 1 Research Methodology
1.1 Information Procurement
1.2 Data Analysis

Chapter 2 Executive Summary
2.1 Market Outlook
2.2 Segment Outlook
2.3 Competitive Insights

Chapter 3 Medical Billing Outsourcing Market Variables, Trends & Scope
3.1 Market Segmentation & Scope
3.2 Parent Market Outlook
3.3 Market Dynamics
3.3.1 Market driver analysis
3.3.1.1 Growing focus on increasing the profitability and revenue generated by the business
3.3.1.2 Federal mandate to implement digital record keeping by healthcare providers
3.3.1.3 Rapidly changing healthcare regulations
3.3.2 Market restraint analysis
3.3.2.1 High threat of data breaching
3.4 Penetration & Growth Prospect Mapping
3.5 Medical Billing Outsourcing Market - PESTLE Analysis, by Factor (Political & Legal, Economic & Technological)
3.6.1 Political landscape
3.6.2 Environmental landscape
3.6.3 Social landscape
3.6.4 Technology landscape
3.6.5 Legal landscape
3.6 Industry Analysis - Porter’s
3.7.1 Supplier power
3.7.2 Buyer power
3.7.3 Substitution threat
3.7.4 Threat from new entrant
3.7.5 Competitive rivalry
3.7 Major Deals & Strategic Alliances Analysis
3.8 Market Entry Strategies

Chapter 4 Medical Billing Outsourcing Market _ Competitive Analysis
4.1 Company Categorization (Key Innovators, Market Leaders, Emerging Players)
4.2 Company Market Position Analysis/Heat Map Analysis (Geographic presence, service portfolio, key serviceable industries, key alliances)

Chapter 5 Medical Billing Outsourcing Market: Component Estimates & Trend Analysis
5.1 Medical Billing Outsourcing Market: Component Movement Analysis
5.2 Component Market Share Analysis, 2018 & 2026
5.3 In-House
5.3.1 In-house billing market, 2015 - 2026 (USD Million)
5.4 Outsourced
5.4.1 Outsourced billing market, 2015 - 2026 (USD Million)

Chapter 6 Medical Billing Outsourcing Market: Service Estimates & Trend Analysis
6.1 Medical Billing Outsourcing Market: Service Movement Analysis
6.2 Service Share Analysis, 2018 & 2026
6.3 Front End
6.3.1 Front end services market, 2015 - 2026 (USD Million)
6.4 Middle End
6.4.1 Middle end services market, 2015 - 2026 (USD Million)
6.5 Back End
6.5.1 Back end services market, 2015 - 2026 (USD Million)

Chapter 7 Medical Billing Outsourcing Market: End Use Estimates & Trend Analysis
7.1 Medical Billing Outsourcing Market: End Use Movement Analysis
7.2 End Use Market Share Analysis, 2018 & 2026
7.3 Hospitals
7.3.1 Hospital market, 2015 - 2026 (USD Million)
7.4 Physician Offices
7.4.1 Physician offices market, 2015 - 2026 (USD Million)
7.5 Others
7.5.1 Others market, 2015 - 2026 (USD Million)

Chapter 8 Medical Billing Outsourcing Market: Regional Estimates & Trend Analysis, by Component, Service, and End Use
8.1 Medical Billing Outsourcing Market Share, by Region, 2018 & 2026
8.2 Regional Market Share, 2018 & 2026
8.3 List of Regional Leading Players
8.3.1 North America
8.3.2 Europe
8.3.3 Asia Pacific
8.3.4 Latin America
8.3.5 Middle East & Africa
8.4 SWOT Analysis, by Region
8.4.1 North America
8.4.2 Europe
8.4.3 Asia Pacific
8.4.4 Latin America
8.4.5 Middle East & Africa
8.5 North America
8.5.1 North America medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.5.2 U.S.
8.5.2.1 U.S. medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.5.3 Canada
8.5.3.1 Canada medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.6 Europe
8.6.1 Europe medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.6.2 Germany
8.6.2.1 Germany medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.6.3 U.K.
8.6.3.1 U.K. medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.6.4 Spain
8.6.4.1 Spain medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.6.5 France
8.6.5.1 France medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.6.6 Italy
8.6.6.1 Italy medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.7 Asia Pacific
8.7.1 Asia Pacific medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.7.2 Japan
8.7.2.1 Japan medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.7.3 China
8.7.3.1 China medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.7.4 India
8.7.4.1 India medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.8 Latin America
8.8.1 Latin America medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.8.2 Brazil
8.8.2.1 Brazil medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.8.3 Mexico
8.8.3.1 Mexico medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.9 Middle East & Africa
8.9.1 MEA medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.9.2 South Africa
8.9.2.1 South Africa medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)
8.9.3 Saudi Arabia
8.9.3.1 Saudi Arabia. medical billing outsourcing market estimates and forecasts, 2015 - 2026 (USD Million)

Chapter 9 Competitive Landscape
9.1 Company Profiles
9.1.1 Experian Information Solutions, Inc.
9.1.1.1 Company overview
9.1.1.2 Financial performance
9.1.1.3 Product benchmarking
9.1.1.4 Strategic initiatives
9.1.1.5 SWOT analysis
9.1.2 GE Healthcare
9.1.2.1 Company overview
9.1.2.2 Financial performance
9.1.2.3 Product benchmarking
9.1.2.4 Strategic initiatives
9.1.2.5 SWOT analysis
9.1.3 R1 RCM, Inc. (Accretive Health)
9.1.3.1 Company overview
9.1.3.2 Financial performance
9.1.3.3 Product benchmarking
9.1.3.4 Strategic initiatives
9.1.3.5 SWOT analysis
9.1.4 Quest Diagnostics
9.1.4.1 Company overview
9.1.4.2 Financial performance
9.1.4.3 Product benchmarking
9.1.4.4 SWOT analysis
9.1.5 Allscripts Healthcare Solutions, Inc.
9.1.5.1 Company overview
9.1.5.2 Financial performance
9.1.5.3 Product benchmarking
9.1.5.4 Strategic initiatives
9.1.5.5 SWOT analysis
9.1.6 Kareo, Inc.
9.1.6.1 Company overview
9.1.6.2 Financial performance
9.1.6.3 Product benchmarking
9.1.6.4 SWOT analysis
9.1.7 Cerner Corporation
9.1.7.1 Company overview
9.1.7.2 Financial performance
9.1.7.3 Product benchmarking
9.1.7.4 Strategic initiatives
9.1.7.5 SWOT analysis
9.1.8 Mckesson Corporation
9.1.8.1 Company overview
9.1.8.2 Financial performance
9.1.8.3 Product benchmarking
9.1.8.4 Strategic initiatives
9.1.8.5 SWOT analysis
9.1.9 Genpact
9.1.9.1 Company overview
9.1.9.2 Financial performance
9.1.9.3 Product benchmarking
9.1.9.4 SWOT analysis
9.1.10 eClinicalWorks, LLC
9.1.10.1 Company overview
9.1.10.2 Financial performance
9.1.10.3 Product benchmarking
9.1.10.4 SWOT analysis
9.1.11 HCL
9.1.11.1 Company overview
9.1.11.2 Financial performance
9.1.11.3 Product benchmarking
9.1.11.4 SWOT analysis

*Full List of Tables and Figures Available on Enquiry.
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  • Experian Information Solutions, Inc.
  • GE Healthcare
  • R1 RCM, Inc. (Accretive Health)
  • Quest Diagnostics
  • Allscripts Healthcare Solutions, Inc.
  • Kareo, Inc.
  • Cerner Corporation
  • Mckesson Corporation
  • Genpact
  • eClinicalWorks, LLC
  • HCL
Note: Product cover images may vary from those shown
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