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Healthcare BPO - Global Market Trajectory & Analytics

  • ID: 4804990
  • Report
  • May 2020
  • Region: Global
  • 397 pages
  • Global Industry Analysts, Inc
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The global market for Healthcare BPO is projected to reach US$371.2 billion by 2025, driven by the growing pressure on hospitals and healthcare organizations to reduce costs and enhance efficiency in all aspects of patient care and revenue cycle management (RCM) to survive in the era of value based care. Under the value-based care payment model where hospitals are paid or reimbursed only based on patient outcomes, healthcare organizations will need to reduce their overall costs by over 25% to 30% by the year 2022 in order to break even. The scenario catalyzes the importance, role and attractiveness of outsourcing. Benefits of outsourcing for hospitals include freeing up of resources to focus on patient care, CAPEX savings on infrastructure and technology, lower cost of operation, cost effective conformance to changes in regulations and standards related to patient data i.e. Health Insurance Portability and Accountability Act (HIPAA), easy access to specialists in the area of back office processing, reduction in billing mistakes which cost the hospitals sector over US$130 billion each year, and ability to offer higher quality of patient care services.

In addition to value based care which is driven by the unsustainable cost of healthcare which currently stands at US$2.8 trillion or conversely 18% of global GDP, other factors are also driving demand for healthcare BPO services. These include rapid advancements in healthcare IT especially analytics that require professional management by third party service providers, increasing use of digital technologies in healthcare, increasing insurance claims, growing healthcare burden of aging population, increasing complexity of treatment, and political and social goals of providing universal healthcare coverage to all by reducing costs and increasing accessibility. Outcome based payments and/or reimbursement exerts pressure on healthcare providers to derive the maximum insights and value from analytics. Also, changing reimbursement models and declining levels of reimbursements are driving hospitals and other healthcare establishments to adopt comprehensive revenue cycle management (RCM) strategies. The burden of fraud and wasteful healthcare expenditure additionally steps up the need for aggressive payment integrity monitoring.

In the United States, the implementation of the tenth revision of the International Classification of Diseases (ICD-10) is bringing in immense administrative cost challenges for hospitals. ICD is used by physicians and healthcare providers to classify and code all diseases, diagnoses, symptoms and procedures and forms the basis for reimbursement arrangements and payouts, patient outcome measurements, clinical, financial and administrative performance measurement, and disease process management. Hospitals are now faced with the challenges of recoding all patient records to the new format, upgrade systems to transition to ICD-10, re-train billing staff, medical transcriptors and physicians. All of these factors create a challenging environment for hospitals to effectively manage and balance their operational cost efficiency and also focus on patience care and quality of healthcare services. Against this backdrop adoption of healthcare BPO services as an antidote to the aforementioned challenges is poised to grow in the coming years.

With cost reduction being the primary reason for outsourcing healthcare related business processes, BPO service providers, not surprisingly, also face intense competitive pressure to remain cost-effective. Cloud BPO is growing popularity for its ability to eliminate infrastructures that support BPO and their associated costs while simultaneously ensuring access to best-of-breed technology, deliver business value & create high-performing engagements with client companies, technology cost reduction and ability to offer competitive service pricing. The cloud allows service providers become a strategic partner to their clients by using even technology as a tool for innovation in addition to just infrastructure. The United States and Europe represent large markets worldwide with a combined share of 67.8%. China ranks as the fastest growing market with a 11.1% CAGR over the analysis period, supported by the country`s growing competitive edge in the outsourcing space as evidenced by developing infrastructure and talent pool. As a preferred location for outsourcing, China remains ahead of India and Singapore.

The global analysis and forecast periods covered within the report are 2020-2027 (Current & Future Analysis) and 2012-2019 (Historic Review). Research estimates are provided for 2020, while research projections cover the period 2021-2027.
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I. INTRODUCTION, METHODOLOGY & REPORT SCOPE

II. EXECUTIVE SUMMARY

1. MARKET OVERVIEW
Impact of Covid-19 and a Looming Global Recession
Outlook
Segment Review
Global Competitor Market Shares
Healthcare BPO Competitor Market Share Scenario Worldwide (in %): 2019
Leading Players in the Global Contract Research Outsourcing Market by Revenue Share (in %): 2019

2. FOCUS ON SELECT PLAYERS
Accenture Plc (Ireland)
Boehringer Ingelheim (Germany)
Catalent Pharma Solutions, Inc. (USA)
Conduent, Inc. (USA)
Covance, Inc. (USA)
Charles River Laboratories International, Inc. (USA)
Cognizant Technology Solutions Corporation (USA)
EXLService Holdings, Inc. (USA)
GeBBS Healthcare Solutions, Inc. (USA)
Genpact Limited (India)
HCL Technologies Limited (India)
Infosys BPM Limited (India)
IQVIA (USA)
Lonza Group AG (Switzerland)
PAREXEL International Corp. (USA)
Syneos Health (USA)
Tata Consultancy Services Limited (India)
Wipro Limited (India)
WNS Global Services Ltd. (India)

3. MARKET TRENDS & DRIVERS
Increasing Healthcare Costs to Drive Inclination towards BPO Services
Global Cost of Chronic Diseases (In US$ Billion) for the Years 2018 and 2030
Aging Population Burdens an Already Strained Healthcare System: Global Population Statistics for the 65+ Age Group in Million by Geographic Region for the Years 2019, 2025, 2035 and 2050
Per Capita Healthcare Expenditure (in $) by Select Countries for 2018
Regulatory Challenges Inflate the Demand for Healthcare BPO
ICD-10 Coding Standards and Impending Adoption of ICD-11 Standards: Potential for BPO Providers
With Many Benefits of Cloud Computing, “The Cloud” Comes With a Silver Lining for BPO Service Providers Struggling to Remain Cost Competitive in the Era of Value Based Care
Inherent Advantages of Cloud Computing Make “The Cloud” a Game Changer in the Healthcare BPO Industry: Benefits of Cloud Measured in % Efficiency Improvements & Cost Reduction
Revenue Cycle Management Outsourcing Maximize Revenue Collection Operations
Global Market for Revenue Cycle Management: Revenues in US$ Billion for the Years 2018, 2020, 2022 and 2024
Reimbursement Changes Amplify Demand
Rise in Healthcare Industry Consolidation Boosts Growth Opportunities
Select M&A Deals Involving Large Healthcare Firms
Healthcare BPO Market for Pharma Sector
Global Pharmaceutical R&D Spending (US$ Billion) for the Years 2010 through 2020
Patent Cliffs in Pharma Industry Drive Dependence on BPO Providers
Major Pharma Drugs Losing Patents in 2019
Healthcare Analytics Services Address the Challenge of High Data Volumes
Industry Witnesses a Surge in Near Shore Outsourcing

4. GLOBAL MARKET PERSPECTIVE
TABLE 1: Healthcare BPO Global Market Estimates and Forecasts in US$ Million by Region/Country: 2020-2027
TABLE 2: Healthcare BPO Global Retrospective Market Scenario in US$ Million by Region/Country: 2012-2019
TABLE 3: Healthcare BPO Market Share Shift across Key Geographies Worldwide: 2012 VS 2020 VS 2027
TABLE 4: Provider Service (Type) World Market by Region/Country in US$ Million: 2020 to 2027
TABLE 5: Provider Service (Type) Historic Market Analysis by Region/Country in US$ Million: 2012 to 2019
TABLE 6: Provider Service (Type) Market Share Breakdown of Worldwide Sales by Region/Country: 2012 VS 2020 VS 2027
TABLE 7: Payer Service (Type) Potential Growth Markets Worldwide in US$ Million: 2020 to 2027
TABLE 8: Payer Service (Type) Historic Market Perspective by Region/Country in US$ Million: 2012 to 2019
TABLE 9: Payer Service (Type) Market Sales Breakdown by Region/Country in Percentage: 2012 VS 2020 VS 2027
TABLE 10: Pharmaceutical Service (Type) Geographic Market Spread Worldwide in US$ Million: 2020 to 2027
TABLE 11: Pharmaceutical Service (Type) Region Wise Breakdown of Global Historic Demand in US$ Million: 2012 to 2019
TABLE 12: Pharmaceutical Service (Type) Market Share Distribution in Percentage by Region/Country: 2012 VS 2020 VS 2027

III. MARKET ANALYSIS

GEOGRAPHIC MARKET ANALYSIS

UNITED STATES
Rise in Healthcare Costs Trigger the Need for Healthcare BPO Services
Changing Regulations in the US: Implications for the Payer BPO Market
Rising Healthcare Costs Drive Healthcare Reforms in the US: Per Capita Healthcare Expenditure (in $) for the Period 2014-2019
Health Coverage in the US: Percentage Breakdown of Number of Americans Covered by Source of Health Coverage for the Years 2018 and 2028
Healthcare Reforms Lead to Reduced Uninsured Population: Percentage of Uninsured Population for the Period 2008, 2010, 2012, 2014, 2016 and 2018
Number of Medicare ACOs in the US for the Years 2012 through 2018
Market Analytics
TABLE 13: United States Healthcare BPO Market Estimates and Projections in US$ Million by Type: 2020 to 2027
TABLE 14: Healthcare BPO Market in the United States by Type: A Historic Review in US$ Million for 2012-2019
TABLE 15: United States Healthcare BPO Market Share Breakdown by Type: 2012 VS 2020 VS 2027
CANADA
TABLE 16: Canadian Healthcare BPO Market Estimates and Forecasts in US$ Million by Type: 2020 to 2027
TABLE 17: Canadian Healthcare BPO Historic Market Review by Type in US$ Million: 2012-2019
TABLE 18: Healthcare BPO Market in Canada: Percentage Share Breakdown of Sales by Type for 2012, 2020, and 2027
JAPAN
TABLE 19: Japanese Market for Healthcare BPO: Annual Sales Estimates and Projections in US$ Million by Type for the Period 2020-2027
TABLE 20: Healthcare BPO Market in Japan: Historic Sales Analysis in US$ Million by Type for the Period 2012-2019
TABLE 21: Japanese Healthcare BPO Market Share Analysis by Type: 2012 VS 2020 VS 2027
CHINA
Chinese Healthcare Industry on a Growth Trajectory
Market Analytics
TABLE 22: Chinese Healthcare BPO Market Growth Prospects in US$ Million by Type for the Period 2020-2027
TABLE 23: Healthcare BPO Historic Market Analysis in China in US$ Million by Type: 2012-2019
TABLE 24: Chinese Healthcare BPO Market by Type: Percentage Breakdown of Sales for 2012, 2020, and 2027
EUROPE
TABLE 25: European Healthcare BPO Market Demand Scenario in US$ Million by Region/Country: 2020-2027
TABLE 26: Healthcare BPO Market in Europe: A Historic Market Perspective in US$ Million by Region/Country for the Period 2012-2019
TABLE 27: European Healthcare BPO Market Share Shift by Region/Country: 2012 VS 2020 VS 2027
TABLE 28: European Healthcare BPO Market Estimates and Forecasts in US$ Million by Type: 2020-2027
TABLE 29: Healthcare BPO Market in Europe in US$ Million by Type: A Historic Review for the Period 2012-2019
TABLE 30: European Healthcare BPO Market Share Breakdown by Type: 2012 VS 2020 VS 2027
FRANCE
TABLE 31: Healthcare BPO Market in France by Type: Estimates and Projections in US$ Million for the Period 2020-2027
TABLE 32: French Healthcare BPO Historic Market Scenario in US$ Million by Type: 2012-2019
TABLE 33: French Healthcare BPO Market Share Analysis by Type: 2012 VS 2020 VS 2027
GERMANY
TABLE 34: Healthcare BPO Market in Germany: Recent Past, Current and Future Analysis in US$ Million by Type for the Period 2020-2027
TABLE 35: German Healthcare BPO Historic Market Analysis in US$ Million by Type: 2012-2019
TABLE 36: German Healthcare BPO Market Share Breakdown by Type: 2012 VS 2020 VS 2027
ITALY
TABLE 37: Italian Healthcare BPO Market Growth Prospects in US$ Million by Type for the Period 2020-2027
TABLE 38: Healthcare BPO Historic Market Analysis in Italy in US$ Million by Type: 2012-2019
TABLE 39: Italian Healthcare BPO Market by Type: Percentage Breakdown of Sales for 2012, 2020, and 2027
UNITED KINGDOM
TABLE 40: United Kingdom Market for Healthcare BPO: Annual Sales Estimates and Projections in US$ Million by Type for the Period 2020-2027
TABLE 41: Healthcare BPO Market in the United Kingdom: Historic Sales Analysis in US$ Million by Type for the Period 2012-2019
TABLE 42: United Kingdom Healthcare BPO Market Share Analysis by Type: 2012 VS 2020 VS 2027
REST OF EUROPE
TABLE 43: Rest of Europe Healthcare BPO Market Estimates and Forecasts in US$ Million by Type: 2020-2027
TABLE 44: Healthcare BPO Market in Rest of Europe in US$ Million by Type: A Historic Review for the Period 2012-2019
TABLE 45: Rest of Europe Healthcare BPO Market Share Breakdown by Type: 2012 VS 2020 VS 2027
ASIA-PACIFIC
Indian BPO Industry Revolutionizes Healthcare Sector
Market Analytics
TABLE 46: Healthcare BPO Market in Asia-Pacific by Type: Estimates and Projections in US$ Million for the Period 2020-2027
TABLE 47: Asia-Pacific Healthcare BPO Historic Market Scenario in US$ Million by Type: 2012-2019
TABLE 48: Asia-Pacific Healthcare BPO Market Share Analysis by Type: 2012 VS 2020 VS 2027
REST OF WORLD
TABLE 49: Rest of World Healthcare BPO Market Estimates and Forecasts in US$ Million by Type: 2020 to 2027
TABLE 50: Rest of World Healthcare BPO Historic Market Review by Type in US$ Million: 2012-2019
TABLE 51: Healthcare BPO Market in Rest of World: Percentage Share Breakdown of Sales by Type for 2012, 2020, and 2027

IV. COMPETITION
Total Companies Profiled: 58
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