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U.S. Healthcare Outsourcing Market - Forecast (2020 - 2025)

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  • 120 Pages
  • March 2020
  • Region: United States
  • IndustryARC
  • ID: 5021559
U.S. Healthcare Outsourcing Market Overview

The U.S. healthcare outsourcing market was valued at $52.9 billion in 2020 and is forecast to reach $66.3 billion by 2025, growing at a CAGR of 3.8% from 2020 to 2025. Many new multi-specialty hospital chains have come up with services related to care management, healthcare plan development, channel management, and risk assessment, which are in high demand. Also, the need for structured processes and better medical record management are driving the U.S. healthcare outsourcing market.

U.S. Healthcare Outsourcing Market Outlook

Healthcare outsourcing includes member enrollment, physician enrollment, medical billing, patient monitoring, staffing, medical coding, patient safety, medical transcripts, physician practice management, finance and accounts, supply chain management, improved process tracking and reporting, pricing maintenance and configuration, and hospitality. Outsourcing allows hospitals to focus on their core task of providing proficient healthcare services and facilities. Outsourcing is also helpful in improving the financial results by reducing administrative costs and increasing revenues, efficiency, competency, and service quality. In hospitals, most of the activities require specialized skills or significant infrastructure.

U.S. Healthcare Outsourcing Market Growth Drivers

The U.S. healthcare industry’s effort to reduce costs without compromising on quality of services is the major factor for the outsourcing of healthcare and medical services to other countries. The stringent regulations imposed by the Health Insurance Portability and Accountability Act (HIPAA) of 1996 towards the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers has boosted the market growth. The standards and regulations are mandatory and require infrastructure which hospitals lack, thus making outsourcing inevitable, and driving the growth of the U.S. healthcare outsourcing market. The rapid developments in the market and entry of global players into the market have resulted in significant partnerships, mergers & acquisitions, and joint ventures in the market. Moreover, the medical service vendors are largely involved in making strategic partnerships with hospitals to provide outsourcing solutions.

U.S. Healthcare Outsourcing Market Challenges

The U.S. healthcare outsourcing market is fragmented with very few hospital chains having the scale to turn to outsourcing. Specialist hospital management companies have to compete with BPO, leading to increased competition. Another challenge is the lack of adequate infrastructure for pre-clinical studies and IPR protection apprehensions while outsourcing. Unavailability of skilled labor for medical imaging or similar services is also proving to be a big constraint for the U.S. healthcare outsourcing market.

U.S. Healthcare Outsourcing Market Research Scope

The base year of the study is 2016, with forecast done up to 2025. The study presents a thorough analysis of the competitive landscape, taking into account the market shares of the leading companies. It also provides information on outsourcing services. It provides the key market participants with the necessary business intelligence and help them understand the future of the services in the U.S. healthcare outsourcing market. The assessment includes the forecast, an overview of the competitive structure, the market shares of the competitors, as well as the market trends, market demands, market drivers, market challenges, and product analysis. The market drivers and restraints have been assessed to fathom their impact over the forecast period. This report further identifies the key opportunities for growth while also detailing the key challenges and possible threats. The key areas of focus include the types of services and technologies in the U.S. healthcare outsourcing market.

U.S. Healthcare Outsourcing Market Report: Industry Coverage

Types of services in U.S. Healthcare Outsourcing Market: Payer Outsourcing, Healthcare Operations Outsourcing, Healthcare Provider, Pharma Outsourcing (Clinical), Pharma Outsourcing (Non-Clinical), Pathology and Lab Outsourcing.

Technologies in U.S. Healthcare Outsourcing Market: Monoclonal Antibodies Technology, Recombinant DNA Technology, Chromatography, Nuclear Magnetic Resonance Technology, Electrophoresis, Mass Spectrometry, Western Blotting, and Bioassay.

U.S. Healthcare Outsourcing Market Key Players Perspective

Some of the key players mentioned in the report are Parexel International Corporation, McKesson Corporation, Iqvia (Quintiles, Inc.), Axiom Bpm Services Pvt. Ltd. and Infinit Healthcare

U.S. Healthcare Outsourcing Market Trends

The rapid entry of global players into the market have resulted in significant growth strategies including partnerships, mergers & acquisitions, and joint ventures in the market.

In May 2020, GeBBS Healthcare Solutions formed a strategic partnership with Prospect Medical Holdings, Inc., a U.S. based healthcare service provider, to provide outsourcing solutions to help improve medical coding productivity and profitability. Also, GeBBS signed a partnership with Bioscrip, Inc. (U.S.) to provide its Revenue Cycle Management (RCM) solutions and help Bioscrip enhance its overall business operations.

In June 2020, McKesson Corporation acquired intraFUSION, a U.S. based healthcare management company that offers management services for physician offices. The acquisition helps the parent company to strengthen its core business of physician practice management outsource services in the U.S.

Table of Contents

1. U.S. Healthcare Outsourcing Market - Overview
1.1. Definitions and Scope
2. U.S. Healthcare Outsourcing Market - Executive summary
2.1. Market Revenue, Market Size and Key Trends by Company
2.2. Key Trends by type of Application
2.3. Key Trends segmented by Geography
3. U.S. Healthcare Outsourcing Market
3.1. Comparative analysis
3.1.1. Product Benchmarking - Top 10 companies
3.1.2. Top 5 Financials Analysis
3.1.3. Market Value split by Top 10 companies
3.1.4. Patent Analysis - Top 10 companies
3.1.5. Pricing Analysis
4. U.S. Healthcare Outsourcing Market – Startup companies Scenario Premium
4.1. Top 10 startup company Analysis by
4.1.1. Investment
4.1.2. Revenue
4.1.3. Market Shares
4.1.4. Market Size and Application Analysis
4.1.5. Venture Capital and Funding Scenario
5. U.S. Healthcare Outsourcing Market – Industry Market Entry Scenario Premium
5.1. Regulatory Framework Overview
5.2. New Business and Ease of Doing business index
5.3. Case studies of successful ventures
5.4. Customer Analysis – Top 10 companies
6. U.S. Healthcare Outsourcing Market Forces
6.1. Drivers
6.2. Constraints
6.3. Challenges
6.4. Porters five force model
6.4.1. Bargaining power of suppliers
6.4.2. Bargaining powers of customers
6.4.3. Threat of new entrants
6.4.4. Rivalry among existing players
6.4.5. Threat of substitutes
7. U.S. Healthcare Outsourcing Market -Strategic analysis
7.1. Value chain analysis
7.2. Opportunities analysis
7.3. Product life cycle
7.4. Suppliers and distributors Market Share
8. U.S. Healthcare Outsourcing Market – By Type of Service (Market Size -$Million / $Billion)
8.1. Market Size and Market Share Analysis
8.2. Application Revenue and Trend Research
8.3. Product Segment Analysis
8.3.1. Payer Outsourcing Claims Processing Claims adjudication
8.3.2. Healthcare Operations Outsourcing Recombinant Peptides Others Mailroom services HR Services Customer Care Services Others
8.3.3. Healthcare Provider Member Enrolment Physician Enrolment Medical Billing Medical Coding Medical Transcription Finance & Accounts Others
8.3.4. Pharma Outsourcing (Clinical) Drug Discovery and Development Pre-Clinical Testing Clinical Trial Analytical Testing API Development Formulation & Packaging Others
8.3.5. Pharma Outsourcing (Non-Clinical) SCM & Logistics Sales & Marketing Others
8.3.6. Pathology and Lab Outsourcing Records Maintenance Quality Control Service SCM & Logistics Others
9. U.S. Healthcare Outsourcing Market – By Technology (Market Size -$Million / $Billion)
9.1. Introduction
9.2. Monoclonal Antibodies Technology
9.3. Recombinant DNA Technology
9.4. Chromatography
9.5. Nuclear Magnetic Resonance Technology
9.6. Electrophoresis
9.9. Mass Spectrometry
9.8. Western Blotting
9.9. Bioassay
10. U.S. Healthcare Outsourcing - By Geography (Market Size -$Million / $Billion)
10.1. U.S. Healthcare Outsourcing Market - North America Segment Research
10.2. North America Market Research (Million / $Billion)
10.2.1. Segment type Size and Market Size Analysis
10.2.2. Revenue and Trends
10.2.3. Application Revenue and Trends by type of Application
10.2.4. Company Revenue and Product Analysis
11. U.S. Healthcare Outsourcing Market - Entropy
11.1. New product launches
11.2. M&A's, collaborations, JVs and partnerships
12. U.S. Healthcare Outsourcing Market – Industry / Segment Competition landscape Premium
12.1. Market Share Analysis
12.1.1. Market Share by Country- Top companies
12.1.2. Market Share by Region- Top 10 companies
12.1.3. Market Share by type of Application – Top 10 companies
12.1.4. Market Share by type of Product / Product category- Top 10 companies
12.1.5. Market Share at global level- Top 10 companies
12.1.6. Best Practises for companies
13. U.S. Healthcare Outsourcing Market – Key Company List by Country Premium
14. U.S. Healthcare Outsourcing Market Company Analysis
14.1. Market Share, Company Revenue, Products, M&A, Developments
14.2. Parexel International Corporation
14.3. McKesson Corporation
14.4. Axiom Bpm Services Pvt. Ltd.
14.5. Infinit Healthcare
15. U.S. Healthcare Outsourcing Market -Appendix
15.1. Abbreviations
15.2. Sources
16. U.S. Healthcare Outsourcing Market -Methodology Premium
16.1. Research Methodology
16.1.1. Company Expert Interviews
16.1.2. Industry Databases
16.1.3. Associations
16.1.4. Company News
16.1.5. Company Annual Reports
16.1.6. Application Trends
16.1.7. New Products and Product database
16.1.8. Company Transcripts
16.1.9. R&D Trends
16.1.10. Key Opinion Leaders Interviews
16.1.11. Supply and Demand Trends