Healthcare BPO

World Market Report

MCP12285

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DATE

OCT 2022

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51

PAGES

397

EDITION

7

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USD 4950

CODE

MCP12285


COMPETITIVE METRICS

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Global Healthcare BPO Market to Reach $441.8 Billion by 2026

In the healthcare market, BPO service providers enable payers to streamline their operations, increase overall productivity, and lower operational costs. They can offer services which enable buyers introduce new plans in the market, with low overhead costs. In a conventional healthcare BPO service agreement, a third party partner manages functions such as back office administration, member services and claims adjudication, for private as well as public health insurance payers. Such BPO providers have enabled transformation of the healthcare business model, by aiding in aggregating data, adjudicating claims payments, recognizing opportunities for savings, offering high touch member service and confirming suitable security measures, in a more efficient manner. While traditional services offered by BPOs comprised call centers, member processing, and claims adjudication, new-age BPO providers are re-evolving the service offerings and are creating completely integrated service models that are fully branded by the underwriting insurance company. Some of the innovative offerings of the BPO today include alternate payment services, claims modernization, novel plan design strategy, and analytics.

Amid the COVID-19 crisis, the global market for Healthcare BPO estimated at US$311.7 Billion in the year 2022, is projected to reach a revised size of US$441.8 Billion by 2026, registering a compounded annual growth rate (CAGR) of 9.3% over the analysis period. The United States represents the largest regional market for Healthcare BPO and is projected to reach US$167.7 Billion by 2026. China is expected to spearhead growth and emerge as the fastest growing regional market with a CAGR of 10.6% over the analysis period. The market globally is anticipated to post a significant growth over the short-term owing to the mounting pressure to cut healthcare delivery costs and consolidation of incorporated healthcare systems. The market growth is expected to be propelled by implementation of stringent regulations along with PPACA and clinical trial protocols.

Fueled by these factors, the healthcare BPO market is forecast to reflect an impressive growth rate over the short term. Moreover, patent cliffs faced by various pharmaceutical companies and mandatory enactment of ICD-10 codes within the US are expected to further provide the required impetus to the market. On the other hand, concerns regarding service quality coupled with apprehensions about losing control over outsourcing are likely to remain key inhibitors in the coming years. The rise in number of individuals getting insured is further driving healthcare organizations to outsource certain services to address the demand for effective healthcare management. The consolidation of healthcare providers and growing pressure to minimize healthcare costs is further driving the demand for healthcare outsourcing services.

SELECT PLAYERS

Accenture Plc; Boehringer Ingelheim; Catalent Pharma Solutions, Inc.; Conduent, Inc.; Covance, Inc.; Charles River Laboratories International, Inc.; Cognizant Technology Solutions Corporation; EXLService Holdings, Inc.; GeBBS Healthcare Solutions, Inc.; Genpact Limited; HCL Technologies Limited; Infosys BPM Limited; IQVIA; Lonza Group AG; PAREXEL International Corp.; Syneos Health; Tata Consultancy Services Limited; Wipro Limited; WNS Global Services Ltd.

SEGMENTS

» Type (Provider Service, Payer Service, Pharmaceutical Service)

GEOGRAPHIES

» World » United States » Canada » Japan » China » Europe » France » Germany » Italy » United Kingdom » and Rest of Europe » Asia-Pacific » Rest of World

TABLE OF CONTENTS

1. MARKET OVERVIEW
Influencer Market Insights
Impact of Covid-19 and a Looming Global Recession
Outlook
Segment Review
Healthcare BPO – Global Key Competitors Percentage Market Share in 2022 (E)
Leading Players in the Global Contract Research Outsourcing Market by Revenue Share (in %): 2019
Competitive Market Presence - Strong/Active/Niche/Trivial for Players Worldwide in 2022 (E)
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
TABLE: Global Cost of Chronic Diseases (In US$ Billion) for the Years 2018 and 2030
TABLE: 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
TABLE: Per Capita Healthcare Expenditure (in $) by Select Countries for 2018
Regulatory Challenges Inflate the Demand for Healthcare BPO
ICD-10 Coding Standards and Impending Adoption of ICD-11 Standards: Potential for BPO Providers
With Many Benefits of Cloud Computing, “The Cloud” Comes With a Silver Lining for BPO Service Providers Struggling to Remain Cost Competitive in the Era of Value Based Care
TABLE: Inherent Advantages of Cloud Computing Make “The Cloud” a Game Changer in the Healthcare BPO Industry: Benefits of Cloud Measured in % Efficiency Improvements & Cost Reduction
Revenue Cycle Management Outsourcing Maximize Revenue Collection Operations
TABLE: Global Market for Revenue Cycle Management: Revenues in US$ 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
TABLE: 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
World Recent Past, Current & Future Analysis for Healthcare BPO by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2020 through 2027 and % CAGR
World Historic Review for Healthcare BPO by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
World 15-Year Perspective for Healthcare BPO by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets for Years 2012, 2021 & 2027
World Recent Past, Current & Future Analysis for Provider Service by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2020 through 2027 and % CAGR
World Historic Review for Provider Service by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
World 15-Year Perspective for Provider Service by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2012, 2021 & 2027
World Recent Past, Current & Future Analysis for Payer Service by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2020 through 2027 and % CAGR
World Historic Review for Payer Service by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
World 15-Year Perspective for Payer Service by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2012, 2021 & 2027
World Recent Past, Current & Future Analysis for Pharmaceutical Service by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2020 through 2027 and % CAGR
World Historic Review for Pharmaceutical Service by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
World 15-Year Perspective for Pharmaceutical Service by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2012, 2021 & 2027
UNITED STATES
Healthcare BPO Market Presence - Strong/Active/Niche/Trivial - Key Competitors in the United States for 2022 (E)
Rise in Healthcare Costs Trigger the Need for Healthcare BPO Services
Changing Regulations in the US: Implications for the Payer BPO Market
TABLE: Rising Healthcare Costs Drive Healthcare Reforms in the US: Per Capita Healthcare Expenditure (in $) for the Period 2014-2019
TABLE: Health Coverage in the US: Percentage Breakdown of Number of Americans Covered by Source of Health Coverage for the Years 2018 and 2028
TABLE: Healthcare Reforms Lead to Reduced Uninsured Population: Percentage of Uninsured Population for the Period 2008, 2010, 2012, 2014, 2016 and 2018
TABLE: Number of Medicare ACOs in the US for the Years 2012 through 2018
Market Analytics
USA Recent Past, Current & Future Analysis for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service - Independent Analysis of Annual Sales in US$ Million for the Years 2020 through 2027 and % CAGR
USA Historic Review for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
USA 15-Year Perspective for Healthcare BPO by Type - Percentage Breakdown of Value Sales for Provider Service, Payer Service and Pharmaceutical Service for the Years 2012, 2021 & 2027
CANADA
Canada Recent Past, Current & Future Analysis for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service - Independent Analysis of Annual Sales in US$ Million for the Years 2020 through 2027 and % CAGR
Canada Historic Review for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
Canada 15-Year Perspective for Healthcare BPO by Type - Percentage Breakdown of Value Sales for Provider Service, Payer Service and Pharmaceutical Service for the Years 2012, 2021 & 2027
JAPAN
Healthcare BPO Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Japan for 2022 (E)
Japan Recent Past, Current & Future Analysis for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service - Independent Analysis of Annual Sales in US$ Million for the Years 2020 through 2027 and % CAGR
Japan Historic Review for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
Japan 15-Year Perspective for Healthcare BPO by Type - Percentage Breakdown of Value Sales for Provider Service, Payer Service and Pharmaceutical Service for the Years 2012, 2021 & 2027
CHINA
Healthcare BPO Market Presence - Strong/Active/Niche/Trivial - Key Competitors in China for 2022 (E)
Chinese Healthcare Industry on a Growth Trajectory
Market Analytics
China Recent Past, Current & Future Analysis for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service - Independent Analysis of Annual Sales in US$ Million for the Years 2020 through 2027 and % CAGR
China Historic Review for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
China 15-Year Perspective for Healthcare BPO by Type - Percentage Breakdown of Value Sales for Provider Service, Payer Service and Pharmaceutical Service for the Years 2012, 2021 & 2027
EUROPE
Healthcare BPO Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Europe for 2022 (E)
Europe Recent Past, Current & Future Analysis for Healthcare BPO by Geographic Region - France, Germany, Italy, UK and Rest of Europe Markets - Independent Analysis of Annual Sales in US$ Million for Years 2020 through 2027 and % CAGR
Europe Historic Review for Healthcare BPO by Geographic Region - France, Germany, Italy, UK and Rest of Europe Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
Europe 15-Year Perspective for Healthcare BPO by Geographic Region - Percentage Breakdown of Value Sales for France, Germany, Italy, UK and Rest of Europe Markets for Years 2012, 2021 & 2027
Europe Recent Past, Current & Future Analysis for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service - Independent Analysis of Annual Sales in US$ Million for the Years 2020 through 2027 and % CAGR
Europe Historic Review for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
Europe 15-Year Perspective for Healthcare BPO by Type - Percentage Breakdown of Value Sales for Provider Service, Payer Service and Pharmaceutical Service for the Years 2012, 2021 & 2027
FRANCE
Healthcare BPO Market Presence - Strong/Active/Niche/Trivial - Key Competitors in France for 2022 (E)
France Recent Past, Current & Future Analysis for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service - Independent Analysis of Annual Sales in US$ Million for the Years 2020 through 2027 and % CAGR
France Historic Review for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
France 15-Year Perspective for Healthcare BPO by Type - Percentage Breakdown of Value Sales for Provider Service, Payer Service and Pharmaceutical Service for the Years 2012, 2021 & 2027
GERMANY
Healthcare BPO Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Germany for 2022 (E)
Germany Recent Past, Current & Future Analysis for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service - Independent Analysis of Annual Sales in US$ Million for the Years 2020 through 2027 and % CAGR
Germany Historic Review for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
Germany 15-Year Perspective for Healthcare BPO by Type - Percentage Breakdown of Value Sales for Provider Service, Payer Service and Pharmaceutical Service for the Years 2012, 2021 & 2027
ITALY
Italy Recent Past, Current & Future Analysis for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service - Independent Analysis of Annual Sales in US$ Million for the Years 2020 through 2027 and % CAGR
Italy Historic Review for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
Italy 15-Year Perspective for Healthcare BPO by Type - Percentage Breakdown of Value Sales for Provider Service, Payer Service and Pharmaceutical Service for the Years 2012, 2021 & 2027
UNITED KINGDOM
Healthcare BPO Market Presence - Strong/Active/Niche/Trivial - Key Competitors in the United Kingdom for 2022 (E)
UK Recent Past, Current & Future Analysis for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service - Independent Analysis of Annual Sales in US$ Million for the Years 2020 through 2027 and % CAGR
UK Historic Review for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
UK 15-Year Perspective for Healthcare BPO by Type - Percentage Breakdown of Value Sales for Provider Service, Payer Service and Pharmaceutical Service for the Years 2012, 2021 & 2027
REST OF EUROPE
Rest of Europe Recent Past, Current & Future Analysis for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service - Independent Analysis of Annual Sales in US$ Million for the Years 2020 through 2027 and % CAGR
Rest of Europe Historic Review for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
Rest of Europe 15-Year Perspective for Healthcare BPO by Type - Percentage Breakdown of Value Sales for Provider Service, Payer Service and Pharmaceutical Service for the Years 2012, 2021 & 2027
ASIA-PACIFIC
Healthcare BPO Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Asia-Pacific for 2022 (E)
Indian BPO Industry Revolutionizes Healthcare Sector
Market Analytics
Asia-Pacific Recent Past, Current & Future Analysis for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service - Independent Analysis of Annual Sales in US$ Million for the Years 2020 through 2027 and % CAGR
Asia-Pacific Historic Review for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
Asia-Pacific 15-Year Perspective for Healthcare BPO by Type - Percentage Breakdown of Value Sales for Provider Service, Payer Service and Pharmaceutical Service for the Years 2012, 2021 & 2027
REST OF WORLD
Rest of World Recent Past, Current & Future Analysis for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service - Independent Analysis of Annual Sales in US$ Million for the Years 2020 through 2027 and % CAGR
Rest of World Historic Review for Healthcare BPO by Type - Provider Service, Payer Service and Pharmaceutical Service Markets - Independent Analysis of Annual Sales in US$ Million for Years 2012 through 2019 and % CAGR
Rest of World 15-Year Perspective for Healthcare BPO by Type - Percentage Breakdown of Value Sales for Provider Service, Payer Service and Pharmaceutical Service for the Years 2012, 2021 & 2027
(including Divisions/Subsidiaries - 61)

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