Healthcare BPO Market Size To Surpass USD 864.02 Bn By 2032

The global healthcare BPO market size reached USD 391.32 billion in 2023 and is projected to surpass around USD 864.02 billion by 2032, poised to grow at a CAGR of 9.20% between 2023 and 2032.

Key Points

North America region held the highest revenue share of 49% in 2022.
Europe region accounted for 29.5% of revenue share in 2022.
By provider service, the revenue cycle management segment captured the highest revenue share in 2022.
Based on payer service, the claims management segment accounted highest share in 2022 and is expected to grow at the strongest CAGR between the years 2023 to 2032.
By pharmaceutical service, the research & development segment is anticipated to hit notable growth over the forecast time period 2023 to 2032.

Medical institutions can contractor over various non-core functions to a foreign entity & concentrate upon existing key capabilities by using healthcare market procedure outsourcing. Any need to contain expanding medical costs, the excess supply for specialist care like fraudulent activities and treatment planning, and also the requirement for established techniques and paperwork in the medical business, are all factors contributing to the market expansion. But on the other side, several of the key elements anticipated to impede market expansion are worries about data protection and also the worry of losing transparency and control across business operations.

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A procedure that is delegated to some other supplier is referred to as a medical BPO sector or nursing service procedure offshore. By implementing favorable public policies that will promote the expansion of such medical BPO sector and heighten specialization there in the sector, the governments can lower health insurance costs. The primary reasons for outsourced nursing service operations across institutions and even in the medical system seem to be to safeguard the protection of patient data, discover and monitor computer security breaches, and ensure that serious errors are avoided. With advancement, the growth of exporting companies’ operations for medical has resulted in improved quality of nursing care as well as productivity and job.

Regional Snapshot

Due to the Federal Prescribing Covering program, which provides medicare benefits to every Eligible individual, the drug industry inside the country, particularly those united states, is under substantial price competition. Furthermore, this is anticipated that the income of major drug makers in the US and Canada will be impacted by the patented products among many breakthrough medications. Several drug industries are concentrating on cost savings with outsourced in light of the above findings, which is causing the market expansion in the United States.

The legislative environment’s gradually increasing incidence, the demand on medical institutions to save expenditures, and also the emerging trends in medical IT, big data, including data storage are the main drivers that have fueled the expansion of a medical BPO industry within those areas.

Healthcare BPO Market Share, By Region, 2022 (%)

Regions	Revenue Share in 2022 (%)
North America	49%
Asia Pacific	11%
Europe	29.5%
Latin America	6.5%
MEA	4%

Report Highlights

Medical BPO, or service providing within the health industry, first emerged in the 1980s. Rather than establishing an internal unit for processes like medical claims, medical professionals are using this practice to outsource some of the existing job tasks. To put it another way, healthcare professionals employ a different company to complete the task on their behalf. Health care and codes, reimbursements, & entering data solutions seem to be the three most popular BPO solutions.
Medical BPO has several benefits, including helping medical practitioners concentrate on existing core strengths, reducing prices & improving productivity, and enhancing clinical satisfaction by spending so much time on clinical outcomes.
Public insurance treatment, practitioner customer experience, and pharmacy customer support are just a few of the services offered by the medical BPO sector. With the promise of significant medical efficiency gains, a majority of software firms as BPO network operators are utilizing AI can give consumers increased functionality for the billing process.

Table of Contents

Healthcare BPO Market Scope

Report Coverage	Details
Growth Rate from 2023 to 2032	CAGR of 9.20%
Market Size in 2023	USD 391.32 Billion
Market Size by 2032	USD 864.02 Billion
Base Year	2022
Forecast Period	2023 to 2032
Segments Covered	Provider Service, Payer Service, Life Science Service, Geography

Healthcare BPO Market Dynamics

Drivers

Financial planning is a crucial factor to take into account when freelancing because it allows businesses to spend less on personnel, infrastructure, including management systems. The growth of health coverage marketplaces united states has put a burden on healthcare providers’ profitability. It makes it possible for customers to get insurance from rival private patients and therefore is probably going to hasten the implementation of outsourcing to reduce costs.

Conformational changes including the drive to compensate for quality, increasing focus on nursing interventions, or additional costs with customers are gaining traction more firmly as medicine proceeds to gobble up more and more of the national industry, slowing the development of health expenditure. Therefore, it is anticipated that increasing healthcare expenses would significantly increase international exporting and, by effect, the expansion of the worldwide health BPO sector.

Restraints

The potential savings, as well as potential value stream of offshoring, as well as potential value stream of offshoring, are frequently negatively impacted by incorrect finance and investment allocation for global sourcing. Organizations that prepare their financial resources for exporting important company operations tried to consider unanticipated expenditures, including those required during partner evaluation and selection, contractual relationships overseas, experiments involving, and boosting insurance and termination wages for workers.

Higher labor expenses in developing nations. for example, expansionary fiscal raise concerns about the bang for the buck that these nations will provide. Companies don’t outsource when the predicted economic benefits aren’t as substantial. The industry for medical BPO could suffer as a result of this.

Opportunities

Especially at the beginning of medication research, cognitive computing significantly increases the chances of success and also streamlines the treatment process. Since machine learning likewise provides a vital part in the development of medications for severe diseases like cancer, it’ll also enable health BPO network operators in making significant advancements. Because the time it takes to introduce a cancer-fighting treatment to the industry is greatly shortened thanks to AI’s skills, that will cause the industry for medical BPO services should rise dramatically. or to maximize the potential of Intelligence services for enhancing their drug development processes, numerous pharma organizations have begun to focus on forming partnerships with well-established and upcoming AI-driven businesses. With the rapid growth in the clinical studies and development of new medications, industry demand for CRO solutions would be impacted. Those elements have motivated several biopharmaceutical organizations to use AI for new drugs.

Challenges

Nearly one among security breaches inside the medical industry direct consequence of clinical fraudulent activity, which is primarily related to the amount of control environment placed above, white client care, an absence of managerial support, out-of-date practices and processes, or a disregard for already-existing individuals, and insufficient staff coaching. As a result, maintaining patient anonymity in the medical sector is extremely difficult. 536 of such vulnerabilities are affected in the health industry. When compared to developed regions, the US had the biggest expense.

A significant difficulty for contractors serving the insurance business is developing an encrypted messaging infrastructure because Medical BPO operations require data transmission among health companies with BPO network operators. The medical BPO sector will suffer as a result till safe alternatives are provided.

Recent Developments

CPSI acquired a company that provides high-quality healthcare in March 2022. Healthcare facilities may turn to HRG as an industry leader for specialized claims processing systems and advising services that boost efficiency, profitability, and patient satisfaction.
Medical developer NextGen Hospital planned to broaden the scope of the RCM operation inside its platform during the fiscal year 2022.
DATA and Score Data have agreed to collaborate for several years to implement Score Data’s nudging algorithms using NTT DATA’s machine learning solutions to assist the practitioner community and the global medical coverage in forecasting the rate of early disease conditions in May 2021.
In April 2021, Xerox Business acquired Holding company CT to further its digital strategy and increase its market share in North America. In Eastern Canada, the holding firm CT provided document control services.
Representation of Knowledge Technologies selected IntelliH as its systems integrator starting in March 2021 to ensure full services for healthcare monitoring with US insurance carriers and cope with a range.
In May 2020, IQVIA unveiled HCP/HCO Participation Administration, an integrated final stage, coordinated medical practitioner (HCP/HCO) system. It simplifies the international scheduling, strategic planning, scheduling, and payment of HCP/HCOs.
In March 2020, Wipro joined PLEXIS Medical Systems, which provides worldwide medical payers and program contributors with streamlined, dependable, and linked program administration solutions. Through this relationship, technological change for health insurance providers was advanced.
Conduent, a leader in medical products and medical services, has collaborated with Provided Many Benefits Extra and unified the administration production systems of the two firms to effectively represent its current and future business and general public consumers.
In March 2018, Cognizant Information Systems acquired Brighter Health Services, which includes medical practices and other healthcare providers in the US, to better serve its clients.
In June 2018, North Healthcare and Accenture merged to improve sustainable procurement control and save costs.

Healthcare BPO Market players:

Accenture (Ireland)
Access Healthcare (US)
Akurate Management Solutions (US)
Cognizant (US)
Firstsource Solutions (India)
GeBBS Healthcare Solutions (US)
Genpact (US)
HCL Technologies (India)
IBM Corporation (US)
Infosys BPM (India)
Invensis Technologies (India)
IQVIA (US)
Lonza (Switzerland)
Mphasis (India)
NTT Data Corporation (Japan)
Omega Healthcare (India)
Parexel International (US)
R1 RCM (US)
Sutherland Global (US)
Sykes Enterprises (US)
Tata Consultancy Services (India)
UnitedHealth Group (US)
Wipro (India)
WNS (Holdings) Limited (India)
Xerox Corporation (US)

Segments are covered in the report:

By Provider Service

Revenue Cycle Management
Patient Enrolments
Patient Care
- Medical Transcription
- Medical Imaging
- Device Monitoring

By Payer Service

Claims Management
- Claims Adjudication Services
- Claims Settlement Services
- Information Management Services
- Claims Repricing
- Claims Investigation Services
- Claims Indexing Services
- Fraud Detection & Management
Product Development & Business Acquisition (PDBA)
Member Management
Provider Management
Care Management
Integrated Front-End Services and Back-office Operations
Billing and accounts management services
HR Services

By Life Science Service

Manufacturing
R&D
Non-Clinical Services
- Supply Chain Management & Logistics
- Sales and Marketing Services
  - Forecasting
  - Performance Reporting
  - Analytics
  - Research
  - Marketing
- Other Non-Clinical Services

By Geography

North America
- U.S.
- Canada
Europe
- U.K.
- Germany
- France
Asia-Pacific
- China
- India
- Japan
- South Korea
- Malaysia
- Philippines
Latin America
- Brazil
- Rest of Latin America
Middle East & Africa (MEA)
- GCC
- North Africa
- South Africa
- Rest of the Middle East & Africa