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Customizations Possible - Country-wise reports, Additional company profiles, Country/Regional reports and Other Customizations. Special Discounts Available. Global Healthcare BPO Market Size & Trends Report by Provider (RCM, Patient Enrolment, Medical Imaging), Payer (Claim Management, Care Management), Life Science Services (Manufacturing, R&D, Non-Clinical) Analysis and Forecasts to 2029

Global Healthcare BPO Market Size & Trends Report by Provider (RCM, Patient Enrolment, Medical Imaging), Payer (Claim Management, Care Management), Life Science Services (Manufacturing, R&D, Non-Clinical) Analysis and Forecasts to 2029

The global healthcare BPO market is expected to grow at a 9-11% CAGR in the next 5 years. The rising demand for quality patient care, the increasing need to prevent revenue loss due to billing errors and declining reimbursement, the growing pressure to reduce rising healthcare costs, the increased demand for healthcare services, and the growing demand for streamlining back-office and documentation processes are some of the key factors driving the healthcare BPO market. To learn more about the research report, download a sample report.

Report Overview

Healthcare business process outsourcing (BPO) involves medical providers contracting with third-party companies or external vendors to handle administrative tasks and support services for medical facilities, staff, and organizations. These outsourced activities commonly include medical coding, billing, transcription, and other similar functions.

Healthcare BPO Market

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The adoption of healthcare BPO solutions in healthcare fuels its demand

Healthcare BPO has recently gained significant traction as a strategy for healthcare organizations to control rising service costs. These external providers assist hospitals, clinics, and other healthcare institutions with essential tasks like coding and billing, claims processing, data handling, and accounts receivable management. By outsourcing these functions, healthcare providers can cut staffing, training, infrastructure, and technology expenses, enabling them to focus on patient care and business growth.

Many healthcare facilities experience substantial revenue losses from incorrect billing codes, mishandled insurance claims, and inefficient documentation processing. Rather than hiring in-house for specialized roles (such as medical billing and coding), BPO providers offer skilled experts at a lower cost, making it easier for healthcare organizations to afford high-quality services.

Growing demand for healthcare data analytics and big data solutions in healthcare BPO drives market growth

Healthcare BPO’s adoption of data analytics and big data solutions empowers healthcare organizations to streamline operations, gain insights into patient trends, enhance outcomes, and optimize revenue cycles. Predictive models allow healthcare providers to identify high-risk patients, optimize staffing levels, and forecast patient demand, improving planning and resource allocation. Additionally, BPO providers are increasingly incorporating automation in billing and claims processing to minimize human errors, boost processing speed, enhance decision-making, and improve overall service quality. By delivering actionable insights, predictive analytics, and robust security, data-driven BPO services have become integral to the modern healthcare industry. For instance,

  • In April 2024, Cognizant and Microsoft Corp. announced that they have entered into an expanded partnership to integrate Microsoft’s generative AI technology with Cognizant TriZetto platform to help payers and providers reduce hidden costs and improve patient outcomes for millions of Americans

Healthcare BPO Market - Segmentation

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Competitive Landscape Analysis

The global healthcare BPO market is marked by the presence of innovative and emerging market players such as Accenture, Tata Consultancy Services (TCS), Wipro, Firstsource Solutions, GeBBS Healthcare Solutions, Genpact, EXL Service, Omega Healthcare, NTHrive, Parexel International Corporation, Sutherland Global Services, HCL Technologies, Xerox Corporation, UnitedHealth Group, and Cognizant Technology Solutions, among others. Some of the key strategies adopted by the market players include mergers and acquisitions, strategic partnerships, and collaborations.

Report Scope

Report Metric Details
Base Year Considered 2023
Historical Data 2022 – 2023
Forecast Period 2024 – 2029
Growth Rate CAGR  of 9-11%
Market Drivers
  • Growing pressure to reduce rising healthcare costs
  • Increasing revenue loss due to billing errors and declining reimbursement
  • Rising healthcare demands
  • Growing pressures to streamline operations and focus on patient outcomes
  • Rising demand for quality patient care
Key Market Trends
  • Leveraging integration of data analytics and artificial intelligence in Healthcare BPO
  • Growing demand for cloud-based BPO solutions
  • Shift towards value-based care and patient-centric services
Segment Scope  Provider Service, Payer Service, and Life Science Services
Regional Scope
  • North America (US & Canada)
  • Europe (UK, Germany, France, Italy, Spain, Rest of Europe)
  • Asia Pacific (China, India, Japan, Rest of Asia Pacific)
  • Latin America
  • Middle East & Africa
Key Companies Mapped Accenture, Tata Consultancy Services (TCS), Wipro, Firstsource Solutions, GeBBS Healthcare Solutions, Genpact, EXL Service, Omega Healthcare, NTHrive, Parexel International Corporation, Sutherland Global Services, HCL Technologies, Xerox Corporation, UnitedHealth Group, and Cognizant Technology Solutions, among others
Report Highlights Market Size & Forecast, Growth Drivers & Restraints, Trends, Competitive Analysis

 

Market Segmentation

This report by Medi-Tech Insights provides the size of the global healthcare BPO market at the regional- and country level from 2022 to 2029. The report further segments the market based on provider service, payer service, and life science services.

  • Market Size & Forecast (2022-2029), By Provider Service, USD Million
    • Revenue Cycle Management
    • Patient Enrolment
    • Patient Care
      • Medical Transcription
      • Device Monitoring
      • Medical Imaging
  • Market Size & Forecast (2022-2029), By Payer Service, USD Million
    • 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
  • Market Size & Forecast (2022-2029), By Life Science Services, USD Million
    • Manufacturing
    • Research & Development
    • Non-Clinical Services
      • Supply Chain Management & Logistics
      • Sales and Marketing Services
        • Forecasting
        • Performance Reporting
        • Analytics
        • Research
        • Marketing
      • Other Non-Clinical Services
  • Market Size & Forecast (2022-2029), By Region, USD Million
    • North America
      • US
      • Canada
    • Europe
      • UK
      • Germany
      • France
      • Italy
      • Spain
      • Rest of Europe
    • Asia Pacific
      • China
      • India
      • Japan
      • Rest of Asia Pacific
    • Latin America
    • Middle East & Africa

Key Strategic Questions Addressed

  • What is the market size & forecast of the healthcare BPO market?
  • What are the historical, present, and forecasted market shares and growth rates of various segments and sub-segments of the healthcare BPO market?
  • What are the key trends defining the market?
  • What are the major factors impacting the market?
  • What are the opportunities prevailing in the market?
  • Which region has the highest share in the global market?
  • Which region is expected to witness the highest growth rate in the next 5 years?
  • Who are the major players operating in the market?
  • What are the key strategies adopted by players?
  1. Introduction
    • Introduction​
    • Market Scope​
      • Market Definition​
      • Segments Covered​
      • Regional Segmentation​
    • Research Timeframe​
    • Currency Considered​
    • Study Limitations​
    • Stakeholders​
    • List of Abbreviations​
    • Key Conferences and Events (2024-2025)​
  2. Research Methodology
    • Secondary Research​
    • Primary Research​
    • Market Estimation​
      • Bottom-Up Approach​
      • Top-Down Approach​
    • Market Forecasting​
  3. Executive Summary
    • Healthcare BPO Market Snapshot (2024-2029)​
    • Segment Overview​
    • Regional Snapshot​
    • Competitive Insights ​
  1. Market Overview
    • Market Dynamics
      • Drivers
        • Rising demand for quality patient care
        • Increasing need to prevent revenue loss due to billing errors and declining reimbursement
        • Growing pressure to reduce rising healthcare costs
        • Increased demand for healthcare services
        • Growing demand for streamlining back-office and documentation processes
      • Restraints​
        • Constantly evolving healthcare regulations
        • Threats to data security and privacy concerns
        • Outsourcing can lead to inconsistent service quality and create dependency on an external provider
      • Opportunities​
      • Key Market Trends​
        • Leveraging integration of data analytics and artificial intelligence in Healthcare BPO
        • Growing demand for cloud-based BPO solutions
        • Shift towards value-based care and patient-centric services
      • Unmet Market Needs​
      • Industry Speaks​
  1. Global Healthcare BPO Market Size & Forecast (2022-2029), By Provider Service, USD Million
    • Revenue Cycle Management
    • Patient Enrolment
    • Patient Care
      • Medical Transcription
      • Device Monitoring
      • Medical Imaging
  1. Global Healthcare BPO Market Size & Forecast (2022-2029), By Payer Service, USD Million
    • Claims Management Services
      • Claims Adjudication Services
      • Claims Settlement Services
      • Information Management Services
      • Claims Repricing
      • Claims Investigation Services
      • Claims Indexing Services
      • Fraud Detection & Management
    • Product Development & Business Acquisition Services (PDBA)              
    • Member Management Services
    • Provider Management Services      
    • Care Management Services
    • Integrated Front-End Services and Back-office Operations    
    • Billing and Accounts Management Services  
    • HR Services
  2. Global Healthcare BPO Market Size & Forecast (2022-2029), By Life Science Services, USD Million
    • Manufacturing
    • Research & Development
    • Non-Clinical Services
      • Supply Chain Management & Logistics
      • Sales and Marketing Services
        • Forecasting
        • Performance Reporting
        • Analytics
        • Research
        • Marketing
      • Other Non-Clinical Services
  1. Global Healthcare BPO Market Size & Forecast (2022-2029), By Region, USD Million
    • Introduction​
    • North America Healthcare BPO Market Size & Forecast (2022-2029), By Country, USD Million​
      • US​
        • Market Size & Forecast, By Provider Service (USD Million)​
        • Market Size & Forecast, By Payer Service (USD Million)​
        • Market Size & Forecast, By Life Science Services (USD Million)​
      • Canada​
        • Market Size & Forecast, By Provider Service (USD Million)​
        • Market Size & Forecast, By Payer Service (USD Million)​
        • Market Size & Forecast, By Life Science Services (USD Million)​
    • Europe Healthcare BPO Market Size & Forecast (2022-2029), By Country, USD Million​
      • UK ​
        • Market Size & Forecast, By Provider Service (USD Million)​
        • Market Size & Forecast, By Payer Service (USD Million)​
        • Market Size & Forecast, By Life Science Services (USD Million)​
      • Germany ​
        • Market Size & Forecast, By Provider Service (USD Million)​
        • Market Size & Forecast, By Payer Service (USD Million)​
        • Market Size & Forecast, By Life Science Services (USD Million)​
      • France ​
        • Market Size & Forecast, By Provider Service (USD Million)​
        • Market Size & Forecast, By Payer Service (USD Million)​
        • Market Size & Forecast, By Life Science Services (USD Million)​
      • Italy ​
        • Market Size & Forecast, By Provider Service (USD Million)​
        • Market Size & Forecast, By Payer Service (USD Million)​
        • Market Size & Forecast, By Life Science Services (USD Million)​
      • Spain ​
        • Market Size & Forecast, By Provider Service (USD Million)​
        • Market Size & Forecast, By Payer Service (USD Million)​
        • Market Size & Forecast, By Life Science Services (USD Million)​
      • Rest of Europe ​
        • Market Size & Forecast, By Provider Service (USD Million)​
        • Market Size & Forecast, By Payer Service (USD Million)​
        • Market Size & Forecast, By Life Science Services (USD Million)​
    • Asia Pacific (APAC) Healthcare BPO Market Size & Forecast (2022-2029), By Country, USD Million​
      • China ​
        • Market Size & Forecast, By Provider Service (USD Million)​
        • Market Size & Forecast, By Payer Service (USD Million)​
        • Market Size & Forecast, By Life Science Services (USD Million)​
      • Japan ​
        • Market Size & Forecast, By Provider Service (USD Million)​
        • Market Size & Forecast, By Payer Service (USD Million)​
        • Market Size & Forecast, By Life Science Services (USD Million)​
      • India ​
        • Market Size & Forecast, By Provider Service (USD Million)​
        • Market Size & Forecast, By Payer Service (USD Million)​
        • Market Size & Forecast, By Life Science Services (USD Million)​
      • Rest of Asia Pacific ​
        • Market Size & Forecast, By Provider Service (USD Million)​
        • Market Size & Forecast, By Payer Service (USD Million)​
        • Market Size & Forecast, By Life Science Services (USD Million)​
    • Latin America (LATAM) Healthcare BPO Market Size & Forecast (2022-2029), USD Million​
      • Market Size & Forecast, By Provider Service (USD Million)​
      • Market Size & Forecast, By Payer Service (USD Million)​
      • Market Size & Forecast, By Life Science Services (USD Million)​
    • Middle East & Africa (MEA) Healthcare BPO Market Size & Forecast (2022-2029), USD Million​
      • Market Size & Forecast, By Provider Service (USD Million)​
      • Market Size & Forecast, By Payer Service (USD Million)​
      • Market Size & Forecast, By Life Science Services (USD Million)​
  1. Competitive Landscape
    • Key Players and their Competitive Positioning
      • Key Player Comparison
      • Segment-wise Player Mapping
      • Market Share Analysis (2023)
      • Company Categorization Matrix
        • Dominants/Leaders
        • New Entrants
        • Emerging Players
        • Innovative Players
      • Key Strategies Assessment, By Player (2022-2024)
        • Partnerships, Agreements, & Collaborations
        • Mergers & Acquisitions
        • Geographic Expansion
  1. Company Profiles*

(Business Overview, Financial Performance**, Products & Services Offered, Recent Developments)

  • Accenture
  • Tata Consultancy Services (TCS)
  • Wipro
  • Firstsource Solutions
  • GeBBS Healthcare Solutions
  • Genpact
  • International Business Machines Corporation (IBM)
  • EXL Service
  • Omega Healthcare
  • Parexel International Corporation
  • Other Prominent Players

The study has been compiled based on extensive primary and secondary research.

Secondary Research (Indicative List)

Healthcare BPO Market - Secondary Research

Primary Research

To validate research findings (market size & forecasts, market segmentation, market dynamics, competitive landscape, key industry trends, etc.), extensive primary interviews were conducted with both supply and demand-side stakeholders.

Supply Side Stakeholders:

  • Senior Management Level: CEOs, Presidents, Vice-Presidents, Directors, Chief Technology Officers, Chief Commercial Officers, Others
  • Mid-Management Level: Product Managers, Sales Managers, Brand Managers, Business Development Managers, Consultants, Others

Demand Side Stakeholders:

  • Healthcare Providers, Healthcare Payers, Life Science Companies, Others

Breakdown of Primary Interviews

Healthcare BPO Market - Primary Interviews

Market Size Estimation

Both ‘Top-Down & Bottom-Up Approaches’ were used to derive market size estimates and forecasts.

Data Triangulation

Research findings derived through secondary sources & internal analysis were validated with Primary Interviews, the Internal Knowledge Repository, and the Company’s Sales Data.