Global Healthcare BPO Services Market Size & Trends Report Segmented by Provider Service (Claims Management, Member Management), Provider Services (RCM, Patient Enrolment), Life Science Services (Manufacturing, R&D) & Regional Forecast to 2030
The global healthcare BPO services market is set to witness a growth rate of 9% in the next 5 years. Transition to ICD-10 coding standards and the forthcoming implementation of ICD-11; rising pressure to reduce healthcare costs; revenue losses caused by billing inaccuracies; increasing demand for specialized services; increasing complexity of healthcare operations; and limited in-house expertise; are some of the key factors driving the healthcare BPO services market. To learn more about the research report, download a sample report.
Report Overview
Healthcare BPO services involve the delegation of non-core and administrative functions by healthcare organizations to external service providers. These services include medical billing, coding, claims processing, revenue cycle management, data entry, medical transcription, and customer support among others. By outsourcing these tasks, healthcare providers can reduce operational costs, improve efficiency, and focus more on core activities like patient care. Healthcare BPO providers leverage advanced technologies such as robotic process automation (RPA), artificial intelligence (AI), and analytics to deliver accurate and compliant solutions. This ensures streamlined workflows, improved data management, and adherence to regulatory standards like HIPAA and GDPR.
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Transition to ICD-10 coding standards and the forthcoming implementation of ICD-11 to propel market demand
The transition to ICD-10 coding standards and the impending implementation of ICD-11 is driving growth in the healthcare BPO services market by increasing the complexity of medical coding processes. These standards require precise documentation and a deep understanding of complex codes to ensure accurate billing and compliance with regulatory requirements. Healthcare organizations increasingly rely on BPO providers for expertise in managing these transitions, reducing errors, and avoiding revenue losses due to claim rejections. BPO providers also help streamline workflows and train staff in new coding systems, enabling healthcare providers to focus on delivering quality patient care.
Rising pressure to reduce healthcare costs are driving the market growth
The rising pressure to reduce healthcare costs is a key driver for the growth of the healthcare BPO services market. By outsourcing non-core functions such as medical billing, claims processing, and revenue cycle management, healthcare providers can significantly lower operational expenses while maintaining service quality. BPO providers offer economies of scale and access to advanced technologies like robotic process automation (RPA) and artificial intelligence (AI), which enhance efficiency and reduce errors. This enables healthcare organizations to allocate more resources to patient care, improving overall service delivery while meeting the increasing demand for cost-effective healthcare solutions.
To learn more about this report, download the PDF brochure
Competitive Landscape Analysis
The global healthcare BPO services market is marked by the presence of established and emerging market players such as Accenture, Cognizant, TATA Consultancy Services Limited, WNS (Holdings) Ltd., NTT DATA Group Corporation, IQVIA, Mphasis, Wipro, Infosys Limited, and Capgemini; among others. Some of the key strategies adopted by market players include new product development, strategic partnerships and collaborations, and geographic expansion.
Report Scope
| Report Metric | Details |
| Base Year Considered | 2024 |
| Historical Data | 2023 - 2024 |
| Forecast Period | 2025 - 2030 |
| Growth Rate | 9% |
| Market Drivers |
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| Attractive Opportunities |
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| Segment Scope | Payer Services, Provider Services, Life Science Services |
| Regional Scope |
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| Key Companies Mapped | Accenture, Cognizant, TATA Consultancy Services Limited, WNS (Holdings) Ltd., NTT DATA Group Corporation, IQVIA, Mphasis, Wipro, Infosys Limited, and Capgemini among others |
| Report Highlights | Market Size & Forecast, Growth Drivers & Restraints, Trends, Competitive Analysis |
Global Healthcare BPO Services Market Segmentation
This report by Medi-Tech Insights provides the size of the global healthcare BPO services market at the regional- and country-level from 2023 to 2030. The report further segments the market based on payer services, provider services, and life science services.
Market Size & Forecast (2023-2030), By Payer Services, USD Million
- Claims Management
- Integrated Front-End Services and Back-Office Operations
- Member Management
- Provider Management
- Care Management
- Product Development and Business Acquisition
- Billing and Accounts Management Services
- Provider Management
- Care Management
- Human Resource Services
- Other Payer Services
Market Size & Forecast (2023-2030), By Provider Services, USD Million
- Revenue Cycle Management
- Patient Care and Patient Enrolment
- Other Provider Services
Market Size & Forecast (2023-2030), By Life Science Services, USD Million
- Manufacturing Services
- Sales and Marketing Services
- Research, and Development Services
- Supply Chain Management
- Other Non-clinical Services
Market Size & Forecast (2023-2030), 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 services market?
- What are historical, present, and forecasted market shares and growth rates of various segments and sub-segments of the healthcare BPO services 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?
- Introduction
- Introduction
- Market Scope
- Market Definition
- Segments Covered
- Regional Segmentation
- Research Timeframe
- Currency Considered
- Study Limitations
- Stakeholders
- List of Abbreviations
- Key Conferences and Events (2025-2026)
- Research Methodology
- Secondary Research
- Primary Research
- Market Estimation
- Bottom-Up Approach
- Top-Down Approach
- Market Forecasting
- Executive Summary
- Healthcare BPO Services Market Snapshot (2025-2030)
- Segment Overview
- Regional Snapshot
- Competitive Insights
- Market Overview
- Market Dynamics
- Drivers
- Transition to ICD-10 coding standards and the forthcoming implementation of ICD-11
- Rising pressure to reduce healthcare costs
- Revenue losses caused by billing inaccuracies
- Increasing demand for specialized services
- Increasing complexity of healthcare operations
- Limited in-house expertise
- Restraints
- Concerns Over Data Security and Privacy
- High Dependency on Outsourcing Partners
- Integration and Transition Challenges
- Opportunities
- Focus on value-based care models
- Development of niche services
- Advanced data analytics
- Growing adoption of advanced technologies
- Key Market Trends
- Pharmaceutical and biopharmaceutical outsourcing
- Emergence of cloud-based solutions
- Increased focus on outsourcing RCM services
- Unmet Market Needs
- Industry Speaks
- Global Healthcare BPO Services Market Size & Forecast (2023-2030), By Payer Services, USD Million
- Introduction
- Claims Management
- Integrated Front-End Services and Back-Office Operations
- Member Management
- Provider Management
- Care Management
- Product Development, and Business Acquisition
- Billing and Accounts Management Services
- Care Management
- Human Resource Services
- Other Payer Services
- Global Healthcare BPO Services Market Size & Forecast (2023-2030), By Provider Services, USD Million
- Revenue Cycle Management
- Patient Care and Patient Enrolment
- Other Provider Services
- Global Healthcare BPO Services Market Size & Forecast (2023-2030), By Life Science Services, USD Million
- Manufacturing Services
- Sales and Marketing Services
- Research, and Development Services
- Supply Chain Management
- Other Non-clinical Services
- Global Healthcare BPO Services Market Size & Forecast (2023-2030), By Region, USD Million
- Introduction
- North America Healthcare BPO Services Market Size & Forecast (2023-2030), By Country, USD Million
- US
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- Canada
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- US
- Europe Healthcare BPO Services Market Size & Forecast (2023-2030), By Country, USD Million
- UK
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- Germany
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- France
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- Italy
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- Spain
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- Rest of Europe
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- UK
- Asia Pacific (APAC) Healthcare BPO Services Market Size & Forecast (2023-2030), By Country, USD Million
- China
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- Japan
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- India
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- Rest of Asia Pacific
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- China
- Latin America (LATAM) Healthcare BPO Services Market Size & Forecast (2023-2030), USD Million
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- Middle East & Africa (MEA) Healthcare BPO Services Market Size & Forecast (2023-2030), USD Million
- Market Size & Forecast, By Payer Services (USD Million)
- Market Size & Forecast, By Provider Services (USD Million)
- Market Size & Forecast, By Life Science Services (USD Million)
- Competitive Landscape
- Key Players and their Competitive Positioning
- Key Player Comparison
- Segment-wise Player Mapping
- Market Share Analysis (2024)
- Company Categorization Matrix
- Dominants/Leaders
- New Entrants
- Emerging Players
- Innovative Players
- Key Strategies Assessment, By Player (2022-2025)
- New Service Launches
- Partnerships, Agreements, & Collaborations
- Mergers & Acquisitions
- Geographic Expansion
- Key Players and their Competitive Positioning
- Company Profiles*
(Business Overview, Financial Performance**, Products Offered, Recent Developments)
- Accenture
- Cognizant
- TATA Consultancy Services Limited
- WNS (Holdings) Ltd.
- NTT DATA Group Corporation
- IQVIA
- Mphasis
- Wipro
- Infosys Limited
- Capgemini
- Other Prominent Players
Note: *Indicative list
**For listed companies
The study has been compiled based on extensive primary and secondary research.
Secondary Research (Indicative List)
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
- Mid-Management Level: Product Managers, Sales Managers, Brand Managers, R&D Managers, Business Development Managers, Consultants
Demand Side Stakeholders:
- Stakeholders from Healthcare Payers; Healthcare Providers and Life Science Organizations; and Others
Breakdown of 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 was validated with Primary Interviews, Internal Knowledge Repository and Company’s Sales Data
