Healthcare BPO Market: By Provider Services (Medical Billing, Medical Coding, Medical Transcription, Finance & Accounts, Others), By Payer Services (Integrated Front-end Services and Back-office Operations, Provider Management, Claims Management, Billing and Accounts Management, HR, Analytics and Fraud Management, Member Management), By pharmaceutical service (Manufacturing, Research and Development, Non-clinical Services), By End-User (Hospital, Clinics, Public Service, Pharmaceutical Companies, Others), and Geography  

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Healthcare BPO Market size was valued at USD 469.5 billion by 2022 and is poised to grow at a significant CAGR of 9.7% from 2023-2029. Business Process Outsourcing (BPO) is a process where healthcare providers select the most appropriate third-party vendors for some of the specific business procedures. It allows hospitals and medical professionals to spend their energy and valuable time on patient care rather than doing some paperwork in the office.  Healthcare BPO is a solution for clients to adopt intelligent approaches that will support the organization in reducing cost pressures and increasing overall productivity. The Healthcare BPO market provides various solutions, such as front-end services, customer account setup, billing & account receivables, provider network services, enrollment services, claims services, Medicare services, membership services, and pharmacy benefits management. The major factor that drives the growth of healthcare BPO is the increase in the development of healthcare IT. Furthermore, new business models & processes and the increase in the use of digital technologies in healthcare are driving the growth of the healthcare BPO market. Globally the healthcare BPO market is expected to grow with a significant CAGR from 2016 to 2027. The rise in the geriatric population is expected to be a major factor, owing to the susceptibility to several health issues which include respiratory disorders, cardiovascular diseases (CVD), eye care problems, canine orthopedic disorders, cancers, etc., and the rise in the prevalence rate of those diseases led to the increased amount of work for insurance companies. Hence, in order to handle that much data about the huge pool of patients and data of the payer companies need to invest in technology, skilled personnel, and infrastructure which led to high operational costs which is anticipated to accelerate the healthcare payer BPO market.  Shifting from the ICD-9 to the ICD-10 coding system posed a heavy workload for payers in order to up gradation of their systems, training of staff in turn increases the financial burden. The ICD-9 code system had 13,000 codes, while the ICD-10 code system had nearly 68,000 codes. This variation augmented the need for HR, accounting, medical coding, skilled personnel, and technical operations, hence anticipated to propel the growth of the healthcare BPO markets.

Healthcare BPO Market Key Developments:
  • In March 2017, WNS (Holdings) Limited, was acquired. Health Help, which provides benefits management across several key specialty healthcare areas, including Pain Management, Oncology, Cardiology, Orthopaedics Sleep Care and Radiology
  • In October 2016, IMS Health Holdings, Inc. merged with Quintiles Transnational Holdings Inc. to form Quintiles IMS Holdings

Global Healthcare Bpo Market Summary

Study Period

2023-29

Base Year

2022

CAGR

9.7%

Largest Market

North America

Fastest Growing Market

Asia Pacific
Healthcare BPO Market Dynamics

Healthcare BPO market is primarily driven by a few key factors such as lack of in-house trained professionals for specific processes, cost-effective availability of workforce, and lack of industry knowledge. The pressure to decrease delivery costs healthcare sector, rise in number of insurance seeking patients, pharmaceutical companies facing patent expiries, consolidation of the healthcare systems and implementation of the ICD-10 codes and lower cost of manufacturing in developing countries are the major drivers for the healthcare BPO market. However, with the ongoing trends in the healthcare BPO, customers face challenges in data security & reliability, increasing regulatory compliance, and handling huge amount of healthcare data, fear of losing the control over many outsourced process, probability of decreased quality of services or products, and insecurity for the data are the factors anticipated to hamper the healthcare BPO market growth.

Key Features of the Reports

  • The report provides granular level information about the market size, regional market share, historic market (2018 to 2022) and forecast (2023 to 2029)
  • The report covers in-detail insights about the competitor’s overview, company share analysis, key market developments, and their key strategies
  • The report outlines drivers, restraints, unmet needs, and trends that are currently affecting the market
  • The report tracks recent innovations, key developments and startup’s details that are actively working in the market
  • The report provides plethora of information about market entry strategies, regulatory framework and reimbursement scenario
  • The report analyses the impact of socio-political environment through PESTLE Analysis and competition through Porter’s Five Force Analysis in addition to recent technology advancements and innovations in the market

Global Healthcare Bpo Market Segmentation

By Provider Services
  • Medical Billing
  • Medical Coding
  • Medical Transcription
  • Finance & Accounts
  • Others
By Payer By Services
  • Integrated Front-end Services and Back-office Operations
  • Provider Management
  • Claims Management
  • Billing and Accounts Management
  • HR
  • Analytics and Fraud Management
  • Member Management
By Pharmaceutical services
  • Manufacturing
  • Research and Development
  • Non-clinical Services
By End-User
  • Hospital
  • Clinics
  • Public Service
  • Pharmaceutical Companies
  • Others

Frequently Asked Questions

The healthcare bpo market size was valued at USD 469.5 billion in 2022

The healthcare bpo market key players are: IQVIA HCL Technologies Limited Accenture Eli Global IBM Corporation Genpact Limited Parexel, Sutherland Hewlett-Packard Inc Truven Health Analytics United Health Group Cognizant, Lonza Group Ltd Accretive Health Tata Consultancy Services Ltd Xerox Corporation Infosys Limited

The healthcare bpo market has been classified into North America, Asia Pacific, Europe, Latin America, Middle East and Africa, and the rest of MEA.

1.Executive Summary
2.Global Healthcare BPO Market Introduction 
2.1.Global Healthcare BPO Market  - Taxonomy
2.2.Global Healthcare BPO Market  - Definitions
2.2.1.Provider Services
2.2.2.Payer By Services
2.2.3.Pharmaceutical services
2.2.4.End-User
2.2.5.Region
3. Global Healthcare BPO Market Dynamics
3.1. Drivers
3.2. Restraints
3.3. Opportunities/Unmet Needs of the Market
3.4. Trends
3.5. Product Landscape
3.6. New Product Launches
3.7. Impact of COVID-19 on Market
4. Global Healthcare BPO Market Analysis, 2018 - 2022 and Forecast 2023 - 2029
4.1.  Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
4.2.  Year-Over-Year (Y-o-Y) Growth Analysis (%) 
4.3.  Market Opportunity Analysis 
5. Global Healthcare BPO Market  By Provider Services, 2018 - 2022 and Forecast 2023 - 2029 (Sales Value USD Million)
5.1. Medical Billing
5.1.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
5.1.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
5.1.3. Market Opportunity Analysis 
5.2. Medical Coding
5.2.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
5.2.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
5.2.3. Market Opportunity Analysis 
5.3. Medical Transcription
5.3.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
5.3.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
5.3.3. Market Opportunity Analysis 
5.4. Finance & Accounts
5.4.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
5.4.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
5.4.3. Market Opportunity Analysis 
5.5. Others
5.5.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
5.5.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
5.5.3. Market Opportunity Analysis 
6. Global Healthcare BPO Market  By Payer By Services, 2018 - 2022 and Forecast 2023 - 2029 (Sales Value USD Million)
6.1. Integrated Front-end Services and Back-office Operations
6.1.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
6.1.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
6.1.3. Market Opportunity Analysis 
6.2. Provider Management
6.2.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
6.2.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
6.2.3. Market Opportunity Analysis 
6.3. Claims Management
6.3.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
6.3.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
6.3.3. Market Opportunity Analysis 
6.4. Billing and Accounts Management
6.4.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
6.4.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
6.4.3. Market Opportunity Analysis 
6.5. HR
6.5.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
6.5.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
6.5.3. Market Opportunity Analysis 
6.6. Analytics and Fraud Management
6.6.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
6.6.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
6.6.3. Market Opportunity Analysis 
6.7. Member Management
6.7.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
6.7.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
6.7.3. Market Opportunity Analysis 
7. Global Healthcare BPO Market  By Pharmaceutical Services, 2018 - 2022 and Forecast 2023 - 2029 (Sales Value USD Million)
7.1. Manufacturing
7.1.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
7.1.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
7.1.3. Market Opportunity Analysis 
7.2. Research and Development
7.2.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
7.2.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
7.2.3. Market Opportunity Analysis 
7.3. Non-clinical Services
7.3.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
7.3.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
7.3.3. Market Opportunity Analysis 
8. Global Healthcare BPO Market  By End-User, 2018 - 2022 and Forecast 2023 - 2029 (Sales Value USD Million)
8.1. Hospital
8.1.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
8.1.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
8.1.3. Market Opportunity Analysis 
8.2. Clinics
8.2.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
8.2.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
8.2.3. Market Opportunity Analysis 
8.3. Public Service
8.3.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
8.3.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
8.3.3. Market Opportunity Analysis 
8.4. Pharmaceutical Companies
8.4.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
8.4.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
8.4.3. Market Opportunity Analysis 
8.5. Others
8.5.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
8.5.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
8.5.3. Market Opportunity Analysis 
9. Global Healthcare BPO Market  By Region, 2018 - 2022 and Forecast 2023 - 2029 (Sales Value USD Million)
9.1. North America
9.1.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
9.1.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
9.1.3. Market Opportunity Analysis 
9.2. Europe
9.2.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
9.2.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
9.2.3. Market Opportunity Analysis 
9.3. Asia Pacific (APAC)
9.3.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
9.3.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
9.3.3. Market Opportunity Analysis 
9.4. Middle East and Africa (MEA)
9.4.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
9.4.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
9.4.3. Market Opportunity Analysis 
9.5. Latin America
9.5.1. Market Analysis, 2018 - 2022 and Forecast, 2023 - 2029, (Sales Value USD Million)
9.5.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
9.5.3. Market Opportunity Analysis 
10. North America Healthcare BPO Market,2018 - 2022 and Forecast 2023 - 2029 (Sales Value USD Million)
10.1. Provider Services Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
10.1.1.Medical Billing
10.1.2.Medical Coding
10.1.3.Medical Transcription
10.1.4.Finance & Accounts
10.1.5.Others
10.2.  Payer By Services Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
10.2.1.Integrated Front-end Services and Back-office Operations
10.2.2.Provider Management
10.2.3.Claims Management
10.2.4.Billing and Accounts Management
10.2.5.HR
10.2.6.Analytics and Fraud Management
10.2.7.Member Management
10.3.  Pharmaceutical services Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
10.3.1.Manufacturing
10.3.2.Research and Development
10.3.3.Non-clinical Services
10.4.  End-User Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
10.4.1.Hospital
10.4.2.Clinics
10.4.3.Public Service
10.4.4.Pharmaceutical Companies
10.4.5.Others
10.5.  Country Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
10.5.1.United States of America (USA)
10.5.2.Canada
11. Europe Healthcare BPO Market,2018 - 2022 and Forecast 2023 - 2029 (Sales Value USD Million)
11.1. Provider Services Analysis  and Forecast  by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
11.1.1.Medical Billing
11.1.2.Medical Coding
11.1.3.Medical Transcription
11.1.4.Finance & Accounts
11.1.5.Others
11.2.  Payer By Services Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
11.2.1.Integrated Front-end Services and Back-office Operations
11.2.2.Provider Management
11.2.3.Claims Management
11.2.4.Billing and Accounts Management
11.2.5.HR
11.2.6.Analytics and Fraud Management
11.2.7.Member Management
11.3.  Pharmaceutical services Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
11.3.1.Manufacturing
11.3.2.Research and Development
11.3.3.Non-clinical Services
11.4.  End-User Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
11.4.1.Hospital
11.4.2.Clinics
11.4.3.Public Service
11.4.4.Pharmaceutical Companies
11.4.5.Others
11.5.  Country Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
11.5.1.Germany
11.5.2.France
11.5.3.Italy
11.5.4.United Kingdom (UK)
11.5.5.Spain
11.5.6.Rest of EU
12. Asia Pacific (APAC) Healthcare BPO Market ,2018 - 2022 and Forecast 2023 - 2029 (Sales Value USD Million)
12.1. Provider Services Analysis  and Forecast  by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
12.1.1.Medical Billing
12.1.2.Medical Coding
12.1.3.Medical Transcription
12.1.4.Finance & Accounts
12.1.5.Others
12.2.  Payer By Services Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
12.2.1.Integrated Front-end Services and Back-office Operations
12.2.2.Provider Management
12.2.3.Claims Management
12.2.4.Billing and Accounts Management
12.2.5.HR
12.2.6.Analytics and Fraud Management
12.2.7.Member Management
12.3.  Pharmaceutical services Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
12.3.1.Manufacturing
12.3.2.Research and Development
12.3.3.Non-clinical Services
12.4.  End-User Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
12.4.1.Hospital
12.4.2.Clinics
12.4.3.Public Service
12.4.4.Pharmaceutical Companies
12.4.5.Others
12.5.  Country Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
12.5.1.China
12.5.2.India
12.5.3.Australia and New Zealand (ANZ)
12.5.4.Japan
12.5.5.Rest of APAC
13.Middle East and Africa (MEA) Healthcare BPO Market ,2018 - 2022 and Forecast 2023 - 2029 (Sales Value USD Million)
13.1. Provider Services Analysis  and Forecast  by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
13.1.1.Medical Billing
13.1.2.Medical Coding
13.1.3.Medical Transcription
13.1.4.Finance & Accounts
13.1.5.Others
13.2.  Payer By Services Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
13.2.1.Integrated Front-end Services and Back-office Operations
13.2.2.Provider Management
13.2.3.Claims Management
13.2.4.Billing and Accounts Management
13.2.5.HR
13.2.6.Analytics and Fraud Management
13.2.7.Member Management
13.3.  Pharmaceutical services Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
13.3.1.Manufacturing
13.3.2.Research and Development
13.3.3.Non-clinical Services
13.4.  End-User Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
13.4.1.Hospital
13.4.2.Clinics
13.4.3.Public Service
13.4.4.Pharmaceutical Companies
13.4.5.Others
13.5.  Country Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
13.5.1.GCC Countries
13.5.2.South Africa
13.5.3.Rest of MEA
14.Latin America Healthcare BPO Market ,2018 - 2022 and Forecast 2023 - 2029 (Sales Value USD Million)
14.1. Provider Services Analysis  and Forecast  by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
14.1.1.Medical Billing
14.1.2.Medical Coding
14.1.3.Medical Transcription
14.1.4.Finance & Accounts
14.1.5.Others
14.2.  Payer By Services Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
14.2.1.Integrated Front-end Services and Back-office Operations
14.2.2.Provider Management
14.2.3.Claims Management
14.2.4.Billing and Accounts Management
14.2.5.HR
14.2.6.Analytics and Fraud Management
14.2.7.Member Management
14.3.  Pharmaceutical services Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
14.3.1.Manufacturing
14.3.2.Research and Development
14.3.3.Non-clinical Services
14.4.  End-User Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
14.4.1.Hospital
14.4.2.Clinics
14.4.3.Public Service
14.4.4.Pharmaceutical Companies
14.4.5.Others
14.5.  Country Analysis 2018 - 2022 and Forecast 2023 - 2029 by Sales Value USD Million, Y-o-Y Growth (%), and Market Share (%) 
14.5.1.Brazil
14.5.2.Mexico
14.5.3.Rest of LA
15. Competition Landscape
15.1.  Market Player Profiles (Introduction, Brand/Product Sales, Financial Analysis, Product Offerings, Key Developments, Collaborations, M & A, Strategies, and SWOT Analysis) 
15.2.1.IQVIA
15.2.2.HCL Technologies Limited
15.2.3.Accenture
15.2.4.Eli Global
15.2.5.IBM Corporation
15.2.6.Genpact Limited
15.2.7.Parexel, Sutherland
15.2.8.Hewlett-Packard Inc
15.2.9.Truven Health Analytics
15.2.10.United Health Group
15.2.11.Cognizant, Lonza Group Ltd
15.2.12.Accretive Health
15.2.13.Tata Consultancy Services Ltd
15.2.14.Xerox Corporation
15.2.15.Infosys Limited
16. Research Methodology 
17. Appendix and Abbreviations 
  • IQVIA
  • HCL Technologies Limited
  • Accenture
  • Eli Global
  • IBM Corporation
  • Genpact Limited
  • Parexel, Sutherland
  • Hewlett-Packard Inc
  • Truven Health Analytics
  • United Health Group
  • Cognizant, Lonza Group Ltd
  • Accretive Health
  • Tata Consultancy Services Ltd
  • Xerox Corporation
  • Infosys Limited