Healthcare BPO Market Synopsis:
Healthcare BPO Market Size Was Valued at USD 312.40 Billion in 2023, and is Projected to Reach USD 872.60 Billion by 2032, Growing at a CAGR of 12.09%From 2024-2032.
The Healthcare BPO Market/Industry refers to the outsourcing of other business functions in the healthcare industry which may include but are not limited to administrative services, data processing and other supportive functions. This market helps healthcare organisations operate efficiently by annually cutting expenses and increasing service quality; use qualified service providers.
The global Healthcare BPO Market is currently expanding as a result of rising healthcare costs and the need for operational excellence and enhanced healthcare compliance. From the above research paper we understand that outsourcing of certain specifications of business functions proves to enable healthcare organizations to produce value in their main operations like provision of patient care, and develop value in general service delivery. The industry’s BPO services in healthcare are diverse and include pharmaceuticals research, payer and provider, and patient engagement services.
Over the recent years, technological developments especially in the area of digital health has further compounded the need for outsourcing BPO services. Thanks to such innovations as telehealth, EHRs, and big data, healthcare systems are finding it strategic to outsource some of the tasks they have to perform to different companies that specialize in these areas. The COVID-19 pandemic has also influenced the usage of BPO services because the healthcare delivery systems focused on select changes because of shock chronic illness caregivers. Thus, the size of the market is to increase as the understanding of outsourcing advantages and the necessity of more flexibility and adaptation in the context of the change to the healthcare sector increases.

Healthcare BPO Market Trend Analysis:
Increased Adoption of Telehealth Services
-
One key trend emerging in the Healthcare BPO Market is that there has been greater use of telehealth services. With patient satisfying convenience and safety brought by remote health care delivery models, healthcare organizations are outsourcing keep up with remote health care delivery by outsourcing to BPO services. Telehealth service outsourcing allows the providers to manage appointment making, consultations through online platforms as well as Checkpoint’s on their patients easily; responsibilities that always burden the procedures but do not impact patient care values.
- Further, the BPO Providers are implementing advanced key technologies like Artificial Intelligence (AI) and Machine learning for Telehealth service delivery. By doing so, they enhance patient interactions, increase the efficiency of appointment scheduling, and provide enhanced means for analyzing results of patient experiences. This focus on telehealth is expected to persist; it will increase investment in BPO services that can handle this expanding necessity for enhancing the availability and quality of healthcare.
Expansion into Emerging Markets
-
An important opportunity of the Healthcare BPO Market is to expand to emerging markets. Since the health care sectors in the developing countries are gradually developing and adopting complex technologies, there are rising demand for various support services. The markets in these areas can be accessed by BPO providers by developing and selling solutions that can effectively solve the problems that are commonly found in the area; inadequate health care infrastructure and lack of manpower among others.
- In addition, growth is driven by the enhancement of healthcare expenditure by emerging economy governments and enhancement of better laws. Through partnerships with points-of-care and assessment of market specificity, BPO providers can increase their market in those areas and improve their services.
Healthcare BPO Market Segment Analysis:
Healthcare BPO Market Segmented on the basis of Type, Application, Service, and Region
By Type, Pharmaceutical BPO segment is expected to dominate the market during the forecast period
-
The global Healthcare BPO market can be categorized into different type of segments as follows: Pharmaceutical BPO, Healthcare Provider BPO, Healthcare Payer BPO and others. Pharmaceutical BPO is comprised processes concerning drug discovery and development, clinical research and affiliated law compliance, and other technical services that cuts the time for marketing of pharmaceutical products done by other equally competent service providers. Healthcare Provider BPO deals mainly with outsourcing services incorporating patient appointment and reminder services, medical billing, and transcription services in order to relieve the burden of the management of the provider and improve their efficiency.
- Healthcare Payer BPO may also be defined as services offered in the healthcare insurance industry such as claim processing, enrollment management and customer service. The management of such processes can therefore be outsourced to release operational efficiencies, increase accuracy and ultimately increase customer satisfaction among the payers. The “Other” may encompass several other forms of specialized BPO services that may fit different gaps in the health system including telehealth and health information technology. Consequently, both the delivery of outsourcing services and each of the types within this market is expected to increase in the future due to various requirements of the healthcare industry.
By Application, Patient Enrollment segment expected to held the largest share
-
Talking of the sectors where the Healthcare BPO Market can be used, they are Insurance Claims Processing, Patient Enrollment, Clinical Research, Data Management, Telehealth Services. A major service offered by BPO providers is Insurance Claims Processing, which enable healthcare organizations to optimally process and submit insurance claims and shorten turnaround time for claims processing. Implementing outsourced claims processing helps the organization to address issues on reimbursement while they make sure that the patients receive quality services.
- Outsourcing of Patents Enrollment services has become common in order to improve the ways through which the patients are engaged and also make the enrollment services efficient. The enrollment methodology is eased by full technological support by the BPO providers to enhance the quality of data that they input into the patients’ records and general patient contact. Outsourcing clinical research means that pharma concerns can harness specialized R&D skills; accommodate project scope; and save money in the process. Another one is Data Management where Decision Support and reporting can be outsourced hence enhancing the healthcare organization in decision making and operations. Telehealth Services are another novel concept that is becoming more prevalent post pandemic to offer providers with a choice of remote care solutions as well as addressed the challenges of scheduling, follow-up with the patients, and billing solutions.
Healthcare BPO Market Regional Insights:
North America is Expected to Dominate the Market Over the Forecast period
-
Over the years, North America emerged as the most prominent region for healthcare BPO market owing to the well-developed facilities for healthcare and increasing demands for healthcare services coupled with the high regard to the escalating costs. There are many healthcare providers and consumers in the region the market has a huge need for outsourcing services which can improve the functionality. In addition, technological enhancement in the North America region like Electronic Health Record and telehealth services have accelerated and contributed to the prospect of BPO market.
- Furthermore, the key players resulted in BPO services and liberal policies also make this region dominant. North American healthcare organizations are learning valuable lessons about the strategic opportunities of outsourcing non-critical, non-differentiating support services like claims processing and data management. This trend is going to continue in the coming years as North America is continued to dominate the Healthcare BPO Market.
Active Key Players in the Healthcare BPO Market:
-
Accenture (Ireland)
- Cognizant Technology Solutions (United States)
- Genpact (India)
- Wipro (India)
- Tata Consultancy Services (India)
- Infosys (India)
- Xerox (United States)
- Optum (United States)
- McKesson Corporation (United States)
- Veeva Systems (United States)
- eCatalyst Healthcare Solutions (United States)
- HCL Technologies (India)
- Other Active Players
Key Industry Developments in the Healthcare BPO Market:
-
November 2023: Accenture (Ireland) acquired ConcentricLife (US), a healthcare marketing agency, to assist Life Sciences businesses in creating the best possible brand experience throughout the entire health journey. Accenture Song's ongoing commitment to provide end-to-end solutions for its Life Sciences clients through pertinent communications and experiences that are tailored to the constantly changing needs of patients and healthcare professionals is reinforced by this purchase.
-
May 2023: EXL Service Holdings (US) introduced a generative AI platform to assist customers in using AI to revolutionize their businesses. The platform blends the fundamentals of generative AI models with data engineering know-how, AI solutions, and proprietary data sets from EXL. Based on EXL's extensive knowledge in AI-driven digital transformation, which enhances operational processes, yields fresh business perspectives, and offers more customized consumer experiences, the new suite of solutions will assist companies in growing AI projects across the board.
|
Healthcare BPO Market |
|||
|
Base Year: |
2023 |
Forecast Period: |
2024-2032 |
|
Historical Data: |
2017 to 2023 |
Market Size in 2023: |
USD 312.40 Billion |
|
Forecast Period 2024-32 CAGR: |
12.09% |
Market Size in 2032: |
USD 872.60 Billion |
|
Segments Covered: |
By Type |
|
|
|
By Application |
|
||
|
By Service |
|
||
|
By Region |
|
||
|
Key Market Drivers: |
|
||
|
Key Market Restraints: |
|
||
|
Key Opportunities: |
|
||
|
Companies Covered in the report: |
|
||
Chapter 1: Introduction
1.1 Scope and Coverage
Chapter 2:Executive Summary
Chapter 3: Market Landscape
3.1 Market Dynamics
3.1.1 Drivers
3.1.2 Restraints
3.1.3 Opportunities
3.1.4 Challenges
3.2 Market Trend Analysis
3.3 PESTLE Analysis
3.4 Porter's Five Forces Analysis
3.5 Industry Value Chain Analysis
3.6 Ecosystem
3.7 Regulatory Landscape
3.8 Price Trend Analysis
3.9 Patent Analysis
3.10 Technology Evolution
3.11 Investment Pockets
3.12 Import-Export Analysis
Chapter 4: Healthcare BPO Market by Type
4.1 Healthcare BPO Market Snapshot and Growth Engine
4.2 Healthcare BPO Market Overview
4.3 Pharmaceutical BPO
4.3.1 Introduction and Market Overview
4.3.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
4.3.3 Key Market Trends, Growth Factors and Opportunities
4.3.4 Pharmaceutical BPO: Geographic Segmentation Analysis
4.4 Healthcare Provider BPO
4.4.1 Introduction and Market Overview
4.4.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
4.4.3 Key Market Trends, Growth Factors and Opportunities
4.4.4 Healthcare Provider BPO: Geographic Segmentation Analysis
4.5 Healthcare Payer BPO
4.5.1 Introduction and Market Overview
4.5.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
4.5.3 Key Market Trends, Growth Factors and Opportunities
4.5.4 Healthcare Payer BPO: Geographic Segmentation Analysis
4.6 Others
4.6.1 Introduction and Market Overview
4.6.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
4.6.3 Key Market Trends, Growth Factors and Opportunities
4.6.4 Others: Geographic Segmentation Analysis
Chapter 5: Healthcare BPO Market by Service
5.1 Healthcare BPO Market Snapshot and Growth Engine
5.2 Healthcare BPO Market Overview
5.3 Medical Billing
5.3.1 Introduction and Market Overview
5.3.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
5.3.3 Key Market Trends, Growth Factors and Opportunities
5.3.4 Medical Billing: Geographic Segmentation Analysis
5.4 Claims Processing
5.4.1 Introduction and Market Overview
5.4.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
5.4.3 Key Market Trends, Growth Factors and Opportunities
5.4.4 Claims Processing: Geographic Segmentation Analysis
5.5 Pharmacy Benefit Management
5.5.1 Introduction and Market Overview
5.5.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
5.5.3 Key Market Trends, Growth Factors and Opportunities
5.5.4 Pharmacy Benefit Management: Geographic Segmentation Analysis
5.6 Revenue Cycle Management
5.6.1 Introduction and Market Overview
5.6.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
5.6.3 Key Market Trends, Growth Factors and Opportunities
5.6.4 Revenue Cycle Management: Geographic Segmentation Analysis
5.7 Clinical Services
5.7.1 Introduction and Market Overview
5.7.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
5.7.3 Key Market Trends, Growth Factors and Opportunities
5.7.4 Clinical Services: Geographic Segmentation Analysis
5.8 Others
5.8.1 Introduction and Market Overview
5.8.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
5.8.3 Key Market Trends, Growth Factors and Opportunities
5.8.4 Others: Geographic Segmentation Analysis
Chapter 6: Healthcare BPO Market by Application
6.1 Healthcare BPO Market Snapshot and Growth Engine
6.2 Healthcare BPO Market Overview
6.3 Insurance Claims Processing
6.3.1 Introduction and Market Overview
6.3.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
6.3.3 Key Market Trends, Growth Factors and Opportunities
6.3.4 Insurance Claims Processing: Geographic Segmentation Analysis
6.4 Patient Enrollment
6.4.1 Introduction and Market Overview
6.4.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
6.4.3 Key Market Trends, Growth Factors and Opportunities
6.4.4 Patient Enrollment: Geographic Segmentation Analysis
6.5 Clinical Research
6.5.1 Introduction and Market Overview
6.5.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
6.5.3 Key Market Trends, Growth Factors and Opportunities
6.5.4 Clinical Research: Geographic Segmentation Analysis
6.6 Data Management
6.6.1 Introduction and Market Overview
6.6.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
6.6.3 Key Market Trends, Growth Factors and Opportunities
6.6.4 Data Management: Geographic Segmentation Analysis
6.7 Telehealth Services
6.7.1 Introduction and Market Overview
6.7.2 Historic and Forecasted Market Size in Value USD and Volume Units (2017-2032F)
6.7.3 Key Market Trends, Growth Factors and Opportunities
6.7.4 Telehealth Services: Geographic Segmentation Analysis
Chapter 7: Company Profiles and Competitive Analysis
7.1 Competitive Landscape
7.1.1 Competitive Benchmarking
7.1.2 Healthcare BPO Market Share by Manufacturer (2023)
7.1.3 Industry BCG Matrix
7.1.4 Heat Map Analysis
7.1.5 Mergers and Acquisitions
7.2 ACCENTURE (IRELAND)
7.2.1 Company Overview
7.2.2 Key Executives
7.2.3 Company Snapshot
7.2.4 Role of the Company in the Market
7.2.5 Sustainability and Social Responsibility
7.2.6 Operating Business Segments
7.2.7 Product Portfolio
7.2.8 Business Performance
7.2.9 Key Strategic Moves and Recent Developments
7.2.10 SWOT Analysis
7.3 COGNIZANT TECHNOLOGY SOLUTIONS (UNITED STATES)
7.4 GENPACT (INDIA)
7.5 WIPRO (INDIA)
7.6 TATA CONSULTANCY SERVICES (INDIA)
7.7 INFOSYS (INDIA)
7.8 XEROX (UNITED STATES)
7.9 OPTUM (UNITED STATES)
7.10 MCKESSON CORPORATION (UNITED STATES)
7.11 VEEVA SYSTEMS (UNITED STATES)
7.12 ECATALYST HEALTHCARE SOLUTIONS (UNITED STATES)
7.13 HCL TECHNOLOGIES (INDIA)
7.14 OTHER ACTIVE PLAYERS
Chapter 8: Global Healthcare BPO Market By Region
8.1 Overview
8.2. North America Healthcare BPO Market
8.2.1 Key Market Trends, Growth Factors and Opportunities
8.2.2 Top Key Companies
8.2.3 Historic and Forecasted Market Size by Segments
8.2.4 Historic and Forecasted Market Size By Type
8.2.4.1 Pharmaceutical BPO
8.2.4.2 Healthcare Provider BPO
8.2.4.3 Healthcare Payer BPO
8.2.4.4 Others
8.2.5 Historic and Forecasted Market Size By Service
8.2.5.1 Medical Billing
8.2.5.2 Claims Processing
8.2.5.3 Pharmacy Benefit Management
8.2.5.4 Revenue Cycle Management
8.2.5.5 Clinical Services
8.2.5.6 Others
8.2.6 Historic and Forecasted Market Size By Application
8.2.6.1 Insurance Claims Processing
8.2.6.2 Patient Enrollment
8.2.6.3 Clinical Research
8.2.6.4 Data Management
8.2.6.5 Telehealth Services
8.2.7 Historic and Forecast Market Size by Country
8.2.7.1 US
8.2.7.2 Canada
8.2.7.3 Mexico
8.3. Eastern Europe Healthcare BPO Market
8.3.1 Key Market Trends, Growth Factors and Opportunities
8.3.2 Top Key Companies
8.3.3 Historic and Forecasted Market Size by Segments
8.3.4 Historic and Forecasted Market Size By Type
8.3.4.1 Pharmaceutical BPO
8.3.4.2 Healthcare Provider BPO
8.3.4.3 Healthcare Payer BPO
8.3.4.4 Others
8.3.5 Historic and Forecasted Market Size By Service
8.3.5.1 Medical Billing
8.3.5.2 Claims Processing
8.3.5.3 Pharmacy Benefit Management
8.3.5.4 Revenue Cycle Management
8.3.5.5 Clinical Services
8.3.5.6 Others
8.3.6 Historic and Forecasted Market Size By Application
8.3.6.1 Insurance Claims Processing
8.3.6.2 Patient Enrollment
8.3.6.3 Clinical Research
8.3.6.4 Data Management
8.3.6.5 Telehealth Services
8.3.7 Historic and Forecast Market Size by Country
8.3.7.1 Russia
8.3.7.2 Bulgaria
8.3.7.3 The Czech Republic
8.3.7.4 Hungary
8.3.7.5 Poland
8.3.7.6 Romania
8.3.7.7 Rest of Eastern Europe
8.4. Western Europe Healthcare BPO Market
8.4.1 Key Market Trends, Growth Factors and Opportunities
8.4.2 Top Key Companies
8.4.3 Historic and Forecasted Market Size by Segments
8.4.4 Historic and Forecasted Market Size By Type
8.4.4.1 Pharmaceutical BPO
8.4.4.2 Healthcare Provider BPO
8.4.4.3 Healthcare Payer BPO
8.4.4.4 Others
8.4.5 Historic and Forecasted Market Size By Service
8.4.5.1 Medical Billing
8.4.5.2 Claims Processing
8.4.5.3 Pharmacy Benefit Management
8.4.5.4 Revenue Cycle Management
8.4.5.5 Clinical Services
8.4.5.6 Others
8.4.6 Historic and Forecasted Market Size By Application
8.4.6.1 Insurance Claims Processing
8.4.6.2 Patient Enrollment
8.4.6.3 Clinical Research
8.4.6.4 Data Management
8.4.6.5 Telehealth Services
8.4.7 Historic and Forecast Market Size by Country
8.4.7.1 Germany
8.4.7.2 UK
8.4.7.3 France
8.4.7.4 The Netherlands
8.4.7.5 Italy
8.4.7.6 Spain
8.4.7.7 Rest of Western Europe
8.5. Asia Pacific Healthcare BPO Market
8.5.1 Key Market Trends, Growth Factors and Opportunities
8.5.2 Top Key Companies
8.5.3 Historic and Forecasted Market Size by Segments
8.5.4 Historic and Forecasted Market Size By Type
8.5.4.1 Pharmaceutical BPO
8.5.4.2 Healthcare Provider BPO
8.5.4.3 Healthcare Payer BPO
8.5.4.4 Others
8.5.5 Historic and Forecasted Market Size By Service
8.5.5.1 Medical Billing
8.5.5.2 Claims Processing
8.5.5.3 Pharmacy Benefit Management
8.5.5.4 Revenue Cycle Management
8.5.5.5 Clinical Services
8.5.5.6 Others
8.5.6 Historic and Forecasted Market Size By Application
8.5.6.1 Insurance Claims Processing
8.5.6.2 Patient Enrollment
8.5.6.3 Clinical Research
8.5.6.4 Data Management
8.5.6.5 Telehealth Services
8.5.7 Historic and Forecast Market Size by Country
8.5.7.1 China
8.5.7.2 India
8.5.7.3 Japan
8.5.7.4 South Korea
8.5.7.5 Malaysia
8.5.7.6 Thailand
8.5.7.7 Vietnam
8.5.7.8 The Philippines
8.5.7.9 Australia
8.5.7.10 New Zealand
8.5.7.11 Rest of APAC
8.6. Middle East & Africa Healthcare BPO Market
8.6.1 Key Market Trends, Growth Factors and Opportunities
8.6.2 Top Key Companies
8.6.3 Historic and Forecasted Market Size by Segments
8.6.4 Historic and Forecasted Market Size By Type
8.6.4.1 Pharmaceutical BPO
8.6.4.2 Healthcare Provider BPO
8.6.4.3 Healthcare Payer BPO
8.6.4.4 Others
8.6.5 Historic and Forecasted Market Size By Service
8.6.5.1 Medical Billing
8.6.5.2 Claims Processing
8.6.5.3 Pharmacy Benefit Management
8.6.5.4 Revenue Cycle Management
8.6.5.5 Clinical Services
8.6.5.6 Others
8.6.6 Historic and Forecasted Market Size By Application
8.6.6.1 Insurance Claims Processing
8.6.6.2 Patient Enrollment
8.6.6.3 Clinical Research
8.6.6.4 Data Management
8.6.6.5 Telehealth Services
8.6.7 Historic and Forecast Market Size by Country
8.6.7.1 Turkiye
8.6.7.2 Bahrain
8.6.7.3 Kuwait
8.6.7.4 Saudi Arabia
8.6.7.5 Qatar
8.6.7.6 UAE
8.6.7.7 Israel
8.6.7.8 South Africa
8.7. South America Healthcare BPO Market
8.7.1 Key Market Trends, Growth Factors and Opportunities
8.7.2 Top Key Companies
8.7.3 Historic and Forecasted Market Size by Segments
8.7.4 Historic and Forecasted Market Size By Type
8.7.4.1 Pharmaceutical BPO
8.7.4.2 Healthcare Provider BPO
8.7.4.3 Healthcare Payer BPO
8.7.4.4 Others
8.7.5 Historic and Forecasted Market Size By Service
8.7.5.1 Medical Billing
8.7.5.2 Claims Processing
8.7.5.3 Pharmacy Benefit Management
8.7.5.4 Revenue Cycle Management
8.7.5.5 Clinical Services
8.7.5.6 Others
8.7.6 Historic and Forecasted Market Size By Application
8.7.6.1 Insurance Claims Processing
8.7.6.2 Patient Enrollment
8.7.6.3 Clinical Research
8.7.6.4 Data Management
8.7.6.5 Telehealth Services
8.7.7 Historic and Forecast Market Size by Country
8.7.7.1 Brazil
8.7.7.2 Argentina
8.7.7.3 Rest of SA
Chapter 9 Analyst Viewpoint and Conclusion
9.1 Recommendations and Concluding Analysis
9.2 Potential Market Strategies
Chapter 10 Research Methodology
10.1 Research Process
10.2 Primary Research
10.3 Secondary Research
|
Healthcare BPO Market |
|||
|
Base Year: |
2023 |
Forecast Period: |
2024-2032 |
|
Historical Data: |
2017 to 2023 |
Market Size in 2023: |
USD 312.40 Billion |
|
Forecast Period 2024-32 CAGR: |
12.09% |
Market Size in 2032: |
USD 872.60 Billion |
|
Segments Covered: |
By Type |
|
|
|
By Application |
|
||
|
By Service |
|
||
|
By Region |
|
||
|
Key Market Drivers: |
|
||
|
Key Market Restraints: |
|
||
|
Key Opportunities: |
|
||
|
Companies Covered in the report: |
|
||


