Healthcare BPO Services Market Size and Competitive Analysis by 2025

The healthcare BPO services market was valued at US$ 35,818.9 million in 2017, it is estimated to grow at a CAGR of 8.6% from 2018 to 2025.

Healthcare Business Processing Outsourcing (BPO) offers customized solutions to the healthcare providers and payers to reduce the complexity of various tedious tasks involved at several stages of the workflow and establishment. These services are also helpful to enrich resource allocation, boost the financial performance of the company/organization, seek strategic growth support as well as reduce operational costs to maximize profit margins. The growth of the healthcare BPO services market is attributed to the constant changes in government regulations, mounting pressure on healthcare providers to reduce healthcare costs, rising consolidation in the healthcare BPO industry. However, hidden costs of outsourcing and dearth of skilled professionals and researchers is the major factor hindering the market growth.

The healthcare BPO services market is expected to witness substantial growth post-pandemic. The global healthcare infrastructure has observed that, in order to develop and maintain sustainable healthcare setup, utilization of digital technologies and digital innovation becomes crucial. Moreover, majority of the market players have focused on development of digital tools in order to increase accessibility, affordability, and accuracy and to fight against coronavirus pandemic. In addition, several number of research centers have actively participated in the building of technologies, processes and channels which are assisting the healthcare employees to work efficiently and to access the resources from their homes while maintaining security. These factors will eventually drive the market growth.

Published Report - Healthcare BPO Services Market: Strategic Insights

Market Insights

Constant Changes in Government Regulations to Drive Healthcare BPO Services Market Growth

The healthcare costs continues to be a significant factor and influences the current and future allocation of budget by the government in every country across the world. The healthcare disparity between various regions have led to constantly changing government regulations and policies for healthcare companies in terms of the priorities and other aspects. For instance, in January 2017, Donald Trump, the US president signed an executive order for immediate repeal of Patient Protection and Affordable Care Act of 2010 (PPACA), that would pose an economic burden on the American people and those involved in the health care industry. The new administration also affecting the country’s regulatory authority (USFDA in this case) to address issues such as high pricing, clearance of orphan drug request backlog and others affects the healthcare companies that are present in the US as well as the ones that have invested in the country. 

Similarly, Section 3d of the Indian Pharma Act does not approve and allow the marketing and use of a drug that is in altered form of an already known molecule and fails to represent improved efficacy over the prevalent one in the market, which is not the case in case of other countries such as the U.S., Australia, UK and are approved for their use. Additionally, the Indian government in 2016 had banned 350 fixed dose combination drugs, however mounting legal challenges by the pharmaceutical industry prompted the Supreme Court to call a review by an advisory board and remove the ban. However, in September 2018, the health ministry of India re-banned the manufacture, sale and distribution of 328 fixed dose combination of drugs with immediate effects and restricted another six drugs. Healthcare companies that are unaware of these constantly changing regulatory policies may endure a significant loss and lose their interest for investing into markets with high growth potentials. The business process outsourcing services that assists these companies by providing a report regarding the constant track changes and helps in creating strategic plans to invest in countries that have favorable policies for the investor is expected to increase the adoption of these services and hence support the growth of market over the years.

Payer Service -Based Insights

In terms of payer service, the healthcare BPO services market is segmented into claims administration, billing, member management, provider management, fraud management, and others. In 2017, the claims administration segment held largest share of the market and the fraud management segment is estimated to register the highest CAGR during the forecast period. 

Provider Service -Based Insights

Based on provider service, the healthcare BPO services market is segmented into medical billing, medical coding, finance & accounts and others. The medical billing segment held the largest share of the market in 2017. Also, the same segment is estimated to register highest CAGR during the forecast period.

Pharmaceutical Service -Based Insights

In terms of pharmaceutical service, the healthcare BPO services market is segmented into research & development, manufacturing, sales & marketing, supply chain & logistics, and others. The manufacturing segment held the largest share of the market in 2017.

The healthcare BPO services market players are adopting the product launch and expansion strategies to cater to changing customer demands worldwide, which also allows them to maintain their brand name globally.

Healthcare BPO Services

Published Report - Healthcare BPO Services Market Players Density: Understanding Its Impact on Business Dynamics

The Published Report - Healthcare BPO Services Market is growing rapidly, driven by increasing end-user demand due to factors such as evolving consumer preferences, technological advancements, and greater awareness of the product's benefits. As demand rises, businesses are expanding their offerings, innovating to meet consumer needs, and capitalizing on emerging trends, which further fuels market growth.

Healthcare BPO Services Market – by Payer Service

• Claims Administration
• Member Management  
• Provider Management  
• Billing
• Fraud Management
• Others

Healthcare BPO Services Market – by Provider Service

• Medical Billing
• Finance & Accounts
• Medical Coding 
• Others

Healthcare BPO Services Market – by Pharmaceutical Service

• Manufacturing
• Research & Development 
• Sales & Marketing 
• Supply Chain & Logistics 
• Others

Healthcare BPO Services Market – by Geography

• North America
  • US
  • Canada
  • Mexico
• Europe
  • France
  • Germany
  • Italy
  • UK
  • Spain
  • Rest of Europe
• Asia Pacific (APAC)
  • China
  • India
  • South Korea
  • Japan
  • Australia
  • Rest of APAC
• Middle East & Africa (MEA)
  • South Africa
  • Saudi Arabia
  • UAE
  • Rest of MEA
• South America and Central America (SCAM)
  • Brazil
  • Argentina
  • Rest of SCAM

Company Profiles

• WNS (Holdings) Ltd.
• Invensis Technologies Pvt Ltd
• Cognizant, Infosys Limited
• ACCENTURE
• Genpact, Xerox Corporation
• GeBBS Healthcare Solutions
• Capgemini
• Omega Healthcare
• Flatworld Solutions Pvt. Ltd.
• Magellan Solutions.