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United States Healthcare BPO Market: Industry Trends, Share, Size, Growth, Opportunity and Forecast 2022-2027

Market Overview:

The United States healthcare BPO market is expected to exhibit a CAGR of 8.09% during 2022-2027. Keeping in mind the uncertainties of COVID-19, we are continuously tracking and evaluating the direct as well as the indirect influence of the pandemic. These insights are included in the report as a major market contributor.

Healthcare business process outsourcing (BPO) is a business activity providing support to medical institutions, staff, and organizations. It comprises medical coding and billing, and data and claim processing that helps healthcare providers focus on core business functions and treat the patients more efficiently. It also assists in collecting drug inventory, prescriptions, tests and lab reports, insurance details, and bill payment records of the patients. In addition, it saves expenses by reducing the operational costs of hiring and training the in-house team. Healthcare BPO verifies the patient records instantly while performing an analytical diagnosis, which can produce significant insights related to patient care.

United States Healthcare BPO Market Trends:

The growing demand for healthcare BPOs in the United States to offer quality patient care and reduce the overall cost of revisits and re-treatment of the patients represents one of the key factors driving the market. Moreover, there is an increase in the demand for healthcare BPOs that can provide access to specialists for enhancing the availability of skilled healthcare professionals. This, along with the burgeoning healthcare industry, is propelling the growth of the market in the US. In addition, there is a rise in the non-core activities, such as improved patient care, predictable cash flow, and increased net revenue, of hospitals for better operational benefits. This, coupled with the increasing healthcare expenditure in the country, is contributing to the growth of the market. Besides this, as maintaining patient records, interacting with health insurance agencies, and issuing invoices for medical services are time-consuming, there is a rise in the outsourcing of medical claims by hospitals. Apart from this, the implementation of various reforms and the conversion from the ICD-9 coding system to the ICD-10 coding system by the US Government is bolstering the growth of the market.

Key Market Segmentation:

IMARC Group provides an analysis of the key trends in each sub-segment of the United States healthcare BPO market, along with forecasts at the country and regional level from 2022-2027. Our report has categorized the market based on payer service, provider service and pharmaceutical service.

Breakup by Payer Service:

  • Human Resource Management
  • Claims Management
  • Customer Relationship Management
  • Operational and Administrative Management
  • Care Management
  • Provider Management
  • Others
     

Breakup by Provider Service:

  • Patient Enrollment and Strategic Planning
  • Patient Care Service
  • Revenue Cycle Management
     

Breakup by Pharmaceutical Service:

  • Manufacturing Services
  • Research and Development Services
  • Non-clinical Services
     

Breakup by Region:

  • Northeast
  • Midwest
  • South
  • West
     

Competitive Landscape:

The competitive landscape of the industry has also been examined along with the profiles of the key players.

Report Coverage:

Report Features Details
Base Year of the Analysis 2021
    Historical Period 2016-2021
Forecast Period 2022-2027
Units US$ Billion
Segment Coverage Payer Service, Provider Service, Pharmaceutical Service, Region
Region Covered Northeast, Midwest, South, West
Customization Scope 10% Free Customization
Report Price and Purchase Option Single User License: US$ 2699
Five User License: US$ 3699
Corporate License: US$ 4699
Post-Sale Analyst Support 10-12 Weeks
Delivery Format PDF and Excel through Email (We can also provide the editable version of the report in PPT/Word format on special request)

 

Key Questions Answered in This Report:

  • How has the United States healthcare BPO market performed so far and how will it perform in the coming years?
  • What has been the impact of COVID-19 on the United States healthcare BPO market?
  • What are the key regional markets?
  • What is the breakup of the market based on the payer service?
  • What is the breakup of the market based on the provider service?
  • What is the breakup of the market based on the pharmaceutical service?
  • What are the various stages in the value chain of the industry?
  • What are the key driving factors and challenges in the industry?
  • What is the structure of the United States healthcare BPO market and who are the key players?
  • What is the degree of competition in the industry?

1    Preface
2    Scope and Methodology

    2.1    Objectives of the Study
    2.2    Stakeholders
    2.3    Data Sources
        2.3.1    Primary Sources
        2.3.2    Secondary Sources
    2.4    Market Estimation
        2.4.1    Bottom-Up Approach
        2.4.2    Top-Down Approach
    2.5    Forecasting Methodology
3    Executive Summary
4    Introduction

    4.1    Overview
    4.2    Key Industry Trends
5    United States Healthcare BPO Market
    5.1    Market Overview
    5.2    Market Performance
    5.3    Impact of COVID-19
    5.4    Market Forecast
6    Market Breakup by Payer Service
    6.1    Human Resource Management
        6.1.1 Market Trends
        6.1.2 Market Forecast
    6.2    Claims Management
        6.2.1 Market Trends
        6.2.2 Market Forecast
    6.3    Customer Relationship Management
        6.3.1 Market Trends
        6.3.2 Market Forecast
    6.4    Operational and Administrative Management
        6.4.1 Market Trends
        6.4.2 Market Forecast
    6.5    Care Management
        6.5.1 Market Trends
        6.5.2 Market Forecast
    6.6    Provider Management
        6.6.1 Market Trends
        6.6.2 Market Forecast
    6.7    Others
        6.7.1 Market Trends
        6.7.2 Market Forecast
7    Market Breakup by Provider Service
    7.1    Patient Enrollment and Strategic Planning
        7.1.1 Market Trends
        7.1.2 Market Forecast
    7.2    Patient Care Service
        7.2.1 Market Trends
        7.2.2 Market Forecast
    7.3    Revenue Cycle Management
        7.3.1 Market Trends
        7.3.2 Market Forecast
8    Market Breakup by Pharmaceutical Service
    8.1    Manufacturing Services
        8.1.1 Market Trends
        8.1.2 Market Forecast
    8.2    Research and Development Services
        8.2.1 Market Trends
        8.2.2 Market Forecast
    8.3    Non-clinical Services
        8.3.1 Market Trends
        8.3.2 Market Forecast
9    Market Breakup by Region
    9.1    Northeast
        9.1.1 Market Trends
        9.1.2 Market Forecast
    9.2    Midwest
        9.2.1 Market Trends
        9.2.2 Market Forecast
    9.3    South
        9.3.1 Market Trends
        9.3.2 Market Forecast
    9.4    West
        9.4.1 Market Trends
        9.4.2 Market Forecast
10    SWOT Analysis
    10.1    Overview
    10.2    Strengths
    10.3    Weaknesses
    10.4    Opportunities
    10.5    Threats
11    Value Chain Analysis
12    Porters Five Forces Analysis

    12.1    Overview
    12.2    Bargaining Power of Buyers
    12.3    Bargaining Power of Suppliers
    12.4    Degree of Competition
    12.5    Threat of New Entrants
    12.6    Threat of Substitutes
13    Price Analysis
14    Policy and Regulatory Landscape
15    Competitive Landscape

    15.1    Market Structure
    15.2    Key Players
    15.3    Profiles of Key Players

List of Figures

Figure 1: United States: Healthcare BPO Market: Major Drivers and Challenges
Figure 2: United States: Healthcare BPO Market: Sales Value (in Billion US$), 2016-2021
Figure 3: United States: Healthcare BPO Market Forecast: Sales Value (in Billion US$), 2022-2027
Figure 4: United States: Healthcare BPO Market: Breakup by Payer Service (in %), 2021
Figure 5: United States: Healthcare BPO Market: Breakup by Provider Service (in %), 2021
Figure 6: United States: Healthcare BPO Market: Breakup by Pharmaceutical Service (in %), 2021
Figure 7: United States: Healthcare BPO Market: Breakup by Region (in %), 2021
Figure 8: United States: Healthcare BPO (Human Resource Management) Market: Sales Value (in Million US$), 2016 & 2021
Figure 9: United States: Healthcare BPO (Human Resource Management) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 10: United States: Healthcare BPO (Claims Management) Market: Sales Value (in Million US$), 2016 & 2021
Figure 11: United States: Healthcare BPO (Claims Management) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 12: United States: Healthcare BPO (Customer Relationship Management) Market: Sales Value (in Million US$), 2016 & 2021
Figure 13: United States: Healthcare BPO (Customer Relationship Management) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 14: United States: Healthcare BPO (Operational and Administrative Management) Market: Sales Value (in Million US$), 2016 & 2021
Figure 15: United States:  Healthcare BPO (Operational and Administrative Management) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 16: United States: Healthcare BPO (Care Management) Market: Sales Value (in Million US$), 2016 & 2021
Figure 17: United States: Healthcare BPO (Care Management) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 18: United States: Healthcare BPO (Provider Management) Market: Sales Value (in Million US$), 2016 & 2021
Figure 19: United States: Healthcare BPO (Provider Management) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 20: United States: Healthcare BPO (Other Payer Services) Market: Sales Value (in Million US$), 2016 & 2021
Figure 21: United States: Healthcare BPO (Other Payer Services) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 22: United States: Healthcare BPO (Patient Enrollment and Strategic Planning) Market: Sales Value (in Million US$), 2016 & 2021
Figure 23: United States: Healthcare BPO (Patient Enrollment and Strategic Planning) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 24: United States: Healthcare BPO (Patient Care Service) Market: Sales Value (in Million US$), 2016 & 2021
Figure 25: United States: Healthcare BPO (Patient Care Service) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 26: United States: Healthcare BPO (Revenue Cycle Management) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 27: United States: Healthcare BPO (Revenue Cycle Management) Market: Sales Value (in Million US$), 2016 & 2021
Figure 28: United States: Healthcare BPO (Manufacturing Services) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 29: United States: Healthcare BPO (Manufacturing Services) Market: Sales Value (in Million US$), 2016 & 2021
Figure 30: United States: Healthcare BPO (Research and Development Services) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 31: United States: Healthcare BPO (Research and Development Services) Market: Sales Value (in Million US$), 2016 & 2021
Figure 32: United States: Healthcare BPO (Non-clinical Services) Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 33: United States: Healthcare BPO (Non-clinical Services) Market: Sales Value (in Million US$), 2016 & 2021
Figure 34: Northeast: Healthcare BPO Market: Sales Value (in Million US$), 2016 & 2021
Figure 35: Northeast: Healthcare BPO Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 36: Midwest: Healthcare BPO Market: Sales Value (in Million US$), 2016 & 2021
Figure 37: Midwest: Healthcare BPO Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 38: South: Healthcare BPO Market: Sales Value (in Million US$), 2016 & 2021
Figure 39: South: Healthcare BPO Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 40: West: Healthcare BPO Market: Sales Value (in Million US$), 2016 & 2021
Figure 41: West: Healthcare BPO Market Forecast: Sales Value (in Million US$), 2022-2027
Figure 42: United States: Healthcare BPO Industry: SWOT Analysis
Figure 43: United States: Healthcare BPO Industry: Value Chain Analysis
Figure 44: United States: Healthcare BPO Industry: Porter’s Five Forces Analysis

List of Tables

Table 1: United States: Healthcare BPO Market: Key Industry Highlights, 2021 and 2027
Table 2: United States: Healthcare BPO Market Forecast: Breakup by Payer Service (in Million US$), 2022-2027
Table 3: United States: Healthcare BPO Market Forecast: Breakup by Provider Service (in Million US$), 2022-2027
Table 4: United States: Healthcare BPO Market Forecast: Breakup by Pharmaceutical Service (in Million US$), 2022-2027
Table 5: United States: Healthcare BPO Market Forecast: Breakup by Region (in Million US$), 2022-2027
Table 6: United States: Healthcare BPO Market: Competitive Structure
Table 7: United States: Healthcare BPO Market: Key Players


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