세계의 헬스케어 BPO 시장 : 보험자 서비스, 제공자 서비스(RCM(Revenue Cycle Management), 환자 등록, 환자 케어, 기타), 제약 서비스별 예측(-2032년)
Global Healthcare BPO Market by Payer Services, Provider Services (Revenue Cycle Management, Patient Enrolment, Patient Care, and Others), and Pharmaceutical Services Forecast till 2032
세계의 헬스케어 BPO 시장 규모는 2023년 1억 1,000만 달러, 2024년 1억 2,000만 달러에서 예측 기간 중 10.01%의 CAGR로 추이하며, 2032년에는 2억 8,000만 달러 규모로 성장할 것으로 예측됩니다.
PPACA와 HIPAA의 적용, 의료비 절감에 대한 압박 등 규제 변화가 세계 시장 확대의 배경입니다.
지역별 전망
북미는 첨단 기술, 높은 의료 지출, 주요 기업의 존재로 인해 2023년 가장 큰 규모를 나타낼 것으로 예상됩니다. 이 지역 사람들의 건강에 대한 인식이 의료비 지출 증가를 견인하고 있습니다.
유럽도 기술 발전, 높은 의료비, 선도 기업의 존재로 인해 유럽도 시장에서 주요한 위치를 차지하고 있습니다. 이 지역 사람들의 건강 의식은 의료비 지출 증가를 촉진하고 있습니다.
아시아태평양은 빠르게 변화하는 헬스케어 분야와 사업 확장의 큰 기회를 배경으로 가장 빠르게 성장하고 있습니다. 헬스케어 부문의 확대, 기업 성장, 기술 발전이 시장 발전을 견인하고 있습니다.
세계의 헬스케어 BPO 시장을 조사했으며, 시장의 정의와 개요, 시장 성장에 대한 각종 영향요인의 분석, 시장 규모 추이·예측, 각종 구분·지역/주요 국가별 내역, 경쟁 환경, 주요 기업의 개요 등을 정리하여 전해드립니다.
목차
제1장 개요
제2장 시장 개요
제3장 조사 방법
제4장 시장 역학
- 촉진요인
- 규제의 변경 - PPACA와 HIPAA의 시행
- 의료비의 삭감 압력
- 헬스케어 업계에서 통합의 확대
- 헬스케어에서 BPO 서비스의 도입 확대
- 억제요인
- 기회
- 신흥 국가에서 헬스케어 BPO의 도입
- 백오피스 업무 관리와 운영을 위한 헬스케어 BPO
제5장 시장 요인 분석
- 밸류체인 분석
- Porter's Five Forces 모델
- COVID-19의 영향 분석
제6장 세계의 헬스케어 BPO 시장 : 서비스별
- 개요
- 보험자 서비스
- 클레임 관리 서비스
- 부정행위 탐지·관리
- 프런트 오피스 & 백오피스의 통합 업무
- 회원 관리
- 제품 개발·사업 획득 서비스
- 프로바이더 관리 서비스
- 케어 매니지먼트
- 청구·어카운트 관리 서비스
- 기타
- 의료 프로바이더 서비스
- RCM(REVENUE CYCLE MANAGEMENT)
- 환자 등록
- 환자 케어
- 기타
- 제약 서비스
제7장 세계의 헬스케어 BPO 시장 : 지역별
제8장 경쟁 구도
- 시장 점유율 분석
- 경쟁 대시보드
- 공개 기업의 주식 개요
- 비교 분석 : 주요 기업의 재무 동향
- 주요 개발과 성장 전략
제9장 기업 개요
- PAREXEL INTERNATIONAL(MA) CORPORATION
- VERADIGM LLC
- ORACLE CORPORATION
- IBM
- IQVIA HOLDING, INC.
- COGNIZANT
- INFOSYS LIMITED
- NTT DATA, INC
- ACCENTURE
- GEBBS
KSA
Global Healthcare BPO Market by Payer Services (Claims Management Services [Claims Adjudication Services, Claims Settlement Services, Information Management Services, Claims Repricing, Claims Investigation Services, Claims Indexing Services, Fraud Detection and Management], Integrated Front Office and Back Office Operations, Member Management, Product Development and Business Acquisition Services, Provider Management Services, Care Management, Billing and Accounts Management Services,), Provider Services (Revenue Cycle Management, Patient Enrolment, Patient Care (Medical Transcription and Device Monitoring), and Others), and Pharmaceutical Services (Research & Development, Manufacturing, Non-Clinical Services [Supply Chain Management & Logistics and Sales and Marketing Services],) Forecast till 2032
Overview of the Market
In 2023 the size of the healthcare BPO market was USD 0.11 billion. Exhibiting a compound annual growth rate (CAGR) of 10.01%, the Healthcare BPO Market market is expected to rise from USD 0.12 billion in 2024 to USD 0.28 billion by 2032.
Regulatory changes-application of PPACA and HIPAA and pressure to lower growing healthcare costs-are the forces behind the expansion of the worldwide market.
Globalization and the expansion of advantageous commerce among several nations also help to increase market development. Rising BPO consolidation in the healthcare sector should help to drive market expansion. Rising outsourcing operations and intercontinental migration resulting from consolidation of healthcare BPO business help the market to grow by means of these benefits.
Insights in Market Segments
Service-based on payer, provider, and pharmaceutical services the healthcare BPO industry is split. Claims management, integrated front-end services and back-office operations, member management, product development and business acquisition services, provider management services, care management solutions, billing and accounts management services, and others constitute the payer services categories. Claims adjudication services, claims settlement services, information management services, claims repricing, claims investigation services, claims indexing services, and fraud detection and management also comprised the claims management split into. Moreover, the provider services sector is split into revenue cycle management, patient enrollment, patient care, and others; patient care is also split into medical transcription and device monitoring. Furthermore, divided into research and development, manufacturing, non-clinical services, and others, pharmaceutical services category also bifurcated into supply chain management and logistics and sales and marketing services.
Regional Prospectives
North America, Europe, Asia-Pacific, and the Rest of the World constitute the market by region. With well developed technology, high healthcare expenditure, and top players present, North America accounted for the biggest market in 2023. Health consciousness among the people in this area fuels the rising healthcare expenditure.
Thanks to the well-developed technology, high healthcare expenditure, and presence of the top players, Europe accounts for the main portion of the market. The health consciousness of the people in this area fuels the growing healthcare expenditure.
Because of its quickly changing healthcare sector and great chances for the expansion of this business, Asia Pacific is the fastest growing region of the healthcare BPO market. Moreover, expanding healthcare sectors and companies as well as advancing technology have driven market development.
Prominent Participants
Key Companies in the Healthcare BPO Market are Cognizant (US), Infosys Limited (India), NTT DATA, Inc (Japan), Accenture (Ireland), GeBBS (US), Parexel International (US), Veradigm LLC (US), Oracle Corporation (US), IBM (US), and IQVIA Holding, Inc.
TABLE OF CONTENTS
1 EXECUTIVE SUMMARY
2 MARKET INTRODUCTION
- 2.1 DEFINITION
- 2.2 SCOPE OF THE STUDY
- 2.3 RESEARCH OBJECTIVE
- 2.4 MARKET STRUCTURE
3 RESEARCH METHODOLOGY
- 3.1 OVERVIEW
- 3.2 DATA FLOW
- 3.2.1 DATA MINING PROCESS
- 3.3 PURCHASED DATABASE:
- 3.4 SECONDARY SOURCES:
- 3.4.1 SECONDARY RESEARCH DATA FLOW:
- 3.5 PRIMARY RESEARCH:
- 3.5.1 PRIMARY RESEARCH DATA FLOW:
- 3.5.2 PRIMARY RESEARCH: NUMBER OF INTERVIEWS CONDUCTED
- 3.5.3 PRIMARY RESEARCH: REGIONAL COVERAGE
- 3.6 APPROACHES FOR MARKET SIZE ESTIMATION:
- 3.6.1 REVENUE ANALYSIS APPROACH
- 3.7 DATA FORECASTING
- 3.7.1 DATA FORECASTING TECHNIQUE
- 3.8 DATA MODELING
- 3.8.1 MICROECONOMIC FACTOR ANALYSIS:
- 3.8.2 DATA MODELING:
- 3.9 TEAMS AND ANALYST CONTRIBUTION
4 MARKET DYNAMICS
- 4.1 INTRODUCTION
- 4.2 DRIVERS
- 4.2.1 REGULATORY CHANGES- IMPLEMENTATION OF PPACA AND HIPAA
- 4.2.2 PRESSURE TO REDUCE RISING HEALTHCARE COSTS
- 4.2.3 INCREASING CONSOLIDATION IN THE HEALTHCARE INDUSTRY
- 4.2.4 ESCALATING ADOPTION OF BPO SERVICES IN HEALTHCARE
- 4.3 RESTRAINTS
- 4.3.1 HIDDEN COSTS OF OUTSOURCING
- 4.3.2 SECURITY CONCERN
- 4.4 OPPORTUNITIES
- 4.4.1 ADOPTION OF HEALTHCARE BPO IN EMERGING ECONOMIES
- 4.4.2 HEALTHCARE BPO FOR BACK-OFFICE WORK MANAGEMENT AND OPERATIONS
5 MARKET FACTOR ANALYSIS
- 5.1 VALUE CHAIN ANALYSIS
- 5.1.1 PRODUCT DEVELOPMENT & BUSINESS ACQUISITION (PDBA)
- 5.1.2 MEMBER MANAGEMENT
- 5.1.3 PROVIDER MANAGEMENT
- 5.1.4 CARE MANAGEMENT
- 5.1.5 CLAIMS MANAGEMENT
- 5.2 PORTER'S FIVE FORCES MODEL
- 5.2.1 BARGAINING POWER OF SUPPLIERS
- 5.2.2 BARGAINING POWER OF BUYERS
- 5.2.3 THREAT OF NEW ENTRANTS
- 5.2.4 THREAT OF SUBSTITUTES
- 5.2.5 INTENSITY OF RIVALRY
- 5.3 COVID-19 IMPACT ANALYSIS
- 5.3.1 DEMAND SUPPLY ANALYSIS
- 5.3.2 PRICING ANALYSIS
- 5.3.3 IMPACT ON KEY PLAYERS
6 GLOBAL HEALTHCARE BPO MARKET, BY SERVICE
- 6.1 OVERVIEW
- 6.2 PAYER SERVICES
- 6.2.1 CLAIMS MANAGEMENT SERVICES
- 6.2.1.1 CLAIMS ADJUDICATION SERVICES
- 6.2.1.2 CLAIMS SETTLEMENT SERVICES
- 6.2.1.3 INFORMATION MANAGEMENT SERVICES
- 6.2.1.4 CLAIMS REPRICING
- 6.2.1.5 CLAIMS INVESTIGATION SERVICES
- 6.2.1.6 CLAIMS INDEXING SERVICES
- 6.2.1.7 FRAUD DETECTION AND MANAGEMENT
- 6.2.2 FRAUD DETECTION AND MANAGEMENT
- 6.2.3 INTEGRATED FRONT OFFICE AND BACK OFFICE OPERATIONS
- 6.2.4 MEMBER MANAGEMENT
- 6.2.5 PRODUCT DEVELOPMENT AND BUSINESS ACQUISITION SERVICES
- 6.2.6 PROVIDER MANAGEMENT SERVICES
- 6.2.6 CARE MANAGEMENT
- 6.2.6 BILLING AND ACCOUNTS MANAGEMENT SERVICES
- 6.2.6 OTHERS
- 6.3 PROVIDER SERVICES
- 6.3.1 REVENUE CYCLE MANAGEMENT
- 6.3.2 PATIENT ENROLLMENT
- 6.3.3 PATIENT CARE
- 6.3.3.1 MEDICAL TRANSCRIPTION
- 6.3.3.2 DEVICE MONITORING
- 6.2.4 OTHERS
- 6.4 PHARMACEUTICAL SERVICES
- 6.4.1 RESEARCH & DEVELOPMENT
- 6.4.2 MANUFACTURING
- 6.4.3 NON-CLINICAL SERVICES
- 6.4.3.1 SUPPLY CHAIN MANAGEMENT & LOGISTICS
- 6.4.3.2 SALES AND MARKETING SERVICES
- 6.4.4 OTHERS
7 GLOBAL HEALTHCARE BPO MARKET, BY REGION
- 7.1 OVERVIEW
- 7.2 NORTH AMERICA
- 7.3 EUROPE
- 7.3.1 GERMANY
- 7.3.2 FRANCE
- 7.3.3 UK
- 7.3.4 ITALY
- 7.3.5 SPAIN
- 7.3.6 REST OF EUROPE
- 7.4 ASIA-PACIFIC
- 7.4.1 CHINA
- 7.4.2 INDIA
- 7.4.3 JAPAN
- 7.4.4 SOUTH KOREA
- 7.4.5 AUSTRALIA
- 7.4.6 REST OF ASIA-PACIFIC
- 7.5 REST OF THE WORLD
- 7.5.1 MIDDLE EAST & AFRICA
- 7.5.2 LATIN AMERICA
8 COMPETITIVE LANDSCAPE
- 8.1 INTRODUCTION
- 8.2 MARKET SHARE ANALYSIS,
- 8.3 COMPETITOR DASHBOARD
- 8.4 PUBLIC PLAYERS STOCK SUMMARY
- 8.5 COMPARATIVE ANALYSIS: KEY PLAYERS FINANICAL
- 8.6 KEY DEVELOPMENTS & GROWTH STRATEGIES
- 8.6.1 ACQUISITION
- 8.6.2 COLLABORATION
9 COMPANY PROFILES
- 9.1 PAREXEL INTERNATIONAL (MA) CORPORATION
- 9.1.1 COMPANY OVERVIEW
- 9.1.2 FINANCIAL OVERVIEW
- 9.1.3 SERVICES OFFERED
- 9.1.4 KEY DEVELOPMENTS
- 9.1.5 SWOT ANALYSIS
- 9.1.6 KEY STRATEGIES
- 9.2 VERADIGM LLC
- 9.2.1 COMPANY OVERVIEW
- 9.2.2 FINANCIAL OVERVIEW
- 9.2.3 SOLUTIONS OFFERED
- 9.2.4 KEY DEVELOPMENTS
- 9.2.5 SWOT ANALYSIS
- 9.2.6 KEY STRATEGIES
- 9.3 ORACLE CORPORATION
- 9.3.1 COMPANY OVERVIEW
- 9.3.2 FINANCIAL OVERVIEW
- 9.3.3 SOLUTIONS OFFERED
- 9.3.4 KEY DEVELOPMENTS
- 9.3.5 KEY STRATEGIES
- 9.4 IBM
- 9.4.1 COMPANY OVERVIEW
- 9.4.2 FINANCIAL OVERVIEW
- 9.4.3 SOLUTION OFFERED
- 9.4.4 KEY DEVELOPMENTS
- 9.4.5 SWOT ANALYSIS
- 9.4.6 KEY STRATEGIES
- 9.5 IQVIA HOLDING, INC.
- 9.5.1 COMPANY OVERVIEW
- 9.5.2 FINANCIAL OVERVIEW
- 9.5.3 SOLUTION OFFERED
- 9.5.4 KEY DEVELOPMENTS
- 9.5.5 KEY STRATEGIES
- 9.6 COGNIZANT
- 9.6.1 COMPANY OVERVIEW
- 9.6.2 FINANCIAL OVERVIEW
- 9.6.3 SERVICES OFFERED
- 9.6.4 KEY DEVELOPMENTS
- 9.6.5 SWOT ANALYSIS
- 9.6.6 KEY STRATEGIES
- 9.7 INFOSYS LIMITED
- 9.7.1 COMPANY OVERVIEW
- 9.7.2 FINANCIAL OVERVIEW
- 9.7.3 SERVICES OFFERED
- 9.7.4 KEY DEVELOPMENTS
- 9.7.5 SWOT ANALYSIS
- 9.7.6 KEY STRATEGIES
- 9.8 NTT DATA, INC
- 9.8.1 COMPANY OVERVIEW
- 9.8.2 FINANCIAL OVERVIEW
- 9.8.3 SERVICES OFFERED
- 9.8.4 KEY DEVELOPMENTS
- 9.8.5 KEY STRATEGIES
- 9.9 ACCENTURE
- 9.9.1 COMPANY OVERVIEW
- 9.9.2 FINANCIAL OVERVIEW
- 9.9.3 SERVICES OFFERED
- 9.9.4 KEY DEVELOPMENTS
- 9.9.5 KEY STRATEGIES
- 9.10 GEBBS
- 9.10.1 COMPANY OVERVIEW
- 9.10.2 FINANCIAL OVERVIEW
- 9.10.3 SERVICES OFFERED
- 9.10.4 KEY DEVELOPMENTS
- 9.10.5 KEY STRATEGIES
