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    Healthcare BPO Market

    ID: MRFR/HS/0827-CR
    208 Pages
    Rahul Gotadki
    January 2025

    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...

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    Healthcare BPO Market Infographic
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    Healthcare BPO Market Summary

    As per Market Research Future Analysis, the Healthcare BPO Market was valued at USD 407.91 billion in 2024 and is projected to grow to USD 972.65 billion by 2035, with a CAGR of 8.22% from 2025 to 2035. Key growth drivers include regulatory changes, pressure to reduce healthcare costs, and increasing outsourcing activities. The market is characterized by a rising demand for skilled workforce from developing countries and a growing emphasis on data privacy and network security in healthcare services.

    Key Market Trends & Highlights

    The Healthcare BPO Market is witnessing significant trends that are shaping its growth trajectory.

    • Market Size in 2024: USD 407.91 billion; projected to reach USD 972.65 billion by 2035.
    • CAGR of 10.01% during the forecast period (2024-2032).
    • North America held the largest market share in 2023 due to high healthcare expenditure.
    • Asia-Pacific is the fastest growing region, driven by developing healthcare industries.

    Market Size & Forecast

    2024 Market Size USD 407.91 billion
    2035 Market Size USD 972.65 billion

    Major Players

    Key players include Cognizant (US), Infosys Limited (India), NTT DATA, Inc (Japan), Accenture (Ireland), GeBBS (US), Parexel International (US), Veradigm LLC (US), Oracle Corporation (US), IBM (US), IQVIA Holding, Inc (US).

    Healthcare BPO Market Trends

    Increasing consolidation in the healthcare industry

    Globalization and the spread of favorable trade between different countries further boosts market growth. Increasing consolidation of BPO in healthcare industry is expected to boost the market growth. Consolidation of healthcare BPO industry resulted in rising outsourcing activities and intercontinental migration, which have a positive impact on the market growth.

    Moreover, BPO services including claims management, member management, provider management, revenue cycle management, patient care, and patient enrolment services are gaining popularity in the healthcare sector. The rise in popularity is due to its wide range of applications for health-care providers and payers. The growing demand for these services is primarily driven by the need to address the challenges of a regulated, evolving, cost-intensive, and value-based healthcare landscape. Utilization of healthcare BPO services has resulted in higher workflow efficiencies and increased quality of patient care.

    In addition, an increasing adoption of healthcare BPO services is seen in hospitals and healthcare systems that allows privacy of patient information, network security, fraud detection and management, and medical transcription. As healthcare BPO services gain traction across hospitals and healthcare systems, with an emphasis on data privacy, network security, and fraud management, they are poised to continue supporting the expansion of the medical aesthetics market in the years to come.

    The Global Healthcare BPO Market appears to be evolving rapidly, driven by increasing demand for cost-effective healthcare solutions and the need for enhanced operational efficiency across the sector.

    U.S. Department of Health and Human Services

    Healthcare BPO Market Drivers

    Market Growth Projections

    The Global Healthcare BPO Market Industry is poised for substantial growth, with projections indicating a rise from 0.12 USD Billion in 2024 to 0.37 USD Billion by 2035. This trajectory suggests a robust expansion driven by various factors, including increasing demand for cost-effective solutions and advancements in technology. The anticipated CAGR of 10.85% from 2025 to 2035 further reinforces the market's potential. Such growth is indicative of the evolving landscape of healthcare services, where outsourcing plays a crucial role in enhancing operational efficiency and patient care. As the industry adapts to changing dynamics, the BPO sector is likely to emerge as a key player in shaping the future of healthcare.

    Focus on Core Competencies

    The Global Healthcare BPO Market Industry is witnessing a shift towards a focus on core competencies among healthcare providers. By outsourcing non-essential functions such as billing, coding, and customer service, organizations can concentrate on their primary mission of delivering quality patient care. This strategic realignment allows healthcare providers to allocate resources more effectively and enhance operational efficiency. As a result, the demand for BPO services is expected to rise, with organizations recognizing the value of specialized expertise in these areas. This trend is indicative of a broader movement within the healthcare sector to optimize performance and improve patient outcomes through strategic outsourcing.

    Technological Advancements in Healthcare

    Technological advancements are significantly influencing the Global Healthcare BPO Market Industry. Innovations such as artificial intelligence, machine learning, and telemedicine are reshaping the landscape of healthcare services. These technologies enhance efficiency, accuracy, and patient engagement, thereby driving the demand for BPO services. For example, AI-driven analytics can streamline patient data management, reducing administrative burdens on healthcare providers. As healthcare organizations increasingly adopt these technologies, the reliance on BPO services is likely to grow. This trend not only improves service delivery but also aligns with the industry's shift towards digital transformation, positioning the BPO sector as a critical player in the evolving healthcare ecosystem.

    Regulatory Compliance and Risk Management

    Regulatory compliance remains a critical concern for the Global Healthcare BPO Market Industry. As healthcare regulations become increasingly complex, organizations face challenges in maintaining compliance while managing operational efficiency. BPO providers offer specialized expertise in navigating these regulatory landscapes, ensuring that healthcare organizations adhere to necessary standards. This is particularly relevant in regions with stringent regulations, where non-compliance can result in significant penalties. By outsourcing compliance-related functions, healthcare providers can mitigate risks and focus on delivering quality care. The growing emphasis on regulatory compliance is likely to drive demand for BPO services, positioning them as essential partners in the healthcare ecosystem.

    Rising Demand for Cost-Effective Solutions

    The Global Healthcare BPO Market Industry is experiencing a notable increase in demand for cost-effective solutions. As healthcare organizations strive to reduce operational costs while maintaining quality, outsourcing non-core functions has become a viable strategy. This trend is particularly evident in regions where healthcare budgets are constrained. For instance, the market is projected to reach 0.12 USD Billion in 2024, reflecting a growing inclination towards outsourcing. By 2035, this figure is expected to escalate to 0.37 USD Billion, indicating a robust growth trajectory. The anticipated CAGR of 10.85% from 2025 to 2035 further underscores the potential of this market driver.

    Increased Patient Engagement and Experience

    Enhancing patient engagement and experience is a pivotal driver for the Global Healthcare BPO Market Industry. As healthcare providers recognize the importance of patient satisfaction, they are increasingly turning to BPO services to improve communication and service delivery. Outsourcing functions such as appointment scheduling, follow-up calls, and patient education can lead to more personalized care experiences. This trend is particularly relevant in a competitive healthcare landscape where patient loyalty is paramount. By leveraging BPO services, healthcare organizations can enhance their engagement strategies, ultimately leading to improved patient outcomes and satisfaction levels. This focus on patient experience is likely to contribute to the sustained growth of the BPO market.

    Market Segment Insights

    Healthcare BPO Market Service Provider Insights

    Based on service, the healthcare BPO market is bifurcated into payer services, provider services and pharmaceutical services. The payer services categories include claims management, integrated front-end services & back-office operations, member management, product development and business acquisition services, provider management services, care management Solutions, billing and accounts management services, and others. Further, the claims management segmented into claims adjudication services, claims settlement services, information management services, claims repricing, claims investigation services, claims indexing services, and fraud detection and management.

    Furthermore, the provider services segmented is divided into revenue cycle management, patient enrollment, patient care, and others, and patient care is also bifurcated into medical transcription and device monitoring. Moreover, pharmaceutical services segment is segmented into research & development, manufacturing, non-clinical services, and others, and bifurcated into supply chain management & logistics and sales and marketing services

    In 2023, the claims management category retained the most share, payer services market revenue. This rise is due to an increase in patients using electronic health services, such as electronic health records. The rising frequency of chronic illnesses such as cardiovascular diseases (CVDs) leads to increased hospital admissions and claims, supporting the claims management segment's growth. It primarily targets healthcare organizations (clinics, drugstores, and hospitals, for example) that provide services covered by private insurance plans and are eligible for payment.

    The emphasis of healthcare business process outsourcing services is towards delivering reduced administration costs for healthcare providers and enhancing patient satisfaction. Moreover, healthcare BPO services provide insurance, to simplify their processes. Furthermore, low costs, access to specialists, focus on patient care, and critical mistakes can be avoided specially patients’ medical records are factors responsible the market growth.

    FIGURE 2: HEALTHCARE BPO MARKET, BY SERVICE PROVIDER, 2023 & 2032 (USD BILLION)

    Get more detailed insights about Healthcare BPO Market Research Report - Forecast till 2032

    Regional Insights

    By region, the market is divided into North America, Europe, Asia-Pacific, and the Rest of the World. North America accounted for the largest market in 2023, owing to the well-developed technology, high healthcare expenditure, and the presence of the leading players. People in this region are health conscious, which adds fuel to the increasing healthcare spending. Thus, to manage the increasing healthcare revenue, the need for the healthcare BPO services has increased. Moreover, healthcare outsourcing can help companies to save 30%-60% of costs, which will drive the market growth.

    Further, the major countries studied are: The US, Canada, Brazil, Germany, France, the UK, Italy, Spain, China, India, Japan, South Korea, and Australia.

    FIGURE 3: HEALTHCARE BPO MARKET, BY REGION, 2023 & 2032 (USD BILLION)

    HEALTHCARE BPO MARKET, BY REGION, 2023 & 2032

    Source: Secondary Research, Primary Research, Market Research Future Database and Analyst Review

    Europe accounts for the major share of the market owing to the well-developed technology, high healthcare expenditure, and the presence of the leading players. People in this region are health conscious, which adds fuel to the increasing healthcare spending. Thus, to manage the increasing healthcare revenue, the need for the healthcare BPO services has increased. Moreover, healthcare outsourcing can help companies to save 30%-60% of costs, which will drive the market growth. Furthermore, the demand for niche services and increasing cost savings will boost market growth over the corresponding period.

    Furthermore, increasing government support for the development of the healthcare sector has fueled the market growth of Europe.

    Asia Pacific is the fastest growing market of the healthcare BPO market as result of rapidly changing healthcare sector and presence of huge opportunities for the development of this market. Furthermore, developing healthcare industries & organizations and improving technology have fueled market growth. Moreover, China healthcare BPO market held the largest market share in 2023, and Australia healthcare BPO market is the fastest growing market in the Asia-Pacific region.

    Key Players and Competitive Insights

    The Healthcare BPO Market is distinguished by the presence of numerous global, regional, and local players catering to the healthcare BPO services and solutions. Furthermore, the regulatory changes- implementation of ppaca and hipaa, pressure to reduce rising healthcare costs, and increasing consolidation in the healthcare industry is further driving the growth of Healthcare BPO Market during the forecast period. The major players have adopted a strategy of obtaining regulatory approval from government agencies for their services and solutions and signing contracts and agreements to broaden their reach.

    For instance, in April 2023, Cognizant (US) and Microsoft (US) collaborated to introduce cloud-based technology to the healthcare sector. Through this partnership, healthcare payers and providers will have easier access to cutting-edge technological solutions, faster claim processing, and enhanced interoperability, all of which will enhance business operations and the experiences of patients and members.

    Moreover, mergers and collaborations were also observed to expand the company's product, service, and solutions portfolio, as well as introduce new services and solutions. The growth of prominent industry players is dependent on various factors, such as market conditions, government support, and industry development. It is also projected that a rise in the investments for R&D will also boost the market's growth in the upcoming future.

    Cognizant provides information technology (IT), consulting, and business process outsourcing (BPO) services. The company offers the following products and services: internet of things, enterprise services, cloud enablement, intelligent process automation, application services, infrastructure, security, and enterprise application services; core modernization; digital engineering; digital experience; digital strategy; industry and platform solutions; and quality engineering and assurance. Moreover, in April 2023, Cognizant (US) and Microsoft (US) collaborated together to introduce cloud-based technology to the healthcare sector.

    Through this partnership, healthcare payers and providers will have easier access to cutting-edge technological solutions, faster claim processing, and enhanced interoperability, all of which will enhance business operations and the experiences of patients and members.

    Key Companies in the Healthcare BPO Market market include

    Industry Developments

    • Q2 2024: Cognizant acquires US-based healthcare BPO firm TMG Health Cognizant announced the acquisition of TMG Health, a leading provider of business process outsourcing solutions for government-sponsored health plans, to expand its healthcare BPO capabilities and client base.
    • Q2 2024: Optum launches new AI-powered claims management platform for healthcare BPO clients Optum unveiled an artificial intelligence-driven platform designed to automate claims processing for its healthcare BPO customers, aiming to reduce errors and improve operational efficiency.
    • Q3 2024: WNS Global Services wins multi-year healthcare BPO contract with major US insurer WNS Global Services secured a multi-year contract to provide end-to-end healthcare BPO services, including claims adjudication and member management, for a top US health insurance provider.
    • Q2 2024: Conduent appoints new CEO to drive healthcare BPO growth Conduent named a new Chief Executive Officer, citing plans to accelerate growth in its healthcare BPO segment and expand its service offerings for payers and providers.
    • Q1 2024: Genpact opens new healthcare BPO delivery center in Manila Genpact inaugurated a new delivery center in Manila, Philippines, dedicated to healthcare BPO operations, aiming to support global clients with expanded capacity and specialized talent.
    • Q2 2024: Accenture partners with Cerner to deliver integrated healthcare BPO solutions Accenture and Cerner announced a strategic partnership to offer integrated healthcare BPO services, combining Accenture’s process expertise with Cerner’s health IT platforms.
    • Q3 2024: Sykes Enterprises wins contract to provide patient engagement BPO services for large hospital network Sykes Enterprises secured a contract to deliver patient engagement and support services as part of a healthcare BPO agreement with a major US hospital network.
    • Q2 2025: HGS acquires UK-based healthcare BPO provider to expand European footprint HGS announced the acquisition of a UK-based healthcare BPO company, strengthening its presence in the European healthcare outsourcing market.
    • Q1 2025: EXL Service launches new analytics-driven healthcare BPO platform EXL Service introduced a new platform leveraging advanced analytics to optimize claims management and revenue cycle operations for healthcare BPO clients.
    • Q2 2025: UnitedHealth Group expands healthcare BPO operations in India with new facility UnitedHealth Group opened a new healthcare BPO facility in Hyderabad, India, to support its growing global operations and enhance service delivery for payer and provider clients.
    • Q1 2025: Anthem signs multi-year healthcare BPO agreement with Infosys Anthem entered into a multi-year agreement with Infosys for healthcare BPO services, including claims processing and member management, to improve operational efficiency.
    • Q3 2025: Cognizant launches new healthcare BPO automation suite for payers Cognizant released a new suite of automation tools designed to streamline payer operations in the healthcare BPO sector, focusing on claims, billing, and member services.

    Future Outlook

    Healthcare BPO Market Future Outlook

    The Global Healthcare BPO Market is poised for growth at 8.22% CAGR from 2024 to 2032, driven by technological advancements, increasing demand for cost-effective solutions, and regulatory changes.

    New opportunities lie in:

    • Invest in AI-driven analytics to enhance patient data management efficiency.
    • Develop specialized services for telehealth support to capture emerging market segments.
    • Form strategic partnerships with healthcare providers to expand service offerings and market reach.

    By 2035, the market is expected to exhibit robust growth, positioning itself as a cornerstone of healthcare efficiency.

    Market Segmentation

    Healthcare BPO Market Regional Outlook

    North America
    • US
    • Canada
    • Mexico
    Europe
    • Germany
    • France
    • UK
    • Italy
    • Spain
    • Rest of Europe
    Asia-Pacific
    • China
    • India
    • Japan
    • South Korea
    • Australia
    • Rest of Asia-Pacific
    Rest of the World
    • Middle East
    • Africa
    • South America

    Healthcare BPO Market Service Provider Outlook

    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
    • Claims Adjudication Services
    • Claims Settlement Services
    • Information Management Services
    • Claims Repricing
    • Claims Investigation Services
    • Claims Indexing Services
    • Fraud Detection and Management
    Claims Management Services
    • Claims Adjudication Services
    • Claims Settlement Services
    • Information Management Services
    • Claims Repricing
    • Claims Investigation Services
    • Claims Indexing Services
    • Fraud Detection and Management
    Provider Services
    • Revenue Cycle Management
    • Patient Enrollment
    • Patient Care Medical Transcription Device Monitoring
    • Medical Transcription
    • Device Monitoring
    Patient Care
    • Medical Transcription
    • Device Monitoring
    Pharmaceutical Services
    • Research & Development
    • Manufacturing
    • Non-Clinical Services Supply Chain Management & Logistics Sales and Marketing Services
    • Supply Chain Management & Logistics
    • Sales and Marketing Services
    Non-Clinical Services
    • Supply Chain Management & Logistics
    • Sales and Marketing Services

    Report Scope

    Attribute/Metric Details
    Market Size 2024 USD 0.12 billion
    Market Size 2035 972.65
    Compound Annual Growth Rate (CAGR) 8.22% (2025 - 2035)
    Base Year 2024
    Forecast Period 2025 - 2035
    Historical Data 2018-2022
    Forecast Units Value (USD Billion)
    Report Coverage Revenue Forecast, Competitive Landscape, Growth Factors, and Trends
    Segments Covered Service Provider and Region
    Geographies Covered North America, Europe, Asia Pacific, and Rest of the World
    Countries Covered The US, Canada, Brazil, Germany, France, the UK, Italy, Spain, China, India, Japan, South Korea, Australia.
    Key Companies Profiled 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 (US)
    Key Market Opportunities ·       Adoption of healthcare BPO in emerging economies ·       Healthcare BPO for back-office work management and operations
    Key Market Drivers ·       Regulatory changes- implementation of PPACA and HIPAA ·       Pressure to reduce rising healthcare costs ·       Increasing consolidation in the healthcare industry ·       Escalating adoption of BPO services in healthcare
    Market Size 2025 441.44

    Market Highlights

    Author
    Rahul Gotadki
    Assistant Manager

    He holds an experience of about 7+ years in Market Research and Business Consulting, working under the spectrum of Life Sciences and Healthcare domains. Rahul conceptualizes and implements a scalable business strategy and provides strategic leadership to the clients. His expertise lies in market estimation, competitive intelligence, pipeline analysis, customer assessment, etc. In addition to the above, his other responsibility includes strategic tracking of high growth markets & advising clients on the potential areas of focus they could direct their business initiatives

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    FAQs

    How much is the Healthcare BPO Market?

    The Healthcare BPO Market is anticipated to reach 0.28 billion by 2032 at a CAGR of 10.01% during the forecast period of 2024-2032.

    How big is the US healthcare BPO market?

    The US held 84.30% share of North America for the healthcare BPO market in 2023.

    What is the growth rate of the Healthcare BPO Market?

    The Healthcare BPO Market is expected to grow at a 10.01% CAGR during the forecast period from 2024 to 2032.

    Which region held the largest market share in the Healthcare BPO Market?

    The North America region market held the largest market share in the Healthcare BPO Market.

    Who are the key players in the Healthcare BPO Market?

    The key players include 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 (US)

    Which service provider led the Healthcare BPO Market?

    The payer services of type segment led the Healthcare BPO Market in 2023.

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