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North America Healthcare BPO Market Research Report – Segmented By Provider Service, Payer Service, Pharmaceutical Service and Country (United States, Canada, Mexico and Rest of North America) - Industry Analysis, Size, Share, Growth, Trends and Forecast (2022 to 2027)

Published: January, 2022
ID: 220
Pages: 133

North America BPO Market Size (2022 to 2027)

The size of the North America Healthcare Business Process Outsourcing (BPO) Market was estimated at USD 112.98 Billion in 2022 and is poised to worth USD 173.67 Billion by 2027, growing at a CAGR of 8.98% during the forecast period.

Factors such as internal trained professionals for particular procedures, cost-effective availability of workspace, and less knowledge of organizations are some of the factors propelling the demand of the North American market.

The other major drivers for the North American Healthcare BPO market are the pressure to reduce the cost of the delivery of healthcare, the increasing number of people who are looking for insurance, the expiration of patent that the pharmaceutical companies are facing, the manufacturing costs are low in the countries that are developed, and process of making the healthcare systems stronger are escalating the market growth. Regular guidelines to be followed and the rising need to reduce the rapid increase of healthcare costs are also bolstering the market's demand. 

Rising focuses on decreasing operational costs and availing expertise to ensure performance efficiency and improvement are anticipated to set up growth opportunities for the market. Shift to ICD-10 coding standards and upcoming ICD-11 are also opportunities to the North America Healthcare BPO market.

Fears of losing control over the outsourced process, lack of confidence in product quality, and danger to data security are factors that hamper the market growth. Healthcare organizations are restricted to take part fundamentally, means through which they buy and deliver their core service offering, which is slowly restricting the growth rate of the market. Lack of internal IT knowledge and unwillingness among the end-users to choose up new procedures hinders market growth during the period.

Continuous trends in healthcare BPO, the customers face the challenges of data security and reliability and increase in regulatory compliance are slightly to hinder the market's demand. Extracting data from the source, then re-format, and re-processing the data before uploading to achieve complex business challenges is certainly a big challenging factor for the market players. The dearth of a skilled workforce is another challenge for the Healthcare BPO industry.

This research report on the North American Healthcare BPO Market has been segmented and sub-segmented into the following categories:

By Provider Service:

  • Medical Billing
  • Medical Coding
  • Medical Transcription
  • Finance & Accounts

By Payer Service:

  • Claims Management
  • Integrated Front-end Services and Back-office Operations
  • Member Management
  • Provider Management
  • Billing and Accounts Management
  • Analytics and Fraud Management
  • HR Services

By Pharmaceutical Service:

  • Research and Development
  • Manufacturing
  • Non-clinical Services
    • Sales and Marketing services
    • Supply Chain Management
    • Other Non-Clinical Applications

By Country:

  • The United States
  • Canada
  • Mexico
  • Rest of North America

Regionally, the North American healthcare BPO market accounted for many of the overall healthcare BPO market. The region is a growing market for the payer, provider, and pharmaceutical services support regional market expansion. However, well-established healthcare infrastructure influences the market growth in the region, and the presence of a high-income population and trained professionals are accelerating the market growth. In the regional market, the United States healthcare BPO market dominated in 2020. The U.S. healthcare payer market has been greatly wedged by introducing the PPAC Act, which has expanded insurance access to more than 35 million U.S. citizens. The market growth is attributed to the rising geriatric population; the increasing number of patients with chronic diseases in the country is contributing to the regional market growth. Increasing expenditure by the healthcare IT industry can be attributed to the most significant market growth in the United States. When compared to other countries, the United States has the most prominent healthcare costs. The nation spent $3.3 trillion on healthcare over the years. In the United States, healthcare rates have risen dramatically in recent years. It used to be 5% GDP in 1960, but it had now been increased to 18% in 2016. According to the CMS, this development will continue and will exceed $5.7 trillion by 2027.


The most promising companies in the North American Healthcare BPO Market are Infosys BPO Ltd, Cognizant Technology Solutions Corporation, Genpact Limited, Tata Consultancy Services Ltd., Accenture PLC, and Xerox Corporation.

1. Introduction                                                                                 

                1.1 Market Definition                                                                    

                1.2 Study Deliverables                                                                  

                1.3 Base Currency, Base Year and Forecast Periods                                                                          

                1.4 General Study Assumptions                                                                

2. Research Methodology                                                                                           

                2.1 Introduction                                                                               

                2.2 Research Phases                                                                      

                                2.2.1 Secondary Research                                                           

                                2.2.2 Primary Research                                                 

                                2.2.3 Econometric Modelling                                                      

                                2.2.4 Expert Validation                                                  

                2.3 Analysis Design                                                                         

                2.4 Study Timeline                                                                          

3. Overview                                                                                       

                3.1 Executive Summary                                                                

                3.2 Key Inferences                                                                         

                3.3 New Developments                                                                               

4. Drivers, Restraints, Opportunities, and Challenges Analysis (DROC)                                                                                    

                4.1 Market Drivers                                                                          

                4.2 Market Restraints                                                                    

                4.3 Key Challenges                                                                         

                4.4 Current Opportunities in the Market                                                                              

5. Market Segmentation                                                                                              

                5.1 By Provider Service                                                                 

                                5.1.1 Medical Billing                                                        

                                5.1.2 Medical Coding                                                     

                                5.1.3 Medical Transcription                                                         

                                5.1.4 Finance & Accounts                                                             

                5.2 By Payer Service                                                                       

                                5.2.1 Claims Management                                                           

                                5.2.2 Integrated Front-end Services and Back-office Operations                                                               

                                5.2.3 Member Management                                                      

                                5.2.4 Provider Management                                                      

                                5.2.5 Billing and Accounts Management                                                

                                5.2.6 Analytics and Fraud Management                                                

                                5.2.7 HR Services                                                             

                5.3 By Pharmaceutical Service                                                                   

                                5.3.1 Research and Development                                                            

                                5.3.2 Manufacturing                                                      

                                5.3.3 Non-clinical Services                                                           

                                       Sales and Marketing services                                      

                                       Supply Chain Management                                          

                                       Other Non-Clinical Applications                                  

6. Geographical Analysis                                                                                              

                                6.1 Introduction                                                               

                                6.2 United States                                                            

                                6.3 Canada                                                         

7. Strategic Analysis                                                                                       

                7.1 PESTLE analysis                                                                         

                                7.1.1 Political                                                     

                                7.1.2 Economic                                                 

                                7.1.3 Social                                                         

                                7.1.4 Technological                                                         

                                7.1.5 Legal                                                          

                                7.1.6 Environmental                                                       

                7.2 Porter’s Five analysis                                                                              

                                7.2.1 Bargaining Power of Suppliers                                                        

                                7.2.2 Bargaining Power of Consumers                                                    

                                7.2.3 Threat of New Entrants                                                     

                                7.2.4 Threat of Substitute Products and Services                                                              

                                7.2.5 Competitive Rivalry within the Industry                                                     

8. Market Leaders' Analysis                                                                                        

                8.1 Accenture PLC                                                                           

                                8.1.1 Overview                                                 

                                8.1.2 Product Analysis                                                   

                                8.1.3 Strategic Evaluation and Operations                                                            

                                8.1.4 Financial analysis                                                  

                                8.1.5 Legal issues                                                             

                                8.1.6 Recent Developments                                                       

                                8.1.7 SWOT analysis                                                       

                                8.1.8 Analyst View                                                          

                8.2 Cognizant Technology Solutions Corporation                                                                               

                8.3 Tata Consultancy Services Ltd.                                                                           

                8.4 Infosys BPO Ltd.                                                                       

                8.5 Xerox Corporation                                                                   

                8.6 Accretive Health, Inc                                                                              

                8.7 Genpact Limited                                                                       

                8.8 Quintiles Transnational Holdings, Inc                                                                               

                8.9 IBM Corporation                                                                      

                8.10 Lonza Group Ltd.                                                                   

9. Competitive Landscape                                                                                           

                9.1 Market share analysis                                                                            

                9.2 Merger and Acquisition Analysis                                                                       

                9.3 Agreements, collaborations and Joint Ventures                                                                         

                9.4 New Product Launches                                                                         

10. Expert Opinions                                                                                        

                10.1 Market Outlook                                                                     

                10.2 Investment Opportunities                                                                 


                a) List of Tables                                                                

                b) List of Figures                                                                              

  1. North America Healthcare BPO Market By Region, from 2020 to 2027 (USD Billion)
  2. North America Healthcare BPO Market By Provider services, from 2020 to 2027 (USD Billion)
  3. North America Medical Billing BPO Market By Region, from 2020 to 2027 (USD Billion)
  4. North America Medical Coding BPO Market By Region, from 2020 to 2027 (USD Billion)
  5. North America Medical Transcription BPO Market By Region, from 2020 to 2027 (USD Billion)
  6. North America Finance & Accounts BPO Market By Region, from 2020 to 2027 (USD Billion)
  7. North America Healthcare BPO Market By Payer services, from 2020 to 2027 (USD Billion)
  8. North America Claims Management BPO Market By Region, from 2020 to 2027 (USD Billion)
  9. North America Integrated Front-end Services and Back-office Operations BPO Market By Region, from 2020 to 2027 (USD Billion)
  10. North America Member Management BPO Market By Region, from 2020 to 2027 (USD Billion)
  11. North America Provider Management BPO Market By Region, from 2020 to 2027 (USD Billion)
  12. North America Billing and Accounts Management BPO Market By Region, from 2020 to 2027 (USD Billion)
  13. North America Analytics and Fraud Management BPO Market By Region, from 2020 to 2027 (USD Billion)
  14. North America HR Services BPO Market By Region, from 2020 to 2027 (USD Billion)
  15. North America Healthcare BPO Market By Pharmaceutical services, from 2020 to 2027 (USD Billion)
  16. North America Pharmaceutical R&D BPO Market By Region, from 2020 to 2027 (USD Billion)
  17. North America Pharmaceuticals Manufacturing BPO Market By Region, from 2020 to 2027 (USD Billion)
  18. North America Non-clinical Pharmaceutical Services BPO Market By Region, from 2020 to 2027 (USD Billion)
  19. North America Non-Clinical Pharmaceutical Services BPO Market By Type, from 2020 to 2027 (USD Billion)
  20. North America Healthcare Sales and Marketing services BPO Market By Region, from 2020 to 2027 (USD Billion)
  21. North America Healthcare Supply chain management BPO Market By Region, from 2020 to 2027 (USD Billion)
  22. North America Other Non-clinical applications BPO Market By Region, from 2020 to 2027 (USD Billion)
  23. United States Healthcare BPO Market By Provider services, from 2020 to 2027 (USD Billion)
  24. United States Healthcare BPO Market By Payer services, from 2020 to 2027 (USD Billion)
  25. United States Healthcare BPO Market By Pharmaceutical services, from 2020 to 2027 (USD Billion)
  26. United States Non-Clinical Pharmaceutical Services BPO Market By Type, from 2020 to 2027 (USD Billion)
  27. Canada Healthcare BPO Market By Provider services, from 2020 to 2027 (USD Billion)
  28. Canada Healthcare BPO Market By Payer services, from 2020 to 2027 (USD Billion)
  29. Canada Healthcare BPO Market By Pharmaceutical services, from 2020 to 2027 (USD Billion)
  30. Canada Non-Clinical Pharmaceutical Services BPO Market By Type, from 2020 to 2027 (USD Billion)

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