Pulished Date October, 2018
ID: 220
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North America Healthcare BPO Market By Provider Service, By Payer Service, By Pharmaceutical Service And By Region - Industry Analysis, Size, Share, Growth, Trends, And Forecasts (2018-2023)

Pulished: October, 2018
ID: 220
Pages: 133

North America Healthcare Business Process Outsourcing (BPO) market is estimated at USD 103.67 Billion in 2018 and is poised to reach USD 159.37 Billion by 2023, growing at a CAGR of 8.98% during the forecast period. The healthcare market in developed countries, is large and growing. Yet despite positive growth trends in these regions, the market is pressured to improve service quality and reduce costs. In these circumstances, healthcare organizations have been restricted to fundamentally overhaul the means through which they consume and deliver their core service offerings.

With the upsurge in number of people being insured in US and Canada, there is growing demand for proper healthcare or related services management. This factor is pushing the healthcare organizations to outsource certain services to maintain an effective system. Further, the rising pressure to cut healthcare costs, consolidation of healthcare system, management of patent cliffs faced by pharmaceutical companies, along with the orders to strictly implement ICD-10 codes are the major factors fuelling the North America Healthcare BPO market.

However, concerns in losing control over the outsourced process, lack of confidence on service/product quality, and information security issues, are few factors limiting the growth of North America Healthcare BPO market.

The North America healthcare BPO market is segmented on the basis of provider, payer and pharmaceutical services. Under provider service, the market is segmented into Medical Billing, Medical Transcription, Medical Coding and Finance & Accounts services. The medical billing segment holds largest share of the provider services segment, owing to an increase in the number of people insured.

On the basis of Payer, the services market is classified into Claims management, Integrated Front-end Services and Back-office Operations, Member Management, Billing and Accounts Management, Provider Management, Analytics and Fraud Management and Human Resource. Claims processing, Member management and provider management are the most frequently needed processes by the payers.

Further, on the basis of Pharmaceutical service the market is discussed under Manufacturing, Research and Development, and Non-Clinical Functions.

Furthermore, on the basis of geography the North America healthcare BPO market is analysed under USA and Canada regions. The U.S. healthcare payer market has been greatly wedged by the introduction of the PPAC Act, which has expanded insurance access to more than 35 million U.S. citizens.

Some of the major companies operating in the healthcare BPO market include 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                                                           

                                                5.3.3.1 Sales and Marketing services                                      

                                                5.3.3.2 Supply Chain Management                                          

                                                5.3.3.3 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                                                                 

Appendix                                                                                           

                a) List of Tables                                                                

                b) List of Figures                                                                              

  • Regional, and country-level analysis and forecasts of the study market; providing Insights on the major countries/regions in which this industry is blooming and to also identify the regions that are still untapped
  • Segment-level analysis in terms of technology, component, and type along with market size forecasts and estimations to detect key areas of industry growth in detail
  • Identification of key drivers, restraints, opportunities, and challenges (DROC) in the market and their impact on shifting market dynamics
  • Study of the effect of exogenous and endogenous factors that affect the global market; which includes broadly demographic, economics, and political, among other macro-environmental factors presented in an extensive PESTLE Analysis
  • Study the micro environment factors that determine the overall profitability of an Industry, using Porter’s five forces analysis for analysing the level of competition and business strategy development
  • A comprehensive list of key market players along with their product portfolio, current strategic interests, key financial information, legal issues, SWOT analysis and analyst overview to study and sustain the market environment
  • Competitive landscape analysis listing out the mergers, acquisitions, collaborations in the field along with new product launches, comparative financial studies and recent developments in the market by the major companies
  • An executive summary, abridging the entire report in such a way that decision-making personnel can rapidly become acquainted with background information, concise analysis and main conclusions
  • Expertly devised analyst overview along with Investment opportunities to provide both individuals and organizations a strong financial foothold in the market
  1. North America Healthcare BPO Market By Region, from 2018-2023 (USD Billion)
  2. North America Healthcare BPO Market By Provider services, from 2018-2023 (USD Billion)
  3. North America Medical Billing BPO Market By Region, from 2018-2023 (USD Billion)
  4. North America Medical Coding BPO Market By Region, from 2018-2023 (USD Billion)
  5. North America Medical Transcription BPO Market By Region, from 2018-2023 (USD Billion)
  6. North America Finance & Accounts BPO Market By Region, from 2018-2023 (USD Billion)
  7. North America Healthcare BPO Market By Payer services, from 2018-2023 (USD Billion)
  8. North America Claims Management BPO Market By Region, from 2018-2023 (USD Billion)
  9. North America Integrated Front-end Services and Back-office Operations BPO Market By Region, from 2018-2023 (USD Billion)
  10. North America Member Management BPO Market By Region, from 2018-2023 (USD Billion)
  11. North America Provider Management BPO Market By Region, from 2018-2023 (USD Billion)
  12. North America Billing and Accounts Management BPO Market By Region, from 2018-2023 (USD Billion)
  13. North America Analytics and Fraud Management BPO Market By Region, from 2018-2023 (USD Billion)
  14. North America HR Services BPO Market By Region, from 2018-2023 (USD Billion)
  15. North America Healthcare BPO Market By Pharmaceutical services, from 2018-2023 (USD Billion)
  16. North America Pharmaceutical R&D BPO Market By Region, from 2018-2023 (USD Billion)
  17. North America Pharmaceuticals Manufacturing BPO Market By Region, from 2018-2023 (USD Billion)
  18. North America Non-clinical Pharmaceutical Services BPO Market By Region, from 2018-2023 (USD Billion)
  19. North America Non-Clinical Pharmaceutical Services BPO Market By Type, from 2018-2023 (USD Billion)
  20. North America Healthcare Sales and Marketing services BPO Market By Region, from 2018-2023 (USD Billion)
  21. North America Healthcare Supply chain management BPO Market By Region, from 2018-2023 (USD Billion)
  22. North America Other Non-clinical applications BPO Market By Region, from 2018-2023 (USD Billion)
  23. United States Healthcare BPO Market By Provider services, from 2018-2023 (USD Billion)
  24. United States Healthcare BPO Market By Payer services, from 2018-2023 (USD Billion)
  25. United States Healthcare BPO Market By Pharmaceutical services, from 2018-2023 (USD Billion)
  26. United States Non-Clinical Pharmaceutical Services BPO Market By Type, from 2018-2023 (USD Billion)
  27. Canada Healthcare BPO Market By Provider services, from 2018-2023 (USD Billion)
  28. Canada Healthcare BPO Market By Payer services, from 2018-2023 (USD Billion)
  29. Canada Healthcare BPO Market By Pharmaceutical services, from 2018-2023 (USD Billion)
  30. Canada Non-Clinical Pharmaceutical Services BPO Market By Type, from 2018-2023 (USD Billion)

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