市場調査レポート

商品コード

1562504

ヘルスケアBPOの市場規模、シェア、成長分析、支払者サービス別、提供者サービス別、地域別 - 産業予測、2024年～2031年

Healthcare BPO Market Size, Share, Growth Analysis, By Payer Service (HR Services, Claims Management Services), By Provider Service (Revenue Cycle Management, Patient Care), By Region - Industry Forecast 2024-2031

出版日: 2024年09月10日 | 発行: SkyQuest

| ページ情報: 英文 242 Pages | 納期: 3～5営業日

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概要
目次

概要

サンプル依頼リストに入れる

ヘルスケアBPOの世界市場規模は、2022年に3,951億米ドルと評価され、2023年の4,330億3,000万米ドルから2031年には9,015億8,000万米ドルに成長し、予測期間中（2024年～2031年）のCAGRは9.60％で成長する見通しです。

ヘルスケアのビジネスプロセスアウトソーシング（BPO）には、特定のタスクやプロセスを外部のサービスプロバイダーに委託することが含まれます。この市場の成長を牽引しているのは、医療費削減に対するプレッシャーの高まり、専門的なサービスに対する需要の高まり、厳しい規制要件です。各国政府は、医療費を削減し、業界の重要な側面への注力を強化するために、好意的な改革を実施しています。さらに、患者の機密情報の保護、ネットワーク・セキュリティ・リスクの管理、重大なミスの防止などの必要性から、アウトソーシングが推進され、これらすべてが病院やヘルスケア・システムにおけるBPO導入の増加に寄与しています。このシフトは、患者ケアの強化とワークフローの効率化につながっています。さらに、医療保険を求める個人の増加や政府支援の保証が、市場の拡大をさらに後押ししています。しかし、アウトソーシングに関連する高コストや、ビジネス・プロセスの可視性とコントロールが失われることへの懸念といった課題が、市場の成長を妨げています。ヘルスケアBPOの潜在的なメリットを十分に享受するためには、これらの要因に対処する必要があります。

市場概要
クレーム管理サービス
- 請求裁定サービス
- クレーム処理サービス
- 情報管理サービス
- 請求の再価格設定
- クレーム調査サービス
- クレームインデックスサービス
- 不正検出および管理サービス
統合されたフロントエンドサービスとバックオフィス業務
会員管理
製品開発と事業獲得（PDBA）
プロバイダー管理
ケアマネジメント
請求およびアカウント管理サービス
人事サービス

ヘルスケアBPO市場：プロバイダーサービス別

市場概要
収益サイクル管理
患者登録
患者ケア
- 医療トランスクリプション
- デバイス監視
- 医用画像

ヘルスケアBPO市場規模：地域別

市場概要
北米
- 米国
- カナダ
欧州
- ドイツ
- スペイン
- フランス
- 英国
- イタリア
- その他欧州地域
アジア太平洋地域
- 中国
- インド
- 日本
- 韓国
- その他アジア太平洋地域
ラテンアメリカ
- ブラジル
- その他ラテンアメリカ地域
中東・アフリカ（MEA）
- GCC諸国
- 南アフリカ
- その他中東・アフリカ地域

競合情勢

上位5社の比較
主要企業の市場ポジショニング（2023年）
主な市場企業が採用した戦略
市場における最近の活動
主要企業の市場シェア（2023年）

主要企業プロファイル

Accenture PLC（Ireland）
Cognizant Technology Solutions Corporation（US）
Tata Consulting Services Limited（India）
WNS（Holdings）Limited（India）
IQVIA Holdings Inc.（US）
Mphasis（India）
Genpact Limited（Bermuda）
Wipro Limited（India）
Infosys BPM（India）
Firstsource（India）
International Business Machines Corporation（US）
GeBBS Healthcare Solutions（US）
Capgemini SE（France）
Omega Healthcare Management Services（India）
R1 RCM（US）
Invensis Technologies（India）
UnitedHealth Group（US）
HCL Technologies Limited（India）
Access Healthcare（US）
Sutherland Global（US）
Akurate Management Solutions（India）
AGS Health（India）

Product Code: SQMIG35D2075

Global Healthcare BPO Market size was valued at USD 395.10 billion in 2022 and is poised to grow from USD 433.03 billion in 2023 to USD 901.58 billion by 2031, growing at a CAGR of 9.60% during the forecast period (2024-2031).

Healthcare Business Process Outsourcing (BPO) involves delegating specific tasks and processes to external service providers. The growth of this market is driven by increasing pressure to cut rising healthcare costs, growing demand for specialized services, and stringent regulatory requirements. Governments are implementing favorable changes to reduce healthcare expenses and enhance focus on critical aspects of the industry. Additionally, outsourcing is driven by the need to safeguard confidential patient information, manage network security risks, and prevent critical errors, all of which contribute to the rising adoption of BPO in hospitals and healthcare systems. This shift has led to enhanced patient care and greater workflow efficiency. Moreover, the increasing number of individuals seeking healthcare insurance and the assurance of government support further drive market expansion. However, challenges such as the high costs associated with outsourcing and concerns about losing visibility and control over business processes are hindering market growth. These factors must be addressed to fully realize the potential benefits of healthcare BPO.

Top-down and bottom-up approaches were used to estimate and validate the size of the Global Healthcare BPO market and to estimate the size of various other dependent submarkets. The research methodology used to estimate the market size includes the following details: The key players in the market were identified through secondary research, and their market shares in the respective regions were determined through primary and secondary research. This entire procedure includes the study of the annual and financial reports of the top market players and extensive interviews for key insights from industry leaders such as CEOs, VPs, directors, and marketing executives. All percentage shares split, and breakdowns were determined using secondary sources and verified through Primary sources. All possible parameters that affect the markets covered in this research study have been accounted for, viewed in extensive detail, verified through primary research, and analyzed to get the final quantitative and qualitative data.

Global Healthcare BPO Market Segmental Analysis

Global Healthcare BPO Market is segmented by Payer Service, Provider Service, and region. Based on Payer Service, the market is segmented into Claims Management Services, Integrated Front-end Service & Back-office Operations, Member Management, Product Development & Business Acquisition (PDBA), Provider Management, Care Management, Billing & Accounts Management Services, HR Service. Based on Provider Service, the market is segmented into Revenue Cycle Management, Patient Enrolment, and Patient Care. Based on region, the market is segmented into North America, Europe, Asia Pacific, Latin America and Middle East & and Africa.

Drivers of the Global Healthcare BPO Market

Cost efficiency is a critical factor driving the decision to outsource in healthcare. In the United States, rising health insurance exchanges are putting pressure on the margins of healthcare payers. This shift allows consumers to choose from a range of competing private healthcare providers, which is likely to spur the increased adoption of outsourcing as a strategy to streamline costs. The need to manage expenses more effectively in a competitive environment is accelerating the trend toward outsourcing. By delegating certain functions to external providers, healthcare organizations aim to reduce operational costs and improve overall efficiency in response to the evolving market dynamics.

Restraints in the Global Healthcare BPO Market

Inadequate planning and budgeting for outsourcing initiatives can undermine the anticipated cost savings and overall business value. Organizations that fail to account for unforeseen expenses-such as those related to vendor evaluation and selection, managing offshore contracts, process transitions, and enhancing security-may experience diminished financial benefits from outsourcing. These overlooked costs can significantly impact the expected return on investment. Moreover, opting for customized services and solutions from vendors tends to be more expensive, with costs potentially exceeding standard service rates by 15-30%. This additional expense further emphasizes the need for careful financial planning to ensure that the benefits of outsourcing outweigh the associated costs.

Market Trends of the Global Healthcare BPO Market

Artificial intelligence automation is increasingly utilized in healthcare operations to prevent costly medical errors and optimize asset usage, leading to improved patient outcomes. By leveraging AI, healthcare providers can enhance operational efficiency and ensure higher quality of care. Additionally, healthcare providers are adopting omnichannel customer service strategies to deliver a seamless and consistent experience across all customer interactions. This approach helps to unify communication channels and improve patient satisfaction by providing a cohesive service experience.

Introduction

Objectives of the Study
Definitions
Market Scope

Research Methodology

Information Procurement
Secondary & Primary Data Sources
Market Size Estimation
Market Assumptions & Limitations

Executive Summary

Market Overview Outlook
Supply Demand Trend Analysis
Segmental Opportunity Analysis

Market Dynamics & Outlook

Market Dynamics
- Drivers
- Opportunities
- Restraints
- Challenges
Porters Analysis
- Competitive rivalry
- Threat of Substitute Products
- Bargaining Power of Buyers
- Threat of New Entrants
- Bargaining Power of Suppliers

Key Market Insights

Technology Analysis
Pricing Analysis
Value Chain Analysis
Ecosystem of the Market
Trade Analysis
Supply chain Analysis
Case study Analysis
Patent Analysis
Customer & Buying Criteria Analysis
Regulatory Landscape
Innovation Matrix
Top Investment Analysis
Key Success Factor
Degree of Competition

Healthcare BPO Market by Payer Service

Market Overview
Claims Management Services
- Claims Adjudication Services
- Claims Settlement Services
- Information Management Services
- Claims Repricing
- Claims Investigation Services
- Claims Indexing Services
- Fraud Detection & Management Services
Integrated Front-end Service & Back-office Operations
Member Management
Product Development & Business Acquisition (PDBA)
Provider Management
Care Management
Billing & Accounts Management Services
Hr Services

Healthcare BPO Market by Provider Service

Market Overview
Revenue Cycle Management
Patient Enrolment
Patient Care
- Medical Transcription
- Device Monitoring
- Medical Imaging

Healthcare BPO Market Size by Region

Market Overview
North America
- USA
- Canada
Europe
- Germany
- Spain
- France
- UK
- Italy
- Rest of Europe
Asia Pacific
- China
- India
- Japan
- South Korea
- Rest of Asia-Pacific
Latin America
- Brazil
- Rest of Latin America
Middle East & Africa (MEA)
- GCC Countries
- South Africa
- Rest of MEA

Competitive Landscape

Top 5 Player Comparison
Market Positioning of Key Players, 2023
Strategies Adopted by Key Market Players
Recent Activities in the Market
Key Companies Market Share (%), 2023

Key Company Profiles

Accenture PLC (Ireland)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Cognizant Technology Solutions Corporation (US)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Tata Consulting Services Limited (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
WNS (Holdings) Limited (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
IQVIA Holdings Inc. (US)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Mphasis (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Genpact Limited (Bermuda)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Wipro Limited (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Infosys BPM (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Firstsource (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
International Business Machines Corporation (US)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
GeBBS Healthcare Solutions (US)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Capgemini SE (France)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Omega Healthcare Management Services (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
R1 RCM (US)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Invensis Technologies (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
UnitedHealth Group (US)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
HCL Technologies Limited (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Access Healthcare (US)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Sutherland Global (US)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
Akurate Management Solutions (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments
AGS Health (India)
- Company Overview
- Business Segment Overview
- Financial Updates
- Key Developments

ヘルスケアBPOの市場規模、シェア、成長分析、支払者サービス別、提供者サービス別、地域別 - 産業予測、2024年～2031年

Healthcare BPO Market Size, Share, Growth Analysis, By Payer Service (HR Services, Claims Management Services), By Provider Service (Revenue Cycle Management, Patient Care), By Region - Industry Forecast 2024-2031

目次

イントロダクション

調査手法

エグゼクティブサマリー

市場力学と見通し

主な市場の考察

ヘルスケアBPO市場：支払サービス別