Global Healthcare BPO Market: Analysis and Forecasts 2011-2016

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Global healthcare BPO market is growing at a CAGR of 21.4%.

Global healthcare BPO market is growing at a healthy CAGR of 21.4%. Pharmaceutical outsourcing accounts for the largest share of 64.3%, but will grow at a CAGR of 14.6% from 2011 to 2016 since the market is saturated. Healthcare provider outsourcing has the highest growth rate of 31.9% from 2011 to 2016 due to conversion from ICD-9 coding system to ICD-10 and ICD-10 coding system to be implemented by October 2013 in the U.S. Healthcare payer outsourcing market will also grow at about 30% in the forecast period.

Claims processing, is one of the costly functions of the payer industry, has the highest share in the healthcare payer outsourcing market, accounting for 59%, followed by member services/customer care services. The payer in U.S. were using 30 cent of the premium dollar paid on administrative cost, but due to the Health Insurance Portability and Accountability (HIPAA) act, the payer has to spend 80%-85% on improving the services and providing quality healthcare. This is forcing the payer to cut the administrative costs, while outsourcing is the best solution available to reduce cost and maintain the quality.

In the year 2009, the payer industry in U.S. comprised of 1,300 health insurance companies. This represents a huge market for outsourcing which is yet to be tapped as only 10% of the work is outsourced currently.

U.S. is the largest source of outsourcing, followed by Europe. The most preferred destination is India in payer and provider outsourcing, whereas on shoring is the most preferred option for pharmaceutical outsourcing. Philippines is an upcoming destination making its mark in payer and provider outsourcing. India has advantages when compared to the other outsourcing destinations such as has availability of high number of healthcare professionals, affordable cost of living, large patient pool, and decreased time and cost of recruitment.

The overall healthcare BPO market is highly fragmented and there are many small players trying to take their share in the pie particularly in India and China, where many entrepreneurs have entered the market to meet the growing requirements. The major players in the payer and provider outsourcing market are Accenture (Ireland), Medusind (U.S.), GeBBS Healthcare (U.S.), Omega Healthcare (India), and Inventive (U.S.). The pharmaceutical outsourcing market is captured by players such as Quintiles (U.S.), Covance (U.S.), PPD (U.S.), Parexel (U.S.), Charles Rivers Laboratories (U.S.) and ICON (Ireland) in the CRO space; while in the CMO market the major competitors are Lonza (Switzerland), Catalent (U.S.), Boehringer Ingelheim (Germany), DSM Pharma (U.S.), and Jubilant Life Sciences (India).

Outsourcing is the buzzword in the healthcare industry in the U.S., the rising cost of healthcare, less availability of man power, and quality worked provided by the vendors, are some of the factors driving the outsourcing of healthcare. There are three main segments of healthcare outsourcing covered in the report i.e.; payer, provider, and pharmaceutical. The payer (healthcare insurance companies), provider (hospitals) and the pharmaceutical companies are looking at outsourcing as a viable option to be competitive in the business. Healthcare reforms introduced by Obama government are also driving the healthcare outsourcing market.

Scope of the report
This healthcare BPO market research report evaluates the global Healthcare Business Process Outsourcing Market with respect to the services market. The report analyzes geography; forecasting revenues, and trends in each of the following submarkets:


  •     Claims processing
  •     HR services
  •     Member services/customer Care
  •     Finance and accounts


  •     Medical billing
  •     Medical coding
  •     Medical transcription
  •     Finance and accounts

Contract manufacturing organization

  •     API manufacturing
  •     Formulation & packaging

Clinical research organization

  •     Drug discovery
  •     Pre-clinical
  •     Phase I
  •     Phase II
  •     Phase III
  •     Phase IV
  •     CDM & biostatistics
  •     Medical writing
  •     Regulatory
  •     Others

Non-clinical services

  •     SCM & logistics
  •     Sales & marketing
  •     Other functions

The geographies covered under the report are


  •     U.S.
  •     Europe
  •     ROW


  •     India
  •     China
  •     Philippines
  •     On-shore U.S.
  •     Eastern Europe
  •     Middle East
  •     LATAM (Latin American)

Each section provides market data, market drivers, trends and opportunities, key players, and competitive outlook. This report also provides market tables for covering the sub-segments and micro-markets. In addition, it makes ways for company profiles that cover all the sub-segments. As such, the report leaves no stone unturned in apprising about the past, present, and future of the global healthcare BPO market.

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