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1197107

醫療保健 BPO 市場 - 增長、趨勢、COVID-19 影響和預測 (2023-2028)

Healthcare BPO Market - Growth, Trends, and Forecasts (2023 - 2028)
出版日期: | 出版商: Mordor Intelligence | 英文 120 Pages | 商品交期: 2-3個工作天內

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簡介目錄

在預測期內，醫療保健 BPO 市場預計將以 8% 的複合年增長率增長。

很明顯，COVID-19 疫情對所分析的市場產生了重大影響。 由於強制性封鎖和停工，研發已經停止。 然而，醫院無疑仍受到 COVID-19 大流行的影響，並將持續一段時間。 例如，2022 年 7 月，Quorum Health Resources, LLC 發布了一份關於大流行後對醫院收入周期管理的影響的報告，該報告發現，由於過去兩年的困難，不僅系統而且其居民還患有慢性和累積超負荷，在 COVID-19 波之間的短間隔內不會完全消退。 因此，對收入周期管理（醫療保健 BPO 產品之一）的需求受到前一年累積過載的影響，預計將對未來的市場產生類似的重大影響。

推動市場增長的因素之一是臨床流程外包 (CPO) 的激增。 患者保護和醫療支出法案 (PPACA) 的實施迫使醫療保健公司轉向外包，減少了一些非關鍵職能（如財務和會計以及客戶服務）的錯誤增加。

主要公司增加產品發布和合作夥伴關係等戰略活動也是推動預測期內市場增長的主要因素。 例如，2021 年 12 月，全球領先的綜合數字業務服務集團 Teleperformance 宣布收購美國政府服務業務流程外包 (BPO) 的主要運營商 Senture。我來了。 2021 年 10 月，印度競爭委員會 (CCI) 批准 Betaine B.V. 收購 Hinduja Global Solutions 的醫療保健 BPO 服務。 由於上述因素，預計醫療保健 BPO 市場將在預測期內增長，因為這些重大發展預計將推動市場增長。

但是，在分析期間，與外包相關的嚴格法規和隱性成本預計會略微阻礙市場增長。

醫療保健 BPO 市場趨勢

利潤週期管理區對利潤和預測的貢獻

醫療保健系統使用收入周期管理 (RCM) 來跟蹤與患者的財務交易，從患者的第一次就診到最終支付與醫療保健系統相關的餘額。 RCM 可以定義為有助於管理和收集患者服務收入的所有臨床和行政職能。 因此，醫療保健領域對 RCM 服務日益增長的需求預計將推動該行業的增長。

RCM 為醫療保健提供者提供了多項優勢，從處理索賠和收款到處理行政職能。 RCM 是一種技術先進的系統，通過先進的計費、支付處理和電子病歷系統來處理管理功能。 根據 Hyperon 於 2022 年 9 月發布的一份報告，很明顯，從首次就診到全額報銷，患者護理收入過程中的每一步都是困難且耗時的。 通過高效的 RCM 流程，這變得很容易。 它還指出，如果沒有 RCM 流程，醫療機構就無法在保持財務穩定的同時提供優質護理。 因此，RCM 在醫療保健領域的使用正在增加，從而推動該領域的增長。

目前，市場參與者正專注於新的合作和協議，以加強他們的市場地位，最終實現細分市場的增長。 例如，2021 年 7 月，收入周期管理 (RCM) 供應商 Waystar 計劃收購 Patientco，這是 RCM 供應商與患者支付公司之間的最新交易。 通過這種組合，RCM 供應商打算通過為用戶提供對消費者友好的醫療保健支付選項來增強患者的財務體驗。

因此，預計上述因素將推動該細分市場在預測期內顯著增長，並有助於整個市場的增長。

北美有望在預測期內主導市場

北美目前在醫療保健 BPO 市場處於領先地位，預計這一趨勢將在未來幾年持續下去。 在北美，美國的份額最大。 美國醫療保健系統是一個快速發展的行業，包括藥房、製藥公司、醫療設備製造商和醫療設施。 藥房、製藥公司、醫療器械製造商和醫療設施等複雜的工業基礎設施已經建成，需要專家來監督這些運作。 該地區市場增長的背後是醫療 IT 服務外包的高度認知和有影響力的市場參與者的存在。

此外，該國越來越多的政府舉措也有望促進該國研究市場的增長。 例如，2022 年 2 月，HHS 部向 29 個 HRSA 資助的健康中心撥款近 5500 萬美元，以通過虛擬護理改善服務不足人群的護理機會和質量。 虛擬護理改變了患者的遊戲規則，尤其是在大流行期間。 因此，政府組織的舉措有望促進該國的市場增長。

2022 年 3 月，醫療保健解決方案公司 CPSI 收購了總部位於華盛頓州斯波坎的 Healthcare Resources Group。 HRG 是定制收入周期管理 (RCM) 解決方案和諮詢服務的領先供應商，幫助醫院和診所提高效率、盈利能力和患者滿意度。 這樣，大公司開展的活動有望促進該國研究目標市場的增長。

此外，越來越多的人尋求保險、降低醫療保健交付成本的壓力、醫療保健系統整合、面臨專利懸崖的製藥公司以及 ICD-10 代碼的強制實施正在推動美國醫療保健 BPO 市場的增長.它是推動增長的主要因素。

這樣，由於上述因素，北美市場有望增長。

醫療保健 BPO 市場的競爭對手分析

醫療保健 BPO 市場的競爭格局涵蓋業務概覽、財務、產品、主要參與者採取的戰略等。 醫療保健 BPO 市場是分散的，由多個大型參與者組成。 從市場份額的角度來看，目前幾家大型企業佔據了市場主導地位。 少數其他中小企業以相當大的份額進入市場，部分原因是對移動醫療的需求不斷增長以及醫療保健系統的進步。 主要參與者包括 Accenture、Global Growth、GeBBS Healthcare Solutions、Genpact、International Business Machines Corporation (IBM)、Parexel International Corporation、IQVIA、Sutherland Global Services、UnitedHealth Group 和 Cognizant Technology Solutions。

其他好處

  • Excel 格式的市場預測 (ME) 表
  • 3 個月的分析師支持

內容

第1章介紹

  • 調查假設和市場定義
  • 調查範圍

第2章研究方法論

第 3 章執行摘要

第4章市場動態

  • 市場概覽
  • 市場驅動力
    • 近岸外包目的地的興起和技術獲取
    • 臨床流程外包 (CPO) 的快速增長
    • PPACA 的實施迫使醫療保健公司轉向外包。
    • 減少了財務/會計和客戶服務等非關鍵職能部門的錯誤
  • 市場製約因素
    • 複雜的法規
    • 外包的隱性成本
  • 波特的五力分析
    • 新進入者的威脅
    • 買方/消費者議價能力
    • 供應商的議價能力
    • 替代品的威脅
    • 競爭公司之間的敵對關係

第 5 章市場細分（基於價值的市場規模 - 百萬美元）

  • 通過付費服務
    • 人力資源管理
    • 投訴管理
    • 客戶關係管理 (CRM)
    • 運營/行政管理
    • 護理管理
    • 供應商管理
    • 其他付款人服務
  • 通過提供商服務
    • 患者登記和戰略規劃
    • 患者護理服務
    • 收入周期管理
  • 通過醫藥服務
    • 調查與研發
    • 製造業
    • 非臨床服務
      • 供應鏈管理和物流
      • 銷售和營銷服務
      • 其他非臨床服務
  • 按地區
    • 北美
      • 美國
      • 加拿大
      • 墨西哥
    • 歐洲
      • 德國
      • 英國
      • 法國
      • 意大利
      • 西班牙
      • 其他歐洲地區
    • 亞太地區
      • 中國
      • 日本
      • 印度
      • 澳大利亞
      • 韓國
      • 其他亞太地區
    • 中東
      • 海灣合作委員會
      • 南非
      • 其他中東地區
    • 南美洲
      • 巴西
      • 阿根廷
      • 其他南美洲

第6章競爭格局

  • 公司簡介
    • Accenture
    • Global Growth（Eli Global）
    • GeBBS Healthcare Solutions
    • Genpact
    • International Business Machines Corporation（IBM）
    • Parexel International Corporation
    • IQVIA
    • Sutherland Global Services
    • United Health Group
    • Cognizant Technology Solutions
    • Tata Consultancy Services Limited
    • Wipro
    • Infosys Limited

第7章 市場機會與今後動向

簡介目錄
Product Code: 56874

The Healthcare BPO market is projected to register a CAGR of 8% during the forecast period.

It is clear that the COVID-19 epidemic had a major effect on the analysed market.The expansion of the healthcare industry was stunted in the early stages of the epidemic. Research and development ceased as a result of the mandatory lockdowns and shutdowns. However, hospitals undoubtedly still suffer from the COVID-19 pandemic's effects, and they will continue to do so for some time. For instance, in July 2022, Quorum Health Resources, LLC published a report on the post-pandemic impact on hospital revenue cycle management which states that the system, as well as its inhabitants, entered a chronic, cumulative condition of overload as a result of the hardships of the last two years, which does not completely subside in the brief intervals between COVID-19 waves. Hence the demand for revenue cycle management, one of the provider services of Healthcare BPO suffered due to the cumulative overload of previous years and is expected to do the same over the coming period with a significant impact on the market.

Factors responsible for the market's growth include a rapid increase in clinical process outsourcing (CPO). Implementing the Patient Protection and Affordable Care Act (PPACA) compelled healthcare players to move toward outsourcing, and fewer errors in several non-critical functions, like finance and accounting, customer care services, etc.

Another major driving factor is the rising strategic activities such as product launches, partnerships, and others by major companies, which are anticipated to drive market growth over the forecast period. For instance, in December 2021, the company Teleperformance, a leading global group in digitally integrated business services, announced that it had acquired Senture, a significant business process outsourcing (BPO) operator for government services in the United States. In October 2021, the Competition Commission of India (CCI) approved Betaine B.V's acquisition of Hinduja Global Solutions' healthcare BPO services. These major developments are anticipated to drive market growth and thus owing to the above factors, the healthcare BPO market is anticipated to grow over the forecast period.

However, the stringent regulations and the hidden cost associated with outsourcing are anticipated to hamper the market growth slightly over the analysis period.

Healthcare BPO Market Trends

Revenue Cycle Management Segment is Anticipated to Witness Growth Over the Forecast Period

Healthcare systems use revenue cycle management (RCM) to track the financial dealings with patients, from their initial appointment to the final payment of the balance associated with the healthcare system. The RCM can be defined as all clinical and administrative functions that contribute to managing and collecting patient service revenues. Hence, the increasing need for RCM services in healthcare is expected to boost segment growth.

The RCM offers several benefits to the provider, from handling billing and collections to handling administrative functions. It is a technologically advanced system that handles administrative functions through sophisticated billing, payment processing, and electronic health record systems. According to the report published by Hyperon in September 2022, it is clear that every step of the patient care revenue process, from initial visits through complete reimbursement, is difficult and time-consuming. This becomes easy with efficient RCM processes. It also states that healthcare facilities cannot deliver high-quality care while maintaining their financial stability without properly configured RCM processes. Thus, the usage of RCM has increased across healthcare, thereby driving segment growth.

Currently, the market players are focusing on new collaborations and agreements to strengthen their market positions, which is ultimately attributed to segment growth. For instance, in July 2021, Revenue cycle management (RCM) vendor Waystar planned to acquire Patientco, in the latest deal between an RCM vendor and a patient payment company. The RCM vendor intends for the combination to boost the patient's financial experience by offering users consumer-friendly options for paying medical bills.

Therefore, the abovementioned factors are expected to drive the segment to grow significantly and contribute to the overall market growth over the forecast period.

North America is Expected to Dominate the Market Over the Forecast Period

The healthcare BPO market is now led by North America, and this trend is predicted to continue for the next few years. In North America, the United States has the biggest market share.The United States healthcare system is a rapidly growing industry, which includes pharmacies, pharmaceutical companies, medical equipment manufacturers, and medical care facilities. This complex industry infrastructure relies on specialized professionals who oversee these operations. High awareness levels about outsourcing healthcare IT services and the strong presence of prominent market players in the region are attributed to the regional market's growth.

Furthermore, rising government initiatives in the country are anticipated to drive the studied market growth in the country. For instance, in February 2022, the department of HHS awarded nearly USD 55 million to 29 HRSA-funded health centers to increase healthcare access and quality for underserved populations through virtual care. Virtual care has been a game-changer for patients, especially during the pandemic. Thus, the initiatives by government organizations are expected to drive market growth in the country.

In March 2022, CPSI, a healthcare solutions company, acquired Healthcare Resource Group Inc., based in Spokane, Washington. HRG is a leading provider of customized revenue cycle management ("RCM") solutions and consulting services that enable hospitals and clinics to improve efficiency, profitability, and patient satisfaction. Thus, the activities done by the major players are expected to drive the studied market growth in the country.

Furthermore, the increasing number of people seeking insurance, pressure to cut healthcare delivery costs, consolidation of the healthcare system, pharmaceutical companies facing patent cliffs, and the mandatory implementation of ICD-10 codes are the major factors propelling the growth of the United States healthcare BPO market.

Thus, the market is expected to grow in North America due to the abovementioned factors.

Healthcare BPO Market Competitor Analysis

The competitive landscape of the healthcare BPO market covers the business overview, financials, products, and strategies followed by major companies. The healthcare BPO market is fragmented and consists of several major players. In terms of market share, few of the major players currently dominate the market. The rising need for mobile health and advances in healthcare systems are also helping a few other smaller players to enter the market with a substantial share. Some of the major players in the market are Accenture, Global Growth, GeBBS Healthcare Solutions, Genpact, International Business Machines Corporation (IBM), Parexel International Corporation, IQVIA, Sutherland Global Services, UnitedHealth Group, and Cognizant Technology Solutions, among others.

Additional Benefits:

  • The market estimate (ME) sheet in Excel format
  • 3 months of analyst support

TABLE OF CONTENTS

1 INTRODUCTION

  • 1.1 Study Assumption and Market Definition
  • 1.2 Scope of the Study

2 RESEARCH METHODOLOGY

3 EXECUTIVE SUMMARY

4 MARKET DYNAMICS

  • 4.1 Market Overview
  • 4.2 Market Drivers
    • 4.2.1 Rise of Nearshore Outsourcing Destinations and Access to Technology
    • 4.2.2 Rapid Increase in Clinical Process Outsourcing (CPO)
    • 4.2.3 Implementation of PPACA Compelled Healthcare Player to Move toward Outsourcing
    • 4.2.4 Fewer Errors in Several Non-critical Functions, like Finance and Accounting, Customer Care Services, etc.
  • 4.3 Market Restraints
    • 4.3.1 Complex Regulations
    • 4.3.2 Hidden Costs of Outsourcing
  • 4.4 Porter's Five Forces Analysis
    • 4.4.1 Threat of New Entrants
    • 4.4.2 Bargaining Power of Buyers/Consumers
    • 4.4.3 Bargaining Power of Suppliers
    • 4.4.4 Threat of Substitute Products
    • 4.4.5 Intensity of Competitive Rivalry

5 MARKET SEGMENTATION (Market Size by Value - USD million)

  • 5.1 By Payer Service
    • 5.1.1 Human Resource Management
    • 5.1.2 Claims Management
    • 5.1.3 Customer Relationship Management (CRM)
    • 5.1.4 Operational/Administrative Management
    • 5.1.5 Care Management
    • 5.1.6 Provider Management
    • 5.1.7 Other Payer Services
  • 5.2 By Provider Service
    • 5.2.1 Patient Enrollment and Strategic Planning
    • 5.2.2 Patient Care Service
    • 5.2.3 Revenue Cycle Management
  • 5.3 By Pharmaceutical Service
    • 5.3.1 Research and Development
    • 5.3.2 Manufacturing
    • 5.3.3 Non-clinical Service
      • 5.3.3.1 Supply Chain Management and Logistics
      • 5.3.3.2 Sales and Marketing Services
      • 5.3.3.3 Other Non-clinical Services
  • 5.4 Geography
    • 5.4.1 North America
      • 5.4.1.1 United States
      • 5.4.1.2 Canada
      • 5.4.1.3 Mexico
    • 5.4.2 Europe
      • 5.4.2.1 Germany
      • 5.4.2.2 United Kingdom
      • 5.4.2.3 France
      • 5.4.2.4 Italy
      • 5.4.2.5 Spain
      • 5.4.2.6 Rest of Europe
    • 5.4.3 Asia-Pacific
      • 5.4.3.1 China
      • 5.4.3.2 Japan
      • 5.4.3.3 India
      • 5.4.3.4 Australia
      • 5.4.3.5 South Korea
      • 5.4.3.6 Rest of Asia-Pacific
    • 5.4.4 Middle East
      • 5.4.4.1 GCC
      • 5.4.4.2 South Africa
      • 5.4.4.3 Rest of Middle East
    • 5.4.5 South America
      • 5.4.5.1 Brazil
      • 5.4.5.2 Argentina
      • 5.4.5.3 Rest of South America

6 COMPETITIVE LANDSCAPE

  • 6.1 Company Profiles
    • 6.1.1 Accenture
    • 6.1.2 Global Growth (Eli Global)
    • 6.1.3 GeBBS Healthcare Solutions
    • 6.1.4 Genpact
    • 6.1.5 International Business Machines Corporation (IBM)
    • 6.1.6 Parexel International Corporation
    • 6.1.7 IQVIA
    • 6.1.8 Sutherland Global Services
    • 6.1.9 United Health Group
    • 6.1.10 Cognizant Technology Solutions
    • 6.1.11 Tata Consultancy Services Limited
    • 6.1.12 Wipro
    • 6.1.13 Infosys Limited

7 MARKET OPPORTUNITIES AND FUTURE TRENDS