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医院 IT BPO/RPA

市场调查报告书

商品编码

1562504

医疗保健 BPO 市场规模、份额、成长分析、按付款人服务、按提供者服务、按地区 - 行业预测，2024-2031 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

出版日期: 2024年09月10日 | 出版商:

SkyQuest | 英文 242 Pages | 商品交期: 3-5个工作天内

价格

简介目录

2022年全球医疗保健BPO市场规模为3951亿美元，从2023年的4330.3亿美元增长到2031年的9015.8亿美元，在预测期内（2024-2031年）预计复合年增长率为9.60%。

医疗保健领域的业务流程外包 (BPO) 涉及将特定任务或流程委託给外部服务供应商。该市场的成长是由降低医疗成本的压力不断增加、对专业服务的需求不断增加以及严格的监管要求所推动的。各国政府正在实施有利的改革，以降低医疗成本并更加关注该行业的关键方面。此外，保护敏感患者资讯、管理网路安全风险和防止严重错误的需求正在推动外包，所有这些都有助于 BPO 在医院和医疗保健系统中的采用。这一转变改善了患者照护并提高了工作流程的效率。此外，越来越多的个人寻求医疗保险和有保障的政府支持进一步推动了市场扩张。然而，外包相关的高成本以及对业务流程可见度和控制丧失的担忧等挑战正在阻碍市场成长。必须解决这些因素，才能充分发挥医疗保健 BPO 的潜在优势。

市场概况
理赔管理服务
- 申请裁决服务
- 理赔处理服务
- 资讯管理服务
- 申请重新定价
- 投诉调查服务
- 索赔索引服务
- 诈骗侦测和管理服务
整合前端服务和后勤部门业务
会员管理
产品开发和业务收购 (PDBA)
供应商管理
护理管理
申请和帐户管理服务
人力资源服务

医疗保健 BPO 市场：按提供者服务分类

市场概况
收益周期管理
病人登记
患者照护
- 医学转录
- 设备监控
- 医疗图像

医疗保健 BPO 市场规模：按地区划分

市场概况
北美洲
- 美国
- 加拿大
欧洲
- 德国
- 西班牙
- 法国
- 英国
- 义大利
- 其他欧洲国家地区
亚太地区
- 中国
- 印度
- 日本
- 韩国
- 其他亚太地区
拉丁美洲
- 巴西
- 其他拉丁美洲地区
中东和非洲 (MEA)
- 海湾合作委员会国家
- 南非
- 其他中东/非洲地区

竞争格局

前5名企业对比
主要企业市场定位（2023年）
主要市场参与者所采取的策略
近期市集活动
主要企业市场占有率（2023年）

主要企业简介

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）

简介目录

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