Healthcare BPO Market worth USD 468.5 Billion : Limitations in the data capturing process in Medicaid services

Healthcare business process outsourcing allows healthcare facilities to contract their non-core activities to an external party and focus on their core competencies. Growth of this market is attributed to the growing outsourcing in the pharma and biopharma industries, need to curtail the escalating healthcare costs, rising demand for niche services (including care management and fraud detection services), and the need for structured processes and documentation in the healthcare industry.

What the Market Looks Like?

[309 Pages Report] The global healthcare BPO market is projected to reach USD 468.5 billion by 2026 from USD 296.4 billion in 2021, at a CAGR of 9.6% during the forecast period. North America dominated the healthcare BPO market, with a share of 49.0% in 2021, followed by Europe (30.6%) and the RoW (20.3%)

Cost savings form an important consideration in outsourcing, as by doing so, companies can reduce costs on resource management, labor, and space. There is pressure on the margins of healthcare payers due to the rise of health insurance exchanges (online marketplaces to obtain health insurance from competing providers) in the US. This enables consumers to obtain coverage from competing private healthcare providers and is likely to accelerate the adoption of outsourcing to rationalize costs.

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COVID-19 Impact on the Healthcare BPO Market

The COVID-19 pandemic has had a significant impact on the world’s population and economy. As a result of the pandemic, healthcare facilities are facing immense pressure to create a well-coordinated environment where all clinical functions are connected internally and where the organization operates in coordination with other healthcare units. This is compelling healthcare organizations to outsource their non-core functions, including revenue cycle management, claims management, and patient engagement, among other functions, to third parties and focus on their core competencies for better patient outcomes. The impact of COVID-19 on the healthcare BPO industry is complicated as well as multi-faceted.

What are Key Trends in the Market?

The growth of the Healthcare BPO Market is primarily influenced by the following factors:

1. Shift to ICD-10 coding standards and upcoming ICD-11 standards2. Pressure to reduce the rising healthcare costs3. Loss of revenue due to billing errors4. Demand for niche services5. Need for structured processes and documentation6. Lack of in-house expertise in end-use industries

Artificial intelligence and machine learning, in particular, make the drug discovery process more efficient and substantially improve success rates at the early stages of drug development. This will help healthcare BPO service providers to bring about major breakthroughs, as artificial intelligence also plays an important role in the discovery of drugs for chronic diseases such as cancer. Owing to its capabilities, AI significantly reduces the time taken to bring a cancer-combatting drug to the market, which will lead to significant growth in the healthcare BPO services market.

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