頁面路徑選單
Healthcare BPO Market - Global Forecasts to 2021
出 版 商：MarketsandMarkets
出版日期：2016/06/22
頁 數：171頁
文件格式：PDF
價 格：
USD 5,650 (Single-User License)
USD 6,650 (Multi-User License)
USD 10,000 (Global-User License)
USD 6,650 (Multi-User License)
USD 10,000 (Global-User License)
Healthcare BPO Market - Provider (Billing), Payer (Claims management), Pharmaceutical (R&D, Non-Clinical (SCM, Sales and Marketing (Forecasting, Analytics))), Outsourcing Approaches (Bundled) & Models (Multisourcing, Captives) - Global Forecasts to 2021
Focus on Reduction of Healthcare Delivery Costs, Enactment of PPACA, and Mandatory Implementation of ICD-10 Codes to Boost the Growth of the Healthcare BPO Market
The healthcare BPO market is projected to reach USD 276.79 billion by 2021 USD 170.47 billion in 2016, growing at a CAGR of 10.2% during the forecast period (2016–2021). In this report, the healthcare BPO market is broadly segmented on the type of healthcare services outsourced into provider services, payer services, and pharmaceutical services.
The U.S. is expected to account for the largest share of the healthcare BPO market in 2016. It is the prime source for the outsourcing of healthcare services due to the mandatory implementation of ICD-10 codes and enactment of PPACA. Europe is the second-largest source for outsourcing healthcare services; this regional market is driven by the need to minimize healthcare delivery costs. Among the destination regions, India and China are the most preferred locations to outsource various business processes. These countries are preferred due to their lower costs of operating businesses and cheaper skilled labor. The U.S. also ranks high as a preferred location in cases where location and skill are more important than cost savings.
From an insight perspective, this research report focuses on the qualitative data, future market size, share, and market potential of various segments and subsegments; competitive landscape; and company profiles. The qualitative data covers various levels of industry analysis such as market dynamics (drivers, restraints, opportunities, and challenges) and trends. The report also includes qualitative information on different outsourcing approaches and models commonly used in the healthcare industry. The type of contract that a client uses to engage with a vendor is called an outsourcing approach. The outsourcing approaches include bundled services, fee for service, flexible contracts and best shoring. The overarching strategies commonly adopted by an organization while outsourcing have been listed under outsourcing models. The outsourcing models include multisourcing, captive center, hybrid delivery, preferred provider, strategic partnership and global delivery models. The global delivery models is a type of service delivery model adopted by a vendor
Major players in the healthcare BPO market include Accenture PLC (U.S.), Cognizant Technology Solutions Corporation (U.S.), Infosys BPO Ltd. (India), Tata Consultancy Services Ltd. (India), and Xerox Corporation (U.S.).
Reasons to buy this report:
This research report has focused on various levels of analysis—industry analysis (industry trends), market share analysis of top players, and company profiles, which together comprise and discuss the basic views on the competitive landscape; emerging and high-growth market segments; high-growth regions; and market drivers, restraints, and opportunities.
The report provides insights on the following pointers:
‧ Market Penetration: Comprehensive information on healthcare BPO products and services offered by the top players in the global healthcare BPO market
‧ Product Development/Innovation: Detailed insights on upcoming products, research & development activities, and new product launches in the healthcare BPO market
‧ Market Development: Comprehensive information about lucrative emerging markets – the report analyzes the markets for healthcare BPO across regions
‧ Market Diversification: Exhaustive information about new products, untapped geographies, recent developments, and investments in the global healthcare BPO market
‧ Competitive Assessment: In-depth assessment of market shares, strategies, products, and manufacturing capabilities of the leading players in the global healthcare BPO market
Focus on Reduction of Healthcare Delivery Costs, Enactment of PPACA, and Mandatory Implementation of ICD-10 Codes to Boost the Growth of the Healthcare BPO Market
The healthcare BPO market is projected to reach USD 276.79 billion by 2021 USD 170.47 billion in 2016, growing at a CAGR of 10.2% during the forecast period (2016–2021). In this report, the healthcare BPO market is broadly segmented on the type of healthcare services outsourced into provider services, payer services, and pharmaceutical services.
The U.S. is expected to account for the largest share of the healthcare BPO market in 2016. It is the prime source for the outsourcing of healthcare services due to the mandatory implementation of ICD-10 codes and enactment of PPACA. Europe is the second-largest source for outsourcing healthcare services; this regional market is driven by the need to minimize healthcare delivery costs. Among the destination regions, India and China are the most preferred locations to outsource various business processes. These countries are preferred due to their lower costs of operating businesses and cheaper skilled labor. The U.S. also ranks high as a preferred location in cases where location and skill are more important than cost savings.
From an insight perspective, this research report focuses on the qualitative data, future market size, share, and market potential of various segments and subsegments; competitive landscape; and company profiles. The qualitative data covers various levels of industry analysis such as market dynamics (drivers, restraints, opportunities, and challenges) and trends. The report also includes qualitative information on different outsourcing approaches and models commonly used in the healthcare industry. The type of contract that a client uses to engage with a vendor is called an outsourcing approach. The outsourcing approaches include bundled services, fee for service, flexible contracts and best shoring. The overarching strategies commonly adopted by an organization while outsourcing have been listed under outsourcing models. The outsourcing models include multisourcing, captive center, hybrid delivery, preferred provider, strategic partnership and global delivery models. The global delivery models is a type of service delivery model adopted by a vendor
Major players in the healthcare BPO market include Accenture PLC (U.S.), Cognizant Technology Solutions Corporation (U.S.), Infosys BPO Ltd. (India), Tata Consultancy Services Ltd. (India), and Xerox Corporation (U.S.).
Reasons to buy this report:
This research report has focused on various levels of analysis—industry analysis (industry trends), market share analysis of top players, and company profiles, which together comprise and discuss the basic views on the competitive landscape; emerging and high-growth market segments; high-growth regions; and market drivers, restraints, and opportunities.
The report provides insights on the following pointers:
‧ Market Penetration: Comprehensive information on healthcare BPO products and services offered by the top players in the global healthcare BPO market
‧ Product Development/Innovation: Detailed insights on upcoming products, research & development activities, and new product launches in the healthcare BPO market
‧ Market Development: Comprehensive information about lucrative emerging markets – the report analyzes the markets for healthcare BPO across regions
‧ Market Diversification: Exhaustive information about new products, untapped geographies, recent developments, and investments in the global healthcare BPO market
‧ Competitive Assessment: In-depth assessment of market shares, strategies, products, and manufacturing capabilities of the leading players in the global healthcare BPO market
TABLE OF CONTENTS
1 INTRODUCTION 16
1.1 OBJECTIVES OF THE STUDY 16
1.2 MARKET DEFINITION 16
1.3 MARKET SCOPE 17
1.3.1 MARKETS COVERED 17
1.3.2 YEARS CONSIDERED FOR THE STUDY 18
1.4 CURRENCY 19
1.5 LIMITATIONS 19
1.6 STAKEHOLDERS 19
2 RESEARCH METHODOLOGY 20
2.1 MARKET SIZE ESTIMATION 21
2.2 MARKET BREAKDOWN AND DATA TRIANGULATION 23
2.2.1 KEY DATA FROM SECONDARY SOURCES 24
2.2.2 KEY DATA FROM PRIMARY SOURCES 24
2.2.2.1 Key industry insights 25
2.2.3 ASSUMPTIONS FOR THE STUDY 25
3 EXECUTIVE SUMMARY 26
3.1 INTRODUCTION 26
3.2 CURRENT SCENARIO 26
3.3 FUTURE OUTLOOK 27
3.4 CONCLUSION 30
4 PREMIUM INSIGHTS 31
4.1 HEALTHCARE BPO: MARKET OVERVIEW 31
4.2 GEOGRAPHICAL ANALYSIS: HEALTHCARE BPO MARKET, BY SERVICES OUTSOURCED (2016) 32
4.3 GEOGRAPHICAL SNAPSHOT OF THE HEALTHCARE BPO MARKET 33
4.4 HEALTHCARE BPO MARKET, BY SERVICE 33
4.5 PHARMACEUTICAL SERVICES MARKET, BY TYPE 34
5 MARKET OVERVIEW 35
5.1 INTRODUCTION 36
5.2 MARKET SEGMENTATION 36
5.3 MARKET DYNAMICS 37
5.3.1 DRIVERS 38
5.3.1.1 Implementation of PPACA stimulating growth in healthcare outsourcing 38
5.3.1.2 Pressure to reduce rising healthcare costs 38
5.3.1.3 Complex clinical trial protocols and new reporting requirements compel pharma companies to outsourcE 38
5.3.1.4 Patent expiry of blockbuster drugs 38
5.3.2 RESTRAINTS 39
5.3.2.1 Hidden costs of outsourcing 39
5.3.2.2 Fear of losing visibility and control over the business process 39
5.3.3 OPPORTUNITIES 40
5.3.3.1 Consolidation of the healthcare system in developed countries 40
5.3.3.2 Mandatory implementation of ICD-10 codes 40
5.3.4 CHALLENGES 40
5.3.4.1 Product/service quality Loss 40
5.3.4.2 Data security and confidentiality 41
5.4 OUTSOURCING APPROACHES: 41
5.4.1 BUNDLED SERVICES 41
5.4.2 FEE FOR SERVICE 41
5.4.3 FLEXIBLE CONTRACTS 42
5.4.4 BEST-SHORE 42
5.5 OUTSOURCING MODELS 43
5.5.1 MULTISOURCING 43
5.5.2 CAPTIVE CENTER 44
5.5.3 HYBRID DELIVERY MODEL 44
5.5.4 PREFERRED PROVIDER 45
5.5.5 STRATEGIC PARTNERSHIP 45
5.5.6 GLOBAL DELIVERY MODEL 46
6 HEALTHCARE BPO MARKET, BY PROVIDER SERVICE 47
6.1 INTRODUCTION 48
6.2 MEDICAL BILLING 50
6.3 MEDICAL CODING 53
6.4 MEDICAL TRANSCRIPTION 55
6.5 FINANCE & ACCOUNTS 57
7 HEALTHCARE BPO MARKET, BY PAYER SERVICE 58
7.1 INTRODUCTION 59
7.2 CLAIMS MANAGEMENT SERVICES 62
7.2.1 CLAIMS ADJUDICATION SERVICES 64
7.2.2 CLAIMS SETTLEMENT 65
7.2.3 INFORMATION MANAGEMENT SERVICES 67
7.2.4 CLAIMS REPRICING 68
7.2.5 CLAIMS INVESTIGATION SERVICES 70
7.2.6 CLAIMS INDEXING SERVICES 71
7.2.7 LITIGATION MANAGEMENT 72
7.3 INTEGRATED FRONT-END SERVICES AND BACK-OFFICE OPERATIONS 74
7.4 MEMBER MANAGEMENT SERVICES 76
7.5 PROVIDER MANAGEMENT SERVICES 77
7.6 BILLING AND ACCOUNTS MANAGEMENT SERVICES 80
7.7 ANALYTICS AND FRAUD MANAGEMENT SERVICES 81
7.8 HR SERVICES 83
8 HEALTHCARE BPO MARKET, BY PHARMACEUTICAL SERVICE 85
8.1 INTRODUCTION 86
8.1.1 RESEARCH & DEVELOPMENT 88
8.1.2 MANUFACTURING 90
8.1.3 NON-CLINICAL SERVICES 92
8.1.3.1 Supply chain management & logistics 94
8.1.3.2 Sales and marketing services 96
8.1.3.2.1 Forecasting 99
8.1.3.2.2 Performance reporting 100
8.1.3.2.3 Analytics 102
8.1.3.2.4 Research 104
8.1.3.2.5 Marketing services 105
8.1.3.3 Other non-clinical functions 106
9 GEOGRAPHIC ANALYSIS 108
9.1 SOURCE GEOGRAPHY 109
9.1.1 U.S. 110
9.1.2 EUROPE 115
9.1.3 ROW 119
10 COMPETITIVE LANDSCAPE 124
10.1 OVERVIEW 125
10.2 COMPETITIVE SITUATION AND TRENDS 126
10.2.1 AGREEMENTS, PARTNERSHIPS, COLLABORATIONS, AND CONTRACTS 127
10.2.2 ACQUISITIONS 128
10.2.3 NEW SERVICE LAUNCHES AND ENHANCEMENTS 129
10.2.4 EXPANSIONS 130
?
11 COMPANY PROFILES 131
(Introduction, Products & Services, Strategy, & Analyst Insights, Developments, MnM View)*
11.1 INTRODUCTION 131
11.2 COGNIZANT TECHNOLOGY SOLUTIONS CORPORATION 132
11.3 INFOSYS BPO LIMITED 135
11.4 ACCENTURE PLC 138
11.5 XEROX CORPORATION 141
11.6 TATA CONSULTANCY SERVICES LTD. 144
11.7 ACCRETIVE HEALTH, INC. 147
11.8 GENPACT LIMITED 149
11.9 IBM CORPORATION 152
11.10 QUINTILES TRANSNATIONAL HOLDINGS, INC. 154
11.11 LONZA GROUP LTD. 157
*Details on MarketsandMarkets view, Introduction, Product & Services, Strategy, & Analyst Insights, New Developments might not be captured in case of unlisted companies.
12 APPENDIX 160
12.1 INSIGHTS OF INDUSTRY EXPERTS 160
12.2 DISCUSSION GUIDE 161
12.3 KNOWLEDGE STORE: MARKETSANDMARKETS’ SUBSCRIPTION PORTAL 166
12.4 INTRODUCING RT: REAL-TIME MARKET INTELLIGENCE 168
12.5 AVAILABLE CUSTOMIZATIONS 169
12.6 RELATED REPORTS 170
1 INTRODUCTION 16
1.1 OBJECTIVES OF THE STUDY 16
1.2 MARKET DEFINITION 16
1.3 MARKET SCOPE 17
1.3.1 MARKETS COVERED 17
1.3.2 YEARS CONSIDERED FOR THE STUDY 18
1.4 CURRENCY 19
1.5 LIMITATIONS 19
1.6 STAKEHOLDERS 19
2 RESEARCH METHODOLOGY 20
2.1 MARKET SIZE ESTIMATION 21
2.2 MARKET BREAKDOWN AND DATA TRIANGULATION 23
2.2.1 KEY DATA FROM SECONDARY SOURCES 24
2.2.2 KEY DATA FROM PRIMARY SOURCES 24
2.2.2.1 Key industry insights 25
2.2.3 ASSUMPTIONS FOR THE STUDY 25
3 EXECUTIVE SUMMARY 26
3.1 INTRODUCTION 26
3.2 CURRENT SCENARIO 26
3.3 FUTURE OUTLOOK 27
3.4 CONCLUSION 30
4 PREMIUM INSIGHTS 31
4.1 HEALTHCARE BPO: MARKET OVERVIEW 31
4.2 GEOGRAPHICAL ANALYSIS: HEALTHCARE BPO MARKET, BY SERVICES OUTSOURCED (2016) 32
4.3 GEOGRAPHICAL SNAPSHOT OF THE HEALTHCARE BPO MARKET 33
4.4 HEALTHCARE BPO MARKET, BY SERVICE 33
4.5 PHARMACEUTICAL SERVICES MARKET, BY TYPE 34
5 MARKET OVERVIEW 35
5.1 INTRODUCTION 36
5.2 MARKET SEGMENTATION 36
5.3 MARKET DYNAMICS 37
5.3.1 DRIVERS 38
5.3.1.1 Implementation of PPACA stimulating growth in healthcare outsourcing 38
5.3.1.2 Pressure to reduce rising healthcare costs 38
5.3.1.3 Complex clinical trial protocols and new reporting requirements compel pharma companies to outsourcE 38
5.3.1.4 Patent expiry of blockbuster drugs 38
5.3.2 RESTRAINTS 39
5.3.2.1 Hidden costs of outsourcing 39
5.3.2.2 Fear of losing visibility and control over the business process 39
5.3.3 OPPORTUNITIES 40
5.3.3.1 Consolidation of the healthcare system in developed countries 40
5.3.3.2 Mandatory implementation of ICD-10 codes 40
5.3.4 CHALLENGES 40
5.3.4.1 Product/service quality Loss 40
5.3.4.2 Data security and confidentiality 41
5.4 OUTSOURCING APPROACHES: 41
5.4.1 BUNDLED SERVICES 41
5.4.2 FEE FOR SERVICE 41
5.4.3 FLEXIBLE CONTRACTS 42
5.4.4 BEST-SHORE 42
5.5 OUTSOURCING MODELS 43
5.5.1 MULTISOURCING 43
5.5.2 CAPTIVE CENTER 44
5.5.3 HYBRID DELIVERY MODEL 44
5.5.4 PREFERRED PROVIDER 45
5.5.5 STRATEGIC PARTNERSHIP 45
5.5.6 GLOBAL DELIVERY MODEL 46
6 HEALTHCARE BPO MARKET, BY PROVIDER SERVICE 47
6.1 INTRODUCTION 48
6.2 MEDICAL BILLING 50
6.3 MEDICAL CODING 53
6.4 MEDICAL TRANSCRIPTION 55
6.5 FINANCE & ACCOUNTS 57
7 HEALTHCARE BPO MARKET, BY PAYER SERVICE 58
7.1 INTRODUCTION 59
7.2 CLAIMS MANAGEMENT SERVICES 62
7.2.1 CLAIMS ADJUDICATION SERVICES 64
7.2.2 CLAIMS SETTLEMENT 65
7.2.3 INFORMATION MANAGEMENT SERVICES 67
7.2.4 CLAIMS REPRICING 68
7.2.5 CLAIMS INVESTIGATION SERVICES 70
7.2.6 CLAIMS INDEXING SERVICES 71
7.2.7 LITIGATION MANAGEMENT 72
7.3 INTEGRATED FRONT-END SERVICES AND BACK-OFFICE OPERATIONS 74
7.4 MEMBER MANAGEMENT SERVICES 76
7.5 PROVIDER MANAGEMENT SERVICES 77
7.6 BILLING AND ACCOUNTS MANAGEMENT SERVICES 80
7.7 ANALYTICS AND FRAUD MANAGEMENT SERVICES 81
7.8 HR SERVICES 83
8 HEALTHCARE BPO MARKET, BY PHARMACEUTICAL SERVICE 85
8.1 INTRODUCTION 86
8.1.1 RESEARCH & DEVELOPMENT 88
8.1.2 MANUFACTURING 90
8.1.3 NON-CLINICAL SERVICES 92
8.1.3.1 Supply chain management & logistics 94
8.1.3.2 Sales and marketing services 96
8.1.3.2.1 Forecasting 99
8.1.3.2.2 Performance reporting 100
8.1.3.2.3 Analytics 102
8.1.3.2.4 Research 104
8.1.3.2.5 Marketing services 105
8.1.3.3 Other non-clinical functions 106
9 GEOGRAPHIC ANALYSIS 108
9.1 SOURCE GEOGRAPHY 109
9.1.1 U.S. 110
9.1.2 EUROPE 115
9.1.3 ROW 119
10 COMPETITIVE LANDSCAPE 124
10.1 OVERVIEW 125
10.2 COMPETITIVE SITUATION AND TRENDS 126
10.2.1 AGREEMENTS, PARTNERSHIPS, COLLABORATIONS, AND CONTRACTS 127
10.2.2 ACQUISITIONS 128
10.2.3 NEW SERVICE LAUNCHES AND ENHANCEMENTS 129
10.2.4 EXPANSIONS 130
?
11 COMPANY PROFILES 131
(Introduction, Products & Services, Strategy, & Analyst Insights, Developments, MnM View)*
11.1 INTRODUCTION 131
11.2 COGNIZANT TECHNOLOGY SOLUTIONS CORPORATION 132
11.3 INFOSYS BPO LIMITED 135
11.4 ACCENTURE PLC 138
11.5 XEROX CORPORATION 141
11.6 TATA CONSULTANCY SERVICES LTD. 144
11.7 ACCRETIVE HEALTH, INC. 147
11.8 GENPACT LIMITED 149
11.9 IBM CORPORATION 152
11.10 QUINTILES TRANSNATIONAL HOLDINGS, INC. 154
11.11 LONZA GROUP LTD. 157
*Details on MarketsandMarkets view, Introduction, Product & Services, Strategy, & Analyst Insights, New Developments might not be captured in case of unlisted companies.
12 APPENDIX 160
12.1 INSIGHTS OF INDUSTRY EXPERTS 160
12.2 DISCUSSION GUIDE 161
12.3 KNOWLEDGE STORE: MARKETSANDMARKETS’ SUBSCRIPTION PORTAL 166
12.4 INTRODUCING RT: REAL-TIME MARKET INTELLIGENCE 168
12.5 AVAILABLE CUSTOMIZATIONS 169
12.6 RELATED REPORTS 170
