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North America HealthCare BPO Market-Companies Profiles, Size, Share, Growth, Trends and Forecast to 2026

February 2019 | 100 pages | ID: N009454B2A6EN
Data Bridge Market Research

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North America healthcare BPO market is expected to register a healthy CAGR of 11.0% in the forecast period of 2019 to 2026. The new market report contains data for historic year 2017, the base year of calculation is 2018 and the forecast period is 2019 to 2026.

MARKET SEGMENTATION

By Component (Payer Services, Provider Services, Pharmaceutical Services), End User (Hospital, Dental Clinics, Public Services, Life Sciences Companies, Medical Devices Companies, Pharmacy Benefit Managers, Others), Country (U.S., Canada, Mexico) Industry Trends and Forecast to 2026.

Major growing sectors under the market segmentation are as follows:
  • In component segment, provider services segment is growing at the highest CAGR, because medical billing and medical coding is expected to raise due to demand for ICD -10 coding standards in healthcare and upcoming ICD – 11 coding standards.
  • In the end user segment, the hospital segment is growing with the highest CAGR because hospitasl are bigger establishment and hence they outsource most of their administration and financial and revenue cycle task to third party vis a vis healthcare BPO, so that doctors and nurses can pay their full attention to patients.
KEY MARKET PLAYERS

The key market players for North America healthcare BPO market are listed below:
  • ACCENTURE
  • COGNIZANT
  • GEBBS HEALTHCARE SOLUTIONS
  • UNITED HEALTH GROUP
  • FIRSTSOURCE
  • CHARLES RIVER
  • GENPACT
  • INVENSIS TECHNOLOGIES PVT LTD
  • HCL TECHNOLOGIES LIMITED
  • IQVIA
  • WNS (HOLDINGS) LTD
  • PHARMACEUTICAL PRODUCT DEVELOPMENT, LLC.
  • PAREXEL
  • CATALENT, INC
  • LONZA
  • COVANCE INC.
  • SUTHERLAND GLOBAL, INC.
  • PREMIER BPO, INC.
  • HGS LTD.
  • BOEHRINGER INGELHEIM.
1 INTRODUCTION

1.1 OBJECTIVES OF THE STUDY
1.2 MARKET DEFINITION
1.3 OVERVIEW OF NORTH AMERICA HEALTHCARE BPO MARKET
1.4 CURRENCY AND PRICING
1.5 LIMITATIONS
1.6 MARKETS COVERED

2 MARKET SEGMENTATION

2.1 MARKETS COVERED
2.2 GEOGRAPHIC SCOPE
2.3 YEARS CONSIDERED FOR THE STUDY
2.4 CURRENCY AND PRICING
2.5 RESEARCH METHODOLOGY
2.6 PRIMARY INTERVIEWS WITH KEY OPINION LEADERS
2.7 DBMR MARKET CHALLENGE MATRIX
2.8 DBMR MARKET POSITION GRID
2.9 MULTIVARIATE MODELING
2.10 SERVICE LIFELINE CURVE
2.11 SECONDARY SOURCES
2.12 ASSUMPTIONS

3 EXECUTIVE SUMMARY

4 PREMIUM INSIGHTS

5 MARKET OVERVIEW

5.1 DRIVERS
  5.1.1 REGULATORY CHANGES IN THE U.S.
  5.1.2 PRESSURE TO REDUCE RISING HEALTHCARE COSTS
  5.1.3 DEMAND FOR NICHE SERVICES
5.2 RESTRAINTS
  5.2.1 HIDDEN COSTS OF OUTSOURCING
  5.2.2 FEAR OF LOSING VISIBILITY AND CONTROL OVER THE BUSINESS PROCESS
5.3 OPPORTUNITIES
  5.3.1 SHIFT TO ICD-10 CODING STANDARDS AND UPCOMING ICD-11
  5.3.2 BIG DATA ANALYTICS IN HEALTHCARE
5.4 CHALLENGE
  5.4.1 DEARTH OF SKILLED WORKFORCE

6 NORTH AMERICA HEALTHCARE BPO MARKET, BY COMPONENT

6.1 OVERVIEW
6.2 PAYER SERVICES
  6.2.1 CLAIMS MANAGEMENT
  6.2.2 PRODUCT DEVELOPMENT
  6.2.3 CUSTOMER RELATIONSHIP MANAGEMENT
  6.2.4 OPERATIONAL AND ADMINISTRATIVE MANAGEMENT
  6.2.5 CARE MANAGEMENT
  6.2.6 PROVIDER MANAGEMENT
  6.2.7 INTEGRATED FRONT END SERVICES AND BACK OFFICE OPERATIONS
  6.2.8 HUMAN RESOURCE MANAGEMENT
  6.2.9 BILLING AND ACCOUNTS MANAGEMENT
6.3 PROVIDER SERVICES
  6.3.1 REVENUE CYCLE MANAGEMENT
  6.3.2 FINANCE AND ACCOUNTS
  6.3.3 MEDICAL BILLING
  6.3.4 MEDICAL CODING
  6.3.5 MEDICAL TRANSCRIPTION
  6.3.6 PATIENT ENROLLMENT AND STRATEGIC PLANNING
  6.3.7 DEVICE MONITORING
6.4 PHARMACEUTICAL SERVICES
  6.4.1 CLINICAL DATA MANAGEMENT
  6.4.2 NON-CLINICAL SERVICES
  6.4.3 OTHER NON-CLINICAL FUNCTIONS
  6.4.4 RESEARCH AND DEVELOPMENT
  6.4.5 PHARMACOVIGILANCE SERVICES
  6.4.6 MANUFACTURING OUTSOURCING
  6.4.7 SALES AND MARKETING
  6.4.8 SUPPLY CHAIN MANAGEMENT AND LOGISTICS
  6.4.9 OTHERS

7 NORTH AMERICA HEALTHCARE BPO MARKET, BY END USER

7.1 OVERVIEW
7.2 HOSPITAL
7.3 LIFE SCIENCES COMPANIES
7.4 DENTAL CLINICS
7.5 MEDICAL DEVICES COMPANIES
7.6 PUBLIC SERVICE
7.7 PHARMACY BENEFIT MANAGERS
7.8 OTHERS

8 NORTH AMERICA HEALTHCARE BPO MARKET, BY COUNTRY

8.1 NORTH AMERICA
  8.1.1 U.S.
  8.1.2 CANADA
  8.1.3 MEXICO

9 NORTH AMERICA HEALTHCARE BPO MARKET, COMPANY LANDSCAPE

9.1 COMPANY SHARE ANALYSIS: NORTH AMERICA

10 COMPANY PROFILES

10.1 ACCENTURE
  10.1.1 COMPANY SNAPSHOT
  10.1.2 SWOT ANALYSIS
  10.1.3 REVENUE ANALYSIS
  10.1.4 GEOGRAPHICAL PRESENCE
  10.1.5 SOLUTION PORTFOLIO
  10.1.6 RECENT DEVELOPMENTS
  10.1.7 DATA BRIDGE MARKET RESEARCH ANALYSIS
10.2 COGNIZANT
  10.2.1 COMPANY SNAPSHOT
  10.2.2 SWOT ANALYSIS
  10.2.3 REVENUE ANALYSIS
  10.2.4 GEOGRAPHICAL PRESENCE
  10.2.5 SOLUTION PORTFOLIO
  10.2.6 RECENT DEVELOPMENTS
  10.2.7 DATA BRIDGE MARKET RESEARCH ANALYSIS
10.3 GEBBS HEALTHCARE SOLUTIONS
  10.3.1 COMPANY SNAPSHOT
  10.3.2 SWOT ANALYSIS
  10.3.3 GEOGRAPHICAL PRESENCE
  10.3.4 SOLUTION PORTFOLIO
  10.3.5 RECENT DEVELOPMENTS
  10.3.6 DATA BRIDGE MARKET RESEARCH ANALYSIS
10.4 UNITEDHEALTH GROUP
  10.4.1 COMPANY SNAPSHOT
  10.4.2 SWOT ANALYSIS
  10.4.3 REVENUE ANALYSIS
  10.4.4 GEOGRAPHICAL PRESENCE
  10.4.5 SOLUTION PORTFOLIO
  10.4.6 RECENT DEVELOPMENT
  10.4.7 DATA BRIDGE MARKET RESEARCH ANALYSIS
10.5 FIRSTSOURCE
  10.5.1 COMPANY SNAPSHOT
  10.5.2 SWOT ANALYSIS
  10.5.3 REVENUE ANALYSIS
  10.5.4 GEOGRAPHICAL PRSENCE
  10.5.5 SOLUTION PORTFOLIO
  10.5.6 RECENT DEVELOPMENTS
  10.5.7 DATA BRIDGE MARKET RESEARCH ANALYSIS
10.6 BOEHRINGER INGELHEIM
  10.6.1 COMPANY SNAPSHOT
  10.6.2 REVENUE ANALYSIS
  10.6.3 GEOGRAPHICAL PRESENCE
  10.6.4 SOLUTION PORTFOLIO
  10.6.5 RECENT DEVELOPMENTS
10.7 CATALENT, INC
  10.7.1 COMPANY SNAPSHOT
  10.7.2 REVENUE ANALYSIS
  10.7.3 GEOGRAPHICAL PRESENCE
  10.7.4 SOLUTION PORTFOLIO
  10.7.5 RECENT DEVELOPMENTS
10.8 CHARLES RIVER
  10.8.1 COMPANY SNAPSHOT
  10.8.2 REVENUE ANALYSIS
  10.8.3 GEOGRAPHICAL PRESENCE
  10.8.4 SOLUTION PORTFOLIO
  10.8.5 RECENT DEVELOPMENTS
10.9 COVANCE INC.
  10.9.1 COMPANY SNAPSHOT
  10.9.2 GEOGRAPHICAL PRESENCE
  10.9.3 SOLUTION PORTFOLIO
  10.9.4 RECENT DEVELOPMENT
10.10 GENPACT
  10.10.1 COMPANY SNAPSHOT
  10.10.2 REVENUE ANALYSIS
  10.10.3 GEOGRAPHICAL PRESENCE
  10.10.4 SOLUTION PORTFOLIO
  10.10.5 RECENT DEVELOPMENTS
10.11 HCL TECHNOLOGIES LIMITED
  10.11.1 COMPANY SNAPSHOT
  10.11.2 REVENUE ANALYSIS
  10.11.3 GEOGRAPHICAL PRESENCE
  10.11.4 SOLUTION PORTFOLIO
  10.11.5 RECENT DEVELOPMENTS
10.12 HGS LTD.
  10.12.1 COMPANY SNAPSHOT
  10.12.2 REVENUE ANALYSIS
  10.12.3 GEOGRAPHICAL PRESENCE
  10.12.4 SOLUTION PORTFOLIO
  10.12.5 RECENT DEVELOPMENTS
10.13 INVENSIS TECHNOLOGIES PVT LTD
  10.13.1 COMPANY SNAPSHOT
  10.13.2 GEOGRAPHICAL PRESENCE
  10.13.3 SOLUTION PORTFOLIO
  10.13.4 RECENT DEVELOPMENTS
10.14 IQVIA
  10.14.1 COMPANY SNAPSHOT
  10.14.2 REVENUE ANALYSIS
  10.14.3 GEOGRAPHICAL PRESENCE
  10.14.4 SOLUTION PORTFOLIO
  10.14.5 RECENT DEVELOPMENTS
10.15 LONZA
  10.15.1 COMPANY SNAPSHOT
  10.15.2 REVENUE ANALYSIS
  10.15.3 GEOGRAPHICAL PRESENCE
  10.15.4 SOLUTION PORTFOLIO
  10.15.5 RECENT DEVELOPMENTS
10.16 PAREXEL
  10.16.1 COMPANY SNAPSHOT
  10.16.2 REVENUE ANALYSIS
  10.16.3 GEOGRAPHICAL PRESENCE
  10.16.4 SOLUTION PORTFOLIO
  10.16.5 RECENT DEVELOPMENTS
10.17 PHARMACEUTICAL PRODUCT DEVELOPMENT, LLC.
  10.17.1 COMPANY SNAPSHOT
  10.17.2 GEOGRAPHICAL PRESENCE
  10.17.3 SOLUTION PORTFOLIO
  10.17.4 RECENT DEVELOPMENTS
10.18 PREMIER BPO, INC.
  10.18.1 COMPANY SNAPSHOT
  10.18.2 GEOGRAPHICAL PRESENCE
  10.18.3 SOLUTION PORTFOLIO
  10.18.4 RECENT DEVELOPMENT
10.19 SUTHERLAND GLOBAL, INC.
  10.19.1 COMPANY SNAPSHOT
  10.19.2 GEOGRAPHICAL PRESENCE
  10.19.3 SOLUTION PORTFOLIO
  10.19.4 RECENT DEVELOPMENTS
10.20 WNS (HOLDINGS) LTD.
  10.20.1 COMPANY SNAPSHOT
  10.20.2 REVENUE ANALYSIS
  10.20.3 GEOGRAPHICAL PRESENCE
  10.20.4 SOLUTION PORTFOLIO
  10.20.5 RECENT DEVELOPMENTS

11 QUESTIONNAIRE

12 RELATED REPORTS

LIST OF TABLES

TABLE 1 MAJOR COMPANIES IN U.S. IN 2017
TABLE 2 NAMING CONVENTIONS IN ICD-10 CODING SYSTEMS
TABLE 3 NORTH AMERICA HEALTHCARE BPO MARKET, BY COMPONENT, 2017– 2026 (USD MILLION)
TABLE 4 NORTH AMERICA PAYER SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017– 2026 (USD MILLION)
TABLE 5 NORTH AMERICA PROVIDER SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017– 2026 (USD MILLION)
TABLE 6 NORTH AMERICA PHARMACEUTICAL SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017– 2026 (USD MILLION)
TABLE 7 NORTH AMERICA HEALTHCARE BPO MARKET, BY END USER, 2017– 2026 (USD MILLION)
TABLE 8 NORTH AMERICA HEALTHCARE BPO MARKET, BY COUNTRY, 2017-2026 (USD MILLION)
TABLE 9 NORTH AMERICA HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 10 NORTH AMERICA PROVIDER SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 11 NORTH AMERICA PAYER SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 12 NORTH AMERICA PHARMACEUTICAL SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 13 NORTH AMERICA HEALTHCARE BPO MARKET, BY END USER, 2017-2026 (USD MILLION)
TABLE 14 U.S. HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 15 U.S. PROVIDER SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 16 U.S. PAYER SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 17 U.S. PHARMACEUTICAL SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 18 U.S. HEALTHCARE BPO MARKET, BY END USER, 2017-2026 (USD MILLION)
TABLE 19 CANADA HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 20 CANADA PROVIDER SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 21 CANADA PAYER SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 22 CANADA PHARMACEUTICAL SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 23 CANADA HEALTHCARE BPO MARKET, BY END USER, 2017-2026 (USD MILLION)
TABLE 24 MEXICO HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 25 MEXICO PROVIDER SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 26 MEXICO PAYER SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 27 MEXICO PHARMACEUTICAL SERVICES IN HEALTHCARE BPO MARKET, BY COMPONENT, 2017-2026 (USD MILLION)
TABLE 28 MEXICO HEALTHCARE BPO MARKET, BY END USER, 2017-2026 (USD MILLION)

LIST OF FIGURES

FIGURE 1 NORTH AMERICA HEALTHCARE BPO MARKET: SEGMENTATION
FIGURE 2 NORTH AMERICA HEALTHCARE BPO MARKET: DATA TRIANGULATION
FIGURE 3 NORTH AMERICA HEALTHCARE BPO MARKET: DROC ANALYSIS
FIGURE 4 NORTH AMERICA HEALTHCARE BPO MARKET: BOTTOM UP APPROACH
FIGURE 5 NORTH AMERICA HEALTHCARE BPO MARKET: TOP DOWN APPROACH
FIGURE 6 NORTH AMERICA HEALTHCARE BPO MARKET: INTERVIEW DEMOGRAPHICS
FIGURE 7 NORTH AMERICA HEALTHCARE BPO MARKET: THE MARKET CHALLENGE MATRIX
FIGURE 8 NORTH AMERICA HEALTHCARE BPO MARKET: DBMR MARKET POSITION GRID
FIGURE 9 NORTH AMERICA HEALTHCARE BPO MARKET: SEGMENTATION
FIGURE 10 MAJOR FACTOR DRIVING THE GROWTH OF THIS MARKET ARE REGULATORY CHANGES IN THE U.S. PRESSURE TO REDUCE RISING HEALTHCARE COSTS EXPECTED TO DRIVE THE MARKET FOR NORTH AMERICA HEALTHCARE BPO MARKET IN THE FORECAST PERIOD OF 2019 TO 2026
FIGURE 11 PROVIDER SERVICES SEGMENT IS EXPECTED TO ACCOUNT FOR THE LARGEST SHARE OF THE NORTH AMERICA HEALTHCARE BPO MARKET IN 2019 & 2026
FIGURE 12 DRIVERS, RESTRAINTS, OPPORTUNITIES AND CHALLENGE OF NORTH AMERICA HEALTHCARE BPO MARKET
FIGURE 13 TOTAL NATIONAL HEALTH EXPENDITURES IN U.S., USD BILLIONS, 2015-2017
FIGURE 14 NORTH AMERICA HEALTHCARE BPO MARKET : BY COMPONENT, 2018
FIGURE 15 NORTH AMERICA HEALTHCARE BPO MARKET : BY END USER, 2018
FIGURE 16 NORTH AMERICA HEALTHCARE BPO MARKET: SNAPSHOT (2018)
FIGURE 17 NORTH AMERICA HEALTHCARE BPO MARKET: BY COUNTRY (2018)
FIGURE 18 NORTH AMERICA HEALTHCARE BPO MARKET: BY COUNTRY (2019)
FIGURE 19 NORTH AMERICA HEALTHCARE BPO MARKET: BY COUNTRY (2018 & 2026)
FIGURE 20 NORTH AMERICA HEALTHCARE BPO MARKET: BY COMPONENT (2019 - 2026)
FIGURE 21 NORTH AMERICA HEALTHCARE BPO MARKET: COMPANY SHARE 2018 (%)


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