Global Medical Billing Outsourcing Market, By Component (In-House and Outsourced), Service (Front End, Middle End and Back End), End-User (Hospitals, Physician Offices and Others) – Industry Trends and Forecast to 2029
Market Analysis and Size
Medical billing outsourcing increases flow of cash, help to save on equipment and software cost and help to reduce staff size and employees expenses. Due to the lack of expertise in dealing with new payment models and revenue management tools, real revenue management systems are becoming obsolete. In addition, the increasing use of billing and medical coding techniques in revenue cycle management is estimated to spur market growth.
Data Bridge Market Research analyses a growth rate in the medical billing outsourcing market in the forecast period 2022-2029. The expected CAGR of medical billing outsourcing market is tend to be around 12.3% in the mentioned forecast period. The USD market value was found to be 2.17 billion in 2021, and is expected to see a growth of 5.49 billion by 2029. In addition to the market insights such as market value, growth rate, market segments, geographical coverage, market players, and market scenario, the market report curated by the Data Bridge Market Research team also includes in-depth expert analysis, patient epidemiology, pipeline analysis, pricing analysis, and regulatory framework.
Market Definition
Medical billing involves the Revenue Cycle Management (RCM) process, which contains the most complex and important components of the healthcare IT business. It consists of the sale of medical billing outsourcing services by companies (organizations, sole traders, and partnerships) that provide medical billing outsourcing services. Only goods and services that are traded between companies or sold to end consumers are included.
Report Scope and Market Segmentation
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Report Metric
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Details
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Forecast Period
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2022 to 2029
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Base Year
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2021
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Historic Years
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2020 (Customizable to 2019 - 2014)
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Quantitative Units
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Revenue in USD Billion, Volumes in Units, Pricing in USD
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Segments Covered
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Component (In-House and Outsourced), Service (Front End, Middle End and Back End), End-User (Hospitals, Physician Offices and Others)
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Countries Covered
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U.S., Canada and Mexico in North America, Germany, France, U.K., Netherlands, Switzerland, Belgium, Russia, Italy, Spain, Turkey, Rest of Europe in Europe, China, Japan, India, South Korea, Singapore, Malaysia, Australia, Thailand, Indonesia, Philippines, Rest of Asia-Pacific (APAC) in the Asia-Pacific (APAC), Saudi Arabia, U.A.E, South Africa, Egypt, Israel, Rest of Middle East and Africa (MEA) as a part of Middle East and Africa (MEA), Brazil, Argentina and Rest of South America as part of South America.
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Market Players Covered
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R1RCM, Inc. (US), Cerner Corporation (US), Allscripts Healthcare, LLC (US), Experian Information Solutions, Inc. (US), eClinicalWorks (US), General Electric (US), Genpact (US), Kareo,Inc. (US), McKesson Corporation (US), Quest Diagnostics Incorporated (US), The SSI Group LLC (US), Athenahealth, Inc (US), 5 Star Billing Service, Inc (US), Experian Information Solutions, Inc. (US)
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Market Opportunities
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Medical Billing Outsourcing Market Dynamics
Drivers
- Increased Rate of Mergers and Acquisitions
The various mergers and acquisitions will boost the market for medical billing outsourcing growth in the forecast period. These collaborations will bring in more opportunities for the expansion of the market growth. For instance, In June 2020, R1 RCM, a US-based healthcare revenue management cycle company serving hospitals and physician groups, agreed to acquire Cerner RevWorks with a transaction value of US $ 30 million. The acquisition is expected to extend R1's comprehensive revenue cycle capabilities, drive sustainable financial improvement for healthcare providers and improve the patient's overall experience.
- Rise of Online Billing and Government Support
Increasing funds from the government and rising schemes from government is tagetting the growth of the market. The increasing usage of billing and medical coding procedures in revenue cycle management is estimated to bolster market growth. With the rise in patient load in the current scenario, the hospitals seem to witness an issue with respect to the billing process, furthermore creating a problem in the point-of-care delivery. Hence, outsourcing the medical billing process will aid in the medical practitioners in the management of the patients as well as the billing process. Government is providing funds and advanced billing systems are provided to the hospitals so that the billing process can be easier and the market can have a high rise. For instance, in 2021, Epic Systems is a US-based software company that provides cloud-based medical software that can be used in a variety of practices and sizes. The platform with integrated electronic medical records, medical billing and coding, patient management capabilities and more provides complete revenue cycle management (RCM) capabilities.
Opportunities
- Innovative Techniques and Healthcare Expenditure
Increasing investment in R&D will further increase the demand for technologically advanced resources in the healthcare industry. Increasing medical costs in developing countries have led to continued market advancement through advanced technology resources such as outsourcing of medical bills. The increased patient visits and the benefits of the EHR system in keeping and managing patient records and assisting in billing should drive segment growth over the forecast period. Demand for advanced outsourcing resources from varied research institutes is expected to increase further.
- Private Funding in Healthcare Sector
Lack of funds or not enough revenue might not be beneficial for the company growth. Hence, funding by private organizations can help in maintaining a stability.
Restraints/Challenges
- Lack of Trained Professionals
The reduced availability of trained professionals acts as a constraint, further challenging the growth of the medical billing outsourcing market during the forecast period. If doctors and clinics do not use the services of experienced billing providers, their income is likely not as high as they should be, and there is a growing need to make the billing process more efficient. This process requires specialists. The efficiency of the billing process can further reduce the cost of the company and bring the greatest benefit to the practitioner.
This medical billing outsourcing market report provides details of new recent developments, trade regulations, import-export analysis, production analysis, value chain optimization, market share, impact of domestic and localized market players, analyses opportunities in terms of emerging revenue pockets, changes in market regulations, strategic market growth analysis, market size, category market growths, application niches and dominance, product approvals, product launches, geographic expansions, technological innovations in the market. To gain more info on the medical billing outsourcing market contact Data Bridge Market Research for an Analyst Brief, our team will help you take an informed market decision to achieve market growth.
COVID-19 Impact on Medical Billing Outsourcing Market
Considering the present scenario, COVID-19 has left an unprecedented global public health crisis that has impacted practically every business, and its long-term repercussions are expected to have an influence on industry growth during the forecast period. Our ongoing research is enhancing our research approach to guarantee that fundamental COVID-19 concerns and potential solutions are included.
The COVID19 pandemic is expected to have a significant positive impact on market growth. Digital development accelerated by the COVID 19 pandemic is expected to have a significant positive impact on the market under investigation. This pandemic situation firmly establishes the need to take action and build an effective digital health infrastructure. As a result, many companies are creating new roadmaps. Adopting digitalization and outsourcing non-core aspects of the business that are expected to drive market growth, such as billing and accounts. A sudden shift to digital billing was observed during this period, which is expected to further drive market growth. Moreover, since the beginning of the pandemic, consumer interest in online bill payments has grown significantly, and as it is a non-core business for most healthcare organizations, there is a growing demand for medical billing outsourcing.
Medical Billing Outsourcing Market Scope
The medical billing outsourcing market is segmented on the basis of component, service and end-user. The growth amongst these segments will help you analyze meagre growth segments in the industries and provide the users with a valuable market overview and market insights to help them make strategic decisions for identifying core market applications.
Component
- In-House
- Outsourced
Service
- Front End
- Middle End
- Back End
End-User
- Hospitals
- Physician Offices
- Others
Medical Billing Outsourcing Regional Analysis/Insights
The medical billing outsourcing market is analysed and market size insights and trends are provided by country, component, service and end-user as referenced above.
The major countries covered in the medical billing outsourcing market report are the U.S., Canada and Mexico in North America, Germany, France, U.K., Netherlands, Switzerland, Belgium, Russia, Italy, Spain, Turkey, Rest of Europe in Europe, China, Japan, India, South Korea, Singapore, Malaysia, Australia, Thailand, Indonesia, Philippines, Rest of Asia-Pacific (APAC) in the Asia-Pacific (APAC), Saudi Arabia, U.A.E, South Africa, Egypt, Israel, Rest of Middle East and Africa (MEA) as a part of Middle East and Africa (MEA), Brazil, Argentina and Rest of South America as part of South America.
North America dominates the medical billing outsourcing market due to the large number of healthcare providers in the United States and the growing awareness of the benefits they offer. Outsourcing companies rely on them to trade to maximize and manage their operating profit.
Asia-Pacific region has been considered to have the significant growth during the forecast period of 2022 to 2029 due to growth in awareness in medical billing software, supporting government initiatives and improving healthcare facilities.
The country section of the report also provides individual market impacting factors and changes in regulation in the market domestically that impacts the current and future trends of the market. Also, the presence and availability of global brands and their challenges faced due to large or scarce competition from local and domestic brands, impact of domestic tariffs and trade routes are considered while providing forecast analysis of the country data.
Competitive Landscape and Medical Billing Outsourcing Market Share Analysis
The medical billing outsourcing market competitive landscape provides details by competitor. Details included are company overview, company financials, revenue generated, market potential, investment in research and development, new market initiatives, global presence, production sites and facilities, production capacities, company strengths and weaknesses, product launch, product width and breadth, application dominance. The above data points provided are only related to the companies' focus related to budesonide inhaler system market.
Key players operating in the medical billing outsourcing market include:
- R1RCM, Inc. (US)
- Cerner Corporation (US)
- Allscripts Healthcare, LLC (US)
- Experian Information Solutions, Inc .(US)
- eClinicalWorks (US)
- General Electric (US)
- Genpact (US)
- Kareo,Inc. (US)
- McKesson Corporation (US)
- Quest Diagnostics Incorporated (US)
- The SSI Group LLC (US)
- Athenahealth, Inc (US)
- 5 Star Billing Service, Inc (US)
- Experian Information Solutions, Inc. (US)
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