The global medical billing outsourcing market size is projected to hit around USD 35.7 billion by 2030 from US$ 12.9 billion in 2022 with a remarkable CAGR of 13.57% between 2022 and 2030.
Hospitals are expected to make up a sizable percentage of the medical billing outsourcing market because most patients prefer them for sickness diagnosis and treatment. Point-of-care delivery issues arise because hospitals will experience an increase in the number of billing processes as patient traffic grows. Medical billing outsourcing has become more and more common as a result of various variables. One explanation is that these businesses might offer auxiliary services like data entry and proofreading. As a result, hospital employees may spend less time and effort completing billing chores in the medical billing outsourcing market.
Medical Billing Outsourcing Market Growth
Health professionals are under pressure from an increase in the number of patients they are seeing as well as the necessity to deal with mounting expenses and records. In order to address this problem, hospitals are outsourcing the clinical billing function, which is anticipated to fuel the market for medical billing outsourcing. Current revenue management systems are out-of-date as a result of a lack of knowledge in how to handle new payment models and revenue management technologies. Additionally, the market is anticipated to develop as a result of the growing usage of billing and medical coding approaches in revenue cycle management.
Medical Billing Outsourcing Market Report Scope
| Report Coverage | Details |
| Market Size In 2022 | US$ 12.9 Billion |
| Market Size By 2030 | US$ 35.7 Billion |
| Growth Rate From 2022 to 2030 | CAGR of 13.57% |
| Largest Market | North America |
| Fastest Growing Market | Asia Pacific |
| Base Year | 2021 |
| Forecast Period | 2022 to 2030 |
| Segments Covered | Component, Service, End User, and Regions |
Regional Analysis
In 2021, North America accounted for almost 47.5% of global revenue. The market in North America is expanding as a result of the U.S. having a large number of healthcare providers and their shifting focus to full-service outsourcing companies to handle billing processes. Medical billing outsourcing is expected to experience impressive growth in the Asia Pacific during the predicted period.
The market is anticipated to grow as consumer awareness of healthcare billing software and the adoption of cutting-edge technology rise. The need to lower healthcare delivery costs is becoming more and more important, which is promoting market expansion in Europe. The market for medical billing outsourcing is expected to grow in Latin America, the Middle East, and Africa due to increased government expenditure on healthcare.
Medical Billing Outsourcing Market Dynamics
Drivers
Healthcare providers are expected to be subject to strict regulations and mandates on the usage of digital record-keeping in many countries, which is expected to propel the business. This is a crucial feature that will likely fuel the expansion of the market for medical billing outsourcing.
Health professionals are under pressure from an increase in the number of patients they are seeing as well as the necessity to deal with mounting expenses and records. In order to address this problem, hospitals are outsourcing the clinical billing function, which is anticipated to fuel the market for medical billing outsourcing.
Also Read: Medical Device Outsourcing Market Size, Report 2027
Restraints
The lack of skilled workers is a restraint that will hinder the expansion of the medical billing outsourcing market throughout the course of the projected period. There is an increasing need to make the billing process more effective because if doctors and clinics do not use the services of skilled billing providers, their income is probably lower than it should be. Experts are needed for this process. The greatest benefit to the practitioner will come from the billing process being as efficient as possible and subsequently lowering costs for the business.
Opportunities
The demand for resources with cutting-edge technology in the healthcare sector will rise more as R&D expenditure rises. The outsourcing of medical bills is only one example of how rising medical expenditures in underdeveloped nations have fueled ongoing industry expansion. Increased patient visits as well as the EHR system’s advantages in maintaining and managing patient information and assisting with invoicing should propel segment expansion throughout the course of the projection period. It is anticipated that more research institutes will want more sophisticated outsourced resources.
Medical Billing Outsourcing Market Report Highlight
- Component Insight: The demand for technologically superior resources in the healthcare industry will expand more as R&D expenditure increases. Through the use of cutting-edge technology tools like the outsourcing of medical bills, rising medical expenses in emerging nations have fueled ongoing industry expansion. Over the projected period, segment expansion should be fueled by a rise in patient visits as well as the advantages of using an EHR system for billing and keeping track of patient records. Research institutes across the board are predicted to continue to grow their need for advanced outsourcing resources.
- Service Insight: Medical billing outsourcing’s primary role falls under the category of front-end services, which in 2021 represented 39% of the market’s value. On the other hand, growing competition and market saturation are likely to lead to a devaluation of front-end services. Preregistration, insurance verification, scheduling, eligibility, registration, and pre-authorization are a few examples of front-end services.
- End-user Insight: Medical billing outsourcing’s primary role falls under the category of front-end services, which in 2021 represented 39% of the market’s value. On the other hand, growing competition and market saturation are likely to lead to a devaluation of front-end services. Preregistration, insurance verification, scheduling, eligibility, registration, and pre-authorization are a few examples of front-end services.
Recent Development
- In March 2022, Reventics, a creator of revenue cycle management systems that boost physician reimbursement and compliance, was bought by Omega Healthcare, a well-known provider of healthcare management services and solutions.
- In July 2022, VisitPay, a developer of digital payment solutions, has been fully acquired by R1 RCM Inc., a supplier of technology-driven solutions that improve healthcare providers’ patient experiences and financial performance. Providers may now provide their patients with a straightforward financial experience thanks to the integration of VisitPay’s customer payments infrastructure with R1’s top patient access technology.
- In April 2021, Kantar Health, a Kantar Group firm, was successfully acquired by Cerner Corporation for $375 million in cash, subject to adjustment. With the aim of speeding innovation and development in life sciences research and improving patient outcomes internationally, Kantar Health’s in-depth knowledge of the life sciences will be combined with Cerner’s enormous library of real-world data (RWD) & technology.
Medical Billing Outsourcing Market Key Players:
- Allscripts Healthcare Solutions, Inc.
- R1 RCM, Inc.
- Cerner Corporation
- Experian Information Solutions, Inc.
- eClinicalWorks LLC
- GE Healthcare
- Kareo, Inc.
- Genpact
- McKesson Corporation
- Quest Diagnostics
Market Segmentation
By Component
- Outsourced
- In-house
By Service
- Back End
- Middle End
- Front End
By End-User
- Physician Office
- Hospital
- Others
Regional Segmentation
- North America (U.S., Canada, Mexico)
- Europe (Germany, France, U.K., Italy, Spain, Rest of Europe)
- Asia-Pacific (China, Japan, India, Southeast Asia and Rest of APAC)
- Latin America (Brazil and Rest of Latin America)
- Middle East and Africa (GCC, North Africa, South Africa, Rest of MEA)
Thanks for reading you can also get individual chapter-wise sections or region-wise report versions such as North America, Europe, or the Asia Pacific.
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