(EMAILWIRE.COM, December 07, 2018 ) The US Healthcare BPO Market is undergoing significant transformation with the changing landscape of the U.S. healthcare system. The U.S. pharmaceutical outsourcing market is the largest market in terms of market value, followed by payer and provider outsourcing. The U.S. provider outsourcing market is the fastest-growing segment of the U.S. healthcare BPO market, owing to the implementation of the ICD-10 conversion reform and the shortage of skilled personnel, particularly medical coders in the U.S.

The U.S. healthcare BPO outsourcing market has great potential for growth owing to the measures taken by the government to curb the ever-increasing healthcare costs. The other factors that have led to the growth of the market are: developments and innovation in information technology and regulatory changes. Approximately 75% of U.S. healthcare companies outsource their work to external locations. This is due to the shortage of qualified staff in key positions, such as nurses and coders, and due to the new set of rules and regulations that they need to comply with. Some services that are commonly outsourced are insurance claims processing, adjudication and receivables management, billing and coding services, radiology reporting, transcription services, and clinical outsourcing, among others.

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In this report, the U.S. healthcare BPO market is categorized into three segments, namely, payer outsourcing, provider outsourcing, and pharmaceutical outsourcing. Each segment is further sub-segmented on the basis of services provided. Payer services consist of claims processing, HR services, member services/customer care, and finance and accounts. Provider services include medical billing, medical coding, medical transcription, and finance and accounts. Pharmaceutical services comprise clinical research organizations (CROs), contract manufacturing organizations (CMOs), and non-clinical services. An exhaustive value analysis for all these markets is provided for 2011, 2012, and 2013, with forecast till 2018.

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The overall healthcare BPO market is highly fragmented with various players trying to gain a competitive edge and increase their market share.