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Global Medical Billing Outsourcing Market to Grow at 12% CAGR by 2032 Driven by Rising Healthcare Costs and Need for Precise Billing and Coding Procedures
The global Medical Billing Outsourcing Market is anticipated to grow at a CAGR of 12% during the forecast period and reached USD 12.43 billion in 2022. One of the primary drivers of this growth is the increasing need for precise medical billing and coding procedures, which has become more difficult for healthcare providers to handle internally due to the rising complexity of medical billing and coding requirements. This trend is particularly evident among hospitals, clinics, and physician offices, which are turning to medical billing outsourcing to manage their billing and coding procedures in a more cost-effective and efficient manner. Technical advancements in medical billing and coding software have also contributed to the increasing demand for outsourcing services.By outsourcing medical billing needs, healthcare providers can concentrate on providing high-quality care to their patients while also managing their revenue cycle more effectively. Moreover, outsourcing medical billing and coding services to third-party vendors can help healthcare providers navigate the complicated regulatory frameworks that they are required to comply with, such as HIPAA, ICD-10, and HITECH, which can be challenging to navigate on their own. Outsourcing also lowers the risk of non-compliance and subsequent fines.
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Some of the major companies in the Point of Care (POC) Diagnostics Market:
• Cerner Corporation
• Cognizant
• Experian Health
• GE Healthcare
• Genpact
• HCL Technologies
• IBM Corporation
• McKesson Corporation
• Tata Consultancy Services
• Wipro Limited
Additionally, the adoption of value-based care models is driving the need for outsourcing medical billing and coding services. Value-based care models encourage healthcare providers to focus on improving patient outcomes and reducing healthcare expenditures, and outsourcing medical billing and coding services can help achieve these goals by improving revenue cycle management, lowering the number of claim denials, and enhancing billing accuracy.
However, some factors could restrain revenue growth of the global medical billing outsourcing market. One such factor is the rising tendency towards in-house medical billing and coding. Moreover, healthcare providers may have concerns about data security and privacy, and cost-effective alternatives may be available, which could limit the growth of the medical billing outsourcing market to some extent.
Segments Covered in the Report:
The global healthcare IT market can be segmented by service outlook into front-end, middle, and back-end services. Front-end services are those that involve direct interaction with patients, such as telemedicine and mobile health applications. Middle services include healthcare analytics, healthcare cloud computing, and healthcare business process outsourcing. Back-end services include healthcare database management, network management, and hardware and software management.
The healthcare IT market can also be segmented by end-use outlook into hospitals, physician offices, and other healthcare providers. Hospitals are the largest end-users of healthcare IT due to the need for electronic health records (EHRs), electronic prescribing, and other digital systems that enable the delivery of patient care. Physician offices are also major users of healthcare IT, as they need digital systems to manage patient data, billing, and other administrative tasks.
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The healthcare IT market can further be segmented by payment type outlook into fee-for-service (FFS) and value-based payment. FFS is a traditional payment model where healthcare providers are paid for each service they deliver. In contrast, value-based payment models focus on improving patient outcomes and reducing healthcare costs by incentivizing healthcare providers to deliver high-quality care. Value-based payment models include accountable care organizations (ACOs), bundled payments, and pay-for-performance programs.
Overall, the healthcare IT market is experiencing significant growth due to the increasing demand for digital healthcare solutions, the need for efficient healthcare operations, and the increasing adoption of EHRs and other digital systems. As healthcare providers continue to prioritize patient outcomes and cost reduction, the healthcare IT market is expected to see continued growth and innovation.
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Strategic development:
• In 2019, the Cerner Corporation and Amazon Web Services formed a partnership aimed at providing cloud-based healthcare solutions that can manage healthcare data and financial operations, including medical billing outsourcing services. The partnership focused on offering secure, affordable, and scalable solutions to healthcare providers.
• On January 1, 2021, Tata Consultancy Services (TCS) acquired Postbank Systems AG, a Deutsche Bank subsidiary, to strengthen its skills in the banking and financial services industry, including medical billing outsourcing services. The acquisition aimed to enhance TCS's service offerings and increase its market share in Europe.
• a technology and management consulting organization headquartered in Switzerland, on February 14, 2019, to expand its geographic and service reach in the European market. The acquisition was aimed at bolstering Accenture's skills in the banking and financial services industry, including medical billing outsourcing services.
• Experian Health purchased MyHealthDirect, a U.S.-based healthcare technology firm, on August 8, 2019, to improve its patient access and scheduling solutions, including medical billing outsourcing services. The acquisition aimed to increase Experian Health's customer base and service offerings in the U.S. market.
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