市場調查報告書

醫療費申請外包的全球市場 - 市場規模,成長,趨勢,預測(2019年∼2024年)

Medical Billing Outsourcing Market Size - Growth, Trends, and Forecast (2019 - 2024)

出版商 Mordor Intelligence LLP 商品編碼 708574
出版日期 內容資訊 英文 114 Pages
商品交期: 2-3個工作天內
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醫療費申請外包的全球市場 - 市場規模,成長,趨勢,預測(2019年∼2024年) Medical Billing Outsourcing Market Size - Growth, Trends, and Forecast (2019 - 2024)
出版日期: 2019年09月01日內容資訊: 英文 114 Pages
簡介

全球醫療費申請外包市場,由對遵守及風險管理的重要性高漲,及醫療費申請流程的效率化的需求高漲,努力削減公司內部的處理成本等要素促進成長。

本報告提供全球醫療費申請外包市場調查,市場概要,各零組件、服務、終端用戶、地區的市場規模的變化與預測,市場成長要素及阻礙因素分析,競爭情形,主要企業的簡介等全面性資訊。

目錄

第1章 簡介

  • 調查成果
  • 調查的前提條件
  • 調查範圍

第2章 調查方法

第3章 摘要整理

第4章 市場動態

  • 市場概況
  • 市場成長要素
    • 遵守和風險管理的重要性高漲
    • 效率化申請流程的必要性高漲
    • 為抑制及削減公司內部處理成本的配合措施
  • 市場阻礙因素
    • 立法及法規壓力的擴大
    • 技術成本高
  • 波特的五力分析
    • 買方議價能力
    • 供給企業談判力
    • 新加入業者的威脅
    • 替代品的威脅
    • 競爭企業間的敵對關係

第5章 市場區隔

  • 各零件
    • 公司內部
    • 外包
  • 各類服務
    • 前端
    • 中端
    • 後端
  • 各終端用戶
    • 醫院
    • 診療所
    • 其他
  • 各地區
    • 北美
    • 歐洲
    • 亞太地區
    • 中東、非洲
    • 南美

第6章 競爭情形

  • 企業簡介
    • Accretive Health
    • Allscripts
    • Cerner Corporation
    • EClinicalWorks
    • Experian Information Solutions Inc.
    • GE Healthcare
    • Genpact
    • HCL Technologies
    • Kareo
    • McKesson Corporation
    • Quest Diagnostics
    • The SSI Groups

第7章 市場機會及未來趨勢

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目錄
Product Code: 64222

Market Overview

The Medical Billing Outsourcing market is majorly driven by factors such as growing emphasis on compliance and risk management, increasing need to make the medical billing process efficient and efforts to decrease In-House processing costs.

Unless an office or a medical practitioner is using the services of an experienced billing provider, who has been trained to look for holes in paperwork, there's a good chance that their revenue is not as high as it could be. In fact, statistics estimate that over 20% of a physician's revenue ends up lost, due to loopholes and mistakes in the medical billing process. This has created an increasing need to make the process of billing more efficient and skilled professionals are required for the process.

Efficient billing can further reduce the cost to the company and can get maximum benefits. Rising patient flow in the hospitals and increasing burden of medical processes, such as records of patient check-in, insurance eligibility, etc. is creating chaos in the point of care, and a need to manage such records has been raised. For the sake of improvisation of the medical billing process, the medical billing outsourcing is done to help in assisting the clinicians in the management of the patient and billings records. Hence, the rising need for efficient medical billing is influencing the market in a positive manner.

Scope of the Report

The medical billing outsourcing service entails the hiring of a medical billing service provider outside the practice to do all the billing work often giving a fair percentage cut of the total revenue generated to them.

Key Market Trends

Outsourced Medical Billing is Expected to Grow Rapidly Over the Forecast Period

By outsourcing the medical billing services, the healthcare providers hire a medical billing service provider for the management of the billing works. For the work these service providers do, healthcare providers give a percentage cut of the revenue generated through it depending upon the agreement they do.

The healthcare providers do the timely submission of claims when they choose to opt for outsourced medical billing. Outsourcing service provider follows the latest guidelines for medical billing which include the use of ICD 10 coding and employment of the skilled medical coders.

The service providers of medical billing demand high fees, which sometimes restricts the healthcare providers to opt for the same and it directly affects the growth of the medical billing outsourcing market in a negative way.

The outsourcing helps healthcare providers to increase the revenue generation, reduce the labor cost, deal with the changing regulations and increase the control on medical billing processes. Owing to the above-mentioned benefits, healthcare providers are widely adopting the medical billing outsourcing service, which is a driver for the market.

Depending upon the hospitals and its budgets, the cost of the service is considered as the factor which is hindering the growth of the market.

North America is Believed to Dominate the Market in Coming Future

The emergence of novel technologies along with their adoption is helping the United States to expand in the healthcare sector. Rising healthcare expenditure is the prime factor responsible for the growth of this sector.

The Medical Billing Outsourcing market in the region is believed to expand, due to the rising need for efficient medical billing and increasing patient flow in the hospitals. Being a developed nation, the healthcare system of the United States is well established and adoption to the paperless work is much higher. To reduce the burden of management of the huge patient flow in the hospitals, medical billing outsourcing is widely done in the country.

As, per capita income is high in the country, the cost barrier is never a point of concern in the United States, which is the positive factor for the market studied. The medical billing outsourcing efficiently manages the insurances, including Medicare and Medicaid. Therefore, it is easy for healthcare providers to manage the whole billing processes across the hospitals. hence, the market for the US medical billing outsourcing is believed to expand in the forecast period.

Competitive Landscape

The medical billing outsourcing market is highly competitive and many small to mid-sized companies are competing among each other along with the global players. Due to the advancements and digitalization of healthcare industry, the demand for medical billing outsourcing services is increasing which is providing a great opportunity to the companies to establish their market presence and grab substantial share.

Reasons to Purchase this report:

  • The market estimate (ME) sheet in Excel format
  • Report customization as per the client's requirements
  • 3 months of analyst support

Table of Contents

1 INTRODUCTION

  • 1.1 Study Deliverables
  • 1.2 Study Assumptions
  • 1.3 Scope of the Study

2 RESEARCH METHODOLOGY

3 EXECUTIVE SUMMARY

4 MARKET DYNAMICS

  • 4.1 Market Overview
  • 4.2 Market Drivers
    • 4.2.1 Growing Emphasis On Compliance And Risk Management
    • 4.2.2 Increasing Need To Make Billing Processes Efficient
    • 4.2.3 Efforts To Contain And Decrease In-House Processing Costs
  • 4.3 Market Restraints
    • 4.3.1 Increasing Legislative and Regulatory Pressure
    • 4.3.2 High Costs Of Technology
  • 4.4 Porter's Five Force Analysis
    • 4.4.1 Threat of New Entrants
    • 4.4.2 Bargaining Power of Buyers/Consumers
    • 4.4.3 Bargaining Power of Suppliers
    • 4.4.4 Threat of Substitute Products
    • 4.4.5 Intensity of Competitive Rivalry

5 MARKET SEGMENTATION

  • 5.1 By Component
    • 5.1.1 In House
    • 5.1.2 Outsourced
  • 5.2 By Service
    • 5.2.1 Front End
    • 5.2.2 Middle
    • 5.2.3 Back End
  • 5.3 By End User
    • 5.3.1 Hospitals
    • 5.3.2 Physicians Office
    • 5.3.3 Other End-Users
  • 5.4 Geography
    • 5.4.1 North America
      • 5.4.1.1 US
      • 5.4.1.2 Canada
      • 5.4.1.3 Mexico
    • 5.4.2 Europe
      • 5.4.2.1 Germany
      • 5.4.2.2 UK
      • 5.4.2.3 France
      • 5.4.2.4 Italy
      • 5.4.2.5 Spain
      • 5.4.2.6 Rest of Europe
    • 5.4.3 Asia Pacific
      • 5.4.3.1 China
      • 5.4.3.2 Japan
      • 5.4.3.3 India
      • 5.4.3.4 Australia
      • 5.4.3.5 South Korea
      • 5.4.3.6 Rest of Asia-Pacific
    • 5.4.4 Middle East and Africa
      • 5.4.4.1 GCC
      • 5.4.4.2 South Africa
      • 5.4.4.3 Rest of Middle East and Africa
    • 5.4.5 South America
      • 5.4.5.1 Brazil
      • 5.4.5.2 Argentina
      • 5.4.5.3 Rest of South America

6 COMPETITIVE LANDSCAPE

  • 6.1 Company Profiles
    • 6.1.1 Accretive Health
    • 6.1.2 Allscripts
    • 6.1.3 Cerner Corporation
    • 6.1.4 EClinicalWorks
    • 6.1.5 Experian Information Solutions Inc.
    • 6.1.6 GE Healthcare
    • 6.1.7 Genpact
    • 6.1.8 HCL Technologies
    • 6.1.9 Kareo
    • 6.1.10 McKesson Corporation
    • 6.1.11 Quest Diagnostics
    • 6.1.12 The SSI Groups

7 MARKET OPPORTUNITIES AND FUTURE TRENDS

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