Medical Billing Outsourcing Market to be Worth $30.2 Billion by 2030: Grand View Research, Inc.

SAN FRANCISCO, June 26, 2023 /PRNewswire/ -- The global medical billing outsourcing market size is expected to reach USD 30.2 billion by 2030, expanding at a CAGR of 12.26% from 2023 to 2030, according to a new report by Grand View Research, Inc. The market is driven primarily by factors such as the increasing importance of regulatory compliance and risk management, the growing need to streamline the medical billing process, and efforts to reduce internal processing costs.

Key Industry Insights & Findings from the report:

• Based on the components, the outsourced segment accounted for the maximum market share in 2022 owing to the increasing preference among physicians' offices, hospitals, and startups for outsourced medical billing services for hassle-free claim management at a low cost.
• The front-end services segment dominated the market in 2022. However, the middle-end services segment is expected to register the highest CAGR during the forecast period due to the growing demand for RCM services offering EHR software.
• North America dominated the market in 2022. The market is expected to grow due to changing healthcare system and introduction of ICD-11 in the U.S. and pressure from the government to incorporate the EMR.
• In February 2023, Ventra Health, a global provider of practice management, RCM, and advisory services announced the acquisition of Deras Global Services, a company based in the Philippines. The acquisition is an important aspect of Ventra Health's strategy for service delivery and workforce development on the international level.

Read full market research report, "Medical Billing Outsourcing Market Size, Share & Trends Analysis Report By Component (In-house, Outsourced), By Service (Front-End, Middle-End, Back-End), By End-use, By Region, And Segment Forecasts, 2023 - 2030", published by Grand View Research.

Medical Billing Outsourcing Market Growth & Trends

A large amount of clinical code representation for treatment and diagnosis along with the presence of various payers renders medical billing an integral part of any clinical practice. Currently, the healthcare system is witnessing a subsequent rise in the outsourcing of clinical billing services by hospitals and physicians due to the mandatory implementation of complex ICD-11 coding systems, rising healthcare costs, and the federal mandate to deploy EMR to maintain reimbursement levels.

The COVID-19 pandemic had a significant impact on the market, although the healthcare industry was trailing in embracing innovative and digital technologies to improve healthcare. The COVID-19 scenario had put an enormous burden on healthcare providers/organizations to become accustomed to the change. The need for proactive action and the construction of collaborative, comprehensive, adaptable, and scalable digital healthcare infrastructure has been emphasized by the pandemic crisis. Owing to this, many organizations have developed a new strategy that includes digitization and outsourcing non-core functions such as billing and accounting, which has further increased the market growth.

Furthermore, physician offices and clinics are increasingly outsourcing their revenue management to reduce unnecessary costs and avoid the burden of having an administrative team to ensure effective handling of in-house billing functions. In addition, multispecialty healthcare groups are consolidating, requiring EHR integration and resulting in a build-up of large healthcare networks. This integration is expected to create a need for RCM, which will require trained personnel and additional expertise to manage the same. Thus, the consolidation of large healthcare practices is also expected to be one of the factors fueling market growth.

Medical Billing Outsourcing Market Report Scope

Medical Billing Outsourcing Market Segmentation 

Grand View Research has segmented the global medical billing outsourcing market based on component, service, end-use, and region

Medical Billing Outsourcing Market - Component Outlook (Revenue, USD Million, 2018 - 2030)

• In-house
• Outsourced

Medical Billing Outsourcing Market - Service Outlook (Revenue, USD Million, 2018 - 2030)

• Front-end Services
• Middle-end Services
• Back-end Services

Medical Billing Outsourcing Market - End-use Outlook (Revenue, USD Million, 2018 - 2030)

• Hospitals
• Physician Offices
• Others

Medical Billing Outsourcing Market - Regional Outlook (Revenue, USD Billion, 2018 - 2030)

• North America
• U.S.
• Canada
• Europe
• UK
• Germany
• France
• Italy
• Spain
• Sweden
• Norway
• Denmark
• Asia Pacific
• Japan
• China
• India
• Australia
• South Korea
• Thailand
• Latin America
• Brazil
• Mexico
• Argentina
• MEA
• South Africa
• Saudi Arabia
• UAE
• Kuwait

List of Key Players in the Medical Billing Outsourcing Market

• R1RCM Inc.
• Veradigm, LLC
• Oracle
• eClinicalWorks
• Kareo, Inc.
• McKesson Corporation
• Quest Diagnostics Incorporated
• Promantra Inc.
• AdvancedMD, Inc.

Check out more related studies published by Grand View Research:

• Medical Device Outsourcing Market - The global medical device outsourcing market size is expected to reach USD 292.9 billion by 2030, at a CAGR of 12.1% from 2023 to 2030, according to a new report by Grand View Research, Inc. Rising demand for advanced medical products and a growing trend of offshoring is fueling the medical device outsourcing market growth.
• Toxicity Testing Outsourcing Market - The global toxicity testing outsourcing market size is expected to reach USD 6.78 billion by 2030, registering a CAGR of 9.4% from 2022 to 2030, according to a new report by Grand View Research, Inc. The increasing attrition rate in preclinical studies is stimulating demand for the outsourcing of preclinical studies to the CROs, which offer end-to-end services including toxicology testing services. Also, rising growth and innovation in pharmaceutical and biopharmaceutical companies, augment in R&D, and increasing ethical concerns about animal use are driving the enlargement of the market.
• U.S. EMS Billing Services Market - The U.S. EMS billing services market size is anticipated to reach USD 2.6 billion by 2026, based on a new report by Grand View Research, Inc., registering a CAGR of 8.9% over the forecast period. Growing demand for error-free electronic accounting processes and faster claim processing is expected to fuel market growth. Outsourcing is a cost-efficient alternative to expensive in-house processes. For instance, in-house solutions need a high initial cost for setup, in addition to staff salaries, training and education, department costs, software and hardware costs, and direct claim processing costs. With the services being outsourced, the administrative cost of the EMS agency can be reduced to maximize the overall revenue.

Browse through Grand View Research's Medical Devices Industry Research Reports.

About Grand View Research

Grand View Research, U.S.-based market research and consulting company, provides syndicated as well as customized research reports and consulting services. Registered in California and headquartered in San Francisco, the company comprises over 425 analysts and consultants, adding more than 1200 market research reports to its vast database each year. These reports offer in-depth analysis on 46 industries across 25 major countries worldwide. With the help of an interactive market intelligence platform, Grand View Research Helps Fortune 500 companies and renowned academic institutes understand the global and regional business environment and gauge the opportunities that lie ahead.

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