The United States healthcare BPO market was valued at USD 177.68 Billion in 2025, driven by the rising administrative complexity and demand for cost-efficient operations across the region. The market is anticipated to grow at a CAGR of 8.00% during the forecast period of 2026-2035, with the values likely to reach USD 383.60 Billion by 2035.
Base Year
Historical Period
Forecast Period
The market is expected to expand significantly as private equity investments enable large-scale digital transformation and global delivery integration.
Strategic acquisitions and consolidation among BPO providers will strengthen patient access services and streamline administrative workflows for U.S. health systems.
Major market trends includes adoption of AI-powered automation and RCM optimization, supporting faster claims processing and reducing provider overhead costs.
Compound Annual Growth Rate
8%
Value in USD Billion
2026-2035
*this image is indicative*
The market encompasses outsourced services such as revenue cycle management, medical coding, claims processing, and patient access support. It plays a vital role in reducing administrative burdens on healthcare providers while improving efficiency, accuracy, and compliance. The market is driven by growing pressure to streamline operations amid evolving federal regulations, digital transformation, and rising healthcare costs. Public-private collaborations, investments in automation, and increasing demand for scalable, tech-enabled solutions continue to strengthen the role of BPO in supporting core functions across the U.S. healthcare ecosystem. The market is anticipated to grow at a CAGR of 8.00% during the forecast period of 2026-2035.
Strategic Investments Driving Market Development
The increasing capital flow and rising demand for scalable service delivery are key drivers shaping the market. Private equity interest is enabling BPO providers to expand global infrastructure, adopt next-gen automation tools, and offer integrated RCM and telehealth support. For instance, in April 2025, Access Healthcare announced a major growth investment of USD 55 billion from New Mountain Capital LLC to accelerate its United States and India delivery operations. This funding empowers the company to scale revenue cycle management services and respond to increasing outsourcing demand from U.S. healthcare systems.
The market trends include a rise in Private-Equity Investments along with strategic merger and acquisition activities.
Claims Management to Emerge as the Leading Payer Service
Claims management holds the largest share in the payer service segment, due to its critical role in ensuring timely reimbursements, reducing administrative errors, and managing rising claim volumes. The segment's dominance is further supported by widespread adoption of AI-powered adjudication tools and compliance-driven automation. Integrated front-end and back-end operations are also gaining traction, especially among large hospital systems seeking unified platforms. Meanwhile, care management and CRM services are expanding rapidly, driven by value-based care and patient engagement initiatives.
The Southeast region holds the largest share in the market, driven by a dense concentration of hospitals, growing payer-provider networks, and widespread outsourcing of administrative services. States like Florida and Georgia have witnessed strong adoption of revenue cycle management and patient access outsourcing. The Mideast and Great Lakes regions follow closely due to mature healthcare infrastructure and high regulatory compliance needs. Meanwhile, the Far West is emerging as a fast-growing region, fueled by digital health and tech-driven BPO adoption.
The key features of the market report comprise strategic initiatives by the leading players. The major companies in the market are as follows:
Headquartered in Dublin and founded in 1989, Accenture is a key player in the U.S. healthcare BPO market, offering services in claims management, analytics, and digital transformation. The firm has supported federal healthcare initiatives, including large-scale CMS contracts. Accenture’s investments in AI and cloud-based automation enhance payer and provider efficiency, enabling scalable solutions in revenue cycle optimization and patient access. Its strong presence in both public and private sectors positions it as a trusted outsourcing partner in healthcare.
Founded in 1994 and headquartered in Teaneck, New Jersey, Cognizant is a major provider of healthcare BPO solutions, focusing on care management, member services, and provider data management. The company leverages digital tools like robotic process automation (RPA) to streamline claims processing and prior authorization workflows. With clients ranging from large health plans to hospital networks, Cognizant’s cloud-integrated platforms and data-driven strategies enhance operational outcomes across clinical and administrative functions in the U.S. healthcare landscape.
Established in 1997 and headquartered in New York, Genpact delivers BPO services across the healthcare spectrum, including payer analytics, billing support, and regulatory compliance. The company’s AI-powered platforms aid insurers and healthcare providers in managing claims, improving audit accuracy, and reducing operational delays. Genpact’s partnerships with leading U.S. healthcare organizations highlight its ability to tailor scalable, outcome-based solutions. Its deep domain expertise and global delivery capabilities strengthen its role in advancing digital transformation within the BPO healthcare space.
Wipro, founded in 1945 and headquartered in Bangalore, India, maintains a strong U.S. healthcare BPO presence through end-to-end solutions in customer engagement, human resource management, and claims lifecycle automation. The company’s platforms integrate artificial intelligence, natural language processing, and cloud tools to deliver personalized payer and provider support. Wipro has formed strategic alliances with major U.S. health systems to modernize administrative infrastructure, reduce cost-to-collect, and enhance member satisfaction through automated front-end and back-end service delivery.
*Please note that this is only a partial list; the complete list of key players is available in the full report. Additionally, the list of key players can be customized to better suit your needs.*
Other players in the market include Sutherland Global Services, Inc., Access Healthcare, Global Virtuoso, Inc., and Flatworld Solutions Inc., among others.
“United States Healthcare BPO Market Report and Forecast 2026-2035” offers a detailed analysis of the market based on the following segments:
Market Breakup by Service
Market Breakup by Payer Service
Market Breakup by Provider Service
Market Breakup by Region
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*While we strive to always give you current and accurate information, the numbers depicted on the website are indicative and may differ from the actual numbers in the main report. At Expert Market Research, we aim to bring you the latest insights and trends in the market. Using our analyses and forecasts, stakeholders can understand the market dynamics, navigate challenges, and capitalize on opportunities to make data-driven strategic decisions.*
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| REPORT FEATURES | DETAILS |
| Base Year | 2025 |
| Historical Period | 2019-2025 |
| Forecast Period | 2026-2035 |
| Scope of the Report |
Historical and Forecast Trends, Industry Drivers and Constraints, Historical and Forecast Market Analysis by Segment:
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| Breakup by Service |
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| Breakup by Payer Service |
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| Breakup by Provider Service |
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| Breakup by Region |
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| Market Dynamics |
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| Supplier Landscape |
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| Companies Covered |
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