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The Healthcare Provider Network Management Market Size was valued at USD 4.23 billion in 2023, and is expected to reach USD 13.02 billion by 2031, and grow at a CAGR of 15% over the forecast period 2024-2031.
Healthcare Provider Network Management serves as a source of pricing information, health insurance plans, government policies and procedures, and other data within a healthcare company. This contributes to the accuracy and authenticity of the claim post. Doctors, hospitals, institutions, skills, and other health care providers who are part of health insurance programs, such as nurses, therapists, doctors, and nurses, form a network of healthcare providers. Compared to conventional manual methods, the provider's network management solution automatically performs the many tasks that payers go through every day, saving time and money. The healthcare industry loses billions of dollars each year owing to administrative costs associated with gaps between payers and providers caused by inefficient systems and erroneous data.
The barriers for mutually productive payer-provider collaborations vary, but many of them are founded in antiquated provider network management methods. A provider network management system solves a number of issues that payers encounter, including provider recruitment, credentialing, contracting, claims, and service, all of which result in lost income, increased administrative hassles, and reimbursement delays. Since a result, demand for Healthcare Provider Network Management is likely to rise, as it allows payer to save costs and inefficiencies while also boosting provider and member satisfaction.
The IT industry has contributed significantly to market expansion. The Healthcare Provider Network Management arrangement gives payers strong examination apparatuses and close to constant exchange information, permitting suppliers to see patient status and results progressively through opportune reports. Providers can spot suspect reimbursement claims among millions of legitimate ones using machine learning and real-time data. It assists providers in managing care-management programmes by monitoring patient records to forecast hospitalisation, readmission, and illness progression. When contrasted with looking through various frameworks, the supplier networks the board framework supports the incorporation of patient information, for example, therapy plans, lab test results, approvals, and clinical cases, setting aside organizations time and cash.
DRIVERS
In the United States, strict government mandates are being implemented.
The use of payer reporting requirements to improve the quality of care is becoming increasingly important.
There's a need to rein in rising healthcare prices.
Skilled workers are in short supply within the company.
RESTRAINTS
Constrained IT infrastructure in poor nations
Costs linked with outsourcing services that were not anticipated
OPPORTUNITIES
Data analytics of the highest level
CHALLENGES
Users' apprehension about switching from legacy systems
Throughout the crisis, payers will play a vital role in ensuring that patients receive the treatment they require at an affordable price. While many payer organisations struggle to keep their operations running effectively, those that have invested in provider network management technology are doing well. Furthermore, the pandemic has prompted widespread anxiety among customers, businesses, and communities, as well as increased economic hardship. There is a risk of further market disruption due to the continued supply and demand pressures. Liquidity crisis, especially limited loan access, may be affecting businesses and individuals. The reception of supplier networks the executives arrangements is basic for medical services protection suppliers since it supports the more proficient organization of suppliers' organizations.
By Component Type
The network management market for healthcare providers is divided into two categories: software and services. The global network management network of healthcare providers is estimated to be dominated by the services segment. A large proportion of this category may be due to the low cost of health care system services, as well as the improvement of efficiency, automatic litigation rates for claims, and supplier cooperation. Internal and external services are two types of services in the services market.
By Delivery Mode
The network management market for healthcare providers is divided into two categories: local delivery and cloud-based delivery. The global network management network of healthcare providers was led as part of the infrastructure delivery approach. Part of the cloud-based delivery mode, on the other hand, predicts that it will grow faster during the forecast period. Low cost and operating costs, as well as improved growth, flexibility, and accessibility, boost the cloud-based solutions industry.
By Application Type
Tele-healthcare topped the healthcare IT industry with a revenue share of 41.2%. Smartphone adoption and improved internet connectivity have broadened the breadth of the healthcare value chain. Emerging economies' economic progress has resulted in widespread adoption of these technologies, which has the potential to transform the tele healthcare market by speeding up the deployment of telehealth technologies and applications. Furthermore, growing consumer awareness of their health and well-being is adding to the market's growth and development.
Furthermore, the tele-healthcare segment is expected to increase at the quickest rate in the coming years. The shortage of doctors, nurses, and hospital beds is putting further strain on healthcare systems. Furthermore, the region's demand for inexpensive and high-quality healthcare is being driven by a fast-growing senior population, rising illness prevalence, rising healthcare expenses, and a lack of healthcare infrastructure, particularly in rural areas. Smartphone and internet penetration has increased in recent years. Furthermore, general digital infrastructure is developing, owing mostly to local government digitalization initiatives. The tele healthcare industry is expected to be driven by all of the aforementioned factors. The majority of telehealth platforms, among other things, offer online consultations, medications, remote monitoring, and appointment scheduling.
With the largest share, North America dominated part of the Healthcare Provider Network Management Market area. Europe next. The Patient Protection and Affordable Purchasing Act (PPCA) in the United States, with growing focus on reducing healthcare costs and the rapid growth of the IT industry in the region, all contribute to significant regional market growth. Europe has become the second largest marketplace. The presence of a large number of IT hub cities in Europe, as well as the emergence of many IT service solutions in recent years, have contributed to the growth of markets in the region.
Asia-Pacific is expected to grow at the fastest pace, with a greater CAGR than the rest of the world. This is due to the steady penetration of IT solutions in the healthcare industry, the desire for proper and faster healthcare services in light of the region's growing diseases and health issues, and the entry of new investment corporations.
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Some f the major key players of Healthcare Provider Network Management Market are as follows: Philips Healthcare, McKesson Corporation, Agfa Healthcare, E-MDS, Inc., e-Clinical works, Hewlett-Packard Enterprise, Carestream Health, Athenahealth Inc., GE Healthcare, and other players.
Report Attributes | Details |
---|---|
Market Size in 2023 | US$ 4.23 Billion |
Market Size by 2031 | US$ 13.02 Billion |
CAGR | CAGR of 15% From 2024 to 2031 |
Base Year | 2023 |
Forecast Period | 2024-2031 |
Historical Data | 2020-2022 |
Report Scope & Coverage | Market Size, Segments Analysis, Competitive Landscape, Regional Analysis, DROC & SWOT Analysis, Forecast Outlook |
Key Segments | • By Component type (Services, Software) • By Delivery Mode (On-premise Delivery Mode, Cloud-based Delivery Mode) • By Application Type (Electronic Health Records, Electronic Prescribing Systems, Computerized Provider Order Entry Systems, Laboratory Information Systems, Clinical Information Systems, PACS, Tele-healthcare) |
Regional Analysis/Coverage | North America (US, Canada, Mexico), Europe (Eastern Europe [Poland, Romania, Hungary, Turkey, Rest of Eastern Europe] Western Europe [Germany, France, UK, Italy, Spain, Netherlands, Switzerland, Austria, Rest of Western Europe]), Asia Pacific (China, India, Japan, South Korea, Vietnam, Singapore, Australia, Rest of Asia Pacific), Middle East & Africa (Middle East [UAE, Egypt, Saudi Arabia, Qatar, Rest of Middle East], Africa [Nigeria, South Africa, Rest of Africa], Latin America (Brazil, Argentina, Colombia, Rest of Latin America) |
Company Profiles | Philips Healthcare, McKesson Corporation, Agfa Healthcare, E-MDS, Inc., e-Clinical works, Hewlett-Packard Enterprise, Carestream Health, Athenahealth Inc., GE Healthcare, and other players. |
DRIVERS | • In the United States, strict government mandates are being implemented. • The use of payer reporting requirements to improve the quality of care is becoming increasingly important. • There's a need to rein in rising healthcare prices. |
RESTRAINTS | • Constrained IT infrastructure in poor nations • Costs linked with outsourcing services that were not anticipated |
Ans: The Healthcare Provider Network Management Market size was valued at US$ 4.23 Bn in 2023.
Drivers, Restraints, Opportunities, and Challenges are the factors of marketing dynamics Population Health Management market.
On-premise Delivery Mode, Cloud-based Delivery Mode are the sub segments of end use of Healthcare Provider Network Management market.
Yes, this report covers qualitative and quantitative analysis.
Ans: The Healthcare Provider Network Management Market is to grow at a CAGR of 15% over the forecast period 2024-2031.
Table of Contents
1. Introduction
1.1 Market Definition
1.2 Scope
1.3 Research Assumptions
2. Research Methodology
3. Market Dynamics
3.1 Drivers
3.2 Restraints
3.3 Opportunities
3.4 Challenges
4. Impact Analysis
4.1 COVID-19 Impact Analysis
4.2 Impact of Ukraine- Russia war
4.3 Impact of ongoing Recession
4.3.1 Introduction
4.3.2 Impact on major economies
4.3.2.1 US
4.3.2.2 Canada
4.3.2.3 Germany
4.3.2.4 France
4.3.2.5 United Kingdom
4.3.2.6 China
4.3.2.7 Japan
4.3.2.8 South Korea
4.3.2.9 Rest of the World
5. Value Chain Analysis
6. Porter’s 5 forces model
7. PEST Analysis
8. Healthcare Provider Network Management Market Segmentation, By Component type
8.1 Services
8.2 Software
9. Healthcare Provider Network Management Market Segmentation, By Delivery Mode
9.1 On-premise Delivery Mode
9.2 Cloud-based Delivery Mode
10. Healthcare Provider Network Management Market Segmentation, By Application Type
10.1 Electronic Health Records
10.2 Electronic Prescribing Systems
10.3 Computerized Provider Order Entry Systems
10.4 Laboratory Information Systems
10.5 Clinical Information Systems
10.6 PACS
10.7 Tele-healthcare
11. Regional Analysis
11.1 Introduction
11.2 North America
11.2.1 USA
11.2.2 Canada
11.2.3 Mexico
11.3 Europe
11.3.1 Germany
11.3.2 UK
11.3.3 France
11.3.4 Italy
11.3.5 Spain
11.3.6 The Netherlands
11.3.7 Rest of Europe
11.4 Asia-Pacific
11.4.1 Japan
11.4.2 South Korea
11.4.3 China
11.4.4 India
11.4.5 Australia
11.4.6 Rest of Asia-Pacific
11.5 The Middle East & Africa
11.5.1 Israel
11.5.2 UAE
11.5.3 South Africa
11.5.4 Rest
11.6 Latin America
11.6.1 Brazil
11.6.2 Argentina
11.6.3 Rest of Latin America
12. Company Profiles
12.1 Philips Healthcare
12.1.1 Financial
12.1.2 Products/ Services Offered
12.1.3 SWOT Analysis
12.1.4 The SNS view
12.2 McKesson Corporation
12.3 Agfa Healthcare
12.4 E-MDS, Inc.
12.5 e-Clinical works
12.6 Hewlett-Packard Enterprise
12.7 Carestream Health
12.8 Athenahealth, Inc.
12.9 GE Healthcare
13. Competitive Landscape
13.1 Competitive Benchmark
13.2 Market Share Analysis
13.3 Recent Developments
14. Conclusion
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By Component type
Services
Software
By Delivery Mode
On-premise Delivery Mode
Cloud-based Delivery Mode
By Application Type
Electronic Prescribing Systems
Computerized Provider Order Entry Systems
Laboratory Information Systems
Clinical Information Systems
PACS
Tele-healthcare
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Regional Coverage:
North America
US
Canada
Mexico
Europe
Eastern Europe
Poland
Romania
Hungary
Turkey
Rest of Eastern Europe
Western Europe
Germany
France
UK
Italy
Spain
Netherlands
Switzerland
Austria
Rest of Western Europe
Asia Pacific
China
India
Japan
South Korea
Vietnam
Singapore
Australia
Rest of Asia Pacific
Middle East & Africa
Middle East
UAE
Egypt
Saudi Arabia
Qatar
Rest of Middle East
Africa
Nigeria
South Africa
Rest of Africa
Latin America
Brazil
Argentina
Colombia
Rest of Latin America
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Product Analysis
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Company Information
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