市场调查报告书
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1149951
患者访问解决方案的全球市场规模、份额和行业趋势分析报告:按产品、部署模式、最终用户、地区分类的展望和预测,2022-2028 年Global Patient Access Solutions Market Size, Share & Industry Trends Analysis Report By Offering, By Deployment Mode, By End User, By Regional Outlook and Forecast, 2022 - 2028 |
到 2028 年,患者准入解决方案的全球市场规模预计将达到 33 亿美元,在预测期内以 9.1% 的复合年增长率增长。
患者就诊也是《平价医疗法案》中的一个重要因素。该计划为期四年的推出包括改善获得负担得起的医疗保健和负担得起的健康保险选择的几个要素。但除了当前的最低要求之外,患者访问的想法还有其他影响,并给消费者和提供者带来了新的挑战。患者访问是一个对所有重要参与者和医疗保健的许多方面都有重要影响的概念。
COVID-19 影响分析
COVID-19 爆发使医生和其他医护人员处于社会孤立状态,推动了对患者访问解决方案的需求,并创造了全面且需要迅速更换的解决方案。软件和系统可以提供一个平台,使电子病历的传输、访问和检索更加安全。这些技术支持患者数据的交换和分析,使患者和医疗保健专业人员能够做出明智的运营和财务决策。
市场增长因素
拒绝管理的重要性与日俱增
保险公司越来越多地拒绝为正在接受慢性或顽固性疾病治疗的人索赔或承保,以降低成本并增加利润。此外,医疗机构有责任管理运营费用。医疗保健提供商可以使用医疗保健 IT 解决方案(如患者访问解决方案)来成功调查被拒绝的索赔,这些解决方案具有以下特征:在接下来的几年里,法规遵从性和政府指令的存在推动了患者接入解决方案市场的扩张,预计将推动市场步伐。
新医疗保健 IT 市场的商机扩展
随着多项旨在部署 HCIT 解决方案的政府举措、增加政府医疗保健支出以及医疗保健行业的技术改进,新兴市场正面临着巨大的商机。新兴市场为患者访问解决方案的开发和应用提供了巨大的机会,例如索赔拒绝和需求管理系统。新兴市场政府对 HCIT 的承诺帮助他们在州和国家层面采用了这些 HCIT 解决方案。医疗保健是全球增长最快的行业之一。在这些领域工作的专业人员为世界各地的个人提供医疗保健。
市场製约因素
部署患者访问解决方案的成本很高
用于患者访问的软件解决方案通常非常昂贵。与程序本身相比,这些工具的软件维护和升级成本更高。软件更新是我们支持和维护服务的一部分,占总拥有成本的 30% 以上的经常性成本。此外,由于缺乏内部 IT 能力,需要对最终用户进行培训,这会推高拥有成本。通过全面了解处方率、限制和可用性,新技术平台使患者能够以负担得起的成本获得所需的护理。
未来展望
患者访问解决方案市场根据交付方式细分为软件和服务。服务部门在 2021 年获得了患者访问解决方案市场的最高收入份额。前端医疗保健收入周期是医疗机构的脸面。安排患者、检查资格和批准、登记患者,以及实际上以最佳方式预先收取患者会员费,这些都是前台操作。
软件类型展望
按软件类型划分,患者访问解决方案市场分为资格验证软件、医疗必需品管理软件、预批准和授权软件、索赔拒绝和上诉管理、付款估算软件、索赔付款评估和处理软件以及其他归类为软件的软件.在 2021 年的患者访问解决方案市场中,资格验证软件部分获得了最大的收入份额。资格和保险验证对于确保您收到有关保险范围的准确和及时信息至关重要。如果没有适当的平衡和检查,医疗保健组织可能会蒙受损失。如果未验证资格且未获得预先批准,付款可能会延迟或被拒绝,从而减少收款和收入。
部署模式展望
患者访问解决方案市场按部署类型分为基于 Web 和云的解决方案以及本地解决方案。 2021 年,内部部署部分在患者访问解决方案市场中占据了很大的收入份额。作为本地解决方案,运营商购买服务器并完全控制其管理。换句话说,确保服务器配备必要的安全技术并定期更新和维护是公司的责任。
最终用户视角
按最终用户划分,患者访问解决方案市场分为医疗保健提供商、HCIT 外包公司等。 2021 年,医疗保健提供商部分在患者访问解决方案市场中占据了最大的收入份额。随着患者数据标准化需求的增加,预计未来几年对患者访问解决方案服务的需求将会增长。医疗保健数据的生成呈指数级增长,患者安全性提高,医疗保健成本显着增加,医疗错误增加,拒绝增加,医疗保健成本增加。
区域展望
按地区划分,对北美、欧洲、亚太地区和 LAMEA 的患者准入解决方案市场进行了分析。 2021 年,欧洲部分在患者访问解决方案市场中占据了重要的收入份额。这是由于诸如优质医疗保健系统的可用性、创新医疗技术的可用性以及政府资金增加等因素造成的。由于改善医疗基础设施和有吸引力的报销方式等因素,预计欧洲地区的市场份额将增加。
合作伙伴关係是市场进入者采取的主要策略。根据 Cardinal 矩阵中的分析,UnitedHealth Group, Inc. 和 McKesson Corporation 是患者访问解决方案市场的领先企业。 Cognizant Technology Solutions Corporation、Oracle Corporation 和 3M Company 等公司是患者访问解决方案市场的领先创新者。
The Global Patient Access Solutions Market size is expected to reach $3.3 billion by 2028, rising at a market growth of 9.1% CAGR during the forecast period.
By utilizing patient access technologies, healthcare professionals can provide better purchasing experiences to their customers. The systems allow customers to search for, schedule and subscribe to the online services that are supplied. The patient access solutions, which connect hospitals with their clients up until the billing stage, address the medical claim processing system. The solution allows hospital staff members more patient interaction freedom and financial responsibility. These techniques reduce manual work in general and claim rejections, improving the patients' financial experiences.
"Patient access" is a key idea in contemporary healthcare and life science developments, and it's one that businessmen are likely to hear about frequently. However, different people's interpretations of the phrase vary. The term "patient access" is most simply defined as "access to patients." It speaks to the accessibility of healthcare and the accessibility of care and treatment for customers.
The Affordable Healthcare Act includes patient access as a crucial component. Several elements for "improving access to inexpensive care" and "affordable health insurance options" are included in the program's four-year rollout. Beyond this currently required minimum, however, the idea of patient access has additional connotations and poses new problems for both consumers and providers. Patient access is a notion that has a significant impact on all significant players and many aspects of healthcare.
The COVID-19 outbreak has made doctors and other health care providers more socially isolated, which has increased the demand for patient access solutions as well as the necessity for comprehensive and quick exchange of patient health information and damage policies for chronically ill patients. Software and systems may offer a platform for more secure transmission, access, and retrieval of electronic health records. Due to these technologies that enable the exchange and analysis of patient data, patients and healthcare professionals can both make wise operational and financial decisions.
Insurance organizations are increasingly refusing claims and coverage to individuals who are being treated for chronic or persistent illnesses to save costs and increase profits. Healthcare providers now have additional responsibility for controlling operating expenses. In order to correctly examine denied claims, healthcare providers can employ healthcare IT solutions like patient access solutions due to these characteristics. The presence of regulatory compliances and governmental directives that promote the expansion of the patient access solutions market in the next years are anticipated to provide the market pace.
Due to several government efforts aimed at HCIT solution adoption, increased government healthcare spending, and technology improvements in the healthcare industry. The emerging market offers tremendous opportunities for the development and application of patient access solutions, including systems for managing claims denials and necessity. The emerging government's HCIT efforts are aiding in the adoption of these HCIT solutions on a state and national level. One of the global industries with the fastest growth is healthcare. Medical care is provided to individuals globally by professionals working in these fields.
Software solutions for patient access are generally quite expensive. These tools may cost more to maintain and upgrade their software than the program itself. Software updates are part of the support and maintenance services that make up a recurrent cost that accounts for over 30% of the total cost of ownership. Additionally, a lack of internal IT competence needs end-user training, which raises the cost of ownership. New technological platforms now enable patients to obtain the care they require at a cost they can afford by providing a complete perspective of prescription fees, limitations, and availability.
Based on the Offering, the Patient Access Solutions Market is segmented into Software and Services. The service segment acquired the highest revenue share in the patient access solutions market in 2021. Services that form the face of a healthcare provider's office are represented by the front-end healthcare revenue cycle. Patient scheduling, qualification and authorization checks, registration of patients, and, where practical, the best upfront collection of patient dues are all tasks performed in the front office.
On the basis of Software type, the Patient Access Solutions Market is divided into Eligibility verification software, Medical necessity management software, Precertification & authorization software, Claims denial & appeal management, Payment estimation software, Claims payment assessment & processing software, and Other Software. The eligibility verification software segment procured the largest revenue share in the patient access solutions market in 2021. To guarantee correct and prompt receipt of info concerning insurance coverage, eligibility and insurance confirmation are essential. A healthcare institution may be losing money if there aren't adequate balances and checks in place. If eligibility is not verified and prior authorization is not obtained, payments may be delayed or denied, which lowers collections and income.
By Deployment Mode, the Patient Access Solutions Market is classified into Web & Cloud-based solutions and On-premise solutions. The on-premise segment registered a significant revenue share in the patient access solutions market in 2021. Due to the on-premise solutions, the business purchases a server and takes full control of its management. This means that it is the responsibility of the company to guarantee that the server has the necessary security technologies and that it is routinely updated and maintained.
On the basis of End Users, the Patient Access Solutions Market is segmented into Healthcare Providers, HCIT Outsourcing Companies, and Others. The healthcare providers segment acquired the largest revenue share in the patient access solutions market in 2021. Due to the growing need to standardize patient data, the demand for patient access solutions services is likely to increase in the coming years. Healthcare data generation has increased dramatically, patient safety has increased, healthcare spending has increased significantly, medical errors have increased, insurance denials have increased, and healthcare costs have increased.
Region-wise, the Patient Access Solutions Market is analyzed across North America, Europe, Asia Pacific, and LAMEA. The Europe segment procured a significant revenue share in the patient access solutions market in 2021. It is due to factors such as the availability of a high-quality healthcare system, the availability of innovative medical technology, and increasing government funding. Due to factors like improved healthcare infrastructure and attractive reimbursement practices, among others, the European region is expected to grow its market share.
The major strategies followed by the market participants are Partnerships. Based on the Analysis presented in the Cardinal matrix; UnitedHealth Group, Inc. and McKesson Corporation are the forerunners in the Patient Access Solutions Market. Companies such as Cognizant Technology Solutions Corporation, Oracle Corporation and 3M Company are some of the key innovators in Patient Access Solutions Market.
The market research report covers the analysis of key stake holders of the market. Key companies profiled in the report include UnitedHealth Group, Inc. (Optum, Inc.), Cognizant Technology Solutions Corporation, McKesson Corporation, Oracle Corporation (Cerner Corporation), Experian PLC, 3M Company, Epic Systems Corporation, AllScripts Healthcare Solutions, Inc., F. Hoffmann-La Roche Ltd. (Genentech, Inc.), and Tenet Healthcare Corporation (Conifer Health Solutions, LLC).
Sep-2022: UnitedHealth Group joined hands with Walmart, a retailer that operates grocery stores, supermarkets, and hypermarket stores. The companies aimed to bring together the joint expertise of both organizations in helping millions of people with affordable, high-quality, health services that enhance health results and the patient experience. Moreover, the companies transfer a deep dedication to high-quality and affordable primary care-led benefits that handle all of a patient's health requirements in ways that are suitable for them and enhance health results.
Jul-2022: Cognizant signed an agreement with Organon, a global women's health organization. This agreement aimed to enhance the organization's delivery of healthcare products and important medicinal supply chain management. Additionally, Cognizant would help propel Organon's healthcare enterprise by providing full-stack industrial technology support for the organization's global pharmaceutical manufacturing locations in the United Kingdom, Belgium, Netherlands, and Indonesia.
Jun-2022: Epic Systems came into a partnership with Myriad Genetics, genetic testing, and accuracy medicine company. With this partnership, more than 250 million patients with a history in Epic would now have access to a broad range of genetic testing. Moreover, patients would be capable to access their Myriad test outcomes and other health information instantly within their EHR portal.
May-2022: Tenet Healthcare Corporation signed an agreement with Brookwood Baptist Health, the biggest healthcare network in Central Alabama. Through this agreement, Conifer would provide complete revenue cycle services to four different hospitals within Brookwood Baptist Health. Moreover, these services would include patient access, eligibility registration services, and accounts receivable administration.
Jan-2022: UnitedHealth Group came into a partnership with MarinHealth Medical Center, a 327-bed independent hospital. This partnership would extend its operational objectives in the revenue cycle and reduce the patient experience for individuals living in Marin County, California. Moreover, MarinHealth would operate Optum technology to simplify the nonclinical administrative procedure and streamline experiences for patients and suppliers whereas Optum would deliver revenue cycle management services and sustaining technologies.
Oct-2021: UnitedHealth Group teamed up with SSM Health, a Catholic, not-for-profit health system. Under this collaboration, the companies would partner across specific functions such as digital transformation, inpatient care management, and revenue cycle management to enhance health results and patients' healthcare experiences. Moreover, the organizations would redefine the customer health care journey via the design and development of a unified digital experience to streamline patient entry to the care and services they require.
Jul-2021: Cognizant came into a partnership with Royal Philips, a global leader in health technology. This partnership aimed to generate end-to-end digital health solutions that would allow healthcare organizations and life sciences companies to enhance patient care and boost clinical trials. Moreover, the strategic alliance obtains Philips HealthSuite, a cloud-based platform, and Cognizant's digital engineering expertise to supply and support leading-edge digital health solutions at scale, delivering refined connectivity and utilizing big data to produce actionable insights.
Feb-2021: Tenet Healthcare Corporation came into a partnership with LCMC Health, a nonprofit network of healthcare providers. Together, the companies aimed to deliver physician accounts receivable (AR) management small-balance help and COVID-19 vaccine administration assistance. Moreover, Conifer can resume to seamlessly sustain LCMC's day-to-day operations while also developing additional possibilities to donate to the health system's prevailing success.
Dec-2020: McKesson joined hands with TailorMed, a healthcare technology company. This collaboration aimed to deliver a best-in-class financial navigation platform to McKesson Onmark consumers, which contains community practices with expertise in rheumatology, oncology, neurology, gastroenterology, and retina.
Feb-2020: Allscripts Healthcare Solutions came into a partnership with Manorama Infosolutions, a healthcare IT business located in India. Through this partnership, the companies aimed to provide a combined Healthcare Management Information System and Health Information Exchange platform. Moreover, this partnership would boost the organization's reach to under-served regions in India and other arising markets, donate to Allscripts more extensive reseller strategy and showcase the enterprise continued expansion internationally.
Jun-2022: McKesson Corporation formed a joint venture with HCA Healthcare. Through this joint venture, the companies aimed to integrate McKesson's US Oncology Research (USOR) and HCA Healthcare's Sarah Cannon Research Institute (SCRI). Additionally, the joint venture is an essential step forward in improving access to clinical trials, especially within the community setting, where the bulk of all cancer patients is originally cured. Moreover, the joint venture directly aligns with McKesson's strategic growth preferences by further developing a differentiated oncology ecosystem and enhancing the worth request for biopharma and provider partners.
Mar-2022: UnitedHealth Group took over Refresh Mental Health, a rapidly growing outpatient mental health provider. This acquisition would propel a deeper combination between medical and behavioral health care and advance personalized maintenance to patients via value-based care.
Apr-2021: Oracle Corporation completed the acquisition of Kantar Health, a department of Kantar Group. Under this acquisition, Kantar Health's rich life sciences expertise would be integrated with Cerner's robust collection of real-world data and technology and is expected to boost innovation in life sciences research and enhance patient results across the world.
Jan-2021: UnitedHealth Group's completed the acquisition of Change Healthcare, a leading healthcare technology business. This acquisition would simplify and disclose the important administrative, clinical, and payment procedures on which healthcare payers and providers depend to help patients.
Dec-2021: Genentech, subsidiary of F. Hoffmann-La Roche Ltd. introduced NAVIFY Oncology Hub, its latest digital solution to improve clinical decision support. With the NAVIFY, clinicians can effectively qualify for patient talks, concisely and quickly share information, and conform care within the group. Additionally, NAVIFY Oncology Hub also supports conversations between oncologists and patients about complicated treatment possibilities and next actions.
Oct-2021: Allscripts Guided Scheduling unveiled Allscripts Practice Management, an artificial intelligence scheduling application. The Allscripts Practice Management delivers an improved pace of high-need patients obtaining care, the enhanced utilization of all resources across a company, and the deduction of the effect of schedule churn.
Oct-2021: Oracle Corporation introduced Cerner RevElate, new and improved abilities to the Cerner revenue cycle management offering. The Cerner RevElate advances patient accounting abilities and enterprise broad technology integration in an effort to best align Cerner's powerful development and research resources with those solutions most required by caregivers across the globe.
Mar-2021: McKesson introduced ScriptPAS, a pharmacy administration solution. The ScriptPAS is a fee-for-service portfolio developed to support Medically Integrated Dispensing (MID)-equipped practices that deliver quick access to care by decreasing obstacles that hinder treatment.