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市场调查报告书
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1453991

到 2030 年的医疗保健提供者网路管理市场预测：按组件、交付型态、技术、应用程式、最终用户和地区进行的全球分析

Healthcare Provider Network Management Market Forecasts to 2030 - Global Analysis By Component (Software, Hardware and Services), Mode Of Delivery (On-Premise Solutions and Cloud-Based Solutions), Technology, Application, End User and By Geography
出版日期: | 出版商: Stratistics Market Research Consulting | 英文 200+ Pages | 商品交期: 2-3个工作天内

价格

根据Stratistics MRC预测，2023年全球医疗保健供应商网路管理市场规模将达到47.2亿美元，并在预测期内以16.9%的复合年增长率成长，预计到2030年将达到141.2亿美元。

医疗保健提供者网路管理涉及组织和监控网路内的医疗保健提供者，以确保提供高品质的护理和高效的运作。目标是建立一个强大的提供者和设施网络，在满足患者需求的同时控製成本。有效的营运需要与付款人、提供者和患者合作，以优化护理结果、简化管理流程并保持监管合规性。这确保了患者在协调良好的医疗保健系统内获得优质照护。

根据医疗支出小组调查，2013年美国18岁至64岁成年人的未投保率下降了18.8%，2018年将达13.0%。

对优质医疗保健的需求不断增长

对优质医疗保健的需求不断增长，需要对提供者网路进行有效管理，以确保获得合格的医疗保健专业人员和设施。医疗保健组织寻求强大的网路管理解决方案来增强护理协调、简化业务并改善患者治疗结果。此外，随着全球医疗保健系统转向基于价值的护理模式，对品质的关注需要有效的网路管理策略来优化资源利用率并改善整体患者体验。因此，对提供者网路管理解决方案的需求持续增长，以满足不断变化的医疗保健需求。

资料安全问题

医疗保健提供者网路管理中的资料安全问题与保护敏感患者资讯免遭未授权存取、外洩和滥用有关。这些担忧源于资料外洩的潜在后果，包括侵犯隐私、经济损失和声誉损害。因此，由于担心资料漏洞，医疗保健组织可能会犹豫是否采用网路管理解决方案。这种犹豫阻碍了市场的成长。

扩大医疗基础设施

医疗保健基础设施的扩张，特别是在新兴市场，为发展和优化强大的医疗保健网路创造了机会。随着新设施、诊所和医院的建立，有效管理提供者网路的需求不断增加，以确保无缝协作、可近性和护理品质。此外，随着医疗基础设施的发展强调协调护理服务和整合多样化医疗服务的重要性，对网路管理解决方案的需求持续增长。

互通性问题

医疗保健提供者网路管理中的互通性问题是由于不同系统之间缺乏资料格式和通讯协定的标准化而引起的。这种碎片化阻碍了患者资讯的无缝交换，导致效率低下、错误和患者照护不佳。因此，医疗保健提供者在资料整合、协调和决策流程遇到困难，无法优化资源和患者治疗结果。

COVID-19 的影响

COVID-19 大流行对医疗保健提供者网路管理市场产生了重大影响。由于世界各地的医疗保健系统面临压力，因此需要专注于提供者网路的有效管理，以确保最佳的患者照护和资源分配。远距远端医疗解决方案的普及度飙升，增加了对支援远端医疗的网路管理技术的需求。此外，疫情凸显了资料分析和互通性在快速变化的医疗环境中有效管理提供者网路的重要性，从而进一步推动了该领域的创新。

预计软体产业在预测期内将是最大的产业

软体产业因其旨在简化营运、加强患者照护和确保法律规章的多样化解决方案而有望实现良好成长。这些软体有助于高效的资料管理、患者安排、申请和临床决策支援。此外，专业软体支援凭证、提供者目录管理和网路分析，帮助医疗保健组织保持高标准的患者照护和法规遵从性，同时优化资源分配、改善护理协调，并使您能够适应不断变化的行业趋势。

预计供应商绩效管理领域在预测期内将出现最高的复合年增长率。

预计医疗保健提供者绩效管理领域在预测期内将出现最高的复合年增长率。该领域评估和优化医疗保健提供者的绩效，以提高护理品质和业务效率。这包括各种指标，例如患者治疗结果、对临床指南的遵守情况、患者满意度和成本效益。在您的提供者网路内课责优质、以患者为中心的护理，同时透过促进责任制、持续品质改进和与组织目标的一致性来提高提供者的满意度和参与度。

比最大的地区

由于医疗保健成本上升、慢性病流行以及医疗保健IT基础设施的进步，预计亚太地区在预测期内将占据最大的市场占有率。中国、印度、日本和澳洲等国家是该市场的主要参与者，专注于改善医疗基础设施、引入网路管理数位解决方案以及改善患者治疗效果。该市场的驱动力是有效管理医疗保健提供者、网路和资源，以改善全部区域医疗保健服务的获取和提供。

复合年增长率最高的地区：

由于北美专注于增加医疗保健支出、技术进步和改善患者治疗效果，预计在预测期内复合年增长率最高。美国是该地区最大的市场，重点是优化医疗保健网路、加强医疗服务提供者与付款人之间的合作以及实施基于价值的医疗模式。对综合医疗服务系统不断增长的需求以及对医疗资源有效管理的需求也促进了北美市场的扩张。

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订阅此报告的客户可以存取以下免费自订选项之一：

  • 公司简介
    • 其他市场参与者的综合分析（最多 3 家公司）
    • 主要企业SWOT分析（最多3家企业）
  • 区域分割
    • 根据客户兴趣对主要国家的市场估计、预测和复合年增长率（註：基于可行性检查）
  • 竞争基准化分析
    • 根据产品系列、地理分布和策略联盟对主要企业基准化分析

目录

第一章执行摘要

第二章 前言

  • 概述
  • 相关利益者
  • 调查范围
  • 调查方法
    • 资料探勘
    • 资料分析
    • 资料检验
    • 研究途径
  • 调查来源
    • 主要调查来源
    • 二次调查来源
    • 先决条件

第三章市场趋势分析

  • 促进因素
  • 抑制因素
  • 机会
  • 威胁
  • 技术分析
  • 应用分析
  • 最终用户分析
  • 新兴市场
  • 新型冠状病毒感染疾病（COVID-19）的影响

第4章波特五力分析

  • 供应商的议价能力
  • 买方议价能力
  • 替代品的威胁
  • 新进入者的威胁
  • 竞争公司之间的敌对关係

第五章全球医疗保健提供者网路管理市场：按组成部分

  • 软体
  • 硬体
  • 服务

第六章全球医疗保健提供者网路管理市场：依交付型态

  • 本地解决方案
  • 云端基础的解决方案

第七章全球医疗保健提供者网路管理市场：依技术分类

  • 区块链
  • 人工智慧（AI）
  • 机器学习（ML）
  • 其他技术

第八章全球医疗保健提供者网路管理市场：按应用

  • 网路开发与合约管理
  • 提供者凭证
  • 提供者註册
  • 提供者目录管理
  • 供应商绩效管理
  • 提供者付款管理
  • 其他用途

第九章全球医疗保健提供者网路管理市场：依最终用户分类

  • 医疗服务提供方
  • 医疗保健付款人
  • 政府医疗保健机构
  • 责任医疗组织 (ACO)
  • 其他最终用户

第十章全球医疗保健提供者网路管理市场：按地区

  • 北美洲
    • 美国
    • 加拿大
    • 墨西哥
  • 欧洲
    • 德国
    • 英国
    • 义大利
    • 法国
    • 西班牙
    • 其他欧洲国家
  • 亚太地区
    • 日本
    • 中国
    • 印度
    • 澳洲
    • 纽西兰
    • 韩国
    • 其他亚太地区
  • 南美洲
    • 阿根廷
    • 巴西
    • 智利
    • 南美洲其他地区
  • 中东和非洲
    • 沙乌地阿拉伯
    • 阿拉伯聯合大公国
    • 卡达
    • 南非
    • 其他中东和非洲

第十一章 主要进展

  • 合约、伙伴关係、协作和合资企业
  • 收购和合併
  • 新产品发布
  • 业务扩展
  • 其他关键策略

第十二章 公司简介

  • Cerner Corporation
  • Optum Healthcare company
  • McKesson Corporation
  • IBM Watson Health
  • Allscripts Healthcare Solutions
  • Athenahealth Inc.
  • Change Healthcare
  • Conifer Health Solutions
  • EPIC Systems Corporation
  • GE Healthcare
  • HMS Holdings Corporation
  • NextGen Healthcare
  • Quest Diagnostics
  • Genpact Limited
  • Veeva Systems
  • Infosys BPM Limited
  • Mphasis Limited
  • Innovaccer
Product Code: SMRC25543

According to Stratistics MRC, the Global Healthcare Provider Network Management Market is accounted for $4.72 billion in 2023 and is expected to reach $14.12 billion by 2030 growing at a CAGR of 16.9% during the forecast period. Healthcare provider network management involves the organization and oversight of healthcare providers within a network to ensure quality care delivery and efficient operations. The goal is to establish a robust network of healthcare professionals and facilities that can meet the needs of patients while controlling costs. Effective management involves collaboration with insurers, providers, and patients to optimize care outcomes, streamline administrative processes, and maintain regulatory compliance. This ensures patients have access to high-quality care within a well-coordinated healthcare system.

According to the Medical Expenditure Panel Survey, the share of uninsured adults aged 18 to 64 years, in the US, for the entire calendar year declined by 18.8% in 2013 and 13.0% by 2018.

Market Dynamics:

Driver:

Growing demand for quality healthcare

The growing demand for quality healthcare necessitates efficient management of provider networks to ensure access to high-caliber healthcare professionals and facilities. Providers seek robust network management solutions to enhance care coordination, streamline operations, and improve patient outcomes. Additionally, as healthcare systems globally shift towards value-based care models, the emphasis on quality necessitates effective network management strategies to optimize resource utilization and enhance the overall patient experience. Consequently, the demand for provider network management solutions continues to rise to meet these evolving healthcare needs.

Restraint:

Data security concerns

Data security concerns in healthcare provider network management relate to the protection of sensitive patient information from unauthorized access, breaches, and misuse. These concerns stem from the potential consequences of data breaches, including privacy violations, financial losses, and damage to reputation. Consequently, healthcare organizations may hesitate to adopt network management solutions due to fears of data vulnerability. This hesitation hampers the market growth.

Opportunity:

Expansion of healthcare infrastructure

The expansion of healthcare infrastructure, particularly in emerging markets, creates opportunities for the development and optimization of robust healthcare networks. As new facilities, clinics, and hospitals are established, there is an increasing need to efficiently manage provider networks to ensure seamless coordination, accessibility, and quality of care. Moreover, the demand for network management solutions intensifies as healthcare infrastructure development emphasizes the importance of coordinated care delivery and the integration of diverse healthcare services.

Threat:

Interoperability issues

Interoperability issues in healthcare provider network management arise from the lack of standardized data formats and communication protocols among different systems. This fragmentation impedes seamless exchange of patient information, leading to inefficiencies, errors, and compromised patient care. Consequently, healthcare providers struggle with data integration, coordination, and decision-making processes, hindering the optimization of resources and patient outcomes.

Covid-19 Impact

The covid-19 pandemic has significantly impacted the healthcare provider network management market. With the strain on healthcare systems worldwide, there has been an increased focus on efficient management of provider networks to ensure optimal patient care and resource allocation. Telehealth solutions have surged in popularity, leading to a greater demand for network management technologies capable of supporting remote care delivery. Additionally, the pandemic has highlighted the importance of data analytics and interoperability in managing provider networks effectively amidst rapidly changing healthcare landscapes, driving further innovation in the sector.

The software segment is expected to be the largest during the forecast period

The software segment is estimated to have a lucrative growth, due to its diverse array of solutions tailored to streamline operations, enhance patient care, and ensure regulatory compliance. They facilitate efficient data management, patient scheduling, billing, and clinical decision support. Additionally, specialized software addresses credentialing, provider directory management, and network analytics, enabling healthcare organizations to optimize resource allocation, improve care coordination, and adapt to evolving industry trends while maintaining high standards of patient care and regulatory compliance.

The provider performance management segment is expected to have the highest CAGR during the forecast period

The provider performance management segment is anticipated to witness the highest CAGR growth during the forecast period. It involves the evaluation and optimization of healthcare providers' performance to enhance quality of care and operational efficiency. This encompasses various metrics such as patient outcomes, adherence to clinical guidelines, patient satisfaction, and cost-effectiveness. By fostering accountability, continuous quality improvement, and alignment with organizational goals, it contributes to the delivery of high-quality, patient-centered care within healthcare provider networks while promoting provider satisfaction and engagement.

Region with largest share:

Asia Pacific is projected to hold the largest market share during the forecast period owing to increasing healthcare expenditure, the growing prevalence of chronic diseases, and advancements in healthcare IT infrastructure. Countries like China, India, Japan, and Australia are key players in this market, with a focus on improving healthcare infrastructure, implementing digital solutions for network management, and enhancing patient outcomes. The market is driven by the need for efficient management of healthcare providers, networks, and resources to ensure better access and delivery of healthcare services across the region.

Region with highest CAGR:

North America is projected to have the highest CAGR over the forecast period, owing to increasing healthcare spending, technological advancements, and the emphasis on improving patient outcomes. With the United States being the largest market in the region, there is a strong focus on optimizing healthcare networks, enhancing provider-payer collaborations, and implementing value-based care models. Additionally, the growing demand for integrated healthcare delivery systems and the need for efficient management of healthcare resources contribute to the expansion of the market in North America.

Key players in the market

Some of the key players profiled in the Healthcare Provider Network Management Market include Cerner Corporation, Optum Healthcare company, McKesson Corporation, IBM Watson Health, Allscripts Healthcare Solutions, Athenahealth Inc., Change Healthcare, Conifer Health Solutions, EPIC Systems Corporation, GE Healthcare, HMS Holdings Corporation, NextGen Healthcare, Quest Diagnostics, Genpact Limited, Veeva Systems, Infosys BPM Limited, Mphasis Limited and Innovaccer.

Key Developments:

In June 2023, Quest Analytics, the leader in provider network management solutions and services, launched the Provider Claims Insights. This new offering adds provider performance measures within the Quest Enterprise Services (QES) platform to help health plans improve provider selection and overall network performance.

In May 2023, IBM unveiled IBM Hybrid Cloud Mesh, a SaaS offering that is designed to enable enterprises to bring management to their hybrid multicloud infrastructure. Driven by "Application-Centric Connectivity", IBM Hybrid Cloud Mesh is engineered to automate the process, management and observability of application connectivity in and between public and private clouds to help modern enterprises operate their infrastructure across hybrid multicloud and heterogeneous environments.

Components Covered:

  • Software
  • Hardware
  • Services

Mode Of Deliveries Covered:

  • On-Premise Solutions
  • Cloud-Based Solutions

Technologies Covered:

  • Blockchain
  • Artificial Intelligence (AI)
  • Machine Learning (ML)
  • Other Technologies

Applications Covered:

  • Network Development & Contract Management
  • Provider Credentialing
  • Provider Enrollment
  • Provider Directory Management
  • Provider Performance Management
  • Provider Payment Management
  • Other Applications

End Users Covered:

  • Healthcare Providers
  • Healthcare Payers
  • Government Healthcare Agencies
  • Accountable Care Organizations (ACOs)
  • Other End Users

Regions Covered:

  • North America
    • US
    • Canada
    • Mexico
  • Europe
    • Germany
    • UK
    • Italy
    • France
    • Spain
    • Rest of Europe
  • Asia Pacific
    • Japan
    • China
    • India
    • Australia
    • New Zealand
    • South Korea
    • Rest of Asia Pacific
  • South America
    • Argentina
    • Brazil
    • Chile
    • Rest of South America
  • Middle East & Africa
    • Saudi Arabia
    • UAE
    • Qatar
    • South Africa
    • Rest of Middle East & Africa

What our report offers:

  • Market share assessments for the regional and country-level segments
  • Strategic recommendations for the new entrants
  • Covers Market data for the years 2021, 2022, 2023, 2026, and 2030
  • Market Trends (Drivers, Constraints, Opportunities, Threats, Challenges, Investment Opportunities, and recommendations)
  • Strategic recommendations in key business segments based on the market estimations
  • Competitive landscaping mapping the key common trends
  • Company profiling with detailed strategies, financials, and recent developments
  • Supply chain trends mapping the latest technological advancements

Free Customization Offerings:

All the customers of this report will be entitled to receive one of the following free customization options:

  • Company Profiling
    • Comprehensive profiling of additional market players (up to 3)
    • SWOT Analysis of key players (up to 3)
  • Regional Segmentation
    • Market estimations, Forecasts and CAGR of any prominent country as per the client's interest (Note: Depends on feasibility check)
  • Competitive Benchmarking
    • Benchmarking of key players based on product portfolio, geographical presence, and strategic alliances

Table of Contents

1 Executive Summary

2 Preface

  • 2.1 Abstract
  • 2.2 Stake Holders
  • 2.3 Research Scope
  • 2.4 Research Methodology
    • 2.4.1 Data Mining
    • 2.4.2 Data Analysis
    • 2.4.3 Data Validation
    • 2.4.4 Research Approach
  • 2.5 Research Sources
    • 2.5.1 Primary Research Sources
    • 2.5.2 Secondary Research Sources
    • 2.5.3 Assumptions

3 Market Trend Analysis

  • 3.1 Introduction
  • 3.2 Drivers
  • 3.3 Restraints
  • 3.4 Opportunities
  • 3.5 Threats
  • 3.6 Technology Analysis
  • 3.7 Application Analysis
  • 3.8 End User Analysis
  • 3.9 Emerging Markets
  • 3.10 Impact of Covid-19

4 Porters Five Force Analysis

  • 4.1 Bargaining power of suppliers
  • 4.2 Bargaining power of buyers
  • 4.3 Threat of substitutes
  • 4.4 Threat of new entrants
  • 4.5 Competitive rivalry

5 Global Healthcare Provider Network Management Market, By Component

  • 5.1 Introduction
  • 5.2 Software
  • 5.3 Hardware
  • 5.4 Services

6 Global Healthcare Provider Network Management Market, By Mode Of Delivery

  • 6.1 Introduction
  • 6.2 On-Premise Solutions
  • 6.3 Cloud-Based Solutions

7 Global Healthcare Provider Network Management Market, By Technology

  • 7.1 Introduction
  • 7.2 Blockchain
  • 7.3 Artificial Intelligence (AI)
  • 7.4 Machine Learning (ML)
  • 7.5 Other Technologies

8 Global Healthcare Provider Network Management Market, By Application

  • 8.1 Introduction
  • 8.2 Network Development & Contract Management
  • 8.3 Provider Credentialing
  • 8.4 Provider Enrollment
  • 8.5 Provider Directory Management
  • 8.6 Provider Performance Management
  • 8.7 Provider Payment Management
  • 8.8 Other Applications

9 Global Healthcare Provider Network Management Market, By End User

  • 9.1 Introduction
  • 9.2 Healthcare Providers
  • 9.3 Healthcare Payers
  • 9.4 Government Healthcare Agencies
  • 9.5 Accountable Care Organizations (ACOs)
  • 9.6 Other End Users

10 Global Healthcare Provider Network Management Market, By Geography

  • 10.1 Introduction
  • 10.2 North America
    • 10.2.1 US
    • 10.2.2 Canada
    • 10.2.3 Mexico
  • 10.3 Europe
    • 10.3.1 Germany
    • 10.3.2 UK
    • 10.3.3 Italy
    • 10.3.4 France
    • 10.3.5 Spain
    • 10.3.6 Rest of Europe
  • 10.4 Asia Pacific
    • 10.4.1 Japan
    • 10.4.2 China
    • 10.4.3 India
    • 10.4.4 Australia
    • 10.4.5 New Zealand
    • 10.4.6 South Korea
    • 10.4.7 Rest of Asia Pacific
  • 10.5 South America
    • 10.5.1 Argentina
    • 10.5.2 Brazil
    • 10.5.3 Chile
    • 10.5.4 Rest of South America
  • 10.6 Middle East & Africa
    • 10.6.1 Saudi Arabia
    • 10.6.2 UAE
    • 10.6.3 Qatar
    • 10.6.4 South Africa
    • 10.6.5 Rest of Middle East & Africa

11 Key Developments

  • 11.1 Agreements, Partnerships, Collaborations and Joint Ventures
  • 11.2 Acquisitions & Mergers
  • 11.3 New Product Launch
  • 11.4 Expansions
  • 11.5 Other Key Strategies

12 Company Profiling

  • 12.1 Cerner Corporation
  • 12.2 Optum Healthcare company
  • 12.3 McKesson Corporation
  • 12.4 IBM Watson Health
  • 12.5 Allscripts Healthcare Solutions
  • 12.6 Athenahealth Inc.
  • 12.7 Change Healthcare
  • 12.8 Conifer Health Solutions
  • 12.9 EPIC Systems Corporation
  • 12.10 GE Healthcare
  • 12.11 HMS Holdings Corporation
  • 12.12 NextGen Healthcare
  • 12.13 Quest Diagnostics
  • 12.14 Genpact Limited
  • 12.15 Veeva Systems
  • 12.16 Infosys BPM Limited
  • 12.17 Mphasis Limited
  • 12.18 Innovaccer

List of Tables

  • Table 1 Global Healthcare Provider Network Management Market Outlook, By Region (2021-2030) ($MN)
  • Table 2 Global Healthcare Provider Network Management Market Outlook, By Component (2021-2030) ($MN)
  • Table 3 Global Healthcare Provider Network Management Market Outlook, By Software (2021-2030) ($MN)
  • Table 4 Global Healthcare Provider Network Management Market Outlook, By Hardware (2021-2030) ($MN)
  • Table 5 Global Healthcare Provider Network Management Market Outlook, By Services (2021-2030) ($MN)
  • Table 6 Global Healthcare Provider Network Management Market Outlook, By Mode Of Delivery (2021-2030) ($MN)
  • Table 7 Global Healthcare Provider Network Management Market Outlook, By On-Premise Solutions (2021-2030) ($MN)
  • Table 8 Global Healthcare Provider Network Management Market Outlook, By Cloud-Based Solutions (2021-2030) ($MN)
  • Table 9 Global Healthcare Provider Network Management Market Outlook, By Technology (2021-2030) ($MN)
  • Table 10 Global Healthcare Provider Network Management Market Outlook, By Blockchain (2021-2030) ($MN)
  • Table 11 Global Healthcare Provider Network Management Market Outlook, By Artificial Intelligence (AI) (2021-2030) ($MN)
  • Table 12 Global Healthcare Provider Network Management Market Outlook, By Machine Learning (ML) (2021-2030) ($MN)
  • Table 13 Global Healthcare Provider Network Management Market Outlook, By Other Technologies (2021-2030) ($MN)
  • Table 14 Global Healthcare Provider Network Management Market Outlook, By Application (2021-2030) ($MN)
  • Table 15 Global Healthcare Provider Network Management Market Outlook, By Network Development & Contract Management (2021-2030) ($MN)
  • Table 16 Global Healthcare Provider Network Management Market Outlook, By Provider Credentialing (2021-2030) ($MN)
  • Table 17 Global Healthcare Provider Network Management Market Outlook, By Provider Enrollment (2021-2030) ($MN)
  • Table 18 Global Healthcare Provider Network Management Market Outlook, By Provider Directory Management (2021-2030) ($MN)
  • Table 19 Global Healthcare Provider Network Management Market Outlook, By Provider Performance Management (2021-2030) ($MN)
  • Table 20 Global Healthcare Provider Network Management Market Outlook, By Provider Payment Management (2021-2030) ($MN)
  • Table 21 Global Healthcare Provider Network Management Market Outlook, By Other Applications (2021-2030) ($MN)
  • Table 22 Global Healthcare Provider Network Management Market Outlook, By End User (2021-2030) ($MN)
  • Table 23 Global Healthcare Provider Network Management Market Outlook, By Healthcare Providers (2021-2030) ($MN)
  • Table 24 Global Healthcare Provider Network Management Market Outlook, By Healthcare Payers (2021-2030) ($MN)
  • Table 25 Global Healthcare Provider Network Management Market Outlook, By Government Healthcare Agencies (2021-2030) ($MN)
  • Table 26 Global Healthcare Provider Network Management Market Outlook, By Accountable Care Organizations (ACOs) (2021-2030) ($MN)
  • Table 27 Global Healthcare Provider Network Management Market Outlook, By Other End Users (2021-2030) ($MN)

Note: Tables for North America, Europe, APAC, South America, and Middle East & Africa Regions are also represented in the same manner as above.