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市场调查报告书
商品编码
1660064

医疗用EDI市场:现状分析与未来预测 (2024年～2032年)

Healthcare EDI Market: Current Analysis and Forecast (2024-2032)
出版日期: | 出版商: UnivDatos Market Insights Pvt Ltd | 英文 142 Pages | 商品交期: 最快1-2个工作天内

价格
简介目录

预计预测期内（2024-2032 年），医疗 EDI 市场将以 9.46% 的复合年增长率大幅增长。医疗保健 EDI 成长和发展的主要驱动力是对医疗保健服务交付中营运效率的不断增长的需求。医疗费用的上涨、索赔量的增加以及患者数据的不断增长，都要求实现某些工作流程的自动化，以最大限度地降低成本和减少错误。此外，基于价值的照护趋势推动了对 EDI 的需求，因为它是与索赔裁决、资格检查和其他付款调整相关的交易的首选方法。此外，由于云端主导和 API 整合等因素，EDI 的发展正在演变和扩大，使得 EDI 更加普及并提供即时资讯。远距医疗服务的使用不断增加、人口老化以及与其他医疗保健系统整合的需求正在推动医疗保健 EDI 市场的发展。

从组成部分来看，由于全球医疗服务提供者、保险公司、医疗 IT 供应商等扩大采用 EDI 软体和平台，解决方案部门在医疗保健 EDI 市场中占据了最大的市场占有率。这些解决方案透过改进功能并遵守 HIPAA 法规来加快索赔处理、资格确定和支付交易。基于云端的 EDI、API 整合和连接平台等现代解决方案的额外要求也加强了这一领域的案例。然而，随着越来越多的组织开始采用更发达的 EDI 解决方案，对实施、整合和维护服务的需求持续上升，预计未来服务领域将以较高的速度扩张。此外，许多中小型供应商可能不具备使用 EDI 系统的内部技能，从而促使对培训、咨询和託管服务等外包服务的需求增加。订阅式转变和增值服务快速成长等趋势可能会对未来几年服务业的发展产生正面影响。

以交付方式划分，EDI 加值网路 (VAN) 部分占据整个医疗 EDI 市场的最大占有率。 VAN 因其能够提供安全统一的通讯管道并在医疗保健利益相关者（包括医疗保健提供者、付款人和清算机构）之间交换标准数据而被广泛采用。它的可靠性、整合的合规选项以及易于解决复杂交易的特点使其成为大型医疗保健组织的理想选择。然而，由于基于云端的 EDI 领域具有高可扩展性、低营运成本和即时数据共享等特点，预计未来将实现大幅成长。基于云端的 EDI 部署的规模比传统结构和布局具有多种优势，尤其是对于中小型组织而言。这使得采用变得更加容易，特别是对于人工智慧等先进技术而言。由于越来越重视互通性、基于价值的护理和资料交换等问题，基于云端的 EDI 领域预计将提供最多的未来成长机会。

根据最终用途，医疗保健付款人部门占全球医疗保健 EDI 市场的最大占有率，因为保险公司和其他政府第三方收款机构在帐单提交、验证和付款对帐方面发挥着核心作用。此外，付款组织由于能够在短时间内处理和传输大量交易，同时优先考虑机密性和标准化资料共享，因此有望占据主导地位。然而，由于电子健康檔案、远距医疗和综合护理系统的采用不断增加，预计未来提供者部分将成长最快。为了提高效率并减少错误，EDI 在医疗帐单、索赔提交和资格判定方面的应用越来越广泛。对基于价值的护理的需求不断增长和向以患者为中心的模式的转变，以及对互通性的需求不断增长，将继续推动医疗保健提供者领域的成长。

为了更了解医疗 EDI 系统的市场采用情况，我们根据其在北美（美国、加拿大和北美其他地区）、欧洲（德国、法国、英国、西班牙、义大利和欧洲其他地区）、亚太地区（中国、日本、印度和亚太地区其他地区）和世界其他地区的全球影响力对其进行了分析。由于医疗支出的增加和医疗保健领域的数位化，尤其是在中国和印度等国家，预计亚太地区在预测期内（2024-2032 年）将实现显着的复合年增长率。医疗 EDI 市场强调协作开发活动以改善产品开发。

该市场的主要参与者包括 OSP、Mckesson Corporation、NextGen Healthcare, Inc.、Cognizant Technology Solutions Corporation、Cleo Communications、Epicor Software Corporation、Effective Data、DataTrans Solutions Inc.、Greenway Health 和 United Health Group。

目录

第1章 市场概要

  • 市场定义
  • 主要目的
  • 相关利益者
  • 限制事项

第2章 分析方法或前提条件

  • 分析流程
  • 分析方法
  • 受访者简介

第3章 摘要整理

  • 产业摘要
  • 各市场区隔预测
    • 市场成长的强度
  • 地区展望

第4章 市场动态

  • 促进因素
  • 机会
  • 阻碍因素
  • 趋势
  • PESTEL分析
  • 需求面分析
  • 供给面分析
    • 事业联盟·合作
    • 投资情境

第5章 价格分析

  • 价格分析:各地区
  • 价格的影响因素

第6章 全球医疗用EDI的市场收益 (2022～2032年)

第7章 市场分析:各零件

  • 服务
  • 解决方案

第8章 市场分析:提供手段

  • 直接EDI
  • 行动EDI
  • EDI附加价值网路 (VAN)
  • Web·云端基础EDI

第9章 市场分析:各最终用途

  • 医疗费付款者
  • 医疗提供者
  • 医药品·医疗设备业
  • 其他

第10章 市场分析:各地区

  • 北美
    • 美国
    • 加拿大
    • 其他北美地区
  • 欧洲
    • 德国
    • 英国
    • 法国
    • 义大利
    • 西班牙
    • 其他欧洲地区
  • 亚太地区
    • 中国
    • 日本
    • 印度
    • 其他亚太地区
  • 全球其他地区

第11章 价值链分析

  • 限制分析
  • 市场参与企业一览

第12章 竞争情形

  • 竞争仪表板
  • 企业的市场定位分析
  • 波特的五力分析

第13章 企业简介

  • OSP
    • 企业概要
    • 主要的财务指标
    • SWOT分析
    • 产品系列
    • 近几年趋势
  • Mckesson Corporation
  • NextGen Healthcare, Inc.
  • Cognizant Technology Solutions Corporation
  • Cleo Communications
  • Epicor Software Corporation
  • Effective Data
  • DataTrans Solutions Inc.
  • Greenway Health
  • United Health Group

第14章 缩写与前提条件

第15章 附录

简介目录
Product Code: UMHE213150

Health Care Electronic Data Interchange (EDI) is a standard and systemized process of sharing healthcare information electronically among users like providers, payers, patients, etc. It allows interoperability between systems of care by offering a layout of crucial information that may include claims, eligibility verification, payment details, and medical records using formats like ANSI X12 as well as HL7. Electronic data interchange is done by moving manual paperwork to paperless electronic transactions hence increasing workflow efficiency and decreasing cost and errors. It is employed in claims processing, prior authorization, remittance advice, and patient record exchange, making it the pulse of the modern healthcare system. Most of the EDI solutions are compatible with Electronic Health Records (EHR), practice management systems, and even clouds. EDI systems are also being extended with new technologies such as AI and blockchain to deliver greater accuracy and security to the data systems as well as better and improved forecast information. As healthcare continues to move online, EDI is critical for making processes more efficient, for providing better connectivity, and for the progression of the industry toward more value-based care and, therefore, better overall health outcomes for patients and performance for providers.

The Healthcare EDI Market is expected to grow with a significant CAGR of 9.46% during the forecast period (2024-2032). The key factors that contribute to the growth and development of healthcare EDI are a heightened requirement for operational efficiency in the delivery of healthcare services. Higher healthcare costs, a large number of claims, and growing accumulations of patient data create a demand for automating certain workflows to minimize costs and mistakes. Transmission towards value-based care also increases the need for EDI as it is an optimal way for claims adjudication as well as eligibility checks and other transactions pertaining to payment reconciliation. Moreover, EDI development is evolving and expanding, due to factors like cloud advantage and API integration, making it further reaching and offering real-time information. The increased use of telehealth services, the aging population, and the demand for integration with other healthcare systems boost the healthcare EDI market.

Based on the component segment, the solutions segment has the largest market share in the healthcare EDI market due to the increased adoption of EDI software and platforms by healthcare service providers, insurers, healthcare IT vendors, etc. across the globe. These solutions facilitate claim processing, eligibility determination, and payment transactions with improved capability and conformity to HIPAA rules. Additional requirements for modern solutions, including cloud-based EDI, API integrated, and connected platforms also increase the grounds for this segment. However, the services segment is expected to expand at a higher rate in the future due to the continually rising demand for implementation, integration, and maintenance services as more organizations embark on more developed EDI solutions. Moreover, many small- to medium-sized providers may not have the internal skills to handle EDI systems, resulting in an increased need for outsourcing services, including training, consulting, and managed services. The trend toward transition to subscription and quickly growing value-added services will positively affect the development of the services segment in the upcoming years.

Based on delivery mode, the EDI Value-Added Network (VAN) segment holds the largest market share in the overall healthcare EDI market. VANs are employed commonly due to their capability to deliver a protected and consolidated communication channel and for the trade of standard data between healthcare stakeholders such as providers, payers, and clearinghouses. Their reliability as well as the integrated compliance options and ease in settling complex transactions make them ideal for large healthcare organizations. However, the cloud-based EDI segment is expected to grow significantly in the future due to its high scalability, cheaper cost of operation, and real-time data sharing. The scale of implementation of cloud-based EDI gives several advantages over traditional structures and layouts, especially for small and medium-sized organizations. This makes its adoption easier, especially with advanced technologies like artificial intelligence. Due to an increasing emphasis on issues such as interoperability, value-based care, and data exchange, the cloud-based EDI segment is considered to provide the most future growth opportunities.

Based on the end-use, The healthcare payers segment occupies the largest share in the global market for healthcare EDI since insurers and other government third-party recoveries play a central role in claim submission, verification, and payment reconciliation. Another factor that strengthens the leading position of payers is the ability to process and transmit a large number of transactions within a short period while prioritizing confidentiality and sharing standardized data. However, the Healthcare Providers segment is like to show the fastest growth in the future due to the rising adoption of EHRs, Telemedicine, and Integrated Healthcare systems. The use of EDI is becoming widespread in medical billing, claims filing, and eligibility verdicts so as to enhance efficiency and minimize mistakes. Increasing demands toward a shift to value-based care and patient-centered models and the increasing need for Interoperability will continue to fuel the growth in the Provider segment.

For a better understanding of the market adoption of healthcare EDI systems is analyzed based on its worldwide presence in countries such as North America (U.S., Canada, and the Rest of North America), Europe (Germany, France, U.K., Spain, Italy, Rest of Europe), Asia-Pacific (China, Japan, India, Rest of Asia-Pacific), Rest of World. Asia-Pacific is expected to grow with a significant CAGR in the forecast period (2024-2032) owing to the increased healthcare expenditure and digitalization in the healthcare sector especially in countries like China and India. The emphasis is made on the development of collaboration activities to improve product development in the healthcare EDI market.

Some of the major players operating in the market include OSP, Mckesson Corporation, NextGen Healthcare, Inc., Cognizant Technology Solutions Corporation, Cleo Communications, Epicor Software Corporation, Effective Data, DataTrans Solutions Inc., Greenway Health, United Health Group.

TABLE OF CONTENTS

1.MARKET INTRODUCTION

  • 1.1. Market Definitions
  • 1.2. Main Objective
  • 1.3. Stakeholders
  • 1.4. Limitation

2.RESEARCH METHODOLOGY OR ASSUMPTION

  • 2.1. Research Process of the Healthcare EDI Market
  • 2.2. Research Methodology of the Healthcare EDI Market
  • 2.3. Respondent Profile

3.EXECUTIVE SUMMARY

  • 3.1. Industry Synopsis
  • 3.2. Segmental Outlook
    • 3.2.1. Market Growth Intensity
  • 3.3. Regional Outlook

4.MARKET DYNAMICS

  • 4.1. Drivers
  • 4.2. Opportunity
  • 4.3. Restraints
  • 4.4. Trends
  • 4.5. PESTEL Analysis
  • 4.6. Demand Side Analysis
  • 4.7. Supply Side Analysis
    • 4.7.1. Partnerships & Collaborations
    • 4.7.2. Investment Scenario

5.PRICING ANALYSIS

  • 5.1. Regional Pricing Analysis
  • 5.2. Price Influencing Factors

6.GLOBAL HEALTHCARE EDI MARKET REVENUE (USD BN), 2022-2032F

7.MARKET INSIGHTS BY COMPONENT

  • 7.1. Services
  • 7.2. Solutions

8.MARKET INSIGHTS BY DELIVERY MODE

  • 8.1. Direct EDI
  • 8.2. Mobile EDI
  • 8.3. EDI value-added network (VAN)
  • 8.4. Web and Cloud-based EDI

9.MARKET INSIGHTS BY END-USE

  • 9.1. Healthcare Payers
  • 9.2. Healthcare Providers
  • 9.3. Pharmaceutical & Medical Device Industries
  • 9.4. Others

10.MARKET INSIGHTS BY REGION

  • 10.1. North America
    • 10.1.1. U.S.
    • 10.1.2. Canada
    • 10.1.3. Rest of North America
  • 10.2. Europe
    • 10.2.1. Germany
    • 10.2.2. U.K.
    • 10.2.3. France
    • 10.2.4. Italy
    • 10.2.5. Spain
    • 10.2.6. Rest of Europe
  • 10.3. Asia-Pacific
    • 10.3.1. China
    • 10.3.2. Japan
    • 10.3.3. India
    • 10.3.4. Rest of Asia-Pacific
  • 10.4. Rest of World

11.VALUE CHAIN ANALYSIS

  • 11.1. Marginal Analysis
  • 11.2. List of Market Participants

12.COMPETITIVE LANDSCAPE

  • 12.1. Competition Dashboard
  • 12.2. Competitor Market Positioning Analysis
  • 12.3. Porter Five Forces Analysis

13.COMPANY PROFILES

  • 13.1. OSP
    • 13.1.1. Company Overview
    • 13.1.2. Key Financials
    • 13.1.3. SWOT Analysis
    • 13.1.4. Product Portfolio
    • 13.1.5. Recent Developments
  • 13.2. Mckesson Corporation
  • 13.3. NextGen Healthcare, Inc.
  • 13.4. Cognizant Technology Solutions Corporation
  • 13.5. Cleo Communications
  • 13.6. Epicor Software Corporation
  • 13.7. Effective Data
  • 13.8. DataTrans Solutions Inc.
  • 13.9. Greenway Health
  • 13.10. United Health Group

14.ACRONYMS & ASSUMPTION

15.ANNEXURE