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市場調查報告書
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1453991

到 2030 年的醫療保健提供者網路管理市場預測:按組件、交付型態、技術、應用程式、最終用戶和地區進行的全球分析

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個工作天內

價格

根據Stratistics MRC預測,2023年全球醫療保健供應商網路管理市場規模將達到47.2億美元,並在預測期內以16.9%的年複合成長率成長,預計到2030年將達到141.2億美元。

醫療保健提供者網路管理涉及組織和監控網路內的醫療保健提供者,以確保提供高品質的護理和高效的運作。目標是建立一個強大的提供者和設施網路,在滿足患者需求的同時控制成本。有效的營運需要與付款人、提供者和患者合作,以最佳化護理結果、簡化管理流程並保持監管合規性。這確保了患者在協調良好的醫療保健系統內獲得優質照護。

根據醫療支出小組調查,2013年美國18歲至64歲成年人的未投保率下降了18.8%,2018年將達13.0%。

對優質醫療保健的需求不斷成長

對優質醫療保健的需求不斷成長,需要對提供者網路進行有效管理,以確保獲得合格的醫療保健專業人員和設施。醫療保健組織尋求強大的網路管理解決方案來增強護理協調、簡化業務並改善患者治療結果。此外,隨著全球醫療保健系統轉向基於價值的護理模式,對品質的關注需要有效的網路管理策略來最佳化資源利用率並改善整體患者體驗。因此,對提供者網路管理解決方案的需求持續成長,以滿足不斷變化的醫療保健需求。

資料安全問題

醫療保健提供者網路管理中的資料安全問題與保護敏感患者資訊免遭未授權存取、外洩和濫用有關。這些擔憂源於資料外洩的潛在後果,包括侵犯隱私、經濟損失和聲譽損害。因此,由於擔心資料漏洞,醫療保健組織可能會猶豫是否採用網路管理解決方案。這種猶豫阻礙了市場的成長。

擴大醫療基礎設施

醫療保健基礎設施的擴張,特別是在新興市場,為發展和最佳化強大的醫療保健網路創造了機會。隨著新設施、診所和醫院的建立,有效管理提供者網路的需求不斷增加,以確保無縫協作、可近性和護理品質。此外,隨著醫療基礎設施的發展強調協調護理服務和整合多樣化醫療服務的重要性,對網路管理解決方案的需求持續成長。

互通性問題

醫療保健提供者網路管理中的互通性問題是由於不同系統之間缺乏資料格式和通訊協定的標準化而引起的。這種碎片化阻礙了患者資訊的無縫交換,導致效率低下、錯誤和患者照護不佳。因此,醫療保健提供者在資料整合、協調和決策流程遇到困難,無法最佳化資源和患者治療結果。

COVID-19 的影響

COVID-19 大流行對醫療保健提供者網路管理市場產生了重大影響。由於世界各地的醫療保健系統面臨壓力,因此需要專注於提供者網路的有效管理,以確保最佳的患者照護和資源分配。遠距遠端醫療解決方案的普及度飆升,增加了對支援遠端醫療的網路管理技術的需求。此外,疫情凸顯了資料分析和互通性在快速變化的醫療環境中有效管理提供者網路的重要性,從而進一步推動了該領域的創新。

預計軟體產業在預測期內將是最大的產業

軟體產業因其旨在簡化營運、加強患者照護和確保法律規章的多樣化解決方案而有望實現良好成長。這些軟體有助於高效的資料管理、患者安排、申請和臨床決策支援。此外,專業軟體支援憑證、提供者目錄管理和網路分析,幫助醫療保健組織保持高標準的患者照護和法規遵從性,同時最佳化資源分配、改善護理協調,並使您能夠適應不斷變化的行業趨勢。

預計供應商績效管理領域在預測期內將出現最高的年複合成長率。

預計醫療保健提供者績效管理領域在預測期內將出現最高的年複合成長率。該領域評估和最佳化醫療保健提供者的績效,以提高護理品質和業務效率。這包括各種指標,例如患者治療結果、對臨床指南的遵守情況、患者滿意度和成本效益。在您的提供者網路內課責優質、以患者為中心的護理,同時透過促進責任制、持續品質改進和與組織目標的一致性來提高提供者的滿意度和參與度。

比最大的地區

由於醫療保健成本上升、慢性病流行以及醫療保健IT基礎設施的進步,預計亞太地區在預測期內將佔據最大的市場佔有率。中國、印度、日本和澳洲等國家是該市場的主要參與者,專注於改善醫療基礎設施、引入網路管理數位解決方案以及改善患者治療效果。該市場的驅動力是有效管理醫療保健提供者、網路和資源,以改善全部區域醫療保健服務的獲取和提供。

年複合成長率最高的地區:

由於北美專注於增加醫療保健支出、技術進步和改善患者治療效果,預計在預測期內年複合成長率最高。美國是該地區最大的市場,重點是最佳化醫療保健網路、加強醫療服務提供者與付款人之間的合作以及實施基於價值的醫療模式。對綜合醫療服務系統不斷成長的需求以及對醫療資源有效管理的需求也促進了北美市場的擴張。

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目錄

第1章執行摘要

第2章 前言

  • 概述
  • 相關利益者
  • 調查範圍
  • 調查方法
    • 資料探勘
    • 資料分析
    • 資料檢驗
    • 研究途徑
  • 調查來源
    • 主要調查來源
    • 二次調查來源
    • 先決條件

第3章市場趨勢分析

  • 促進因素
  • 抑制因素
  • 機會
  • 威脅
  • 技術分析
  • 應用分析
  • 最終用戶分析
  • 新興市場
  • 新型冠狀病毒感染疾病(COVID-19)的影響

第4章波特五力分析

  • 供應商的議價能力
  • 買方議價能力
  • 替代品的威脅
  • 新進入者的威脅
  • 競爭公司之間的敵對關係

第5章全球醫療保健提供者網路管理市場:按組成部分

  • 軟體
  • 硬體
  • 服務

第6章全球醫療保健提供者網路管理市場:依交付型態

  • 本地解決方案
  • 雲端基礎的解決方案

第7章全球醫療保健提供者網路管理市場:依技術分類

  • 區塊鏈
  • 人工智慧(AI)
  • 機器學習(ML)
  • 其他技術

第8章全球醫療保健提供者網路管理市場:按應用

  • 網路開發與合約管理
  • 提供者憑證
  • 提供者註冊
  • 提供者目錄管理
  • 供應商績效管理
  • 提供者付款管理
  • 其他用途

第9章全球醫療保健提供者網路管理市場:依最終用戶分類

  • 醫療服務提供方
  • 醫療保健付款人
  • 政府醫療保健機構
  • 責任醫療組織 (ACO)
  • 其他最終用戶

第10章全球醫療保健提供者網路管理市場:按地區

  • 北美洲
    • 美國
    • 加拿大
    • 墨西哥
  • 歐洲
    • 德國
    • 英國
    • 義大利
    • 法國
    • 西班牙
    • 其他歐洲國家
  • 亞太地區
    • 日本
    • 中國
    • 印度
    • 澳洲
    • 紐西蘭
    • 韓國
    • 其他亞太地區
  • 南美洲
    • 阿根廷
    • 巴西
    • 智利
    • 南美洲其他地區
  • 中東和非洲
    • 沙烏地阿拉伯
    • 阿拉伯聯合大公國
    • 卡達
    • 南非
    • 其他中東和非洲

第11章 主要進展

  • 合約、夥伴關係、協作和合資企業
  • 收購和合併
  • 新產品發布
  • 業務擴展
  • 其他關鍵策略

第12章 公司簡介

  • 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.