Healthcare Provider Network Management Market
PUBLISHED: 2024 ID: SMRC25543
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Healthcare Provider Network Management Market

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

4.4 (52 reviews)
4.4 (52 reviews)
Published: 2024 ID: SMRC25543

This report covers the impact of COVID-19 on this global market
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Years Covered

2021-2030

Estimated Year Value (2023)

US $4.72 BN

Projected Year Value (2030)

US $14.12 BN

CAGR (2023 - 2030)

16.9%

Regions Covered

North America, Europe, Asia Pacific, South America, and Middle East & Africa

Countries Covered

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

Largest Market

Asia Pacific

Highest Growing Market

North America


Acording 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
o US
o Canada
o Mexico
• Europe
o Germany
o UK
o Italy
o France
o Spain
o Rest of Europe
• Asia Pacific
o Japan        
o China        
o India        
o Australia  
o New Zealand
o South Korea
o Rest of Asia Pacific    
• South America
o Argentina
o Brazil
o Chile
o Rest of South America
• Middle East & Africa 
o Saudi Arabia
o UAE
o Qatar
o South Africa
o 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
o Comprehensive profiling of additional market players (up to 3)
o SWOT Analysis of key players (up to 3)
• Regional Segmentation
o Market estimations, Forecasts and CAGR of any prominent country as per the client's interest (Note: Depends on feasibility check)
• Competitive Benchmarking
o 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         
1 Global Healthcare Provider Network Management Market Outlook, By Region (2021-2030) ($MN)
2 Global Healthcare Provider Network Management Market Outlook, By Component (2021-2030) ($MN)
3 Global Healthcare Provider Network Management Market Outlook, By Software (2021-2030) ($MN)
4 Global Healthcare Provider Network Management Market Outlook, By Hardware (2021-2030) ($MN)
5 Global Healthcare Provider Network Management Market Outlook, By Services (2021-2030) ($MN)
6 Global Healthcare Provider Network Management Market Outlook, By Mode Of Delivery (2021-2030) ($MN)
7 Global Healthcare Provider Network Management Market Outlook, By On-Premise Solutions (2021-2030) ($MN)
8 Global Healthcare Provider Network Management Market Outlook, By Cloud-Based Solutions (2021-2030) ($MN)
9 Global Healthcare Provider Network Management Market Outlook, By Technology (2021-2030) ($MN)
10 Global Healthcare Provider Network Management Market Outlook, By Blockchain (2021-2030) ($MN)
11 Global Healthcare Provider Network Management Market Outlook, By Artificial Intelligence (AI) (2021-2030) ($MN)
12 Global Healthcare Provider Network Management Market Outlook, By Machine Learning (ML) (2021-2030) ($MN)
13 Global Healthcare Provider Network Management Market Outlook, By Other Technologies (2021-2030) ($MN)
14 Global Healthcare Provider Network Management Market Outlook, By Application (2021-2030) ($MN)
15 Global Healthcare Provider Network Management Market Outlook, By Network Development & Contract Management (2021-2030) ($MN)
16 Global Healthcare Provider Network Management Market Outlook, By Provider Credentialing (2021-2030) ($MN)
17 Global Healthcare Provider Network Management Market Outlook, By Provider Enrollment (2021-2030) ($MN)
18 Global Healthcare Provider Network Management Market Outlook, By Provider Directory Management (2021-2030) ($MN)
19 Global Healthcare Provider Network Management Market Outlook, By Provider Performance Management (2021-2030) ($MN)
20 Global Healthcare Provider Network Management Market Outlook, By Provider Payment Management (2021-2030) ($MN)
21 Global Healthcare Provider Network Management Market Outlook, By Other Applications (2021-2030) ($MN)
22 Global Healthcare Provider Network Management Market Outlook, By End User (2021-2030) ($MN)
23 Global Healthcare Provider Network Management Market Outlook, By Healthcare Providers (2021-2030) ($MN)
24 Global Healthcare Provider Network Management Market Outlook, By Healthcare Payers (2021-2030) ($MN)
25 Global Healthcare Provider Network Management Market Outlook, By Government Healthcare Agencies (2021-2030) ($MN)
26 Global Healthcare Provider Network Management Market Outlook, By Accountable Care Organizations (ACOs) (2021-2030) ($MN)
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.

List of Figures

RESEARCH METHODOLOGY


Research Methodology

We at Stratistics opt for an extensive research approach which involves data mining, data validation, and data analysis. The various research sources include in-house repository, secondary research, competitor’s sources, social media research, client internal data, and primary research.

Our team of analysts prefers the most reliable and authenticated data sources in order to perform the comprehensive literature search. With access to most of the authenticated data bases our team highly considers the best mix of information through various sources to obtain extensive and accurate analysis.

Each report takes an average time of a month and a team of 4 industry analysts. The time may vary depending on the scope and data availability of the desired market report. The various parameters used in the market assessment are standardized in order to enhance the data accuracy.

Data Mining

The data is collected from several authenticated, reliable, paid and unpaid sources and is filtered depending on the scope & objective of the research. Our reports repository acts as an added advantage in this procedure. Data gathering from the raw material suppliers, distributors and the manufacturers is performed on a regular basis, this helps in the comprehensive understanding of the products value chain. Apart from the above mentioned sources the data is also collected from the industry consultants to ensure the objective of the study is in the right direction.

Market trends such as technological advancements, regulatory affairs, market dynamics (Drivers, Restraints, Opportunities and Challenges) are obtained from scientific journals, market related national & international associations and organizations.

Data Analysis

From the data that is collected depending on the scope & objective of the research the data is subjected for the analysis. The critical steps that we follow for the data analysis include:

  • Product Lifecycle Analysis
  • Competitor analysis
  • Risk analysis
  • Porters Analysis
  • PESTEL Analysis
  • SWOT Analysis

The data engineering is performed by the core industry experts considering both the Marketing Mix Modeling and the Demand Forecasting. The marketing mix modeling makes use of multiple-regression techniques to predict the optimal mix of marketing variables. Regression factor is based on a number of variables and how they relate to an outcome such as sales or profits.


Data Validation

The data validation is performed by the exhaustive primary research from the expert interviews. This includes telephonic interviews, focus groups, face to face interviews, and questionnaires to validate our research from all aspects. The industry experts we approach come from the leading firms, involved in the supply chain ranging from the suppliers, distributors to the manufacturers and consumers so as to ensure an unbiased analysis.

We are in touch with more than 15,000 industry experts with the right mix of consultants, CEO's, presidents, vice presidents, managers, experts from both supply side and demand side, executives and so on.

The data validation involves the primary research from the industry experts belonging to:

  • Leading Companies
  • Suppliers & Distributors
  • Manufacturers
  • Consumers
  • Industry/Strategic Consultants

Apart from the data validation the primary research also helps in performing the fill gap research, i.e. providing solutions for the unmet needs of the research which helps in enhancing the reports quality.


For more details about research methodology, kindly write to us at info@strategymrc.com

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