HOME Top Market Reports Healthcare Provider Network Management Market by Component (Services (Internal Services, Outsourcing Services), Platform/Software) - Analysis and Global Forecast to 2020

Healthcare Provider Network Management Market by Component (Services (Internal Services, Outsourcing Services), Platform/Software) - Analysis and Global Forecast to 2020

By: marketsandmarkets.com
Publishing Date: February 2016
Report Code: HIT 4056

 

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The global healthcare provider network management market is poised to reach USD 2.96 Billion by 2020, growing at a CAGR of 10.7% during the forecast period of 2015 to 2020. The growth of the overall market can be contributed to implementation of stringent federal mandates in the U.S., growing focus on improving quality of care through the effective use of payer reporting requirements. In the coming years, the global market is expected to witness the highest growth rate in North America region with emphasis on the U.S. North America is also expected to account for the largest share of the global healthcare provider network management market. The high growth in the North America can be attributed to the increase in health insurance coverage triggered by the Patient Protection and Affordable Act (PPACA) in the U.S., the rising need to curtail escalating healthcare costs in the U.S. and Canada, and the government focus on healthcare IT solutions in Canada.

The report segments the global healthcare provider network management market based on component. The global market comprises of services and platforms/software. The services segment is expected to account for the largest share of the global market in 2015. This is attributed to services help build a stronger provider network, reduce the overall costs, improve operational efficiencies, and achieve regulatory compliance.

The services segment is further segmented into outsourcing services and internal services based on the nature of the services. The internal services segment is expected to account for the largest share of provider network management services market, by sub-component. This can be attributed to the fact that internal services help ensure profitability, better provider network management, long-term provider relationships, and regulatory compliance. These advantages are driving the growth of this market segment over outsourcing services.

Some of the key players in the global healthcare provider network management market include Aldera, Inc. (U.S.), Ayasdi, Inc. (U.S.), Genpact Limited (U.S.), Infosys BPO, Ltd. (India), McKesson Corporation (U.S.), Mphasis Limited (India), Optum, Inc. (U.S.), Syntel, Inc. (U.S.), TriZetto Corporation (A cognizant company) (U.S.), and Vestica Healthcare, LLC (A Skygen USA company) (U.S.).

Target Audience of the Healthcare Provider Network Management Market 

  • Healthcare Payers
  • Healthcare IT Solution Providers
  • Healthcare IT Vendors
  • Healthcare IT Services Providers
  • Academic Research Institutes
  • Government Institutes
  • Market Research and Consulting Firms
  • Venture Capitalists and Investors

Scope of the Report:

This research report categorizes the global market into the following segments:

Healthcare Provider Network Management Market, by Component

  • Services
    • Internal Services
    • Outsourcing Services
  • Platforms/Services

Endoscopy Equipment Market, by Region

  • North America
    • U.S.
    • Canada
  • Europe
  • Asia-Pacific
  • Rest of the World (RoW)

Available Customizations

With the given market data, MarketsandMarkets offers customizations as per the company’s specific needs. The following customization options are available for the report:

Company Information

Detailed analysis and profiling of additional market players (up to 5), inclusive of:

  • Business Overview
  • Financial Information
  • Product Portfolio
  • Developments (Last 3 years)

Table of Contents

1 Introduction (Page No. - 12)
    1.1 Objectives of Study
    1.2 Market Definition
    1.3 Market Scope
           1.3.1 Markets Covered
           1.3.2 Years Considered for the Study
    1.4 Currency
    1.5 Limitations
    1.6 Stakeholders

2 Research Methodology (Page No. - 15)
    2.1 Research Methodology Steps
    2.2 Secondary and Primary Research Methodology
           2.2.1 Secondary Research
           2.2.2 Primary Research
           2.2.3 Key Industry Insights
    2.3 Key Data From Primary Sources
    2.4 Key Insights From Primary Sources
    2.5 Market Size Estimation Methodology
    2.6 Market Data Validation and Triangulation
    2.7 Assumptions for the Study

3 Executive Summary (Page No. - 25)
    3.1 Introduction
    3.2 Current Scenario
    3.3 Future Outlook

4 Premium Insights (Page No. - 30)
    4.1 Global Healthcare Provider Network Management Market
    4.2 Global Market, By Component
    4.3 Regional Snapshot
    4.4 Global Healthcare Provider Network Management Services Market, By Subcomponent (2015)

5 Market Overview (Page No. - 34)
    5.1 Introduction
    5.2 Market Dynamics
           5.2.1 Drivers
                    5.2.1.1 Implementation of Stringent Federal Mandates in the U.S.
                    5.2.1.2 Growing Focus on Improving the Quality of Care Through the Effective Use of Payer Reporting Requirements
           5.2.2 Restraints
                    5.2.2.1 High Cost of Deployment
           5.2.3 Opportunities
                    5.2.3.1 Advanced Data Analytics
           5.2.4 Challenge
                    5.2.4.1 Reluctance of Users to Migrate From Legacy Systems

6 Healthcare Provider Network Management Market, By Component (Page No. - 40)
    6.1 Introduction
    6.2 Provider Network Management Services
    6.3 Provider Network Management Platforms/Software

7 Healthcare Provider Network Management Market, By Region (Page No. - 49)
    7.1 Introduction
    7.2 North America
           7.2.1 U.S.
                    7.2.1.1 Increase in Health Insurance Coverage
                    7.2.1.2 Rising Need to Curtail Escalating Healthcare Costs
           7.2.2 Canada
                    7.2.2.1 Government Focus on Healthcare It Solutions
                    7.2.2.2 Need to Curtail Healthcare Costs in Canada
    7.3 Europe
           7.3.1 Government Initiatives to Modernize Healthcare System in Germany
           7.3.2 Increased Focus of Major Players in Europe
    7.4 Asia-Pacific
           7.4.1 Allocation of Unique Id Number to Hospitals Expected to Drive the Provider Network Management Market in India
           7.4.2 Reforms Implemented By the Chinese Government to Benefit the Provider Network Management Market
    7.5 Rest of the World
           7.5.1 Initiatives By Market Players to Enter Emerging Markets Such as Brazil

8 Competitive Landscape (Page No. - 66)
    8.1 Overview
    8.2 Offerings Assessment
           8.2.1 Introduction
    8.3 Competitive Situation and Trends
           8.3.1 Introduction
           8.3.2 Expansion
           8.3.3 Agreements, Collaborations, and Partnerships
           8.3.4 Acquisitions
           8.3.5 Others

9 Company Profiles (Page No. - 74)
(Overview, Financials, Products & Services, Strategy, & Developments)*
    9.1 Introduction
    9.2 Trizetto Corporation (A Cognizant Company)
    9.3 Ayasdi, Inc.
    9.4 Mckesson Corporation
    9.5 Optum, Inc.
    9.6 Genpact Limited
    9.7 Infosys BPO, Ltd.
    9.8 Syntel, Inc.
    9.9 Mphasis Limited
    9.10 Vestica Healthcare, LLC (A Skygen USA Company)
    9.11 Aldera, Inc.

*Details on Financials, Product & Services, Strategy, & Developments Might Not Be Captured in Case of Unlisted Companies.

10 Appendix (Page No. - 92)
     10.1 Discussion Guide
     10.2 Company Developments (2012-2015)
             10.2.1 Trizetto Corporation (A Cognizant Company)
     10.3 Available Customizations
     10.4 Introducing RT: Real-Time Market Intelligence
     10.5 Related Reports


List of Tables (28 Tables)

Table 1 Implementation of Stringent Federal Mandates in the U.S. Driving Market Growth
Table 2 High Cost of Deployment Restraining the Growth of the Market
Table 3 Advanced Data Analytics to Offer Significant Growth Opportunities in the Provider Network Management Market
Table 4 Reluctance of Users to Migrate From Legacy Systems is A Major Challenge in This Market
Table 5 Global Healthcare Provider Network Management Market Size, By Component, 2013-2020 (USD Million)
Table 6 Global Healthcare Provider Network Management Services Market Size, By Type, 2013-2020 (USD Million)
Table 7 Global Healthcare Payers Network Management Services Market Size, By Region, 2013-2020 (USD Million)
Table 8 North America: Healthcare Provider Network Management Services Market Size, By Country, 2013-2020 (USD Million)
Table 9 Global Healthcare Provider Network Management Platforms/Software Market Size, By Region, 2013-2020 (USD Million)
Table 10 North America: Healthcare Provider Network Management Platforms/Software Market Size, By Country, 2013-2020 (USD Million)
Table 11 Global Market Size, By Region, 2013-2020 (USD Million)
Table 12 North America: Market Size, By Component, 2013-2020 (USD Million)
Table 13 North America: Healthcare Provider Network Management Services Market Size, By Subcomponent, 2013-2020 (USD Million)
Table 14 North America: Market Size, By Country, 2013-2020 (USD Million)
Table 15 U.S.: Market Size, By Component, 2013-2020 (USD Million)
Table 16 U.S.: Healthcare Provider Network Management Services Market Size, By Subcomponent, 2013-2020 (USD Million)
Table 17 Canada: Market Size, By Component, 2013-2020 (USD Million)
Table 18 Canada: Healthcare Payers Network Management Services Market Size, By Subcomponent, 2013-2020 (USD Million)
Table 19 Europe: Market Size, By Component, 2013-2020 (USD Million)
Table 20 Europe: Healthcare Provider Network Management Services Market Size, By Subcomponent, 2013-2020 (USD Million)
Table 21 Asia-Pacific: Market Size, By Component, 2013-2020 (USD Million)
Table 22 Asia-Pacific: Healthcare Payers Network Management Services Market Size, By Subcomponent, 2013-2020 (USD Million)
Table 23 RoW: Market Size, By Component, 2013-2020 (USD Million)
Table 24 RoW: Healthcare Provider Network Management Services Market Size, By Subcomponent, 2013-2020 (USD Million)
Table 25 Expansion, 2012-2015
Table 26 Agreements, Collaborations, and Partnerships, 2012-2015
Table 27 Acquisitions, 2012-2015
Table 28 Other Strategies, 2012-2015


List of Figures (37 Figures)

Figure 1 Market Segmentation
Figure 2 Research Methodology Steps
Figure 3 Breakdown of Primary Interviews: By Company Type, Designation, and Region
Figure 4 Market Size Estimation Methodology: Bottom-Up Approach
Figure 5 Market Size Estimation Methodology: Top-Down Approach
Figure 6 Research Design
Figure 7 Data Triangulation Methodology
Figure 8 Provider Network Management Services Market to Witness Highest Growth Rate From 2015 to 2020
Figure 9 Global Market Share, By Component, 2015–2020
Figure 10 North America to Dominate the Global Market in 2015
Figure 11 Geographical Snapshot of the Global Market
Figure 12 Global Healthcare Provider Network Management Services Market, 2015 vs 2020
Figure 13 Growing Focus on Improving Quality to Drive Market Growth
Figure 14 Provider Network Management Services Segment to Dominate the Global Market in 2015
Figure 15 North America to Witness Highest Growth Rate From 2015 to 2020
Figure 16 Outsourcing Segment to Command the Largest Share in 2015
Figure 17 Drivers, Restraints, Opportunities, & Challenges
Figure 18 Global Healthcare Provider Network Management Market, By Component
Figure 19 Provider Network Management Services Segment to Grow at A Higher CAGR
Figure 20 Outsourcing Services Segment to Grow at A Higher CAGR During the Forecast Period
Figure 21 Healthcare Provider Network Management Services Market in North America to Grow at the Highest CAGR
Figure 22 Healthcare Payers Network Management Platforms/Software Market in North America to Witness Highest Growth
Figure 23 North America to Grow at A CAGR of 10.9% During 2015-2020
Figure 24 European Provider Network Management Market to Grow at A CAGR of 9.8% From 2015-2020
Figure 25 Asia-Pacific: Market Overview
Figure 26 RoW: Market Overview
Figure 27 Benchmarking of Key Players
Figure 28 Top 5 Strategies Adopted By Players Over the Last Three Years (2012-2015)
Figure 29 Battle for Market Share: Expansion Was the Key Strategy (2012 -2015)
Figure 30 Geographical Revenue Mix of Key Players in the Market
Figure 31 Trizetto Corporation (A Cognizant Company).: Company Snapshot
Figure 32 Mckesson Corporation: Company Snapshot
Figure 33 Optum, Inc.: Company Snapshot
Figure 34 Genpact Limited: Company Snapshot
Figure 35 Infosys: Company Snapshot
Figure 36 Syntel, Inc.: Company Snapshot
Figure 37 Mphasis Limited: Company Snapshot

The healthcare provider network management market is expected to reach USD 2.96 Billion in 2020 from USD 1.78 Billion in 2015, growing at a CAGR of 10.7%. The market is expected to be dominated by North America, followed by Europe, Asia-Pacific, and the Rest of the World (RoW). North America is expected to grow at the highest rate during the forecast period.

The global healthcare provider network management market is segmented on the basis of component. By component, this market is categorized into services and platforms/software. In 2015, the services segment is estimated to account for the larger share of the market and expected to grow at the fastest rate during the forecast period. The services market is further divided into internal services and outsourcing services. In 2015, the internal services segment is likely to account for the larger share of the services market while the outsourcing services segment is expected to grow at the highest rate from 2015 to 2020.

Implementation of stringent federal mandates in the U.S., growing focus on improving quality of care through the effective use of payer reporting requirements are the major factors driving this market. However, High cost of deployment is likely to restrain the growth of the market. Moreover, Reluctance of users to migrate from legacy systems is likely to pose challenge to the growth of the market.

On the basis of regions, this market is categorized into North America (U.S., and Canada), Europe, Asia-Pacific, and the Rest of the World (RoW) (Latin America, Middle East, and Africa). In 2015, North America is poised to account for the largest share of the healthcare provider network management market, followed by Europe and Asia-Pacific. The North America market is slated to grow at the highest CAGR during the forecast period. The major factors driving market growth in North America include the increase in health insurance coverage triggered by the Patient Protection and Affordable Act (PPACA) in the U.S., the rising need to curtail escalating healthcare costs in the U.S. and Canada, and the government focus on healthcare IT solutions in Canada.

Healthcare Provider Network Management Market

Source: Healthcare Information and Management System Society (HIMSS), The National Association of Software and Services Companies (India), U.S. Department of Health and Human Services, U.S. Census Bureau, National Association of Healthcare Quality, National Health Statistics Group, Centers for Medicare and Medicaid Services (CMS), U.S. Department of Labor, American Health Information Management Association (AHIMA), Canadian Institute for Health Information, World Health Organization (WHO), Healthcare Payer News, Annual Reports, SEC Filings, Press Releases, Company Websites, Investor Presentations, Expert Interviews, and MarketsandMarkets Analysis

Some of the key players in the global healthcare provider network management market include Aldera, Inc. (U.S.), Ayasdi, Inc. (U.S.), Genpact Limited (U.S.), Infosys BPO, Ltd. (India), McKesson Corporation (U.S.), Mphasis Limited (India), Optum, Inc. (U.S.), Syntel, Inc. (U.S.), TriZetto Corporation (A cognizant company) (U.S.), and Vestica Healthcare, LLC (A Skygen USA company) (U.S.).

Available Customizations Title

Client Consult Problem Statement : MnM’s client, a leader IT product and services company, was interested in assessing the global opportunity for healthcare providers market – across various major segments (including services, software, cloud, big data analytics, mobile, social and security) and geographies. Major objectives of the project was studying the overall market dynamics – key drivers, restraints and trends and identifying opportunities for the client.

Solution Provided:

1. Methodology Adopted by MnM :

MnM conducted multi-level, qualitative and quantitative....

1. Methodology Adopted by MnM :

MnM conducted multi-level, qualitative and quantitative study by gathering information mainly from secondary research and MnM repository. Key parameters influencing the market were identified and their trends were studied to get the market numbers. Both, top-down and bottom-up approaches were used to use to derive in-depth market insights. MnM analyzed current & forecast quantitative market information, and developed deep-dive qualitative insights into industry trends & dynamics across each of the target segments.

2. Actual Solution Provided:

   • Qualitative insights – drivers, opportunities and trends
   • Identifying customer priorities and conducting deep-dive analysis based on existing surveys
   • Profiles of key companies
   • Opportunity assessment of major segments – Cloud, Analytics, Mobile, Social and Security
   • Identifying IOT trends across major geographies
   • Strategic insights to the client
   • Sales battle card

Value Delivered:

The client was able to identify the key market segments with high growth opportunities and study its competitors and their strategies.  The study also provided sales battle card to the client which helped them to approach their prospective customers.

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