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European Markets for Healthcare Payer IT Solutions
Frost & Sullivan, Oct 2005
Adoption of Dedicated Healthcare Payer IT Solutions by Government Bodies Proves a Challenge
By playing a dual role as a healthcare provider as well as a payer, governments in many parts of Europe have attained an overall authority and influence on the functioning of the healthcare system. This predominance is proving a key challenge in the healthcare payer IT solutions markets and despite the acknowledged benefits of IT in the healthcare delivery system, incorporating the same in a government-driven healthcare administrative and reimbursement system remains a challenge. Nevertheless, as the healthcare industry moves towards globalisation, government initiatives are beginning to focus on healthcare reimbursements and administrative systems, assuring better opportunities for vendors of payer IT solutions.
This Frost & Sullivan research service is an analysis of the European markets for healthcare payer IT solutions. It gives an insight into the healthcare infrastructure and reimbursement system across seven main regions in Europe, namely the United Kingdom, Germany, France, Italy, Spain, Scandinavia, and Benelux. Further, challenges faced by the healthcare payer IT vendors looking to enter the European market are highlighted along with existing and potential opportunities.
Improved Reimbursement Turnaround Emerges a Key Driver
The increase in consumer awareness of the functioning of healthcare systems is bringing about a need for more secure and reliable systems. While human error during manual data entry is unavoidable, it is necessary to prevent the same when dealing with crucial information. In this respect, use of technologies such as bar coding and claims validation software, as part of claims management system, counter checks data and thus helps identify error in the preliminary stages of claims submission. Hence, the incorporation of IT healthcare reimbursement system will increase efficiency by reducing errors and this is expected to be a major driver for the uptake of such systems.
Further, vertical integration within the various operating systems in the healthcare environment is driving the need for solutions enabled with clinical, administrative, and financial functionality, notes the analyst of this research service. Claims management solution or the healthcare reimbursement module normally form a part of the administrative system in many hospitals and the need for interoperable systems is expected to further promote the growth of the healthcare payer IT solutions market.
Financial Incentives could Help Promote Payer Modules
While the majority of the healthcare funding bodies or payers across Europe still use legacy systems, the trend towards consolidation and an integrated healthcare delivery system in markets such as the United Kingdom, Germany and Scandinavia is promoting the need for scalable systems. Capitalizing on these opportunities, healthcare payer IT solution vendors need to work in collaboration with payers to emphasise the benefits of the payer IT solutions and encourage implementation. In addition, scalable systems architecture, quantifiable benefits to business processes, and justifiable return on investment are crucial factors that need to be incorporated and implementing financial reward programs could help vendors incentivise healthcare payers to adopt payer modules.
Although the European healthcare industry does not have a full-fledged payer system similar to the U.S. market at present, eHealth initiatives such as health card and the National health record are predicted to drive the European healthcare industry towards a standardised healthcare reimbursement system, says the analyst. Helped by the predominance of a private healthcare system, the French market held the largest share of the payer IT solutions in 2004 with a market share of 37.9 per cent and was followed by the Italian market with 16.1 per cent and the Scandinavian market accounted for 12.8 per cent.
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