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Healthcare EDI Market by Component, Transactions, Mode of Delivery & by End-users - Global Forecast to 2018 - Product Image Special Offer Sale Banner

Healthcare EDI Market by Component, Transactions, Mode of Delivery & by End-users - Global Forecast to 2018

  • Published: May 2014
  • Region: Global
  • 208 Pages
  • Markets and Markets
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The Global Healthcare EDI Market was valued at $916.5 million in 2013, expected to grow at a CAGR of 13.7%

FEATURED COMPANIES

  • Capario Inc.
  • Emdeon Inc.
  • Mckesson Corporation
  • Optum Inc.
  • Ssi Group Inc.
  • Zirmed Inc.
  • MORE

'Healthcare EDI Market by Component (EDI Software, EDI Services), Transactions (Claim Status, Eligibility Verification), Mode of Delivery (Web-based EDI, Mobile EDI, EDI Van) & by End-users (Healthcare Payers, Providers) - Global Forecast to 2018'

Electronic Data Interchange (EDI) has helped evolve the healthcare market for claims management and supply chain management to depend from paper based to electronic based mode of transactions. The benefits associated with the use of EDI such as cost reductions and reduced time of transactions has helped improve the acceptance of this technology in the healthcare market.

In this report the global healthcare EDI market is broadly segmented by components, type of transactions, end-users, and mode of delivery. The market based on components are further divided into EDI software and EDI services, whereas, the type of transactions are divided into claims status, eligibility verification, payment remittance, referral certification authorization, enrolment/disenrollment transactions, and premium payments. On the basis of end-users the market is sub-segmented into healthcare payers, healthcare providers, and medical equipment/accessories READ MORE >

1 Introduction
1.1 Objectives Of The Study
1.2 Report Description
1.3 Markets Covered
1.4 Stakeholders
1.5 Research Methodology
1.5.1 Market Size Estimation
1.5.2 Market Crackdown And Data Triangulation
1.5.3 Key Data From Secondary Resources
1.5.4 Key Data Points From Primary Resources
1.5.5 Assumptions

2 Executive Summary

3 Market Dynamics
3.1 Introduction
3.2 Market Segmentation
3.3 Market Dynamics
3.3.1 Key Market Drivers
3.3.1.1 The Healthcare Insurance Portability And Accountability Act, 1996, To Propel The Adoption Of EDI In Healthcare
3.3.1.2 Patient Protection And Affordability Care Act
3.3.1.3 Initiatives By Different Governments For Encouragement Of Healthcare It
3.3.2 Key Market Restraints
3.3.2.1 Data Security—A Major Concern For Patients And EDI Users
3.3.2.2 High Cost Of EDI Software
3.3.2.3 EDI Management—A Major Challenge Inhibiting The Adoption Of EDI
3.3.2.4 Restricted Investments In Healthcare It
3.3.2.5 Limited Reimbursements To Hinder The Growth In The Bric Nations
3.3.3 Key Market Opportunities
3.3.3.1 Increase In The Outsourcing Of EDI Services
3.3.3.2 Conversion From Icd-9 To Icd-10
3.3.4 Key Market Trends
3.3.4.1 Increasing Use Of EDI In Healthcare Manufacturing/Distribution Industry
3.3.4.2 Gradual Acceptance Of Mobile EDI
3.4 Evolution Of EDI And Its Future
3.5 Benefits Of EDI In Healthcare Industry
3.5.1 Quicker Payment Of Claims And Detection Of Errors
3.5.2 Reduced Administrative And Handling Costs
3.5.3 Access To All Electronic Hipaa-Compliant Transactions
3.5.4 Other Benefits To Medicare “A” Providers
3.6 EDI Standards For Healthcare Industry
3.7 Market Share Analysis

4 Healthcare EDI Market, By Product
4.1 Introduction
4.2 Healthcare EDI Market, By Component
4.2.1 Software
4.2.2 Services
4.3 Healthcare EDI Market, By Type Of Transaction
4.3.1 Claim Status
4.3.2 Eligibility Verification
4.3.3 Payment Remittance
4.3.4 Referral Certification Authorization
4.3.5 Enrollment/Disenrollment Transactions
4.3.6 Premium Payments
4.4 Healthcare EDI Market, By Mode Of Delivery
4.4.1 Web-Based EDI/EDI Cloud
4.4.2 EDI Via As2
4.4.3 Point-To-Point EDI
4.4.4 EDI Van
4.4.5 Mobile EDI

Healthcare EDI Market, By End User
5.1 Introduction
5.2 Healthcare Providers
5.2.1 Healthcare Payers
5.2.2 Government/Public Payers
5.2.3 Private Payers
5.3 Medical Equipment And Accessories Suppliers/Pharmacies

6 Geographic Analysis
6.1 Introduction
6.2 North America
6.2.1 U.S.
6.2.2 Canada
6.3 Europe
6.4 Asia
6.5 Rest Of The World

7 Competitive Landscape
7.1 Introduction
7.1.1 New Product Launches
7.1.2 Mergers And Acquisitions
7.1.3 Agreements, Alliances, Collaborations, Joint Ventures, And Partnerships
7.1.4 Other Developments

8 Company Profiles
(Overview, Financials, Products & Services, Strategy, & Developments)*
8.1 Allscripts Healthcare Solutions Inc.
8.2 Capario Inc.
8.3 Emdeon Inc.
8.4 Ge Healthcare (A Division Of General Electric Company)
8.5 Mckesson Corporation
8.6 Optum Inc.
8.7 Passport Health Communications Inc.
8.8 Siemens Healthcare (Subsidiary Of Siemens Ag.)
8.9 Ssi Group Inc.
8.10 Zirmed Inc.

*Details On Financials, Product & Services, Strategy, & Developments Might Not Be Captured In Case Of Unlisted Companies.
Appendix

List Of Tables (54)

Table 1 Global Healthcare EDI Market, By Component, 2011–2018 ($Million)
Table 2 Global Healthcare EDI Software Market, By Geography, 2011–2018 ($Million)
Table 3 Global Healthcare EDI Services Market, By Geography, 2011–2018 ($Million)
Table 4 Global Healthcare EDI Market, By Type Of Transaction, 2011–2018 ($Million)
Table 5 Global Healthcare Claim Status Market, By Geography, 2011-2018 ($Million)
Table 6 Global Healthcare Eligibility Verification Market, By Geography, 2011–2018 ($Million)
Table 7 Global Healthcare Payment Remittance Market, By Geography, 2011–2018 ($Million)
Table 8 Global Healthcare Referral Certification Authorization Market, By Geography, 2011–2018, ($Million)
Table 9 Global Healthcare Enrollment/Disenrollment Transactions Market, By Geography, 2011–2018 ($Million)
Table 10 Global Healthcare Premium Payments Market, By Geography, 2011–2018 ($Million)
Table 11 Global Healthcare EDI Market, By Mode Of Delivery, 2011–2018 ($Million)
Table 12 Web-Based EDI/EDI Cloud Market, By Geography, 2011–2018 ($Million)
Table 13 EDI Via As2 Market, By Geography, 2011–2018 ($Million)
Table 14 Point-To-Point EDI Market, By Geography, 2011–2018 ($Million)
Table 15 EDI Van Market, By Geography, 2011–2018, ($Million)
Table 16 Mobile Healthcare EDI Market, By Geography, 2011–2018 ($Million)
Table 17 Global Healthcare EDI Market, By End User, 2011–2018 ($Million)
Table 18 Global Healthcare EDI Market For Healthcare Providers (Hospitals), By Geography, 2011–2018 ($Million)
Table 19 Global Healthcare EDI Market For Healthcare Payers, By Geography, 2011–2018 ($Million)
Table 20 Global Healthcare EDI Market For Government/Public Payers, By Geography, 2011-2018 ($Million)
Table 21 Global Healthcare EDI Market For Private Payers, By Geography, 2011–2018 ($Million)
Table 22 Global Healthcare EDI Market For Medical Equipment And Accessories Suppliers/Pharmacies, By Geography, 2011–2018 ($Million)
Table 23 Healthcare EDI Market, By Geography, 2011–2018 ($Million)
Table 24 North America: Healthcare EDI Market, By Country, 2011–2018 ($Million)
Table 25 North America: Healthcare EDI Market, By Component, 2011–2018 ($Million)
Table 26 North America: Healthcare EDI Market, By Type Of Transaction, 2011–2018 ($Million)
Table 27 North America: Healthcare EDI Market, By Mode Of Delivery, 2011–2018 ($Million)
Table 28 North America: Healthcare EDI Market, By End User, 2011–2018 ($Million)
Table 29 U.S.: Healthcare EDI Market, By Component, 2011–2018 ($Million)
Table 30 U.S.: Healthcare EDI Market, By Type Of Transaction, 2011–2018 ($Million)
Table 31 U.S.: Healthcare EDI Market, By Mode Of Delivery, 2011–2018 ($Million)
Table 32 U.S.: Healthcare EDI Market, By End User, 2011–2018 ($Million)
Table 33 U.S.: Healthcare Payers Market, By Type Of Payer, 2011–2018 ($Million)
Table 34 Canada: Healthcare EDI Market, By Component, 2011–2018 ($Million)
Table 35 Canada: Healthcare EDI Market, By Type Of Transaction, 2011–2018 ($Million)
Table 36 Canada: Healthcare EDI Market, By Mode Of Delivery, 2011–2018 ($Million)
Table 37 Canada: Healthcare EDI Market, By End User, 2011–2018 ($Million)
Table 38 Europe: Healthcare EDI Market, By Component, 2011–2018 ($Million)
Table 39 Europe: Healthcare EDI Market, By Type Of Transaction, 2011–2018 ($Million)
Table 40 Europe: Healthcare EDI Market, By Mode Of Delivery, 2011–2018 ($Million)
Table 41 Europe: Healthcare EDI Market, By End User, 2011–2018 ($Million)
Table 42 Asia: Healthcare EDI Market, By Component, 2011–2018 ($Million)
Table 43 Asia: Healthcare EDI Market, By Type Of Transaction, 2011–2018 ($Million)
Table 44 Asia: Healthcare EDI Market, By Mode Of Delivery, 2011–2018 ($Million)
Table 45 Asia: Healthcare EDI Market, By End User, 2011–2018 ($Million)
Table 46 Row: Healthcare EDI Market, By Component, 2011–2018 ($Million)
Table 47 Row: Healthcare EDI Market, By Type Of Transaction, 2011–2018 ($Million)
Table 48 Row: Healthcare EDI Market, By Mode Of Delivery, 2011–2018 ($Million)
Table 49 Row: Healthcare EDI Market, By End User, 2011–2018 ($Million)
Table 50 Growth Strategy Matrix, 2011–2014
Table 51 New Product Launches, 2011–2014
Table 52 Mergers And Acquisitions, 2011–2014
Table 53 Agreements, Alliances, Collaborations, Joint Ventures, And Partnerships, 2011–2014 132""
Table 54 Other Developments, 2011–2014 133

List Of Figures

Figure 1 Research Methodology
Figure 2 Market Size Estimation Methodology
Figure 3 Data Triangulation Methodology
Figure 4 Global Healthcare EDI Market, By Type Of Transaction, 2013 Vs. 2018 ($Million)
Figure 5 Global Healthcare EDI Market, By Mode Of Delivery, 2013 Vs. 2018 ($Million)
Figure 6 Global Healthcare EDI Market Revenue Trend, 2011–2018 ($Million)
Figure 7 Market Segmentation
Figure 8 Market Dynamics
Figure 9 Evolution Of EDI
Figure 10 Global Healthcare EDI Market Share, By Key Players, 2013
Figure 11 Healthcare EDI Market, By Product
Figure 12 Healthcare EDI Market, By End Users
Figure 13 Key Growth Strategies, 2011-2014
Figure 14 Allscripts: Revenue Segmentation, 2013
Figure 15 Allscripts: Total Revenue, 2011–2013
Figure 16 Allscripts: Total Revenue, By Segments, 2013
Figure 17 Allscripts: Total Revenue, By Geography, 2013
Figure 18 Emdeon: Revenue Segmentation, 2012
Figure 19 Emdeon: Total Revenue, 2010-2012 ($Million)
Figure 20 Emdeon: Total Revenue, By Segments, 2012
Figure 21 Payer Services: Total Revenue, By Sub-Segments, 2012
Figure 22 Payment Services: Total Revenue, By Sub-Segments, 2012
Figure 23 Ge: Revenue Segmentation, 2013
Figure 24 Ge: Total Revenue, 2011–2013 ($Million)
Figure 25 Ge: Total Revenue, By Segments, 2013
Figure 26 Ge: Total Revenue, By Geography, 2013
Figure 27 Mckesson: Revenue Segmentation, 2013
Figure 28 Mckesson: Total Revenue, 2011-2013 ($Billion)
Figure 29 Mckesson: Total Revenue, By Segments, 2013
Figure 30 Mckesson: Total Revenue, By Geography, 2013
Figure 31 Optum: Total Revenue, 2011-2013 ($Million)
Figure 32 Optum: Total Revenue, By Segments, 2013
Figure 33 Siemens Ag: Total Revenue, 2011–2013, ($Billion)
Figure 34 Siemens Ag: Total Revenue, By Segments, 2013
Figure 35 Siemens Ag: Total Revenue, By Geography, 2013

Electronic data interchange (EDI) is the automated transfer of data as per specific format between healthcare providers and payers for better claims management, and also between healthcare organizations and medical equipment or accessories suppliers for better management of supply chain.

EDI has been increasingly embraced by the healthcare industry, and is experiencing a growth due to various advantages associated with its use like reduction of the administration costs, reduced errors and time for transfer of claims, and initiatives by various governments. The passing of the Obamacare Act in 2010, in the United States has mandated the use of enrolment/disenrollment transactions between the payers and providers in the U.S., with the North American market contributing the maximum share of the global healthcare EDI market. The European market also occupies a significant share of the global healthcare EDI market, with the Asian regions showing the maximum growth due to various factors like large population, growing burden of diseases, and government initiatives for the support of healthcare IT in these regions.

The global healthcare EDI market is segmented on the basis of components, type of transactions, end users, mode of deliveries, and geographies. The market based on components are further divided into EDI software and EDI services, whereas, the type of transactions are divided into claims status, eligibility verification, payment remittance, referral certification authorization, enrolment/disenrollment transactions, and premium payments. On the basis of end-users the market is sub-segmented into healthcare payers, healthcare providers, and medical equipment/accessories suppliers. Based on mode of deliveries, the market is divided into web-based EDI, point-to-point EDI, mobile EDI, EDI VAN, and EDI via AS2.

The North American market commanded the highest share of 70.3% in 2013, expected to grow at a rate of 12.9% from 2013 to 2018 followed by the Europe and Asia. As the Asian market is relatively new to healthcare EDI, the market share of this region is not expected to change significantly in the next five years. However, the increasing number of government initiatives towards implementation of IT in the healthcare industry will propel the demand for healthcare IT solutions, which in turn will drive the healthcare EDI market at a greater than average CAGR during 2013 and 2018.

The prominent players in the global healthcare EDI market include Emdeon Inc. (U.S.), Allscripts (U.S.), Mckesson (U.S.), Optum Health (U.S.), GE Healthcare (U.K.), Siemens Healthcare (Germany), SSI Group (U.S.), ZirMed (U.S.), Passport Health communications (U.S.), and Capario (U.S.).

- Allscripts Healthcare Solutions Inc.
- Capario Inc.
- Emdeon Inc.
- Ge Healthcare (A Division Of General Electric Company)
- Mckesson Corporation
- Optum Inc.
- Passport Health Communications Inc.
- Siemens Healthcare (Subsidiary Of Siemens Ag.)
- Ssi Group Inc.
- Zirmed Inc.

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