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

  • ID: 3614928
  • Report
  • Region: Global
  • 98 Pages
  • Markets and Markets
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Global Healthcare Provider Network Management Market Poised to Reach USD 2.96 Billion by 2020 From USD 1.78 Billion in 2015, Growing at a CAGR of 10.7% During the Forecast Period of 2015 to 2020

FEATURED COMPANIES

  • Aldera, Inc.
  • Ayasdi, Inc.
  • Genpact Limited
  • Infosys BPO, Ltd.
  • Mckesson Corporation
  • Mphasis Limited
  • MORE
The global healthcare provider network management market is poised to reach USD 2.96 billion by 2020 from USD 1.78 billion in 2015, growing at a CAGR of 10.7% during the forecast period of 2015 to 2020.
Provider network management helps payer organizations to manage a provider’s network with greater efficiency for optimal financial results, process claims with greater accuracy (which reduces cost and errors), and increase provider satisfaction. The global healthcare provider network management market is bifurcated into provider network management services and provider network management platform/software segments. The provider network management services segment is further categorized into outsourcing services and internal services.

A provider network consists of a set of doctors, hospitals, and other healthcare providers such as nurse practitioners, therapists, and other clinicians that are a part of the health insurance plan. Provider network management includes database management, credentialing, contracting services, pricing maintenance, and configuration, among others. With the help of provider network management, the payer organization is able to uncover insights which may have been overlooked previously by conventional analytical tools. Provider network management helps in leveraging data obtained in daily operations by payer organizations to identify high-risk providers, create consistency in care delivery, and ensure necessary health insurance coverage for patients.

In 2015, the services segment is expected to account for the largest share of the global healthcare provider network management market, by component. Moreover, 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.

In 2015, North America is expected to account for the largest share of the global healthcare provider network management market, followed by Europe, Asia-Pacific, and the Rest of the World (RoW). The North American market is also likely to witness the highest growth rate of the global healthcare provider network management market in the coming years. North America’s large share and high growth rate 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 market witnesses high competitive intensity, as there are several big and many small firms with similar product offerings. These companies adopt various strategies (expansions, agreements/collaboration/ partnerships, acquisitions, marketing and promotional activities, product enhancements, repositioning, and service launches) to increase their market shares and establish a strong foothold in the global market.

Reasons to Buy the Report:
The report will enrich both established firms as well as new entrants/smaller firms to gauge the pulse of the market, which in turn helps the firms to garner a greater market share. Firms purchasing the report could use any one or a combination of the below-mentioned five strategies (market penetration, product development/innovation, market development, market diversification, and competitive assessment) for strengthening their market shares.
The report provides insights on the following pointers:
- Market Penetration: Comprehensive information on the product portfolios of top players in the healthcare provider network management market. The report analyzes the healthcare provider network management market, by component
- Product Development/Innovation: Detailed insights on upcoming technologies, research and development activities, and new product launches in the healthcare provider network management market
- Market Development: Comprehensive information about the lucrative emerging markets. The report analyzes the markets for various provider network management services and software across regions
- Market Diversification: Exhaustive information about new products, untapped regions, recent developments, and investments in the healthcare provider network management market
- Competitive Assessment: In-depth assessment of market shares, strategies, products, distribution networks, and manufacturing capabilities of the leading players in the healthcare provider network management market
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FEATURED COMPANIES

  • Aldera, Inc.
  • Ayasdi, Inc.
  • Genpact Limited
  • Infosys BPO, Ltd.
  • Mckesson Corporation
  • Mphasis Limited
  • MORE
1 Introduction
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
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
3.1 Introduction
3.2 Current Scenario
3.3 Future Outlook

4 Premium Insights
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
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
6.1 Introduction
6.2 Provider Network Management Services
6.3 Provider Network Management Platforms/Software

7 Healthcare Provider Network Management Market, By Region
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
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
(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
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

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

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
Note: Product cover images may vary from those shown
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- Aldera, Inc.
- Ayasdi, Inc.
- Genpact Limited
- Infosys BPO, Ltd.
- Mckesson Corporation
- Mphasis Limited
- Optum, Inc.
- Syntel, Inc.
- Trizetto Corporation (A Cognizant Company)
- Vestica Healthcare, LLC (A Skygen USA Company)
Note: Product cover images may vary from those shown
6 of 5
Note: Product cover images may vary from those shown
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