Healthcare EDI Market by Component (Solution, Service), Delivery Mode (Web & Cloud, Mobile) Transaction Type (Claims Management, Remittance, Payment, Healthcare Supply Chain), End User (Healthcare Provider, Payer, Pharmacy) - Global Forecast to 2022

  • ID: 4310758
  • Report
  • Region: Global
  • 174 Pages
  • Markets and Markets
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The Global Healthcare EDI Market is Projected to Reach USD 3.77 Billion by 2022 from USD 2.56 Billion in 2017 at a CAGR of 8.1%

FEATURED COMPANIES

  • 123 EDI (U.S.)
  • B2bgateway (U.S.)
  • Comarch Sa (Poland)
  • EDItel Group (Austria)
  • Experian PLC (Ireland)
  • Optum Inc. (U.S.)
  • MORE

The global healthcare EDI market is estimated to grow at a CAGR of 8.1% from 2017 to 2022, to reach USD 3.77 billion by 2022. The growth of this market is driven by the rising need to reduce healthcare expenditure, the development of mandatory regulations for EDI transaction processes, and government support for HCIT implementation. However, data security and the high implementation cost of EDI software are expected to restrain the growth of this market to a certain extent during the forecast period.

“Mobile EDI segment is expected to register the highest CAGR during the forecast period.”

On the basis of delivery mode, the healthcare EDI market is segmented into web & cloud-based EDI, EDI VAN, point-to-point EDI, and mobile EDI. The mobile EDI segment is expected to register the highest CAGR during the forecast period owing to the technological upgrades in the healthcare industry and growing acceptance of mobile solutions among healthcare providers.

“Healthcare payers segment is expected to grow at the highest CAGR during 2017 to 2022.”

Based on end user, the healthcare EDI market is segmented into healthcare providers, healthcare payers, medical device & pharmaceutical industry, and pharmacies. The healthcare payers segment is expected to grow at the highest CAGR during the forecast period due to the increasing number of private insurance players in the market.

“APAC is projected to witness the highest growth during the forecast period.”

North America held the largest share of the global healthcare EDI market in 2016. On the other hand, the Asia-Pacific region is expected to witness the highest CAGR during the forecast period, owing to the growing need to manage large volume of patient data, need to curb healthcare costs, implementation of HCIT programs, and investments & reforms to modernize the APAC healthcare system.

Break of primary participants was as mentioned below:

  • By Company Type - Tier 1-33%, Tier 2-45% and Tier 3-22%
  • By Designation - C-level-11%, Director Level-45%, Others-44%
  • By Region - North America - 34%, Europe-22%, Asia-Pacific-33%, RoW-11%

Some of the major market players in the healthcare EDI market are McKesson Corporation (U.S.), GE Healthcare (U.S.), Allscripts Healthcare Solutions Inc. (U.S.), Cognizant Technology Corporation (U.S.), SSI Group, LLC (U.S.), Cerner Corporation (U.S.), Comarch SA (Poland), Axway Software SA (France), Optum Inc. (U.S.), Dell Technologies Inc. (U.S.), Quality Systems Inc. (U.S.), and Synnex Corporation (U.S.).

Research Coverage:

The report analyzes the various types of solutions and services and their adoption pattern. It aims at estimating the market size and future growth potential of the global healthcare EDI market for different segments such as component, delivery mode, transaction type, end user, and region. The report also includes an in-depth competitive analysis of the key players in this market along with their company profiles, product offerings, recent developments, and key market strategies.

Reasons to Buy the Report

The report will enrich established firms as well as new entrants/smaller firms to gauge the pulse of the market, which in turn would help them, garner a greater share. Firms purchasing the report could use one or any combination of the below-mentioned five strategies for strengthening the market.

This report provides insights on the following pointers:

  • Market Penetration: Comprehensive information on product portfolios offered by the top players in the global healthcare EDI market. The report analyzes the global healthcare EDI market by component, delivery mode, transaction type, end user, and region
  • Product Development/Innovation: Detailed insights on upcoming trends and new product launches in the global healthcare EDI market
  • Market Development: Comprehensive information on the lucrative emerging regions by component, delivery mode, transaction type, end user, and region
  • Market Diversification: Exhaustive information about new products, growing geographies, and recent developments in the global healthcare EDI market
  • Competitive Assessment: In-depth assessment of market shares, growth strategies, and products of leading players in the global healthcare EDI market
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FEATURED COMPANIES

  • 123 EDI (U.S.)
  • B2bgateway (U.S.)
  • Comarch Sa (Poland)
  • EDItel Group (Austria)
  • Experian PLC (Ireland)
  • Optum Inc. (U.S.)
  • MORE
1 Introduction
1.1 Objectives of the Study
1.2 Market Definition
1.3 Market Scope
1.3.1 Markets Covered
1.3.2 Years Considered for the Study
1.4 Limitations
1.5 Currency
1.6 Stakeholders

2 Research Methodology
2.1 Research Approach
2.1.1 Secondary Sources
2.1.1.1 Key Data From Secondary Sources
2.1.2 Primary Sources
2.1.2.1 Breakdown of Primaries
2.1.2.2 Key Data From Primary Sources
2.1.2.3 Key Industry Insights
2.2 Market Size Estimation
2.3 Market Breakdown and Data Triangulation
2.4 Assumptions for the Study

3 Executive Summary

4 Premium Insights
4.1 Healthcare EDI: Market Overview
4.2 Healthcare EDI: Market, By Delivery Mode & By End User
4.3 Healthcare EDI: Market: Geographic Snapshot
4.4 Healthcare EDI: Geographic Mix

5 Market Overview
5.1 Introduction
5.2 Market Dynamics
5.2.1 Key Market Drivers
5.2.1.1 Regulations for Transaction Processes
5.2.1.2 Rising Need to Curtail Healthcare Costs
5.2.1.3 Government Support for Hcit
5.2.2 Market Restraints
5.2.2.1 Data Security - A Major Concern for Patients and EDI Users
5.2.2.2 High Implementation Cost of EDI Software
5.2.3 Market Opportunities
5.2.3.1 Increase in Outsourcing of EDI Services
5.2.3.2 Introduction of ICD-11 Guidelines
5.2.4 Market Challenges
5.2.4.1 Hesitancy to Switch From Conventional Methods
5.2.4.2 End-User Limitations and Requirements

6 Industry Insights
6.1 Evolution of EDI
6.2 Healthcare EDI Standards
6.2.1 Ansi X12
6.2.2 EDIfact
6.2.3 Others
6.3 Healthcare EDI and Value Based Care
6.4 Industry Trends
6.4.1 Growing Focus on Integration Platform as A Service (IPAAS)
6.4.2 Increasing Use of EDI in Healthcare Manufacturing/ Distribution Industry
6.4.3 Budgetary Constraints and Cost Cutting Measures are Driving European Hospitals to Adopt EDI Solutions in Order to Optimize Their Procurement Operations and Improve Efficiency

7 Global Healthcare EDI Market, By Component
7.1 Introduction
7.2 Services
7.3 Solutions

8 Global Healthcare EDI Market, By Delivery Mode
8.1 Introduction
8.2 Web & Cloud-Based EDI
8.3 EDI Van
8.4 Point-To-Point EDI
8.5 Mobile EDI

9 Global Healthcare EDI Market, By Transaction Type
9.1 Introduction
9.2 Claims Management
9.2.1 Claims Submission
9.2.2 Claim Status
9.2.3 Eligibility Verification
9.2.4 Claim Payment
9.2.5 Referral Certification & Authorization
9.2.6 Payment Remittance
9.2.7 Other EDI Transaction
9.3 Healthcare Supply Chain

10 Global Healthcare EDI Market, By End User
10.1 Introduction
10.2 Healthcare Providers
10.3 Healthcare Payers
10.4 Medical Device & Pharmaceutical Industries
10.5 Pharmacies

11 Global Healthcare EDI Market, By Region
11.1 Introduction
11.2 North America
11.2.1 U.S.
11.2.2 Canada
11.3 Europe
11.4 Asia-Pacific
11.5 Rest of the World

12 Competitive Landscape
12.1 Vendor Dive Overview
12.1.1 Vanguards
12.1.2 Innovators
12.1.3 Emerging
12.1.4 Dynamic
12.2 Product Matrix: Healthcare EDI Market
12.3 Competitive Benchmarking
12.3.1 Analysis of Product Portfolio of Major Players in the Healthcare EDI Market (25 Players)
12.3.2 Business Strategies Adopted By Major Players in the Healthcare EDI Market (25 Players)

*Top 25 Companies Analysed for This Study are - Mckesson Corporation (U.S.), Ge Healthcare (U.S.), Allscripts Healthcare Solutions Inc. (U.S.), and Cognizant Technology Corporation (U.S.), the SSI Group, LLC (U.S.), Comarch Sa (Poland), Axway Software Sa (France), Amosoft, LLC (U.S.), and Zirmed Inc. (U.S.), Experian PLC (Ireland), B2bgateway (U.S.), Dicentral Corporation (U.S.), EDIcom International (Spain), 123 EDI (U.S.), Esker Sa (France), Healthasyst Pvt. Ltd. (India), Ebridge Connections (Canada), EDItel Group (Austria), Plexis Healthcare Systems, Inc. (U.S.), Quality Systems Inc. (U.S.), Synnex Corporation (U.S.), and Covalentworks, Lp (U.S.), Cerner Corporation (U.S.), Optum Inc. (U.S.), and Dell Technologies Inc. (U.S.)

13 Company Profiles
(Overview, Products and Services, Financials, Strategy & Development)*
13.1 GE Healthcare
13.2 Mckesson Corporation
13.3 Optum, Inc. (A Subsidiary of Unitedhealth Group Inc.)
13.4 Experian PLC
13.5 Cerner Corporation
13.6 Allscripts Healthcare Solutions, Inc.
13.7 Cognizant Technology Solutions Corporation
13.8 Quality Systems Inc.
13.9 Synnex Corporation
13.10 Dell Technologies Inc.
13.11 SSI Group LLC
13.12 Zirmed Inc.

*Details on Overview, Products and Services, Financials, Strategy & Development Might Not Be Captured in Case of Unlisted Companies.

14 Appendix
14.1 Insights of Industry Experts
14.2 Discussion Guide

List of Tables

Table 1 Impact Analysis: Market Drivers
Table 2 Impact Analysis: Market Restraints
Table 3 Impact Analysis: Market Opportunities
Table 4 Impact Analysis: Market Challenges
Table 5 Healthcare EDI: Major Transaction Types
Table 6 Global Healthcare EDI Market Size, By Component, 2015-2022 (USD Million)
Table 7 Global Healthcare EDI Services Market Size, By Region, 2015-2022 (USD Million)
Table 8 North America Healthcare EDI Services Market Size, By Country, 2015-2022 (USD Million)
Table 9 Global Healthcare EDI Solutions Market Size, By Region, 2015-2022 (USD Million)
Table 10 North America Healthcare EDI Solutions Market Size, By Country, 2015-2022 (USD Million)
Table 11 Global Market Size, By Delivery Mode, 2015-2022 (USD Million)
Table 12 Global Web & Cloud-Based EDI Market Size, By Region, 2015-2022 (USD Million)
Table 13 North America Web & Cloud-Based EDI Market Size, By Country, 2015-2022 (USD Million)
Table 14 Global EDI Van Market Size, By Region, 2015-2022 (USD Million)
Table 15 North America EDI Van Market Size, By Country, 2015-2022 (USD Million)
Table 16 Global Point-To-Point EDI Market Size, By Region, 2015-2022 (USD Million)
Table 17 North America Point-To-Point EDI Market Size, By Country, 2015-2022 (USD Million)
Table 18 Global Mobile EDI Market Size, By Region, 2015-2022 (USD Million)
Table 19 North America Mobile EDI Market Size, By Country, 2015-2022 (USD Million)
Table 20 Global Market Size, By Transaction Type, 2015-2022 (USD Million)
Table 21 Global Claims Management EDI Market Size, By Transaction Type, 2015-2022 (USD Million)
Table 22 Claims Management EDI Market Size, By Region, 2015-2022 (USD Million)
Table 23 North America Claims Management EDI Market Size, By Country, 2015-2022 (USD Million)
Table 24 Claims Submission EDI Market Size, By Region, 2015-2022 (USD Million)
Table 25 North America Claims Submission EDI Market Size, By Country, 2015-2022 (USD Million)
Table 26 Global Claim Status EDI Market Size, By Region, 2015-2022 (USD Million)
Table 27 North America Claim Status EDI Market Size, By Country, 2015-2022 (USD Million)
Table 28 Global Eligibility Verification EDI Market Size, By Region, 2015-2022 (USD Million)
Table 29 North America Eligibility Verification EDI Market Size, By Country, 2015-2022 (USD Million)
Table 30 Global Claim Payment EDI Market Size, By Region, 2015-2022 (USD Million)
Table 31 North America Claim Payment EDI Market Size, By Country, 2015-2022 (USD Million)
Table 32 Global Referral Certification & Authorization EDI Market Size, By Region, 2015-2022 (USD Million)
Table 33 North America Referral Certification & Authorization EDI Market Size, By Country, 2015-2022 (USD Million)
Table 34 Global Payment Remittance EDI Market Size, By Region, 2015-2022 (USD Million)
Table 35 North America Payment Remittance EDI Market Size, By Country, 2015-2022 (USD Million)
Table 36 Global Other EDI Transactions Market Size, By Region, 2015-2022 (USD Million)
Table 37 North America Other EDI Transactions Market Size, By Country, 2015-2022 (USD Million)
Table 38 Global Healthcare Supply Chain EDI Market Size, By Region, 2015-2022 (USD Million)
Table 39 North America Healthcare Supply Chain EDI Market Size, By Country, 2015-2022 (USD Million)
Table 40 Global Market Size, By End User, 2015-2022 (USD Million)
Table 41 Global Market Size for Healthcare Providers, By Region, 2015-2022 (USD Million)
Table 42 North America Market Size for Healthcare Providers, By Country, 2015-2022 (USD Million)
Table 43 Global Market Size for Healthcare Payers, By Region, 2015-2022 (USD Million)
Table 44 North America Market Size for Healthcare Payers, By Country, 2015-2022 (USD Million)
Table 45 Global Market Size for Medical Device & Pharmaceutical Industries, By Region, 2015-2022 (USD Million)
Table 46 North America Market Size for Medical Device & Pharmaceutical Industries, By Country, 2015-2022 (USD Million)
Table 47 Global Healthcare EDI Market Size for Pharmacies, By Region, 2015-2022 (USD Million)
Table 48 North America Market Size for Pharmacies, By Country, 2015-2022 (USD Million)
Table 49 Global Market Size, By Region, 2015-2022 (USD Million)
Table 50 North America: Healthcare Expenditure Analysis, By Country
Table 51 North America: Healthcare EDI Market Size, By Country, 2015-2022 (USD Million)
Table 52 North America: Market Size, By Component, 2015-2022 (USD Million)
Table 53 North America: EDI Market Size, By Delivery Mode, 2015-2022 (USD Million)
Table 54 North America: EDI Market Size, By Transaction Type, 2015-2022 (USD Million)
Table 55 North America: Healthcare Claims Management Transaction Market Size, By Type, 2015-2022 (USD Million)
Table 56 North America: Healthcare EDI Market Size, By End User, 2015-2022 (USD Million)
Table 57 U.S.: Healthcare EDI Market Size, By Component, 2015-2022 (USD Million)
Table 58 U.S.: Market Size, By Delivery Mode, 2015-2022 (USD Million)
Table 59 U.S.: Market Size, By Transaction Type, 2015-2022 (USD Million)
Table 60 U.S.: Healthcare Claims Management Transaction Market Size, By Type, 2015-2022 (USD Million)
Table 61 U.S.: Market Size, By End User, 2015-2022 (USD Million)
Table 62 Canada: Healthcare EDI Market Size, By Component, 2015-2022 (USD Million)
Table 63 Canada: Market Size, By Delivery Mode, 2015-2022 (USD Million)
Table 64 Canada: Market Size, By Transaction Type, 2015-2022 (USD Million)
Table 65 Canada: Healthcare Claims Management Transaction Market Size, By Type, 2015-2022 (USD Million)
Table 66 Canada: Market Size, By End User, 2015-2022 (USD Million)
Table 67 Europe: Market Size, By Component, 2015-2022 (USD Million)
Table 68 Europe: Market Size, By Delivery Mode, 2015-2022 (USD Million)
Table 69 Europe: Market Size, By Transaction Type, 2015-2022 (USD Million)
Table 70 Europe: Healthcare Claims Management Transaction Market Size, By Type, 2015-2022 (USD Million)
Table 71 Europe: Market Size, By End User, 2015-2022 (USD Million)
Table 72 APAC: Healthcare EDI Market Size, By Component, 2015-2022 (USD Million)
Table 73 APAC: Market Size, By Delivery Mode, 2015-2022 (USD Million)
Table 74 APAC: Market Size, By Transaction Type, 2015-2022 (USD Million)
Table 75 APAC: Healthcare Claims Management Transaction Market Size, By Type, 2015-2022 (USD Million)
Table 76 APAC: Market Size, By End User, 2015-2022 (USD Million)
Table 77 RoW: Healthcare EDI Market Size, By Component, 2015-2022 (USD Million)
Table 78 RoW: Market Size, By Delivery Mode, 2015-2022 (USD Million)
Table 79 RoW: Market Size, By Transaction Type, 2015-2022 (USD Million)
Table 80 RoW: Healthcare Claims Management Transaction Market Size, By Type, 2015-2022 (USD Million)
Table 81 RoW: Market Size, By End User, 2015-2022 (USD Million)

List of Figures

Figure 1 Healthcare EDI Market Segmentation
Figure 2 Research Design
Figure 3 Breakdown Of Primary interviews: By Company Type, Designation, and Region
Figure 4 Bottom-Up Approach
Figure 5 top-Down Approach
Figure 6 Data Triangulation Methodology
Figure 7 Global Healthcare EDI Market Size, By Component, 2017 Vs. 2022 (USD Million)
Figure 8 Global Healthcare EDI Market Size, By Delivery Mode, 2017 Vs. 2022 (USD Million)
Figure 9 Global Healthcare EDI Market Size, By Transaction Type, 2017 Vs. 2022 (USD Million)
Figure 10 Global Healthcare EDI Market, By End User, 2017 Vs. 2022 (USD Million)
Figure 11 Geographic Snapshot Of Global Healthcare EDI Market
Figure 13 Web & Cloud-Based EDI Commanded The Largest Share Of The Healthcare EDI Market in 2016
Figure 14 U.S. Accounted For The Largest Share Of The Healtcare EDI Market in 2016
Figure 16 Healthcare EDI Market: Drivers, Restraints, Opportunities, & Challenges
Figure 17 Healthcare EDI Spending On Claims-Related Business Transactions
Figure 18 Evolution Of Healthcare EDI
Figure 19 Value Based Care Through Efficient Data Exchange
Figure 20 Focus On EDI in Healthcare Manufacturing & Distribution industry and Ipaas Are The Major Trends in The Market
Figure 21 Services Segment Will Continue to Dominate The Healthcare EDI Market in 2022
Figure 22 Web & Cloud-Based EDI Segment to Dominate The Healthcare EDI Market in 2017
Figure 23 Claims Management Segment to Dominate The Healthcare EDI Market in 2017
Figure 24 Claims Submission Segment to Dominate The Claims Management Market in 2017
Figure 25 Healthcare Providers to Dominate The Healthcare EDI Market in 2017
Figure 26 Healthcare EDI Market: Geographic Snapshot
Figure 27 North America: Healthcare EDI Market Snapshot
Figure 28 Europe: Healthcare EDI Market Snapshot
Figure 29 Dive Chart
Figure 30 Ge Healthcare: Company Snapshot (2016)
Figure 31 Mckesson Corporation: Company Snapshot (2016)
Figure 32 Optum, Inc.: Company Snapshot (2016)
Figure 33 Experian Plc: Company Snapshot (2016)
Figure 34 Cerner Corporation: Company Snapshot (2016)
Figure 35 Allscripts Healthcare Solutions Inc.: Company Snapshot (2016)
Figure 36 Cognizant Technology Solutions Corporation: Company Snapshot (2016)
Figure 37 Quality Systems Inc.: Company Snapshot (2016)
Figure 38 Synnex Corporation: Company Snapshot (2016)
Figure 39 Dell Technologies Inc.: Company Snapshot (2016)
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  • 123 EDI (U.S.)
  • Allscripts Healthcare Solutions Inc. (U.S.)
  • Amosoft LLC (U.S.)
  • Axway Software Sa (France)
  • B2bgateway (U.S.)
  • Cerner Corporation (U.S.)
  • Cognizant Technology Corporation (U.S.)
  • Comarch Sa (Poland)
  • Covalentworks Lp (U.S.)
  • Dell Technologies Inc. (U.S.)
  • Dicentral Corporation (U.S.)
  • EDIcom International (Spain)
  • EDItel Group (Austria)
  • Ebridge Connections (Canada)
  • Esker Sa (France)
  • Experian PLC (Ireland)
  • Ge Healthcare (U.S.)
  • Healthasyst Pvt. Ltd. (India)
  • Mckesson Corporation (U.S.)
  • Optum Inc. (U.S.)
  • Plexis Healthcare Systems Inc. (U.S.)
  • Quality Systems Inc. (U.S.)
  • Synnex Corporation (U.S.)
  • The SSI Group LLC (U.S.)
  • Zirmed Inc. (U.S.)
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