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Healthcare EDI Market - Growths, Trends, and Forecasts (2020 - 2025)

  • ID: 5175175
  • Report
  • August 2020
  • Region: Global
  • 112 pages
  • Mordor Intelligence
until Dec 31st 2020
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  • Cognizant
  • Emdeon Inc.
  • GE Healthcare
  • McKesson Corporation
  • Optum Inc.
  • Quadax Inc.
  • MORE
Healthcare electronic data interchange (EDI) can be defined as a structured method, to transmit healthcare data between computer and data management systems. Recent government initiatives supporting healthcare, resulting in efforts and concerns regarding adopting EDI systems, especially in the developed countries, as well as emerging countries, are the biggest drivers of the healthcare EDI market. Management, processing, and transfer of the healthcare data, such as patient credentials, medication and diagnostic data, and emergency service records, have previously been a resource-intensive and time-consuming task. However, following the digitalization, EDI has helped to manage this huge amount of data in a systematic, efficient, and accessible manner.

Moreover, other factors, such as the emergence of Big Data analytics, favorable policy implementation, and the initiatives and incentive programs launched by different organizations to promote healthcare IT, are driving the growth of the market.

Key Market Trends

Software Segment in by Component Expected to Register a Robust Growth in the Forecast Period

Software is a major component of the entire electronic data interchange process, which includes multiple things for the management of healthcare facilities, globally. An EDI software is often used to convert the available data in a form that is readable by the machines, as well as reading the data shared among trading partners. The payment facilities in healthcare are among the major stresses to healthcare administrations, and the EDI is highly useful through their software. Apart from that, the EDI software is very important in the management of medical claims and the standardization of data to ensure quick transfer.

United States to Dominate the Market

The EDI in healthcare is well-established across the United States. With UnitedHealthcare and other payers, this market is beneficial for providers and their billing services in multiple ways, such as fast information transfers, quick identification of submission errors, avoiding the claim processing delays, reducing the administrative expenses, lower account receivables, and exchange of information with multiple payers at one time.

Competitive Landscape

The healthcare EDI market is fairly fragmented and highly competitive. Key players in the market include Allscripts Healthcare Solutions Inc., Cognizant, Emdeon Inc., GE Healthcare, McKesson Corporation, Optum Inc., Quadax Inc., Siemens Healthineers AG, SSI Group Inc., and Tallan Inc., among others.

Reasons to Purchase this report:
  • The market estimate (ME) sheet in Excel format
  • 3 months of analyst support
Note: Product cover images may vary from those shown
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  • Cognizant
  • Emdeon Inc.
  • GE Healthcare
  • McKesson Corporation
  • Optum Inc.
  • Quadax Inc.
  • MORE
1.1 Study Deliverables
1.2 Study Assumptions
1.3 Scope of the Study



4.1 Market Overview
4.2 Market Drivers
4.2.1 Adoption of Big Data in Healthcare
4.2.2 Rising Need of Controlling the Healthcare Costs
4.2.3 Government Support to Increase the Information Technology in Healthcare Services
4.3 Market Restraints
4.3.1 Data Privacy and Security Concerns
4.3.2 High Cost of Implementation of EDI
4.4 Porter's Five Forces Analysis
4.4.1 Threat of New Entrants
4.4.2 Bargaining Power of Buyers/Consumers
4.4.3 Bargaining Power of Suppliers
4.4.4 Threat of Substitute Products
4.4.5 Intensity of Competitive Rivalry

5.1 By Component
5.1.1 Software
5.1.2 Hardware
5.1.3 Services
5.2 By Transaction
5.2.1 Claim Management
5.2.2 Healthcare Supply Chain
5.2.3 Other Transactions
5.3 By Mode of Delivery
5.3.1 Web- and Cloud-based EDI
5.3.2 EDI VAN
5.3.3 Mobile EDI
5.3.4 Other Modes of Delivery
5.4 By End User
5.4.1 Healthcare Providers
5.4.2 Medical Devices and Pharmaceutical Industry
5.4.3 Other End Users
5.5 By Geography
5.5.1 North America United States Canada Mexico
5.5.2 Europe Germany United Kingdom France Italy Spain Rest of Europe
5.5.3 Asia-Pacific China Japan India Australia South Korea Rest of Asia-Pacific
5.5.4 Middle-East and Africa GCC South Africa Rest of Middle-East and Africa
5.5.5 South America Brazil Argentina Rest of South America

6.1 Company Profiles
6.1.1 Allscripts Healthcare Solutions Inc.
6.1.2 Cognizant
6.1.3 Emdeon Inc.
6.1.4 GE Healthcare
6.1.5 McKesson Corporation
6.1.6 Optum Inc.
6.1.7 Quadax Inc.
6.1.8 Siemens Healthineers AG
6.1.9 SSI Group Inc.
6.1.10 Tallan Inc.

Note: Product cover images may vary from those shown
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  • Allscripts Healthcare Solutions Inc.
  • Cognizant
  • Emdeon Inc.
  • GE Healthcare
  • McKesson Corporation
  • Optum Inc.
  • Quadax Inc.
  • Siemens Healthineers AG
  • SSI Group Inc.
  • Tallan Inc.
Note: Product cover images may vary from those shown
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