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Healthcare EDI Market - Forecasts from 2021 to 2026

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  • 115 Pages
  • July 2021
  • Region: Global
  • Knowledge Sourcing Intelligence LLP
  • ID: 5397908
The Healthcare EDI market is expected to grow at a compound annual growth rate of 10.02% over the forecast period to reach a market size of US$13,318.349 million in 2026 from US$6,815.573 million in 2019. Electronic data interchange is a concept of electronic business communication. Healthcare electronic data interchange allows the interchange of computer-processable electronic healthcare data in a user-friendly format among healthcare institutions, healthcare professionals, and patients. Standardization, cost savings, improved productivity, and faster processing is some of the benefits offered by healthcare EDI. For example, medical care suppliers can send guarantee status asks for and obtain data utilizing a predefined exchange set for coordinated, agreeable data trade.

There are different uses of medical services EDI frameworks some of them are dental and medical patient database the board, clinical preliminaries, and administrative data the executives, and protection and repayment data the executives. Medical care EDI contains the trade of electronic medical care data among applications and PC frameworks. There are various modes for exchange in medical services electronic data interchange (EDI, for example, highlight point EDI, online EDI, van EDI, portable EDI, and EDI through AS2, utilized by a few end-clients like drug stores, medical gadget and drug enterprises, medical care suppliers, and medical services players.

Medical services EDI frameworks should be altered with a data-driven framework to give a significant degree of data security and quality and to stay up with the changing medical service patterns. Additionally, the board of data, for example, patient history records, crisis administration records, and medication data are of basic significance in the medical care industry. Medical services experts are recognizing frameworks that are equipped for overseeing monstrous data in an effective, orderly, and effectively open way. Accordingly, electronic data interchange (EDI) is being executed across all sub-divisions of the business. A portion of the vital uses of medical care EDI frameworks is the medical and dental patient database the executives, protection, and repayment data of the board, and clinical preliminaries and administrative data of the executives. Their normal methods of conveyance incorporate VAN, P2P, portable, and cloud.

The extending base of patients attributable to the developing predominance of ongoing infections is prompting the age of monstrous data. This, thus, is making an amazing volume of interest for medical services EDI frameworks. The quickly expanding clinical preliminaries and innovative work exercises in the medical services area are likewise making a lot of data, which thusly is enhancing the development of the market. Additionally, relentless progressions in innovations relating to EDI frameworks are boosting their extent of uses, consequently working for the market. Moreover, incessant advancements in technologies pertaining to EDI systems are boosting their scope of applications, thereby working in favor of the market. Furthermore, the rising number of end-users such as hospitals and private payers and increasing emphasis on reimbursement and insurance claims are augmenting the market. On the flip side, the high costs of these systems are hampering their widespread adoption. In addition, limited technological access in rural and underdeveloped areas is hindering the growth of the market. The technical issues related to these systems can lead to a loss of data, which in turn is negatively impacting the growth of the market.

Growth Factors.

  • Increase in outsourcing of EDI services.

EDI outsourcing is the process of having a third party manage a part of the entire process of using EDI to exchange data with trading partners. Developing medical care costs are progressively compressing in the medical care industry to give quality consideration at lower costs by limiting wastages at each stage. Medical care income misfortune in American emergency clinics because of self-pay charging issues is pretty much as high as 20% to 30%. Also, as indicated by a Ponemon Institute overview, of 577 medical care experts, the US doctors and clinics have shown a failure to utilize the most recent cell phones and internet providers to convey patient consideration. Thus, US medical clinics retain an expected USD 8.3 billion every year, while battling with security and protection concerns emerging from the mainstreaming of online media when government rules take into account steep fines with regards to disregarding understanding protection. For clinics, this makes the rethinking of charging and guarantee administrations to EDI specialist organizations an appealing suggestion.

COVID – 19 impact on the healthcare EDI market.

The COVID-19 pandemic has disrupted health systems worldwide. Due to a sudden increase in patients across entire cities and nations, the healthcare system was put under a lot of pressure. This further leads to the collection of an overwhelming amount of patient data, burdening the technical infrastructure of the healthcare system. Thus, to curb such instances from happening again, there is a rise in investments, being done by various healthcare providers as well as the Governments to reduce the dependency on redundant systems and processes, which, is expected to also boost the use of EDI in healthcare, thus propelling its market growth.

Competitive Insights.

The increasing demand for sophisticated data handling and operation tools has led to the entry of several new market players like “123 EDI” in the EDI market. The entry of these new players in a market where traditional pharma behemoths like Mckesson Corporation and GE Healthcare already exist is expected to lead to further innovation in the EDI market. Moreover, in order to further increase their clientele as well as increase their market share in the upcoming years, many of these market players have taken various strategic actions like partnerships and development of novel solutions which primarily focus on providing comfort to the patient, which is expected to keep the market competitive and constantly evolving.

Market Segmentation:

By Delivery Mode

  • Web-based EDI
  • Point-to-point EDI
  • Mobile EDI
  • EDI via AS2

By Components

  • Services
  • Solutions

By End-Users

  • Healthcare Institutions
  • Government
  • Pharmaceuticals Companies

By Geography

  • North America
  • USA
  • Canada
  • Mexico
  • South America
  • Brazil
  • Argentina
  • Others
  • Europe
  • UK
  • Germany
  • France
  • Italy
  • Others
  • Middle East and Africa
  • Israel
  • Saudi Arabia
  • Others
  • Asia Pacific
  • China
  • Japan
  • India
  • South Korea
  • Taiwan
  • Thailand
  • Indonesia
  • Others
Frequently Asked Questions about the Healthcare EDI Market

What is the estimated value of the Healthcare EDI Market?

The Healthcare EDI Market was estimated to be valued at $6815.57 million in 2019.

What is the growth rate of the Healthcare EDI Market?

The growth rate of the Healthcare EDI Market is 10.0%, with an estimated value of $13318.35 million by 2026.

What is the forecasted size of the Healthcare EDI Market?

The Healthcare EDI Market is estimated to be worth $13318.35 million by 2026.

Who are the key companies in the Healthcare EDI Market?

Key companies in the Healthcare EDI Market include GE Healthcare, Mckesson Corporation, Change Healthcare, NextGen Healthcare, SSI Group Inc, Optum Inc., Cerner Corporation, Amosoft LLC and 23 EDI.

Table of Contents

1. Introduction
1.1. Market Definition
1.2. Market Segmentation
2. Research Methodology
2.1. Research Data
2.2. Assumptions
3. Executive Summary
3.1. Research Highlights
4. Market Dynamics
4.1. Market Drivers
4.2. Market Restraints
4.3. Porters Five Forces Analysis
4.3.1. Bargaining Power of Suppliers
4.3.2. Bargaining Power of Buyers
4.3.3. The Threat of New Entrants
4.3.4. Threat of Substitutes
4.3.5. Competitive Rivalry in the Industry
4.4. Industry Value Chain Analysis
5. Healthcare EDI Market Analysis, By Delivery Mode
5.1. Introduction
5.2. Web-based EDI
5.3. Point-to-point EDI
5.4. Mobile EDI
5.5. EDI VAN
5.6. EDI via AS2
6. Healthcare EDI Market Analysis, By Components
6.1. Introduction
6.2. Services
6.3. Solutions
7. Healthcare EDI Market Analysis, By End-Users
7.1. Introduction
7.2. Healthcare Institutions
7.3. Government
7.4. Pharmaceuticals Companies
8. Healthcare EDI Market Analysis, By Geography
8.1. Introduction
8.2. North America
8.2.1. United States
8.2.2. Canada
8.2.3. Mexico
8.3. South America
8.3.1. Brazil
8.3.2. Argentina
8.3.3. Others
8.4. Europe
8.4.1. UK
8.4.2. Germany
8.4.3. Italy
8.4.4. Spain
8.4.5. Others
8.5. The Middle East and Africa
8.5.1. Israel
8.5.2. Saudi Arabia
8.5.3. Others
8.6. Asia Pacific
8.6.1. China
8.6.2. Japan
8.6.3. India
8.6.4. Australia
8.6.5. South Korea
8.6.6. Taiwan
8.6.7. Thailand
8.6.8. Indonesia
8.6.9. Others
9. Competitive Environment and Analysis
9.1. Major Players and Strategy Analysis
9.2. Emerging Players and Market Lucrativeness
9.3. Mergers, Acquisitions, Agreements, and Collaborations
9.4. Vendor Competitiveness Matrix
10. Company Profiles.
10.1. GE Healthcare
10.2. Mckesson Corporation
10.3. Change Healthcare
10.4. NextGen Healthcare
10.5. SSI Group Inc
10.6. Optum Inc.
10.7. Cerner Corporation
10.8. Amosoft LLC
10.9. DiCentral Corporation
10.10. 123 EDI

Companies Mentioned

  • GE Healthcare
  • Mckesson Corporation
  • Change Healthcare
  • NextGen Healthcare
  • SSI Group Inc
  • Optum Inc.
  • Cerner Corporation
  • Amosoft LLC
  • DiCentral Corporation
  • 23 EDI