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U.S. Patient Referral Management Software Market Size, Share & Trends Analysis Report by Type (Inbound, Outbound), Deployment Mode (Cloud & Web-based, on-premise), End-use (Providers, Patients, Payers), with Growth Forecasts, 2025-2030

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    Report

  • 90 Pages
  • April 2025
  • Region: United States
  • Grand View Research
  • ID: 6085780
The U.S. Patient Referral Management Software Market was valued at USD 7.13 Billion in 2024, and is projected to reach USD 17.89 Billion by 2030, rising at a CAGR of 16.70%. This growth is attributed to the growing emphasis on enhancing care coordination among healthcare providers, fueled by the shift toward value-based care models. The increasing adoption of healthcare IT and digital platforms has created a favorable environment for the deployment of referral management solutions that streamline workflows and improve patient outcomes. One of the primary concerns among providers is referral leakage, which can result in significant revenue loss; referral software helps mitigate this by ensuring efficient and traceable referral pathways.

In addition, the rising need to improve patient experience through faster specialist access and real-time communication is further accelerating demand. For instance, in October 2024, Boston Eye Group collaborated with Sophrona to enhance its referral process by introducing the Referral Portal, aiming to replace inefficient communication methods with a more transparent and streamlined system.

“We knew we needed to invest time and effort in our referring doctor experience. We implemented the Referral Portal to enhance the relationship with our referring doctors and improve coordination of care. Referral Portal helps our practice advance patient engagement, expand connectivity and automate referral reporting”
  • MD, PhD, Boston Eye Group Founder & Medical Director

Regulatory initiatives promoting interoperability and health information exchange are also pushing healthcare systems to adopt integrated solutions. The expanding use of telehealth and virtual care platforms has made it crucial to have seamless referral workflows, especially in remote and underserved areas.

Furthermore, AI-powered analytics and smart routing capabilities are enhancing decision-making and optimizing specialist allocation. These factors, combined with increasing healthcare infrastructure investments and workforce shortages, especially among specialists, are collectively boosting the growth of the U.S. patient referral management software industry.

U.S. Patient Referral Management Software Market Report: Segmentation

This report forecasts revenue growth at the country level and provides an analysis of the latest industry trends in each of the sub-segments from 2018 to 2030. For this study, the analyst has segmented the U.S. patient referral management software market report based on type, deployment mode, and end-use:

Type Outlook (Revenue, USD Million, 2018-2030)

  • Inbound
  • Outbound

Deployment Mode Outlook (Revenue, USD Million, 2018-2030)

  • Cloud & Web-based
  • On-premise

End-use Outlook (Revenue, USD Million, 2018-2030)

  • Providers
  • Payers
  • Patients
  • Others

Why Should You Buy This Report?

  • Comprehensive Market Analysis: Gain detailed insights into the market across major regions and segments.
  • Competitive Landscape: Explore the market presence of key players.
  • Future Trends: Discover the pivotal trends and drivers shaping the future of the market.
  • Actionable Recommendations: Utilize insights to uncover new revenue streams and guide strategic business decisions.

This report addresses:

  • Market intelligence to enable effective decision-making
  • Market estimates and forecasts from 2018 to 2030
  • Growth opportunities and trend analyses
  • Segment and regional revenue forecasts for market assessment
  • Competition strategy and market share analysis
  • Product innovation listings for you to stay ahead of the curve

This product will be delivered within 1-3 business days.

Table of Contents

Chapter 1. Methodology and Scope
1.1. Market Segmentation & Scope
1.1.1. Segment Definitions
1.2. Estimates and Forecast Timeline
1.3. Research Methodology
1.4. Information Procurement
1.4.1. Purchased Database
1.4.2. Internal Database
1.4.3. Secondary Sources
1.4.4. Primary Research
1.4.5. Details of Primary Research
1.4.6. Research Assumption
1.5. Information or Data Analysis
1.5.1. Data Analysis Models
1.6. Market Formulation & Data Visualization
1.7. Model Details
1.7.1. Commodity Flow Analysis
1.8. Objectives
1.8.1. Objective - 1
1.8.2. Objective - 2
1.8.3. Objective - 3
1.9. List of Secondary Sources
1.10. List of Secondary Sources
Chapter 2. Executive Summary
2.1. U.S. Patient Referral Management Software Market
2.1.1. Market Snapshot
2.1.2. Segment Snapshot
2.1.2.1. Type segment outlook
2.1.2.2. Deployment Mode segment outlook
2.1.2.3. End Use segment outlook
2.1.3. Competitive Landscape Snapshot
Chapter 3. Market Variables, Trends, & Scope
3.1. Market Lineage Outlook
3.1.1. Parent Market Outlook
3.1.2. Related/Ancillary Market Outlook
3.2. Market Trends and Outlook
3.3. Market Dynamics
3.3.1. Market Driver Analysis
3.3.1.1. Increasing Demand for Coordinated Care Across Healthcare Providers
3.3.1.2. Rising Adoption of Healthcare IT and Digital Health Platforms
3.3.1.3. Emphasis on Improving Patient Experience and Outcomes
3.3.1.4. Need for Real-Time Referral Tracking and Communication
3.3.1.5. Growing Need to Reduce Referral Leakage and Optimize Revenue
3.3.2. Market Restraint Analysis
3.3.3. Market Opportunity Analysis
3.3.4. Market Challenges Analysis
3.4. U.S. Patient Referral Management Software Market Analysis Tools: Porter's
3.4.1. Competitive rivalry
3.4.2. Threat of new entrants
3.4.3. Bargaining power of buyers
3.4.4. Bargaining power of suppliers
3.4.5. Threat of substitutes
3.5. U.S. Patient Referral Management Software Market Analysis Tools: PESTLE
3.5.1. Political & Legal
3.5.2. Economic & Social
3.5.3. Technology
3.5.4. Environmental
3.6. Case Studies & Insights
3.6.1. COVID-19 Impact
Chapter 4. U.S. Patient Referral Management Software Market: Type Estimates & Trend Analysis
4.1. U.S. Patient Referral Management Software Market: Type Movement Analysis
4.2. U.S. Patient Referral Management Software Market: Type Segment Dashboard
4.3. Technology Movement & Market Share Analysis, 2024 & 2030
4.4. U.S. Patient Referral Management Software Market Estimates & Forecast, by Type
4.5. Inbound
4.5.1. Market Estimates & Forecast, 2018-2030 (USD Million)
4.6. Outbound
4.6.1. Market Estimates & Forecast, 2018-2030 (USD Million)
Chapter 5. U.S. Patient Referral Management Software Market: Deployment Mode Estimates & Trend Analysis
5.1. U.S. Patient Referral Management Software Market: Deployment Mode Movement Analysis
5.2. U.S. Patient Referral Management Software Market: Deployment Mode Segment Dashboard
5.3. Technology Movement & Market Share Analysis, 2024 & 2030
5.4. U.S. Patient Referral Management Software Market Estimates & Forecast, by Technology
5.5. Cloud & Web-based
5.5.1. Market Estimates & Forecast, 2018-2030 (USD Million)
5.6. on-premise
5.6.1. Market Estimates & Forecast, 2018-2030 (USD Million)
Chapter 6. U.S. Patient Referral Management Software Market: End Use Estimates & Trend Analysis
6.1. U.S. Patient Referral Management Software Market: End Use Movement Analysis
6.2. U.S. Patient Referral Management Software Market: End Use Segment Dashboard
6.3. End Use Movement & Market Share Analysis, 2024 & 2030
6.4. U.S. Patient Referral Management Software Market Estimates & Forecast, by End Use
6.5. Providers
6.5.1. Market Estimates & Forecast, 2018-2030 (USD Million)
6.6. Payers
6.6.1. Market Estimates & Forecast, 2018-2030 (USD Million)
6.7. Patients
6.7.1. Market Estimates & Forecast, 2018-2030 (USD Million)
6.8. Others
6.8.1. Market Estimates & Forecast, 2018-2030 (USD Million)
Chapter 7. Competitive Landscape
7.1. Company Categorization
7.2. Company Market Position Analysis
7.3. Company Share Analysis
7.4. Company Profiles/Listing
7.4.1. Allscripts Healthcare Solutions, Inc.
7.4.1.1. Company overview
7.4.1.2. Financial performance
7.4.1.3. Product benchmarking
7.4.1.4. Strategic initiatives
7.4.2. Athena Health
7.4.2.1. Company overview
7.4.2.2. Financial performance
7.4.2.3. Product benchmarking
7.4.2.4. Strategic initiatives
7.4.3. Cerner Corporation
7.4.3.1. Company overview
7.4.3.2. Financial performance
7.4.3.3. Product benchmarking
7.4.3.4. Strategic initiatives
7.4.4. Eceptionist, Inc.
7.4.4.1. Company overview
7.4.4.2. Financial performance
7.4.4.3. Product benchmarking
7.4.4.4. Strategic initiatives
7.4.5. eHealth Technologies
7.4.5.1. Company overview
7.4.5.2. Financial performance
7.4.5.3. Product benchmarking
7.4.5.4. Strategic initiatives
7.4.6. Insync Healthcare
7.4.6.1. Company overview
7.4.6.2. Financial performance
7.4.6.3. Product benchmarking
7.4.6.4. Strategic initiatives
7.4.7. CarePort Health (In October 2020, Wellsky acquired CarePort Health )
7.4.7.1. Company overview
7.4.7.2. Financial performance
7.4.7.3. Product benchmarking
7.4.7.4. Strategic initiatives
7.4.8. Electronic Referral Manager, Inc.
7.4.8.1. Company overview
7.4.8.2. Financial performance
7.4.8.3. Product benchmarking
7.4.8.4. Strategic initiatives
7.4.9. BlockitNow, Inc.
7.4.9.1. Company overview
7.4.9.2. Financial performance
7.4.9.3. Product benchmarking
7.4.9.4. Strategic initiatives
7.4.10. HealthViewX.
7.4.10.1. Company overview
7.4.10.2. Financial performance
7.4.10.3. Product benchmarking
7.4.10.4. Strategic initiatives
7.4.11. Novari Health
7.4.11.1. Company overview
7.4.11.2. Financial performance
7.4.11.3. Product benchmarking
7.4.11.4. Strategic initiatives
7.4.12. Dock Health, Inc.
7.4.12.1. Company overview
7.4.12.2. Financial performance
7.4.12.3. Product benchmarking
7.4.12.4. Strategic initiatives
7.4.13. Treatspace
7.4.13.1. Company overview
7.4.13.2. Financial performance
7.4.13.3. Product benchmarking
7.4.13.4. Strategic initiatives
7.4.14. WellSky
7.4.14.1. Company overview
7.4.14.2. Financial performance
7.4.14.3. Product benchmarking
7.4.14.4. Strategic initiatives
List of Tables
Table 1. List of secondary sources
Table 2. List of abbreviations
Table 3. U.S. Patient Referral Management Software market revenue estimates and forecast, by type, 2018-2030 (USD Million)
Table 4. U.S. Patient Referral Management Software market revenue estimates and forecast, by Deployment Mode, 2018-2030 (USD Million)
Table 5. U.S. Patient Referral Management Software market revenue estimates and forecast, by end use, 2018-2030 (USD Million)
List of Figures
Figure 1 U.S. Patient Referral Management Software Market Segmentation
Figure 2 Market research process
Figure 3 Information procurement
Figure 4 Primary research pattern
Figure 5 Market research approaches
Figure 6 Value chain-based sizing & forecasting
Figure 7 QFD modelling for Market share assessment
Figure 8 Market formulation & validation
Figure 9 Market snapshot
Figure 10 Technology segment outlook
Figure 11 Deployment Mode segment outlook
Figure 12 End Use segment outlook
Figure 13 Competitive landscape
Figure 14 U.S. Patient Referral Management Software Market: Market dynamics
Figure 15 U.S. Patient Referral Management Software Market: Porter’s analysis
Figure 16 U.S. Patient Referral Management Software Market: PESTLE analysis
Figure 17 U.S. Patient Referral Management Software Market: Technology segment dashboard
Figure 18 U.S. Patient Referral Management Software Market: Technology movement share analysis
Figure 19 Inbound Market, 2018-2030 (USD Million)
Figure 20 Outbound Market, 2018-2030 (USD Million)
Figure 21 U.S. Patient Referral Management Software Market: Deployment Mode segment dashboard
Figure 22 U.S. Patient Referral Management Software Market: Deployment Mode Movement Share Analysis
Figure 23 Cloud & Web-based Market, 2018-2030 (USD Million)
Figure 24 On-premise Market, 2018-2030 (USD Million)
Figure 25 U.S. Patient Referral Management Software Market: End Use Segment Dashboard
Figure 26 U.S. Patient Referral Management Software Market: End Use Movement Share Analysis
Figure 27 Providers Market, 2018-2030 (USD Million)
Figure 28 Payers Market, 2018-2030 (USD Million)
Figure 29 Patients Market, 2018-2030 (USD Million)
Figure 30 Others Market, 2018-2030 (USD Million)
Figure 31 Company categorization
Figure 32 Company Market Position Analysis

Companies Mentioned

The companies profiled in this U.S. Patient Referral Management Software market report include:
  • WellSky
  • Allscripts Healthcare Solutions, Inc. (The company was renamed as Veradigm Inc. in January 2023)
  • Athena Health
  • Cerner Corporation
  • Eceptionist, Inc.
  • eHealth Technologies
  • Insync Healthcare
  • CarePort Health (In October 2020, Wellsky acquired CarePort Health )
  • Electronic Referral Manager, Inc.
  • BlockitNow, Inc.
  • HealthViewX.
  • Novari Health
  • Dock Health, Inc.
  • Treatspace

Methodology

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Table Information