Healthcare EDI provides secure electronic data interchange between healthcare institutions, care providers, and patients, and allows for more secure and efficient data processing, including healthcare claims processing. Some of the crucial applications of healthcare EDI systems are medical and dental patient database management, insurance and reimbursement data management, and clinical trials and regulatory data management. Their common modes of delivery include VAN, P2P, mobile, and cloud.
The increasing number of patients due to the rising prevalence of chronic diseases is leading to the generation of massive data. This, in turn, making a larger demand for healthcare EDI systems. Moreover, the rapidly growing clinical trials and research and development activities in the healthcare sector are also producing huge amounts of data, which in turn is enhancing the growth of the global Healthcare EDI market.
Furthermore, continuous developments in technologies related to EDI systems are boosting their scope of applications, this fact further supports the development of the market. Additionally, the increasing number of end-users such as hospitals and private payers and increasing emphasis on reimbursement and insurance claims are supplementing the market.
On the contrary, the high costs of these systems are hindering their extensive adoption. Additionally, limited technological access in rural and underdeveloped areas is hampering the growth of the market. Further, the technical issues associated with these systems can lead to a loss of data, which in turn is negatively impacting the growth of the Healthcare EDI market.
Covid-19 Impact on Healthcare EDI Market
In addition, the current Healthcare EDI Market study offers a detailed analysis of the current COVID-19 pandemic impact on the market growth and its influence on the future growth of the Healthcare EDI Market. The recently published report demonstrates the elevation in the demand for the healthcare sector. The healthcare manufacturers have experienced long term as well as short term effect which includes supply shortages, panic buying, and stocking, regulation changes as short-term whereas approval delays and possible trend variations in consumption could be perceived as long-term impacts of COVID-19 on the health and pharmaceutical market.
The increasing need for a cure has pushed vaccine research and manufacturers to the limit. In addition to this, panic conditions have already spurred the demand for many healthcare products and services which are discussed in detail in this report. Moreover, the impact of COVID-19 on overall market revenue for the base year 2020 and its projection up to 2027 is provided in detail in this report.
Healthcare EDI Market Segment Overview
Based on components, the Services segment is expected to witness the highest growth during the forecast period. This is due to factors such as the increasing claims volume, growing complexity, and scale of EDI solutions, as they require widespread training programs. Similarly, a growing trend of outsourcing activities, such as revenue cycle management, claims handling and management, and partner management services are also anticipated to boost the growth of the services segment. According to Transaction Type, the Claims Management segment is projected to account for the maximum share of the healthcare EDI market over the stated period. The huge share of this segment can be attributed to the increasing adoption of EDI services by healthcare providers and payers and the need to meet regulatory requirements.
Healthcare EDI Market, By Component
· Services
· Solutions
Healthcare EDI Market, By Transaction Type
- Claims Management
- Claims Submission
- Claim Status
- Eligibility Verification
- Payment Remittance
- Referral Certification & Authorization
- Claim Payments
- Others
- Healthcare Supply Chain
· Web & Cloud-based EDI
· EDI VAN
· Point-to-Point EDI
· Mobile EDI
Healthcare EDI Market, By End-User
· Healthcare Providers
· Healthcare Payers
· Medical Device & Pharmaceutical Industries
· Pharmacies
Healthcare EDI Market Regional Overview
In terms of region, Europe and North America are the prominent regions for the Healthcare EDI market. Both regions have a significant share in the Healthcare EDI market and it is predicted that they keep their dominance throughout the forecast period. The presence of advanced healthcare infrastructure along with well-developed technological networks is boosting the growth of the market in these regions. In addition, the growing old age population is also impacting the growth of the market in these regions positively since aged people require more healthcare services. Similarly, Asia Pacific is projected to show noteworthy growth during the forecast period. The increasing base of patients, increasing emphasis on technological advancements, and growing awareness regarding the advantages of EDI systems are contributing more to the expansion of the market in this region.
Healthcare EDI Market, By Geography
· North America (US & Canada)
· Europe (UK, Germany, France, Italy, Spain, Russia & Rest of Europe)
· Asia-Pacific (Japan, China, India, Australia, & South Korea, & Rest of Asia-Pacific)
· LAMEA (Brazil, Saudi Arabia, UAE & Rest of LAMEA)
Healthcare EDI Market, Key Players
· GE Healthcare
· Capario Inc.
· SSI Group Inc.
· Siemens Healthcare
· Passport Health Communication Inc.
· Optum Inc.
· McKesson Corporation
· Allscripts Healthcare Solutions Inc.
· Nextgen Healthcare
· Cerner Corporation
1. Introduction
- 1.1. Research Scope
- 1.2. Market Segmentation
- 1.3. Research Methodology
- 1.4. Definitions and Assumptions
2. Executive Summary
3. Market Dynamics
- 3.1. Market Drivers
- 3.2. Market Restraints
- 3.3. Market Opportunities
4. Key Insights
- 4.1. Key Emerging Trends – For Major Countries
- 4.2. Latest Technological Advancement
- 4.3. Regulatory Landscape
- 4.4. Industry SWOT Analysis
- 4.5. Porters Five Forces Analysis
5. Global Healthcare EDI Market Analysis (USD Billion), Insights and Forecast, 2020-2027
- 5.1. Key Findings / Summary
- 5.2. Market Analysis, Insights and Forecast – By Component
- 5.2.1. Services
- 5.2.2. Solutions
- 5.3. Market Analysis, Insights and Forecast – By Transaction Type
- 5.3.1. Claims Management
- 5.3.1.1. Claims Submission
- 5.3.1.2. Claim Status
- 5.3.1.3. Eligibility Verification
- 5.3.1.4. Payment Remittance
- 5.3.1.5. Referral Certification & Authorization
- 5.3.1.6. Claim Payments
- 5.3.1.7. Others
- 5.3.2. Healthcare Supply Chain
- 5.3.1. Claims Management
- 5.4. Market Analysis, Insights and Forecast – By Delivery Mode
- 5.4.1. Web & Cloud-based EDI
- 5.4.2. EDI VAN
- 5.4.3. Point-to-Point EDI
- 5.4.4. Mobile EDI
- 5.5. Market Analysis, Insights and Forecast – By End-User
- 5.5.1. Healthcare Providers
- 5.5.2. Healthcare Payers
- 5.5.3. Medical Device & Pharmaceutical Industries
- 5.5.4. Pharmacies
- 5.6. Market Analysis, Insights and Forecast – By Region
- 5.6.1. North America
- 5.6.2. Europe
- 5.6.3. Asia Pacific
- 5.6.4. Latin America, Middle East and Africa
6. North America Healthcare EDI Market Analysis (USD Billion), Insights and Forecast, 2020-2027
- 6.1. Key Findings / Summary
- 6.2. Market Analysis, Insights and Forecast – By Component
- 6.2.1. Services
- 6.2.2. Solutions
- 6.3. Market Analysis, Insights and Forecast – By Transaction Type
- 6.3.1. Claims Management
- 6.3.1.1. Claims Submission
- 6.3.1.2. Claim Status
- 6.3.1.3. Eligibility Verification
- 6.3.1.4. Payment Remittance
- 6.3.1.5. Referral Certification & Authorization
- 6.3.1.6. Claim Payments
- 6.3.1.7. Others
- 6.3.2. Healthcare Supply Chain
- 6.3.1. Claims Management
- 6.4. Market Analysis, Insights and Forecast – By Delivery Mode
- 6.4.1. Web & Cloud-based EDI
- 6.4.2. EDI VAN
- 6.4.3. Point-to-Point EDI
- 6.4.4. Mobile EDI
- 6.5. Market Analysis, Insights and Forecast – By End-User
- 6.5.1. Healthcare Providers
- 6.5.2. Healthcare Payers
- 6.5.3. Medical Device & Pharmaceutical Industries
- 6.5.4. Pharmacies
- 6.6. Market Analysis, Insights and Forecast – By Country
- 6.6.1. U.S.
- 6.6.2. Canada
7. Europe Healthcare EDI Market Analysis (USD Billion), Insights and Forecast, 2020-2027
- 7.1. Key Findings / Summary
- 7.2. Market Analysis, Insights and Forecast – By Component
- 7.2.1. Services
- 7.2.2. Solutions
- 7.3. Market Analysis, Insights and Forecast – By Transaction Type
- 7.3.1. Claims Management
- 7.3.1.1. Claims Submission
- 7.3.1.2. Claim Status
- 7.3.1.3. Eligibility Verification
- 7.3.1.4. Payment Remittance
- 7.3.1.5. Referral Certification & Authorization
- 7.3.1.6. Claim Payments
- 7.3.1.7. Others
- 7.3.2. Healthcare Supply Chain
- 7.3.1. Claims Management
- 7.4. Market Analysis, Insights and Forecast – By Delivery Mode
- 7.4.1. Web & Cloud-based EDI
- 7.4.2. EDI VAN
- 7.4.3. Point-to-Point EDI
- 7.4.4. Mobile EDI
- 7.5. Market Analysis, Insights and Forecast – By End-User
- 7.5.1. Healthcare Providers
- 7.5.2. Healthcare Payers
- 7.5.3. Medical Device & Pharmaceutical Industries
- 7.5.4. Pharmacies
- 7.6. Market Analysis, Insights and Forecast – By Country
- 7.6.1. UK
- 7.6.2. Germany
- 7.6.3. France
- 7.6.4. Italy
- 7.6.5. Spain
- 7.6.6. Russia
- 7.6.7. Rest of Europe
8. Asia Pacific Healthcare EDI Market Analysis (USD Billion), Insights and Forecast, 2020-2027
- 8.1. Key Findings / Summary
- 8.2. Market Analysis, Insights and Forecast – By Component
- 8.2.1. Services
- 8.2.2. Solutions
- 8.3. Market Analysis, Insights and Forecast – By Transaction Type
- 8.3.1. Claims Management
- 8.3.1.1. Claims Submission
- 8.3.1.2. Claim Status
- 8.3.1.3. Eligibility Verification
- 8.3.1.4. Payment Remittance
- 8.3.1.5. Referral Certification & Authorization
- 8.3.1.6. Claim Payments
- 8.3.1.7. Others
- 8.3.2. Healthcare Supply Chain
- 8.3.1. Claims Management
- 8.4. Market Analysis, Insights and Forecast – By Delivery Mode
- 8.4.1. Web & Cloud-based EDI
- 8.4.2. EDI VAN
- 8.4.3. Point-to-Point EDI
- 8.4.4. Mobile EDI
- 8.5. Market Analysis, Insights and Forecast – By End-User
- 8.5.1. Healthcare Providers
- 8.5.2. Healthcare Payers
- 8.5.3. Medical Device & Pharmaceutical Industries
- 8.5.4. Pharmacies
- 8.6. Market Analysis, Insights and Forecast – By Country
- 8.6.1. China
- 8.6.2. India
- 8.6.3. Japan
- 8.6.4. Australia
- 8.6.5. South East Asia
- 8.6.6. Rest of Asia Pacific
9. Latin America, Middle East and Africa Healthcare EDI Market Analysis (USD Billion), Insights and Forecast, 2020-2027
- 9.1. Key Findings / Summary
- 9.2. Market Analysis, Insights and Forecast – By Component
- 9.2.1. Services
- 9.2.2. Solutions
- 9.3. Market Analysis, Insights and Forecast – By Transaction Type
- 9.3.1. Claims Management
- 9.3.1.1. Claims Submission
- 9.3.1.2. Claim Status
- 9.3.1.3. Eligibility Verification
- 9.3.1.4. Payment Remittance
- 9.3.1.5. Referral Certification & Authorization
- 9.3.1.6. Claim Payments
- 9.3.1.7. Others
- 9.3.2. Healthcare Supply Chain
- 9.3.1. Claims Management
- 9.4. Market Analysis, Insights and Forecast – By Delivery Mode
- 9.4.1. Web & Cloud-based EDI
- 9.4.2. EDI VAN
- 9.4.3. Point-to-Point EDI
- 9.4.4. Mobile EDI
- 9.5. Market Analysis, Insights and Forecast – By End-User
- 9.5.1. Healthcare Providers
- 9.5.2. Healthcare Payers
- 9.5.3. Medical Device & Pharmaceutical Industries
- 9.5.4. Pharmacies
- 9.6. Market Analysis, Insights and Forecast – By Country
- 9.6.1. Brazil
- 9.6.2. Saudi Arabia
- 9.6.3. UAE
- 9.6.4. Rest of LAMEA
10. Competitive Analysis
- 10.1. Company Market Share Analysis, 2018
- 10.2. Key Industry Developments
- 10.3. Company Profile
- 10.4. GE Healthcare
- 10.4.1. Business Overview
- 10.4.2. Segment 1 & Service Offering
- 10.4.3. Overall Revenue
- 10.4.4. Geographic Presence
- 10.4.5. Recent Development
- 10.5. Capario Inc.
- 10.6. SSI Group Inc.
- 10.7. Siemens Healthcare
- 10.8. Passport Health Communication Inc.
- 10.9. Optum Inc.
- 10.10. McKesson Corporation
- 10.11. Allscripts Healthcare Solutions Inc.
- 10.12. Nextgen Healthcare
Data Library Research are conducted by industry experts who offer insight on industry structure, market segmentations technology assessment and competitive landscape (CL), and penetration, as well as on emerging trends. Their analysis is based on primary interviews (~ 80%) and secondary research (~ 20%) as well as years of professional expertise in their respective industries. Adding to this, by analysing historical trends and current market positions, our analysts predict where the market will be headed for the next five years. Furthermore, the varying trends of segment & categories geographically presented are also studied and the estimated based on the primary & secondary research.
In this particular report from the supply side Data Library Research has conducted primary surveys (interviews) with the key level executives (VP, CEO’s, Marketing Director, Business Development Manager and SOFT) of the companies that active & prominent as well as the midsized organization
FIGURE 1: DLR RESEARH PROCESSPrimary Research
Extensive primary research was conducted to gain a deeper insight of the market and industry performance. The analysis is based on both primary and secondary research as well as years of professional expertise in the respective industries.
In addition to analysing current and historical trends, our analysts predict where the market is headed over the next five years.
It varies by segment for these categories geographically presented in the list of market tables. Speaking about this particular report we have conducted primary surveys (interviews) with the key level executives (VP, CEO’s, Marketing Director, Business Development Manager and many more) of the major players active in the market.
Secondary ResearchSecondary research was mainly used to collect and identify information useful for the extensive, technical, market-oriented, and Friend’s study of the Global Extra Neutral Alcohol. It was also used to obtain key information about major players, market classification and segmentation according to the industry trends, geographical markets, and developments related to the market and technology perspectives. For this study, analysts have gathered information from various credible sources, such as annual reports, sec filings, journals, white papers, SOFT presentations, and company web sites.
Market Size EstimationBoth, top-down and bottom-up approaches were used to estimate and validate the size of the Global market and to estimate the size of various other dependent submarkets in the overall Extra Neutral Alcohol. The key players in the market were identified through secondary research and their market contributions in the respective geographies were determined through primary and secondary research.
Forecast Model