Healthcare Provider Network Management Market by Component (Software and Services), Delivery Mode (On-premises Delivery Mode and Cloud-based Delivery Mode), End-User (Payer, Private, and Public Health Insurers): Global Market Size Estimates and Forecast (2022-2030)

Code: BMIRE00026472 | Pages: 100 | Industry: Healthcare IT | Date: Sep 2022 | Type: Global

The market crossed US$ 4.04 billion in 2022 and is expected to hit US$ 11.74 billion by 2030, recording a CAGR of 13.6% during the forecast period


The market has been significantly growing with the high adoption of healthcare provider solutions

The most preferred healthcare provider network solution is electronic health records based on product type. Government directives toward integrated healthcare IT solutions, investments towards improved healthcare services, and public and private funding are collectively helping segment expansion for the global market. The integrated healthcare IT solutions and big investments toward improved patient care and safety are heralding the healthcare industry. This has maneuvered greater reliance on healthcare provider network solutions, such as HCIT solutions.


Within the report, the market is segmented into component, delivery mode, end-user, and geography. Based on components, the global healthcare provider network management market is segmented into software and services. Based on delivery mode, the market is bifurcated into on-premises delivery mode and cloud-based delivery mode. Based on end-users, the market is segmented into payer, private, and public health insurers. Geographically, the market is sub-segmented into North America, Europe, Asia Pacific, South & Central America, and Middle East & Africa.

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The advantages involved in network management will empower growth

A healthcare provider network is a system through which caregivers are on a universal platform providing easy communication and connectivity. Also, the implementation that healthcare providers take is critical as it aids in the management with higher accuracy. The technologies are used to manage client risks in real-time. The advantages of these systems are they have greater transparency in pricing, easy and quick access to numerous options for healthcare, a leading edge in current and emerging markets, and higher quality of service. Also, the implementation that healthcare insurance providers take is critical as it aids in the management of claims with higher accuracy.


Implementation of several mandates is one of the major factors accelerating the market growth

The enactment of healthcare mandates like patient protection and the affordable care act, which include administration loss ratio, and medical loss ratio, has effectively managed the provider networks to reduce operating costs while improving benefit coverage and increasing customer satisfaction levels. In addition, under mandates like Medical Loss Ratio (MLR) health insurance, issues must spend 80% to 85% on medical care and quality improvement. The implementation of these mandates, coupled with the expanding customer base and rising need to cut down operational & administrative costs, has prompted payers to move towards provider network management.


Recent strategic developments in the healthcare provider network management market

The healthcare provider network management market has undergone several significant developments, and a few of these have been mentioned below:


  • In Oct 2021, SSM Health and Optum, a subsidiary of UnitedHealth Group, announced an innovative collaboration focusing on making quality care more accessible and affordable for people across the Midwest. Together, they will work to improve the overall well-being of individuals and communities while addressing the complex social and economic factors affecting each person’s health.
  • In June 2022,  Change Healthcare launched patient engagement, a suite of solutions that seamlessly connects touchpoints across the patient journey, increasing access and improving communication between patients and providers. Change Healthcare’s proven revenue cycle management capabilities and Luma Health’s industry-leading solutions enable providers to unify operational, clinical, and financial journeys, creating a more streamlined patient experience.


The healthcare provider network management market is driven by several players by implementing strategic activities such as investments, new launches, mergers & acquisitions, and partnerships. Cognizant; Ayasdi, Inc.; Change Healthcare; Optum, Inc.; Genpact Limited; Infosys BPM Ltd.; Atos Syntel, Inc.; Mphasis, Ltd.; SKYGEN USA; and Evolent Health, Inc. are among the prominent players operating in the market.


The target audience for the report:

  • Raw material providers
  • Display panel providers
  • Display device providers
  • Display-related service providers
  • Display-related associations, organizations, forums, and alliances
  • Government bodies, such as regulating authorities and policymakers
  • Venture capitalists, private equity firms, and start-up companies
  • Semiconductor component suppliers
  • Display panel and devices distributors and sales firms
  • End users of display devices
  • Research institutes, organizations, and consulting companies

Scope of the report:

In this report, the market has been segmented based on:

  • Component:
  • Software
  • Services
  • Delivery Mode:
  • On-Premises Delivery Mode
  • Cloud-Based Delivery Mode
  • End-User:
  • Payer
  • Private
  • Public Health Insurers
  • Region:
    • North America
    • Europe
    • Asia Pacific
    • South & Central America
    • Middle East & Africa
  • Companies Profiled
    • Cognizant
    • Ayasdi, Inc.
    • Change Healthcare
    • Optum, Inc.
    • Genpact Limited
    • Infosys BPM Ltd.
    • Atos Syntel, Inc.
    • Mphasis, Ltd.
    • Evolent Health, Inc

Companies profiled
- Cognizant
- Ayasdi, Inc.
- Change Healthcare
- Optum, Inc.
- Genpact Limited
- Infosys BPM Ltd.
- Atos Syntel, Inc.
- Mphasis, Ltd.
- Evolent Health, Inc

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