Healthcare IT Healthcare Provider Network Managem...

Healthcare Provider Network Management Market Forecast to 2028 - COVID-19 Impact and Global Analysis By Component (Software, Services); Delivery Mode (On-premise Delivery Mode, Cloud-based Delivery Mode); End-User (Payer, Private, Public Health Insurers) and Geography

Report Code: TIPRE00022443 | No. of Pages: 150 | Category: Healthcare IT | Status: Upcoming

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MARKET OVERVIEW

A healthcare provider network consists of doctors, hospitals, and other healthcare providers, including nurses, therapists, practitioners, and clinicians that provide the healthcare services by being a part of a health insurance plan. Healthcare provider network management effectively helps to manage a provider's network with excellent efficiency for optimum financial results, process claims with more accuracy, and improve provider satisfaction. It aids the payers with the accurate provider's data that is received, verified, and continuously updated by the payer companies. Provider network management includes database management, contracting services, and credentialing pricing maintenance and configuration. It creates consistency in care delivery, leveraging data to identify high-risk providers and ensure necessary health insurance coverage for patients. The payer organization, with the help of provider network management, can expose insights that may have been ignored previously by conventional analytical tools.

MARKET SCOPE

The "Global Healthcare Provider Network Management Market Analysis to 2028" is a specialized and in-depth study of the healthcare industry with a special focus on the global market trend analysis. The report aims to provide an overview of the healthcare provider network management market with detailed market segmentation by component, delivery mode, end user, and geography. The report provides key statistics on the market status of the leading healthcare provider network management market players and offers key trends and opportunities in the market.

MARKET SEGMENTATION

  •  Based on component, the global healthcare provider network management market is segmented into software, and services.
  •  On the basis of delivery mode, the market is bifurcated into on-premise delivery mode, and cloud-based delivery mode.
  •  On the basis of end-users, the market is bifurcated into payer, private, and public health insurers.

MARKET DYNAMICS
Drivers

  •  The implementation of stringent federal mandates such as the patient protection and affordable care act, and the growing need for improving the quality of care through the effective use of payer reporting requirements drive the healthcare provider network management market.
  •  The rising number of technological advancements related to healthcare IT solutions, the need to reduce escalating healthcare costs, and the in-house shortage of skilled personnel boost the market growth.
  •  The growing government initiatives for HCIT adoption and improving healthcare infrastructure foster the growth of the market.

Restraints

  •  High cost of a provider network management software
  •  Scarcity of internal IT expertise in the healthcare industry.

REGIONAL FRAMEWORK

The report provides a detailed overview of the industry including both qualitative and quantitative information. It provides an overview and forecast of the global market based on various segments. It also provides market size and forecast estimates from the year 2019 to 2028 with respect to five major regions, namely; North America, Europe, Asia-Pacific (APAC), the Middle East and Africa (MEA), and South America. The healthcare provider network management market by each region is later sub-segmented by respective countries and segments. The report covers the analysis and forecast of 18 countries globally along with the current trend and opportunities prevailing in the region.

The report analyzes factors affecting the market from both demand and supply side and further evaluates market dynamics affecting the market during the forecast period i.e., drivers, restraints, opportunities, and future trend. The report also provides exhaustive PEST analysis for all five regions namely; North America, Europe, APAC, MEA, and South America after evaluating political, economic, social and technological factors affecting the healthcare provider network management market in these regions.

IMPACT OF COVID-19 ON HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET

COVID-19 first began in Wuhan (China) during December 2019, and since then, it has spread at a fast pace across the globe. The US, India, Brazil, Russia, France, UK, Turkey, Italy, and Spain are some of the worst affected countries in terms of confirmed cases and reported deaths. With the increasing pressure on the supply and demand sectors, there had been a potential market disturbance. Efficient management is a great job achieved by the healthcare provider network management worldwide during the pandemic situation. The deployment of provider network management solutions is crucial for healthcare insurance providers, as it helps to manage processes claims with greater accuracy, provider's networks with greater efficiency, and reduces costs while lowering the burden on providers. These solutions enable payers to handle risks regarding clients in real-time. Payers will play a crucial role throughout the crisis to ensure patients get the care they need at a reasonable cost. While many payer organizations face trouble running smoothly, companies that choose provider network management infrastructure are functioning well. These organizations provided necessary supplies for covid infected patients while experiencing a financial crisis. Thus, the market has been positively impacted during the pandemic situation and will grow further during the forecast period.



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MARKET PLAYERS

The report covers key developments in the healthcare provider network management market as organic and inorganic growth strategies. Various companies are focusing on organic growth strategies such as product launches, product approvals and others such as patents and events. Inorganic growth strategies activities witnessed in the market were acquisitions, and partnership & collaborations. These activities have paved way for the expansion of business and customer base of market players. The market players from healthcare provider network management market are anticipated to have lucrative growth opportunities in the future with the rising demand for healthcare provider network management in the global market.

The report also includes the profiles of key companies along with their SWOT analysis and market strategies in the healthcare provider network management market. In addition, the report focuses on leading industry players with information such as company profiles, components, and services offered, financial information of the last 3 years, the key development in the past five years.

  •  Cognizant
  •  Optum, Inc.
  •  Change Healthcare
  •  Genpact Limited
  •  Infosys BPM Ltd.
  •  Atos Syntel, Inc.
  •  SKYGEN USA
  •  Evolent Health, Inc.
  •  McKesson Corporation
  •  Mphasis, Ltd

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TABLE OF CONTENTS

1. INTRODUCTION
1.1. SCOPE OF THE STUDY
1.2. THE INSIGHT PARTNERS RESEARCH REPORT GUIDANCE
1.3. MARKET SEGMENTATION
1.3.1 Healthcare Provider Network Management Market - By Component
1.3.2 Healthcare Provider Network Management Market - By Delivery Mode
1.3.3 Healthcare Provider Network Management Market - By End-User
1.3.4 Healthcare Provider Network Management Market - By Region
1.3.4.1 By Country

2. KEY TAKEAWAYS

3. RESEARCH METHODOLOGY

4. HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET LANDSCAPE
4.1. OVERVIEW
4.2. PORTER'S FIVE FORCES ANALYSIS
4.2.1 Bargaining Power of Buyers
4.2.1 Bargaining Power of Suppliers
4.2.1 Threat of Substitute
4.2.1 Threat of New Entrants
4.2.1 Competitive Rivalry
4.3. EXPERT OPINIONS

5. HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET - KEY MARKET DYNAMICS
5.1. KEY MARKET DRIVERS
5.2. KEY MARKET RESTRAINTS
5.3. KEY MARKET OPPORTUNITIES
5.4. FUTURE TRENDS
5.5. IMPACT ANALYSIS OF DRIVERS AND RESTRAINTS

6. HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET - GLOBAL MARKET ANALYSIS
6.1. HEALTHCARE PROVIDER NETWORK MANAGEMENT - GLOBAL MARKET OVERVIEW
6.2. HEALTHCARE PROVIDER NETWORK MANAGEMENT - GLOBAL MARKET AND FORECAST TO 2028
6.3. MARKET POSITIONING/MARKET SHARE

7. HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET - REVENUE AND FORECASTS TO 2028 - COMPONENT
7.1. OVERVIEW
7.2. COMPONENT MARKET FORECASTS AND ANALYSIS
7.3. SOFTWARE
7.3.1. Overview
7.3.2. Software Market Forecast and Analysis
7.4. SERVICES
7.4.1. Overview
7.4.2. Services Market Forecast and Analysis
7.4.3. Internal Market
7.4.3.1. Overview
7.4.3.2. Internal Market Forecast and Analysis
7.4.4. Outsourcing Services Market
7.4.4.1. Overview
7.4.4.2. Outsourcing Services Market Forecast and Analysis
8. HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET - REVENUE AND FORECASTS TO 2028 - DELIVERY MODE
8.1. OVERVIEW
8.2. DELIVERY MODE MARKET FORECASTS AND ANALYSIS
8.3. ON-PREMISE DELIVERY MODE
8.3.1. Overview
8.3.2. On-premise Delivery Mode Market Forecast and Analysis
8.4. CLOUD-BASED DELIVERY MODE
8.4.1. Overview
8.4.2. Cloud-based Delivery Mode Market Forecast and Analysis
9. HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET - REVENUE AND FORECASTS TO 2028 - END-USER
9.1. OVERVIEW
9.2. END-USER MARKET FORECASTS AND ANALYSIS
9.3. PAYER
9.3.1. Overview
9.3.2. Payer Market Forecast and Analysis
9.4. PRIVATE
9.4.1. Overview
9.4.2. Private Market Forecast and Analysis
9.5. PUBLIC HEALTH INSURERS
9.5.1. Overview
9.5.2. Public Health Insurers Market Forecast and Analysis

10. HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET REVENUE AND FORECASTS TO 2028 - GEOGRAPHICAL ANALYSIS
10.1. NORTH AMERICA
10.1.1 North America Healthcare Provider Network Management Market Overview
10.1.2 North America Healthcare Provider Network Management Market Forecasts and Analysis
10.1.3 North America Healthcare Provider Network Management Market Forecasts and Analysis - By Component
10.1.4 North America Healthcare Provider Network Management Market Forecasts and Analysis - By Delivery Mode
10.1.5 North America Healthcare Provider Network Management Market Forecasts and Analysis - By End-User
10.1.6 North America Healthcare Provider Network Management Market Forecasts and Analysis - By Countries
10.1.6.1 Canada Healthcare Provider Network Management Market
10.1.6.1.1 Canada Healthcare Provider Network Management Market by Component
10.1.6.1.2 Canada Healthcare Provider Network Management Market by Delivery Mode
10.1.6.1.3 Canada Healthcare Provider Network Management Market by End-User
10.1.6.2 Mexico Healthcare Provider Network Management Market
10.1.6.2.1 Mexico Healthcare Provider Network Management Market by Component
10.1.6.2.2 Mexico Healthcare Provider Network Management Market by Delivery Mode
10.1.6.2.3 Mexico Healthcare Provider Network Management Market by End-User
10.1.6.3 US Healthcare Provider Network Management Market
10.1.6.3.1 US Healthcare Provider Network Management Market by Component
10.1.6.3.2 US Healthcare Provider Network Management Market by Delivery Mode
10.1.6.3.3 US Healthcare Provider Network Management Market by End-User
10.2. EUROPE
10.2.1 Europe Healthcare Provider Network Management Market Overview
10.2.2 Europe Healthcare Provider Network Management Market Forecasts and Analysis
10.2.3 Europe Healthcare Provider Network Management Market Forecasts and Analysis - By Component
10.2.4 Europe Healthcare Provider Network Management Market Forecasts and Analysis - By Delivery Mode
10.2.5 Europe Healthcare Provider Network Management Market Forecasts and Analysis - By End-User
10.2.6 Europe Healthcare Provider Network Management Market Forecasts and Analysis - By Countries
10.2.6.1 Germany Healthcare Provider Network Management Market
10.2.6.1.1 Germany Healthcare Provider Network Management Market by Component
10.2.6.1.2 Germany Healthcare Provider Network Management Market by Delivery Mode
10.2.6.1.3 Germany Healthcare Provider Network Management Market by End-User
10.2.6.2 France Healthcare Provider Network Management Market
10.2.6.2.1 France Healthcare Provider Network Management Market by Component
10.2.6.2.2 France Healthcare Provider Network Management Market by Delivery Mode
10.2.6.2.3 France Healthcare Provider Network Management Market by End-User
10.2.6.3 Italy Healthcare Provider Network Management Market
10.2.6.3.1 Italy Healthcare Provider Network Management Market by Component
10.2.6.3.2 Italy Healthcare Provider Network Management Market by Delivery Mode
10.2.6.3.3 Italy Healthcare Provider Network Management Market by End-User
10.2.6.4 Spain Healthcare Provider Network Management Market
10.2.6.4.1 Spain Healthcare Provider Network Management Market by Component
10.2.6.4.2 Spain Healthcare Provider Network Management Market by Delivery Mode
10.2.6.4.3 Spain Healthcare Provider Network Management Market by End-User
10.2.6.5 United Kingdom Healthcare Provider Network Management Market
10.2.6.5.1 United Kingdom Healthcare Provider Network Management Market by Component
10.2.6.5.2 United Kingdom Healthcare Provider Network Management Market by Delivery Mode
10.2.6.5.3 United Kingdom Healthcare Provider Network Management Market by End-User
10.2.6.6 Rest of Europe Healthcare Provider Network Management Market
10.2.6.6.1 Rest of Europe Healthcare Provider Network Management Market by Component
10.2.6.6.2 Rest of Europe Healthcare Provider Network Management Market by Delivery Mode
10.2.6.6.3 Rest of Europe Healthcare Provider Network Management Market by End-User
10.3. ASIA-PACIFIC
10.3.1 Asia-Pacific Healthcare Provider Network Management Market Overview
10.3.2 Asia-Pacific Healthcare Provider Network Management Market Forecasts and Analysis
10.3.3 Asia-Pacific Healthcare Provider Network Management Market Forecasts and Analysis - By Component
10.3.4 Asia-Pacific Healthcare Provider Network Management Market Forecasts and Analysis - By Delivery Mode
10.3.5 Asia-Pacific Healthcare Provider Network Management Market Forecasts and Analysis - By End-User
10.3.6 Asia-Pacific Healthcare Provider Network Management Market Forecasts and Analysis - By Countries
10.3.6.1 Australia Healthcare Provider Network Management Market
10.3.6.1.1 Australia Healthcare Provider Network Management Market by Component
10.3.6.1.2 Australia Healthcare Provider Network Management Market by Delivery Mode
10.3.6.1.3 Australia Healthcare Provider Network Management Market by End-User
10.3.6.2 China Healthcare Provider Network Management Market
10.3.6.2.1 China Healthcare Provider Network Management Market by Component
10.3.6.2.2 China Healthcare Provider Network Management Market by Delivery Mode
10.3.6.2.3 China Healthcare Provider Network Management Market by End-User
10.3.6.3 India Healthcare Provider Network Management Market
10.3.6.3.1 India Healthcare Provider Network Management Market by Component
10.3.6.3.2 India Healthcare Provider Network Management Market by Delivery Mode
10.3.6.3.3 India Healthcare Provider Network Management Market by End-User
10.3.6.4 Japan Healthcare Provider Network Management Market
10.3.6.4.1 Japan Healthcare Provider Network Management Market by Component
10.3.6.4.2 Japan Healthcare Provider Network Management Market by Delivery Mode
10.3.6.4.3 Japan Healthcare Provider Network Management Market by End-User
10.3.6.5 South Korea Healthcare Provider Network Management Market
10.3.6.5.1 South Korea Healthcare Provider Network Management Market by Component
10.3.6.5.2 South Korea Healthcare Provider Network Management Market by Delivery Mode
10.3.6.5.3 South Korea Healthcare Provider Network Management Market by End-User
10.3.6.6 Rest of Asia-Pacific Healthcare Provider Network Management Market
10.3.6.6.1 Rest of Asia-Pacific Healthcare Provider Network Management Market by Component
10.3.6.6.2 Rest of Asia-Pacific Healthcare Provider Network Management Market by Delivery Mode
10.3.6.6.3 Rest of Asia-Pacific Healthcare Provider Network Management Market by End-User
10.4. MIDDLE EAST AND AFRICA
10.4.1 Middle East and Africa Healthcare Provider Network Management Market Overview
10.4.2 Middle East and Africa Healthcare Provider Network Management Market Forecasts and Analysis
10.4.3 Middle East and Africa Healthcare Provider Network Management Market Forecasts and Analysis - By Component
10.4.4 Middle East and Africa Healthcare Provider Network Management Market Forecasts and Analysis - By Delivery Mode
10.4.5 Middle East and Africa Healthcare Provider Network Management Market Forecasts and Analysis - By End-User
10.4.6 Middle East and Africa Healthcare Provider Network Management Market Forecasts and Analysis - By Countries
10.4.6.1 South Africa Healthcare Provider Network Management Market
10.4.6.1.1 South Africa Healthcare Provider Network Management Market by Component
10.4.6.1.2 South Africa Healthcare Provider Network Management Market by Delivery Mode
10.4.6.1.3 South Africa Healthcare Provider Network Management Market by End-User
10.4.6.2 Saudi Arabia Healthcare Provider Network Management Market
10.4.6.2.1 Saudi Arabia Healthcare Provider Network Management Market by Component
10.4.6.2.2 Saudi Arabia Healthcare Provider Network Management Market by Delivery Mode
10.4.6.2.3 Saudi Arabia Healthcare Provider Network Management Market by End-User
10.4.6.3 U.A.E Healthcare Provider Network Management Market
10.4.6.3.1 U.A.E Healthcare Provider Network Management Market by Component
10.4.6.3.2 U.A.E Healthcare Provider Network Management Market by Delivery Mode
10.4.6.3.3 U.A.E Healthcare Provider Network Management Market by End-User
10.4.6.4 Rest of Middle East and Africa Healthcare Provider Network Management Market
10.4.6.4.1 Rest of Middle East and Africa Healthcare Provider Network Management Market by Component
10.4.6.4.2 Rest of Middle East and Africa Healthcare Provider Network Management Market by Delivery Mode
10.4.6.4.3 Rest of Middle East and Africa Healthcare Provider Network Management Market by End-User
10.5. SOUTH AND CENTRAL AMERICA
10.5.1 South and Central America Healthcare Provider Network Management Market Overview
10.5.2 South and Central America Healthcare Provider Network Management Market Forecasts and Analysis
10.5.3 South and Central America Healthcare Provider Network Management Market Forecasts and Analysis - By Component
10.5.4 South and Central America Healthcare Provider Network Management Market Forecasts and Analysis - By Delivery Mode
10.5.5 South and Central America Healthcare Provider Network Management Market Forecasts and Analysis - By End-User
10.5.6 South and Central America Healthcare Provider Network Management Market Forecasts and Analysis - By Countries
10.5.6.1 Brazil Healthcare Provider Network Management Market
10.5.6.1.1 Brazil Healthcare Provider Network Management Market by Component
10.5.6.1.2 Brazil Healthcare Provider Network Management Market by Delivery Mode
10.5.6.1.3 Brazil Healthcare Provider Network Management Market by End-User
10.5.6.2 Argentina Healthcare Provider Network Management Market
10.5.6.2.1 Argentina Healthcare Provider Network Management Market by Component
10.5.6.2.2 Argentina Healthcare Provider Network Management Market by Delivery Mode
10.5.6.2.3 Argentina Healthcare Provider Network Management Market by End-User
10.5.6.3 Rest of South and Central America Healthcare Provider Network Management Market
10.5.6.3.1 Rest of South and Central America Healthcare Provider Network Management Market by Component
10.5.6.3.2 Rest of South and Central America Healthcare Provider Network Management Market by Delivery Mode
10.5.6.3.3 Rest of South and Central America Healthcare Provider Network Management Market by End-User

11. INDUSTRY LANDSCAPE
11.1. MERGERS AND ACQUISITIONS
11.2. AGREEMENTS, COLLABORATIONS AND JOIN VENTURES
11.3. NEW PRODUCT LAUNCHES
11.4. EXPANSIONS AND OTHER STRATEGIC DEVELOPMENTS

12. HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET, KEY COMPANY PROFILES
12.1. COGNIZANT
12.1.1. Key Facts
12.1.2. Business Description
12.1.3. Products and Services
12.1.4. Financial Overview
12.1.5. SWOT Analysis
12.1.6. Key Developments
12.2. OPTUM, INC.
12.2.1. Key Facts
12.2.2. Business Description
12.2.3. Products and Services
12.2.4. Financial Overview
12.2.5. SWOT Analysis
12.2.6. Key Developments
12.3. CHANGE HEALTHCARE
12.3.1. Key Facts
12.3.2. Business Description
12.3.3. Products and Services
12.3.4. Financial Overview
12.3.5. SWOT Analysis
12.3.6. Key Developments
12.4. GENPACT LIMITED
12.4.1. Key Facts
12.4.2. Business Description
12.4.3. Products and Services
12.4.4. Financial Overview
12.4.5. SWOT Analysis
12.4.6. Key Developments
12.5. INFOSYS BPM LTD.
12.5.1. Key Facts
12.5.2. Business Description
12.5.3. Products and Services
12.5.4. Financial Overview
12.5.5. SWOT Analysis
12.5.6. Key Developments
12.6. ATOS SYNTEL, INC.
12.6.1. Key Facts
12.6.2. Business Description
12.6.3. Products and Services
12.6.4. Financial Overview
12.6.5. SWOT Analysis
12.6.6. Key Developments
12.7. SKYGEN USA
12.7.1. Key Facts
12.7.2. Business Description
12.7.3. Products and Services
12.7.4. Financial Overview
12.7.5. SWOT Analysis
12.7.6. Key Developments
12.8. EVOLENT HEALTH, INC.
12.8.1. Key Facts
12.8.2. Business Description
12.8.3. Products and Services
12.8.4. Financial Overview
12.8.5. SWOT Analysis
12.8.6. Key Developments
12.9. MCKESSON CORPORATION
12.9.1. Key Facts
12.9.2. Business Description
12.9.3. Products and Services
12.9.4. Financial Overview
12.9.5. SWOT Analysis
12.9.6. Key Developments
12.10. MPHASIS, LTD
12.10.1. Key Facts
12.10.2. Business Description
12.10.3. Products and Services
12.10.4. Financial Overview
12.10.5. SWOT Analysis
12.10.6. Key Developments

13. APPENDIX
13.1. ABOUT THE INSIGHT PARTNERS
13.2. GLOSSARY OF TERMS
The List of Companies

1. Cognizant
2. Optum, Inc.
3. Change Healthcare
4. Genpact Limited
5. Infosys BPM Ltd.
6. Atos Syntel, Inc.
7. SKYGEN USA
8. Evolent Health, Inc.
9. McKesson Corporation
10. Mphasis, Ltd
TIPRE00022443
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