Healthcare EDI Market by Component, Transactions, Mode of Delivery & by End-users - Global Forecast to 2018

NEW YORK, May 14, 2014 /PRNewswire/ -- Reportlinker.com announces that a new market research report is available in its catalogue:

Healthcare EDI Market by Component, Transactions, Mode of Delivery & by End-users - Global Forecast to 2018

http://www.reportlinker.com/p02118953/Healthcare-EDI-Market-by-Component-Transactions-Mode-of-Delivery--by-End-users---Global-Forecast-to-2018.html

Electronic Data Interchange (EDI) has helped evolve the healthcare market for claims management and supply chain management to depend from paper based to electronic based mode of transactions. The benefits associated with the use of EDI such as cost reductions and reduced time of transactions has helped improve the acceptance of this technology in the healthcare market.

In this report the global healthcare EDI market is broadly segmented by components, type of transactions, end-users, and mode of delivery. The market based on components are further divided into EDI software and EDI services, whereas, the type of transactions are divided into claims status, eligibility verification, payment remittance, referral certification authorization, enrolment/disenrollment transactions, and premium payments. On the basis of end-users the market is sub-segmented into healthcare payers, healthcare providers, and medical equipment/accessories suppliers. Based on mode of deliveries, the market is divided into web-based EDI, point-to-point EDI, mobile EDI, EDI VAN, and EDI via AS2.

Over the past few years, the healthcare EDI market has shown a substantial growth. The market is expected to grow at a CAGR of 13.7% from 2013 to 2018 to reach $1,681.1 million by 2018. EDI has been increasingly embraced by the healthcare industry, and is experiencing a growth due to various advantages associated with its use like reduction of the administration costs, reduced errors and time for transfer of claims, and initiatives by various governments. The passing of the Obamacare Act in 2010, in the United States has mandated the use of enrolment/disenrollment transactions between the payers and providers in the U.S., with the North American market contributing the maximum share of the global healthcare EDI market. The European market also occupies a significant share of the global healthcare EDI market, with the Asian regions showing the maximum growth due to various factors like large population, growing burden of diseases, and government initiatives for the support of healthcare IT in these regions.


The prominent players in the global healthcare EDI market include Emdeon Inc. (U.S.), Allscripts (U.S.), Mckesson (U.S.), Optum Health (U.S.), GE Healthcare (U.K.), Siemens Healthcare (Germany), SSI Group (U.S.), ZirMed (U.S.), Passport Health communications (U.S.), and Capario (U.S.).

Reasons to Buy the Report:

The report will enrich both established firms as well as new entrants/smaller firms to gauge the pulse of the market, which in turn will help firms, garner greater market shares. Firms purchasing the report could use any one or a combination of the below mentioned five strategies (market penetration, product development/innovation, market development, market diversification, and competitive assessment) for increasing their market shares.

The report provides insights on the following pointers:

• Market Penetration: Comprehensive information on the product portfolios offered by the top players in the healthcare EDI market. The report analyzes the healthcare EDI market by components, type of transactions, end-users, and mode of delivery.
• Product Development/Innovation: Detailed insights on the upcoming trends, research and development activities, and new product launches in the healthcare EDI market.
• Market Development: Comprehensive information about the lucrative emerging markets by product, functionality, and geography.
• Market Diversification: Exhaustive information about new products, growing geographies, recent developments, and investments in the healthcare EDI market.
• Competitive Assessment: In-depth assessment of market shares, growth strategies, products, distribution networks, manufacturing capabilities, and SWOT analysis of the leading players in the healthcare EDI market.

TABLE OF CONTENTS

1 INTRODUCTION 17
1.1 OBJECTIVES OF THE STUDY 17
1.2 REPORT DESCRIPTION 17
1.3 MARKETS COVERED 19
1.4 STAKEHOLDERS 20
1.5 RESEARCH METHODOLOGY 21
1.5.1 MARKET SIZE ESTIMATION 23
1.5.2 MARKET CRACKDOWN AND DATA TRIANGULATION 24
1.5.3 KEY DATA FROM SECONDARY RESOURCES 26
1.5.4 KEY DATA POINTS FROM PRIMARY RESOURCES 26
1.5.5 ASSUMPTIONS 28
2 EXECUTIVE SUMMARY 29
3 MARKET DYNAMICS 33

3.1 INTRODUCTION 34
3.2 MARKET SEGMENTATION 35
3.3 MARKET DYNAMICS 36
3.3.1 KEY MARKET DRIVERS 37
3.3.1.1 The Healthcare Insurance Portability and Accountability Act, 1996, to propel the adoption of EDI in healthcare 37
3.3.1.2 Patient Protection and Affordability Care Act 37
3.3.1.3 Initiatives by different governments for encouragement of healthcare IT 38
3.3.2 KEY MARKET RESTRAINTS 38
3.3.2.1 Data security—a major concern for patients and EDI users 38
3.3.2.2 High cost of EDI software 39
3.3.2.3 EDI management—a major challenge inhibiting the adoption of EDI 40
3.3.2.4 Restricted investments in Healthcare IT 40
3.3.2.5 Limited reimbursements to hinder the growth in the BRIC nations 41
3.3.3 KEY MARKET OPPORTUNITIES 41
3.3.3.1 Increase in the outsourcing of EDI services 41
3.3.3.2 Conversion from ICD-9 to ICD-10 42
3.3.4 KEY MARKET TRENDS 42

3.3.4.1 Increasing use of EDI in healthcare manufacturing/distribution industry 42
3.3.4.2 Gradual acceptance of mobile EDI 43
3.4 EVOLUTION OF EDI AND ITS FUTURE 43
3.5 BENEFITS OF EDI IN HEALTHCARE INDUSTRY 46
3.5.1 QUICKER PAYMENT OF CLAIMS AND DETECTION OF ERRORS 46
3.5.2 REDUCED ADMINISTRATIVE AND HANDLING COSTS 46
3.5.3 ACCESS TO ALL ELECTRONIC HIPAA-COMPLIANT TRANSACTIONS 47
3.5.4 OTHER BENEFITS TO MEDICARE "A" PROVIDERS 47
3.6 EDI STANDARDS FOR HEALTHCARE INDUSTRY 48
3.7 MARKET SHARE ANALYSIS 49
4 HEALTHCARE EDI MARKET, BY PRODUCT 52
4.1 INTRODUCTION 53
4.2 HEALTHCARE EDI MARKET, BY COMPONENT 54
4.2.1 SOFTWARE 55
4.2.2 SERVICES 57
4.3 HEALTHCARE EDI MARKET, BY TYPE OF TRANSACTION 59
4.3.1 CLAIM STATUS 60
4.3.2 ELIGIBILITY VERIFICATION 62
4.3.3 PAYMENT REMITTANCE 64
4.3.4 REFERRAL CERTIFICATION AUTHORIZATION 66

4.3.5 ENROLLMENT/DISENROLLMENT TRANSACTIONS 67
4.3.6 PREMIUM PAYMENTS 69
4.4 HEALTHCARE EDI MARKET, BY MODE OF DELIVERY 71
4.4.1 WEB-BASED EDI/EDI CLOUD 72
4.4.2 EDI VIA AS2 74
4.4.3 POINT-TO-POINT EDI 75
4.4.4 EDI VAN 77
4.4.5 MOBILE EDI 78
5 HEALTHCARE EDI MARKET, BY END USER 80
5.1 INTRODUCTION 81
5.2 HEALTHCARE PROVIDERS 83
5.2.1 HEALTHCARE PAYERS 84
5.2.2 GOVERNMENT/PUBLIC PAYERS 86
5.2.3 PRIVATE PAYERS 88
5.3 MEDICAL EQUIPMENT AND ACCESSORIES SUPPLIERS/PHARMACIES 90
6 GEOGRAPHIC ANALYSIS 92
6.1 INTRODUCTION 93
6.2 NORTH AMERICA 95
6.2.1 U.S. 99
6.2.2 CANADA 105

6.3 EUROPE 111
6.4 ASIA 116
6.5 REST OF THE WORLD 121
7 COMPETITIVE LANDSCAPE 126
7.1 INTRODUCTION 126
7.1.1 NEW PRODUCT LAUNCHES 128
7.1.2 MERGERS AND ACQUISITIONS 130
7.1.3 AGREEMENTS, ALLIANCES, COLLABORATIONS, JOINT VENTURES, AND PARTNERSHIPS 132
7.1.4 OTHER DEVELOPMENTS 133
8 COMPANY PROFILES 135
(Overview, Financials, Products & Services, Strategy, & Developments)*
8.1 ALLSCRIPTS HEALTHCARE SOLUTIONS INC. 135
8.2 CAPARIO INC. 142
8.3 EMDEON INC. 145
8.4 GE HEALTHCARE
(A DIVISION OF GENERAL ELECTRIC COMPANY) 159
8.5 MCKESSON CORPORATION 167
8.6 OPTUM INC. 175
8.7 PASSPORT HEALTH COMMUNICATIONS INC. 180

8.8 SIEMENS HEALTHCARE (SUBSIDIARY OF SIEMENS AG.) 186
8.9 SSI GROUP INC. 193
8.10 ZIRMED INC. 197

*Details on Financials, Product & Services, Strategy, & Developments might not be captured in case of unlisted companies.
APPENDIX 201

List Of Tables
List Of Tables (54)

TABLE 1 GLOBAL HEALTHCARE EDI MARKET, BY COMPONENT, 2011–2018 ($MILLION) 54

TABLE 2 GLOBAL HEALTHCARE EDI SOFTWARE MARKET, BY GEOGRAPHY, 2011–2018 ($MILLION) 56

TABLE 3 GLOBAL HEALTHCARE EDI SERVICES MARKET, BY GEOGRAPHY, 2011–2018 ($MILLION) 58

TABLE 4 GLOBAL HEALTHCARE EDI MARKET, BY TYPE OF TRANSACTION, 2011–2018 ($MILLION) 60
TABLE 5 GLOBAL HEALTHCARE CLAIM STATUS MARKET, BY GEOGRAPHY, 2011-2018 ($MILLION) 62
TABLE 6 GLOBAL HEALTHCARE ELIGIBILITY VERIFICATION MARKET, BY GEOGRAPHY, 2011–2018 ($MILLION) 64
TABLE 7 GLOBAL HEALTHCARE PAYMENT REMITTANCE MARKET, BY GEOGRAPHY, 2011–2018 ($MILLION) 65
TABLE 8 GLOBAL HEALTHCARE REFERRAL CERTIFICATION AUTHORIZATION MARKET, BY GEOGRAPHY, 2011–2018, ($MILLION) 67
TABLE 9 GLOBAL HEALTHCARE ENROLLMENT/DISENROLLMENT TRANSACTIONS MARKET, BY GEOGRAPHY, 2011–2018 ($MILLION) 68
TABLE 10 GLOBAL HEALTHCARE PREMIUM PAYMENTS MARKET, BY GEOGRAPHY, 2011–2018 ($MILLION) 70
TABLE 11 GLOBAL HEALTHCARE EDI MARKET, BY MODE OF DELIVERY, 2011–2018 ($MILLION) 71
TABLE 12 WEB-BASED EDI/EDI CLOUD MARKET, BY GEOGRAPHY, 2011–2018 ($MILLION) 73
TABLE 13 EDI VIA AS2 MARKET, BY GEOGRAPHY, 2011–2018 ($MILLION) 75

TABLE 14 POINT-TO-POINT EDI MARKET, BY GEOGRAPHY, 2011–2018 ($MILLION) 76
TABLE 15 EDI VAN MARKET, BY GEOGRAPHY, 2011–2018, ($MILLION) 78
TABLE 16 MOBILE HEALTHCARE EDI MARKET, BY GEOGRAPHY, 2011–2018 ($MILLION) 79
TABLE 17 GLOBAL HEALTHCARE EDI MARKET, BY END USER, 2011–2018 ($MILLION) 82
TABLE 18 GLOBAL HEALTHCARE EDI MARKET FOR HEALTHCARE PROVIDERS (HOSPITALS), BY GEOGRAPHY, 2011–2018 ($MILLION) 84
TABLE 19 GLOBAL HEALTHCARE EDI MARKET FOR HEALTHCARE PAYERS, BY GEOGRAPHY, 2011–2018 ($MILLION) 86
TABLE 20 GLOBAL HEALTHCARE EDI MARKET FOR GOVERNMENT/PUBLIC PAYERS, BY GEOGRAPHY, 2011-2018 ($MILLION) 87
TABLE 21 GLOBAL HEALTHCARE EDI MARKET FOR PRIVATE PAYERS, BY GEOGRAPHY, 2011–2018 ($MILLION) 89
TABLE 22 GLOBAL HEALTHCARE EDI MARKET FOR MEDICAL EQUIPMENT AND ACCESSORIES SUPPLIERS/PHARMACIES, BY GEOGRAPHY, 2011–2018 ($MILLION) 91
TABLE 23 HEALTHCARE EDI MARKET, BY GEOGRAPHY, 2011–2018 ($MILLION) 94
TABLE 24 NORTH AMERICA: HEALTHCARE EDI MARKET, BY COUNTRY, 2011–2018 ($MILLION) 96
TABLE 25 NORTH AMERICA: HEALTHCARE EDI MARKET, BY COMPONENT, 2011–2018 ($MILLION) 96
TABLE 26 NORTH AMERICA: HEALTHCARE EDI MARKET, BY TYPE OF TRANSACTION, 2011–2018 ($MILLION) 97
TABLE 27 NORTH AMERICA: HEALTHCARE EDI MARKET, BY MODE OF DELIVERY, 2011–2018 ($MILLION) 98
TABLE 28 NORTH AMERICA: HEALTHCARE EDI MARKET, BY END USER, 2011–2018 ($MILLION) 99
TABLE 29 U.S.: HEALTHCARE EDI MARKET, BY COMPONENT, 2011–2018 ($MILLION) 101
TABLE 30 U.S.: HEALTHCARE EDI MARKET, BY TYPE OF TRANSACTION, 2011–2018 ($MILLION) 102

TABLE 31 U.S.: HEALTHCARE EDI MARKET, BY MODE OF DELIVERY, 2011–2018 ($MILLION) 103
TABLE 32 U.S.: HEALTHCARE EDI MARKET, BY END USER, 2011–2018 ($MILLION) 104
TABLE 33 U.S.: HEALTHCARE PAYERS MARKET, BY TYPE OF PAYER, 2011–2018 ($MILLION) 105
TABLE 34 CANADA: HEALTHCARE EDI MARKET, BY COMPONENT, 2011–2018 ($MILLION) 107
TABLE 35 CANADA: HEALTHCARE EDI MARKET, BY TYPE OF TRANSACTION, 2011–2018 ($MILLION) 108
TABLE 36 CANADA: HEALTHCARE EDI MARKET, BY MODE OF DELIVERY, 2011–2018 ($MILLION) 109
TABLE 37 CANADA: HEALTHCARE EDI MARKET, BY END USER, 2011–2018 ($MILLION) 110
TABLE 38 EUROPE: HEALTHCARE EDI MARKET, BY COMPONENT, 2011–2018 ($MILLION) 112
TABLE 39 EUROPE: HEALTHCARE EDI MARKET, BY TYPE OF TRANSACTION, 2011–2018 ($MILLION) 113
TABLE 40 EUROPE: HEALTHCARE EDI MARKET, BY MODE OF DELIVERY, 2011–2018 ($MILLION) 114
TABLE 41 EUROPE: HEALTHCARE EDI MARKET, BY END USER, 2011–2018 ($MILLION) 115
TABLE 42 ASIA: HEALTHCARE EDI MARKET, BY COMPONENT, 2011–2018 ($MILLION) 117
TABLE 43 ASIA: HEALTHCARE EDI MARKET, BY TYPE OF TRANSACTION, 2011–2018 ($MILLION) 118
TABLE 44 ASIA: HEALTHCARE EDI MARKET, BY MODE OF DELIVERY, 2011–2018 ($MILLION) 119
TABLE 45 ASIA: HEALTHCARE EDI MARKET, BY END USER, 2011–2018 ($MILLION) 120
TABLE 46 ROW: HEALTHCARE EDI MARKET, BY COMPONENT, 2011–2018 ($MILLION) 122
TABLE 47 ROW: HEALTHCARE EDI MARKET, BY TYPE OF TRANSACTION, 2011–2018 ($MILLION) 123

TABLE 48 ROW: HEALTHCARE EDI MARKET, BY MODE OF DELIVERY, 2011–2018 ($MILLION) 124
TABLE 49 ROW: HEALTHCARE EDI MARKET, BY END USER, 2011–2018 ($MILLION) 125
TABLE 50 GROWTH STRATEGY MATRIX, 2011–2014 127
TABLE 51 NEW PRODUCT LAUNCHES, 2011–2014 129
TABLE 52 MERGERS AND ACQUISITIONS, 2011–2014 131
TABLE 53 AGREEMENTS, ALLIANCES, COLLABORATIONS, JOINT VENTURES, AND PARTNERSHIPS, 2011–2014 132"
TABLE 54 OTHER DEVELOPMENTS, 2011–2014 133

List Of Figures
LIST OF FIGURES

FIGURE 1 RESEARCH METHODOLOGY 22
FIGURE 2 MARKET SIZE ESTIMATION METHODOLOGY 24
FIGURE 3 DATA TRIANGULATION METHODOLOGY 25
FIGURE 4 GLOBAL HEALTHCARE EDI MARKET, BY TYPE OF TRANSACTION, 2013 VS. 2018 ($MILLION) 30
FIGURE 5 GLOBAL HEALTHCARE EDI MARKET, BY MODE OF DELIVERY, 2013 VS. 2018 ($MILLION) 31
FIGURE 6 GLOBAL HEALTHCARE EDI MARKET REVENUE TREND, 2011–2018 ($MILLION) 32
FIGURE 7 MARKET SEGMENTATION 35
FIGURE 8 MARKET DYNAMICS 36
FIGURE 9 EVOLUTION OF EDI 44
FIGURE 10 GLOBAL HEALTHCARE EDI MARKET SHARE, BY KEY PLAYERS, 2013 49
FIGURE 11 HEALTHCARE EDI MARKET, BY PRODUCT 53
FIGURE 12 HEALTHCARE EDI MARKET, BY END USERS 81
FIGURE 13 KEY GROWTH STRATEGIES, 2011-2014 126
FIGURE 14 ALLSCRIPTS: REVENUE SEGMENTATION, 2013 137
FIGURE 15 ALLSCRIPTS: TOTAL REVENUE, 2011–2013 137
FIGURE 16 ALLSCRIPTS: TOTAL REVENUE, BY SEGMENTS, 2013 138
FIGURE 17 ALLSCRIPTS: TOTAL REVENUE, BY GEOGRAPHY, 2013 139
FIGURE 18 EMDEON: REVENUE SEGMENTATION, 2012 151
FIGURE 19 EMDEON: TOTAL REVENUE, 2010-2012 ($MILLION) 152
FIGURE 20 EMDEON: TOTAL REVENUE, BY SEGMENTS, 2012 153

FIGURE 21 PAYER SERVICES: TOTAL REVENUE, BY SUB-SEGMENTS, 2012 153
FIGURE 22 PAYMENT SERVICES: TOTAL REVENUE, BY SUB-SEGMENTS, 2012 154
FIGURE 23 GE: REVENUE SEGMENTATION, 2013 161
FIGURE 24 GE: TOTAL REVENUE, 2011–2013 ($MILLION) 162
FIGURE 25 GE: TOTAL REVENUE, BY SEGMENTS, 2013 163
FIGURE 26 GE: TOTAL REVENUE, BY GEOGRAPHY, 2013 163
FIGURE 27 MCKESSON: REVENUE SEGMENTATION, 2013 169
FIGURE 28 MCKESSON: TOTAL REVENUE, 2011-2013 ($BILLION) 170
FIGURE 29 MCKESSON: TOTAL REVENUE, BY SEGMENTS, 2013 171
FIGURE 30 MCKESSON: TOTAL REVENUE, BY GEOGRAPHY, 2013 171
FIGURE 31 OPTUM: TOTAL REVENUE, 2011-2013 ($MILLION) 176
FIGURE 32 OPTUM: TOTAL REVENUE, BY SEGMENTS, 2013 177
FIGURE 33 SIEMENS AG: TOTAL REVENUE, 2011–2013, ($BILLION) 188
FIGURE 34 SIEMENS AG: TOTAL REVENUE, BY SEGMENTS, 2013 189
FIGURE 35 SIEMENS AG: TOTAL REVENUE, BY GEOGRAPHY, 2013 190

To order this report: Healthcare EDI Market by Component, Transactions, Mode of Delivery & by End-users - Global Forecast to 2018
http://www.reportlinker.com/p02118953/Healthcare-EDI-Market-by-Component-Transactions-Mode-of-Delivery--by-End-users---Global-Forecast-to-2018.html

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