1 INTRODUCTION 18
1.1 OBJECTIVES OF THE STUDY 18
1.2 MARKET DEFINITION 18
1.3 MARKET SCOPE 19
1.3.1 MARKETS COVERED 19
1.3.2 YEARS CONSIDERED FOR THE STUDY 19
1.4 CURRENCY 19
1.5 LIMITATIONS 20
1.5.1 SCOPE-RELATED LIMITATIONS 20
1.5.2 METHODOLOGY-RELATED LIMITATIONS 20
1.6 MARKET STAKEHOLDERS 20
1.7 SUMMARY OF CHANGES 21
2 RESEARCH METHODOLOGY 22
2.1 RESEARCH DATA 22
2.2 RESEARCH METHODOLOGY STEPS 22
FIGURE 1 RESEARCH METHODOLOGY: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET 22
FIGURE 2 RESEARCH DESIGN 23
2.2.1 SECONDARY DATA 24
2.2.1.1 Secondary sources 24
2.2.2 PRIMARY DATA 25
FIGURE 3 BREAKDOWN OF PRIMARY INTERVIEWS: BY COMPANY TYPE, DESIGNATION, AND REGION 26
2.2.2.1 Key data from primary sources 26
2.3 MARKET SIZE ESTIMATION 27
2.3.1 BOTTOM-UP APPROACH 27
2.3.1.1 Approach one: Revenue mapping-based estimation 27
FIGURE 4 ESTIMATION OF THE HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET: REVENUE MAPPING-BASED ESTIMATION 28
2.3.1.2 Approach two: Buyer adoption-based approach 28
FIGURE 5 MARKET SIZE ESTIMATION: BUYER ADOPTION-BASED 28
FIGURE 6 RESEARCH METHODOLOGY: HYPOTHESIS BUILDING 29
FIGURE 7 REVENUE-BASED MARKET SIZE ESTIMATION: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET 29
2.3.2 TOP-DOWN APPROACH 30
FIGURE 8 PENETRATION RATE-BASED MARKET ESTIMATION 30
2.4 MARKET DATA ESTIMATION AND TRIANGULATION 31
FIGURE 9 DATA TRIANGULATION METHODOLOGY 31
2.5 ASSUMPTIONS FOR THE STUDY 32
2.5.1 COVID-19-SPECIFIC ASSUMPTIONS 32
2.6 RISK ASSESSMENT 33
TABLE 1 LIMITATIONS AND ASSOCIATED RISKS 33
3 EXECUTIVE SUMMARY 34
FIGURE 10 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COMPONENT, 2020 VS. 2025 (USD MILLION) 34
FIGURE 11 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY DELIVERY MODE, 2020 VS. 2025 (USD MILLION) 35
FIGURE 12 HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET,
BY END USER, 2020 VS. 2025 (USD MILLION) 35
FIGURE 13 GEOGRAPHICAL SNAPSHOT OF THE HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET 36
4 PREMIUM INSIGHTS 37
4.1 HEALTHCARE PROVIDER NETWORK MANAGEMENT: MARKET OVERVIEW 37
FIGURE 14 THE ASIA PACIFIC REGION IS PROJECTED TO WITNESS THE HIGHEST GROWTH DURING THE FORECAST PERIOD 37
4.2 NORTH AMERICA HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COMPONENT & COUNTRY (2019) 38
FIGURE 15 THE US ACCOUNTED FOR THE LARGEST SHARE OF THE NORTH AMERICAN HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET IN 2019 38
4.3 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET, BY DELIVERY MODE (2020-2025) 38
FIGURE 16 ON-PREMISE DELIVERY MODE SEGMENT TO DOMINATE THE HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET DURING THE FORECAST PERIOD 38
4.4 GEOGRAPHICAL SNAPSHOT OF THE HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET 39
FIGURE 17 ASIA PACIFIC MARKET TO REGISTER THE HIGHEST GROWTH RATE DURING THE FORECAST PERIOD 39
5 MARKET OVERVIEW 40
5.1 INTRODUCTION 40
5.2 MARKET DYNAMICS 40
FIGURE 18 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET: DRIVERS, RESTRAINTS, OPPORTUNITIES, AND CHALLENGES 40
5.2.1 DRIVERS 41
5.2.1.1 Implementation of stringent federal mandates in the US 41
5.2.1.2 Growing focus on improving the quality of care through the effective use of payer reporting requirements 41
5.2.1.3 Need to curtail escalating healthcare costs 41
5.2.1.4 In-house shortage of skilled personnel 42
5.2.2 RESTRAINTS 42
5.2.2.1 IT infrastructural constraints in developing countries 42
5.2.2.2 Unforeseen costs associated with outsourcing services 43
5.2.3 OPPORTUNITIES 43
5.2.3.1 Advanced data analytics 43
5.2.4 CHALLENGES 43
5.2.4.1 Reluctance of users to migrate from legacy systems 43
5.3 COVID-19 IMPACT 44
5.4 VALUE CHAIN ANALYSIS 45
FIGURE 19 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET: VALUE CHAIN 45
5.5 ECOSYSTEM 45
FIGURE 20 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET: ECOSYSTEM 45
6 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET, BY COMPONENT 46
6.1 INTRODUCTION 47
TABLE 2 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COMPONENT, 2018-2025 (USD MILLION) 47
6.2 PROVIDER NETWORK MANAGEMENT SERVICES 47
6.2.1 THE SERVICES SEGMENT IS EXPECTED TO DOMINATE THE GLOBAL MARKET DURING THE FORECAST PERIOD 47
TABLE 3 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY TYPE, 2018-2025 (USD MILLION) 48
TABLE 4 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY REGION, 2018-2025 (USD MILLION) 49
TABLE 5 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY COUNTRY, 2018-2025 (USD MILLION) 49
TABLE 6 EUROPE: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY COUNTRY, 2018-2025 (USD MILLION) 49
6.3 PROVIDER NETWORK MANAGEMENT SOFTWARE 50
6.3.1 RISING HEALTHCARE COSTS IS THE KEY DRIVER FOR THE ADOPTION OF PROVIDER NETWORK MANAGEMENT SOFTWARE 50
TABLE 7 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT SOFTWARE MARKET, BY REGION, 2018-2025 (USD MILLION) 50
TABLE 8 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT SOFTWARE MARKET, BY COUNTRY, 2018-2025 (USD MILLION) 50
TABLE 9 EUROPE: HEALTHCARE PROVIDER NETWORK MANAGEMENT SOFTWARE MARKET, BY COUNTRY, 2018-2025 (USD MILLION) 51
7 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY DELIVERY MODE 52
7.1 INTRODUCTION 53
TABLE 10 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY DELIVERY MODE, 2018-2025 (USD MILLION) 53
7.2 ON-PREMISE DELIVERY MODE 53
7.2.1 THE ON-PREMISE DELIVERY MODE SEGMENT ACCOUNTED FOR THE LARGEST SHARE OF THE MARKET IN 2019 53
TABLE 11 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET FOR ON-PREMISE DELIVERY MODE, BY REGION, 2018-2025 (USD MILLION) 54
TABLE 12 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET FOR ON-PREMISE DELIVERY MODE, BY COUNTRY, 2018-2025 (USD MILLION) 54
TABLE 13 EUROPE: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET FOR ON-PREMISE DELIVERY MODE, BY COUNTRY, 2018-2025 (USD MILLION) 54
7.3 CLOUD-BASED DELIVERY MODE 55
7.3.1 THE CLOUD-BASED DELIVERY MODE SEGMENT IS EXPECTED TO REGISTER THE HIGHEST CAGR DURING THE FORECAST PERIOD 55
TABLE 14 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET FOR CLOUD-BASED DELIVERY MODE, BY REGION, 2018-2025 (USD MILLION) 55
TABLE 15 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET FOR CLOUD-BASED DELIVERY MODE, BY COUNTRY,
2018-2025 (USD MILLION) 56
TABLE 16 EUROPE: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET FOR CLOUD-BASED DELIVERY MODE, BY COUNTRY, 2018-2025 (USD MILLION) 56
8 HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET,
BY END USER 57
8.1 INTRODUCTION 58
TABLE 17 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY END USER, 2018-2025 (USD MILLION) 58
8.2 PRIVATE PAYERS 58
8.2.1 THE PRIVATE PAYERS’ SEGMENT IS EXPECTED TO DOMINATE THE GLOBAL MARKET DURING THE FORECAST PERIOD 58
TABLE 18 HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET FOR PRIVATE PAYERS, BY REGION, 2018-2025 (USD MILLION) 59
8.3 PUBLIC PAYERS 59
8.3.1 INCREASING GOVERNMENT INITIATIVES TO IMPROVE HEALTHCARE COVERAGE IS DRIVING THE GROWTH OF THIS SEGMENT 59
TABLE 19 HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET FOR PUBLIC PAYERS, BY REGION, 2018-2025 (USD MILLION) 59
9 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET, BY REGION 60
9.1 INTRODUCTION 61
TABLE 20 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET, BY REGION, 2018-2025 (USD MILLION) 61
9.2 NORTH AMERICA 62
FIGURE 21 NORTH AMERICA TO GROW AT A CAGR OF 14.0% DURING THE FORECAST PERIOD 62
TABLE 21 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET, BY COUNTRY, 2018-2025 (USD MILLION) 63
TABLE 22 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET, BY COMPONENT, 2018-2025 (USD MILLION) 63
TABLE 23 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY TYPE, 2018-2025 (USD MILLION) 63
TABLE 24 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET, BY DELIVERY MODE, 2018-2025 (USD MILLION) 64
TABLE 25 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY END USER, 2018-2025 (USD MILLION) 64
9.2.1 US 64
9.2.1.1 Increase in health insurance coverage 64
9.2.1.2 Rising need to curtail escalating healthcare costs 65
TABLE 26 US: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COMPONENT, 2018-2025 (USD MILLION) 65
TABLE 27 US: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY TYPE, 2018-2025 (USD MILLION) 66
TABLE 28 US: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY DELIVERY MODE, 2018-2025 (USD MILLION) 66
TABLE 29 US: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY END USER, 2018-2025 (USD MILLION) 66
9.2.2 CANADA 67
9.2.2.1 Strong government focus on healthcare IT solutions 67
9.2.2.2 The rising need to improve the quality of healthcare in Canada 67
TABLE 30 CANADA: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COMPONENT, 2018-2025 (USD MILLION) 67
TABLE 31 CANADA: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY TYPE, 2018-2025 (USD MILLION) 68
TABLE 32 CANADA: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY DELIVERY MODE, 2018-2025 (USD MILLION) 68
TABLE 33 CANADA: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY END USER, 2018-2025 (USD MILLION) 68
9.3 EUROPE 69
FIGURE 22 EUROPE: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET OVERVIEW 69
TABLE 34 EUROPE: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COUNTRY, 2018-2025 (USD MILLION) 70
TABLE 35 EUROPE: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COMPONENT, 2018-2025 (USD MILLION) 70
TABLE 36 EUROPE: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY TYPE, 2018-2025 (USD MILLION) 70
TABLE 37 EUROPE: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY DELIVERY MODE, 2018-2025 (USD MILLION) 71
TABLE 38 EUROPE: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY END USER, 2018-2025 (USD MILLION) 71
9.3.1 GERMANY 71
9.3.1.1 Government initiatives to modernize the healthcare system in Germany drives the market growth 71
TABLE 39 GERMANY: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COMPONENT, 2018-2025 (USD MILLION) 72
TABLE 40 GERMANY: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY TYPE, 2018-2025 (USD MILLION) 72
TABLE 41 GERMANY: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY DELIVERY MODE, 2018-2025 (USD MILLION) 72
TABLE 42 GERMANY: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY END USER, 2018-2025 (USD MILLION) 73
9.3.2 UK 73
9.3.2.1 UK is projected to grow with the highest CAGR during the forecast period 73
TABLE 43 UK: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COMPONENT, 2018-2025 (USD MILLION) 74
TABLE 44 UK: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY TYPE, 2018-2025 (USD MILLION) 74
TABLE 45 UK: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY DELIVERY MODE, 2018-2025 (USD MILLION) 74
TABLE 46 UK: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY END USER, 2018-2025 (USD MILLION) 75
9.3.3 FRANCE 75
9.3.3.1 Digital insurance startups in France to support market growth for HPNM solutions 75
TABLE 47 FRANCE: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COMPONENT, 2018-2025 (USD MILLION) 76
TABLE 48 FRANCE: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY TYPE, 2018-2025 (USD MILLION) 76
TABLE 49 FRANCE: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY DELIVERY MODE, 2018-2025 (USD MILLION) 76
TABLE 50 FRANCE: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY END USER, 2018-2025 (USD MILLION) 77
9.3.4 REST OF EUROPE 77
TABLE 51 ROE: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COMPONENT, 2018-2025 (USD MILLION) 78
TABLE 52 ROE: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY TYPE, 2018-2025 (USD MILLION) 78
TABLE 53 ROE: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY DELIVERY MODE, 2018-2025 (USD MILLION) 78
TABLE 54 ROE: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY END USER, 2018-2025 (USD MILLION) 79
9.4 ASIA PACIFIC 79
TABLE 55 APAC: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COMPONENT, 2018-2025 (USD MILLION) 80
TABLE 56 APAC: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY TYPE, 2018-2025 (USD MILLION) 80
TABLE 57 APAC: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY DELIVERY MODE, 2018-2025 (USD MILLION) 80
TABLE 58 APAC: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY END USER, 2018-2025 (USD MILLION) 81
9.5 REST OF THE WORLD 81
TABLE 59 ROW: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COMPONENT, 2018-2025 (USD MILLION) 81
TABLE 60 ROW: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY DELIVERY MODE, 2018-2025 (USD MILLION) 82
TABLE 61 ROW: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET SIZE, BY END USER, 2018-2025 (USD MILLION) 82
10 COMPETITIVE LANDSCAPE 83
10.1 OVERVIEW 83
FIGURE 23 KEY PLAYERS ADOPTED ORGANIC AND INORGANIC GROWTH STRATEGIES BETWEEN 2017 AND 2020 83
FIGURE 24 MARKET EVOLUTION FRAMEWORK 84
10.2 COMPETITIVE SCENARIO 84
10.2.1 ACQUISITIONS 84
10.2.2 AGREEMENTS, PARTNERSHIPS, AND COLLABORATIONS 85
10.2.3 PRODUCT AND SERVICE LAUNCHES 85
10.2.4 EXPANSIONS 86
11 COMPANY EVALUATION MATRIX AND COMPANY PROFILES 87
11.1 COMPANY EVALUATION MATRIX: DEFINITIONS AND METHODOLOGY 87
11.1.1 STARS 87
11.1.2 EMERGING LEADERS 87
11.1.3 PERVASIVE PLAYERS 87
11.1.4 PARTICIPANTS 87
FIGURE 25 MNM VENDOR DIVE COMPARISON MATRIX: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET 88
11.2 COMPANY PROFILES 89
(Business overview, Products offered, Recent developments, MNM view)*
11.2.1 COGNIZANT 89
FIGURE 26 COGNIZANT: COMPANY SNAPSHOT (2019) 89
11.2.2 CHANGE HEALTHCARE 91
FIGURE 27 CHANGE HEALTHCARE: COMPANY SNAPSHOT 91
11.2.3 OPTUM, INC. (A PART OF UNITEDHEALTH GROUP) 94
FIGURE 28 UNITEDHEALTH GROUP: COMPANY SNAPSHOT 94
11.2.4 AYASDI, INC. 96
11.2.5 GENPACT LIMITED 97
FIGURE 29 GENPACT LIMITED: COMPANY SNAPSHOT 97
11.2.6 INFOSYS BPM, LTD. 99
FIGURE 30 INFOSYS: COMPANY SNAPSHOT 99
11.2.7 ATOS SYNTEL INC. (A SUBSIDIARY OF ATOS SE) 101
FIGURE 31 ATOS SE: COMPANY SNAPSHOT (2019) 101
11.2.8 MPHASIS LIMITED 103
FIGURE 32 MPHASIS LIMITED: COMPANY SNAPSHOT 103
11.2.9 SKYGEN USA, LLC. 105
11.2.10 EVOLENT HEALTH, INC. 106
FIGURE 33 EVOLENT HEALTH: COMPANY SNAPSHOT (2019) 106
11.2.11 OSP LABS 107
11.2.12 HGS LTD. 108
FIGURE 34 HGS LTD.: COMPANY SNAPSHOT (2019) 108
11.2.13 VIRTUSA CORP. 109
FIGURE 35 VIRTUSA CORP.: COMPANY SNAPSHOT (2020) 109
11.2.14 EXL 110
FIGURE 36 EXL: COMPANY SNAPSHOT (2019) 110
11.2.15 VEE TECHNOLOGIES 112
11.2.16 SYMPLR 113
11.2.17 APPIAN 113
11.2.18 VIRSYS12, LLC. (A SALESFORCE COMPANY) 114
11.2.19 INOVALON 114
11.2.20 WIPRO LIMITED 115
*Business overview, Products offered, Recent developments, MNM view might not be captured in case of unlisted companies.
12 APPENDIX 116
12.1 DISCUSSION GUIDE 116
12.2 KNOWLEDGE STORE: MARKETSANDMARKETS’ SUBSCRIPTION PORTAL 119
12.3 AVAILABLE CUSTOMIZATIONS 121
12.4 RELATED REPORTS 121
12.5 AUTHOR DETAILS 122
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