Healthcare Electronic Data Interchange (EDI) Market Research Report – Global Forecast till 2023

Healthcare Electronic Data Interchange (EDI) Market Information by Component (Software and Services), by Delivery Mode (Web and Cloud-based, EDI VAN), by Transaction (Claims & Encounters), end user - Global Forecast Till 2023

ID: MRFR/HC/5869-HCR | February 2021 | Region: Global | 90 pages

Healthcare EDI Market Scenario


Global healthcare electronic data interchange (EDI) market size is expected to grow significantly over the forecast period. It is anticipated that the market held a valuation of USD 2674 million in 2017 and is projected to grow at a CAGR of 8.8% over the forecast period.


In any healthcare organization enormous number of documents, such as, health insurance reimbursements, patient records, and others, are processed. Using paper forms can be cumbersome and inefficient while retrieving or searching for data. So, electronic data interchange (EDI) in healthcare allows the exchange of computer-processable healthcare data in a standardized format among healthcare professionals, institutions, and patients.


Rising adoption of EDI for operational intelligence and performance management is one of the key factors driving the healthcare EDI market. EDI healthcare transactions helps in the elimination of all paper trails and digitize all transactions which results in lower handling costs of processing healthcare documents. Based on the Workgroup for Electronic Data Interchange (WEDI) estimations, healthcare players can generate significant savings of USD 1 per claim for health plans, USD 1.49 for physicians, USD 0.86 for hospitals, and USD 0.83 for others, with EDI. Various other factors such as rising government support for healthcare IT projects, increasing demand to curtail healthcare costs, rising awareness about the benefits associated with EDI software, increasing adoption of EDI software by pharmaceutical companies, and implementation of favourable funding policies are also expected to propel the growth of the healthcare EDI market.


However, the high implementation cost of EDI software, data security, hesitancy to switch from conventional methods can hinder the market growth over the forecast period.


Segmentation


Global healthcare electronic data interchange market has been segmented into component, delivery mode, transaction, and end user.


The market, on the basis of component, has been segmented into software, and services.


The market, by delivery mode, has been segmented into web and cloud-based EDI, EDI value added network (VAN), direct (Point-to-Point) EDI, and mobile EDI.


The market, by transaction, has been segmented into claims & encounters and payment & remittance advance, eligibility inquiry and response, claim attachments, claim status and response, enrollments, and referral certification and authorization.


Healthcare EDI market, by end user, has been segmented into healthcare payers, healthcare providers, pharmaceutical & medical device industries, and others. The healthcare payers segment is anticipated to hold the largest market share owing to the increasing adoption of EDI for financial management by physicians and clinicians. The pharmaceutical & medical device industries are expected to grow at the highest CAGR owing to the growing demand for insurance plans.


Healthcare EDI market has been segmented, by region, into the Americas, Europe, Asia-Pacific, and the Middle East & Africa. The healthcare electronic data interchange (EDI) market in the Americas has further been segmented into North America and South America, with the North American market divided into the US and Canada.


The European healthcare electronic data interchange (EDI) market has been segmented into Western Europe and Eastern Europe. Western Europe has been classified as Germany, France, the UK, Italy, Spain, and the rest of Western Europe. 


Healthcare electronic data interchange market in Asia-Pacific has been segmented into Japan, China, India, South Korea, Australia, and the rest of Asia-Pacific. The healthcare electronic data interchange market in the Middle East & Africa has been segmented into the Middle East and Africa.


Regional Market Summary


Global Healthcare Electronic Data Interchange (EDI) Market Share (%), by Region, 2017


Healthcare Electronic Data Interchange


Source: Centers for Disease Control and Prevention (CDC), Eurostat, White Papers, Company Presentations, Annual Reports


Geographically, the Americas is anticipated to dominate the global healthcare electronic data interchange market owing to rising healthcare expenditure, increasing participation of market players and technological advancements in EDI software. For instance, in 2016, PLEXIS Healthcare Systems announced the expansion of its EDI services with the formal launch of Ignite EDI. The Ignite EDI hub is powered by four smart, foundational building blocks i.e. the EDI gateway, the Atlas engine, portal technologies, and EDI exploration services.


Europe is expected to hold the second largest position in the global healthcare electronic data interchange market. The market growth in this region is attributed to the government funding and favourable policy implementation.


Healthcare EDI market in Asia-Pacific region consists of countries namely China, Japan, Republic of Korea, India, Australia and Rest of Asia-Pacific. The Asia-Pacific region is expected to be fastest growing region owing to the rising spending on information technology in the Asia-Pacific region. According to the data suggested by the India Brand Equity Foundation (IBEF), spending on information technology in India is expected to grow over 9 per cent to reach USD 87.1 billion in 2018.


The Middle East & Africa are expected to hold the least share of the market. The market growth in this region is expected to be driven by rising awareness about healthcare electronic data interchange software.


Global Healthcare Electronic Data Interchange (EDI) Market, by Component



  • Software

  • Services


Global Healthcare Electronic Data Interchange (EDI) Market, by Delivery Mode



  • Web and Cloud-based EDI

  • EDI Value Added Network (VAN)

  • Direct (Point-to-Point) EDI

  • Mobile EDI


 Global Healthcare Electronic Data Interchange (EDI) Market, by Transaction



  • Claims & Encounters

  • Payment & Remittance Advance

  • Eligibility Inquiry and Response

  • Claim Attachments

  • Claim Status and Response

  • Enrollments

  • Referral Certification and Authorization


Global Healthcare Electronic Data Interchange (EDI) Market, by End User



  • Healthcare Payers

  • Healthcare Providers

  • Pharmaceutical & Medical Device Industries

  • Others


 Global Healthcare Electronic Data Interchange (EDI) Market, by Region



  • Americas

    • North America

      • US

      • Canada



    • South America



  • Europe

    • Western Europe

      • Germany

      • France

      • Italy

      • Spain

      • UK

      • Rest of Western Europe

      • Eastern Europe





  • Asia-Pacific

    • Japan

    • China

    • India

    • Australia

    • South Korea

    • Rest of Asia-Pacific



  • The Middle East & Africa

    • Middle East

    • Africa




Global Healthcare Electronic Data Interchange (EDI) Market, by Key Players



  • GE Healthcare

  • McKesson Corporation

  • Cognizant

  • Allscripts Healthcare Solutions Inc.

  • Siemens Healthineers

  • Optum, Inc.

  • The SSI Group, LLC

  • Schreiner Group

  • ZirMed Inc.

  • Experian Information Solutions, Inc.

  • Emdeon Inc.

  • Passport Health Communications

  • HealthFusion


 Intended Audience



  • Research and Development Organization

  • Diagnostic Laboratories

  • Healthcare Organizations

  • Academics and Research Institutes

  • Pharmaceutical & Biopharmaceutical companies

  • Market Research and Consulting Service Providers



Frequently Asked Questions (FAQ) :


Global healthcare electronic data interchange market was valued at more than USD 2.6 billion in 2017.

Global Healthcare Electronic Data Interchange (EDI) Market is expected to exhibit a solid 8.8% CAGR over the forecast period from 2018 to 2023.

The major driver for the healthcare electronic data interchange market is the increasing demand for higher operational intelligence and performance management in the healthcare sector, which has driven the demand for digital healthcare solutions.

The high costs of electronic data interchange systems and the threat of data theft are the key restraints on the global healthcare electronic data interchange market.

Leading players in the global healthcare electronic data interchange market include GE Healthcare, McKesson Corporation, Cognizant, Siemens, Optum Inc., ZirMed Inc., and Emdeon, among others.

Table of Contents:

Chapter 1. Report Prologue

Chapter 2. Market Introduction

2.1 Definition

2.2 Scope of the Study

2.2.1 Research Objective

2.2.2 Assumptions

2.2.3 Limitations

Chapter 3. Research Methodology

3.1 Introduction

3.2 Primary Research

3.3 Secondary Research

3.4 Market Size Estimation

Chapter 4. Market Dynamics

4.1 Drivers

4.2 Restraints

4.3 Opportunities

4.4 Challenges

4.5 Macroeconomic Indicators

4.6 Product Trends & Assessment

Chapter 5. Market Factor Analysis

5.1 Porter’s Five Forces Analysis

5.1.1 Bargaining Power of Suppliers

5.1.2 Bargaining Power of Buyers

5.1.3 Threat of New Entrants

5.1.4 Threat of Substitutes

5.1.5 Intensity of Rivalry

5.2 Value Chain Analysis

5.3 Investment Feasibility Analysis

5.4 Pricing Analysis

Chapter 6. Global Healthcare Electronic Data Interchange (EDI) Market, by Component

6.1 Introduction

6.2 Software

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

6.3 Services

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

Chapter 7. Global Healthcare Electronic Data Interchange (EDI) Market, by Delivery Mode

7.1 Introduction

7.2 Web and Cloud-based EDI

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

7.3 EDI Value Added Network (VAN)

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

7.4 Direct (Point-to-Point) EDI

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

7.5 Mobile EDI

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

Chapter 8. Global Healthcare Electronic Data Interchange (EDI) Market, by Transaction

8.1 Introduction

8.2 Claims & Encounters

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

8.3 Payment & Remittance Advance

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

8.4 Eligibility Inquiry and Response

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

8.5 Claim Attachments

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

8.6 Claim Status and Response

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

8.7 Enrollments

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

8.8 Referral Certification and Authorization

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

Chapter 9. Global Healthcare Electronic Data Interchange (EDI) Market, by End User

9.1 Introduction

9.2 Healthcare Payers

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

9.3 Healthcare Providers

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

9.4 Pharmaceutical & Medical Device Industries

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

9.5 Others

Market Estimates & Forecast, by Region, 2018–2023

Market Estimates & Forecast, by Country, 2018–2023

Chapter 10. Global Healthcare Electronic Data Interchange (EDI) Market, by Region

10.1 Introduction

10.2 Americas

10.2.1 North America

10.2.1.1 US

10.2.1.2 Canada

10.2.2 South America

10.3 Europe

10.3.1 Western Europe

10.3.1.1 Germany

10.3.1.2 France

10.3.1.3 Italy

10.3.1.4 Spain

10.3.1.5 UK

10.3.1.6 Rest of Western Europe

10.3.2 Eastern Europe

10.4 Asia-Pacific

10.4.1 Japan

10.4.2 China

10.4.3 India

10.4.4 Australia

10.4.5 South Korea

10.4.6 Rest of Asia-Pacific

10.5 Middle East & Africa

10.5.1 Middle East

10.5.2 Africa

Chapter 11. Company Landscape

11.1 Introduction

11.2 Market Share Analysis

11.3 Key Development & Strategies

Chapter 12. Company Profiles

12.1 GE HEALTHCARE

12.1.1 Company Overview

12.1.2 Product Overview

12.1.3 Financials Overview

12.1.4 Key Developments

12.1.5 SWOT Analysis

12.2 MCKESSON CORPORATION

12.2.1 Company Overview

12.2.2 Product Overview

12.2.3 Financial Overview

12.2.4 Key Developments

12.2.5 SWOT Analysis

12.3 COGNIZANT

12.3.1 Company Overview

12.3.2 Product Overview

12.3.3 Financial Overview

12.3.4 Key Development

12.3.5 SWOT Analysis

12.4 ALLSCRIPTS HEALTHCARE SOLUTIONS INC.

12.4.1 Company Overview

12.4.2 Product Overview

12.4.3 Financial Overview

12.4.4 Key Development

12.4.5 SWOT Analysis

12.5 Siemens Healthineers

12.5.1 Company Overview

12.5.2 Product Overview

12.5.3 Financial overview

12.5.4 Key Developments

12.5.5 SWOT Analysis

12.6 Optum, Inc.

12.6.1 Company Overview

12.6.2 Product Overview

12.6.3 Financial Overview

12.6.4 Key Developments

12.6.5 SWOT Analysis

12.7 The SSI Group, LLC

12.7.1 Overview

12.7.2 Product Overview

12.7.3 Financial Overview

12.7.4 Key Developments

12.7.5 SWOT Analysis

12.8 SCHREINER GROUP

12.8.1 Overview

12.8.2 Product Overview

12.8.3 Financials

12.8.4 Key Developments

12.8.5 SWOT Analysis

12.9 ZirMed Inc.

12.9.1 Overview

12.9.2 Product Overview

12.9.3 Financials

12.9.4 Key Developments

12.9.5 SWOT Analysis

12.10 Experian Information Solutions, Inc.

12.10.1 Overview

12.10.2 Product Overview

12.10.3 Financials

12.10.4 Key Developments

12.10.5 SWOT Analysis

12.11 Emdeon Inc.

12.11.1 Overview

12.11.2 Product Overview

12.11.3 Financials

12.11.4 Key Developments

12.11.5 SWOT Analysis

12.12 Passport Health Communications

12.12.1 Overview

12.12.2 Product Overview

12.12.3 Financials

12.12.4 Key Developments

12.12.5 SWOT Analysis

12.13 HealthFusion

12.13.1 Overview

12.13.2 Product Overview

12.13.3 Financials

12.13.4 Key Developments

12.13.5 SWOT Analysis

12.15 Others

Chapter 13 MRFR Conclusion

13.1 Key Findings

13.1.1 From CEO’s View point

13.1.2 Unmet Needs of the Market

13.2 Key Companies to Watch

13.3 Predictions for the Healthcare Electronic Data Interchange (EDI) Industry

Chapter 14. Appendix

LIST OF TABLES

Table 1 Global Healthcare Electronic Data Interchange (EDI) Market Synopsis, 2018–2023

Table 2 Global Healthcare Electronic Data Interchange (EDI) Market Estimates and Forecast, 2018–2023 (USD Million)

Table 3 Global Healthcare Electronic Data Interchange (EDI) Market, by Region, 2018–2023 (USD Million)

Table 4 Global Healthcare Electronic Data Interchange (EDI) Market, by Component, 2018–2023 (USD Million)

Table 5 Global Healthcare Electronic Data Interchange (EDI) Market, by Delivery Mode, 2018– 2023 (USD Million)

Table 6 Global Healthcare Electronic Data Interchange (EDI) Market, by Transaction, 2018–2023 (USD Million)

Table 7 Global Healthcare Electronic Data Interchange (EDI) Market, by End User, 2018–2023 (USD Million)

Table 8 North America: Healthcare Electronic Data Interchange (EDI) Market, by Component, 2018–2023 (USD Million)

Table 9 North America: Healthcare Electronic Data Interchange (EDI) Market, by Delivery Mode, 2018–2023 (USD Million)

Table 10 North America: Healthcare Electronic Data Interchange (EDI) Market, by Transaction, 2018–2023 (USD Million)

Table 11 North America: Healthcare Electronic Data Interchange (EDI) Market, by End User, 2018–2023 (USD Million)

Table 12 US: Healthcare Electronic Data Interchange (EDI) Market, by Component, 2018–2023 (USD Million)

Table 13 US: Healthcare Electronic Data Interchange (EDI) Market, by Delivery Mode, 2018–2023 (USD Million)

Table 14 US: Healthcare Electronic Data Interchange (EDI) Market, by Transaction, 2018–2023 (USD Million)

Table 15 US: Healthcare Electronic Data Interchange (EDI) Market, by End User, 2018–2023 (USD Million)

Table 16 Canada: Healthcare Electronic Data Interchange (EDI) Market, by Component, 2018–2023 (USD Million)

Table 17 Canada: Healthcare Electronic Data Interchange (EDI) Market, by Delivery Mode, 2018–2023 (USD Million)

Table 18 Canada: Healthcare Electronic Data Interchange (EDI) Market, by Transaction, 2018–2023 (USD Million)

Table 19 Canada: Healthcare Electronic Data Interchange (EDI) Market, by End User, 2018–2023 (USD Million)

Table 20 South America: Healthcare Electronic Data Interchange (EDI) Market, by Component, 2018–2023 (USD Million)

Table 21 South America: Healthcare Electronic Data Interchange (EDI) Market, by Delivery Mode, 2018–2023 (USD Million)

Table 22 South America: Healthcare Electronic Data Interchange (EDI) Market, by Transaction, 2018–2023 (USD Million)

Table 23 South America: Healthcare Electronic Data Interchange (EDI) Market, by End User, 2018–2023 (USD Million)

Table 24 Europe: Healthcare Electronic Data Interchange (EDI) Market, by Component, 2018–2023 (USD Million)

Table 25 Europe: Healthcare Electronic Data Interchange (EDI) Market, by Delivery Mode, 2018–2023 (USD Million)

Table 26 Europe: Healthcare Electronic Data Interchange (EDI) Market, by Transaction, 2018–2023 (USD Million)

Table 27 Europe: Healthcare Electronic Data Interchange (EDI) Market, by End User, 2018–2023 (USD Million)

Table 28 Western Europe: Healthcare Electronic Data Interchange (EDI) Market, by Component, 2018–2023 (USD Million)

Table 29 Western Europe: Healthcare Electronic Data Interchange (EDI) Market, by Delivery Mode, 2018–2023 (USD Million)

Table 30 Western Europe: Healthcare Electronic Data Interchange (EDI) Market, by Transaction, 2018–2023 (USD Million)

Table 31 Western Europe: Healthcare Electronic Data Interchange (EDI) Market, by End User, 2018–2023 (USD Million)

Table 32 Eastern Europe: Healthcare Electronic Data Interchange (EDI) Market, by Component, 2018–2023 (USD Million)

Table 33 Eastern Europe: Healthcare Electronic Data Interchange (EDI) Market, by Delivery Mode, 2018–2023 (USD Million)

Table 34 Eastern Europe: Healthcare Electronic Data Interchange (EDI) Market, by Transaction, 2018–2023 (USD Million)

Table 35 Eastern Europe: Healthcare Electronic Data Interchange (EDI) Market, by End User, 2018–2023 (USD Million)

Table 36 Asia-Pacific: Healthcare Electronic Data Interchange (EDI) Market, by Component, 2018–2023 (USD Million)

Table 37 Asia-Pacific: Healthcare Electronic Data Interchange (EDI) Market, by Delivery Mode, 2018–2023 (USD Million)

Table 38 Asia-Pacific: Healthcare Electronic Data Interchange (EDI) Market, by Transaction, 2018–2023 (USD Million)

Table 39 Asia-Pacific: Healthcare Electronic Data Interchange (EDI) Market, by End User, 2018–2023 (USD Million)

Table 40 Middle East & Africa: Healthcare Electronic Data Interchange (EDI) Market, by Component, 2018–2023 (USD Million)

Table 41 Middle East & Africa: Healthcare Electronic Data Interchange (EDI) Market, by Delivery Mode, 2018–2023 (USD Million)

Table 42 Middle East & Africa: Healthcare Electronic Data Interchange (EDI) Market, by Transaction, 2018–2023 (USD Million)

Table 43 Middle East & Africa: Healthcare Electronic Data Interchange (EDI) Market, by End User, 2018–2023 (USD Million)

LIST OF FIGURES

Figure 1 Research Process

Figure 2 Market Structure for Global Healthcare Electronic Data Interchange (EDI) Market

Figure 3 Market Dynamics for Global Healthcare Electronic Data Interchange (EDI) Market

Figure 4 Global Healthcare Electronic Data Interchange (EDI) Market Share, by Component, 2017

Figure 5 Global Healthcare Electronic Data Interchange (EDI) Market Share, by Delivery Mode, 2017

Figure 6 Global Healthcare Electronic Data Interchange (EDI) Market Share, by Transaction, 2017

Figure 7 Global Healthcare Electronic Data Interchange (EDI) Market Share, by End User, 2017

Figure 8 Global Healthcare Electronic Data Interchange (EDI) Market Share, by Region, 2017

Figure 9 North America: Healthcare Electronic Data Interchange (EDI) Market Share, by Country, 2017

Figure 10 Europe: Healthcare Electronic Data Interchange (EDI) Market Share, by Country, 2017

Figure 11 Asia-Pacific: Healthcare Electronic Data Interchange (EDI) Market Share, by Country, 2017

Figure 12 Middle East & Africa: Healthcare Electronic Data Interchange (EDI) Market Share, by Country, 2017

Figure 13 Global Healthcare Electronic Data Interchange (EDI) Market: Company Share Analysis, 2017 (%)

Figure 14 GE HEALTHCARE: Key Financials

Figure 15 GE HEALTHCARE: Segmental Revenue

Figure 16 GE HEALTHCARE: Geographical Revenue

Figure 17 MCKESSON CORPORATION: Key Financials

Figure 18 MCKESSON CORPORATION: Segmental Revenue

Figure 19 MCKESSON CORPORATION: Geographical Revenue

Figure 20 COGNIZANT: Key Financials

Figure 21 COGNIZANT: Segmental Revenue

Figure 22 COGNIZANT: Geographical Revenue

Figure 23 ALLSCRIPTS HEALTHCARE SOLUTIONS INC.: Key Financials

Figure 24 ALLSCRIPTS HEALTHCARE SOLUTIONS INC.: Segmental Revenue

Figure 25 ALLSCRIPTS HEALTHCARE SOLUTIONS INC.: Geographical Revenue

Figure 26 Siemens Healthineers: Key Financials

Figure 27 Siemens Healthineers: Segmental Revenue

Figure 28 Siemens Healthineers: Geographical Revenue

Figure 29 Optum, Inc.: Key Financials

Figure 30 Optum, Inc.: Segmental Revenue

Figure 31 Optum, Inc.: Geographical Revenue

Figure 32 The SSI Group, LLC: Key Financials

Figure 33 The SSI Group, LLC: Segmental Revenue

Figure 34 The SSI Group, LLC: Geographical Revenue

Figure 35 SCHREINER GROUP: Key Financials

Figure 36 SCHREINER GROUP: Segmental Revenue

Figure 37 SCHREINER GROUP: Geographical Revenue

Figure 38 ZirMed Inc.: Key Financials

Figure 39 ZirMed Inc.: Segmental Revenue

Figure 40 ZirMed Inc.: Geographical Revenue

Figure 41 Experian Information Solutions, Inc.: Key Financials

Figure 42 Experian Information Solutions, Inc.: Segmental Revenue

Figure 43 Experian Information Solutions, Inc.: Geographical Revenue

Figure 44 Emdeon Inc.: Key Financials

Figure 45 Emdeon Inc.: Segmental Revenue

Figure 46 Emdeon Inc.: Geographical Revenue

Figure 47 Passport Health Communications: Key Financials

Figure 48 Passport Health Communications: Segmental Revenue

Figure 49 Passport Health Communications: Geographical Revenue

Figure 50 HealthFusion: Key Financials

Figure 51 HealthFusion: Segmental Revenue

Figure 52 HealthFusion: Geographical Revenue



This table of content is tentative and subject to change as the research progresses.

Please Note:  Financial details of company cannot be provided if the information of the company is not available in public domain and or reliable source.