市場調查報告書
商品編碼
1126381
推薦管理全球市場規模、份額、行業趨勢分析報告,按類型(入站推薦、出站推薦)、按組件(軟件、服務)、按交付模式、按最終用戶、按地區展望和預測,2022-2028 年Global Referral Management Market Size, Share & Industry Trends Analysis Report By Type (Inbound Referrals and Outbound Referrals), By Component (Software and Services), By Mode of Delivery, By End User, By Regional Outlook and Forecast, 2022 - 2028 |
到 2028 年,全球推薦管理市場規模預計將達到 64 億美元,在預測期內以 12.7% 的複合年增長率增長。
採用更標準化和更有條理的文檔和護理方法已朝著正確的方向邁出了一步。這些高度評價的電子病歷 (EMR) 可以為醫生提供他們在患者健康保險和其他醫療保健方面所需的所有信息。這使醫生和患者都可以選擇解決問題的最佳方法。 EMR 通常被認為不足以管理和監控轉診。
轉診管理在醫療保健系統中尤為重要,因為轉診醫生使用多個 EMR 以及在受僱醫生和獨立醫生之間協調護理時。當醫療保健系統管理一個或多個基於價值的計劃時,也會使用它。轉診管理系統還旨在增加患者的可訪問性並增強預約安排能力。它還因其在建立和管理高性能專家網絡的醫療保健系統中的流行而受到重視。
COVID-19 影響分析
世界各地的醫療保健系統未能應對 COVID-19 危機。這是一個無法預見的嚴重健康問題,需要立即調動資源並影響到整個人口。這場大流行與近年來醫療保健系統所採取的路徑形成了鮮明對比,尤其是在富裕國家。這場大流行非但非正反兩面,反而加速了許多國家整個醫療保健結構的崩潰。不一致的醫療保健行業已經認識到在大流行期間適當的患者管理的重要性。
市場增長因素
內置提供政府轉診管理到醫療保健
包括醫療、牙科、行為醫學和其他患者護理在內的綜合公共衛生服務由聯邦、州、縣和政府機構(包括許多地方政府)提供。這些服務在大都市地區非常重要,由公立醫院、診所、療養院和治療設施運營,此外還提供健康保險。較小的公共衛生機構通常提供的服務較少。各國政府認識到,無論其業務規模或範圍如何,他們提供的服務對他們所服務的患者群體的福祉都很重要。
自動推薦發布使訪問和理解更容易
推薦計劃使人們很難通過採取太多步驟來推薦某人。此外,手動方法的成功率通常很低。隨著自動化和其他關鍵技術的引入,轉介現在是一步到位的過程。轉診管理中自動化和技術包容的其他好處包括時間利用、改進的患者訪問和高質量的患者時間。改進的患者訪問是轉診管理系統的另一個優勢。該技術將允許患者在他們方便和專家方便時安排預約。
市場製約因素
缺乏熟練的醫療信息管理專業人員
計劃執行方面的差距源於醫療保健行業(尤其是醫療保健工作者)缺乏足夠的 IT 專業知識。有效利用技術集成解決方案需要穩固的 IT 基礎架構以及公司內部和解決方案供應商的支持。醫療保健企業始終需要技術幫助來維護其服務器和網絡。它需要非常具體的技能,融合了內科、健康保險、商業和 IT 方面的知識。
組件透視
推薦管理市場按組件分為軟件和服務。在 2021 年的轉介管理市場中,服務業佔據了很大的收入份額。轉介管理服務日益完善。因此,未從其提供者那裡接受轉診管理的患者是自我選擇的。推薦管理服務通常具有第三方功能。
按類型劃分的前景
按類型,推薦管理市場分為入站推薦和出站推薦。入站類型細分市場在 2021 年佔推薦管理市場的最大收入份額。醫院和專科中心從各種渠道收到的大量入境轉診推動了這一類別的增長。使用入站轉診時,患者無需建立信任或驗證先決條件。
交付方式的前景
根據交付格式,推薦管理市場分為基於雲的和本地的。基於雲的細分市場在 2021 年以最高的收入份額主導了推薦管理市場。基於雲的解決方案的優勢,例如按需自助服務分析、無需硬件前期投資以及極高的容量靈活性,使該市場實現了強勁的增長。
最終用戶視角
按最終用戶劃分,推薦管理市場分為提供者、支付者和其他最終用戶。付款人部分在 2021 年的推薦管理市場中佔據了相當大的收入份額。負責為其投保人管理治療的醫療保健支付者希望他們的患者盡快接受推薦的治療。
區域展望
按地區分析了北美、歐洲、亞太地區和 LAMEA 的推薦管理市場。北美地區在 2021 年以最大的收入份額主導了推薦管理市場。大多數醫療保險提供者,不僅僅是醫療保健提供者,已經將轉診管理作為其醫療保健的一個組成部分。他們為患者和提供者節省時間的高效工作方式使轉診管理系統廣受歡迎。
合作是市場參與者採取的主要策略。根據 Cardinal Matrix 中的分析,Thurner 和 UnitedHealth Group (Optum) 正在引領轉診管理市場。 GetWellNetwork, Inc.、Cloudmed (R1 RCM, Inc.) 和 CarePort Health (WellSky Corporation) 等公司是轉診管理市場的領先創新者。
The Global Referral Management Market size is expected to reach $6.4 billion by 2028, rising at a market growth of 12.7% CAGR during the forecast period.
Referral management is defined as the management of the procedure by which patients move on to the subsequent phase of their care. This adjustment typically takes place when a patient's condition is at its most vulnerable during an increase in treatment or a change in diagnosis. Referral management typically occurs when a primary care physician refers a patient to a specialist, but it can also take place when a patient is transferred from an inpatient facility or emergency room to another specialist or to a provider.
Enhancing and streamlining communication between primary care physicians, specialists, and other healthcare providers is the main goal of the referral management system. Modern healthcare is geared toward maximizing quality and effectiveness while lowering costs. The entire sector is adjusting to the use of technology to streamline administrative processes. The widespread use of electronic medical record software in hospitals and clinics across the country is proof of this.
A step in the right direction has been made with the transition to a more standardized and organized approach to documenting and caregiving. When these highly acclaimed Electronic medical records (EMRs) are accompanied by a patient's health insurance or any other health care that they might have, they provide all necessary information to the doctor. This enables both, the doctor and the patient to choose the best method to cure the problem. EMRs are often found by organizations to be insufficient for managing and monitoring referrals.
When health systems have referring clinicians who utilize multiple EMRs or are coordinating treatment between employed and independent doctors, referral management becomes especially crucial. It also finds usage in the management of one or more value-based plans by health systems. Referral management systems aim to enhance patient accessibility and appointment scheduling functionality as well. Their widespread use is also valued when health systems build and oversee a high-performance network of experts.
COVID-19 Impact Analysis
The healthcare systems around the world were not able to handle the COVID-19 crisis. As it was an unforeseen, significant health issue that demanded an immediate mobilization of resources and impacted the entire population. The pandemic contrasted sharply with the path that healthcare systems, especially in affluent nations, have been heading in recent years. Rather than having any positive or negative effects, the pandemic facilitated the downfall of the overall healthcare structure in many countries. The inconsistent health care industry realized the importance of proper patient management during the pandemic.
Market Growth Factors
Provision Of Inclusion Of Referral Management In Healthcare By Government
A comprehensive range of public health services, such as medical, dental, behavioral, and other patient care, are offered by government organizations, including those at the federal, state, county, and many municipalities. These services, which can be significant in large urban areas, are operable in public hospitals, clinics, nursing homes, and treatment facilities in addition to offering health insurance. Usually, smaller public health agencies provide fewer services. Regardless of the size and scope of the business, the governments recognize that the services provided are crucial for the well-being of the patient population they serve.
Ease Of Access And Understanding With Automation Of Referrals
Referral programs become harder for people to refer to someone else if they come with too many steps. The manual method often has lower success rates as well. The introduction of automation, along with other significant technology inclusion, has made referral a one-step process. The other benefit of automation and technological inclusion in referral management includes time utilization, improved patient access, and quality patient time. Improvements in patient access are another advantage of the referral management system. The technology allows patients to make appointments based on their availability and the specialist's availability.
Market Restraining Factors
Lack Of Skilled Healthcare Information Management Professionals
Gaps in program execution are caused by the lack of sufficient IT professionals in the healthcare sector, particularly among healthcare providers. Utilizing technology-integrated solutions effectively necessitates a solid IT infrastructure and assistance both inside the firm and from the solution vendor. In healthcare businesses, there is a constant need for technical assistance to maintain the server and network. A very specific skill set is needed to merge knowledge of internal medicine, healthcare insurance, business, and information technology.
Component Outlook
Based on the component, the referral management market is bifurcated into software and services. The services segment procured a significant revenue share in the referral management market in 2021. The referral management services are getting better with each passing day. So patients, who do not have referral management from their providers, choose one themselves. The referral management services usually have third-party characteristics.
Type Outlook
On the basis of type, the referral management market is segmented into inbound referrals and outbound referrals. The inbound type segment dominated the referral management market with the largest revenue share in 2021. The huge amount of inbound referrals that hospitals and specialty centers receive from various channels is what is causing this category to rise. A patient does not have to establish credibility and validate assumptions when using an inbound referral.
Mode Of Delivery Outlook
Based on mode of delivery, the referral management market is categorized into cloud-based and on-premise. The cloud-based segment dominated the referral management market with the highest revenue share in 2021. Due to the advantages of cloud-based solutions, such as on-demand self-serving analytics, no upfront capital investment for hardware, and extreme capacity flexibility, among others, their strong growth rate in this market can be credited.
End User Outlook
On the basis of end user, the referral management market is divided into providers, payers, and other end users. The payer segment procured a substantial revenue share in the referral management market in 2021. Healthcare payers who are in charge of managing the treatment of their insured population want to see that patients receive the recommended care as soon as possible.
Regional Outlook
Based on region, the referral management market is analyzed across North America, Europe, Asia Pacific, and LAMEA. The North American region dominated the referral management market with the maximum revenue share in 2021. Most health insurance providers as well as healthcare providers have already accepted referral management as an integral part of healthcare. The way these work efficiently to save time for patients and providers has also gained support for the referral management systems.
The major strategies followed by the market participants are Partnerships. Based on the Analysis presented in the Cardinal matrix; Oracle Corporation (Cerner Corporation) and UnitedHealth Group, Inc. (Optum, Inc.) are the forerunners in the Referral Management Market. Companies such as GetWellNetwork, Inc., Cloudmed (R1 RCM, Inc.), CarePort Health (WellSky Corporation) are some of the key innovators in Referral Management Market.
The market research report covers the analysis of key stake holders of the market. Key companies profiled in the report include GetWellNetwork, Inc., Epic Systems Corporation, Oracle Corporation (Cerner Corporation), CarePort Health (WellSky Corporation), eHealth Technologies, Inc., UnitedHealth Group, Inc. (Optum, Inc.), Persistent Systems Limited, Cloudmed (R1 RCM, Inc.), EcoSoft Health, and ReferWell.
Recent Strategies Deployed in Referral Management Market
Partnership, Collaborations and Agreements:
Oct-2021: Optum collaborated with SSM Health, a non-profit United States health care system. This collaboration focused on making quality care more accessible and affordable for people across the Midwest. Additionally, the organizations aimed to improve the overall well-being of individuals and communities while addressing the complex social and economic factors affecting each person's health.
Sep-2021: Epic Systems Corporation partnered with Walmart, an American multinational retail corporation. Under this partnership, Walmart focused on using Epic's electronic health records in its health centers. In addition, Walmart also stated that the Epic system complemented their omnichannel health care offerings by letting customers and healthcare professionals access care and health records to lead to more personalized care.
Aug-2021: ReferWell partnered with Healthmine, a technology-enabled member engagement, and rewards company. The partnership aimed to help in simplifying member journeys by delivering personalized health action plans that identified the most critical gaps in care and scheduled necessary provider visits, all within the same application. This resulted in improved care coordination and effective management of care transitions.
Aug-2021: CarePort, powered by WellSky, partnered with Coalition of Asian-American Independent Practices Association (CAIPA). Under this partnership, CAIPA aimed at improving coordinated care, driving improved patient outcomes, and achieving operational efficiencies for providers. In addition, CAIPA selected CarePort Connect to manage patients across care settings through real-time data and alerts.
Jul-2021: Cerner Corporation collaborated with El Centro Regional Medical Center (ECRMC), an American acute-care medical center. This collaboration aimed at ensuring the highest standard of care for patients as well as the ability for them to have access to their medical team and records at their fingertips. It also assisted their clinicians with vital information access.
Apr-2021: CarePort came into partnership with ExactCare, a national healthcare services company, and the pharmacy provider. This partnership equipped hospitals and health systems with high-touch, comprehensive medication management and pharmacy care services for high-risk patients with complex needs and chronic conditions through transitions of care and into their homes.
Mar-2021: Epic Systems Corporation collaborated with Humana, an American health insurance company. This collaboration aimed to help in the completion of the first stage of a joint effort to improve patient, provider, and health plans. This also focused on reducing the administrative burden in healthcare by securely exchanging information between providers and the health plan.
Aug-2020: Cerner Corporation partnered with Xealth, the leader in enabling digital health at scale. Through this partnership, Xealth and Cerner aimed to give patients their own digital data so they can be more engaged in their treatment plans. The Xealth platform was designed to help clinicians easily integrate, prescribe, and monitor digital health tools for patients from one location in the EHR.
Product Launches and Product Expansions:
Mar-2022: Get Well Network expanded its product range by introducing its Digital Engagement Solution to Payers to Close Care Gaps and Improve Retention. This product expansion included four core uses which are Digital member navigation, Member experience, care gap closure, Digital care management, and Vulnerable population engagement. This product is available in the company's commercial health plans, at-risk providers, Medicare Advantage health plans, and Medicaid managed care organizations.
Oct-2021: Cerner Corporation launched Cerner RevElate, the company's go-forward patient accounting product. This launch would bring new and enhanced capabilities to the Cerner revenue cycle management portfolio. In addition, Cerner RevElate is the result of Cerner's investment in advancing patient accounting capabilities and enterprise-wide technology optimization, which is an effort to best-align Cerner's powerful research and development resources with those solutions most needed by caregivers around the globe.
Aug-2020: ReferWell launched ReferWell software along with Bluestream Health. This launch incorporated care transition management and telehealth capabilities from both companies. ReferWell software lets providers schedule appointments, share clinical notes, and track patient encounters in an EMR-agnostic way. The new solution would improve patient access and experience & increased provider revenue.
Acquisitions and Mergers:
Dec-2021: Cloudmed acquired par8o, an innovative healthcare technology company specializing in 340B and patient referral management technology for healthcare providers. This acquisition would advance the capabilities of Cloudmed's 340B Discovery Services and elevate its CloudmedAI platform with par8o's sophisticated machine learning technology.
Oct-2021: Cloudmed took over Eligibill, a leading provider of insurance discovery services for hospitals and healthcare systems. Through this acquisition, Cloudmed helped healthcare providers to recover more revenue and reimbursement across the entire revenue cycle.
Jan-2021: Get Well Network acquired Docent Health, an innovative enterprise consumer engagement platform. This acquisition aimed at creating a next-generation platform for patient outcomes and loyalty. Combined with Get Well Network's library of 230+ digital care, the consumer engagement platform enabled healthcare organizations to scale personalized outreach through AI-enabled communication technology.
Market Segments covered in the Report:
By Type
By Component
By Mode of Delivery
By End User
By Geography
Companies Profiled
Unique Offerings from KBV Research
List of Figures