市場調查報告書
商品編碼
1149951
患者訪問解決方案的全球市場規模、份額和行業趨勢分析報告:按產品、部署模式、最終用戶、地區分類的展望和預測,2022-2028 年Global Patient Access Solutions Market Size, Share & Industry Trends Analysis Report By Offering, By Deployment Mode, By End User, By Regional Outlook and Forecast, 2022 - 2028 |
到 2028 年,患者准入解決方案的全球市場規模預計將達到 33 億美元,在預測期內以 9.1% 的複合年增長率增長。
患者就診也是《平價醫療法案》中的一個重要因素。該計劃為期四年的推出包括改善獲得負擔得起的醫療保健和負擔得起的健康保險選擇的幾個要素。但除了當前的最低要求之外,患者訪問的想法還有其他影響,並給消費者和提供者帶來了新的挑戰。患者訪問是一個對所有重要參與者和醫療保健的許多方面都有重要影響的概念。
COVID-19 影響分析
COVID-19 爆發使醫生和其他醫護人員處於社會孤立狀態,推動了對患者訪問解決方案的需求,並創造了全面且需要迅速更換的解決方案。軟件和系統可以提供一個平台,使電子病歷的傳輸、訪問和檢索更加安全。這些技術支持患者數據的交換和分析,使患者和醫療保健專業人員能夠做出明智的運營和財務決策。
市場增長因素
拒絕管理的重要性與日俱增
保險公司越來越多地拒絕為正在接受慢性或頑固性疾病治療的人索賠或承保,以降低成本並增加利潤。此外,醫療機構有責任管理運營費用。醫療保健提供商可以使用醫療保健 IT 解決方案(如患者訪問解決方案)來成功調查被拒絕的索賠,這些解決方案具有以下特徵:在接下來的幾年裡,法規遵從性和政府指令的存在推動了患者接入解決方案市場的擴張,預計將推動市場步伐。
新醫療保健 IT 市場的商機擴展
隨著多項旨在部署 HCIT 解決方案的政府舉措、增加政府醫療保健支出以及醫療保健行業的技術改進,新興市場正面臨著巨大的商機。新興市場為患者訪問解決方案的開發和應用提供了巨大的機會,例如索賠拒絕和需求管理系統。新興市場政府對 HCIT 的承諾幫助他們在州和國家層面採用了這些 HCIT 解決方案。醫療保健是全球增長最快的行業之一。在這些領域工作的專業人員為世界各地的個人提供醫療保健。
市場製約因素
部署患者訪問解決方案的成本很高
用於患者訪問的軟件解決方案通常非常昂貴。與程序本身相比,這些工具的軟件維護和升級成本更高。軟件更新是我們支持和維護服務的一部分,佔總擁有成本的 30% 以上的經常性成本。此外,由於缺乏內部 IT 能力,需要對最終用戶進行培訓,這會推高擁有成本。通過全面了解處方率、限制和可用性,新技術平台使患者能夠以負擔得起的成本獲得所需的護理。
未來展望
患者訪問解決方案市場根據交付方式細分為軟件和服務。服務部門在 2021 年獲得了患者訪問解決方案市場的最高收入份額。前端醫療保健收入周期是醫療機構的臉面。安排患者、檢查資格和批准、登記患者,以及實際上以最佳方式預先收取患者會員費,這些都是前台操作。
軟件類型展望
按軟件類型劃分,患者訪問解決方案市場分為資格驗證軟件、醫療必需品管理軟件、預批准和授權軟件、索賠拒絕和上訴管理、付款估算軟件、索賠付款評估和處理軟件以及其他歸類為軟件的軟件.在 2021 年的患者訪問解決方案市場中,資格驗證軟件部分獲得了最大的收入份額。資格和保險驗證對於確保您收到有關保險範圍的準確和及時信息至關重要。如果沒有適當的平衡和檢查,醫療保健組織可能會蒙受損失。如果未驗證資格且未獲得預先批准,付款可能會延遲或被拒絕,從而減少收款和收入。
部署模式展望
患者訪問解決方案市場按部署類型分為基於 Web 和雲的解決方案以及本地解決方案。 2021 年,內部部署部分在患者訪問解決方案市場中佔據了很大的收入份額。作為本地解決方案,運營商購買服務器並完全控制其管理。換句話說,確保服務器配備必要的安全技術並定期更新和維護是公司的責任。
最終用戶視角
按最終用戶劃分,患者訪問解決方案市場分為醫療保健提供商、HCIT 外包公司等。 2021 年,醫療保健提供商部分在患者訪問解決方案市場中佔據了最大的收入份額。隨著患者數據標準化需求的增加,預計未來幾年對患者訪問解決方案服務的需求將會增長。醫療保健數據的生成呈指數級增長,患者安全性提高,醫療保健成本顯著增加,醫療錯誤增加,拒絕增加,醫療保健成本增加。
區域展望
按地區劃分,對北美、歐洲、亞太地區和 LAMEA 的患者准入解決方案市場進行了分析。 2021 年,歐洲部分在患者訪問解決方案市場中佔據了重要的收入份額。這是由於諸如優質醫療保健系統的可用性、創新醫療技術的可用性以及政府資金增加等因素造成的。由於改善醫療基礎設施和有吸引力的報銷方式等因素,預計歐洲地區的市場份額將增加。
合作夥伴關係是市場進入者採取的主要策略。根據 Cardinal 矩陣中的分析,UnitedHealth Group, Inc. 和 McKesson Corporation 是患者訪問解決方案市場的領先企業。 Cognizant Technology Solutions Corporation、Oracle Corporation 和 3M Company 等公司是患者訪問解決方案市場的領先創新者。
The Global Patient Access Solutions Market size is expected to reach $3.3 billion by 2028, rising at a market growth of 9.1% CAGR during the forecast period.
By utilizing patient access technologies, healthcare professionals can provide better purchasing experiences to their customers. The systems allow customers to search for, schedule and subscribe to the online services that are supplied. The patient access solutions, which connect hospitals with their clients up until the billing stage, address the medical claim processing system. The solution allows hospital staff members more patient interaction freedom and financial responsibility. These techniques reduce manual work in general and claim rejections, improving the patients' financial experiences.
"Patient access" is a key idea in contemporary healthcare and life science developments, and it's one that businessmen are likely to hear about frequently. However, different people's interpretations of the phrase vary. The term "patient access" is most simply defined as "access to patients." It speaks to the accessibility of healthcare and the accessibility of care and treatment for customers.
The Affordable Healthcare Act includes patient access as a crucial component. Several elements for "improving access to inexpensive care" and "affordable health insurance options" are included in the program's four-year rollout. Beyond this currently required minimum, however, the idea of patient access has additional connotations and poses new problems for both consumers and providers. Patient access is a notion that has a significant impact on all significant players and many aspects of healthcare.
The COVID-19 outbreak has made doctors and other health care providers more socially isolated, which has increased the demand for patient access solutions as well as the necessity for comprehensive and quick exchange of patient health information and damage policies for chronically ill patients. Software and systems may offer a platform for more secure transmission, access, and retrieval of electronic health records. Due to these technologies that enable the exchange and analysis of patient data, patients and healthcare professionals can both make wise operational and financial decisions.
Insurance organizations are increasingly refusing claims and coverage to individuals who are being treated for chronic or persistent illnesses to save costs and increase profits. Healthcare providers now have additional responsibility for controlling operating expenses. In order to correctly examine denied claims, healthcare providers can employ healthcare IT solutions like patient access solutions due to these characteristics. The presence of regulatory compliances and governmental directives that promote the expansion of the patient access solutions market in the next years are anticipated to provide the market pace.
Due to several government efforts aimed at HCIT solution adoption, increased government healthcare spending, and technology improvements in the healthcare industry. The emerging market offers tremendous opportunities for the development and application of patient access solutions, including systems for managing claims denials and necessity. The emerging government's HCIT efforts are aiding in the adoption of these HCIT solutions on a state and national level. One of the global industries with the fastest growth is healthcare. Medical care is provided to individuals globally by professionals working in these fields.
Software solutions for patient access are generally quite expensive. These tools may cost more to maintain and upgrade their software than the program itself. Software updates are part of the support and maintenance services that make up a recurrent cost that accounts for over 30% of the total cost of ownership. Additionally, a lack of internal IT competence needs end-user training, which raises the cost of ownership. New technological platforms now enable patients to obtain the care they require at a cost they can afford by providing a complete perspective of prescription fees, limitations, and availability.
Based on the Offering, the Patient Access Solutions Market is segmented into Software and Services. The service segment acquired the highest revenue share in the patient access solutions market in 2021. Services that form the face of a healthcare provider's office are represented by the front-end healthcare revenue cycle. Patient scheduling, qualification and authorization checks, registration of patients, and, where practical, the best upfront collection of patient dues are all tasks performed in the front office.
On the basis of Software type, the Patient Access Solutions Market is divided into Eligibility verification software, Medical necessity management software, Precertification & authorization software, Claims denial & appeal management, Payment estimation software, Claims payment assessment & processing software, and Other Software. The eligibility verification software segment procured the largest revenue share in the patient access solutions market in 2021. To guarantee correct and prompt receipt of info concerning insurance coverage, eligibility and insurance confirmation are essential. A healthcare institution may be losing money if there aren't adequate balances and checks in place. If eligibility is not verified and prior authorization is not obtained, payments may be delayed or denied, which lowers collections and income.
By Deployment Mode, the Patient Access Solutions Market is classified into Web & Cloud-based solutions and On-premise solutions. The on-premise segment registered a significant revenue share in the patient access solutions market in 2021. Due to the on-premise solutions, the business purchases a server and takes full control of its management. This means that it is the responsibility of the company to guarantee that the server has the necessary security technologies and that it is routinely updated and maintained.
On the basis of End Users, the Patient Access Solutions Market is segmented into Healthcare Providers, HCIT Outsourcing Companies, and Others. The healthcare providers segment acquired the largest revenue share in the patient access solutions market in 2021. Due to the growing need to standardize patient data, the demand for patient access solutions services is likely to increase in the coming years. Healthcare data generation has increased dramatically, patient safety has increased, healthcare spending has increased significantly, medical errors have increased, insurance denials have increased, and healthcare costs have increased.
Region-wise, the Patient Access Solutions Market is analyzed across North America, Europe, Asia Pacific, and LAMEA. The Europe segment procured a significant revenue share in the patient access solutions market in 2021. It is due to factors such as the availability of a high-quality healthcare system, the availability of innovative medical technology, and increasing government funding. Due to factors like improved healthcare infrastructure and attractive reimbursement practices, among others, the European region is expected to grow its market share.
The major strategies followed by the market participants are Partnerships. Based on the Analysis presented in the Cardinal matrix; UnitedHealth Group, Inc. and McKesson Corporation are the forerunners in the Patient Access Solutions Market. Companies such as Cognizant Technology Solutions Corporation, Oracle Corporation and 3M Company are some of the key innovators in Patient Access Solutions Market.
The market research report covers the analysis of key stake holders of the market. Key companies profiled in the report include UnitedHealth Group, Inc. (Optum, Inc.), Cognizant Technology Solutions Corporation, McKesson Corporation, Oracle Corporation (Cerner Corporation), Experian PLC, 3M Company, Epic Systems Corporation, AllScripts Healthcare Solutions, Inc., F. Hoffmann-La Roche Ltd. (Genentech, Inc.), and Tenet Healthcare Corporation (Conifer Health Solutions, LLC).
Sep-2022: UnitedHealth Group joined hands with Walmart, a retailer that operates grocery stores, supermarkets, and hypermarket stores. The companies aimed to bring together the joint expertise of both organizations in helping millions of people with affordable, high-quality, health services that enhance health results and the patient experience. Moreover, the companies transfer a deep dedication to high-quality and affordable primary care-led benefits that handle all of a patient's health requirements in ways that are suitable for them and enhance health results.
Jul-2022: Cognizant signed an agreement with Organon, a global women's health organization. This agreement aimed to enhance the organization's delivery of healthcare products and important medicinal supply chain management. Additionally, Cognizant would help propel Organon's healthcare enterprise by providing full-stack industrial technology support for the organization's global pharmaceutical manufacturing locations in the United Kingdom, Belgium, Netherlands, and Indonesia.
Jun-2022: Epic Systems came into a partnership with Myriad Genetics, genetic testing, and accuracy medicine company. With this partnership, more than 250 million patients with a history in Epic would now have access to a broad range of genetic testing. Moreover, patients would be capable to access their Myriad test outcomes and other health information instantly within their EHR portal.
May-2022: Tenet Healthcare Corporation signed an agreement with Brookwood Baptist Health, the biggest healthcare network in Central Alabama. Through this agreement, Conifer would provide complete revenue cycle services to four different hospitals within Brookwood Baptist Health. Moreover, these services would include patient access, eligibility registration services, and accounts receivable administration.
Jan-2022: UnitedHealth Group came into a partnership with MarinHealth Medical Center, a 327-bed independent hospital. This partnership would extend its operational objectives in the revenue cycle and reduce the patient experience for individuals living in Marin County, California. Moreover, MarinHealth would operate Optum technology to simplify the nonclinical administrative procedure and streamline experiences for patients and suppliers whereas Optum would deliver revenue cycle management services and sustaining technologies.
Oct-2021: UnitedHealth Group teamed up with SSM Health, a Catholic, not-for-profit health system. Under this collaboration, the companies would partner across specific functions such as digital transformation, inpatient care management, and revenue cycle management to enhance health results and patients' healthcare experiences. Moreover, the organizations would redefine the customer health care journey via the design and development of a unified digital experience to streamline patient entry to the care and services they require.
Jul-2021: Cognizant came into a partnership with Royal Philips, a global leader in health technology. This partnership aimed to generate end-to-end digital health solutions that would allow healthcare organizations and life sciences companies to enhance patient care and boost clinical trials. Moreover, the strategic alliance obtains Philips HealthSuite, a cloud-based platform, and Cognizant's digital engineering expertise to supply and support leading-edge digital health solutions at scale, delivering refined connectivity and utilizing big data to produce actionable insights.
Feb-2021: Tenet Healthcare Corporation came into a partnership with LCMC Health, a nonprofit network of healthcare providers. Together, the companies aimed to deliver physician accounts receivable (AR) management small-balance help and COVID-19 vaccine administration assistance. Moreover, Conifer can resume to seamlessly sustain LCMC's day-to-day operations while also developing additional possibilities to donate to the health system's prevailing success.
Dec-2020: McKesson joined hands with TailorMed, a healthcare technology company. This collaboration aimed to deliver a best-in-class financial navigation platform to McKesson Onmark consumers, which contains community practices with expertise in rheumatology, oncology, neurology, gastroenterology, and retina.
Feb-2020: Allscripts Healthcare Solutions came into a partnership with Manorama Infosolutions, a healthcare IT business located in India. Through this partnership, the companies aimed to provide a combined Healthcare Management Information System and Health Information Exchange platform. Moreover, this partnership would boost the organization's reach to under-served regions in India and other arising markets, donate to Allscripts more extensive reseller strategy and showcase the enterprise continued expansion internationally.
Jun-2022: McKesson Corporation formed a joint venture with HCA Healthcare. Through this joint venture, the companies aimed to integrate McKesson's US Oncology Research (USOR) and HCA Healthcare's Sarah Cannon Research Institute (SCRI). Additionally, the joint venture is an essential step forward in improving access to clinical trials, especially within the community setting, where the bulk of all cancer patients is originally cured. Moreover, the joint venture directly aligns with McKesson's strategic growth preferences by further developing a differentiated oncology ecosystem and enhancing the worth request for biopharma and provider partners.
Mar-2022: UnitedHealth Group took over Refresh Mental Health, a rapidly growing outpatient mental health provider. This acquisition would propel a deeper combination between medical and behavioral health care and advance personalized maintenance to patients via value-based care.
Apr-2021: Oracle Corporation completed the acquisition of Kantar Health, a department of Kantar Group. Under this acquisition, Kantar Health's rich life sciences expertise would be integrated with Cerner's robust collection of real-world data and technology and is expected to boost innovation in life sciences research and enhance patient results across the world.
Jan-2021: UnitedHealth Group's completed the acquisition of Change Healthcare, a leading healthcare technology business. This acquisition would simplify and disclose the important administrative, clinical, and payment procedures on which healthcare payers and providers depend to help patients.
Dec-2021: Genentech, subsidiary of F. Hoffmann-La Roche Ltd. introduced NAVIFY Oncology Hub, its latest digital solution to improve clinical decision support. With the NAVIFY, clinicians can effectively qualify for patient talks, concisely and quickly share information, and conform care within the group. Additionally, NAVIFY Oncology Hub also supports conversations between oncologists and patients about complicated treatment possibilities and next actions.
Oct-2021: Allscripts Guided Scheduling unveiled Allscripts Practice Management, an artificial intelligence scheduling application. The Allscripts Practice Management delivers an improved pace of high-need patients obtaining care, the enhanced utilization of all resources across a company, and the deduction of the effect of schedule churn.
Oct-2021: Oracle Corporation introduced Cerner RevElate, new and improved abilities to the Cerner revenue cycle management offering. The Cerner RevElate advances patient accounting abilities and enterprise broad technology integration in an effort to best align Cerner's powerful development and research resources with those solutions most required by caregivers across the globe.
Mar-2021: McKesson introduced ScriptPAS, a pharmacy administration solution. The ScriptPAS is a fee-for-service portfolio developed to support Medically Integrated Dispensing (MID)-equipped practices that deliver quick access to care by decreasing obstacles that hinder treatment.