Healthcare EDI Market Size, Share, Opportunities, COVID 19 Impact, And Trends By Delivery Mode (Web-based EDI, Point-to-point EDI, Mobile EDI, EDI VAN, EDI Via AS2.), By Components (Services, Solution), By End-User (Healthcare Institution, Government, Pharmaceuticals Industry), And By Geography - Forecasts From 2021 To 2026

Published:  Jul 2021 Report Code: KSI061611768 Pages: 115

The Healthcare EDI market is expected to grow at a compound annual growth rate of 10.02% over the forecast period to reach a market size of US$13,318.349 million in 2026 from US$6,815.573 million in 2019.

Electronic data interchange is a term used to describe a type of electronic business communication. Healthcare electronic data interchange allows healthcare institutions, healthcare professionals, and patients to exchange computer-processable electronic healthcare data in a user-friendly manner. Healthcare EDI provides benefits like standardization, cost savings, increased productivity, and faster processing. Medical care providers, for instance, can send and receive guarantee status requests using a predefined exchange set for coordinated, agreeable data sharing.

Medical services are used in a variety of ways. Dental and medical patient database the board, clinical preliminary and administrative data the executives, and protection and repayment data the executives are some of the EDI frameworks. Medical EDI refers to the exchange of electronic medical care data across applications and computer frameworks. There are various modes of exchange in medical services electronic data interchange (EDI), for example, highlight point EDI, online EDI, van EDI, portable EDI, and EDI through AS2, which are used by a few end-clients, for example, drug stores, medical gadget and drug enterprises, medical care suppliers, and medical services players.

Medical services EDI frameworks should be altered with a data-driven framework to give a significant degree of data security and quality and to stay up with the changing medical service patterns. Additionally, the board of data, for example, patient history records, crisis administration records, and medication data are of basic significance in the medical care industry. Medical services experts are recognizing frameworks that are equipped for overseeing monstrous data in an effective, orderly, and effectively open way. Accordingly, electronic data interchange (EDI) is being executed across all sub-divisions of the business. A portion of the vital uses of medical care EDI frameworks is the medical and dental patient database the executives, protection, and repayment data of the board, and clinical preliminaries and administrative data of the executives. Their normal methods of conveyance incorporate VAN, P2P, portable, and cloud.

The extending base of patients attributable to the developing predominance of ongoing infections is prompting the age of monstrous data. This, thus, is making an amazing volume of interest for medical services EDI frameworks. The quickly expanding clinical preliminaries and innovative work exercises in the medical services area are likewise making a lot of data, which thusly is enhancing the development of the market. Additionally, relentless progressions in innovations relating to EDI frameworks are boosting their extent of uses, consequently working for the market. Moreover, continuous improvements in EDI system technology are broadening their range of applications, thereby benefiting the industry. Furthermore, an increase in the number of end-users such as hospitals and private payers, as well as a greater emphasis on reimbursement and insurance claims, are boosting the market growth. On the other hand, the exorbitant prices of these systems are preventing wider implementation. Furthermore, restricted technical access in rural and underdeveloped areas is impeding market expansion. Technical difficulties with these systems might result in data loss, which has a detrimental effect on market growth.

Growth Factors.

  • Increase in outsourcing of EDI services.

EDI outsourcing is the process of having a third party manage a part of the entire process of using EDI to exchange data with trading partners. Developing medical care costs are progressively compressing in the medical care industry to give quality consideration at lower costs by limiting wastages at each stage. Medical care income misfortune in American emergency clinics because of self-pay charging issues is pretty much as high as 20% to 30%. Also, as indicated by a Ponemon Institute overview, of 577 medical care experts, the US doctors and clinics have shown a failure to utilize the most recent cell phones and internet providers to convey patient consideration. Thus, US medical clinics retain an expected USD 8.3 billion every year, while battling with security and protection concerns emerging from the mainstreaming of online media when government rules take into account steep fines with regards to disregarding understanding protection. For clinics, this makes the rethinking of charging and guarantee administrations to EDI specialist organizations an appealing suggestion.

COVID – 19 Impact On Healthcare EDI Market.

The COVID-19 pandemic has disrupted health systems worldwide. Due to a sudden increase in patients across entire cities and nations, the healthcare system was put under a lot of pressure. This further leads to the collection of an overwhelming amount of patient data, burdening the technical infrastructure of the healthcare system. Thus, to curb such instances from happening again, there is a rise in investments, being done by various healthcare providers as well as the Governments to reduce the dependency on redundant systems and processes, which, is expected to also boost the use of EDI in healthcare, thus propelling its market growth.

Competitive Insights.

The increasing demand for sophisticated data handling and operation tools has led to the entry of several new market players like “123 EDI” in the EDI market. The entry of these new players in a market where traditional pharma behemoths like Mckesson Corporation and GE Healthcare already exist is expected to lead to further innovation in the EDI market. Moreover, in order to further increase their clientele as well as increase their market share in the upcoming years, many of these market players have taken various strategic actions like partnerships and development of novel solutions which primarily focus on providing comfort to the patient, which is expected to keep the market competitive and constantly evolving.

Healthcare EDI Market Scope:
Report Metric Details
 Market size value in 2019  US$6,815.573 million
 Market size value in 2026  US$13,318.349 million
 Growth Rate  CAGR of 10.02% from 2019 to 2026
 Base year  2019
 Forecast period  2021–2026
 Forecast Unit (Value)  USD Million
 Segments covered  Delivery Mode, Components, End-Users, And Geography
 Regions covered  North America, South America, Europe, Middle East and Africa, Asia Pacific
 Companies covered  GE Healthcare, Mckesson Corporation, Change Healthcare, NextGen Healthcare, SSI   Group Inc, Optum Inc., Cerner Corporation, Amosoft LLC, DiCentral Corporation, 123   EDI
 Customization scope  Free report customization with purchase



  • By Delivery Mode
    • Web-based EDI
    • Point-to-point EDI
    • Mobile EDI
    • EDI VAN
    • EDI via AS2
  • By Components
    • Services
    • Solutions
  • By End-Users
    • Healthcare Institutions
    • Government 
    • Pharmaceuticals Companies
  • By Geography
    • North America
      • USA
      • Canada
      • Mexico
    • South America
      • Brazil
      • Argentina
      • Others
    • Europe
      • UK
      • Germany
      • France
      • Italy
      • Others
    • Middle East and Africa
      • Israel
      • Saudi Arabia
      • Others
    • Asia Pacific
      • China
      • Japan
      • India
      • South Korea
      • Taiwan
      • Thailand
      • Indonesia
      • Others

Frequently Asked Questions (FAQs)

Q1. What will be the healthcare EDI market size by 2026?
A1. The healthcare EDI market is projected to reach a market size of US$13,318.349 million by 2026.

Q2. What is the size of global healthcare EDI market?
A2. Healthcare EDI Market was valued at US$6,815.573 million in 2019.

Q3. What are the growth prospects for healthcare EDI market?
A3. The global healthcare EDI market is projected to grow at a CAGR of 10.02% over the forecast period.

Q4. How is the global healthcare EDI market segmented?
A4. The global healthcare EDI market has been segmented by delivery mode, components, end-users, and geography.

Q5. What factors are anticipated to drive the healthcare EDI market growth?
A5. The quickly expanding clinical preliminaries and innovative work exercises in the medical services area are likewise making a lot of data, which thusly is enhancing the development of the healthcare EDI market.

1. Introduction
1.1. Market Definition
1.2. Market Segmentation

2. Research Methodology
2.1. Research Data
2.2. Assumptions

3. Executive Summary
3.1. Research Highlights

4. Market Dynamics
4.1. Market Drivers
4.2. Market Restraints
4.3. Porters Five Forces Analysis
4.3.1. Bargaining Power of Suppliers
4.3.2. Bargaining Power of Buyers
4.3.3. The Threat of New Entrants
4.3.4. Threat of Substitutes
4.3.5. Competitive Rivalry in the Function
4.4. Function Value Chain Analysis

5. Healthcare EDI Market Analysis, By Delivery Mode 
5.1. Introduction
5.2. Web-based EDI 
5.3. Point-to-point EDI 
5.4. Mobile EDI 
5.5. EDI VAN 
5.6. EDI via AS2 

6. Healthcare EDI Market Analysis, By Components 
6.1. Introduction
6.2. Services
6.3. Solutions

7. Healthcare EDI Market Analysis, By End-Users
7.1. Introduction
7.2. Healthcare Institutions
7.3. Government 
7.4. Pharmaceuticals Companies

8. Healthcare EDI Market Analysis, By Geography  
8.1. Introduction
8.2. North America  
8.2.1.  United States
8.2.2.  Canada
8.2.3.  Mexico
8.3. South America  
8.3.1.  Brazil
8.3.2.  Argentina
8.3.3.  Others
8.4. Europe  
8.4.1.  UK
8.4.2.  Germany
8.4.3.  Italy
8.4.4.  Spain
8.4.5.  Others
8.5. The Middle East and Africa  
8.5.1.  Israel 
8.5.2.  Saudi Arabia
8.5.3.  Others
8.6. Asia Pacific  
8.6.1.  China
8.6.2.  Japan
8.6.3.  India
8.6.4.  Australia
8.6.5.  South Korea
8.6.6.  Taiwan
8.6.7.  Thailand
8.6.8.  Indonesia
8.6.9.  Others

9.  Competitive Environment and Analysis
9.1.  Major Players and Strategy Analysis
9.2.  Emerging Players and Market Lucrativeness
9.3.  Mergers, Acquisitions, Agreements, and Collaborations
9.4.  Vendor Competitiveness Matrix

10.  Company Profiles.
10.1. GE Healthcare
10.2. Mckesson Corporation
10.3. Change Healthcare
10.4. NextGen Healthcare
10.5. SSI Group Inc
10.6. Optum Inc.
10.7. Cerner Corporation
10.8. Amosoft LLC
10.9. DiCentral Corporation
10.10. 123 EDI 

GE Healthcare

Mckesson Corporation

Change Healthcare

NextGen Healthcare

SSI Group Inc

Optum Inc.

Cerner Corporation

Amosoft LLC

DiCentral Corporation

123 EDI


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