The global healthcare Electronic Data Interchange (EDI) market size was valued at USD 2.7 billion in 2016 and is expected to grow at a CAGR of 9.4% during the forecast period. Rising need to curb healthcare costs coupled with technological advancements in EDI are expected to facilitate the market growth. Additionally, surge in number of end-users coupled with increasing adoption of EDI are expected to support the healthcare EDI market growth during the forecast period.
The electronic data interchange helps in keeping healthcare costs at an affordable level, improving the quality of healthcare delivery and its supporting process, and making accurate, fast, reliable, secure and detailed information. The use of paper form can be cumbersome, incompetent and costlier when it needs to distribute, retrieve, consolidate, and look for data. The electronic data interchange helps in minimizing these kinds of time-consuming process and streamlines the claim management processes.
U.S. healthcare EDI market, by delivery mode, 2014 - 2025 (USD Million)
Technologically innovated electronic data interchange services/solutions such as web-based EDI have advanced to address issues regarding confidentiality, authentication, and data integrity. Developments in the American National Standards Institute (ANSI) X12 EDI formatting standard have made electronic data interchange useful for Business-to-Business (B2B) transactions. The emergence of Extensible Markup Language (XML) and web-based standards in electronic data interchange is pacing the growth of this industry.
Various methods or delivery modes are used to deliver electronic data interchange services/solutions such as web and cloud-based EDI, EDI Value Added Network (VAN), direct (point-to-point) EDI, mobile EDI, Applicability Statement version 2 (AS2), File Transfer Protocol over Virtual Private Network (FTP/VPN), Secure File Transfer Protocol (SFTP) or File Transfer Protocol Secure (FTPS).
Moreover, increasing number of end-users are expected to propel the demand for the electronic data interchange services/solutions over the market period. The end-users include payers, providers, pharmaceutical & medical device industries, and others. A surge in number of hospitals in the UK., France, Germany, Benelux, and Denmark, which are adopting cost curtailing strategies through the use of electronic data interchange coupled with increased tie-ups with their vendors or suppliers. This is expected to support the growth of this space during the forecast period.
Pharmaceutical industries and medical device manufacturers are also adopting electronic data interchange services or solutions owing to growing competitiveness, pricing pressure, and lower profit margins, this is anticipated to assist in the growth of this vertical.
The components analyzed in this study include services and solutions. The services segment is expected to dominate the market owing to rising rate of outsourcing electronic data interchange services by healthcare organizations and increasing demand for scalability and integrity of EDI solutions.
The solutions segment is expected to register favorable growth over the forecast period owing to growing demand for electronic data interchange solutions such as e-invoicing, EDIFACT manifests, and others, as it reduces administrative costs, accelerates information processing, ensures data accuracy, eliminates certain business transactions, streamlines business procedures, and strengthens customer or vendor relations.
Delivery Mode Insights
The delivery modes analyzed in this study includes EDI VAN, direct EDI, and mobile EDI. The web and cloud-based EDI segment is anticipated to spearhead the market owing to growing demand from small and medium-sized healthcare providers for its affordable solutions coupled with improved flexibility and scalability.
The mobile EDI segment is expected to register comparatively higher CAGR over the forecast period. This is due to technological advancements in the healthcare industry and increasing acceptance of mobile solutions among healthcare providers.
The end-use segment is categorized into payers, providers, pharmaceutical & medical device industries, and others. The payers segment is anticipated to register comparatively higher market share during the forecast period. This is due to growing demand from insurance plans, healthcare payer organizations for the evaluation of insurance claims before their payment settlement, prevention and detection of fraudulent claims, and disease risk assessment.
On the other hand, the providers segment is expected to register comparatively higher CAGR during the forecast period. This is attributed to the rising adoption of EDI for operational intelligence, performance management, and financial management by physicians and clinicians, hospitals, clinics, and medical assessment centers.
Global healthcare EDI market, by region, 2016 (%)
North America held over 39.0% share in the market in 2016, owing to the higher adoption of Healthcare Information Technology (HCIT), and presence of major market players such as McKesson Corporation, Cognizant, Optum, Inc.; The SSI Group, LLC; ZirMed Inc.; and Experian Information Solutions, Inc.
Europe is also expected to hold a substantial market share during the forecast period due to the rising demand for electronic data interchange services/solutions among pharmaceutical companies and medical device manufacturers in Europe to tackle with growing competitiveness, pricing pressure, and lower profit margins.
Presence of policy reforms, economic development, and growing IT industry are expected to drive the market in Asia Pacific region. Additionally, rising patient volume, increasing need to manage large volume of patient data, and implementation of HCIT programs in India, Japan, and Australia are expected to help the growth of this vertical.
Some of the major players in this space include GE Healthcare; McKesson Corporation; Cognizant; Allscripts Healthcare Solutions Inc.; Siemens Healthineers; Optum, Inc.; Schreiner Group; The SSI Group, LLC; ZirMed Inc.; and Experian Information Solutions, Inc.
These players focus on growth strategies such as new product launch, merger & acquisition, and collaboration. For instance, in December 2016, Cognizant acquired Adaptra, a Sydney-based provider for consulting, business transformation and IT services, to strengthen company’s digital business, operations and systems capabilities leads to develop technology and data-focused segment.
Base year for estimation
Actual estimates/Historical data
2014 - 2016
2017 - 2025
Revenue in USD Million & CAGR from 2017 to 2025
North America, Europe, Asia Pacific, Latin America & MEA
U.S., Canada, UK, Germany, France, Italy, Spain, Japan, China, Brazil, Mexico, and South Africa
Revenue, competitive landscape, growth factors, and trends
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Segments Covered in the Report
This report forecasts revenue growth and provides an analysis on the latest trends in each of the sub-segments from 2014 to 2025. For the purpose of this study, Grand View Research, Inc. has segmented the healthcare EDI market on the basis of product, end-use, and region:
Component Outlook (Revenue, USD Million, 2014 - 2025)
Delivery Mode Outlook (Revenue, USD Million, 2014 - 2025)
Web and Cloud-based EDI
EDI Value Added Network (VAN)
Direct (Point-to-Point) EDI
End-Use Outlook (Revenue, USD Million, 2014 - 2025)
Pharmaceutical & Medical Device Industries
Regional Outlook (Revenue, USD Million, 2014 - 2025)
Middle East and Africa (MEA)
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