U.S. Healthcare Electronic Data Interchange (EDI) Market - Industry Trends and Forecast to 2029

TABLE OF CONTENT

TABLE OF CONTENTS
1 INTRODUCTION 13
1.1 OBJECTIVES OF THE STUDY 13
1.2 MARKET DEFINITION 13
1.3 OVERVIEW OF U.S. HEALTHCARE ELECTRONIC DATA INTERCHANGE (EDI) MARKET 13
1.4 LIMITATIONS 15
1.5 MARKETS COVERED 15
2 MARKET SEGMENTATION 16
2.1 MARKETS COVERED 16
2.2 GEOGRAPHICAL SCOPE 17
2.3 YEARS CONSIDERED FOR THE STUDY 17
2.4 CURRENCY AND PRICING 17
2.5 DBMR TRIPOD DATA VALIDATION MODEL 18
2.6 MULTIVARIATE MODELLING 21
2.7 COMPONENTS TYPE LIFELINE CURVE 21
2.8 MARKET END-USER COVERAGE GRID 22
2.9 PRIMARY INTERVIEWS WITH KEY OPINION LEADERS 23
2.10 DBMR MARKET POSITION GRID 24
2.11 VENDOR SHARE ANALYSIS 26
2.12 SECONDARY SOURCES 27
2.13 ASSUMPTIONS 27
3 EXECUTIVE SUMMARY 28
4 PREMIUM INSIGHTS 31
4.1 INDUSTRY INSIGHTS 32
4.2 REGULATORY FRAMEWORK 36
5 MARKET OVERVIEW 37
5.1 DRIVERS 39
5.1.1 INCREASING ADOPTION OF ELECTRONIC DATA INTERCHANGE IN HEALTHCARE INDUSTRY 39
5.1.2 RISING NEED TO CURB HEALTHCARE COSTS 39
5.1.3 SURGE IN THE NUMBER OF HOSPITALS, CLINICS, AND HEALTHCARE 40
5.1.4 GROWING INVESTMENT IN TECHNOLOGICAL ADVANCEMENT IN ELECTRONIC DATA INTERCHANGE BY END-USERS 41
5.2 RESTRAINTS 41
5.2.1 HIGH COST ASSOCIATED WITH ELECTRONIC DATA INTERCHANGE SOLUTION 41
5.2.2 LACK OF DATA SECURITY ASSURANCE 42
5.3 OPPORTUNITIES 43
5.3.1 AVAILABILITY OF COST-EFFECTIVE CLOUD SOLUTIONS 43
5.3.2 GROWING PENETRATION OF AI, ANALYTICS, AND IOT DEVICES 43
5.3.3 INCREASE IN VARIOUS STRATEGIC DECISIONS SUCH AS PARTNERSHIP AND ACQUISITION 44
5.4 CHALLENGES 45
5.4.1 TECHNOLOGICAL ACCELERATION IS CREATING A CHALLENGING ENVIRONMENT FOR ELECTRONIC DATA INTERCHANGE 45
5.4.2 EMERGING RISKS AND THREATS TO DATA INTEGRITY 45
6 IMPACT ANALYSIS OF COVID-19 ON U.S. HEALTHCARE ELECTRONIC DATA INTERCHANGE (EDI) MARKET 46
6.1 ANALYSIS ON IMPACT OF COVID-19 ON THE MARKET 46
6.2 STRATEGIC DECISIONS BY MANUFACTURERS AFTER COVID-19 46
6.3 IMPACT ON PRICE 46
6.4 IMPACT ON DEMAND AND SUPPLY CHAIN 47
6.5 CONCLUSION 47
7 U.S. HEALTHCARE ELECTRONIC DATA INTERCHANGE (EDI) MARKET, BY COMPONENT 48
7.1 OVERVIEW 49
7.2 SERVICES 50
7.3 SOLUTIONS 50
8 U.S. HEALTHCARE ELECTRONIC DATA INTERCHANGE (EDI) MARKET, BY TRANSACTION TYPE 51
8.1 OVERVIEW 52
8.2 CLAIM MANAGEMENT 53
8.2.1 CLAIMS SUBMISSION 53
8.2.2 ELIGIBILITY VERIFICATION 54
8.2.3 REFERRAL CERTIFICATION & AUTHORIZATION 54
8.2.4 CLAIM PAYMENTS 54
8.2.5 PAYMENT REMITTANCE 54
8.2.6 CLAIM STATUS 54
8.2.7 OTHERS 54
8.3 HEALTHCARE SUPPLY CHAIN MANAGEMENT 54

9 U.S. HEALTHCARE ELECTRONIC DATA INTERCHANGE (EDI) MARKET, BY DELIVERY MODE 55
9.1 OVERVIEW 56
9.2 WEB AND CLOUD-BASED EDI 57
9.3 EDI VAN 57
9.4 POINT-TO-POINT EDI 57
9.5 MOBILE EDI 58
10 U.S. HEALTHCARE ELECTRONIC DATA INTERCHANGE (EDI) MARKET, BY APPLICATION 59
10.1 OVERVIEW 60
10.2 PATIENT MANAGEMENT 61
10.2.1 CLOUD-BASED 61
10.2.2 WEB BASED 62
10.2.3 ON PREMISE 62
10.3 PRACTICE MANAGEMENT 62
10.3.1 CLOUD-BASED 62
10.3.2 WEB BASED 62
10.3.3 ON PREMISE 63
10.4 E-PRESCRIPTION 63
10.4.1 CLOUD-BASED 63
10.4.2 WEB BASED 63
10.4.3 ON PREMISE 63
10.5 POPULATION HEALTH MANAGEMENT 64
10.5.1 CLOUD-BASED 64
10.5.2 WEB BASED 64
10.5.3 ON PREMISE 64
10.6 REFERRAL MANAGEMENT 64
10.6.1 CLOUD-BASED 65
10.6.2 WEB BASED 65
10.6.3 ON PREMISE 65
10.7 OTHERS 65

11 U.S. HEALTHCARE ELECTRONIC DATA INTERCHANGE (EDI) MARKET, BY END-USER 66
11.1 OVERVIEW 67
11.2 HOSPITALS 68
11.2.1 LONG-TERM CARE HOSPITALS 69
11.2.2 ACUTE CARE HOSPITALS 69
11.2.3 PSYCHIATRIC HOSPITALS 69
11.2.4 OTHERS 69
11.3 PHARMACIES AND LABORATORIES 69
11.4 CLINICS 69
11.4.1 LARGE PRACTICE 70
11.4.2 SMALL PRACTICE 70
11.4.3 SOLO PRACTICE 70
11.5 HEALTHCARE PAYERS 70
11.6 AMBULATORY SURGERY CENTERS (ASCS) 70
11.7 MEDICAL DEVICE AND PHARMACEUTICAL INDUSTRIES 71
11.8 OTHERS 71
12 U.S. HEALTHCARE ELECTRONIC DATA INTERCHANGE (EDI) MARKET, BY DISTRIBUTION CHANNEL 72
12.1 OVERVIEW 73
12.2 DIRECT TENDER 74
12.3 THIRD PARTY DISTRIBUTION 74
13 U.S. HEALTHCARE ELECTRONIC DATA INTERCHANGE (EDI) MARKET: COMPANY LANDSCAPE 75
13.1 COMPANY SHARE ANALYSIS: U.S. 75
14 SWOT ANALYSIS 76
15 COMPANY PROFILES 77
15.1 MCKESSON CORPORATION 77
15.1.1 COMPANY SNAPSHOT 77
15.1.2 REVENUE ANALYSIS 77
15.1.3 PRODUCT PORTFOLIO 78
15.1.4 RECENT DEVELOPMENTS 78
15.2 ATHENAHEALTH 79
15.2.1 COMPANY SNAPSHOT 79
15.2.2 PRODUCT PORTFOLIO 79
15.2.3 RECENT DEVELOPMENTS 80
15.3 CERNER CORPORATION 81
15.3.1 COMPANY SNAPSHOT 81
15.3.2 REVENUE ANALYSIS 81
15.3.3 PRODUCT PORTFOLIO 82
15.3.4 RECENT DEVELOPMENTS 82
15.4 SYNNEX CORPORATION 83
15.4.1 COMPANY SNAPSHOT 83
15.4.2 REVENUE ANALYSIS 83
15.4.3 PRODUCT PORTFOLIO 84
15.4.4 RECENT DEVELOPMENTS 84
15.5 OPTUM, INC 85
15.5.1 COMPANY SNAPSHOT 85
15.5.2 PRODUCT PORTFOLIO 85
15.5.3 RECENT DEVELOPMENTS 86
15.6 ALLSCRIPTS HEALTHCARE, LLC. 87
15.6.1 COMPANY SNAPSHOT 87
15.6.2 REVENUE ANALYSIS 87
15.6.3 PRODUCT PORTFOLIO 88
15.6.4 RECENT DEVELOPMENTS 88
15.7 AXWAY 89
15.7.1 COMPANY SNAPSHOT 89
15.7.2 PRODUCT PORTFOLIO 89
15.7.3 RECENT DEVELOPMENT 89
15.8 AZZLY 90
15.8.1 COMPANY SNAPSHOT 90
15.8.2 PRODUCT PORTFOLIO 90
15.8.3 RECENT DEVELOPMENT 90
15.9 BOOMI, LP. 91
15.9.1 COMPANY SNAPSHOT 91
15.9.2 PRODUCT PORTFOLIO 91
15.9.3 RECENT DEVELOPMENTS 92
15.10 COGNIZANT 93
15.10.1 COMPANY SNAPSHOT 93
15.10.2 REVENUE ANALYSIS 93
15.10.3 PRODUCT PORTFOLIO 94
15.10.4 RECENT DEVELOPMENTS 94
15.11 COMARCH SA 95
15.11.1 COMPANY SNAPSHOT 95
15.11.2 PRODUCT PORTFOLIO 95
15.11.3 RECENT DEVELOPMENT 95
15.12 DICENTRAL.COM 96
15.12.1 COMPANY SNAPSHOT 96
15.12.2 PRODUCT PORTFOLIO 96
15.12.3 RECENT DEVELOPMENT 96
15.13 EDIFECS 97
15.13.1 COMPANY SNAPSHOT 97
15.13.2 PRODUCT PORTFOLIO 97
15.13.3 RECENT DEVELOPMENT 97
15.14 EXPERIAN PLC 98
15.14.1 COMPANY SNAPSHOT 98
15.14.2 REVENUE ANALYSIS 98
15.14.3 PRODUCT PORTFOLIO 99
15.14.4 RECENT DEVELOPMENT 99
15.15 EDI-HEALTH GROUP, INC. 100
15.15.1 COMPANY SNAPSHOT 100
15.15.2 PRODUCT PORTFOLIO 100
15.15.3 RECENT DEVELOPMENT 100
15.16 GENERAL ELECTRIC 101
15.16.1 COMPANY SNAPSHOT 101
15.16.2 REVENUE ANALYSIS 101
15.16.3 PRODUCT PORTFOLIO 102
15.16.4 RECENT DEVELOPMENT 102
15.17 HEALTHASYST 103
15.17.1 COMPANY SNAPSHOT 103
15.17.2 PRODUCT PORTFOLIO 103
15.17.3 RECENT DEVELOPMENT 104
15.18 HELPSYSTEMS. GOANYWHERE 105
15.18.1 COMPANY SNAPSHOT 105
15.18.2 PRODUCT PORTFOLIO 105
15.18.3 RECENT DEVELOPMENT 105
15.19 MULESOFT LLC, A SALESFORCE COMPANY 106
15.19.1 COMPANY SNAPSHOT 106
15.19.2 PRODUCT PORTFOLIO 106
15.19.3 RECENT DEVELOPMENT 106
15.20 NXGN MANAGEMENT, LLC. 107
15.20.1 COMPANY SNAPSHOT 107
15.20.2 REVENUE ANALYSIS 107
15.20.3 PRODUCT PORTFOLIO 108
15.20.4 RECENT DEVELOPMENTS 108

15.21 PILOTFISH, INC. 109
15.21.1 COMPANY SNAPSHOT 109
15.21.2 PRODUCT PORTFOLIO 109
15.21.3 RECENT DEVELOPMENT 109
15.22 PLEXIS HEALTHCARE SYSTEMS 110
15.22.1 COMPANY SNAPSHOT 110
15.22.2 PRODUCT PORTFOLIO 110
15.22.3 RECENT DEVELOPMENT 111
15.23 QUADAX, INC. 112
15.23.1 COMPANY SNAPSHOT 112
15.23.2 PRODUCT PORTFOLIO 112
15.23.3 RECENT DEVELOPMENTS 113
15.24 SOFTWARE AG 114
15.24.1 COMPANY SNAPSHOT 114
15.24.2 REVENUE AN ALYSIS 114
15.24.3 PRODUCT PORTFOLIO 115
15.24.4 RECENT DEVELOPMENT 115
15.25 SPS COMMERCE, INC. 116
15.25.1 COMPANY SNAPSHOT 116
15.25.2 REVENUE ANALYSIS 116
15.25.3 PRODUCT PORTFOLIO 117
15.25.4 RECENT DEVELOPMENT 117
15.26 TRUECOMMERCE INC 118
15.26.1 COMPANY SNAPSHOT 118
15.26.2 PRODUCT PORTFOLIO 118
15.26.3 RECENT DEVELOPMENT 118
15.27 TRUECOMMERCE B2BGATEWAY 119
15.27.1 COMPANY SNAPSHOT 119
15.27.2 PRODUCT PORTFOLIO 119
15.27.3 RECENT DEVELOPMENT 119
15.28 THESSIGROUP 120
15.28.1 COMPANY SNAPSHOT 120
15.28.2 PRODUCT PORTFOLIO 120
15.28.3 RECENT DEVELOPMENTS 120
15.29 WAYSTAR 121
15.29.1 COMPANY SNAPSHOT 121
15.29.2 PRODUCT PORTFOLIO 121
15.29.3 RECENT DEVELOPMENTS 122

15.30 YOUREDI LTD. 123
15.30.1 COMPANY SNAPSHOT 123
15.30.2 PRODUCT PORTFOLIO 123
15.30.3 RECENT DEVELOPMENT 123
16 QUESTIONNAIRE 124
17 RELATED REPORTS 128