세계의 헬스케어 EDI 시장 보고서(2025년)
Healthcare EDI Global Market Report 2025
상품코드 : 1821563
리서치사 : The Business Research Company
발행일 : On Demand Report
페이지 정보 : 영문 250 Pages
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한글목차

헬스케어 EDI 시장 규모는 향후 수년간 급성장할 것으로 전망됩니다. 2029년에는 CAGR 12.1%로 88억 7,000만 달러로 성장할 것으로 예상됩니다. 예측 기간의 성장은 원격 의료 확대, 데이터 표준화, 데이터 프라이버시 및 보안, 조직 간 데이터 공유, 유행 대책에 기인합니다. 예측 기간의 주요 동향으로는 상호 운용성 표준, 사전 승인 자동화, 안전한 데이터 교환을 위한 블록체인, 모바일 EDI 솔루션, 청구 검토를 위한 AI 등이 있습니다.

향후 5년간의 성장률 12.1%라고 하는 예측은 전회 예측으로부터 0.2%의 소폭 감소를 반영하고 있습니다. 이 감소는 주로 미국과 다른 국가 간의 관세의 영향 때문입니다. 관세 인상은 인도와 브라질에서 조달한 전자 데이터 교환 플랫폼과 청구 처리 게이트웨이의 비용을 증가시켜 청구 비효율성을 악화시키고 행정 거래 비용을 증가시켜 미국 제공업체에 부담을 줄 가능성이 높습니다. 또한 상호관세와 무역의 긴장과 한계 증가로 인한 세계 경제와 무역에 대한 악영향으로 인해 그 영향이 보다 광범위하게 이어질 수 있습니다.

헬스케어에 대한 정부 지원의 확대는 헬스케어 EDI 시장의 향후 확대를 촉진할 것으로 예측됩니다. 헬스케어 EDI는 초전문 병원 내의 다양한 부서와 지사 간의 정보 교환에 활용됩니다. 이 소프트웨어는 의료 기관 간의 혜택 조정, 청구 상태, 보험 세부 사항, 결제 정보, 자격 양식 등의 데이터 전송을 용이하게합니다. 헬스케어 부문에 대한 정부의 지원이 강화되면, 새로운 기기의 개발이나 국민에게의 서비스 향상이 가능하게 되는 것과 동시에, 정부계 병원에서의 기술 도입도 진행됩니다. 예를 들어, 2022년 6월 영국 정부 부문인 국민보건서비스(NHS)는 디지털 도입과 건강 관리의 디지털화를 추진하기 위해 1억 6,471만 달러(약 1억 5,000만 유로)라는 많은 투자를 발표했습니다. 이 자금 제공은 기술 진보 강화를 통해 의료 및 사회적 케어를 변화시키는 것을 목표로 합니다. 이와 같이 건강 관리에 대한 정부 지원의 확대는 헬스케어 EDI 시장 수요를 촉진하고 있습니다.

목차

제1장 주요 요약

제2장 시장 특징

제3장 시장 동향과 전략

제4장 시장 : 금리, 인플레이션, 지정학, 무역전쟁과 관세, 코로나 및 회복이 시장에 미치는 영향을 포함한 거시경제 시나리오

제5장 세계의 성장 분석과 전략 분석 프레임워크

제6장 시장 세분화

제7장 지역별/국가별 분석

제8장 아시아태평양 시장

제9장 중국 시장

제10장 인도 시장

제11장 일본 시장

제12장 호주 시장

제13장 인도네시아 시장

제14장 한국 시장

제15장 서유럽 시장

제16장 영국 시장

제17장 독일 시장

제18장 프랑스 시장

제19장 이탈리아 시장

제20장 스페인 시장

제21장 동유럽 시장

제22장 러시아 시장

제23장 북미 시장

제24장 미국 시장

제25장 캐나다 시장

제26장 남미 시장

제27장 브라질 시장

제28장 중동 시장

제29장 아프리카 시장

제30장 경쟁 구도와 기업 프로파일

제31장 기타 주요 기업 및 혁신 기업

제32장 세계 시장 경쟁 벤치마킹과 대시보드

제33장 주요 인수합병(M&A)

제34장 최근 시장 동향

제35장 시장의 잠재력이 높은 국가, 전략

제36장 부록

SHW
영문 목차

영문목차

Electronic data interchange (EDI) serves as the software conduit facilitating data transactions among diverse healthcare stakeholders and insurers through computer systems. Utilizing the EDI service, organizers can efficiently process and monitor claims throughout the entire billing cycle. Healthcare EDI plays a pivotal role in managing critical patient data, encompassing medical history, medication information, and emergency services records.

Key transactions within healthcare EDI involve claim management, healthcare supply chain, and other related processes. Claim management entails the organization, billing, filing, updating, and processing of healthcare claims associated with patient diagnoses, medications, and treatments. This encompasses various components such as software, hardware, and services, delivered through modes like mobile, VAN, web & cloud-based, and point-to-point. These solutions are employed by healthcare providers, payers, pharmacies, and other end users in the industry.

Note that the outlook for this market is being affected by rapid changes in trade relations and tariffs globally. The report will be updated prior to delivery to reflect the latest status, including revised forecasts and quantified impact analysis. The report's Recommendations and Conclusions sections will be updated to give strategies for entities dealing with the fast-moving international environment.

The sharp rise in U.S. tariffs and the resulting trade tensions in spring 2025 are having a significant impact on the healthcare sector, especially in the supply of essential medical devices, diagnostic equipment, and pharmaceuticals. Hospitals and healthcare providers are grappling with higher costs for imported surgical tools, imaging systems, and consumables like syringes and catheters, many of which have limited domestic substitutes. These escalating expenses are putting pressure on healthcare budgets, prompting some providers to delay equipment upgrades or pass increased costs on to patients. Furthermore, tariffs on raw materials and components are disrupting the manufacturing of vital drugs and devices, leading to supply chain delays. In response, the industry is adopting diversified sourcing strategies, expanding local production where feasible, and pushing for tariff exemptions on critical medical products.

The healthcare EDI market research report is one of a series of new reports from The Business Research Company that provides healthcare EDI market statistics, including healthcare EDI industry global market size, regional shares, competitors with a healthcare EDI market share, detailed healthcare EDI market segments, market trends and opportunities, and any further data you may need to thrive in the healthcare EDI industry. This healthcare EDI market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenario of the industry.

The healthcare edi market size has grown rapidly in recent years. It will grow from $5.1 billion in 2024 to $5.62 billion in 2025 at a compound annual growth rate (CAGR) of 10.0%. The growth in the historic period can be attributed to regulatory compliance, administrative efficiency, cost reduction, error reduction, claims processing.

The healthcare edi market size is expected to see rapid growth in the next few years. It will grow to $8.87 billion in 2029 at a compound annual growth rate (CAGR) of 12.1%. The growth in the forecast period can be attributed to telehealth expansion, data standardization, data privacy and security, inter-organizational data sharing, pandemic preparedness. Major trends in the forecast period include interoperability standards, prior authorization automation, blockchain for secure data exchange, mobile edi solutions, ai for claim scrutiny.

The forecast of 12.1% growth over the next five years reflects a slight reduction of 0.2% from the previous projection. This reduction is primarily due to the impact of tariffs between the US and other countries. Tariff escalations are likely to burden U.S. providers by driving up the cost of electronic data interchange platforms and claims processing gateways sourced from India and Brazil, exacerbating billing inefficiencies and elevating administrative transaction costs. The effect will also be felt more widely due to reciprocal tariffs and the negative effect on the global economy and trade due to increased trade tensions and restrictions.

The growing government support for healthcare is anticipated to drive the expansion of the healthcare EDI market in the future. Healthcare EDI is utilized to exchange information between various departments and branches within super-specialty hospitals. This software facilitates the transmission of data such as benefits coordination, claims status, insurance details, payment information, and eligibility forms among healthcare entities. Increased government backing for the healthcare sector enables the development of new equipment and improved services for the population, while also advancing technology adoption in government hospitals. For example, in June 2022, the National Health Service (NHS), a UK-based government department, announced a substantial investment of USD 164.71 million (approximately €150 million) to promote digital adoption and healthcare digitization. This funding initiative is set to transform health and social care through enhanced technological advancements. Thus, the growing government support for healthcare is fueling the demand for the healthcare EDI market.

The growth of telehealth services is expected to boost the healthcare EDI market in the coming years. Telehealth refers to the use of digital information and communication technologies across various aspects of healthcare, including clinical care, patient and professional education, wellness management, and public health. It allows healthcare providers to deliver services remotely by digitally connecting with patients. Healthcare Electronic Data Interchange (EDI) plays a crucial role in supporting telehealth by enhancing administrative processes and data exchange. EDI in telehealth streamlines administrative tasks, improves communication between patients and providers, and ensures the secure, efficient transfer of vital healthcare data, contributing to the effectiveness and affordability of telehealth services. For example, in August 2022, the Australian Digital Health Agency reported that in July 2022, 118.2 million telehealth services were provided to 18 million people, with nearly 95,000 practitioners using telehealth services. Thus, the expansion of telehealth services is driving the healthcare EDI market.

Technological advancements emerge as a prominent trend in the healthcare EDI market. Key market players focus on innovation to maintain their market position. For example, in May 2022, NextGen Healthcare Inc., a US-based software company specializing in electronic health record software, introduced NextGen Health Data Hub Insights. This innovative data warehouse and analytics solution simplify data access, analytics, and report production for health information exchanges (HIEs) and healthcare providers in the United States. The platform, an extension of the NextGen Health Data Hub, enables users to unleash the value of their data assets by providing customized, near-real-time reporting capabilities and insights at the point of treatment. Technological advancements like these shape the landscape of the healthcare EDI market.

In July 2022, Technology Partners LLC, doing business as ImagineSoftware, a US-based software company, successfully acquired Exchange EDI LLC in a deal of undisclosed value. This strategic move has expanded ImagineSoftware's service portfolio, incorporating Exchange EDI's capabilities to enhance patient billing and collections operations. The amalgamation of their technologies and expertise positions both companies optimally to enhance communication between doctors and patients. Exchange EDI LLC, a US-based company specializing in the electronic interchange of business information using standardized formats, now operates under the ImagineSoftware umbrella.

In October 2022, Change Healthcare Inc., a US-based company operating in the healthcare electronic data interchange sector, announced the successful completion of a merger. This union brings together two companies with a shared objective of creating a simpler, more intelligent, and adaptable health system for individuals, payers, and providers. The integrated approach aims to streamline critical clinical, administrative, and financial procedures essential for healthcare professionals and payers in patient treatment. By enhancing efficiency and reducing friction, the unified entity anticipates benefiting the entire healthcare system, leading to cost savings and increased satisfaction for all stakeholders. Notably, Optum Inc., a US-based healthcare technology and EDI company, is a key player in this sector.

Major companies operating in the healthcare EDI market include McKesson Corporation, Optum Inc., Allscripts, GE Healthcare, Cognizant Technology Solutions India Pvt Ltd., Cerner Corporation, Dell Technologies Inc., The SSI Group, Tallan Inc., Quadax Inc., AthenaHealth, MuleSoft LLC, Boomi Inc., Change Healthcare Inc., Conduent Inc., Epic Systems Corporation, Siemens Healthineers, NextGen Healthcare, Infor Inc., Edifecs Inc., Waystar Inc., Experian Information Solutions Inc., Availity LLC, eClinicalWorks, National Education Association, Ability Network, PracticeSuite Inc., Quest Diagnostics, Jopari Solutions Inc., Alpha II LLC, TransUnion Healthcare, Bizmatics Inc., Healthpac Computer Systems

North America was the largest region in the healthcare EDI market in 2024. Asia-Pacific is expected to be the fastest-growing region in the forecast period. The regions covered in the healthcare EDI market analysis report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East and Africa.

The countries covered in the healthcare EDI market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA.

The healthcare electronic data interchange (EDI) market includes revenues earned by Web & Cloud-based EDI, EDI Value Added Network, Direct EDI and Mobile EDI. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included.

The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD unless otherwise specified).

The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products.

Healthcare EDI Global Market Report 2025 from The Business Research Company provides strategists, marketers and senior management with the critical information they need to assess the market.

This report focuses on healthcare edi market which is experiencing strong growth. The report gives a guide to the trends which will be shaping the market over the next ten years and beyond.

Reasons to Purchase

Where is the largest and fastest growing market for healthcare edi ? How does the market relate to the overall economy, demography and other similar markets? What forces will shape the market going forward, including technological disruption, regulatory shifts, and changing consumer preferences? The healthcare edi market global report from the Business Research Company answers all these questions and many more.

The report covers market characteristics, size and growth, segmentation, regional and country breakdowns, competitive landscape, market shares, trends and strategies for this market. It traces the market's historic and forecast market growth by geography.

The forecasts are made after considering the major factors currently impacting the market. These include the technological advancements such as AI and automation, Russia-Ukraine war, trade tariffs (government-imposed import/export duties), elevated inflation and interest rates.

Scope

Table of Contents

1. Executive Summary

2. Healthcare EDI Market Characteristics

3. Healthcare EDI Market Trends And Strategies

4. Healthcare EDI Market - Macro Economic Scenario Including The Impact Of Interest Rates, Inflation, Geopolitics, Trade Wars and Tariffs, And Covid And Recovery On The Market

5. Global Healthcare EDI Growth Analysis And Strategic Analysis Framework

6. Healthcare EDI Market Segmentation

7. Healthcare EDI Market Regional And Country Analysis

8. Asia-Pacific Healthcare EDI Market

9. China Healthcare EDI Market

10. India Healthcare EDI Market

11. Japan Healthcare EDI Market

12. Australia Healthcare EDI Market

13. Indonesia Healthcare EDI Market

14. South Korea Healthcare EDI Market

15. Western Europe Healthcare EDI Market

16. UK Healthcare EDI Market

17. Germany Healthcare EDI Market

18. France Healthcare EDI Market

19. Italy Healthcare EDI Market

20. Spain Healthcare EDI Market

21. Eastern Europe Healthcare EDI Market

22. Russia Healthcare EDI Market

23. North America Healthcare EDI Market

24. USA Healthcare EDI Market

25. Canada Healthcare EDI Market

26. South America Healthcare EDI Market

27. Brazil Healthcare EDI Market

28. Middle East Healthcare EDI Market

29. Africa Healthcare EDI Market

30. Healthcare EDI Market Competitive Landscape And Company Profiles

31. Healthcare EDI Market Other Major And Innovative Companies

32. Global Healthcare EDI Market Competitive Benchmarking And Dashboard

33. Key Mergers And Acquisitions In The Healthcare EDI Market

34. Recent Developments In The Healthcare EDI Market

35. Healthcare EDI Market High Potential Countries, Segments and Strategies

36. Appendix

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