The healthcare provider network management market size has grown rapidly in recent years. It will grow from $4.74 billion in 2024 to $5.54 billion in 2025 at a compound annual growth rate (CAGR) of 16.7%. The growth in the historic period can be attributed to rise of value-based care models, increased regulatory compliance requirements, growing complexity of healthcare networks, patient-centric care delivery, market consolidation and mergers.
The healthcare provider network management market size is expected to see rapid growth in the next few years. It will grow to $10.09 billion in 2029 at a compound annual growth rate (CAGR) of 16.2%. The growth in the forecast period can be attributed to interoperability challenges, telehealth integration, focus on cybersecurity in healthcare, population health management strategies, shift towards decentralized care, regulatory changes and reimbursement models. Major trends in the forecast period include artificial intelligence and automation, demand for data analytics in healthcare, technological advancements in healthcare, value-based care integration, telehealth network expansion.
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What have been the primary factors driving the healthcare provider network management market’s growth?
The increasing geriatric population is expected to propel the growth of the healthcare provider network management market going forward. The geriatric population refers to individuals who are elderly, typically aged 65 and older, characterized by specific healthcare needs associated with aging. The Healthcare Provider Network Management market plays a pivotal role in addressing the evolving needs of an increasing geriatric population by optimizing healthcare delivery, enhancing care coordination, and ensuring efficient resource allocation. As the demographic landscape shifts towards a larger elderly population, effective network management becomes a strategic imperative to meet the unique healthcare demands of this growing segment. For instance, in July 2024, according to the UK Parliament’s House of Commons Library, a UK-based government administration, in 2022, there were 12.7 million individuals aged 65 and older in the UK, accounting for 19% of the total population. This number is projected to rise to 22.1 million by 2072, representing 27% of the population. Therefore, the increasing geriatric population is driving the growth of the healthcare provider network management market.
What are the key segments within the healthcare provider network management market?
The healthcare provider network management market covered in this report is segmented –
1) By Component: Network Management Services, Network Management Software
2) By Deployment Type: On-Premises, Cloud
3) By End User: Private Payers, Public Payers
Subsegments:
1) By Network Management Services: Provider Enrollment Services, Credentialing And Privileging Services, Network Development And Optimization Services, Performance Analytics And Reporting Services, Contract Management Services
2) By Network Management Software: Provider Network Management Software, Data Analytics And Reporting Tools, Credentialing Software, Contract Management Systems, Care Coordination Platforms
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Which key players are shaping the healthcare provider network management market?
Major companies operating in the healthcare provider network management market include UnitedHealth Group Incorporated, CVS Health Corporation, McKesson Corporation, Cigna Corporation, Centene Corporation, Anthem Inc., Optum Inc., Humana Inc., Aetna Inc., Cognizant, Infosys Technologies Limited, Atos SE, Change Healthcare Technologies Corporation, Virtusa Corporation, Genpact Limited, Mphasis Limited, Evolent Health Inc., Coforge Limited, Amwell Inc., Symphony Health AI, SkyGen Technologies Corporation
How will emerging trends drive the healthcare provider network management market throughout the forecast period?
Major companies operating in the healthcare provider network management market are focusing on introducing advanced products such as ICU on wheels to gain competitive edge. ICU on wheels refers to a mobile intensive care unit designed to provide critical medical care and advanced life support to patients while transporting them, often used in emergencies or during patient transfers between facilities. For instance, in November 2023, HealthNet, is an US based health care insurance provider, launched 5G ambulance, equipped with real-time data transmission and advanced medical technology. This vehicle enables seamless communication between paramedics and hospitals, allowing critical patient data to be transmitted instantly, enhancing emergency care response. By integrating into the broader healthcare provider network, the 5G ambulance improves decision-making and patient outcomes, reinforcing HealthNet’s role in advancing provider network management.
How do regional factors impact the healthcare provider network management market, and which region is the largest contributor?
The countries covered in the healthcare provider network management market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA, Canada, Italy, Spain.
What Does The Healthcare Provider Network Management Market Report 2025 Offer?
The healthcare provider network management market research report from The Business Research Company offers global market size, growth rate, regional shares, competitor analysis, detailed segments, trends, and opportunities.
Healthcare provider network management provides a point for access to information about health insurance plans, government regulations and processes, pricing, and other data within the healthcare organization.
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