世界の医療EDI（電子データ交換）市場動向（～2018）...市場調査レポートについてご紹介

TABLE OF CONTENTS

1 INTRODUCTION 17
1.1 OBJECTIVES OF THE STUDY 17
1.2 REPORT DESCRIPTION 17
1.3 MARKETS COVERED 19
1.4 STAKEHOLDERS 20
1.5 RESEARCH METHODOLOGY 21
1.5.1 MARKET SIZE ESTIMATION 23
1.5.2 MARKET CRACKDOWN AND DATA TRIANGULATION 24
1.5.3 KEY DATA FROM SECONDARY RESOURCES 26
1.5.4 KEY DATA POINTS FROM PRIMARY RESOURCES 26
1.5.5 ASSUMPTIONS 28
2 EXECUTIVE SUMMARY 29
3 MARKET DYNAMICS 33
3.1 INTRODUCTION 34
3.2 MARKET SEGMENTATION 35
3.3 MARKET DYNAMICS 36
3.3.1 KEY MARKET DRIVERS 37
3.3.1.1 The Healthcare Insurance Portability and Accountability Act, 1996, to propel the adoption of EDI in healthcare 37
3.3.1.2 Patient Protection and Affordability Care Act 37
3.3.1.3 Initiatives by different governments for encouragement of healthcare IT 38
3.3.2 KEY MARKET RESTRAINTS 38
3.3.2.1 Data security—a major concern for patients and EDI users 38
3.3.2.2 High cost of EDI software 39
3.3.2.3 EDI management—a major challenge inhibiting the adoption of EDI 40
3.3.2.4 Restricted investments in Healthcare IT 40
3.3.2.5 Limited reimbursements to hinder the growth in the BRIC nations 41
3.3.3 KEY MARKET OPPORTUNITIES 41
3.3.3.1 Increase in the outsourcing of EDI services 41
3.3.3.2 Conversion from ICD-9 to ICD-10 42
3.3.4 KEY MARKET TRENDS 42
3.3.4.1 Increasing use of EDI in healthcare manufacturing/distribution industry 42
3.3.4.2 Gradual acceptance of mobile EDI 43
3.4 EVOLUTION OF EDI AND ITS FUTURE 43
3.5 BENEFITS OF EDI IN HEALTHCARE INDUSTRY 46
3.5.1 QUICKER PAYMENT OF CLAIMS AND DETECTION OF ERRORS 46
3.5.2 REDUCED ADMINISTRATIVE AND HANDLING COSTS 46
3.5.3 ACCESS TO ALL ELECTRONIC HIPAA-COMPLIANT TRANSACTIONS 47
3.5.4 OTHER BENEFITS TO MEDICARE “A” PROVIDERS 47
3.6 EDI STANDARDS FOR HEALTHCARE INDUSTRY 48
3.7 MARKET SHARE ANALYSIS 49
4 HEALTHCARE EDI MARKET, BY PRODUCT 52
4.1 INTRODUCTION 53
4.2 HEALTHCARE EDI MARKET, BY COMPONENT 54
4.2.1 SOFTWARE 55
4.2.2 SERVICES 57
4.3 HEALTHCARE EDI MARKET, BY TYPE OF TRANSACTION 59
4.3.1 CLAIM STATUS 60
4.3.2 ELIGIBILITY VERIFICATION 62
4.3.3 PAYMENT REMITTANCE 64
4.3.4 REFERRAL CERTIFICATION AUTHORIZATION 66
4.3.5 ENROLLMENT/DISENROLLMENT TRANSACTIONS 67
4.3.6 PREMIUM PAYMENTS 69
4.4 HEALTHCARE EDI MARKET, BY MODE OF DELIVERY 71
4.4.1 WEB-BASED EDI/EDI CLOUD 72
4.4.2 EDI VIA AS2 74
4.4.3 POINT-TO-POINT EDI 75
4.4.4 EDI VAN 77
4.4.5 MOBILE EDI 78
5 HEALTHCARE EDI MARKET, BY END USER 80
5.1 INTRODUCTION 81
5.2 HEALTHCARE PROVIDERS 83
5.2.1 HEALTHCARE PAYERS 84
5.2.2 GOVERNMENT/PUBLIC PAYERS 86
5.2.3 PRIVATE PAYERS 88
5.3 MEDICAL EQUIPMENT AND ACCESSORIES SUPPLIERS/PHARMACIES 90
6 GEOGRAPHIC ANALYSIS 92
6.1 INTRODUCTION 93
6.2 NORTH AMERICA 95
6.2.1 U.S. 99
6.2.2 CANADA 105
6.3 EUROPE 111
6.4 ASIA 116
6.5 REST OF THE WORLD 121
7 COMPETITIVE LANDSCAPE 126
7.1 INTRODUCTION 126
7.1.1 NEW PRODUCT LAUNCHES 128
7.1.2 MERGERS AND ACQUISITIONS 130
7.1.3 AGREEMENTS, ALLIANCES, COLLABORATIONS, JOINT VENTURES, AND PARTNERSHIPS 132
7.1.4 OTHER DEVELOPMENTS 133
8 COMPANY PROFILES 135
(Overview, Financials, Products & Services, Strategy, & Developments)*
8.1 ALLSCRIPTS HEALTHCARE SOLUTIONS INC. 135
8.2 CAPARIO INC. 142
8.3 EMDEON INC. 145
8.4 GE HEALTHCARE
(A DIVISION OF GENERAL ELECTRIC COMPANY) 159
8.5 MCKESSON CORPORATION 167
8.6 OPTUM INC. 175
8.7 PASSPORT HEALTH COMMUNICATIONS INC. 180
8.8 SIEMENS HEALTHCARE (SUBSIDIARY OF SIEMENS AG.) 186
8.9 SSI GROUP INC. 193
8.10 ZIRMED INC. 197

*Details on Financials, Product & Services, Strategy, & Developments might not be captured in case of unlisted companies.
APPENDIX 201