市场快照

Study Period: | 2018 - 2026 |
Base Year: | 2021 |
Fastest Growing Market: | Asia Pacific |
Largest Market: | North America |
CAGR: | 7.0 % |
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市场概况
患者访问解决方案涉及拒绝管理、付款估算和改善患者收款。拒绝管理在医院创收中发挥着重要作用。大多数医院现在依赖第三方供应商提供拒绝管理服务,因为他们缺乏专业知识和时间来管理报销流程。这些提供者拥有敬业且熟练的专业人员,处理被拒绝的索赔并重新提交。凭借他们的专业知识,这些供应商增加了他们客户的现金流,否则医院就会忽视这一点。据估计,在供应商的支持下,超过 90% 的索赔被拒绝是可以避免的,他们拥有该领域的系统和知识渊博的专家。
报告范围
根据报告的范围,“患者访问解决方案”一词是指涉及有效的索赔管理和最大限度地减少各种医院和医疗机构的索赔拒绝的解决方案。
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Services |
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Web and Cloud-based Solutions | |
On-Premise Solutions |
By End User | |
Healthcare Providers | |
HCIT Outsourcing Companies | |
Other End Users |
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主要市场趋势
索赔拒绝和上诉管理部门预计将在预测年内主导市场
基于软件,市场分为索赔拒绝和上诉管理解决方案、付款估计解决方案等。索赔拒绝和上诉管理涉及对拒绝程序的审查并确定是否可以对拒绝提出上诉。管理层对保险公司拒绝的索赔进行根本原因分析。这涉及审查患者文件和重新提交索赔。随着越来越多的医疗机构受到严格审查以及医疗保健索赔数量的增加,保险公司正在减少大量医院收入。因此,随着提供这些服务的公司的接受度越来越高,它们对医院设施变得越来越重要,从而促进了预测期内所研究市场的增长。

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北美在患者访问解决方案市场中占有最大份额
由于拥有高质量的医疗保健系统和现代医疗技术,患者访问解决方案市场在北美地区占有最大份额。美国大多数为医疗保险或任何私人保险承保的患者提供服务的医院都面临着处理和提交索赔的困难。医院在为患者准确计费完成手术或手术方面面临挑战。这为提供患者访问解决方案以弥合差距的公司创造了巨大的机会。此外,美国的大多数医院已经认识到,借助 IT 工具自动进行付款估算正在帮助医院和患者实时了解成本并通过减少应收账款周转时间来收取款项。 市场。

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竞争格局
进入患者访问解决方案市场的全球参与者包括 AccuReg Software、Cerner Corporation、Cirius Group Inc.、Cognizant、Conifer Health Solutions, LLC、Epic Systems Corporation、Experian PLC、McKesson Corporation、Optum Inc. 和 ZirMed Inc.。
Table of Contents
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1. INTRODUCTION
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1.1 Study Deliverables
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1.2 Study Assumptions
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1.3 Scope of the Study
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2. RESEARCH METHODOLOGY
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3. EXECUTIVE SUMMARY
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4. MARKET DYNAMICS
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4.1 Market Overview
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4.2 Market Drivers
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4.2.1 Need to Maintain Regulatory Compliance
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4.2.2 Rising Importance of Denial Management
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4.2.3 Increasing Number of Insured Patients
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4.3 Market Restraints
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4.3.1 Data Privacy and Confidentiality
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4.4 Porter's Five Forces Analysis
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4.4.1 Threat of New Entrants
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4.4.2 Bargaining Power of Buyers/Consumers
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4.4.3 Bargaining Power of Suppliers
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4.4.4 Threat of Substitute Products
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4.4.5 Intensity of Competitive Rivalry
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5. MARKET SEGMENTATION
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5.1 By Product and Service
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5.1.1 Software
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5.1.1.1 Claims Denial & Appeal Management Solutions
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5.1.1.2 Payment Estimation Solutions
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5.1.1.3 Others
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5.1.2 Services
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5.2 By Deployment
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5.2.1 Web and Cloud-based Solutions
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5.2.2 On-Premise Solutions
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5.3 By End User
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5.3.1 Healthcare Providers
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5.3.2 HCIT Outsourcing Companies
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5.3.3 Other End Users
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5.4 Geography
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5.4.1 North America
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5.4.1.1 United States
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5.4.1.2 Canada
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5.4.1.3 Mexico
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5.4.2 Europe
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5.4.2.1 Germany
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5.4.2.2 United Kingdom
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5.4.2.3 France
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5.4.2.4 Italy
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5.4.2.5 Spain
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5.4.2.6 Rest of Europe
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5.4.3 Asia-Pacific
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5.4.3.1 China
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5.4.3.2 Japan
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5.4.3.3 India
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5.4.3.4 Australia
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5.4.3.5 South Korea
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5.4.3.6 Rest of Asia-Pacific
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5.4.4 Middle-East and Africa
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5.4.4.1 GCC
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5.4.4.2 South Africa
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5.4.4.3 Rest of Middle-East and Africa
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5.4.5 South America
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5.4.5.1 Brazil
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5.4.5.2 Argentina
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5.4.5.3 Rest of South America
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6. COMPETITIVE LANDSCAPE
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6.1 Company Profiles
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6.1.1 AccuReg Software
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6.1.2 Cerner Corporation
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6.1.3 Cirius Group Inc.
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6.1.4 Cognizant
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6.1.5 Conifer Health Solutions, LLC
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6.1.6 Epic Systems Corporation
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6.1.7 Experian PLC
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6.1.8 McKesson Corporation
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6.1.9 Optum Inc.
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6.1.10 ZirMed Inc.
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*List Not Exhaustive -
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7. MARKET OPPORTUNITIES AND FUTURE TRENDS
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Frequently Asked Questions
What is the study period of this market?
The Patient Access Solutions Market market is studied from 2018 - 2026.
What is the growth rate of Patient Access Solutions Market?
The Patient Access Solutions Market is growing at a CAGR of 7.0% over the next 5 years.
Which region has highest growth rate in Patient Access Solutions Market?
Asia Pacific is growing at the highest CAGR over 2021- 2026.
Which region has largest share in Patient Access Solutions Market?
North America holds highest share in 2021.
Who are the key players in Patient Access Solutions Market?
Cerner Corporation, Cognizant, Epic Systems Corporation, McKesson Corporation, Optum Inc. are the major companies operating in Patient Access Solutions Market.