The global patient access solution market provides software that assists healthcare providers and payers with verifying a patient's insurance eligibility, determining the exact patient responsibility and managing the entire revenue cycle process. Patient access solutions help in streamlining the registration process, accurately verifying insurance, coding and billing, reducing claim rejections, denials and errors. There is a growing need for health systems to manage complex revenue cycles, claims management and medical necessity checks which is fueling the demand for patient access solutions globally.
The Global Patient Access Solution Market is estimated to be valued at US$ 3.79 Bn in 2024 and is expected to exhibit a CAGR of 8.2% over the forecast period 2024 to 2031.
Rising healthcare costs have necessitated the need for accurate insurance verification, eligibility checks and financial clearance prior to rendering healthcare services. This is one of the major factors driving the growth of the global patient access solution market.
Key Takeaways
Key players operating in the global patient access solution market are Allscripts Healthcare Solutions, Inc., Cognizant Technology Solutions Corporation, McKesson Corporation, Epic Systems Corporation, Oracle Corporation, Innovaccer Inc., Cognizant Technology Solutions Corporation, Crener Corporation, Conifer Health Solutions, Optum, Inc., Genentech, Inc., Cirius Group, Inc., The SSI Group, Experian plc, Athenahealth, Inc., Edward Lifesciences Corporation, and Getinge AB.
Some of the key opportunities in the Patient Access Solution Market Growth include growing digitalization of healthcare, increasing utilization of cloud-based systems, mobile health apps and AI solutions. Geographically, North America dominates the patient access solution market currently. However, regions such as Asia Pacific and Latin America are expected to offer lucrative growth opportunities owing to improving healthcare infrastructure and growing medical tourism in these regions.
Healthcare providers and insurers are also expanding globally through partnerships, collaborations and acquisitions. For instance, McKesson Corporation acquired RxCrossroads in 2019 to expand its patient access and adherence solutions in Europe. Allscripts also partnered with Change Healthcare to offer end-to-end revenue cycle management solutions. Such strategic moves are helping vendors strengthen their presence across global markets.
Market Drivers:
- Rising healthcare costs: Growing medical inflation is increasing the need for accurate insurance verification and eligibility checks prior to rendering medical services to avoid issues related to claim denials and rejected bills. This is a major factor driving the adoption of patient access solutions.
Market Restrains:
- High implementation and maintenance costs: Implementing patient access solutions requires significant capital expenditure. Additionally, ongoing maintenance, upgrades and support add to the total cost of ownership. This acts as a major restraint especially for smaller healthcare facilities with limited budget allocated for healthcare IT solutions.
Segment Analysis
The Global Patient Access Solution Market can be segmented based on product & services, delivery model and end user.
The product & services segment holds the dominating share in the market currently. Within this segment, the services sub segment has gained prominence due to the increasing focus on improving operational efficiency and reducing healthcare costs. The services offered help bring down operational costs while also helping healthcare organizations comply with regulations.
Global Analysis
In terms of region, North America is currently the largest market for patient access solutions owing to supportive regulatory environment and presence of key market players in the US. The Asia Pacific region is expected to witness fastest growth during the forecast period due to the growing healthcare infrastructure, rising medical tourism, and increasing focus of key players on untapped opportunities in emerging Asian countries. Europe commands the second position in terms of market size due to increasing government initiatives to implement IT solutions in healthcare. However, high implementation and maintenance costs remain a key challenge, especially for smaller healthcare organizations in underdeveloped regions.
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