The healthcare provider network management market has seen considerable growth due to a variety of factors.
• The market size of healthcare provider network management has been escalating swiftly over the past years. It is projected to escalate from $4.74 billion in 2024 to $5.54 billion in 2025, marking a compound annual growth rate (CAGR) of 16.7%.
The growth witnessed during the historical period could be traced back to the surge in value-based care models, intensifying regulatory compliance obligations, mounting complexity in healthcare networks, patient-oriented care delivery, and market consolidation coupled with mergers.
The healthcare provider network management market is expected to maintain its strong growth trajectory in upcoming years.
• It is projected that the market size of healthcare provider network management will experience rapid expansion in the coming years, reaching a value of $10.09 billion by 2029 with a compound annual growth rate of 16.2%.
This growth during the predicted period can be linked to factors such as interoperability issues, the integration of telehealth, cybersecurity focus within healthcare, strategies for managing population health, a shift towards more decentralized care, regulatory adaptations, and changes in reimbursement models. Key trends in the prediction period encompass the application of artificial intelligence and automation, the growing need for data analytics within healthcare, advancements in healthcare technology, the integration of value-based care, and the expansion of the telehealth network.
The anticipated surge in the elderly population is predicted to drive the expansion of the healthcare provider network management market. This elderly population comprises individuals aged 65 or older who have specific health care needs due to their age. The healthcare provider network management market is crucial in meeting the changing needs of the escalating elderly population by improving healthcare provision, bolstering care coordination, and effectively channeling resources. As the demographic trends move towards a bigger elderly population, effectual network management becomes crucial to answer the distinctive healthcare requirements of this expanding segment. For example, reports from the House of Commons Library of the UK Parliament—a UK-based government agency—highlight that in 2022, 12.7 million UK citizens were over 65 years old, making up 19% of the population. This figure is set to grow to 22.1 million by 2072, accounting for 27% of the population. Consequently, the swelling elderly population is fueling the expansion of 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
Key companies in the healthcare provider network management market are striving for competition by launching superior products like ICU on wheels. This is a mobile intensive care unit built to deliver critical healthcare and top-of-the-range life support to patients during transport, usually in emergency situations or when patients are being moved between facilities. For example, HealthNet, a health care insurance provider based in the US, unveiled a 5G ambulance in November 2023. This ambulance is fitted with live data transmission and state-of-the-art medical technology. It provides uninterrupted communication between hospitals and paramedics, enabling swift transmission of essential patient information, consequently improving the emergency care response. The 5G ambulance’s integration into the wider healthcare provider network enhances decision-making processes and patient outcomes, thus cementing HealthNet's position in the evolution of provider network management.
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
North America was the largest region in the healthcare provider network management market in 2024. The regions covered in the healthcare provider network management market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa.